Evidence map›Paper›PMID 39984821›Full record

Trial reportAlimentary pharmacology & therapeutics2025

Clinical Trial: A Phase 2b Study to Evaluate the Efficacy and Safety of MK-3655 in Individuals With Pre-Cirrhotic MASH.

Annaswamy Raji, Ira Gantz, Michael Crutchlow, Heather Flynn, Lianzhe Xu, Anthony J Rodgers, Radha Krishnan, Matthew L Rizk, Shuai Hu, Keith D Kaufman and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04583423 (A Phase 2b Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of MK-3655 in Individuals With Pre-cirrhotic Nonalcoholic Steatohepatitis.), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04583423 phase2terminatednot on this map

A Phase 2b Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of MK-3655 in Individuals With Pre-cirrhotic Nonalcoholic Steatohepatitis.

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2020 to 2023Enrolled183ConditionsNonalcoholic SteatohepatitisArmsMK-3655, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Hypothalamus-liver talks: whispers in the language of metabolism.Reviews in endocrine & metabolic disorders · 2026
    Review
  3. Review
  4. FGF family in health and disease.Molecular biomedicine · 2026
    Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Annaswamy RajiMerck & Co., Inc., Rahway, New Jersey, USA.ORCID https://orcid.org/0000-0002-2430-8160
Ira GantzMerck & Co., Inc., Rahway, New Jersey, USA.
Michael CrutchlowMerck & Co., Inc., Rahway, New Jersey, USA.
Heather FlynnMerck & Co., Inc., Rahway, New Jersey, USA.
Lianzhe XuMerck & Co., Inc., Rahway, New Jersey, USA.
Anthony J RodgersMerck & Co., Inc., Rahway, New Jersey, USA.
Radha KrishnanMerck & Co., Inc., Rahway, New Jersey, USA.
Matthew L RizkMerck & Co., Inc., Rahway, New Jersey, USA.
Shuai HuMerck & Co., Inc., Rahway, New Jersey, USA.
Keith D KaufmanMerck & Co., Inc., Rahway, New Jersey, USA.
Samuel S EngelMerck & Co., Inc., Rahway, New Jersey, USA.
MK‐3655 P001 Study Group

Funding

Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, USA
6 · The paper itself

Abstract

backgroundFibroblast growth factor 21 (FGF21) is a metabolic regulator with demonstrated efficacy for the treatment of metabolic dysfunction-associated steatohepatitis (MASH). FGF21 signals through 'c' isoforms of the FGF receptors (FGFR) 1-3 and the co-receptor β-klotho.

aimsWe report the safety and efficacy of MK-3655, a monoclonal antibody that binds β-klotho and selectively activates the FGFR1c/β-klotho co-receptor complex, in patients with pre-cirrhotic MASH.

methodsPhase 2b, randomised, multicenter, double-blind, placebo-controlled, parallel-group study in patients with pre-cirrhotic MASH (NAS ≥ 4 and MASH CRN fibrosis score Stage 2 or 3). Participants were randomised 1:1:1:1 to receive MK-3655 50 mg, 100 mg, 300 mg, or matching placebo subcutaneously every 4 weeks. The primary endpoint was MASH resolution without worsening of fibrosis by histology at Week 52. An interim analysis (IA) of liver fat content (LFC) was planned once ≥ 25 participants per treatment group completed an MRI-PDFF assessment at Week 24.

resultsAmong 183 participants, mean BMI was 33.4 kg/m

conclusionsIn patients with pre-cirrhotic MASH, treatment with MK-3655 resulted in a modest reduction in LFC at 24 weeks. CLINICAL TRIAL NUMBER: EudraCT: 2019-003048-63; NCT: 04583423.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedFatty LiverAdultAgedDouble-Blind MethodFemaleFibroblast Growth FactorsHumansLiver CirrhosisMaleMiddle AgedTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedFibroblast Growth Factorsfibrosisliver fat contentMK‐3655placebopre‐cirrhotic metabolic dysfunction‐associated steatohepatitis

Identifiers

PMID39984821
PMCPMC11908112

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.