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RecruitingMetabolic Dysfunction-Associated Steatotic Liver Disease

A Master Protocol of Multiple Agents in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (SYNERGY-Outcomes)

Eligible age

18+ yrs

Accepts

All genders

Locations

34 states

Healthy volunteers

No

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About this study

The main purpose of the SYNERGY-OUTCOMES study is to find out whether retatrutide and tirzepatide can prevent major adverse liver outcomes (MALO) in people with high-risk metabolic dysfunction-associated steatotic liver disease (MASLD). The study will enroll adults who have MASLD based on non-invasive tests (NITs), which indicate they are more likely to develop MALO. Participants will be randomly assigned within a Master Protocol to receive either retatrutide (N1T-MC-RT01), tirzepatide (N1T-MC-TZ01) or placebo. The trial plans to enroll about 4,500 adults and will run for approximately 224 weeks. Participants may have up to approximately 25 to 30 clinic visits throughout the study to monitor their health, complete study procedures, and assess liver function and disease progression. Once the study is complete, eligible participants may participate in an optional 2-year extension study, in which all participants will receive either retatrutide or tirzepatide, even if they received placebo in the main study.

Sponsor: Eli Lilly and Company

You may qualify if…

  • Have liver fat content ≥8%
  • Have ELF score of ≥9 and ≤10.8 at screening
  • Have VCTE LSM ≥10 kilopascal (kPa) and \<20 kPa at screening

You may not qualify if…

  • Have any other type of liver disease other than MASLD
  • Have a body mass index (BMI) \<25 kilogram per square meter (kg/m2)
  • Prior decompensated liver disease (history of esophageal/gastric varices, ascites, hepatic encephalopathy)
  • Have lost more than 11 pounds within the 3 months prior to screening
  • Have a hemoglobin A1c (HbA1c) greater than 10%
  • Have type 1 diabetes

Where it's recruiting

Alabama

Tuscaloosa

Arizona

Chandler · Gilbert · Peoria · Sun City

Arkansas

North Little Rock

California

Canoga Park · Fountain Valley · Fresno · La Jolla

Colorado

Aurora · Englewood

Florida

Clermont · Daytona Beach · Delray Beach · Doral

Georgia

Dalton · Lawrenceville · Marietta · Union City

Indiana

Indianapolis · New Albany · Newburgh · South Bend

Iowa

West Des Moines

Kansas

El Dorado · Lenexa · Topeka

Kentucky

Lexington

Source: ClinicalTrials.gov · NCT07165028 · last updated 2026-06-23