NASH - Nonalcoholic SteatohepatitisPhase 2LEGENDNCT05232071
Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With SGLT2 Inhibitor EmpaGliflozin in patiEnts With NASH and Type 2 Diabetes Mellitus
A Phase 2 study testing Lanifibranor and Empagliflozin in people with NASH - Nonalcoholic Steatohepatitis and Diabetes Mellitus, Type 2, run by Inventiva Pharma at 42 sites in 5 countries.
Trial summary
The study in the T2DM population is intended to confirm the lanifibranor effect versus placebo on glycemic control and assess a positive effect of the combination of lanifibranor with an SGLT2 inhibitor on glycemic control. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- NASH - Nonalcoholic Steatohepatitis, Diabetes Mellitus, Type 2
- What is being tested?
- Lanifibranor and Empagliflozin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 39 participants
- Where
- 42 sitesin 5 countries
- Study dates
- 29 Jun 2022to 4 Jun 2024
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, aged ≥ 18 years at the time of signing informed consent
- Diagnosis of NASH, based on histology or cT1≥875ms assessed by LiverMultiScan or cT1≥825ms assessed by LiverMultiScan and hepatic fat content ≥ 10% assessed by MRI-PDFF at screening
- HbA1c at screening ≥ 7.0 and ≤ 10.0%, on diet alone, or on metformin and/or dipeptidyl peptidase 4 inhibitor (DPP-IVi) therapy. Both with doses to be stable for 3 months
- Negative pregnancy test at Screening for females of childbearing potential or at least two-year post-menopausal.
Who cannot join
- Liver-related:
- Documented causes of chronic liver disease other than NASH
- Histologically documented liver cirrhosis (fibrosis stage F4)
- History or current diagnosis of hepatocellular carcinoma (HCC)
- History of or planned liver transplant
- Documented history of human immunodeficiency virus (HIV) infection
Show all 29Show fewer
- ALT or AST > 5 × upper limit of normal (ULN)
- Abnormal liver function as defined by central laboratory evaluation:
- Albumin < LLN INR ≥ 1.3 (unless patient is on anticoagulants) Total bilirubin level ≥ 1.5 mg/dL (25.7 µmol/L) (patients with a documented history of Gilbert's syndrome can be enrolled if direct bilirubin is ≤ 0.45 mg/dL (7.7 μmol/L) )
- Hemoglobin < 110 g/L (11 g/dL) for females and < 120 g/L (12 g/dL) for males
- WBC < LLN. A lower count is acceptable in patients with benign ethnic neutropenia, if considered to be clinical insignificant by the investigator
- Platelet count < 140,000/µL
- ALP > 2 × ULN
- Patient currently receiving any approved treatment for NASH or obesity
- Current or recent history (< 5 years) of significant alcohol consumption
- Administration of drugs known to produce hepatic steatosis in the 6 months prior to Screening.
- Diabetes related:
- Diabetes mellitus other than type 2
- Diabetic ketoacidosis at Screening
- Current treatment with glucagon-like peptide-1 receptor agonists (GLP-1RA), insulin or sulfonylurea or treatment within the last 3 months prior to Screening
- Patients on pioglitazone in the last 12 months prior to Screening.
- Patients on metformin, DPP-IVi, thiazide or furosemide diuretics, beta-blockers, or other chronic medications with known adverse effects on glucose tolerance levels, unless on stable doses in last 3 months
- Obesity related:
- BMI>45 kg/m2 at screening
- Introduction of an anti-obesity drug or restrictive bariatric surgery in the past 12 months prior to Screening or planned bariatric surgery through Week 24.
- Cardiovascular related:
- 21. History of or current unstable cardiac dysrhythmias 22. Unstable heart failure 23. Uncontrolled hypertension 24. Stroke or transient ischemic attack
- General safety:
- 25. Significant systemic or major illnesses other than liver disease and pulmonary disease, organ transplantation, serious psychiatric disease, that, in the opinion of the investigator, would preclude treatment with lanifibranor and/or adequate follow up 26. Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value < 60 mL/min 27. Concomitant treatment with PPAR-⍺ agonists (fibrates) 28. Patients on Vitamin E at doses ≥ 400 IU/day; doses of ≥ 400 IU/day are allowed when no qualitative change in dose for 6 months prior to Screening 29. Have a known hypersensitivity to any of the IMPs 30. Previous exposure to lanifibranor or empagliflozin 31. Present pregnancy/lactation 32. Metallic implant of any sort that prevents MRI examination 33. Participation in any clinical trial of an approved or non approved investigational medicinal product/device within 3 months from Screening or five half-lives of the investigational drug from Screening.
Trial locations and contacts
42 sites in 5 countries.
42 sites in 5 countries
United States26 sites
Accelemed Research Institute
Austin, Texas, 78745
Harvard Medical School
Boston, Massachusetts, 02115
Institute for Liver Health dba Arizona Liver Health
Chandler, Arizona, 85224
University of Virginia
Charlottesville, Virginia, 22908
ARcare Center for Clinical Research
Conway, Arkansas, 72032
Dallas Diabetes Research Center
Dallas, Texas, 75230
AIG Digestive Disease Research
Florham Park, New Jersey, 07932
Cure Clinical Research, LLC
Fountain Valley, California, 92708
Velocity Clinical Research
Gardena, California, 90247
Digestive Health Research
Hermitage, Tennessee, 37076
Birmingham Digestive Health Research
Homewood, Alabama, 35209
National Research Institute
Huntington Park, California, 90255
Indiana University School of Medicine
Indianapolis, Indiana, 46202
Florida Research Institute
Lakewood Rch, Florida, 34211
Galenus Group
Lehigh Acres, Florida, 33936
ARcare Center for Clinical Research
Little Rock, Arkansas, 72205
Tandem Clinical Research - New Orleans Area Site
Marrero, Louisiana, 70072
Prolive Medical Research
Miami, Florida, 33175
Cadena Care Institute, LLC
Poway, California, 92064
Central Virginia VA Healthcare System
Richmond, Virginia, 23249
Mayo Clinic
Rochester, Minnesota, 55905
American Research Corporation
San Antonio, Texas, 78215
Diabetes & Glandular Disease Clinic, P.A.
San Antonio, Texas, 78229
Digestive Health Research of Southern California
South Bend, Indiana, 46635
Impact Research Institute
Waco, Texas, 76710
Digestive Health Research of North Texas
Wichita Falls, Texas, 76301
France6 sites
CHU Angers_Service d'hepatogastro-enterologie
Angers, 49000
CHU Limoges
Limoges, 87042
Hopital Saint Antoine
Paris, 75012
CHU Bordeaux
Pessac, 33604
Chu Rangueil
Toulouse, 31059
HGE CHRU Nancy
Vandœuvre-lès-Nancy, 54500
Belgium5 sites
CUB Erasme Hospital
Brussels, 1070
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Antwerpen
Edegem, 2650
AZ Maria Middelares
Ghent, 9000
UZ GENT
Ghent, 9000
United Kingdom4 sites
Hull University Teaching Hospital
Hull, HU32JZ
King's College Hospital
London, SE59RS
St Georges Hospital
London, SW17 0QT
Royal Victoria Infirmary
Newcastle upon Tyne, NE1 7RU
About this study
Official title: A Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With the Sodium-glucose Transport Protein 2 (SGLT2) Inhibitor EmpaGliflozin in patiEnts With Non-alcoholic Steatohepatitis (NASH) and Type 2 Diabetes Mellitus (T2DM)
The study in the T2DM population is intended to confirm the lanifibranor effect versus placebo on glycemic control and assess a positive effect of the combination of lanifibranor with an SGLT2 inhibitor on glycemic control.
- Being tested
- Lanifibranor, Placebo, Empagliflozin
- Medical subject headings
- Non-alcoholic Fatty Liver Disease, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LanifibranorDrug
800 mg
PlaceboDrug
Placebo to match
EmpagliflozinDrug
Also called Jardiance
10 mg
| Study group | Role | What they receive |
|---|---|---|
| Lanifibranor (800 mg/day) | Experimental | Lanifibranor (800 mg/day): two film-coated tablets of 400 mg each, once-a-day (QD) with food. For oral use. QD for 24 weeks. Receives: Drug: Lanifibranor |
| Matching placebo | Placebo comparator | Two lanifibranor placebo-matching tablets once-a-day (QD) with food. For oral use. QD for 24 weeks. Receives: Drug: Placebo |
| Lanifibranor (800 mg/day) plus Empagliflozin (10mg/day) | Experimental | Lanifibranor (800 mg/day): two film-coated tablets of 400 mg each plus one empagliflozin film-coated tablet of 10 mg (10mg/day), once-a-day (QD) with food. For oral use. QD for 24 weeks Receives: Drug: Lanifibranor; Drug: Empagliflozin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Absolute Change in HbA1c
Effect of lanifibranor alone compared to placebo and the effect of lanifibranor in combination with empagliflozin compared to placebo on absolute change in HbA1c from baseline (Week 0) to Week 24
Measured: From Baseline to Week 24
Secondary outcomes (8)
Change in Liver Tests (ALT)
Defined as Absolute Change from Baseline
Measured: from Baseline to Week 24
Change in Liver Tests (AST)
Defined as Absolute Change from Baseline
Measured: from Baseline to Week 24
Percentage Change in Insulin Resistance and Glycaemic Control (HOMA-IR)
HOMA-IR : The homeostatic model assessment for insulin resistance (HOMA-IR) is a method used to quantify insulin resistance, and was derived by the central laboratory from glucose and insulin values using the formula (Fasting glucose mg/dL x fasting insulin µIU/mL) / 405.
Lower values are considered better outcome.
Measured: from Baseline to Week 24
Change in Insulin Resistance and Glycaemic Control (Insulin)
Defined as Relative Change from Baseline
Measured: from Baseline to Week 24
Change in Insulin Resistance and Glycaemic Control (Adiponectin)
Defined as Fold Change from Baseline
Measured: from Baseline to Week 24
Change in Lipid Parameters (HDL Cholesterol)
Defined as Relative Change
Measured: from Baseline to Week 24
Change in Body Weight and Body Composition (Body Weight)
Defined as Relative Change from Baseline
Measured: from Baseline to Week 24
Change in Body Weight and Body Composition (VAT/SAT Ratio)
Ratio VAT / SAT - Results for Relative Change from Baseline VAT : MRI L3 visceral adipose tissue SAT : MRI L3 subcutaneous adipose tissue
Measured: from Baseline to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Feb 2022
- Study start29 Jun 2022
- Primary completion8 May 2024
- Study completion4 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for NASH - Nonalcoholic SteatohepatitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 39 participants (actual)
Sponsor and investigators
- Lead sponsor
- Inventiva Pharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05232071
- Sponsor's protocol ID
- 337HNAS21016
- Other IDs
- 2021-005057-87
- Acronym
- LEGEND
- Status last verified
- Sep 2026
- First submitted
- 26 Jan 2022
- Last updated
- 9 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With the Sodium-glucose Transport Protein 2 (SGLT2) Inhibitor EmpaGliflozin in patiEnts With Non-alcoholic Steatohepatitis (NASH) and Type 2 Diabetes Mellitus (T2DM)
- ClinicalTrials.gov ID
- NCT05232071
- Acronym / sponsor ID
- LEGEND / 337HNAS21016
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 39 participants (actual)
- Lead sponsor
- Inventiva PharmaIndustry (pharma, biotech, devices)
- Study start
- 29 Jun 2022 (actual)
- Primary completion
- 8 May 2024 (actual)
- Study completion
- 4 Jun 2024 (actual)
- First posted
- 9 Feb 2022 (actual)
- Results
- Posted 9 Sep 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study in the T2DM population is intended to confirm the lanifibranor effect versus placebo on glycemic control and assess a positive effect of the combination of lanifibranor with an SGLT2 inhibitor on glycemic control.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Lanifibranor (800 mg/day) | Experimental | Drug: LanifibranorLanifibranor (800 mg/day): two film-coated tablets of 400 mg each, once-a-day (QD) with food. For oral use. QD for 24 weeks. |
| Matching placebo | Placebo comparator | Drug: PlaceboTwo lanifibranor placebo-matching tablets once-a-day (QD) with food. For oral use. QD for 24 weeks. |
| Lanifibranor (800 mg/day) plus Empagliflozin (10mg/day) | Experimental | Drug: Lanifibranor, Drug: EmpagliflozinLanifibranor (800 mg/day): two film-coated tablets of 400 mg each plus one empagliflozin film-coated tablet of 10 mg (10mg/day), once-a-day (QD) with food. For oral use. QD for 24 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Male or female, aged ≥ 18 years at the time of signing informed consent
- Diagnosis of NASH, based on histology or cT1≥875ms assessed by LiverMultiScan or cT1≥825ms assessed by LiverMultiScan and hepatic fat content ≥ 10% assessed by MRI-PDFF at screening
- HbA1c at screening ≥ 7.0 and ≤ 10.0%, on diet alone, or on metformin and/or dipeptidyl peptidase 4 inhibitor (DPP-IVi) therapy. Both with doses to be stable for 3 months
- Negative pregnancy test at Screening for females of childbearing potential or at least two-year post-menopausal.
Key exclusion criteria (29 listed)
- Documented causes of chronic liver disease other than NASH
- Histologically documented liver cirrhosis (fibrosis stage F4)
- History or current diagnosis of hepatocellular carcinoma (HCC)
- History of or planned liver transplant
- Documented history of human immunodeficiency virus (HIV) infection
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lanifibranor800 mg | Drug | Lanifibranor (800 mg/day), Lanifibranor (800 mg/day) plus Empagliflozin (10mg/day) |
| PlaceboPlacebo to match | Drug | Matching placebo |
| EmpagliflozinAlso: Jardiance10 mg | Drug | Lanifibranor (800 mg/day) plus Empagliflozin (10mg/day) |
Primary outcome
Absolute Change in HbA1c
Time frame: From Baseline to Week 24
Effect of lanifibranor alone compared to placebo and the effect of lanifibranor in combination with empagliflozin compared to placebo on absolute change in HbA1c from baseline (Week 0) to Week 24
8 secondary outcomes
Change in Liver Tests (ALT)
Time frame: from Baseline to Week 24
Change in Liver Tests (AST)
Time frame: from Baseline to Week 24
Percentage Change in Insulin Resistance and Glycaemic Control (HOMA-IR)
Time frame: from Baseline to Week 24
Change in Insulin Resistance and Glycaemic Control (Insulin)
Time frame: from Baseline to Week 24
Change in Insulin Resistance and Glycaemic Control (Adiponectin)
Time frame: from Baseline to Week 24
Change in Lipid Parameters (HDL Cholesterol)
Time frame: from Baseline to Week 24
Change in Body Weight and Body Composition (Body Weight)
Time frame: from Baseline to Week 24
Change in Body Weight and Body Composition (VAT/SAT Ratio)
Time frame: from Baseline to Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Sep 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
42 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Lanifibranor and Empagliflozin in people with NASH - Nonalcoholic Steatohepatitis and Diabetes Mellitus, Type 2, run by Inventiva Pharma at 42 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in United States, France, Belgium, United Kingdom, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Absolute Change in HbA1c (time frame: From Baseline to Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2026.