Global Consensus Endpoints for Clinical Trials: MetALD (Joint with EASL), ALD, MASLD, and Alpha-1 Antitrypsin Deficiency

Description

As the landscape of liver disease evolves, so too must our tools for evaluating therapeutic efficacy and disease progression.  This cutting-edge session will explore the latest advances and ongoing debates surrounding clinical trial and real-world endpoints for metabolic dysfunction-associated alcohol-related liver disease (MetALD), alcohol-associated liver disease (ALD), metabolic dysfunction-associated steatotic liver disease (MASLD), and alpha-1 antitrypsin deficiency (AATD). For MetALD, we will present the consensus endpoints developed by the AASLD/EASL MetALD Working Groups.  Experts will address the challenges of defining meaningful and harmonized endpoints across overlapping phenotypes, the role of biomarkers and imaging, and regulatory considerations in early- and late-phase trials. Emphasis will be placed on how to tailor endpoints to the unique pathophysiology of each disease while also considering patient-centered outcomes and emerging surrogate markers. This session is essential for clinicians, researchers, and industry stakeholders involved in trial design and drug development for liver diseases. 

Presentations

8:00 AM - 8:05 AM
Apr 29 2026
Washington, D.C.

Welcome & Introductions

Grace Su, MD, FAASLD , Moderator
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
8:05 AM - 8:20 AM
Apr 29 2026
Washington, D.C.

General Considerations for Clinical Trials in MetALD/ALD

Aleksander A. Krag, MD, PhD , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
8:20 AM - 8:35 AM
Apr 29 2026
Washington, D.C.

Endpoints for Phases 2 and 3 Trials in Precirrhotic MetALD/ALD

Mazen Noureddin , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
8:35 AM - 8:50 AM
Apr 29 2026
Washington, D.C.

Endpoints in Patients with Compensated Cirrhosis or Compensated Advanced Chronic Liver Disease (cACLD)

Juan Pablo Arab, MD, FRCPC , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
8:50 AM - 9:05 AM
Apr 29 2026
Washington, D.C.

Endpoints in Patients with Decompensated Cirrhosis

Debbie L Shawcross, BSc, MBBS, PhD, FRCP , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
9:25 AM - 9:40 AM
Apr 29 2026
Washington, D.C.

Endpoints for Regulatory Approval in MASH-Related Fibrosis

Mary E. Rinella, MD, FAASLD , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
9:40 AM - 9:55 AM
Apr 29 2026
Washington, D.C.

Endpoints for Regulatory Approval in Alcohol-associated Hepatitis

Gyongyi Szabo, MD, PhD, FAASLD , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
9:55 AM - 10:10 AM
Apr 29 2026
Washington, D.C.

Endpoints for Regulatory Approval in Alpha-1 Anti-Trypsin Deficiency-Related Liver Disease

Rohit Loomba, MD, MHSc, FAASLD , Presenter
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD
10:10 AM - 10:30 AM
Apr 29 2026
Washington, D.C.

Panel Discussion 2 (All Speakers)

Rotonya M. Carr, MD, FACP, FAASLD , Moderator
Acute Liver Failure
Acute-on-Chronic Liver Failure
ALD
Global
MASLD

Objectives

  • identify current and emerging clinical and surrogate endpoints for MetALD, ALD, MASLD, and AATD.
  • Describe the regulatory pathways across a spectrum of chronic liver disease.
  • Discuss the future of personalized and mechanism-based endpoints in liver disease trials.
Chair

Mazen Noureddin

Houston Research Institute and Houston Methodist Hospital
Chair

Rohit Loomba, MD, MHSc, FAASLD

University of California, San Diego
Chair

Juan Pablo Arab, MD, FRCPC

Virginia Commonwealth University