NIS4® & NIS2+® – Our technology for the Identification of At-Risk NASH/MASH

We have advanced a non-invasive diagnostic program based on the identification of specific biomarkers that are expressed at different levels in patients with Non-Alcoholic Steatohepatitis (NASH), now called MASH1 (Metabolic dysfunction-Associated Steatohepatitis). This discovery kicked off a multi-year effort that has resulted in the development of a blood-based molecular technology for the identification of patients with NASH/MASH (NAS≥4) and significant fibrosis (F≥2).

NIS4®

Our first biomarker technology, NIS4®, integrated the outputs of four NASH/MASH-associated biomarkers (alpha-2-macroglobulin, YKL-40, hemoglobin A1c, and miR-34a-5p) through an algorithm to produce a single score that can be utilized to rule in and rule out at-risk NASH/MASH, while minimizing the number of indeterminate test results. Its utility was recognized in a Stage 1 study undertaken by the NIMBLE (Non-Invasive Biomarkers of Metabolic Liver Disease) initiative of the FNIH (Foundation for the National Institutes of Health) Biomarkers Consortium as demonstrating a unique performance in identifying patients with “at-risk” NASH/MASH. In August 2020, pivotal data describing the derivation and validation of NIS4® technology was accepted for publication by The Lancet Gastroenterology & Hepatology.2 In 2021, we entered into an agreement with Labcorp to commercialize NASHnext®, powered by GENFIT’s proprietary diagnostic technology NIS4® in identifying at-risk NASH/MASH.

NIS2+®

In October 2022, we optimized NIS4® and announced compelling results on the clinical performance of NIS2+® which we presented at AASLD (American Association for the Study of Liver Diseases). NIS2+® has demonstrated the robust and improved clinical performance of NIS2+® allowing an efficient identification of at-risk NASH/MASH, irrespective of patient characteristics such as age, sex and type 2 diabetes. In 2023 the performance of NIS2+® was published in the Journal of Hepatology3 and in Hepatology Communications.4

We continue to explore the possibility of obtaining regulatory approval and CE Certificates of Conformity, with a development and commercial partner, to release an IVD test powered by NIS2+® technology on the US and European markets.

TS-01 for Ammonia Measurement in Blood

The TS-01 program consists of developing a diagnostic device based on a “transmembrane pH-gradient polymersome” technology. It is in a prototype stage of development for point-of-care, including at-home measurement of ammonia in blood.

The goal of this project is to build a prototype device that will be fast, selective, and sensitive over a wide range of ammonia concentrations, covering physiological and pathological levels.


1At EASL Congress in June 2023 it was announced that nonalcoholic steatohepatitis (NASH) would now be referred to as Metabolic dysfunction-associated steatohepatitis (MASH). Nonalcoholic fatty liver disease (NAFLD) will now be referred to as metabolic dysfunction-associated steatotic liver disease (MASLD). GENFIT is progressively transitioning its documentation over to this new nomenclature and both NASH and MASH terms may appear in our documents during this period
2Stephen A. Harrison et al., Lancet (2020), doi: https://doi.org/10.1016/S2468-1253(20)30252-1
3Stephen A. Harrison et al., Journal of Hepatology (2023), doi: https://doi.org/10.1016/j.jhep.2023.04.031
4 https://www.doi.org/10.1097/HC9.0000000000000223