Clinical trial Recruiting at 7 sites Phase 2 Interventional Ages 18 to 75

Effect of (S)-Pindolol Benzoate (ACM-001.1) on lean body mass during and after semaglutide treatment in people with obesity

Official title: A Two-part, Phase 2a Randomized, Part Parallel-group, Double-blind Placebo-controlled Cross-over Multi-center Study to Evaluate the Effect of Two Dose Levels of (S)-Pindolol Benzoate (ACM-001.1) on Lean Body Mass in Obese Patients During (PROACT 1), and Post-semaglutide Therapy (PROACT 2)

Run by Actimed Therapeutics Ltd · NCT07101939 · Data updated 2026-11-12

This test will try whether ACM-001.1 (S‑pindolol benzoate) can reduce muscle loss during semaglutide treatment and help people with obesity regain muscle after stopping semaglutide.

More Obesity trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment120 (estimated)
SponsorActimed Therapeutics Ltd
Industry-sponsored
Locations7 sites (Belgrade and 6 other locations)
StatusRecruiting
StartedJune 23, 2025
Main results expectedMarch 2027
Study endsMarch 2027
Registry record updatedFebruary 17, 2026
Trial IDNCT07101939 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with obesity (BMI ≥30 kg/m²) who are eligible for semaglutide treatment and meet the study's health and medication criteria are the intended participants.

Probably not a fit

Patients with recent GLP-1RA use, recent major cardiovascular events, uncontrolled hypertension, severe COPD, contraindications to beta blockers, or certain unstable type 2 diabetes profiles are unlikely to be eligible or to benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, double-blind Phase 2 trial enrolls adults with obesity to receive one of two oral doses of ACM-001.1 or matching placebo while either concurrently receiving weekly semaglutide (PROACT 1) or after semaglutide treatment has stopped (PROACT 2). The overall program has two 20-week treatment periods separated by a 4-week washout, and includes a sham injection to preserve blinding for semaglutide exposure. Outcomes include changes in lean body mass measured by DEXA, body weight, cardiac and muscle function tests, patient-reported health questionnaires, and blood biomarkers. Two oral dose levels of ACM-001.1 are compared against placebo while weekly semaglutide or sham injections are administered to allow measurement of combined and post‑semaglutide effects.

Why it matters

Potential benefit: If successful, ACM-001.1 could help preserve or restore lean body mass in people using semaglutide, reducing muscle loss and improving strength and function.

How similar studies have gone: Semaglutide is known to cause weight loss with some accompanying lean mass loss, and limited prior work with pindolol-type agents suggests potential to preserve lean mass, but using ACM-001.1 alongside and after semaglutide is a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

Eligible for treatment with semaglutide.

Have a BMI of ≥30.0 kg/m².

Key Exclusion Criteria:

Type 2 diabetes mellitus who in the preceding 90 days have either:

* received a GLP-1RA (including semaglutide),
* had a hypoglycaemic event,
* lost \>5 kg weight,
* had a HBA1C over 10.0%.

Any cardiovascular event within previous 6 months, uncontrolled hypertension, known congestive heart failure, or angina during the past year

Known severe chronic obstructive pulmonary disease (COPD)

Concomitant use of beta blockers and patients with contra indications to beta blockers

Where it's running

  • Clinical Hospital Center 'Dr Dragisa Misovic - Dedinje'
    Belgrade, Serbia
    Recruiting
  • Clinical Hospital Center Bezanijska kosa
    Belgrade, Serbia
    Recruiting
  • University Clinical Center of Serbia
    Belgrade, Serbia
    Recruiting
  • University Clinical Center Kragujevac
    Kragujevac, Serbia
    Recruiting
  • Klinika Za Endocrinologiju, Dijabetes I Bolesti Metabolizma
    Niš, Serbia
    Recruiting
  • University Clinical Center of Vojvodina
    Novi Sad, Serbia
    Recruiting
Show 1 more location
  • Opsta bolnica Pancevo
    Pančevo, Serbia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.