Efficacy and Safety of KAI-9531 in Participants Living With Obesity or Overweight With Weight-Related Comorbidities Who Do Not Have Diabetes
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of KAI-9531 Administered Once Weekly in Participants Living With Obesity or Overweight With Weight-Related Comorbidities Who Do Not Have Diabetes
2 other identifiers
interventional
1,800
3 countries
33
Brief Summary
The primary objective of the study is to determine the effects of KAI-9531 subcutaneous (SC) injection once weekly compared to placebo on percent change in body weight.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 obesity
Started Dec 2025
Typical duration for phase_3 obesity
33 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 9, 2025
CompletedFirst Posted
Study publicly available on registry
December 16, 2025
CompletedStudy Start
First participant enrolled
December 18, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 27, 2028
April 30, 2026
April 1, 2026
2.2 years
December 9, 2025
April 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Dose 3 and 4 versus Placebo: Percent Change From Baseline in Body Weight at Week 76
Baseline, Week 76
Secondary Outcomes (30)
Dose 1 and 2 versus Placebo: Percent Change From Baseline in Body Weight at Week 76
Baseline, Week 76
Percentage of Participants with ≥5%, ≥10%, ≥15%, ≥20% and ≥25% Reduction in Body Weight
Baseline, Week 76
Change From Baseline in Waist Circumference
Baseline, Week 76
Change From Baseline in Absolute Body Weight
Baseline, Week 76
Change From Baseline in Systolic Blood Pressure (SBP)
Baseline, Week 76
- +25 more secondary outcomes
Study Arms (5)
KAI-9531: Dose 1
EXPERIMENTALParticipants will receive Dose 1 of KAI-9531 once weekly.
KAI-9531: Dose 2
EXPERIMENTALParticipants will receive Dose 2 of KAI-9531 once weekly.
KAI-9531: Dose 3
EXPERIMENTALParticipants will receive Dose 3 of KAI-9531 once weekly.
KAI-9531: Dose 4
EXPERIMENTALParticipants will receive Dose 4 of KAI-9531 once weekly.
Placebo
PLACEBO COMPARATORParticipants will receive placebo matched to KAI-9531 once weekly.
Interventions
Eligibility Criteria
You may qualify if:
- BMI ≥30 kg/m\^2 or BMI ≥27 kg/m\^2 and previously diagnosed with at least 1 of the following:
- hypertension,
- dyslipidemia,
- obstructive sleep apnea, or
- cardiovascular (CV) disease.
- History of at least 1 self-reported unsuccessful effort to lose weight with diet and exercise within the prior 6 months.
You may not qualify if:
- Current diagnosis or history of diabetes mellitus.
- Started medications within 3 months prior to Screening that may cause significant weight gain, including, but not limited to, tricyclic antidepressants, atypical antipsychotics, and mood stabilizers.
- Unstable weight defined as self-reported change in body weight exceeding 5% within 3 months prior to Screening.
- Family or personal history of multiple endocrine neoplasia Type 2 or medullary thyroid cancer.
- Uncontrolled hypertension or unstable cardiovascular disease.
- History of chronic or acute pancreatitis.
- Known clinically significant gastric-emptying abnormality or chronic treatment with medications that directly affect gastrointestinal motility.
- History of suicide attempt.
- History of significant active or unstable Major Depressive Disorder (MDD) or other severe psychiatric disorder.
- Received treatment with semaglutide, tirzepatide, GLP-1 receptor agonist, GLP-1/glucose-dependent insulinotropic polypeptide (GIP), or glucagon receptor agonist within 3 months prior to Screening.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Kaileralead
Study Sites (33)
Kailera Clinical Site
Anniston, Alabama, 36207, United States
Kailera Clinical Site
Cullman, Alabama, 35055, United States
Kailera Clinical Site
Sun City, Arizona, 85351, United States
Kailera Clinical Site
Escondido, California, 92025, United States
Kailera Clinical Site
Toluca Lake, California, 91602, United States
Kailera Clinical Site
Aurora, Colorado, 80012, United States
Kailera Clinical Site
Bridgeport, Connecticut, 06606, United States
Kailera Clinical Site
Jupiter, Florida, 33458, United States
Kailera Clinical Site
Lilburn, Georgia, 30047, United States
Kailera Clinical Site
Springfield, Illinois, 62072, United States
Kailera Clinical Site
Columbia, Maryland, 21045, United States
Kailera Clinical Site
Las Vegas, Nevada, 89119, United States
Kailera Clinical Site
Rochester, New York, 14609, United States
Kailera Clinical Site
Morehead City, North Carolina, 28557, United States
Kailera Clinical Site
Chickasha, Oklahoma, 73018, United States
Kailera Clinical Site
Mauldin, South Carolina, 29662, United States
Kailera Clinical Site
Chattanooga, Tennessee, 37405, United States
Kailera Clinical Site
Amarillo, Texas, 79124, United States
Kailera Clinical Site
DeSoto, Texas, 75115, United States
Kailera Clinical Site
Tomball, Texas, 77375, United States
Kailera Clinical Site
Salt Lake City, Utah, 84124, United States
Kailera Clinical Site
Danville, Virginia, 24541, United States
Kailera Clinical Site
Silverdale, Auckland, 0932, Australia
Kailera Clinical Site
Sydney, New South Wales, 2100, Australia
Kailera Clinical Site
Sydney, New South Wales, 2228, Australia
Kailera Clinical Site
Wollongong, New South Wales, 2500, Australia
Kailera Clinical Site
Sippy Downs, Queensland, 4556, Australia
Kailera Clinical Site
Norwood, South Australia, 5067, Australia
Kailera Clinical Site
Melbourne, Victoria, 3025, Australia
Kailera Clinical Site
Grafton, Auckland, 1010, New Zealand
Kailera Clinical Site
Hamilton, Waikato Region, 3200, New Zealand
Kailera Clinical Site
Auckland, 0610, New Zealand
Kailera Clinical Site
Nelson, 7011, New Zealand
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 9, 2025
First Posted
December 16, 2025
Study Start
December 18, 2025
Primary Completion (Estimated)
February 28, 2028
Study Completion (Estimated)
March 27, 2028
Last Updated
April 30, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share