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Metabolic Dysfunction-associated Steatotic Liver DiseasePhase 1NCT07589400

Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Characteristics of ACT500 in Participants With Metabolic Dysfunction-Associated Steatotic Liver Disease Complicated With Chronic Hepatitis B

A Phase 1 study testing ACT500 Tablets in people with Metabolic Dysfunction-associated Steatotic Liver Disease and Chronic Hepatitis b, run by Xiamen Amoytop Biotech Co., Ltd. at 4 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This study is a Phase Ib, multicenter randomized, double-blind, dose-escalation, placebo-controlled trial designed to evaluate the safety, tolerability, PK, and PD profiles of multiple-dose ACT500 in participants with metabolic dysfunction-associated steatotic liver disease (MASLD) complicated with chronic hepatitis B… Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
ACT500 Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
24 participants
Where
4 sitesChina
Study dates
30 Oct 2026to 30 Jun 2027
Phase
Phase 1
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • The participant fully understands the purpose, nature, methods of the trial, and the potential adverse reactions, voluntarily agrees to participate in this study, and signs the informed consent form.
  • Male or female participants aged between 18 and 60 years (inclusive) at the time of signing the informed consent form.
  • Liver fat content ≥10% as assessed by magnetic resonance imaging-proton density fat fraction (MRI-PDFF) during the screening period.
  • Liver stiffness measurement (LSM) by FibroScan during the screening period meets 8 kPa ≤ LSM < 12 kPa, or liver biopsy results within 6 months prior to screening show stage F2/F3 liver fibrosis.
  • Hepatitis B surface antigen (HBsAg) positive for >6 months at screening, or other evidence of chronic hepatitis B (CHB), with HBV DNA < 20 IU/mL.
  • Serum alanine aminotransferase (ALT) < 5×ULN at screening.
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  • Received nucleos(t)ide analog (NAs) therapy for at least 1 year prior to screening and are currently on stable NA therapy (including entecavir, tenofovir disoproxil fumarate, tenofovir alafenamide fumarate, and tenofovir amibufenamide). Stable NAs therapy is defined as receiving the same treatment regimen within 3 months prior to screening.
  • Have at least one of the following metabolic disease risk factors:
  • BMI ≥24.0 kg/m^2, or waist circumference ≥90 cm (male) and ≥85 cm (female); Prediabetes: fasting blood glucose ≥6.1 mmol/L, or glycated hemoglobin (HbA1c) ≥5.7%; History of type 2 diabetes mellitus; 1.70 mmol/L ≤ fasting serum triglycerides < 5.6 mmol/L; Fasting serum high-density lipoprotein cholesterol ≤1.0 mmol/L (male) and ≤1.3 mmol/L (female), or receiving stable-dose lipid-lowering therapy(excluding statins); Systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥85 mmHg, with systolic blood pressure ≤160 mmHg and diastolic blood pressure ≤100 mmHg; or receiving stable-dose antihypertensive therapy with systolic blood pressure ≤160 mmHg and diastolic blood pressure ≤100 mmHg.
  • Both male and female participants must agree to use adequate contraceptive methods, where:
  • Male participants: agree to use reliable contraceptive measures from the time of signing the informed consent form until 1 months after the last dose, and have no sperm donation plans; Female participants: women of non-childbearing potential; or women of childbearing potential who are not pregnant or breastfeeding, must have a negative serum pregnancy test result at screening and within 1 day prior to the first dose, agree to use reliable contraceptive measures from the time of signing the informed consent form until 1 months after the last dose, and have no oocyte donation plans.

Who cannot join

  • Concurrent other liver diseases, including but not limited to hepatitis C, hepatitis D, drug-induced liver disease, alcoholic liver disease, autoimmune liver disease, suspected or confirmed liver cancer, etc.
  • Participants with a previous or current history of other malignant tumors, liver cirrhosis (including imaging-confirmed or suspected cirrhosis, and liver biopsy-confirmed cirrhosis), or evidence of decompensated liver disease (such as ascites, esophagogastric variceal bleeding, hepatic encephalopathy), or with a history of liver transplantation.
  • Participants with a history or current symptoms of severe cardiovascular and cerebrovascular diseases, including but not limited to uncontrolled or severe arrhythmia (ventricular fibrillation, atrial fibrillation, etc.), myocardial infarction, coronary heart disease, uncontrolled hypertension (systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg).
  • Participants with persistent and clinically significant medical history of respiratory, nervous, gastrointestinal, immune, hematological or psychiatric diseases, which, in the opinion of the investigator, may impose additional risks on the participant.
  • Participants with type 1 diabetes or poorly controlled type 2 diabetes (fasting blood glucose >9 mmol/L within 3 months prior to screening or glycated hemoglobin >9.5% at screening), or diabetic patients using hypoglycemic drugs other than metformin and insulin.
  • Estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m² (calculated by the CKD-EPI formula) at screening, or with a history of severe renal impairment.
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  • Known hemoglobinopathy, hemolytic anemia, sickle cell anemia; or hemoglobin <115 g/L in female participants and <130 g/L in male participants at screening; or any other conditions judged by the investigator to interfere with hemoglobin detection.
  • Any of the following laboratory abnormalities at screening: alkaline phosphatase (ALP) >2 times the upper limit of normal (ULN), total bilirubin (TBIL) >1.5 times the ULN(excluding participants with benign unconjugated hyperbilirubinemia who are deemed eligible for enrollment by the Investigator, with total bilirubin <2×ULN and direct bilirubin <ULN);, international normalized ratio (INR) >1.3, albumin <35 g/L, platelet count <125×10⁹/L, and serum triglycerides >5.6 mmol/L.
  • Participants with body weight gain or loss >5% within 3 months prior to screening, or those receiving diet control, bariatric surgery, or using approved anti-obesity medications for weight loss indications.
  • Participants with a history of major trauma or surgery within 3 months prior to screening, or those scheduled to undergo surgery during the study period.
  • Excessive alcohol consumption for 3 consecutive months or more within 1 year prior to screening. Excessive drinking is defined as weekly ethanol intake ≥210 g for males and ≥140 g for females; or with a history of drug abuse/dependence or drug inhalation/injection within 1 year prior to screening.
  • Use of drugs with potential therapeutic effects on MASLD/MASH within 3 months prior to screening (e.g., GLP-1 receptor agonists, DPP4 inhibitors, SGLT2 inhibitors, FGF21 analogues, resmetirom, etc.), or drugs that may induce MASLD/MASH (e.g., amiodarone, methotrexate, tetracyclines, tamoxifen, estrogen at doses exceeding hormone replacement therapy, anabolic steroids, valproic acid, and other known hepatotoxic drugs); use of drugs that may affect the efficacy of hepatitis B treatment within 6 months prior to screening (e.g., anti-HBV drugs other than NAs, interferons, systemic immunomodulators, hepatitis B vaccines, etc.), or any other medications deemed by the investigator to interfere with the study.
  • Participation in other clinical drug trials within 6 months prior to screening.
  • Positive human immunodeficiency virus antibody (HIV-Ab) at screening; positive hepatitis C virus antibody (if positive, HCV-RNA must be below the lower limit of quantitation of the study site assay); positive hepatitis D virus antibody; or positive treponema pallidum antibody together with positive rapid plasma reagin (RPR) test (RPR shall only be performed when treponema pallidum antibody is positive).
  • Participants with allergic reactions to excipients of ACT500 or drugs with similar chemical structures to ACT500, or other drug allergies deemed ineligible for study participation by the investigator.
  • Any other conditions that render the participant unsuitable for this study as determined by the investigator, or participants who are unable to complete the trial due to personal reasons after signing the informed consent form (ICF).

Trial locations and contacts

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

Jidong Jia, Ph.D contact

13501378269

jia_jd@ccmu.edu.cn

China4 sites
  • Beijing Friendship Hospital, Capital Medical University

    Beijing

    Jidong Jia, 13501378269, jia_jd@ccmu.edu.cn

  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai

    Qing Xie

  • The First Affiliated Hospital of Xinjiang Medical University

    Ürümqi

    Xiaobo Lu

  • Xiamen Hospital of Traditional Chinese Medicine

    Xiamen

    Huiqing Liang

Other trials in China

About this study

Official title: A Multicenter, Randomized, Double-blind, Multiple Ascending Dose, Placebo-controlled Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Characteristics of ACT500 in Participants With Metabolic Dysfunction-associated Steatotic Liver Disease Complicated With Chronic Hepatitis B.

This study is a Phase Ib, multicenter randomized, double-blind, dose-escalation, placebo-controlled trial designed to evaluate the safety, tolerability, PK, and PD profiles of multiple-dose ACT500 in participants with metabolic dysfunction-associated steatotic liver disease (MASLD) complicated with chronic hepatitis B (CHB). The trial plans to enroll 24 participants with MASLD complicated with CHB across three dose cohorts initially, each consisting of 8 participants who will receive oral ACT500 tablets once daily.

Being tested
ACT500 Tablets, ACT500 Placebo Tablets
Keywords
Metabolic Dysfunction-associated Steatotic Liver Disease, Chronic Hepatitis b, ACT500, NM6606
Medical subject headings
Hepatitis B, Chronic

What participants receive

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

  • ACT500 TabletsDrug

    Once daily, orally

  • ACT500 TabletsDrug

    Once daily, orally

  • ACT500 TabletsDrug

    Once daily, orally

  • ACT500 Placebo TabletsDrug

    Once daily, orally

  • ACT500 Placebo TabletsDrug

    Once daily, orally

  • ACT500 Placebo TabletsDrug

    Once daily, orally

Study groups in NCT07589400
Study groupRoleWhat they receive
100 mg ACT500 tablet groupExperimentalNot described
Receives: Drug: ACT500 Tablets
300 mg ACT500 tablet groupExperimentalNot described
Receives: Drug: ACT500 Tablets
400 mg ACT500 tablet groupExperimentalNot described
Receives: Drug: ACT500 Tablets
100 mg ACT500 Placebo tablet groupPlacebo comparatorNot described
Receives: Drug: ACT500 Placebo Tablets
300 mg ACT500 Placebo tablet groupPlacebo comparatorNot described
Receives: Drug: ACT500 Placebo Tablets
400 mg ACT500 Placebo tablet groupPlacebo comparatorNot described
Receives: Drug: ACT500 Placebo Tablets

What is being measured

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

  1. Adverse Event

    Measured: Day1-112

  2. Serious Adverse Event

    Measured: Day1-112

  3. body temperature

    Measured: Day1,14,29,56,84,112

  4. breathe

    Measured: Day1,14,29,56,84,112

  5. pulse

    Measured: Day1,14,29,56,84,112

  6. blood pressure

    Measured: Day1,14,29,56,84,112

  7. Number of Participants with Abnormal Laboratory Parameters Findings

    Measured: Day1,14,29,56,84,112

  8. Number of participants with clinically significant change from baseline in physical examination

    Measured: Day1,14,29,56,84,112

  9. PR Interval

    Measured: Day14,29,56,84,112

  10. QRS Interval

    Measured: Day14,29,56,84,112

  11. QT Interval

    Measured: Day14,29,56,84,112

  12. QTc Interval

    Measured: Day14,29,56,84,112

Secondary outcomes (41)
  1. Area Under Curve#0-t#

    Measured: Day1,2,14,28,29

  2. Area Under the Concentration-time curve from time zero to τ at steady state

    Measured: Day1,2,14,28,29

  3. Area Under Curve#0-∞#

    Measured: Day1,2,14,28,29

  4. Maximum Plasma Concentration

    Measured: Day1,2,14,28,29

  5. Time to Maximum (plasma) Concentration

    Measured: Day1,2,14,28,29

  6. Elimination Half-Life

    Measured: Day1,2,14,28,29

  7. CL/F

    Measured: Day1,2,14,28,29

  8. Apparent Volume of Distribution

    Measured: Day1,2,14,28,29

  9. Cmin,ss

    Measured: Day1,2,14,28,29

  10. Cav,ss

    Measured: Day1,2,14,28,29

  11. Rac_Cmax

    Measured: Day1,2,14,28,29

  12. Rac_AUC0-tau

    Measured: Day1,2,14,28,29

  13. DF

    Measured: Day1,2,14,28,29

  14. MRI-PDFF-determined liver fat content (LFC)

    Measured: Day29,112

  15. Fibroscan-measured liver stiffness measurement (LSM)

    Measured: Day29,112

  16. AST/PLT Ratio Index

    Measured: Day1,14,29,56,112

  17. Triglyceride

    Measured: Day1,14,29,56,84,112

  18. Total Cholesterol

    Measured: Day1,14,29,56,84,112

  19. Low-Density Lipoprotein Cholesterol

    Measured: Day1,14,29,56,84,112

  20. High-Density Lipoprotein Cholesterol

    Measured: Day1,14,29,56,84,112

  21. Apolipoprotein A1

    Measured: Day1,14,29,56,84,112

  22. Apolipoprotein B

    Measured: Day1,14,29,56,84,112

  23. Lipoprotein(a)

    Measured: Day1,14,29,56,84,112

  24. Alanine Aminotransferase

    Measured: Day1,14,29,56,84,112

  25. Aspartate Aminotransferase

    Measured: Day1,14,29,56,84,112

  26. Gamma-Glutamyl Transferase

    Measured: Day1,14,29,56,84,112

  27. body weight

    Measured: Day1,14,29,56,84,112

  28. body Mass Index

    Measured: Day1,14,29,56,84,112

  29. waist circumference

    Measured: Day1,14,29,56,84,112

  30. hip circumference

    Measured: Day1,14,29,56,84,112

  31. Hepatitis B surface antigen

    Measured: Day1,14,29,56,84,112

  32. high-sensitivity C-reactive protein

    Measured: Day1,2,14,28,29

  33. Tumor necrosis factor-α

    Measured: Day1,2,14,28,29

  34. Cytokeratin-18 fragment M30

    Measured: Day1,2,14,28,29

  35. Procollagen type III N-terminal peptide(Pro-C3)

    Measured: Day1,2,14,28,29

  36. percent change from baseline in Pro-C3

    Measured: Day1,2,14,28,29

  37. Insulin-like Growth Factors-1

    Measured: Day1,29

  38. Insulin-like Growth Factor Binding Protein 3 (IGFBP-3)

    Measured: Day1,29

  39. percent change from baseline in IGFBP-3

    Measured: Day1,29

  40. FIB-4

    Measured: Day1,14,29,56,112

  41. Enhanced Liver Fibrosis

    Measured: Day1,14,29

Timeline

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

  1. First posted15 May 2026
  2. Study start30 Oct 2026 (estimated)
  3. Primary completion30 Mar 2027 (estimated)
  4. Study completion30 Jun 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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
24 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07589400
Sponsor's protocol ID
ACT500-4/003
Status last verified
Sep 2026
First submitted
5 May 2026
Last updated
14 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ACT500 Tablets in people with Metabolic Dysfunction-associated Steatotic Liver Disease and Chronic Hepatitis b, run by Xiamen Amoytop Biotech Co., Ltd. at 4 sites in China.

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 11 inclusion and 16 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: opening soon, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 Jidong Jia, Ph.D (13501378269, jia_jd@ccmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Event (time frame: Day1-112). The study lists 12 primary outcomes in all. 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 14 Sep 2026.

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