Combined Active Treatment in Type 2 Diabetes With NASH
COMBAT_T2_NASH
COMBAT_T2_NASH
Sponsor study identifier
Secondary identifiers
EUDRACT_NUMBER
NIH
interventional
192
2 countries
26
Study Start
March 26, 2021
Actual (reported)Primary Completion
January 31, 2025
Actual (reported)Study Completion
November 17, 2025
Actual (reported)The aim of this multicentre, prospective, placebo-controlled, double-blind, randomized, 3-arm parallel group, interventional study is to assess for the first time the effects of either a combined therapy with the antihyperglycemic drugs semaglutide and empagliflozin or empagliflozin monotherapy compared to placebo as potential treatments for non-alcoholic steatohepatitis (NASH) in patients with type 2 diabetes.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
November 17, 2025
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 5, 2019
Actual (reported)November 20, 2020
Actual (reported)March 26, 2021
Actual (reported)January 31, 2025
Actual (reported)November 17, 2025
Actual (reported)Histological resolution of NASH without worsening of fibrosis
NAFLD status will be assessed by histologic evaluation of liver biopsy samples based on NAFLD activity score. NASH resolution is defined by disappearance of ballooning (score 0), together with either disappearance of lobular inflammation or the persistence of mild lobular inflammation only (score 0 or 1) and resulting in an overall pathologic diagnosis of either steatosis alone or steatosis with mild inflammation; with no worsening of fibrosis. Worsening of fibrosis is defined by an increase of at least one stage of the Kleiner fibrosis classification.
from baseline to 48 weeks
Overall NAFLD activity score (NAS)
from baseline to 48 weeks
Combined treatment with Empagliflozin, film-coated tablet, 10mg once daily and Semaglutide, colourless solution in pre-filled pen, 1mg once weekly
Empagliflozin, film-coated tablet, 10mg once daily and Placebo matching Semaglutide (colourless solution in pre-filled pen, once weekly)
Measurement of the effect of the combined treatment with semaglutide 1mg/week and empagliflozin 10 mg/d compared to matching placebo after 48-week treatment.
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
Empagliflozin 10mg oral tablet / Semaglutide 1mg pen injector
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
View registry recordMedizinische Universität Graz
Graz, 8010, Austria
Medizinische Universität Innsbruck
Innsbruck, Austria
Wiener Gesundheitsverbund, Klinik Landstraße
Vienna, 1030, Austria
Medizinische Universität Wien
Vienna, Austria
Wiener Gesundheitsverbund, Klinik Hietzing
Vienna, Austria
German Diabetes Center
Düsseldorf, North Rhine-Westphalia, 40225, Germany
Herz- und Diabeteszentrum NRW
Bad Oeynhausen, 32545, Germany
Michael Roden, Prof., MD
German Diabetes Center
192 participants (actual enrollment reported by the registry).
First Submitted
April 5, 2019
First Posted
November 20, 2020
Study Start
March 26, 2021
Actual (reported)The Effect of Empagliflozin on NAFLD in Asian Patients With Type 2 Diabetes
Stage of fibrosis according to the Kleiner Fibrosis Classification
from baseline to 48 weeks
Activity component of NASH according to the steatosis-activity-fibrosis (SAF) score
from baseline to 48 weeks
Hepatic steatosis grade
from baseline to 48 weeks
Placebo matching Empagliflozin (film-coated tablet, once daily) and Placebo matching Semaglutide (colourless solution in pre-filled pen, once weekly)
Measurement of the effect of empagliflozin monotherapy 10mg/d compared to matching placebo after 48-week treatment.
Measurement of the effect of the combined treatment with semaglutide 1mg/week and empagliflozin 10 mg/d OR empagliflozin monotherapy 10mg/d compared to matching placebo after 48-week treatment.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Franziskus-Krankenhaus Berlin
Berlin, 10787, Germany
Leber- und Studienzentrum Checkpoint
Berlin, 10961, Germany
University Clinics Berlin Charité
Berlin, 12200, Germany
University Clinics Berlin Charité
Berlin, 13353, Germany
University Clinics Bochum
Bochum, 44892, Germany
Städtisches Klinikum Brandenburg GmbH
Brandenburg, 14770, Germany
Städtisches Klinikum Braunschweig gGmbH
Braunschweig, 38126, Germany
University Clinics Carl Gustav Carus Dresden
Dresden, 01307, Germany
Universitätsklinikum Düsseldorf
Düsseldorf, 40225, Germany
University Clinics Essen
Essen, 45147, Germany
University Clinics Frankfurt
Frankfurt, 60590, Germany
University Clinics Freiburg
Freiburg im Breisgau, 79106, Germany
University Clinics Heidelberg
Heidelberg, 69120, Germany
Eugastro GmbH
Leipzig, 04103, Germany
University Clinics Johannes-Gutenberg Mainz
Mainz, 55131, Germany
TUM
München, 81675, Germany
University Clinics Tübingen
Tübingen, 72076, Germany
Universitätsklinikum Ulm
Ulm, 89081, Germany
University Clinics Würzburg
Würzburg, 97080, Germany
Primary Completion
January 31, 2025
Actual (reported)Study Completion
November 17, 2025
Actual (reported)Last Updated
July 8, 2026
Record last verified: 2025-11
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Source: ClinicalTrials.gov.
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