216 Participants Needed

Petrelintide for Obesity and Type 2 Diabetes

Recruiting at 47 trial locations
ZP
Overseen ByZealand Pharma
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Zealand Pharma
Must be taking: Metformin, SGLT2 inhibitors
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called petrelintide to determine its safety and effectiveness in helping people with obesity and type 2 diabetes manage their condition. Participants will receive varying doses of petrelintide or a placebo to compare outcomes. The trial suits individuals diagnosed with type 2 diabetes for at least six months, with a BMI of 27 or higher, and who are already taking metformin, with or without another specific diabetes medication. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Do I need to stop my current medications to join the trial?

You can continue taking metformin and sodium-glucose cotransporter 2 inhibitors as long as your treatment has been stable for at least 90 days before the trial. Other glucose-lowering drugs or weight loss medications should not have been used recently.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that petrelintide was well-tolerated in past studies. In an early study, petrelintide helped reduce body weight and was generally well-received by participants, suggesting it might be safe to use. However, since this is based on earlier research, not all possible side effects may be known. Prospective participants should consult the study team to understand what to expect.12345

Why are researchers excited about this trial's treatment?

Researchers are excited about petrelintide because it offers a new approach to managing obesity and type 2 diabetes. Unlike current treatments like metformin or GLP-1 receptor agonists, petrelintide is a novel peptide that mimics certain hormones in the body to help regulate appetite and glucose levels. This potentially unique mechanism could provide more effective weight management and better glucose control, addressing both core issues of these conditions in one go. Furthermore, petrelintide is administered via subcutaneous injection, offering a targeted delivery method that may enhance its efficacy and reduce side effects compared to oral medications.

What evidence suggests that this trial's treatments could be effective for obesity and type 2 diabetes?

Research has shown that petrelintide, a long-lasting hormone, may aid in weight loss. In previous studies, participants using petrelintide lost up to 8.6% of their body weight, while those taking a placebo lost about 1.7%. The treatment also reduced waist size, with women experiencing particularly good results. This suggests petrelintide could be effective for individuals with obesity or type 2 diabetes seeking weight loss.46789

Are You a Good Fit for This Trial?

This trial is for adults with type 2 diabetes diagnosed at least 6 months ago, currently stable on metformin alone or with SGLT2 inhibitors, and have a BMI of 27 kg/m2 or higher. It's not specified who can't join.

Inclusion Criteria

This seems to be an incomplete criterion.
I was diagnosed with type 2 diabetes more than 6 months ago.
My BMI is 27 or higher.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive weekly subcutaneous injections of petrelintide or placebo

12 weeks
12 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Petrelintide
Trial Overview The ZUPREME 2 study is testing the effectiveness and safety of three different doses of Petrelintide compared to a placebo in people with overweight/obesity and type 2 diabetes.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Placebo Group
Group I: Treatment E: Petrelintide Dose 3Experimental Treatment1 Intervention
Group II: Treatment C: Petrelintide Dose 2Experimental Treatment1 Intervention
Group III: Treatment A: Petrelintide Dose 1Experimental Treatment1 Intervention
Group IV: Treatment B: Petrelintide Placebo Dose 1Placebo Group1 Intervention
Group V: Treatment D: Petrelintide Placebo Dose 2Placebo Group1 Intervention
Group VI: Treatment F: Petrelintide Placebo Dose 3Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Zealand Pharma

Lead Sponsor

Trials
41
Recruited
3,400+

Parexel

Industry Sponsor

Trials
322
Recruited
137,000+
Peyton Howell profile image

Peyton Howell

Parexel

Chief Executive Officer

Master of Healthcare Administration from The Ohio State University, Bachelor of Arts in Health Communications from the University of Illinois

Dr. Austin Smith profile image

Dr. Austin Smith

Parexel

Chief Medical Officer since 2023

MD from the Royal College of Surgeons in Ireland

Citations

NCT06926842 | Efficacy and Safety of Petrelintide in ...The main purpose of this study is to investigate efficacy and safety of three doses of petrelintide versus placebo in participants with overweight or ...
Petrelintide - PipelineZUPREME-2 is for people with obesity or overweight with type 2 diabetes over 28 weeks of treatment and was initiated in April 2025. We have previously evaluated ...
1773-P: Effects of the Novel Long-Acting Amylin Analogue ...Conclusion: Petrelintide treatment resulted in clinically relevant reductions in BW and WC; women appeared to respond better, with a retained ...
Petrelintide Part 2 MAD 16-week trial... type 2 diabetes mellitus; PwO=people with obesity; QW=once-weekly. 7. GLP-1RA-based therapies are effective at reducing weight in PwO, but ...
Long-acting Amylin Analog Petrelintide, a Rising Star in Anti ...Clinically meaningful body weight reductions were observed, with petrelintide achieving up to -8.6% weight loss compared to -1.7% with placebo ...
Efficacy and Safety of Petrelintide in Participants With ...The main purpose of this study is to investigate efficacy and safety of three doses of petrelintide versus placebo in participants with overweight or obesity ...
NCT06926842 | Efficacy and Safety of Petrelintide in ...The main purpose of this study is to investigate efficacy and safety of three doses of petrelintide versus placebo in participants with overweight or obesity ...
Safety, Tolerability, and Clinical Effects of Petrelintide ( ...In a Phase 1 SAD trial, petrelintide was well tolerated and showed potential to reduce body weight5. Sources: 1. Data on file; 2. Brændholt Olsen et al ...
NCT06662539 | Once-weekly Petrelintide Versus Placebo ...The main purpose of this study is to compare dose levels of petrelintide versus placebo with regards to effect on body weight, safety, and tolerability.
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