Zenagamtide for Obesity

(AMAZE 7 Trial)

Not yet recruiting at 45 trial locations
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether a new treatment, zenagamtide, is safe and effective for individuals with excess body weight. It compares zenagamtide to semaglutide, an existing weight management medication, by administering either zenagamtide or varying doses of semaglutide to participants, alongside a diet and exercise plan. Eligible participants should have experienced weight issues but must not have diabetes or have recently used certain diabetes treatments. As a Phase 3 trial, this study represents the final step before FDA approval, providing participants an opportunity to contribute to the development of a potentially groundbreaking treatment.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that zenagamtide is as safe as other drugs that help control appetite and digestion. In a previous study, most participants tolerated zenagamtide well. The most common side effects were mild, such as nausea or an upset stomach. Serious side effects occurred in 8% of participants, but no deaths were reported.

Semaglutide, a drug already approved for diabetes and weight management, has well-documented safety information. Most people experience manageable side effects like nausea, and serious risks are rare.

Zenagamtide appears to be well-tolerated, similar to semaglutide. Both treatments share similar safety profiles, making them promising options for managing obesity.12345

Why are researchers excited about this trial's treatments?

Zenagamtide is unique because it introduces a fresh approach to tackling obesity. Unlike most current treatments that focus on appetite suppression or calorie absorption, Zenagamtide may work through a novel mechanism that researchers believe could enhance weight loss effectiveness. While semaglutide, a well-known treatment, serves as a comparator, Zenagamtide's potential lies in its distinct action and possibly improved outcomes, making it a promising new option in the fight against obesity.

What evidence suggests that this trial's treatments could be effective for obesity?

Research has shown that zenagamtide, one of the treatments under study in this trial, may aid in weight loss. In one study, participants who received a high dose of zenagamtide lost up to 14.6% of their body weight after 36 weeks. This weight loss significantly exceeded that of participants who did not take the drug. Zenagamtide also lowered blood sugar levels, which can assist in weight management. These findings suggest that zenagamtide could effectively treat obesity.13456

Who Is on the Research Team?

CT

Clinical Transparency (dept. 2834)

Principal Investigator

Novo Nordisk A/S

Are You a Good Fit for This Trial?

This trial is for people who are overweight or have obesity, including children and adults. Participants should not have had bariatric surgery recently and must meet other health requirements set by the study team.

Inclusion Criteria

My sex at birth is male or female.
I am 18 years old or older.

Exclusion Criteria

Glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol) as measured by the central laboratory at screening
I have been diagnosed with type 1 or type 2 diabetes.
I have not used GLP-1 or amylin-based treatments in the past year.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Zenagamtide or Semaglutide subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity

84 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Semaglutide
  • Zenagamtide

Trial Overview

The study compares a new medicine called zenagamtide to semaglutide (an approved weight loss drug) and placebos. Participants are randomly assigned to one of these groups to see which treatment helps with weight loss and is safest.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Active Control

Group I: ZenagamtideExperimental Treatment2 Interventions
Group II: Semaglutide dose 1Active Control2 Interventions
Group III: Semaglutide dose 2Active Control2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novo Nordisk A/S

Lead Sponsor

Trials
1,578
Recruited
3,813,000+
Lars Fruergaard Jørgensen profile image

Lars Fruergaard Jørgensen

Novo Nordisk A/S

Chief Executive Officer since 2017

MSc in Finance and Business Administration, Aarhus School of Business, Aarhus University, Denmark

Martin Holst Lange profile image

Martin Holst Lange

Novo Nordisk A/S

Chief Medical Officer since 2021

MD from University of Copenhagen

Citations

Novo Nordisk's investigational zenagamtide shows ...

participants treated with zenagamtide showed body weight loss up to 14.6% at week 36 with the highest dose investigated, weight reduction of up ...

Novo Nordisk reports Phase II data for zenagamtide in ...

For the key secondary endpoint, mean body weight declined by up to 14.6% (from a baseline of 99.2kg) in the 40mg zenagamtide group compared with ...

Efficacy and safety of once-daily oral zenagamtide, a novel ...

zenagamtide resulted in significantly greater weight loss than placebo. The oral formulation of zenagamtide also resulted in greater reductions in HbA1c than ...

NCT07668414 | A Research Study Investigating How Well ...

The purpose of this study is to find out if zenagamtide is safe and effective for treating participants who have excess body weight compared to treatment with ...

a multicentre, randomised, parallel, ...

zenagamtide produced significant dose-dependent reductions in bodyweight compared with placebo

A study to evaluate the efficacy and safety of zenagamtide ...

This study aims to evaluate the effectiveness and safety of a new medication for people living with Obesity. The investigation focuses on whether the drug ...