NCT07458269

Brief Summary

The primary objective of this study is to determine the effects of ribupatide administered by subcutaneous (SC) injection once weekly compared to placebo on percent change in body weight.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
264

participants targeted

Target at P75+ for phase_2 obesity

Timeline
10mo left

Started Mar 2026

Geographic Reach
1 country

35 active sites

Status
active not recruiting

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

Study Progress33%
Mar 2026Jun 2027

First Submitted

Initial submission to the registry

March 3, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

March 4, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 9, 2026

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2027

Last Updated

July 15, 2026

Status Verified

July 1, 2026

Enrollment Period

1.2 years

First QC Date

March 3, 2026

Last Update Submit

July 14, 2026

Conditions

Keywords

ObesityRibupatideKAI-9531Glucagon-like peptide-1GLP-1Glucose-dependent Insulinotropic PeptideGIPObesity Without Diabetes

Outcome Measures

Primary Outcomes (1)

  • Percent Change From Baseline in Body Weight at Week 48

    Baseline, Week 48

Secondary Outcomes (16)

  • Percent of Participants with ≥5%, ≥10%, ≥15%, ≥20% and ≥25% Reduction From Baseline in Body Weight

    Baseline, Week 48

  • Change From Baseline in Waist Circumference

    Baseline, Week 48

  • Change From Baseline in Absolute Body Weight

    Baseline, Week 48

  • Change From Baseline in Body Mass Index (BMI)

    Baseline, Week 48

  • Percent Change From Baseline in Fasting Triglycerides

    Baseline, Week 48

  • +11 more secondary outcomes

Study Arms (5)

Ribupatide: Dose 1

EXPERIMENTAL

Participants will receive Dose 1 of ribupatide once weekly.

Drug: Ribupatide

Ribupatide: Dose 2

EXPERIMENTAL

Participants will receive Dose 2 of ribupatide once weekly.

Drug: Ribupatide

Ribupatide: Dose 3

EXPERIMENTAL

Participants will receive Dose 3 of ribupatide once weekly.

Drug: Ribupatide

Ribupatide: Dose 4

EXPERIMENTAL

Participants will receive Dose 4 of ribupatide once weekly.

Drug: Ribupatide

Placebo

PLACEBO COMPARATOR

Participants will receive placebo matched to ribupatide once weekly.

Drug: Placebo

Interventions

SC Injection

Placebo

SC Injection

Also known as: KAI-9531
Ribupatide: Dose 1Ribupatide: Dose 2Ribupatide: Dose 3Ribupatide: Dose 4

Eligibility Criteria

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

You may qualify if:

  • BMI ≥35 kilograms per meter squared (kg/m\^2).
  • 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, including type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM), history of diabetic ketoacidosis, or hyperosmolar state/coma.
  • 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 within 2 years prior to Screening.
  • Received treatment with semaglutide, tirzepatide, glucagon-like peptide-1 receptor (GLP-1R) agonist, GLP-1R/glucose-dependent insulinotropic polypeptide receptor (GIPR), or glucagon receptor agonist within 3 months prior to Screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (35)

Kailera Clinical Site

Mesa, Arizona, 85213, United States

Location

Kailera Clinical Site

Sun City West, Arizona, 85375, United States

Location

Kailera Clinical Site

Irvine, California, 92614, United States

Location

Kailera Clinical Site

Lake Forest, California, 92630, United States

Location

Kailera Clinical Site

Lomita, California, 90717, United States

Location

Kailera Clinical Site

Long Beach, California, 90815, United States

Location

Kailera Clinical Site

Montclair, California, 91763, United States

Location

Kailera Clinical Site

Rolling Hills Estates, California, 90274, United States

Location

Kailera Clinical Site

San Diego, California, 92103, United States

Location

Kailera Clinical Site

Santa Ana, California, 92704, United States

Location

Kailera Clinical Site

Van Nuys, California, 91405, United States

Location

Kailera Clinical Site

DeLand, Florida, 32720, United States

Location

Kailera Clinical Site

Orlando, Florida, 32801, United States

Location

Kailera Clinical Site

Orlando, Florida, 32803, United States

Location

Kailera Clinical Site

The Villages, Florida, 32162, United States

Location

Kailera Clinical Site

Decatur, Georgia, 30030, United States

Location

Kailera Clinical Site

Woodstock, Georgia, 30189, United States

Location

Kailera Clinical Site

Morton, Illinois, 61550, United States

Location

Kailera Clinical Site

Indianapolis, Indiana, 46254, United States

Location

Kailera Clinical Site

Louisville, Kentucky, 40213, United States

Location

Kailera Clinical Site

Rockville, Maryland, 20852, United States

Location

Kailera Clinical Site

St Louis, Missouri, 63141, United States

Location

Kailera Clinical Site

Lincoln, Nebraska, 68516, United States

Location

Kailera Clinical Site

Omaha, Nebraska, 68144, United States

Location

Kailera Clinical Site

East Syracuse, New York, 13057, United States

Location

Kailera Clinical Site

Greensboro, North Carolina, 27405, United States

Location

Kailera Clinical Site

Monroe, North Carolina, 28112, United States

Location

Kailera Clinical Site

Raleigh, North Carolina, 27612, United States

Location

Kailera Clinical Site

Greenville, South Carolina, 29607, United States

Location

Kailera Clinical Site

Myrtle Beach, South Carolina, 29572, United States

Location

Kailera Clinical Site

Knoxville, Tennessee, 37909, United States

Location

Kailera Clinical Site

Memphis, Tennessee, 38119, United States

Location

Kailera Clinical Site

Garland, Texas, 75043, United States

Location

Kailera Clinical Site

San Antonio, Texas, 78215, United States

Location

Kailera Clinical Site

Winchester, Virginia, 22601, United States

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

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

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 3, 2026

First Posted

March 9, 2026

Study Start

March 4, 2026

Primary Completion (Estimated)

May 1, 2027

Study Completion (Estimated)

June 1, 2027

Last Updated

July 15, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations