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Efficacy and Safety of Aleniglipron in Participants With Obesity or Overweight With a Weight-Related Comorbidity (ACCOMPLISH-1)

A Randomized, Double-Blind, Placebo-Controlled, Pivotal Phase 3 Study to Evaluate the Long-Term Efficacy and Safety of Multiple Maintenance Doses of Once Daily Oral Aleniglipron for Chronic Weight Management in Adults With Obesity or Overweight and a Weight-Related Comorbidity

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07654361
Enrollment
3600
Registered
2026-06-17
Start date
2026-07-13
Completion date
2028-11-01
Last updated
2026-08-10

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

Conditions

Chronic Weight Management, Obesity, Overweight

Keywords

Obesity, Overweight, GSBR-1290, Aleniglipron, Chronic weight management, Obese, Small molecule, GLP-1, Structure Therapeutics

Brief summary

Study GSBR-1290-12 is a Phase 3 pivotal, multicenter, global, randomized, placebo-controlled, double-blind study to investigate the long-term efficacy, safety, and tolerability of 3 maintenance doses of aleniglipron once daily (QD) compared with placebo, when used in combination with a reduced-calorie diet and increased physical activity. All participants will be randomized to at least 76 weeks of treatment to evaluate the effects on long term body weight changes, tolerability, and safety. In addition, the study will compare the effects between aleniglipron and placebo on blood pressure (BP), lipid parameters, patient-reported outcomes.

Interventions

Drug: aleniglipron administered orally Drug

DRUGPlacebo

Drug: placebo administered orally

Sponsors

Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
No

Inclusion criteria

* Signed informed consent * BMI ≥30 kg/m2 (obese) or BMI ≥27 kg/m2 (overweight) and presence of ≥1 of the obesity related comorbidities.

Exclusion criteria

* Previously documented diagnosis of type 1 diabetes, type 2 diabetes, or any other type of diabetes. * Self-reported change in body weight \>5 kg within 3 months before Screening. * Have prior or planned surgical or non-surgical treatment for obesity. * Have or plan to have endoscopic and/or device-based therapy for obesity. * Have obesity induced by other endocrine disorders. * Impaired renal function at Screening * Chronic malabsorption

Design outcomes

Primary

MeasureTime frame
Percent change in body weight from BaselineBaseline and Week 76

Secondary

MeasureTime frame
Change in body weight (absolute) from BaselineBaseline and week 76
Percentage of participants who achieve ≥5% reduction in body weightBaseline and week 76
Percentage of participants who achieve ≥10% reduction in body weightBaseline and week 76
Percentage of participants who achieve ≥15% reduction in body weightBaseline and week 76
Percentage of participants who achieve ≥20% reduction in body weightBaseline and week 76
Change in waist circumference from BaselineBaseline and week 76
Change in resting systolic blood pressure from BaselineBaseline and week 76
Percent change in fasting triglycerides and non-HDL cholesterol from BaselineBaseline and week 76
Change in Impact of Weight on Quality of Life-Lite Clinical Trials Version physical function from BaselineBaseline and week 76
Change in HbA1c from BaselineBaseline and week 76
Change in body mass index from BaselineBaseline and week 76
Percent change in fasting total cholesterol from BaselineBaseline and week 76
Change in fasting glucose from BaselineBaseline and week 76
Change in resting diastolic blood pressure from BaselineBaseline and week 76

Countries

United States

Contacts

CONTACTMedical Director
GSBRClinicalTrials@structuretx.com1-650-457-1959

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 11, 2026