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Metabolic Dysfunction-associated SteatohepatitisPhase 2NCT07288138

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)

A Phase 2 study testing ECC4703 and ECC0509 in people with Metabolic Dysfunction-associated Steatohepatitis, run by Eccogene at 68 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
ECC4703 and ECC0509
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
160 participants
Where
68 sitesUnited States
Study dates
15 Dec 2025to 29 Sep 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults between 18 and 75 years of age, inclusive, who can provide written informed consent and comply with study procedures.
  • Diagnosis of presumed MASH based on: liver biopsy within 180 days prior to screening showing an NAFLD activity score (NAS) of ≥3 and a fibrosis score (F) of F1-3 OR FibroScan® CAP >280 dB/m at screening with presence of metabolic risk factors.
  • Evidence of hepatic steatosis confirmed by FibroScan® LSM > 7 kPa and < 20 kPa and MRI-PDFF >8% at screening.
  • BMI >25 kg/m^2 to <50 kg/m^2 (non-Asian); BMI ≥23.0 to <50.0 kg/m^2 (Asian).
  • ALT ≥60 U/L at the first screening visit and stability of ALT and AST levels during the screening period.
  • Estimated glomerular filtration rate (eGFR) ≥60 mL/min/1.73m^2 (Chronic Kidney Disease Epidemiology Collaboration, [CKD-EPI]).
Show all 9Show fewer
  • Stable body weight (no >5% change) for at least 6 months prior to screening.
  • Willing to comply with contraception requirements (as applicable to males and females of childbearing potential).
  • In the opinion of the investigator, able to participate safely and complete required MRI/biomarker assessments.

Who cannot join

  • 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.
  • Presence of cirrhosis on liver histology according to the assessment of the central reader, and/or cross-sectional imaging evidence consistent with cirrhosis and/or portal hypertension (e.g, nodular liver contour; portosystemic collaterals, ascites, splenomegaly; known presence or history of esophageal varices; and/or elastography evidence consistent with cirrhosis).
  • ALT and/or AST >5× Upper Limit of Normal (ULN) or ALP >2×ULN at screening.
  • Clinically significant thyroid or adrenal dysfunction, including uncontrolled hypothyroidism, hyperthyroidism, or adrenal disorders.
  • Type 1 diabetes, HbA1c >9.5%, or unstable type 2 diabetes requiring medication changes within 90 days.
  • 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.
Show all 10Show fewer
  • Significant alcohol use within 1 year prior to screening.
  • Recent cardiovascular events, including myocardial infraction (MI), stroke, unstable angina, heart failure (New York heart association [NYHA III-IV]), or uncontrolled arrhythmia.
  • Current or recent serious psychiatric illness, including psychosis, active suicidal ideation, or suicide attempt within 5 years.
  • Pregnancy, breastfeeding, or conditions that increase risk or interfere with study procedures, including MRI contraindications or other investigator-determined safety concerns.

Trial locations and contacts

68 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Eccogene Clinical Trials contact

86-21-61053022

contact@eccogene.com

68 sites in 1 country

United States68 sites, 67 recruiting
  • Akron Gastro Research

    Akron, Ohio, 44333

    Recruiting
  • Om Research

    Apple Valley, California, 92307

    Recruiting
  • Pinnacle Clinical Research

    Austin, Texas, 78757

    Recruiting
  • Bellaire Clinical Research

    Bellaire, Texas, 77401

    Recruiting
  • Synergy Healthcare

    Bradenton, Florida, 33511

    Recruiting
  • Synergy Healthcare

    Bradenton, Florida, 34209

    Recruiting
  • South Texas Research Institute (STRI) - Brownsville

    Brownsville, Texas, 78520

    Recruiting
  • Arizona Liver Health

    Chandler, Arizona, 85224

    Recruiting
  • Gastrointestinal Associates

    Columbia, Missouri, 65201

    Recruiting
  • Columbia Gastroenterology Associates, Llc

    Columbia, South Carolina, 29204

    Recruiting
  • Pinnacle Clinical Research

    Corpus Christi, Texas, 78404

    Recruiting
  • Tandem Clinical Research

    Covington, Louisiana, 70433

    Recruiting
  • Digestive Specialists

    Dayton, Ohio, 45414

    Recruiting
  • CenExel - iResearch

    Decatur, Georgia, 30030

    Recruiting
  • South Texas Research Institute (STRI)

    Edinburg, Texas, 78539

    Recruiting
  • Dallas Research Institute, LLC

    Farmers Branch, Texas, 75234

    Recruiting
  • Coastal Research Institute

    Fayetteville, North Carolina, 28304

    Recruiting
  • Care United Research

    Forney, Texas, 75126

    Recruiting
  • Evidentis Clinical Research

    Fort Worth, Texas, 76104

    Recruiting
  • ARK Clinical Research - Fountain Valley

    Fountain Valley, California, 92708

    Recruiting
  • GI Alliance Digestive Health Associates of Texas - Garland

    Garland, Texas, 75044

    Recruiting
  • Pinnacle Clinical Research - Georgetown

    Georgetown, Texas, 78626

    Recruiting
  • GI Alliance Glenview

    Glenview, Illinois, 60026

    Recruiting
  • Mid-Atlantic GI Research

    Greenbelt, Maryland, 20770

    Recruiting
  • GI Alliance Gurnee

    Gurnee, Illinois, 60031

    Recruiting
  • Tandem Clinical Research

    Houma, Louisiana, 70360

    Recruiting
  • Houston Research Institute - Medical Center

    Houston, Texas, 770004

    Recruiting
  • Houston Research Institute

    Houston, Texas, 77079

    Recruiting
  • Health Awareness, Inc.

    Jupiter, Florida, 33458

    Recruiting
  • UCSD Medical Center

    La Jolla, California, 92037

    Recruiting
  • Om Research

    Lancaster, California, 93534

    Recruiting
  • Jubilee Clinical Research, Inc

    Las Vegas, Nevada, 89106

    Recruiting
  • Arkansas Gastroenterology, P.A

    Little Rock, Arkansas, 71913

    Recruiting
  • ARcare Center for Clinical Research

    Little Rock, Arkansas, 77205

    Recruiting
  • Ark Clinical Research

    Long Beach, California, 90815

    Recruiting
  • Gastrointestinal Specialists of Georgia, PC

    Marietta, Georgia, 30060

    Recruiting
  • Clinical Research Integrity (CRI) Lifetree, LLC

    Marlton, New Jersey, 08053

    Recruiting
  • Tandem Clinical Research GI, LLC

    Marrero, Louisiana, 70072

    Recruiting
  • Tandem Clinical Research

    Metairie, Louisiana, 70006

    Recruiting
  • Evolution Clinical Trials

    Miami, Florida, 33122

    Recruiting
  • Floridian Clinical Research, LLC

    Miami Lakes, Florida, 33016

    Recruiting
  • Delta Research Partners

    Monroe, Louisiana, 71201

    Recruiting
  • Ocala GI Research

    Ocala, Florida, 34471

    Recruiting
  • Knowledge Research Center

    Orange, California, 92868

    Recruiting
  • Houston Research Institute - Pasadena

    Pasadena, Texas, 77505

    Recruiting
  • Arizona Liver Health - Peoria

    Peoria, Arizona, 85381

    Recruiting
  • Progressive Medical Research

    Port Orange, Florida, 32127

    Recruiting
  • GI Alliance Richmond

    Richmond, Virginia, 23229

    Recruiting
  • GI Select Health Research

    Richmond, Virginia, 23236

    Recruiting
  • Quality Research, Inc.

    San Antonio, Texas, 78209

    Recruiting
  • Pinnacle Clinical Research - South San Antonio

    San Antonio, Texas, 78222

    Recruiting
  • Pinnacle Clinical Research

    San Antonio, Texas, 78229

    Recruiting
  • Louisiana Research Center, LLC

    Shreveport, Louisiana, 71105

    Recruiting
  • Digestive Research Alliance of Michiana

    South Bend, Indiana, 46635

    Recruiting
  • Premier Health Research

    Sparta, New Jersey, 07871

    Recruiting
  • DSI Research

    Springboro, Ohio, 45066

    Recruiting
  • Gateway GI Research, LLC

    St Louis, Missouri, 63141

    Recruiting
  • Sugarland Medical Associates (Sma)

    Sugar Land, Texas, 77478

    Recruiting
  • Adobe Clinical Research, LLC

    Tucson, Arizona, 85712

    Recruiting
  • Arizona Liver Health - Tucson

    Tucson, Arizona, 85712

    Recruiting
  • Om Research

    Victorville, California, 92395

    Recruiting
  • ClinCloud, LLC

    Viera, Florida, 32940

    Recruiting
  • Digestive Research of Central Texas

    Waco, Texas, 76712

    Completed
  • GI Alliance Webster

    Webster, Texas, 77598

    Recruiting
  • Delta Research Partners, LLC

    West Monroe, Louisiana, 71291

    Recruiting
  • Metabolic Research Institute

    West Palm Beach, Florida, 33401

    Recruiting
  • Clinical Research Institute of Ohio (CRIOH), LLC

    Westlake, Ohio, 44145

    Recruiting
  • Digestive Health Research of North Texas, LLC

    Wichita Falls, Texas, 76301

    Recruiting

Other trials in United States

About this study

Official title: A Phase 2a, Randomized, Double-blind, Placebo-controlled, Multicenter Study to Assess the Efficacy and Safety of a THRβ Agonist (ECC4703), an SSAO Inhibitor (ECC0509), and Their Combination in Adults With Presumed MASH

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.

Being tested
Placebo, ECC4703, ECC0509
Keywords
Liver Disease, Nonalcoholic Steatohepatitis, ECC0509, ECC4703
Medical subject headings
Liver Diseases, Non-alcoholic Fatty Liver Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo will be administered as matching oral capsules.

  • ECC4703Drug

    ECC4703 will be administered as oral capsules.

  • ECC0509Drug

    ECC0509 will be administered as oral capsules.

  • ECC4703Drug

    ECC4703 will be administered as oral capsules.

Study groups in NCT07288138
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
ECC4703 Low DoseExperimentalNot described
Receives: Drug: ECC4703
ECC4703 High DoseExperimentalNot described
Receives: Drug: ECC4703
ECC4703 High Dose + ECC0509 High DoseExperimentalNot described
Receives: Drug: ECC0509; Drug: ECC4703
ECC0509 Low DoseExperimentalNot described
Receives: Drug: ECC0509
ECC0509 High DoseExperimentalNot described
Receives: Drug: ECC0509

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Relative Change from Baseline in Liver Fat Content by MRI-PDFF, Comparing ECC4703 Monotherapy Versus Placebo

    Measured: Baseline and Week 12

Secondary outcomes (35)
  1. Absolute Change from Baseline in Liver Fat Content by MRI-PDFF, Comparing ECC4703 Monotherapy Versus Placebo

    Measured: Baseline and Week 12

  2. Relative Change from Baseline in Liver Fat Content by MRI-PDFF, Comparing ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  3. Absolute Change From Baseline in Liver Fat Content by MRI-PDFF, Comparing ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  4. Percentage of Participants With ≥30%, ≥50%, and ≥70% Relative Reduction and Normalization (<5%) in Liver Fat Content by MRI-PDFF, Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  5. Change From Baseline in Alanine Aminotransferase (ALT), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  6. Percentage of Participants Achieving ≥17-unit Reduction in ALT, Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Week 12

  7. Percentage of Participants With 30% Reduction in MRI-PDFF, Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Week 12

  8. Change from Baseline in Aspartate Aminotransferase (AST), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  9. Change from Baseline in Alkaline Phosphatase (ALP), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  10. Change from Baseline in Gamma-glutamyl Transferase (GGT), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  11. Change from Baseline in Fibrosis-4 Index (FIB-4), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  12. Change from Baseline in AST to Platelet Ratio Index (APRI), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  13. Change from Baseline in FibroScan AST Score (FAST), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  14. Change from Baseline in Non-alcoholic Fatty Liver Disease (NAFLD) Fibrosis Score (NFS), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  15. Change from Baseline in Enhanced Liver Fibrosis (ELF) Score, Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  16. Change from Baseline in MASH Resolution Index, Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  17. Change from Baseline in FibroScan Liver Stiffness Measurement (LSM), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  18. Change from Baseline in FibroScan Controlled Attenuation Parameter (CAP), Comparing ECC4703 and ECC0509 Monotherapy Versus Placebo, and the Combination of ECC4703 and ECC0509 Versus Each Component

    Measured: Baseline and Week 12

  19. Change from Baseline in Total Cholesterol (TC), Triglycerides (TG), High-density Lipoprotein (HDL), Low-density Lipoprotein (LDL) and Apoprotein B (ApoB)

    Measured: Baseline to Week 12

  20. Change from Baseline in Lipoprotein(a) (Lp[a]) Profiles

    Measured: Baseline to Week 12

  21. Change from Baseline in Hemoglobin A1c (HbA1c)

    Measured: Baseline to Week 12

  22. Change from Baseline in Fasting Plasma Glucose (FPG)

    Measured: Baseline to Week 12

  23. Change from Baseline in Fasting Insulin

    Measured: Baseline to Week 12

  24. Change from Baseline in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) Profiles

    Measured: Baseline to Week 12

  25. Change from Baseline in Body Weight

    Measured: Baseline to Week 12

  26. Change from Baseline Body Mass Index (BMI)

    Measured: Baseline to Week 12

  27. Change from Baseline in Plasma Methylamine

    Measured: Baseline to Week 12

  28. Change from Baseline in Cytokeratin-18 (CK-18)

    Measured: Baseline to Week 12

  29. Change from Baseline in C-telopeptide of Type III Collagen (CTX-III)

    Measured: Baseline to Week 12

  30. Change from Baseline in N-terminal Pro-peptide of Type III Collagen (Pro-C3)

    Measured: Baseline to Week 12

  31. Change in Ratio of Pro-C3

    Measured: Week 12

  32. Change in Ratio of CTX-III

    Measured: Week 12

  33. Change from Baseline in Chronic Liver Disease Questionnaire (CLDQ)

    Measured: Baseline and Week 12

  34. Change from Baseline in Short-form Liver Disease Quality of Life (SF-LDQOL)

    Measured: Baseline to Week 12

  35. Plasma Concentration of ECC4703 and ECC0509

    Measured: Day 1, Weeks 2, 4, 6, 8, and 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2025
  2. Study start15 Dec 2025
  3. Primary completion15 Sep 2027 (estimated)
  4. Study completion29 Sep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07288138
Sponsor's protocol ID
EC0010
Status last verified
Oct 2026
First submitted
15 Dec 2025
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ECC4703 and ECC0509 in people with Metabolic Dysfunction-associated Steatohepatitis, run by Eccogene at 68 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 9 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 68 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Eccogene Clinical Trials (86-21-61053022, contact@eccogene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Relative Change from Baseline in Liver Fat Content by MRI-PDFF, Comparing ECC4703 Monotherapy Versus Placebo (time frame: Baseline and Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Oct 2026.

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