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A Study of Aleniglipron in Adults With Obesity or Overweight and Type 2 Diabetes Mellitus (ACCOMPLISH-2)

A Long-Term Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Multiple Maintenance Doses of Oral Once Daily Aleniglipron for Chronic Weight Management in Adults With Obesity or Overweight and Type 2 Diabetes Mellitus (ACCOMPLISH-2)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07654374
Enrollment
1100
Registered
2026-06-17
Start date
2026-07-17
Completion date
2028-11-01
Last updated
2026-09-11

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, Type2 Diabetes Mellitus

Keywords

obesity, overweight, GSBR-1290, aleniglipron, chronic weight management, obese, type 2diabetes mellitus, small molecule, GLP-1, Structure Therapeutics

Brief summary

This is randomized, double-blind, placebo-controlled study of the long-term efficacy, safety, and tolerability of multiple doses of aleniglipron in participants living with overweight or obesity and T2DM. Participants will be randomized to aleniglipron or placebo for a total of 76 weeks of treatment.

Interventions

Drug: aleniglipron administered orally

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
Yes

Inclusion criteria

* Signed Informed Consent * Have a BMI ≥27.0 kg/m2 at Screening * Have a diagnosis of T2DM according to the WHO classification or other locally applicable standards, with HbA1c ≥6.5% (≥53 mmol/mol) to ≤10% (86 mmol/mol) at Screening

Exclusion criteria

* Have type 1 diabetes, history of ketoacidosis or hyperosmolar state/coma, or any other types of diabetes except T2DM. * Have had 1 or more episode of severe hypoglycemia and/or 1 or more episode of hypoglycemia unawareness within 180 days prior to Screening. * Are currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema * Self-reported change in body weight \>5 kg (11 pounds) within 3 months before Screening. * Have prior or planned surgical or non-surgical treatment for obesity.

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
Change in waist circumference from BaselineBaseline and week 76
Change in HbA1c 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
Percentage of participants achieving HbA1c target value of ≤6.5%Baseline and week 76

Countries

United States

Contacts

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

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 12, 2026