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MASLD/MASH biomarker-driven development

Accelerate your MASLD and MASH drug development with Labcorp’s biomarker-driven strategies and comprehensive central lab solutions. Our expertise helps you navigate the complexity of these emerging liver diseases, advancing programs from early discovery through clinical success.

Advance your MASLD/MASH clinical development

Metabolic dysfunction-associated steatotic liver disease (MASLD) and its progressive form, metabolic dysfunction-associated steatohepatitis (MASH), are rapidly emerging as global health priorities. Affecting up to 30% of the adult population, MASLD is a complex, multifactorial condition that can progress to MASH, cirrhosis, liver cancer, or metALD --posing significant challenges for drug developers. Overcome these challenges with a comprehensive, biomarker-driven approach that supports early diagnosis, patient stratification, and therapeutic monitoring—while streamlining global operations and accelerating development timelines.

Therapeutic area expertise

Proven experience in MASLD/MASH with collaborative support for biomarker strategy, assay selection and regulatory alignment

Operational Excellence

Global laboratory capabilities with integrated testing, including safety, specialty and anatomic pathology, with experience across more than 110 clinical trials from 2015-2025

Integrated data delivery

Study-specific databases that integrate biomarker, safety and exploratory data for faster decision-making

Biomarkers that support the full MASLD/MASH continuum

Labcorp offers a robust and continuously expanding toolkit of biomarkers to support the detection, staging and monitoring of MASLD/MASH. Our capabilities include:

GroupBiomarkers
Non-invasive diagnostic tools
  • Metabolic biomarkers and circulating hormones: Fasting insulin, fasting glucose, HOMA-IR, HbA1c, adiponectin, leptin, ApoAI, ApoB
  • Lipids: Standard lipid panel, NMR lipoprotein profiling, LP-IR
  • Bile acid marker: 7-alpha-hydroxy-4-cholesten-3-one (C4)
  • Tissue injury markers: Cytokeratin 18 (CK18) M65 and M30 assays, miR-34a-5p
  • Fibrosis markers: ELF™ Panel – hyaluronic acid (HA), PIIINP, TIMP1, fibroblast growth factors 19 and 21
  • Inflammation Biomarkers: hsCRP, cytokine/chemokine panels (plasma and serum)
  • Intestinal Inflammation: Fecal calprotectin, lactoferrin
  • miRNA panels: Specific and multiplex testing, including exploratory platforms
  • PEth: Specific blood-based test for alcohol, Phosphatidylethanol, recent alcohol consumption
  • Alcohol metabolites: Ethyl Glucuronide and Ethyl Sulfate
Advanced lipid and metabolic profiling

Labcorp NMR platform:

  • Lipoprotein particle size and number (e.g., VLDL, LDL and HDL)
  • GlycA acute phase reactant
  • Multi-marker algorithm including LP-IR index (insulin resistance)
  • Small molecule metabolites useful in patients with MASH (e.g., branched chain amino acids, ketone bodies and citrate)
Proprietary & partnered assays
  • PRO-C3, PRO-C6 (Nordic Bioscience)
  • Fibrosis markers: ELF™ Panel – hyaluronic acid (HA), PIIINP, TIMP1, fibroblast growth factors 19 (FGF19) and 21 (FGF21)
  • NIS2+® (GENFIT): NIS4 optimized, non-invasive, serum-based miR-34a-5p and CHI3L1 (or YKL-40) to detect fibrotic (“or at-risk”) MASH
  • NIS4® (GENFIT): blood-based diagnostic, fibrotic MASH, metabolic risk factors: miR-34a-5p, YKL-40 (CHI3L1), a-2macroglobulin (A2M) and HbA1C.

Latest resources for MASLD and MASH

Explore Related Areas

Enhance your drug development programs with Labcorp’s comprehensive solutions and insights across multiple therapeutic areas.

One partner for your MASLD/ MASH therapeutic development

Let's discuss your program to determine how we can help accelerate your MASLD/MASH clinical trials.

MASLD/MASH therapeutic development: Frequently asked questions

MASLD/MASH doesn’t have just one cause. It’s linked to obesity, diabetes and high blood pressure and can progress differently from each patient depending on factors like health history, genetic background and lifestyle. New treatments working across many different systems in the body may have variable outcomes making it harder to assess the safety and effectiveness of new drug candidates.

Liver biopsy remains the gold standard for diagnosing and staging MASLD/MASH and monitoring the effects of treatments, but its invasiveness limits its use in large-scale trials. Noninvasive biomarkers and imaging tools are improving in the sensitivity and specificity that regulatory bodies require. Bridging this diagnostic gap has great potential to speed up trial recruitment and make enrollment and study participation less burdensome for patients.

MASLD/MASH progresses slowly and successful treatment is often evaluated over a period of years. Because of that, researchers often use early signs—like changes in liver fat or inflammation—as trial endpoints. Increased development of reliable disease biomarkers holds the promise to predict long-term outcomes and facilitate regulatory approval.