NCT07292441

Brief Summary

This is a Phase 3 extension study conducted in subjects who have received GZR18 Injection once every 2 weeks (Q2W) for weight loss treatment for 52 weeks, aiming to explore the effect and safety of continuous injection of GZR18 Injection once every 4 weeks (Q4W) for 24 weeks on body weight. In this study, it is planned to include subjects who have participated in the original study and completed the study contents of the original protocol. All subjects will maintain a regular diet and exercise lifestyle during the study.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
500

participants targeted

Target at P50-P75 for phase_3

Timeline
17mo left

Started Jan 2026

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress17%
Jan 2026Oct 2027

First Submitted

Initial submission to the registry

November 20, 2025

Completed
28 days until next milestone

First Posted

Study publicly available on registry

December 18, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

January 22, 2026

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2027

Last Updated

March 11, 2026

Status Verified

November 1, 2025

Enrollment Period

1.6 years

First QC Date

November 20, 2025

Last Update Submit

March 10, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percent change (%) from baseline in body weight

    from Week 0 (W0) to Week 24 (W24)

Secondary Outcomes (20)

  • Changes from baseline in weight;

    from Week 0 (W0) to Week 24 (W24)

  • Changes from baseline body mass index (BMI);

    from Week 0 (W0) to Week 24 (W24)

  • Changes from baseline in waist circumference, hip circumference, and waist-hip ratio (waist circumference/hip circumference);

    from Week 0 (W0) to Week 24 (W24)

  • Changes from baseline in hemoglobin A1c (HbA1c) ;

    from Week 0 (W0) to Week 24 (W24)

  • Changes from baseline in fasting plasma glucose (FPG);

    from Week 0 (W0) to Week 24 (W24)

  • +15 more secondary outcomes

Study Arms (4)

Placebo

PLACEBO COMPARATOR
Other: Placebo

GZR18 injection Dose1

EXPERIMENTAL
Drug: GZR18 injection

GZR18 injection Dose2

EXPERIMENTAL
Drug: GZR18 injection

GZR18 injection Dose3

EXPERIMENTAL
Drug: GZR18 injection

Interventions

PlaceboOTHER

Administered the same volume as GZR18

Placebo

Used as specified in the protocol

GZR18 injection Dose1GZR18 injection Dose2GZR18 injection Dose3

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects who participated in the original study, completed the last dose at W50, EOT visit at W52 and safety follow-up visit at W55 of either original study, with last dose at W50 ≥ 24 mg (including blinded dose of placebo).
  • Subjects with BMI \> 18.5 kg/m² at W55 of the original study and before randomization at Visit 2 (V2) of this study, who are assessed by the investigator as suitable for participating in this study.
  • Subjects of childbearing potential with no birth plan from the signing of ICF to 8 weeks after the last dose, willingness to take effective contraceptive measures, and no plan for sperm or ovum donation. Non-lactating women of childbearing potential (WOCBP) with a negative pregnancy test result before randomization at V2 in this study.
  • Able to understand the procedures and methods of this study, willing and able to maintain a regular diet and exercise lifestyle during the study period, willing and able to undergo subcutaneous injections of the investigational medicinal product (IMP), and willing to sign the ICF voluntarily.

You may not qualify if:

  • Subjects who used Semaglutide (Wegovy®) in the original study.
  • Subjects with a previous diagnosis of any type of diabetes mellitus (excluding gestational diabetes mellitus).
  • Subjects with FPG ≥ 7.0 mmol/L or HbA1c ≥ 6.5% in the central laboratory test at W52 visit of the original study.
  • Subjects who plan to participate in another clinical study of an investigational medicinal product or device, or receive drug or non-drug therapies that affect body weight (excluding diet and exercise control) before completing all scheduled assessments in this clinical study.
  • Subjects with any other factors (including but not limited to previous compliance in the original study) that may affect the efficacy or safety evaluation of this study as judged by the investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Study site 01

Beijing, Beijing Municipality, Beijing, China

NOT YET RECRUITING

Study site 01

Beijing, Beijing Municipality, Beijing, China

RECRUITING

MeSH Terms

Conditions

OverweightObesity

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

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

November 20, 2025

First Posted

December 18, 2025

Study Start

January 22, 2026

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

October 1, 2027

Last Updated

March 11, 2026

Record last verified: 2025-11

Locations