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Registry update — unassessed

A Master Protocol for a Randomized, Controlled, Clinical Trial of Multiple Pharmacologic Agents in Adult Participants With Metabolic Dysfunction-Associated Steatotic Liver Disease Who Are at Increased Risk of Developing Major Adverse Liver Outcomes

Trial registry update: RECRUITING. No results reported in the supplied registry record.

RCTN=4,500Notable significance
Reporter brief

What this changes

The finding has not established an approved change to our evidence assessment.

Source date: Sep 22, 2026 · Discovered: Sep 23, 2026 · Assessed: — · Research update

What it does not prove

  • This is a protocol paper describing a planned study; no efficacy results have yet been reported
  • The effect sizes and clinical significance of any benefit or harm from these interventions remain unknown until outcome data are published
  • Whether benefits in liver-specific outcomes translate to improvements in mortality, transplantation rates, or quality of life has not been established

Extracted from supplied source material; model confidence is not a measured probability of correctness.

Design
Rct
Sample size
4,500
Duration
224 months
Population
Adults with metabolic dysfunction-associated steatotic liver disease (MASLD) who are at increased risk of developing major adverse liver outcomes (MALO), identified by non-invasive tests (NITs).
Primary outcome
Prevention of major adverse liver outcomes (MALO) in people with high-risk MASLD
Effect size
—
Significance
Not reported
Journal
Eli Lilly and Company
Published
Sep 22, 2026

Funding: Eli Lilly and Company

Recorded source passages

Abstract or registry material supplied for assessment; source version 1. This is not a claim of full-text review.

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.

Assessment history

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