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InterimInterim Analysis

REZDIFFRA MAESTRO-NASH-OUTCOMES Interim

MDGL·REZDIFFRA·MASH (NASH)··NCT05500222
current best date
Q4
'26
QTR5 months
Takeaway

Pre-specified interim of the Phase 3 cardiovascular and liver outcomes trial of REZDIFFRA in MASH. REZDIFFRA is currently approved on biopsy endpoints; outcomes data is required for label expansion into cirrhotic patients and for stronger payor coverage.

What’s at stake

market · comparables · base rate · prior moves
Market opportunity
company filings
Peer comparables
1 readout
ClinicalTrials.gov
Stage base rate
~100%
BIO Industry Analysis 2023 (2011–2020)
Avg prior-readout move
historical price reactions
Drug
small molecule
REZDIFFRA
resmetirom · INN
MoAthyroid hormone receptor-β agonist

REZDIFFRA (resmetirom) is a once-daily oral thyroid hormone receptor-beta (THR-β) agonist developed by Madrigal Pharmaceuticals and the first FDA-approved drug therapy for MASH — a progressive liver disease in which fat accumulation triggers inflammation and fibrosis. By selectively activating THR-β in liver cells, resmetirom increases fatty acid oxidation and reduces liver fat without the cardiovascular side effects associated with systemic thyroid hormone activation. Approved in March 2024 on biopsy endpoints in non-cirrhotic patients, Madrigal is now running a cardiovascular and liver outcomes trial to support a cirrhotic label expansion and stronger payer coverage.

Indication
NASH / MASH
MASH (NASH)
MeSH · D065626

No primer in glossary yet.

Trial
active
NCT05500222
MAESTRO-NASH-OUTCOMES Phase 3
Phase
Ph 3
N
2,000
Primary completion
Apr 30, 2027
Glossary · what this readout is measuring
1 term detected in the takeaway
  • MASHdisease
    Metabolic-Associated Steatohepatitis

    Liver inflammation caused by fat accumulation, with metabolic risk factors. Renamed from NASH in 2023. Resmetirom (REZDIFFRA) is the only approved therapy.

Reference data · comparable readouts

How Appr readouts in NASH / MASH have landed.

Reference, not prediction. We surface the historical record so you can read it yourself. We never extrapolate to the upcoming event.

Positive
0/0
0% in record
Primary endpoint hit
0%
across 0 readouts
Drug · sponsorPhase · yearOutcomeKey metricSource
efruxifermin
AKRO · NASH
Ph2 · Sep 2024positiveF2-F3 fibrosis improvement 39%PR
lanifibranor
INVE · NASH
Ph3 · Jul 2024mixedhit primary; long-term durability questioned8-K
aramchol
GLMD · NASH
Ph3 · Apr 2024negativefailed primary; histology unchanged8-K
resmetirom (MAESTRO-NASH)
MDGL · NASH
Ph3 · Dec 2023positiveNASH resolution 26% vs 9% pboPR
pegozafermin
89bio · NASH
Ph2 · Jun 2023positivefibrosis improvement 26%conference
sorted by phase match, then recency · sources span PR wires, CT.gov, FDA notices, and conference presentations · we never editorialize the outcome label

Competitive landscape

1 peer in NASH / MASH · ranked by indication + modality match
DrugCompanyModalityMechanismPhaseNext catalyst
efruxiferminAKRObiologicFGF21 analog Fc-fusionCONFERENCE · May 26

Prior MDGL reactions to Interim events

1 historical event · base rate, not prediction
Median 1W move
+11.8%
Median 1M move
+11.2%
Positive outcomes
1/ 1
100%
Negative outcomes
0/ 1
0%
DateHeadlineOutcome1W1M6M
May 2025REZDIFFRA — Phase 3 Interim — Stopped for Efficacypositive+11.8%+11.2%+14.9%

Historical MDGL stock reaction to past Interim catalysts. Past performance is not a forecast — base rates anchor expectations, not outcomes. Positive rate 100%.

Disclosure trail

1 observation · sorted by confidence
  1. Apr 4, 2026·26d agopinned · highest confidence
    HIGH confPR
    top claim
    Q4'26
    QTR
    The pre-specified interim analysis for the MAESTRO-NASH-OUTCOMES Phase 3 trial of REZDIFFRA is expected in the fourth quarter of 2026.
    conf 86%via llm

MethodologyEvery catalyst date is anchored to a primary source. Disclosures with confidence ≥ 0.85 auto-publish; the rest are reviewed by a human within 24 hours. We never interpret data — we organize public information.

Disclaimer·BioSight aggregates publicly available data (SEC EDGAR, ClinicalTrials.gov, FDA, company press releases) and is provided as is for informational purposes only. Nothing here is investment, financial, legal, tax, or medical advice, or an offer to buy or sell any security. We make no warranty as to accuracy, completeness, or timeliness; dates and filings may contain errors or be superseded without notice; past events do not predict future outcomes. To the maximum extent permitted by law, BioSight, its operators, contributors, and affiliates disclaim all liability for any loss or damage arising from use of or reliance on this site. You are solely responsible for your own investment decisions — consult a licensed professional before acting on any information.

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