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COMBAT_T2_NASH

Active not recruitingPhase 4

Combined Active Treatment in Type 2 Diabetes with NASH

Asset

Semaglutide

Subcutaneous · GLP-1 agonist

Listed sites

26

Recruiting sites

Enrollment

192

estimated

Study population

MASH / NAFLD / liver fibrosis, Type 2 diabetes

Key I/E criterion

HbA1c ≤9.5%

Primary endpoint

MASH resolution, no fibrosis worsening

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT04639414
Org study IDCombat_T2_NASH_002
Secondary ID2019-001987-31

Timeline

Milestones

Study first posted2020-11-20actual
Study start2021-03-26actual
Last update posted2024-10-10actual
Primary completion2025-01-31estimated
Study completion2025-12estimated (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

MASH / NAFLD / liver fibrosisType 2 diabetes

Eligibility

Who can enroll

Minimum age25 Years
Maximum age75 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Diagnosis of T2D and NASH with fibrosis stage F1-F3
Age between 25 and 75 years
HbA1c ≤ 9.5%
obtained written informed consent

Exclusion criteria

Contraindications on liver biopsy
Evidence of cirrhosis on liver biopsy
Liver disease of other etiology including chronic viral hepatitis (B or C), alcohol abuse, hemochromatosis, alpha-1 antitrypsin deficiency, autoimmune hepatitis, Wilson's disease, primary sclerosing cholangitis or primary biliary cirrhosis, or liver cirrhosis of any etiology
History of ketoacidosis
Alcohol consumption >30 g/d for males and >20 g/d for females
Past (≥5 years) or current history of alcohol or drug abuse and/or psychiatric disease including severe depression necessitating pharmacological treatment
Medications that may induce steatosis:tamoxifen, raloxifene, oral glucocorticoids or chloroquine
Planned pregnancy, pregnant or lactating women, positive pregnancy test, and woman of childbearing potential not using two adequate methods of contraception, including a barrier method and a highly efficacious non-barrier method

Endpoints (5)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

MASH / liver

5 endpoints
Primary/protocol endpoint

Histological resolution of NASH without worsening of fibrosis

Time frame:from baseline to 48 weeks

MASH resolution, no fibrosis worsening

categorical status, improvement

Secondary/protocol endpoint

Overall NAFLD activity score (NAS)

Time frame:from baseline to 48 weeks

change from baseline, improvement

Secondary/protocol endpoint

Stage of fibrosis according to the Kleiner Fibrosis Classification

Time frame:from baseline to 48 weeks

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Activity component of NASH according to the steatosis-activity-fibrosis (SAF) score

Time frame:from baseline to 48 weeks

change from baseline, improvement

Secondary/protocol endpoint

Hepatic steatosis grade

Time frame:from baseline to 48 weeks

change from baseline, improvement

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableno registry results posted yet

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.