A Study of a Thyroid Hormone Receptor Beta Isoform (THRβ) Agonist and an Semicarbazide Sensitive Amine Oxidase (SSAO) Inhibitor, Alone and in Combination, in Adults With Presumed Metabolic Dysfunction-associated Steatohepatitis (MASH)

NCT ID: NCT07288138

Last Updated: 2026-01-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-15

Study Completion Date

2027-01-31

Brief Summary

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The primary objective of this trial is to evaluate the dose-dependent and comparative effects of ECC4703 (low and high dose), ECC0509 (low and high dose), and their combination on hepatic fat reduction as assessed by change in magnetic resonance imaging proton density fat fraction (MRI-PDFF) at Week 12.

Detailed Description

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Conditions

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Metabolic Dysfunction-associated Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered as matching oral capsules.

ECC4703 Low Dose

Group Type EXPERIMENTAL

ECC4703

Intervention Type DRUG

ECC4703 will be administered as oral capsules.

ECC4703 High Dose

Group Type EXPERIMENTAL

ECC4703

Intervention Type DRUG

ECC4703 will be administered as oral capsules.

ECC4703 High Dose + ECC0509 High Dose

Group Type EXPERIMENTAL

ECC0509

Intervention Type DRUG

ECC0509 will be administered as oral capsules.

ECC4703

Intervention Type DRUG

ECC4703 will be administered as oral capsules.

ECC0509 Low Dose

Group Type EXPERIMENTAL

ECC0509

Intervention Type DRUG

ECC0509 will be administered as oral capsules.

ECC0509 High Dose

Group Type EXPERIMENTAL

ECC0509

Intervention Type DRUG

ECC0509 will be administered as oral capsules.

Interventions

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Placebo

Placebo will be administered as matching oral capsules.

Intervention Type DRUG

ECC4703

ECC4703 will be administered as oral capsules.

Intervention Type DRUG

ECC0509

ECC0509 will be administered as oral capsules.

Intervention Type DRUG

ECC4703

ECC4703 will be administered as oral capsules.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adults ≥18 years of age who can provide written informed consent and comply with study procedures.
2. Presumed MASH based on recent liver biopsy (NAFLD activity score \[NAS\] ≥4, fibrosis F1-F3) or non-invasive criteria consistent with liver fibrosis (metabolic syndrome plus FibroScan® liver stiffness 7-14 kPa).
3. Evidence of hepatic steatosis confirmed by FibroScan® CAP \>280 dB/m and MRI-PDFF \>8% at screening.
4. BMI \>25 kg/m\^2 to \<50 kg/m\^2 (non-Asian); BMI ≥23.0 to \<50.0 kg/m\^2 (Asian).
5. ALT \>1.5×upper limit of normal (ULN).
6. Estimated glomerular filtration rate (eGFR) ≥60 mL/min/1.73m\^2 (Chronic Kidney Disease Epidemiology Collaboration, \[CKD-EPI\]).
7. Stable body weight (no \>5% change) for at least 6 months prior to screening.
8. Willing to comply with contraception requirements (as applicable to males and females of childbearing potential).
9. In the opinion of the investigator, able to participate safely and complete required MRI/biomarker assessments.

Exclusion Criteria

Liver-related:

1. Chronic liver disease other than metabolic dysfunction-associated steatotic liver disease (MASLD)/MASH, including alcoholic liver disease, autoimmune hepatitis, cholestatic disease, genetic liver diseases, or drug-induced liver injury.
2. Evidence of cirrhosis or hepatic decompensation, including prior ascites, varices, encephalopathy, or laboratory/imaging findings consistent with cirrhosis.
3. ALT or AST \>5×ULN or ALP \>2×ULN at screening.
4. Clinically significant thyroid or adrenal dysfunction, including uncontrolled hypothyroidism, hyperthyroidism, or adrenal disorders.
5. Type 1 diabetes, HbA1c \>9.5%, or unstable type 2 diabetes requiring medication changes within 3 months.
6. Use of medications that affect liver fat or fibrosis (e.g., Glucagon-Like Peptide-1 Receptor Agonists (GLP-1 RAs) not on a stable dose, pioglitazone, obeticholic acid, high-dose vitamin E, hepatotoxic drugs) within protocol-specified washout periods.
7. Significant alcohol use within 1 year prior to screening.
8. Recent cardiovascular events, including myocardial infraction (MI), stroke, unstable angina, heart failure (New York heart association \[NYHA III-IV\]), or uncontrolled arrhythmia.
9. Current or recent serious psychiatric illness, including psychosis, active suicidal ideation, or suicide attempt within 5 years.
10. Pregnancy, breastfeeding, or conditions that increase risk or interfere with study procedures, including MRI contraindications or other investigator-determined safety concerns.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eccogene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eccogene Clinical Trials

Role: STUDY_DIRECTOR

Eccogene

Locations

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Akron Gastro Research

Akron, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Eccogene Clinical Trials

Role: CONTACT

86-21-61053022

Other Identifiers

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EC0010

Identifier Type: -

Identifier Source: org_study_id

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