NCT07720271

Brief Summary

The purpose of this clinical study is to find out if zenagamtide is safe and effective for treating people who have excess body weight. There are 2 study treatments in this study taken as oral tablets once a day. Participants will either get zenagamtide (the treatment being tested) or Placebo (treatment that has no active medicine in it). Which treatment participants get is decided by chance.

Trial Health

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Monitor

Trial Health Score

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

Enrollment
950

participants targeted

Target at P75+ for phase_3

Timeline
24mo left

Started Sep 2026

Geographic Reach
1 country

42 active sites

Status
not yet 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

First Submitted

Initial submission to the registry

July 17, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 22, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

September 1, 2026

Expected
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 27, 2028

2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2028

Last Updated

July 22, 2026

Status Verified

July 1, 2026

Enrollment Period

1.8 years

First QC Date

July 17, 2026

Last Update Submit

July 17, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Relative change in body weight

    Measured as percentage (%) change in body weight.

    From baseline (week 0) to (week 76)

Secondary Outcomes (2)

  • Change in waist circumference

    From baseline (week 0) to (week 76)

  • Change in systolic blood pressure (SBP)

    From baseline (week 0) to (week 76)

Study Arms (2)

zenagamtide

EXPERIMENTAL

Participants will be randomized to receive 1 of the 5 dose levels of zenagamtide orally once daily as an adjunct to a reduced-calorie diet and increased physical activity.

Drug: zenagamtide

Placebo

PLACEBO COMPARATOR

Participants will receive placebo matched to zenagamtide orally once daily as an adjunct to a reduced-calorie diet and increased physical activity.

Drug: Placebo

Interventions

zenagamtide will be taken orally.

zenagamtide

Placebo matched to zenagamtide will be taken orally.

Placebo

Eligibility Criteria

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

You may qualify if:

  • Male or female (sex at birth).
  • Age 18 and older (both inclusive) at time of signing the informed consent.

You may not qualify if:

  • Glycated haemoglobin (HbA1c) more than or equal to (≥) 6.5% \[48 millimoles per mole (mmol/mol)\] as measured by the central laboratory at screening.
  • History of type 1 or type 2 diabetes mellitus as declared by the participant or reported in the medical records.
  • Treatment with glucagon-like peptide-1 (GLP-1) receptor agonists (RA), dual GLP-1/gastric inhibitory peptide (GIP) RAs (or any other GLP-1 based treatment) or amylin analogues before screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (42)

Pinnacle Research Group LLC

Anniston, Alabama, 36207, United States

Location

Univ of Alabama Birmingham

Birmingham, Alabama, 35294, United States

Location

Chambliss Clinical Trials LLC

Montgomery, Alabama, 36106, United States

Location

Providence Medical Foundation

Fullerton, California, 92835, United States

Location

Torrance Clinical Research Institute, Inc.

Lomita, California, 90717, United States

Location

Diablo Clinical Research, Inc.

Walnut Creek, California, 94598, United States

Location

Univ of Colorado at Denver

Aurora, Colorado, 80045, United States

Location

ERG Holding Company, LLC / Evolution Research Group, LLC

Delray Beach, Florida, 33445, United States

Location

Northeast Research Institute

Fleming Island, Florida, 32003, United States

Location

Miguel Rebollar PA

Hialeah, Florida, 33012, United States

Location

Jacksonville Ctr Clin Res

Jacksonville, Florida, 32216, United States

Location

South Broward Research LLC

Miramar, Florida, 33027, United States

Location

Clinical Neuroscience Solution

Orlando, Florida, 32801, United States

Location

Florida Institute for Clinical Research, LLC

Orlando, Florida, 32825, United States

Location

Oviedo Medical Research, LLC

Oviedo, Florida, 32765, United States

Location

Hope Clin Res & Wellness

Conyers, Georgia, 30094, United States

Location

East West Medical Research Institute_Honolulu

Honolulu, Hawaii, 96814, United States

Location

Great Lakes Clinical Trials

Chicago, Illinois, 60640, United States

Location

Clinical Investigation Spec Gurnee

Gurnee, Illinois, 60031, United States

Location

Endeavor Health

Skokie, Illinois, 60077, United States

Location

Evanston Premier Hlthcr Res

Skokie, Illinois, 60077, United States

Location

Midwest Inst For Clin Res

Indianapolis, Indiana, 46260, United States

Location

Northern Pines Hlth Ctr, PC

Buckley, Michigan, 49620, United States

Location

StudyMetrix Research LLC

City of Saint Peters, Missouri, 63303, United States

Location

Palm Research Center Inc.

Las Vegas, Nevada, 89128, United States

Location

Comprehensive Weight Ctrl Prog

New York, New York, 10021, United States

Location

UNC Eastowne Medical Office

Chapel Hill, North Carolina, 27514, United States

Location

Medication Mgmnt, LLC_Grnsboro

Greensboro, North Carolina, 27405, United States

Location

Accellacare of Raleigh

Raleigh, North Carolina, 27609, United States

Location

Accellacare-Salisbury PMG Res

Salisbury, North Carolina, 28144, United States

Location

Accellacare and KDCILM, LLC

Wilmington, North Carolina, 28401, United States

Location

Lynn Institute of Norman

Norman, Oklahoma, 73072, United States

Location

Clinical Res Collaborative

Cumberland, Rhode Island, 02864, United States

Location

Medical Uni of SC Charleston

Charleston, South Carolina, 29425, United States

Location

Coastal Carolina Research Ctr

North Charleston, South Carolina, 29405, United States

Location

Hillcrest Clinical Research

Simpsonville, South Carolina, 29681-1538, United States

Location

Spartanburg Medical Research

Spartanburg, South Carolina, 29303, United States

Location

Amarillo Medical Specialists

Amarillo, Texas, 79124, United States

Location

North Texas Endocrine Center

Dallas, Texas, 75231, United States

Location

Washington Cntr Weight Mgmt

Arlington, Virginia, 22206, United States

Location

Health Res of Hampton Roads

Newport News, Virginia, 23606, United States

Location

National Clin Res Inc.

Richmond, Virginia, 23294, United States

Location

MeSH Terms

Conditions

OverweightObesity

Condition Hierarchy (Ancestors)

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

Study Officials

  • Clinical Transparency (dept. 2834)

    Novo Nordisk A/S

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Sponsor staff involved in the clinical trial is masked according to company standard procedures
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 17, 2026

First Posted

July 22, 2026

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

June 27, 2028

Study Completion (Estimated)

August 22, 2028

Last Updated

July 22, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will share

According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

More information

Locations