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The MANTRA Trial: Testing the Effectiveness and Safety of AD64 in People with Metabolic Dysfunction-Associated Steatohepatitis (MASH)

A Phase II Proof-of-Concept Study Assessing the Efficacy and Safety of AD64 in Patients with Metabolic Dysfunction-Associated Steatohepatitis (MASH) - NIL

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/07/090987
Enrollment
300
Registered
2025-07-16
Start date
Unknown
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K760- Fatty (change of) liver, not elsewhere classified

Interventions

Intervention1: AD 64: This is a 4-arm randomized, double-blind, placebo-controlled design, with patients receiving either AD64 500 mg, AD64 1000 mg or matching placebo twice daily of subjects to study

Sponsors

Bioplus Life Sciences
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Age 18 to 75 years 2. Diagnosis of MASH as per EASL guidelines 3. MRI PDFF fat fraction more than 8 percent obtained during the screening period (baseline MRI-PDFF) or a historic MRI PDFF less than or equal to 8 weeks old at the time of randomization. 4. Liver enzymes: Alanine transaminase and Aspartate transaminase levels less than or equal to 5 times upper limit of normal 5. Body mass index BMI 25 to 45 kg per meter square 6. Stable dyslipidemia therapy for more than 30 days prior to randomization. 7. Stable body weight: 5 percent for at least 3 months prior to screening

Exclusion criteria

Exclusion criteria: 1. History of significant alcohol consumption for a period of more than 3 consecutive months within 1 year prior to screening 2. Regular use of drugs historically associated with NAFLD 3. History of bariatric surgery or intestinal bypass surgery within the 5 years prior to randomization or planned during the conduct of the study. 4. Weight gain or loss more than total body weight within 12 weeks prior to randomization 5. HbA1c more than 9.0percent 6. Presence or history of hepatic decompensation eg ascites, variceal bleeding, hepatic encephalopathy, or spontaneous bacterial peritonitis) or liver transplantation; hepatocellular carcinoma; and gastro-esophageal varices within the past 360 days before screening. Model for End-stage Liver Disease score more than or equal to 12, as determined at Screening unless due to therapeutic anti coagulation or Gilbert syndrome 7. Chronic liver diseases 8. Has an active autoimmune disease

Design outcomes

Primary

MeasureTime frame
The proportion of patients achieving more than 30 percent relative reduction in hepatic fat on MRI PDFF at 12 and 36 weeksTimepoint: The proportion of patients achieving more than 30 percent relative reduction in hepatic fat on MRI PDFF at 12 and 36 weeks

Secondary

MeasureTime frame
To evaluate the safety & tolerability of the investigational medicinal productTimepoint: 52 weeks

Countries

India

Contacts

Public ContactDr Shiran Shetty

KMC Manipal

shiran.shetty@manipal.edu8096938520

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026