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Efficacy and Safety of Petrelintide in Participants With Overweight or Obesity and Type 2 Diabetes (ZUPREME 2)

A Randomized, Double-Blind, Phase 2 Trial of Once-Weekly Petrelintide Compared With Placebo in Participants With Overweight or Obesity and Type 2 Diabetes

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06926842
Enrollment
221
Registered
2025-04-15
Start date
2025-04-22
Completion date
2026-08-13
Last updated
2026-09-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Overweight, Type 2 Diabetes

Keywords

Long-acting amylin analogues, Weight management

Brief summary

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 and type 2 diabetes.

Interventions

Petrelintide will be taken by participants once weekly subcutaneously.

OTHERPlacebo

Matching placebo to petrelintide will be taken by participants once weekly subcutaneously.

Sponsors

Zealand Pharma
Lead SponsorINDUSTRY
Parexel
CollaboratorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Main Inclusion Criteria: * Male or female participants with body mass index (BMI) ≥27.0 kg/m2. * Diagnosed with type 2 diabetes ≥180 days prior to the day of screening. * Treated with metformin with or without sodium-glucose cotransporter 2 inhibitors. Treatment should be stable (same drug\[s\], dose, and dosing frequency) for at least 90 days prior to screening. Main

Exclusion criteria

* Severe hypoglycemia within 6 months prior to screening or history of hypoglycemia unawareness. * Receipt of any other glucose-lowering drug than those listed in the inclusion criterion within 90 days prior to screening. * A self-reported change in body weight \>5% within 90 days prior to screening, irrespective of medical records. * Treatment with any medication (prescribed or over-the-counter) or alternative remedies (herbal or nutritional supplements) intended to promote weight loss within 90 days prior to screening. * Previous or planned (during the trial period) obesity treatment with surgery or a body weight loss device. However, liposuction or surgical removal of fat depots more than 1 year prior to screening or device-based interventions (e.g., sleeve, banding, or similar) that have been removed more than 6 months prior to screening, are allowed. * Obesity due to endocrine disorders or genetic syndromes.

Design outcomes

Primary

MeasureTime frame
Percentage Change in Body WeightFrom Baseline (Day 1) to Weeks 28

Secondary

MeasureTime frame
Number of Participants Achieving ≥5% Body Weight LossFrom Baseline (Day 1) to Weeks 28
Number of Participants Achieving ≥10% Body Weight LossFrom Baseline (Day 1) to Weeks 28
Change in Body Weight (kilogram)From Baseline (Day 1) to Weeks 28
Change in Waist CircumferenceFrom Baseline (Day 1) to Weeks 28
Change in Glycated Hemoglobin (HbA1c)From Baseline (Day 1) to Weeks 28
Change in Fasting GlucoseFrom Baseline (Day 1) to Weeks 28
Change in High-Sensitivity C-reactive protein (hsCRP)From Baseline (Day 1) to Weeks 28
Number of Participants Achieving ≤6.5% HbA1cFrom Baseline (Day 1) to Weeks 28
Changes in Fasting LipidsFrom Baseline (Day 1) to Weeks 28
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)From Baseline (Day 1) to Weeks 38
Number of Participants with Treatment- Emergent Severe or Clinically Significant Hypoglycemic Episodes from Baseline to Week 38From Baseline (Day 1) to Weeks 38
Number of Participants with Positive Anti-Drug Antibodies (ADAs)From Baseline (Day 1) to Weeks 38
Change in Systolic Blood PressureFrom Baseline (Day 1) to Week 38
Change in Diastolic Blood PressureFrom Baseline (Day 1) to Week 38
Change in Pulse RateFrom Baseline (Day 1) to Week 38

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 10, 2026