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

Part of paid clinical trials in Tuscaloosa, Alabama.

Sponsor
Eli Lilly and Company
Study ID
NCT07165028
Phase
PHASE3
Status
Recruiting

Conditions

  • Metabolic Dysfunction-Associated Steatotic Liver Disease

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

Study Details

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.

Key Dates

Start date
Oct 15, 2025
Status verified
Jun 2026
Primary completion
Aug 31, 2030
Completion
Aug 31, 2032

Study Design

Enrollment
4,500 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Tirzepatide (TZ01)
    Participants will receive tirzepatide subcutaneously (SC)
  • Placebo Comparator: Placebo (TZ01)
    Participants will receive placebo SC
  • Experimental: Retatrutide (RT01)
    Participants will receive retatrutide SC
  • Placebo Comparator: Placebo (RT01)
    Participants will receive placebo SC

Primary Outcome Measure

Time to First Occurrence of Any Component of the Composite Endpoint for Major Adverse Liver Outcomes (MALO) [ Time Frame: Baseline up to Study Completion (about 224 weeks) ]

Central Contacts

  • Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
    1-317-615-4559
  • Physicians interested in becoming principal investigators please contact

Locations (140)

FacilityCityStateZIPSite coordinators
MFA Clinical ResearchTuscaloosaAlabama35405
205-331-4963
Adisesha Reddy (PRINCIPAL_INVESTIGATOR)
The Institute for Liver Health II dba Arizona Clinical Trials - ChandlerChandlerArizona85224
Yessica Sachdeva (PRINCIPAL_INVESTIGATOR)
Spectrum Research InstituteGilbertArizona85297
Donna DeSantis (PRINCIPAL_INVESTIGATOR)
The Institute for Liver Health II dba Arizona Liver Health - PeoriaPeoriaArizona85381
Richard Manch (PRINCIPAL_INVESTIGATOR)
Epic Medical Research-Sun CitySun CityArizona85351
Rachel Greatwood (PRINCIPAL_INVESTIGATOR)
Del Sol Research Management, LLCTucsonArizona85715
520-257-3881
Bassel Kisso (PRINCIPAL_INVESTIGATOR)
The Institute for Liver Health II dba Arizona Clinical Trials - TucsonTucsonArizona85712
Anita Kohli (PRINCIPAL_INVESTIGATOR)
Arkansas Gastroenterology - North Little RockNorth Little RockArkansas72117
Samuel Dunn (PRINCIPAL_INVESTIGATOR)
San Fernando Valley Health InstituteCanoga ParkCalifornia91304
818-222-6868
Jeffrey London (PRINCIPAL_INVESTIGATOR)
Ark Clinical Research - Fountain ValleyFountain ValleyCalifornia92708
714-988-2021
Mark Leibowitz (PRINCIPAL_INVESTIGATOR)
Fresno Clinical Research CenterFresnoCalifornia93720
559-970-3441
Muhammad Sheikh (PRINCIPAL_INVESTIGATOR)
UCSD - Altman Clinical and Translational Research Institute (ACTRI)La JollaCalifornia92037
858-246-2227
Rohit Loomba (PRINCIPAL_INVESTIGATOR)
Orange County Research CenterLake ForestCalifornia92630
714-550-9990
JOEL NEUTEL (PRINCIPAL_INVESTIGATOR)
Om Research LLCLancasterCalifornia93534
661-388-2239
Jatinder Pruthi (PRINCIPAL_INVESTIGATOR)
Ark Clinical ResearchLong BeachCalifornia90815
562-997-1000
Apinya Vutikullird (PRINCIPAL_INVESTIGATOR)
Los Angeles Institute for Metabolic ResearchLos AngelesCalifornia90015
213-373-8380
Juan Frias (PRINCIPAL_INVESTIGATOR)
United Medical Doctors - MurrietaMurrietaCalifornia92563
951-566-5229
John Jong Bae Hong (PRINCIPAL_INVESTIGATOR)
Knowledge Research CenterOrangeCalifornia92868
657-247-0087
Alaa Abousaif (PRINCIPAL_INVESTIGATOR)
California Liver Research CenterPasadenaCalifornia91105
626-795-5769
Edward Mena (PRINCIPAL_INVESTIGATOR)
Artemis Institute for Clinical ResearchRiversideCalifornia92503
951-374-1190
Jack Vu (PRINCIPAL_INVESTIGATOR)
Medical Associates Research GroupSan DiegoCalifornia92123
858-277-5678
Cainan Foltz (PRINCIPAL_INVESTIGATOR)
Quest Clinical ResearchSan FranciscoCalifornia94115
415-353-0800
Maurizio Bonacini (PRINCIPAL_INVESTIGATOR)
University of Colorado Anschutz Medical CampusAuroraColorado80045
303-724-4651
Neda Rasouli (PRINCIPAL_INVESTIGATOR)
South Denver GastroenterologyEnglewoodColorado80113
Marcelo Kugelmas (PRINCIPAL_INVESTIGATOR)
Medical Research Center of ConnecticutHamdenConnecticut06518
Paul Feuerstadt (PRINCIPAL_INVESTIGATOR)
K2 Medical Research WINTER GARDENClermontFlorida34711
407-426-9299
Beatriz Colon (PRINCIPAL_INVESTIGATOR)
K2 Medical Research - Daytona BeachDaytona BeachFlorida32114
Joshua Eisenhut (PRINCIPAL_INVESTIGATOR)
Care Access - Delray BeachDelray BeachFlorida33484
401-773-7855
Sudhir Bansal (PRINCIPAL_INVESTIGATOR)
AMR ClinicalDoralFlorida33172
Abid Chaudhry (PRINCIPAL_INVESTIGATOR)
Southwest General Healthcare CenterFort MyersFlorida33907
239-931-3368
Jose Rodriguez (PRINCIPAL_INVESTIGATOR)
University of Florida College of MedicineGainesvilleFlorida32610
352-273-8662
Kenneth Cusi (PRINCIPAL_INVESTIGATOR)
Encore Medical ResearchHollywoodFlorida33024
954-400-1725
Rodolfo Perez (PRINCIPAL_INVESTIGATOR)
Nature Coast Clinical Research - InvernessInvernessFlorida34452
352-341-2100
Paul Hellstern (PRINCIPAL_INVESTIGATOR)
Encore Borland-Groover Clinical ResearchJacksonvilleFlorida32256
904-680-0871
Nikhil Kapila (PRINCIPAL_INVESTIGATOR)
Health AwarenessJupiterFlorida33458
Mitchell Davis (PRINCIPAL_INVESTIGATOR)
K2 MEDICAL Research THE VILLAGESLady LakeFlorida32159
352-500-5252
Craig Curtis (PRINCIPAL_INVESTIGATOR)
Florida Research InstituteLakewood RchFlorida34211
941-727-7772
Manuel Rodriguez (PRINCIPAL_INVESTIGATOR)
Tampa Bay Medical Research - LargoLargoFlorida33777
727-724-3316
Sureka Bollepalli (PRINCIPAL_INVESTIGATOR)
Evolution Clinical TrialsMiamiFlorida33122-1722
786-706-1216
Gilberto Perez (PRINCIPAL_INVESTIGATOR)
Floridian Clinical Research, LLCMiami LakesFlorida33016-1518
305-330-9977
William Sanchez (PRINCIPAL_INVESTIGATOR)
GI PROS ResearchNaplesFlorida34102
239-571-0899
Raymond Phillips (PRINCIPAL_INVESTIGATOR)
Charter Research - OrlandoOrlandoFlorida32803
Mary Quarterman (PRINCIPAL_INVESTIGATOR)
Headlands Research OrlandoOrlandoFlorida32806
407-705-3471
Uzma Khan (PRINCIPAL_INVESTIGATOR)
Progressive Medical ResearchPort OrangeFlorida32127
386-304-7070
Bhanu Visvalingam (PRINCIPAL_INVESTIGATOR)
Covenant Metabolic Specialists - RiverviewRiverviewFlorida33578
941-894-2014
Guy Neff (PRINCIPAL_INVESTIGATOR)
Care Access - St. PetersburgSt. PetersburgFlorida33710
877-791-0656
Gigi Lefebvre (PRINCIPAL_INVESTIGATOR)
Care Access - TamaracTamaracFlorida33321
877-791-0656
Brad Lipson (PRINCIPAL_INVESTIGATOR)
Covenant Metabolic Specialists, LLCUniversity ParkFlorida34201
941-894-2014
Guy Neff (PRINCIPAL_INVESTIGATOR)
Southeast Clinical Research CenterDaltonGeorgia30720
706-913-1779
Pablo Perez (PRINCIPAL_INVESTIGATOR)
Teak Research ConsultsLawrencevilleGeorgia30043
Kamar Alabi (PRINCIPAL_INVESTIGATOR)
Gastrointestinal Specialists of GeorgiaMariettaGeorgia30060
404-786-3100
Aasim Sheikh (PRINCIPAL_INVESTIGATOR)
Rophe Adult and Pediatric Medicine/SKYCRNGUnion CityGeorgia30291
470-317-3604
Dwight Blake (PRINCIPAL_INVESTIGATOR)
Indiana University Health University HospitalIndianapolisIndiana46202
317-278-1652
Raj Vuppalanchi (PRINCIPAL_INVESTIGATOR)
Gastroenterology Health PartnersNew AlbanyIndiana47150
812-206-1702
Jonathan Obert (PRINCIPAL_INVESTIGATOR)
Deaconess Clinic- GatewayNewburghIndiana47630
812-490-4505
Mia Hindi (PRINCIPAL_INVESTIGATOR)
Digestive Research Alliance of MichianaSouth BendIndiana46635
574-904-9617
Pankaj Patel (PRINCIPAL_INVESTIGATOR)
Iowa Diabetes and Endocrinology Research CenterWest Des MoinesIowa50266
515-329-6800
Robert Burr (PRINCIPAL_INVESTIGATOR)
AMR ClinicalEl DoradoKansas67042
316-600-5127 EXT 301
Michael Rausch (PRINCIPAL_INVESTIGATOR)
Johnson County Clinical TrialsLenexaKansas66219
Thomas Kreamer (PRINCIPAL_INVESTIGATOR)
Cotton O'Neil Digestive Health CenterTopekaKansas66606
785-270-4800
Curtis Baum (PRINCIPAL_INVESTIGATOR)
AMR ClinicalLexingtonKentucky40509
859-264-8999
Mark Adams (PRINCIPAL_INVESTIGATOR)
Delta Research Partners of Bastrop, LLCBastropLouisiana71220
318-281-6040
Bal Raj Bhandari (PRINCIPAL_INVESTIGATOR)
Tandem Clinical ResearchMarreroLouisiana70072
504-934-8424
Gary Reiss (PRINCIPAL_INVESTIGATOR)
Care Access - New IberiaNew IberiaLouisiana70560
813-851-0135
Son Nguyen (PRINCIPAL_INVESTIGATOR)
Louisiana Research CenterShreveportLouisiana71105
318-525-3233
John Provenza (PRINCIPAL_INVESTIGATOR)
Delta Research Partners of West MonroeWest MonroeLouisiana71291
Clarence Dunn (PRINCIPAL_INVESTIGATOR)
Mercy Medical Center - BaltimoreBaltimoreMaryland21202
410-332-9356
Paul Thuluvath (PRINCIPAL_INVESTIGATOR)
Capital Digestive Care - Chevy ChaseChevy ChaseMaryland20815
301-841-6869
Mohammed Ali (PRINCIPAL_INVESTIGATOR)
Lucida Clinical TrialsNew BedfordMassachusetts02740
Jason Reich (PRINCIPAL_INVESTIGATOR)
Clinical Research Institute of Michigan, LLCClinton TownshipMichigan48038
586-598-3329
Kyle Antosiek (PRINCIPAL_INVESTIGATOR)
Great Lakes Research InstituteSouthfieldMichigan48075
248-864-5242
Derrick Williamson (PRINCIPAL_INVESTIGATOR)
Arcturus Healthcare , PLC, Troy Internal Medicine Research DivisionTroyMichigan48098
248-312-0025
Neil Fraser (PRINCIPAL_INVESTIGATOR)
MNGI Digestive HealthMinneapolisMinnesota55413
Ibrahim Hanouneh (PRINCIPAL_INVESTIGATOR)
GI Associates - GIA and Endoscopy Center - FlowoodFlowoodMississippi39232
601-863-0395
Ralph Vance (PRINCIPAL_INVESTIGATOR)
AMR ClinicalKansas CityMissouri64114
Martha Fanning (PRINCIPAL_INVESTIGATOR)
Excel Clinical Research, LLCLas VegasNevada89109
702-680-1500
Robby Quintos (PRINCIPAL_INVESTIGATOR)
Jubilee Clinical Research NV. LLCLas VegasNevada89106
702-631-5000
Elliot Shin (PRINCIPAL_INVESTIGATOR)
Advanced Research Institute - RenoRenoNevada89511
877-557-3732
Sumodh Kalathil (PRINCIPAL_INVESTIGATOR)
Tandem Clinical Research - FreeholdFreeholdNew Jersey07728
Colin Brown (PRINCIPAL_INVESTIGATOR)
Atlantic Health System Morristown Medical CenterMorristownNew Jersey07960
973-971-7507
Ravish Parekh (PRINCIPAL_INVESTIGATOR)
Clinical Research of PhiladelphiaPenningtonNew Jersey08534
215-676-6696
Taher Modarressi (PRINCIPAL_INVESTIGATOR)
The Cognitive and Research Center of New Jersey - RidgewoodRidgewoodNew Jersey07450
201-850-4622
Ritu Suri (PRINCIPAL_INVESTIGATOR)
IMA Clinical Research WarrenWarren TownshipNew Jersey07059
Nancy Phillips (PRINCIPAL_INVESTIGATOR)
Southwest Gastroenterology AssociatesAlbuquerqueNew Mexico87109
Antoine Jakiche (PRINCIPAL_INVESTIGATOR)
Research Foundation of SUNY - University of BuffaloBuffaloNew York14203
716-535-1850
Ajay Chaudhuri (PRINCIPAL_INVESTIGATOR)
IMA Clinical Research ManhattanNew YorkNew York10036
Samar Hameed (PRINCIPAL_INVESTIGATOR)
New York Gastroenterology AssociatesNew YorkNew York10075
Jennifer Leong (PRINCIPAL_INVESTIGATOR)
NYU Langone HealthNew YorkNew York10016
646-501-2948
Ira Jacobson (PRINCIPAL_INVESTIGATOR)
Care Access - YonkersYonkersNew York10701
Peter Wayne (PRINCIPAL_INVESTIGATOR)
Duke University - Main Hospital and ClinicsDurhamNorth Carolina27710
Anastasia-Stefania Alexopoulos (PRINCIPAL_INVESTIGATOR)
Monroe Biomedical ResearchMonroeNorth Carolina28112
704-283-7359
Awawu Igbinadolor (PRINCIPAL_INVESTIGATOR)
Carteret Medical GroupMorehead CityNorth Carolina28557
252-499-8623
Mary Lawrence (PRINCIPAL_INVESTIGATOR)
Akron Gastro ResearchAkronOhio44320
Ganesh Veerappan (PRINCIPAL_INVESTIGATOR)
Dayton Gastroenterology - BeavercreekBeavercreekOhio45440
937-320-5050
Rupa Fritz (PRINCIPAL_INVESTIGATOR)
CRIOHWestlakeOhio44145
440-363-4000
Naim Alkhouri (PRINCIPAL_INVESTIGATOR)
US Digestive Health - FlourtownFlourtownPennsylvania19031
215-664-4362
Victor Araya (PRINCIPAL_INVESTIGATOR)
Penn Medicine: University of Pennsylvania Health SystemPhiladelphiaPennsylvania19104
Ethan Weinberg (PRINCIPAL_INVESTIGATOR)
US Digestive Health - WyomissingWyomissingPennsylvania19610
610-374-4401
Nirav Shah (PRINCIPAL_INVESTIGATOR)
University GastroenterologyProvidenceRhode Island02905
Eric Newton (PRINCIPAL_INVESTIGATOR)
Columbia Digestive Health ResearchColumbiaSouth Carolina29204
Edward Kimbrough (PRINCIPAL_INVESTIGATOR)
Galen Medical Group - Galen HepatologyChattanoogaTennessee37421
423-653-0842
Chirag Patel (PRINCIPAL_INVESTIGATOR)
Gastro One (Walnut Run Road)CordovaTennessee38018
Ziad Younes (PRINCIPAL_INVESTIGATOR)
American Research CorporationAustinTexas78757
210-253-3426
Carmen Landaverde (PRINCIPAL_INVESTIGATOR)
IMA Clinical Research AustinAustinTexas78745
512-649-0082
Nomita Kim (PRINCIPAL_INVESTIGATOR)
Pinnacle Clinical ResearchAustinTexas78757
512-384-1460 x3001
Rohit Puskoor (PRINCIPAL_INVESTIGATOR)
Bellaire Clinical ResearchBellaireTexas77401
Michael Hansen (PRINCIPAL_INVESTIGATOR)
Headlands Horizons, LLC dba Headlands Research-BrownsvilleBrownsvilleTexas78526
Christopher Romero (PRINCIPAL_INVESTIGATOR)
South Texas Research Institute - BrownsvilleBrownsvilleTexas78520
956-468-3360
Dimple Desai (PRINCIPAL_INVESTIGATOR)
Soma Clinical TrialsDenisonTexas75020
469-819-0228
Hesham Elgouhari (PRINCIPAL_INVESTIGATOR)
Epic Medical Research - DeSotoDeSotoTexas75115
197-277-7695
HARESH BOGHARA (PRINCIPAL_INVESTIGATOR)
South Texas Research InstituteEdinburgTexas78539
956-468-3360
Dimple Desai (PRINCIPAL_INVESTIGATOR)
Dallas Research InstituteFarmers BranchTexas75234
214-347-7577
Pedro Castillo (PRINCIPAL_INVESTIGATOR)
Care United Research, LLCForneyTexas75126
972-564-0044
Shilpi Mittal (PRINCIPAL_INVESTIGATOR)
GI Alliance - Fort WorthFort WorthTexas76104
Syed Sadiq (PRINCIPAL_INVESTIGATOR)
Biopharma Informatic, LLCHoustonTexas77084
281-944-3610
James Arthur Maher Jr., MD (PRINCIPAL_INVESTIGATOR)
Care Access - HoustonHoustonTexas77054
877-791-0656
Ali Bajwa (PRINCIPAL_INVESTIGATOR)
Houston Research InstituteHoustonTexas77079
281-809-3234
Mazen Noureddin (PRINCIPAL_INVESTIGATOR)
HRI- Medical CenterHoustonTexas77004
Joseph Galati (PRINCIPAL_INVESTIGATOR)
Research Physicians Network, LLCHoustonTexas77089
281-944-3610
Amir Hassan (PRINCIPAL_INVESTIGATOR)
Biopharma Informatic, LLCMcAllenTexas78503
281-944-3610
Ralph Alhalel, MD (PRINCIPAL_INVESTIGATOR)
DHR Health Institute for Research and Development (Administrative Office & Laboratory)McAllenTexas78504
956-362-2390
Henry Herrera (PRINCIPAL_INVESTIGATOR)
Southern Endocrinology AssociatesMesquiteTexas75149
214-693-0904
Sumana Gangi (PRINCIPAL_INVESTIGATOR)
HRI PasadenaPasadenaTexas77505
832-847-1727
Rukan Daccak, MD (PRINCIPAL_INVESTIGATOR)
American Research Corporation at Texas Liver InstituteSan AntonioTexas78215
210-253-3426
Eric Lawitz (PRINCIPAL_INVESTIGATOR)
Clinical Trials of Texas, LLC dba Flourish ResearchSan AntonioTexas78229
210-949-0122
Douglas Denham (PRINCIPAL_INVESTIGATOR)
IMA Clinical Research San AntonioSan AntonioTexas78229
210-692-7157
Lisa Blair (PRINCIPAL_INVESTIGATOR)
Consano Clinical Research, LLCShavano ParkTexas78231
210-545-4900
Michelle Welch (PRINCIPAL_INVESTIGATOR)
GI Alliance - SouthlakeSouthlakeTexas76092
940-367-2316
Timothy Ritter (PRINCIPAL_INVESTIGATOR)
Houston Research Institute (HRI) - Sugar LandSugar LandTexas77479
Sushovan Guha (PRINCIPAL_INVESTIGATOR)
Texas Valley Clinical ResearchWeslacoTexas78596
956-431-8090
Eduardo Luna (PRINCIPAL_INVESTIGATOR)
Medrasa Clinical ResearchWylieTexas75098
469-449-3645
Tanvir Ahmad (PRINCIPAL_INVESTIGATOR)
Care Access - OgdenOgdenUtah84403
801-614-0010
Chad Gonzales (PRINCIPAL_INVESTIGATOR)
Advanced Research Institute - SandySandy CityUtah84070
801-409-2040
Robert Barnett (PRINCIPAL_INVESTIGATOR)
Eximia Research - NorfolkNorfolkVirginia23502
John Smith (PRINCIPAL_INVESTIGATOR)
Richmond Veterans Affairs Medical Center (Richmond VA Medical Center)RichmondVirginia23249
Michael Fuchs (PRINCIPAL_INVESTIGATOR)
Gastroenterology Consultants of Southwest VirginiaRoanokeVirginia24014
Farhad Sahebjam (PRINCIPAL_INVESTIGATOR)
Washington Gastroenterology - BellevueBellevueWashington98004
425-454-4768
Nicholas Procaccini (PRINCIPAL_INVESTIGATOR)
UW Medicine Diabetes InstituteSeattleWashington98109
Arthi Thirumalai (PRINCIPAL_INVESTIGATOR)
Washington Gastroenterology - TacomaTacomaWashington98405
253-272-5127
Elizabeth Rosenblatt (PRINCIPAL_INVESTIGATOR)
CAMC Health Education and Research Institute IncCharlestonWest Virginia25304
304-388-9944
Ebubekir Daglilar (PRINCIPAL_INVESTIGATOR)

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