New drug combo targets fatty liver in major trial
NCT ID NCT07288138
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 8 times
Summary
This study tests two experimental drugs, ECC4703 and ECC0509, alone or together, in 160 adults with MASH (a type of fatty liver disease). The goal is to see if they can safely reduce liver fat over 12 weeks. Participants will be randomly assigned to receive the drugs or a placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 160 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adults between 18 and 75 years of age, inclusive, who can provide written informed consent and comply with study procedures. 2. 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. 3. Evidence of hepatic steatosis confirmed by FibroScan® LSM \> 7 kPa and \< 20 kPa 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 ≥60 U/L at the first screening visit and stability of ALT and AST levels during the screening period. 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: 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. 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). 3. ALT and/or AST \>5× Upper Limit of Normal (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 90 days. 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.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
63 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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ARK Clinical Research - Fountain Valley
RECRUITINGFountain Valley, California, 92708, United States
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ARcare Center for Clinical Research
RECRUITINGLittle Rock, Arkansas, 77205, United States
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Adobe Clinical Research, LLC
RECRUITINGTucson, Arizona, 85712, United States
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Akron Gastro Research
RECRUITINGAkron, Ohio, 44333, United States
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Arizona Liver Health
RECRUITINGChandler, Arizona, 85224, United States
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Arizona Liver Health - Peoria
RECRUITINGPeoria, Arizona, 85381, United States
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Arizona Liver Health - Tucson
RECRUITINGTucson, Arizona, 85712, United States
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Ark Clinical Research
RECRUITINGLong Beach, California, 90815, United States
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Arkansas Gastroenterology, P.A
RECRUITINGLittle Rock, Arkansas, 71913, United States
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Bellaire Clinical Research
RECRUITINGBellaire, Texas, 77401, United States
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Care United Research
RECRUITINGForney, Texas, 75126, United States
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CenExel - iResearch
RECRUITINGDecatur, Georgia, 30030, United States
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ClinCloud, LLC
RECRUITINGViera, Florida, 32940, United States
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Clinical Research Institute of Ohio (CRIOH), LLC
RECRUITINGWestlake, Ohio, 44145, United States
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Clinical Research Integrity (CRI) Lifetree, LLC
RECRUITINGMarlton, New Jersey, 08053, United States
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Coastal Research Institute
RECRUITINGFayetteville, North Carolina, 28304, United States
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Columbia Gastroenterology Associates, Llc
RECRUITINGColumbia, South Carolina, 29204, United States
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DSI Research
RECRUITINGSpringboro, Ohio, 45066, United States
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Dallas Research Institute, LLC
RECRUITINGFarmers Branch, Texas, 75234, United States
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Delta Research Partners
RECRUITINGMonroe, Louisiana, 71201, United States
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Delta Research Partners, LLC
RECRUITINGWest Monroe, Louisiana, 71291, United States
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Digestive Health Research of North Texas, LLC
RECRUITINGWichita Falls, Texas, 76301, United States
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Digestive Research Alliance of Michiana
RECRUITINGSouth Bend, Indiana, 46635, United States
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Digestive Research of Central Texas
COMPLETEDWaco, Texas, 76712, United States
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Digestive Specialists
RECRUITINGDayton, Ohio, 45414, United States
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Evidentis Clinical Research
RECRUITINGFort Worth, Texas, 76104, United States
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Evolution Clinical Trials
RECRUITINGMiami, Florida, 33122, United States
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Floridian Clinical Research, LLC
RECRUITINGMiami Lakes, Florida, 33016, United States
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GI Alliance Richmond
RECRUITINGRichmond, Virginia, 23229, United States
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GI Select Health Research
RECRUITINGRichmond, Virginia, 23236, United States
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Gastrointestinal Associates
RECRUITINGColumbia, Missouri, 65201, United States
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Gastrointestinal Specialists of Georgia, PC
RECRUITINGMarietta, Georgia, 30060, United States
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Gateway GI Research, LLC
RECRUITINGSt Louis, Missouri, 63141, United States
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Health Awareness, Inc.
RECRUITINGJupiter, Florida, 33458, United States
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Houston Research Institute
RECRUITINGHouston, Texas, 77079, United States
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Houston Research Institute - Medical Center
RECRUITINGHouston, Texas, 770004, United States
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Houston Research Institute - Pasadena
RECRUITINGPasadena, Texas, 77505, United States
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Jubilee Clinical Research, Inc
RECRUITINGLas Vegas, Nevada, 89106, United States
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Knowledge Research Center
RECRUITINGOrange, California, 92868, United States
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Louisiana Research Center, LLC
RECRUITINGShreveport, Louisiana, 71105, United States
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Metabolic Research Institute
RECRUITINGWest Palm Beach, Florida, 33401, United States
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Mid-Atlantic GI Research
RECRUITINGGreenbelt, Maryland, 20770, United States
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Ocala GI Research
RECRUITINGOcala, Florida, 34471, United States
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Om Research
RECRUITINGApple Valley, California, 92307, United States
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Om Research
RECRUITINGLancaster, California, 93534, United States
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Om Research
RECRUITINGVictorville, California, 92395, United States
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Pinnacle Clinical Research
RECRUITINGAustin, Texas, 78757, United States
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Pinnacle Clinical Research
RECRUITINGCorpus Christi, Texas, 78404, United States
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Pinnacle Clinical Research
RECRUITINGSan Antonio, Texas, 78229, United States
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Pinnacle Clinical Research - Georgetown
RECRUITINGGeorgetown, Texas, 78626, United States
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Pinnacle Clinical Research - South San Antonio
RECRUITINGSan Antonio, Texas, 78222, United States
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Premier Health Research
RECRUITINGSparta, New Jersey, 07871, United States
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Progressive Medical Research
RECRUITINGPort Orange, Florida, 32127, United States
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Quality Research, Inc.
RECRUITINGSan Antonio, Texas, 78209, United States
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South Texas Research Institute (STRI)
RECRUITINGEdinburg, Texas, 78539, United States
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South Texas Research Institute (STRI) - Brownsville
RECRUITINGBrownsville, Texas, 78520, United States
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Sugarland Medical Associates (Sma)
RECRUITINGSugar Land, Texas, 77478, United States
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Synergy Healthcare
RECRUITINGBradenton, Florida, 33511, United States
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Synergy Healthcare
RECRUITINGBradenton, Florida, 34209, United States
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Tandem Clinical Research
RECRUITINGCovington, Louisiana, 70433, United States
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Tandem Clinical Research
RECRUITINGHouma, Louisiana, 70360, United States
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Tandem Clinical Research
RECRUITINGMetairie, Louisiana, 70006, United States
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Tandem Clinical Research GI, LLC
RECRUITINGMarrero, Louisiana, 70072, United States
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UCSD Medical Center
RECRUITINGLa Jolla, California, 92037, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can Weight-Loss surgery rewire the Liver's energy engine?
- Could a new drug tame fatty liver disease? early trial aims to find out
- Liver scan changes may foretell deadly complications
- Could a weekly shot help more people donate part of their liver?
- Experimental drug aims to reverse liver scarring in MASH cirrhosis
- Experimental drug aims to stop liver failure in MASH cirrhosis