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Human evidence record · Zenagamtide

Subcutaneous amycretin/zenagamtide Phase 1b/2a obesity study

Estimated mean body-weight change included -24.3% at 60 mg vs -1.1% placebo at week 36; lower-dose groups also showed substantial loss.

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Human evidence record

What this study tells us

Participants were assigned to groups by chance, which helps reduce selection bias. The exact comparator, blinding, population and endpoint still matter when judging the result.

Who was studied?

Adults with overweight or obesity

How many?

n=125

What happened?

Estimated mean body-weight change included -24.3% at 60 mg vs -1.1% placebo at week 36; lower-dose groups also showed substantial loss.

What stops us overclaiming?

Small early-phase parts, different durations/doses, high attrition; not directly comparable with mature Phase 3 obesity trials.

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Key result

Estimated mean body-weight change included -24.3% at 60 mg vs -1.1% placebo at week 36; lower-dose groups also showed substantial loss.

Study details

Study designRandomized controlled early-phase study
PhasePhase 1b/2a
PopulationAdults with overweight or obesity
Sample size125
RouteSubcutaneous
Regimen / exposureMultiple once-weekly dose groups including 1.25, 5, 20 and 60 mg
Duration20–36 weeks depending on study part
ComparatorPlacebo
Primary endpoint / questionSafety/PK and relative body-weight change
Safety resultGI treatment-emergent AEs common; many withdrawals, including substantial discontinuation for reasons unrelated to AEs.
Key limitationsSmall early-phase parts, different durations/doses, high attrition; not directly comparable with mature Phase 3 obesity trials.
Registry / identifierNCT06064006