Obesity, Overweight
Conditions
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
SC Injection
Sponsors
Study design
Eligibility
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
| Measure | Time frame |
|---|---|
| Dose 3 and 4 versus Placebo: Percent Change From Baseline in Body Weight at Week 76 | Baseline, Week 76 |
Secondary
| Measure | Time frame |
|---|---|
| Dose 1 and 2 versus Placebo: Percent Change From Baseline in Body Weight at Week 76 | Baseline, Week 76 |
| Percentage of Participants with ≥5%, ≥10%, ≥15%, ≥20% and ≥25% Reduction in Body Weight | Baseline, Week 76 |
| Change From Baseline in Waist Circumference | Baseline, Week 76 |
| Change From Baseline in Absolute Body Weight | Baseline, Week 76 |
| Change From Baseline in Systolic Blood Pressure (SBP) | Baseline, Week 76 |
| Percent Change From Baseline in Fasting Triglycerides | Baseline, Week 76 |
| Percent Change From Baseline in Fasting High-density Lipoprotein (HDL)-cholesterol | Baseline, Week 76 |
| Percent Change From Baseline in Fasting Non-HDL-cholesterol | Baseline, Week 76 |
| Change From Baseline in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Composite Score | Baseline, Week 76 |
| Participants with Body Mass Index (BMI) ≥35 Kilograms per Square Meter (kg/m^2): Percent Change From Baseline in Body Weight | Baseline, Week 76 |
| Percentage of Participants with ≥30% Reduction in Body Weight | Baseline, Week 76 |
| Change From Baseline in BMI | Baseline, Week 76 |
| Change From Baseline in Diastolic Blood Pressure (DBP) | Baseline, Week 76 |
| Percent Change From Baseline in Total Cholesterol | Baseline, Week 76 |
| Percent Change From Baseline in Low-density Lipoprotein (LDL)-cholesterol | Baseline, Week 76 |
| Percent Change From Baseline in Very Low-density Lipoprotein (VLDL)-cholesterol | Baseline, Week 76 |
| Percent Change From Baseline in Fasting Insulin | Baseline, Week 76 |
| Change From Baseline in Fasting Blood Glucose | Baseline, Week 76 |
| Change From Baseline in Control of Eating Questionnaire (CoEQ) Craving Control Score | Baseline, Week 76 |
| Change From Baseline in CoEQ Positive Mood Score | Baseline, Week 76 |
| Change From Baseline in CoEQ Craving for Sweets Score | Baseline, Week 76 |
| Change From Baseline in CoEQ Craving for Savory Food Score | Baseline, Week 76 |
| Change From Baseline in CoEQ Hunger Score | Baseline, Week 76 |
| Change From Baseline in CoEQ Satiety Score | Baseline, Week 76 |
| Change From Baseline in CoEQ Combined Score | Baseline, Week 76 |
| Change From Baseline in Food Noise Questionnaire (FNQ) Score | Baseline, 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-9531 | Up to Week 76 |
Countries
Australia, New Zealand, United States