This study is researching an experimental drug called ALN-CIDEB, also referred to as "study drug". The study is focused on participants with metabolic dysfunction-associated steatotic liver disease (MASLD) (Part A) and metabolic dysfunction-associated steatohepatitis (MASH) (Part B). MASLD and MASH are long-lasting liver conditions caused by having too much fat in the liver.
The aim of the study is to see how safe and tolerable the study drug is.
The study is looking at several other research questions, including:
* What side effects may happen from taking the study drug * How the study drug works to change liver fat content * How much study drug and study drug metabolites (byproducts of the body breaking down the study drug) are in the blood at different times
Part A: 18 to 55 years at Screening Visit 1 with MASLD, at Screening Visit 1 Part B: 18 to 65 years at Screening Visit 1 with a diagnosis of MASH, at Screening Visit 1
Body Mass Index (BMI) ≥30 kg/m2 and ≤40 kg/m2 at Screening Visit 1
Controlled-Attenuation Parameter (CAP) ≥285 dB/m by FibroScan during screening as described in the protocol
Liver fat content ≥8.5% by MRI-PDFF during screening
Known historical or current diagnosis of portal hypertension or cirrhosis based on clinical assessment, imaging, and/or liver biopsy
Known historical or current diagnosis of other forms of chronic liver disease, as defined in the protocol
Prior or current suspected or known drug-induced liver injury within 1 year prior to screening
History of liver transplant, current placement on a liver transplant list, or Model for End-stage Liver Disease (MELD) score >12
Sequential
ALN-CIDEB
DrugAdministered per the protocol
Placebo
DrugAdministered per the protocol
Incidence of Treatment-Emergent Adverse Events (TEAEs)
Severity of TEAEs
Change in liver fat fraction by Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF)
Total concentration of ALN-CIDEB in plasma
Total concentration of potential major metabolite(s) in plasma
Urinary recovery of ALN-CIDEB as a proportion of the dose
Part A
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