Study details

The LIVERAGE™ and LIVERAGE™ Cirrhosis Studies are assessing the same study medication to see whether it might improve liver health for people with various stages of fatty liver disease.

The study medication in both LIVERAGE™ and LIVERAGE™ Cirrhosis is called survodutide. Survodutide is designed to:


  • Help lower body weight and increase energy use.
  • Improve blood sugar levels.
  • Decrease liver fat content and liver hardness.

The way it works means it might target not just MASH, but also background health conditions affecting the body’s metabolism (the processes in our body that change food into energy).

Both studies are comparing survodutide with a placebo. The placebo looks like survodutide but has no therapeutic value.

You will have a 2 in 3 (67%) chance of receiving survodutide, and a 1 in 3 (33% chance) of receiving placebo. This will be chosen at random (i.e., by chance) by a computer. Neither you nor the study team will know whether you are receiving survodutide or placebo. This strategy is often used in clinical studies to make sure the results are handled fairly, without any biased opinions or expectations.

Both survodutide and placebo will be given once every week by self-injection just under the skin. You will be shown how to give yourself the study injections. Full training will be provided to make sure you are able and confident to do this. Other arrangements can be made if you are not able to self-inject.

Most medications (approved and study medications) have some side effects associated with their use. However, not everyone is expected to experience them. Based on results from previous clinical studies, the main side effects relate to your digestive system. Any side effects relating to survodutide are expected to be temporary, easy to monitor, and manageable in the study setting. If you are interested in taking part, a study team member will be happy to discuss this topic with you.

You will receive long-term nutrition and physical activity advice to support you in adopting healthy lifestyle choices.

The studies do not have a fixed length. Participation in the LIVERAGE™ Study may last about 7 years. Participation in the LIVERAGE™ Cirrhosis Study may last up to 4.5 years.

You will attend regular study visits. Some will take place at the study site, others may be arranged remotely via video call. The visits will initially be every 2 weeks, moving to every 4 and then every 6 weeks from month 6 onwards.

Throughout the study, you will be required to fill in diaries to record dates and times of your study injections, and to log details about your nutrition and physical activity.

You may be required to have one or more liver biopsies. This means a tiny amount of your liver tissue is removed during a procedure at the study site. You will be given local numbing before a needle is passed just under your right ribcage. The needle is specially designed so it can remove a small bit of liver tissue. The study doctor will be able to see a live image of your body on a screen while doing the procedure. Scroll down to the bottom of this page for a video describing what you can expect during the procedure.

What happens at study visits?

During study visits, the study team will ask some questions and perform medical tests. These are designed to check on your physical and mental health, and find out how you are responding to your study treatment. Some of the tests are listed below. You will be given full details of all the study tests before any decision about joining one of the studies.

A check of your overall physical health

Your height, weight, and hip and waist measurements are recorded

Small amounts of your blood are drawn and analyzed for multiple safety and health checks

A painless test to measure the electrical activity of your heart

Measurement of your blood pressure and pulse rate

You will answer questions about the symptoms of your condition, how MASH affects you and your daily life, and your mental well-being

You may have imaging scans of your liver

You may be required to have one or more liver biopsies (minimum of two biopsies but no more than three for the LIVERAGE™ Study; you may not require a biopsy for the LIVERAGE™ Cirrhosis Study)

LIVERAGE™ Study

About 1800 participants (MASH but no cirrhosis)

About 7 years

Once every week

2 in 3 chance of receiving study medication

Long-term nutrition and physical activity advice

LIVERAGE™ Cirrhosis Study

About 1600 participants (MASH and cirrhosis)

Up to 4.5 years

Once every week

2 in 3 chance of receiving study medication

Long-term nutrition and physical activity advice