Phase 3 Study of the Efficacy, Safety, and Clinical Outcomes of Pemvidutide in MASH
Altimmune, Inc.n = 1,80030 Jul 2026 to est. Dec 2032
Metabolic Dysfunction-Associated Steatohepatitis (MASH)
PepBank has 5 pemvidutide studies with results. 4 of them gave pemvidutide, with 43 results, grouped by what the studies measured. In each group, results from studies in people come first. Data as of 2026-10-30.
Searches 43 results and 17 papers. Newer studies from Europe PMC
Identifiers, parent molecule, targets and development stage, from curated data.
Pemvidutide is a 29-residue GLP-1 and glucagon receptor dual agonist with a glycolipid conjugate and a Glu16–Lys20 lactam bridge. The code ALT-801 also names an unrelated oncology fusion protein.
| Target | Action | Evidence |
|---|---|---|
| GLP1RGLP1RP43220 (opens in a new tab) | Agonist | Primary identity or pharmacology sourceSource (opens in a new tab) |
| GCGRGCGRP47871 (opens in a new tab) | Agonist | Primary identity or pharmacology sourceSource (opens in a new tab) |
Residues, differences from the parent, calculated properties and 3D structure. Source values and calculated values are shown separately.
29 amino acids · 4 modifications
No formula or molecular weight is listed for Pemvidutide.
Some values cannot be calculated. The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
@pepdb/chem 0.2.0 · EMBOSS pKa set · ExPASy residue masses
No charge curve
The sequence has a non-canonical residue (X). Residue tables cover only the 20 standard amino acids.
29 residues. Each residue counts in one class; F and W count as aromatic.
No 3D structure
No experimental structure (PDB) and no UniProt entry for an AlphaFold model are listed for this peptide. Synthetic peptides often have neither. The sequence view above is the reference.
An ideal alpha-helix projection. It shows where the hydrophobic residues fall if the peptide folds as a helix. It does not show that it does.
Eisenberg consensus (normalized) scale · + K, R · − D, E
Assumes an ideal α-helix: 100° per residue, 3.6 residues per turn. The arrow is the mean hydrophobic moment (Eisenberg et al. 1984) and points at the hydrophobic face.
| Position | Residue | Angle | Eisenberg consensus (normalized) |
|---|---|---|---|
| 1 | H | 0° | -0.40 |
| 2 | X | 100° | not scored |
| 3 | Q | 200° | -0.85 |
| 4 | G | 300° | 0.48 |
| 5 | T | 40° | -0.05 |
| 6 | F | 140° | 1.19 |
| 7 | T | 240° | -0.05 |
| 8 | S | 340° | -0.18 |
| 9 | D | 80° | -0.90 |
| 10 | Y | 180° | 0.26 |
| 11 | S | 280° | -0.18 |
| 12 | K | 20° | -1.50 |
| 13 | Y | 120° | 0.26 |
| 14 | L | 220° | 1.06 |
| 15 | D | 320° | -0.90 |
| 16 | E | 60° | -0.74 |
| 17 | K | 160° | -1.50 |
| 18 | A | 260° | 0.62 |
| 19 | A | 0° | 0.62 |
| 20 | K | 100° | -1.50 |
| 21 | E | 200° | -0.74 |
| 22 | F | 300° | 1.19 |
| 23 | I | 40° | 1.38 |
| 24 | Q | 140° | -0.85 |
| 25 | W | 240° | 0.81 |
| 26 | L | 340° | 1.06 |
| 27 | L | 80° | 1.06 |
| 28 | Q | 180° | -0.85 |
| 29 | T | 280° | -0.05 |
People first in each area, then animals, then lab cells. Counts are exact and come from studies that gave the peptide.
PepBank reads each paper before it shows the results. This search looks in Europe PMC for newer papers that PepBank has not read yet.
Counts are exact and come from studies that gave the peptide.
Studies by year
5 of 17 studies have results (29%), published 2022 to 2026. Top row: every study. Bottom row: studies with results about Pemvidutide, by class. The rows use different scales.
Studies17 in all, 2022 to 2026
Studies with results5 in all, 2022 to 2026
Retracted studies are left out. A study with results in two classes counts in both.
AI wrote and checked these results. AI can make mistakes, so check important results against the source.
Registered trials that test the peptide, with phase, status and dates. A dot marks trials with posted results.
8 trials match. Highest phase first. Data from ClinicalTrials.gov.
8 trials · 2 ongoing · 6 completed
ALT-801 (Pemvidutide) in Healthy Overweight and Obese Volunteers to Study Safety and Tolerability
NCT0456124510 Nov 2020 to 29 Oct 2021
ALT-801 in Diabetic and Non-Diabetic Overweight and Obese Subjects With Non-alcoholic Fatty Liver Disease (NAFLD)
NCT0500688530 Sept 2021 to 17 Aug 2022
Extension of ALT-801 in Diabetic and Non-Diabetic Overweight and Obese Subjects With (NAFLD)
NCT052929119 Mar 2022 to 31 Oct 2022
RECLAIM STUDY: Phase 2 Study of the Efficacy and Safety of Pemvidutide in the Treatment of Alcohol Use Disorder (AUD) in Subjects With Obesity or Overweight
NCT0698751315 May 2025 to 30 Jul 2026
RESTORE TRIAL: Study of the Efficacy and Safety of Pemvidutide in the Treatment of Alcohol-Associated Liver Disease (ALD)
NCT0700986016 Jun 2025 to est. 30 Sept 2027
8 trials · 2 ongoing · 6 completed · source ClinicalTrials.gov (opens in a new tab)
Altimmune, Inc.n = 1,80030 Jul 2026 to est. Dec 2032
Metabolic Dysfunction-Associated Steatohepatitis (MASH)
Altimmune, Inc.n = 12116 Jun 2025 to est. 30 Sept 2027
Alcohol-associated Liver Disease
Altimmune, Inc.n = 10015 May 2025 to 30 Jul 2026
Alcohol Use Disorder (AUD)
Altimmune, Inc.n = 21227 Jul 2023 to 25 Nov 2025
Non-Alcoholic Steatohepatitis (NASH)
Altimmune, Inc.n = 10010 Nov 2020 to 29 Oct 2021
Obesity · Nonalcoholic Steatohepatitis
Altimmune, Inc.n = 4015 Sept 2021 to 15 May 2022
NASH - Nonalcoholic Steatohepatitis
Altimmune, Inc.n = 9530 Sept 2021 to 17 Aug 2022
Non-Alcoholic Fatty Liver Disease
Altimmune, Inc.n = 649 Mar 2022 to 31 Oct 2022
Non-Alcoholic Fatty Liver Disease
Studies on this peptide. Some have results. The others have none yet.
17 studies match. Retracted studies are left out.
Showing 13 of 17 studiesquery qry_0cc570a783cf7d7a4a63e12d
5 studies
Randomized controlled trial · 2025
Harrison et al. 2025Journal of hepatologycited by 134
PMID 39002641DOI 10.1016/j.jhep.2024.07.006PUB-39002641
Animal study (in vivo) · mouse · 2022
Nestor et al. 2022Scientific reportscited by 43
PMID 35461369PMC9035150DOI 10.1038/s41598-022-10577-2PUB-35461369
Randomized controlled trial · 2025
Noureddin et al. 2025Lancet (London, England)n = 171cited by 29
PMID 41237796DOI 10.1016/s0140-6736(25)02114-2PUB-41237796
Randomized controlled trial · 2025
Browne et al. 2025JHEP reports : innovation in hepatologycited by 5
PMID 41113119PMC12529369DOI 10.1016/j.jhepr.2025.101483PUB-41113119
Not a test of Pemvidutide alone · 2026
Nordell et al. 2026Clinical pharmacokineticscited by 3
PMID 41661442PMC13038672DOI 10.1007/s40262-025-01615-zPUB-41661442
8 studies
PubMed tag: meeting-report · 2025
von Haehling et al. 2025Journal of cachexia, sarcopenia and musclecited by 8
PMID 41362110PMC12686571DOI 10.1002/jcsm.70147PUB-41362110
PubMed tag: brief-report · 2026
Patil et al. 2026Addictive behaviors reportscited by 7
PMID 41696398PMC12906085DOI 10.1016/j.abrep.2026.100671PUB-41696398
PubMed tag: Review · 2025
Pinsky et al. 2025Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
PMID 40063921DOI 10.36740/merkur202501117PUB-40063921
PubMed tag: Meta-Analysis · 2026
Rajab et al. 2026Naunyn-Schmiedeberg's archives of pharmacology
PMID 41879841DOI 10.1007/s00210-026-05257-1PUB-41879841
PubMed tag: Preprint · 2025
Abdu et al. 2025medRxiv
DOI 10.64898/2025.12.22.25342824PUB-90686560
PubMed tag: Preprint · 2022
Nestor et al. 2022Research Square
DOI 10.21203/rs.3.rs-1547397/v1PUB-90718384
PubMed tag: Preprint · 2026
Saldívar-Cerón et al. 2026Preprints.org
DOI 10.20944/preprints202610.0201.v1PUB-95069434
PubMed tag: Preprint · 2026
Morgan et al. 2026medRxiv
DOI 10.64898/2026.09.26.26363761PUB-95077082
These studies name Pemvidutide but give no result for it (for example, the results concern another peptide in the study).
PubMed tag: Review · 2025
Bailey et al. 2025Peptidescited by 18
PMID 40081498DOI 10.1016/j.peptides.2025.171380PUB-40081498
PubMed tag: review-article, Review · 2024
Sidrak et al. 2024Indian journal of endocrinology and metabolismcited by 13
PMID 39676791PMC11642516DOI 10.4103/ijem.ijem_442_23PUB-39676791
PubMed tag: review-article, Review · 2025
Anderson et al. 2025Drugs in contextcited by 2
PMID 40734920PMC12306892DOI 10.7573/dic.2025-4-8PUB-40734920
PubMed tag: review-article, Review · 2026
Santos Solis et al. 2026Cureus
PMID 42529769PMC13418920DOI 10.7759/cureus.111728PUB-42529769
Page 1 of 1
Noureddin M · Lancet (London, England) · 2025
Randomized controlled trial · 8 results
Harrison SA · Journal of hepatology · 2025
Randomized controlled trial · 11 results
Browne SK · JHEP reports : innovation in hepatology · 2025
Randomized controlled trial · 7 results
Nestor JJ · Scientific reports · 2022
Animal study (in vivo) · mouse · 17 results
Nordell P · Clinical pharmacokinetics · 2026
Not a test of Pemvidutide alone · 22 results
Approval and sport status, and the safety outcomes reported in study results. Laws and labels change, so check the regulator for the current status.
| Jurisdiction | Body | Status | As of | Source |
|---|---|---|---|---|
| US | FDA | The sponsor states that pemvidutide has no FDA or other regulatory approval. Its July 28, 2026 presentation identifies it as investigational. A UNII does not establish approval. | 27 Oct 2026 | ir.altimmune.com (opens in a new tab) |
| EU | EMA | The sponsor states that no regulatory authority approved pemvidutide. This statement supports no EMA or national approval. Individual national registers were not exhaustively checked. | 27 Oct 2026 | ir.altimmune.com (opens in a new tab) |
| Sport | WADA | Banned in sport (WADA S0) S0 covers substances not approved for human use; Pemvidutide is not named on the List. | 2026 List | wada-ama.org (opens in a new tab) |
7 safety results for Pemvidutide.
In MASH, adverse events occurred in 81% with pemvidutide 1·8 mg versus 67% with placebo, mostly mild or moderate.
Randomized controlled trialn = 171
In MASH, adverse-event discontinuations occurred in 1% with pemvidutide 1·8 mg versus 2% with placebo.
Randomized controlled trialn = 171
In MASH, adverse events occurred in 78% with pemvidutide 1·2 mg versus 67% with placebo, mostly mild or moderate.
Randomized controlled trialn = 127
In MASH, adverse-event discontinuations occurred in none with pemvidutide 1·2 mg versus 2% with placebo.
Randomized controlled trialn = 127
In MASLD, no severe adverse events were reported with pemvidutide at any dose.
Randomized controlled trialn not reported
In MASLD, no serious adverse events were reported with pemvidutide at any dose.
Randomized controlled trialn not reported
In MASLD, pemvidutide was well tolerated at all doses with low incidences of side effects.
Randomized controlled trialn not reported
The doses that these studies used. They are not recommendations.
1·8 mgHuman
1·2 mgHuman
1.2 mgHuman
1.8 mgHuman
2.4 mgHuman
1.2 mgHuman
6 of 10 shown
PepBank is a research reference. Talk to a doctor before you use any peptide.
Data version, change history and code for this peptide.
curl -s https:// pepbank.io/ v1/ briefs/ pemvidutideEvidence summary for Pemvidutide: counts by class, key results with sources, notices, data version.
In PepBank now:147 peptides, 6 blends and 13 other compounds97,577 study results from 17,383 studies8,473 clinical trialsUpdated
Top outcomes
The 5 outcome groups with the most study results, by evidence class.
Data version 308560. Bar length is the number of results, not the size of an effect.
Evidence matrix
Study results by outcome and evidence class. Arrows show how the measured outcome moved, not whether the change is good.
| Outcome group | Human | Animal | Lab | Computer model | Total |
|---|---|---|---|---|---|
| Liver fat and liver functionLiver | Human: 17 results from 3 studies: 2 increase, 8 decrease, 2 no significant change, 5 not reported. Strongest design: Randomized controlled trial | Animal: 11 results from 1 study: 11 decrease. Strongest design: Animal study (in vivo) | No results | No results | 28 |
| Adverse eventsWhole body | Human: 7 results from 3 studies: 2 increase, 2 decrease, 3 not reported. Strongest design: Randomized controlled trial | No results | No results | No results | 7 |
| Body weightMetabolic and weight | Human: 2 results from 2 studies: 2 decrease. Strongest design: Randomized controlled trial | Animal: 2 results from 1 study: 2 decrease. Strongest design: Animal study (in vivo) | No results | No results | 4 |
| Inflammation markersLiver | No results | Animal: 2 results from 1 study: 2 decrease. Strongest design: Animal study (in vivo) | No results | No results | 2 |
| LipidsMetabolic and weight | No results | Animal: 2 results from 1 study: 2 decrease. Strongest design: Animal study (in vivo) | No results | No results | 2 |
5 outcome groups shown of 5 · 43 study results
Data version 308560. Shade grows with the number of results. Every cell shows the exact count.
Trials by phase
8 registered trials, grouped by phase and shown by status.
Source: ClinicalTrials.gov, data version 308560. Status is the registry status.