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Efficacy and Safety of KAI-9531 in Participants Living With Obesity or Overweight With Weight-Related Comorbidities Who Do Not Have Diabetes

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of KAI-9531 Administered Once Weekly in Participants Living With Obesity or Overweight With Weight-Related Comorbidities Who Do Not Have Diabetes

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07284875
Enrollment
1800
Registered
2025-12-16
Start date
2025-12-18
Completion date
2028-03-27
Last updated
2026-05-08

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

Conditions

Obesity, Overweight

Keywords

Overweight, Obesity, KAI-9531, Glucagon-like Peptide-1, GLP-1, Glucose-dependent Insulinotropic Peptide, GIP

Brief summary

The primary objective of the study is to determine the effects of KAI-9531 subcutaneous (SC) injection once weekly compared to placebo on percent change in body weight.

Interventions

SC Injection

DRUGPlacebo

SC Injection

Sponsors

Kailera
Lead SponsorINDUSTRY

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

* BMI ≥30 kg/m\^2 or BMI ≥27 kg/m\^2 and previously diagnosed with at least 1 of the following: 1. hypertension, 2. dyslipidemia, 3. obstructive sleep apnea, or 4. cardiovascular (CV) disease. * History of at least 1 self-reported unsuccessful effort to lose weight with diet and exercise within the prior 6 months.

Exclusion criteria

* Current diagnosis or history of diabetes mellitus. * 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. * Received treatment with semaglutide, tirzepatide, GLP-1 receptor agonist, GLP-1/glucose-dependent insulinotropic polypeptide (GIP), or glucagon receptor agonist within 3 months prior to Screening. Note: Additional inclusion/

Design outcomes

Primary

MeasureTime frame
Dose 3 and 4 versus Placebo: Percent Change From Baseline in Body Weight at Week 76Baseline, Week 76

Secondary

MeasureTime frame
Dose 1 and 2 versus Placebo: Percent Change From Baseline in Body Weight at Week 76Baseline, Week 76
Percentage of Participants with ≥5%, ≥10%, ≥15%, ≥20% and ≥25% Reduction in Body WeightBaseline, Week 76
Change From Baseline in Waist CircumferenceBaseline, Week 76
Change From Baseline in Absolute Body WeightBaseline, Week 76
Change From Baseline in Systolic Blood Pressure (SBP)Baseline, Week 76
Percent Change From Baseline in Fasting TriglyceridesBaseline, Week 76
Percent Change From Baseline in Fasting High-density Lipoprotein (HDL)-cholesterolBaseline, Week 76
Percent Change From Baseline in Fasting Non-HDL-cholesterolBaseline, Week 76
Change From Baseline in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Composite ScoreBaseline, Week 76
Participants with Body Mass Index (BMI) ≥35 Kilograms per Square Meter (kg/m^2): Percent Change From Baseline in Body WeightBaseline, Week 76
Percentage of Participants with ≥30% Reduction in Body WeightBaseline, Week 76
Change From Baseline in BMIBaseline, Week 76
Change From Baseline in Diastolic Blood Pressure (DBP)Baseline, Week 76
Percent Change From Baseline in Total CholesterolBaseline, Week 76
Percent Change From Baseline in Low-density Lipoprotein (LDL)-cholesterolBaseline, Week 76
Percent Change From Baseline in Very Low-density Lipoprotein (VLDL)-cholesterolBaseline, Week 76
Percent Change From Baseline in Fasting InsulinBaseline, Week 76
Change From Baseline in Fasting Blood GlucoseBaseline, Week 76
Change From Baseline in Control of Eating Questionnaire (CoEQ) Craving Control ScoreBaseline, Week 76
Change From Baseline in CoEQ Positive Mood ScoreBaseline, Week 76
Change From Baseline in CoEQ Craving for Sweets ScoreBaseline, Week 76
Change From Baseline in CoEQ Craving for Savory Food ScoreBaseline, Week 76
Change From Baseline in CoEQ Hunger ScoreBaseline, Week 76
Change From Baseline in CoEQ Satiety ScoreBaseline, Week 76
Change From Baseline in CoEQ Combined ScoreBaseline, Week 76
Change From Baseline in Food Noise Questionnaire (FNQ) ScoreBaseline, Week 76
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Day 1 up to Week 80
Number of Participants With Anti-drug Antibodies (ADAs)Up to Week 80
Number of Participants With Neutralizing Antibodies (Nabs)Up to Week 80
Plasma Concentrations of KAI-9531Up to Week 76

Countries

Australia, New Zealand, United States

Contacts

CONTACTKailera Therapeutics, Inc.
info-clinicalstudies@kailera.com781-317-0291

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 9, 2026