BioinvestGPT ApS · Research use only

NCT05039450 (efruxifermin in Nonalcoholic Steatohepatitis): BVCT ex-ante prediction vs. reported outcome

On 3 Nov 2024, BioinvestGPT's BVCT predicted technical failure and commercial failure for this trial. The 27 Jan 2025 readout could not be adjudicated and sits outside the scored cohort.

Clinical Trial

Acronym
SYMMETRY
Drug Name
efruxifermin (EFX)
Drug MoA
FGF21 analog
Drug Modality
fusion protein biologic
Drug Class
First-In-Class
Therapeutic Area
Nutritional and Metabolic Diseases
Indication
Nonalcoholic Steatohepatitis (NASH)
Human Patients
200
Sponsor
Akero Therapeutics
Phase
Phase 2

Prediction of , index 320

Prospective Prediction
Prediction Index
320
Prediction Date
Commercial Prediction
FAILURE (commercially insufficient clinical benefit)
Technical Prediction
FAILURE (statistically insignificant clinical benefit)

Readout of

Prediction Validation
Readout Date
Prediction To Readout
85 days in advance
Readout Data Interpretation
efruxifermin achieved borderline statistical significance in 50mg but not 28mg group with 17% placebo-adjusted reversal of cirrhosis with no worsening of NASH at week 96 in the IIT analysis (p=0.031). Caution- it is rare to have an “randomized” distribution of 47 missing-biopsy population among the placebo/28mg/50mg groups (30%/39%/37%) that’s out of proportion with respect to the differential distribution of 19 TEAE-treatment-discontinuation patients among the placebo/28mg/50mg groups (3%/11%/18%). Using proportional-to-TEAE-discontinuation distribution of the 47 missing-biopsy population (9%/34%/56%); then the resulting IIT analysis would be around 14%/21%/25%; becoming statistically insignificant)
Press Release
Additional Readout Data
Prediction Result
Prediction Accuracy
Unadjudicatable Prediction
Clinical Benefit Conclusion
statistically probably significant (depending on IIT analysis methods) and commercially TBD; phase 3 trials are required to adjudicate this prediction especially given that our ex-ante prediction of the same trial at its 36 week primary endpoint (2H23 Batch 14 timestamped on 19Jun2023) has been validated to be correct (see add'l link below)
Prediction Classification
—

ClinicalTrials.gov record

ClinicalTrials.gov record, retrieved 2026-09-24. Third-party data.

Official title
A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of Efruxifermin in Subjects With Compensated Cirrhosis Due to Nonalcoholic Steatohepatitis (NASH)
Phase
Phase 2
Status
Completed
Enrollment
213
Lead sponsor
Akero Therapeutics, Inc
Conditions
NASH - Nonalcoholic Steatohepatitis
Interventions
DRUG: EFX; DRUG: Placebo
Design
Randomized · Parallel · Quadruple
Primary purpose
Treatment
Start
2021-07-30
Primary completion
2023-12-15
Completion
2025-08-28
Results first posted
2026-07-21
Primary outcomes
  • Main: Change From Baseline in Fibrosis With no Worsening Steatohepatitis Assessed by NASH CRN System (Week 36)

NCT05039450 on ClinicalTrials.gov

How to read these records: evidence · methodology · all trials