Clinical trial Recruiting at 57 sites Phase 3 Interventional Ages 18 to 79

Aleniglipron for adults with overweight/obesity and type 2 diabetes

Official title: 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)

Run by Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics · NCT07654374 · Data updated 2026-11-12

A long-term test to see if aleniglipron helps weight loss and blood sugar control in adults who are overweight or obese and have type 2 diabetes.

More Obesity trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 79 Years
SexAll
Enrollment1100 (estimated)
SponsorGasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics
Industry-sponsored
Locations74 sites (Birmingham, Alabama and 73 other locations)
StatusRecruiting
StartedJuly 17, 2026
Main results expectedSeptember 2028
Study endsNovember 2028
Registry record updatedOctober 20, 2026
Trial IDNCT07654374 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with BMI ≥27 kg/m2 who have type 2 diabetes (HbA1c 6.5%–10%)

Probably not a fit

Participants with type 1 diabetes, recent severe hypoglycemia, or recent obesity treatment are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 3, randomized, double-blind, placebo-controlled study. Participants with overweight or obesity and type 2 diabetes will be assigned to aleniglipron or placebo for 76 weeks. The trial will evaluate multiple dosing regimens for safety, tolerability, and efficacy, comparing outcomes to placebo over the treatment period. Key eligibility includes BMI 27 or higher and HbA1c between 6.5% and 10%.

Why it matters

Potential benefit: If successful, participants may experience better weight management and improved blood sugar control.

How similar studies have gone: Prior studies with aleniglipron or similar GLP-1 receptor agonists have shown weight and glycemic benefits in related populations.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • ACCOMPLISH-2 Research Site
    Birmingham, Alabama, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Chandler, Arizona, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Phoenix, Arizona, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Sun City West, Arizona, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Tucson, Arizona, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Fountain Valley, California, United States
    Recruiting
Show 44 more locations
  • ACCOMPLISH-2 Research Site
    La Jolla, California, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Rolling Hills Estates, California, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    San Diego, California, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Waterbury, Connecticut, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Clearwater, Florida, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Fort Myers, Florida, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Jacksonville, Florida, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Leesburg, Florida, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Ocala, Florida, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Ocoee, Florida, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Atlanta, Georgia, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Lawrenceville, Georgia, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Union City, Georgia, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Woodstock, Georgia, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Meridian, Idaho, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Des Moines, Iowa, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Wichita, Kansas, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Silver Spring, Maryland, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Methuen, Massachusetts, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Mankato, Minnesota, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Minneapolis, Minnesota, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Gulfport, Mississippi, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Ridgeland, Mississippi, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Chesterfield, Missouri, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    City of Saint Peters, Missouri, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Hazelwood, Missouri, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Springfield, Missouri, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    St Louis, Missouri, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Missoula, Montana, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    The Bronx, New York, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Charlotte, North Carolina, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Fayetteville, North Carolina, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Morehead City, North Carolina, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Winston-Salem, North Carolina, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Columbus, Ohio, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Moore, Oklahoma, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Tulsa, Oklahoma, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Yukon, Oklahoma, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Portland, Oregon, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Philadelphia, Pennsylvania, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Greer, South Carolina, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Nashville, Tennessee, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Austin, Texas, United States
    Recruiting
  • ACCOMPLISH-2 Research Site
    Farmers Branch, Texas, United States
    Recruiting

+24 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.