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A Study Evaluating Safety and Tolerability of Switching From Semaglutide to Zovaglutide in Adults With Obesity (HORIZON-SWITCH-SZ)

A Multicenter, Randomized, Active-Controlled, Open-Label Phase IIb Study Evaluating Safety and Tolerability of Switching to Zovaglutide Injection After Titration to 2.4 mg Semaglutide Injection (Wegovy®) in Adults With Obesity (HORIZON-SWITCH-SZ)

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07812597
Enrollment
210
Registered
2026-09-10
Start date
2026-10-12
Completion date
2028-03-24
Last updated
2026-09-10

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

Conditions

Obesity

Brief summary

The main purpose of this study is to evaluate the safety and tolerability of continuing treatment with zovaglutide injection following titration to 2.4 mg semaglutide injection in adult participants with obesity.

Interventions

DRUGzovaglutide Arm 1

Zovaglutide will be administered via subcutaneous (SC) injection.

DRUGzovaglutide Arm 2

Zovaglutide will be administered via subcutaneous (SC) injection.

DRUGsemaglutide

Semaglutide will be administered via subcutaneous (SC) injection.

Sponsors

Beijing QL Biopharmaceutical Co.,Ltd
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Masking description

Masking Description

Intervention model description

Model Description

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Male or female subjects aged≥18years and≤75 years at the time of signing the Informed Consent Form (ICF). * At screening, Body Mass Index (BMI)≥28kg/m² * Weight change due to diet and exercise alone within 3 months prior to screening did not exceed 5%.

Exclusion criteria

* Previously diagnosed obesity caused by monogenic mutations, other diseases, or medications. * Previous diagnosis of diabetes; or HbA1c ≥ 6.5% or fasting blood glucose ≥ 7.0 mmol/L at screening. * Used of medicines or treatments that affect weight within 3 months prior to screening. * History of acute or chronic pancreatitis, or pancreatic injury. * History of medullary thyroid carcinoma (MTC) or type 2 multiple endocrine neoplasia (MEN2) in personal or family history. * History of medullary thyroid carcinoma (MTC) or type 2 multiple endocrine neoplasia (MEN2) in personal or family history. * Patient Health Questionnaire-9 (PHQ-9) scale score is ≥ 15 at screening * Screening Columbia-Suicide Severity Rating Scale(C-SSRS) questionnaire suicide ideation response of "Category 4 or 5," or any "yes" response to suicidal behavior questions

Design outcomes

Primary

MeasureTime frameDescription
Proportion of participants achieving successful switch from semaglutide 2.4 mg to zovaglutide after randomizationfrom week 20 (randomization) to week 36Measure description:Definition of successful switch: Participants administered the target dose of assigned zovaglutide at both week28 and week32.

Secondary

MeasureTime frame
Proportion of participants achieving successful switch without severe gastrointestinal adverse event (GIAE)from week 20 (randomization) to week 36
Proportion of participants achieving successful switch without dose modificationfrom week 20 (randomization) to week 36
Incidence of GIAEfrom week 20 (randomization) to week 40
Percentage of GIAE-free duration relative to total period after randomizationfrom week 20 (randomization) to week 40
Changes in body weight from randomizationfrom week 20 ( randomization) to week 36

Countries

China

Contacts

CONTACTXiaoming Feng
feng.xiaoming@qlbiopharm.com+8613932155055
CONTACTFengtai Xue
fengtai@qlbiopharm.com+8618801907066
PRINCIPAL_INVESTIGATORLinong Ji, Doctor

Peking University People's Hospital

Outcome results

None listed

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