MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)Phase 2NCT07639866
Combination of CXD and Restrictive Ketogenic Diet Against MASLD
A Phase 2 study testing KD group and CXD and KD group in people with MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease), run by Shanghai Municipal Hospital of Traditional Chinese Medicine.
Trial summary
This study employed a single-center, randomized, investigator-blind, three-group parallel, stepwise controlled clinical trial. A total of 135 subjects were randomly assigned to receive either a low-carbohydrate diet intervention, a restrictive ketogenic diet intervention, or a decoction preparation of the Tucha… Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)
- What is being tested?
- KD group and CXD and KD group
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 135 participants
- Where
- No sites listed yet
- Study dates
- 1 Jul 2026to 1 Feb 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 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age 18-50 years, regardless of gender
- Meet the diagnostic criteria for MASLD
- Meet the diagnostic criteria for dampness-heat accumulation syndrome in Traditional Chinese Medicine
- Liver controlled attenuation parameter (CAP) ≥238 dB/m
- Body mass index (BMI) ≥23 kg/m²
- Possess adequate cognitive and comprehension abilities to understand the study content, its potential risks, and benefits;
- Voluntarily participate in this study and personally sign the informed consent form
Who cannot join
- Concurrent presence of other liver diseases that may lead to hepatic steatosis, specifically including drug-induced liver injury, alcoholic liver disease, autoimmune liver disease, viral hepatitis, and Wilson's disease
- Concurrent severe dysfunction of major organs such as the heart, kidneys, or lungs, e.g., severe cardiac insufficiency (NYHA class III or higher), renal failure (estimated glomerular filtration rate <30 mL/min/1.73 m²), or acute exacerbation of chronic obstructive pulmonary disease
- Subjects currently receiving treatment for MASLD
- Concurrent presence of other severe systemic diseases, such as malignant tumors or active systemic lupus erythematosus
- Known hypersensitivity or intolerance to any component of the study drug
- Pregnant women, lactating women, or women of childbearing age who refuse effective contraceptive measures during the trial
- Participation in other clinical trials within the past 3 months
- Other circumstances deemed by the investigator unsuitable for participation in this study, such as severe mental disorders affecting compliance with the study
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Clinical Trial Study on the Combination of CXD and Restrictive Ketogenic Diet in Treating MASLD
This study employed a single-center, randomized, investigator-blind, three-group parallel, stepwise controlled clinical trial. A total of 135 subjects were randomly assigned to receive either a low-carbohydrate diet intervention, a restrictive ketogenic diet intervention, or a decoction preparation of the Tucha Lipid-Reducing Formula combined with a restrictive ketogenic diet. The trial duration consisted of 8 weeks of treatment followed by 8 weeks of follow-up. During the trial, participants adhered to dietary calorie control and moderate exercise as instructed in health education, self-reported their height, weight, waist-to-hip ratio, and other general parameters, and had weekly blood ketone level monitoring. Liver ultrasound, fasting blood glucose, lipid profiles, blood ketones, liver function tests, serum creatinine, urea nitrogen levels, and scores on the Traditional Chinese Medicine Syndrome Scale were measured before treatment initiation and at the end of the 8-week treatment period.
- Being tested
- Low-carbon control group, KD group, CXD and KD group
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Low-carbon control groupDietary supplement
The control group received a standardized low-carbohydrate diet (carbohydrates accounted for 25%-30% of total caloric intake).
KD groupDietary supplement
Daily carbohydrate intake should not exceed 5%, with three consecutive ketogenic days per week implemented (selected according to the subject's preference).
CXD and KD groupDrug
In addition to a restrictive ketogenic diet intervention, the patients were administered a traditional Chinese medicine compound formula named Chazhu Xiaoli Formula for lipid reduction. Below is the composition of Chazhu Xiaozhi decoction: Camellia Sinensis Radix 15g, Atractylodis Rhizoma 15g, Herba Gynostemmatis Pentaphylli 15g, Ilicis Cornutae Folium 15g, Alismatis Rhizoma 9g, Nelumbinis Folium 6g, Crataegi Fructus 6g, Polygoni Orientalis Fructus 3g.
| Study group | Role | What they receive |
|---|---|---|
| Low-carbon control group | Placebo comparator | Not described Receives: Dietary Supplement: Low-carbon control group |
| KD group | Experimental | Not described Receives: Dietary Supplement: KD group |
| CXD and KD group | Experimental | Not described Receives: Drug: CXD and KD group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Controlled Attenuation Parameter (CAP) value
Use an elastography ultrasound device to measure liver fat content
Measured: From enrollment to the end of treatment at 8 weeks
Secondary outcomes (12)
BMI
Measured: From baseline to the end of the 8-week follow-up period
Triglyceride(TG)
Use a fully automated biochemical analyzer to measure TG
Measured: From enrollment to the end of treatment at 8 weeks
Total blood cholesterol(TC)
Use a fully automated biochemical analyzer to measure TC
Measured: From enrollment to the end of treatment at 8 weeks
High-Density Lipoprotein(HDL)
Use a fully automated biochemical analyzer to measure HDL
Measured: From enrollment to the end of treatment at 8 weeks
Alanine Aminotransferase (ALT)
Use a fully automated biochemical analyzer to measure liver function
Measured: From enrollment to the end of treatment at 8 weeks
Aspartate Aminotransferase(AST)
Use a fully automated biochemical analyzer to measure liver function
Measured: From enrollment to the end of treatment at 8 weeks
Gamma-Glutamyl Transferase(GGT)
Use a fully automated biochemical analyzer to measure liver function
Measured: From enrollment to the end of treatment at 8 weeks
Blood glucose metabolism indicators
Use a fully automated biochemical analyzer to measure blood glucose
Measured: From enrollment to the end of treatment at 8 weeks
Traditional Chinese Medicine Syndrome Scoring System
The title is Traditional Chinese Medicine Syndrome Scale. The minimum score is 0 and the maximum is 6. Lower scores indicate better results.
Measured: From enrollment to the end of treatment at 8 weeks
Blood ketones
Use a fully automated biochemical analyzer to measure blood ketones to indicate clinical safety
Measured: From baseline to the end of the 8-week follow-up period
Creatinine
Use a fully automated biochemical analyzer to measure creatinine to indicate clinical safety
Measured: From enrollment to the end of treatment at 8 weeks
Blood Urea Nitrogen
Use a fully automated biochemical analyzer to measure blood urea nitrogen to indicate clinical safety
Measured: From enrollment to the end of treatment at 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jun 2026
- Study start1 Jul 2026 (estimated)
- Primary completion28 Dec 2026 (estimated)
- Study completion1 Feb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 135 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai Municipal Hospital of Traditional Chinese Medicine
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07639866
- Sponsor's protocol ID
- KD20260527
- Status last verified
- Jun 2026
- First submitted
- 27 May 2026
- Last updated
- 14 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Trial Study on the Combination of CXD and Restrictive Ketogenic Diet in Treating MASLD
- ClinicalTrials.gov ID
- NCT07639866
- Acronym / sponsor ID
- KD20260527
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 135 participants (estimated)
- Lead sponsor
- Shanghai Municipal Hospital of Traditional Chinese MedicineUniversity, hospital or other
- Study start
- 1 Jul 2026 (estimated)
- Primary completion
- 28 Dec 2026 (estimated)
- Study completion
- 1 Feb 2027 (estimated)
- First posted
- 10 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study employed a single-center, randomized, investigator-blind, three-group parallel, stepwise controlled clinical trial. A total of 135 subjects were randomly assigned to receive either a low-carbohydrate diet intervention, a restrictive ketogenic diet intervention, or a decoction preparation of the Tucha Lipid-Reducing Formula combined with a restrictive ketogenic diet. The trial duration consisted of 8 weeks of treatment followed by 8 weeks of follow-up. During the trial, participants adhered to dietary calorie control and moderate exercise as instructed in health education, self-reported their height, weight, waist-to-hip ratio, and other general parameters, and had weekly blood ketone level monitoring. Liver ultrasound, fasting blood glucose, lipid profiles, blood ketones, liver function tests, serum creatinine, urea nitrogen levels, and scores on the Traditional Chinese Medicine Syndrome Scale were measured before treatment initiation and at the end of the 8-week treatment period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Low-carbon control group | Placebo comparator | Dietary Supplement: Low-carbon control group |
| KD group | Experimental | Dietary Supplement: KD group |
| CXD and KD group | Experimental | Drug: CXD and KD group |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Age 18-50 years, regardless of gender
- Meet the diagnostic criteria for MASLD
- Meet the diagnostic criteria for dampness-heat accumulation syndrome in Traditional Chinese Medicine
- Liver controlled attenuation parameter (CAP) ≥238 dB/m
- Body mass index (BMI) ≥23 kg/m²
Key exclusion criteria (8 listed)
- Concurrent presence of other liver diseases that may lead to hepatic steatosis, specifically including drug-induced liver injury, alcoholic liver disease, autoimmune liver disease, viral hepatitis, and Wilson's disease
- Concurrent severe dysfunction of major organs such as the heart, kidneys, or lungs, e.g., severe cardiac insufficiency (NYHA class III or higher), renal failure (estimated glomerular filtration rate <30 mL/min/1.73 m²), or acute exacerbation of chronic obstructive pulmonary disease
- Subjects currently receiving treatment for MASLD
- Concurrent presence of other severe systemic diseases, such as malignant tumors or active systemic lupus erythematosus
- Known hypersensitivity or intolerance to any component of the study drug
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Low-carbon control groupThe control group received a standardized low-carbohydrate diet (carbohydrates accounted for 25%-30% of total caloric intake). | Dietary supplement | Low-carbon control group |
| KD groupDaily carbohydrate intake should not exceed 5%, with three consecutive ketogenic days per week implemented (selected according to the subject's preference). | Dietary supplement | KD group |
| CXD and KD groupIn addition to a restrictive ketogenic diet intervention, the patients were administered a traditional Chinese medicine compound formula named Chazhu Xiaoli Formula for lipid reduction. Below is the composition of Chazhu Xiaozhi decoction: Camellia Sinensis Radix 15g, Atractylodis Rhizoma 15g, Herba Gynostemmatis Pentaphylli 15g, Ilicis Cornutae Folium 15g, Alismatis Rhizoma 9g, Nelumbinis Folium 6g, Crataegi Fructus 6g, Polygoni Orientalis Fructus 3g. | Drug | CXD and KD group |
Primary outcome
Controlled Attenuation Parameter (CAP) value
Time frame: From enrollment to the end of treatment at 8 weeks
Use an elastography ultrasound device to measure liver fat content
12 secondary outcomes
BMI
Time frame: From baseline to the end of the 8-week follow-up period
Triglyceride(TG)
Time frame: From enrollment to the end of treatment at 8 weeks
Total blood cholesterol(TC)
Time frame: From enrollment to the end of treatment at 8 weeks
High-Density Lipoprotein(HDL)
Time frame: From enrollment to the end of treatment at 8 weeks
Alanine Aminotransferase (ALT)
Time frame: From enrollment to the end of treatment at 8 weeks
Aspartate Aminotransferase(AST)
Time frame: From enrollment to the end of treatment at 8 weeks
Gamma-Glutamyl Transferase(GGT)
Time frame: From enrollment to the end of treatment at 8 weeks
Blood glucose metabolism indicators
Time frame: From enrollment to the end of treatment at 8 weeks
Traditional Chinese Medicine Syndrome Scoring System
Time frame: From enrollment to the end of treatment at 8 weeks
Blood ketones
Time frame: From baseline to the end of the 8-week follow-up period
Creatinine
Time frame: From enrollment to the end of treatment at 8 weeks
Blood Urea Nitrogen
Time frame: From enrollment to the end of treatment at 8 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jul 2026.
- Individual participant dataSharing planned: No
Related trials for MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)
Not yet recruitingObservational study
Periodontal Status and Biomarkers in MASLD
Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
RecruitingPhase 3
Trial to Evaluate ALN-CIDEB in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
Metabolic Dysfunction-Associated Steatotic Liver Disease, MASLD
Not yet recruiting
Personalized Dietary Feedback to Reduce Hepatic Steatosis in Patients With MASLD
MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease), MetALD
Not yet recruitingPhase 2
Qurse Revand for MASLD: A Randomized Controlled Safety and Efficacy Trial
MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)
Recruiting
Exercise for an Aging Liver (EXALIVER)
MASLD - Metabolic Dysfunction-Associated Steatotic Liver Disease, MASH - Metabolic Dysfunction-Associated Steatohepatitis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing KD group and CXD and KD group in people with MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease), run by Shanghai Municipal Hospital of Traditional Chinese Medicine.
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 7 inclusion and 8 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 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
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 li xing wu (86 15856953935, wuxingliwxl@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Controlled Attenuation Parameter (CAP) value (time frame: From enrollment to the end of treatment at 8 weeks). 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 Jul 2026; AzTrials last refreshed its copy on 7 Nov 2026.