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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 79 Years |
| Sex | All |
| Enrollment | 1100 (estimated) |
| Sponsor | Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics Industry-sponsored |
| Locations | 74 sites (Birmingham, Alabama and 73 other locations) |
| Status | Recruiting |
| Started | July 17, 2026 |
| Main results expected | September 2028 |
| Study ends | November 2028 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07654374 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
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ACCOMPLISH-2 Research Site
Birmingham, Alabama, United States Recruiting -
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Chandler, Arizona, United States Recruiting -
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Phoenix, Arizona, United States Recruiting -
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Sun City West, Arizona, United States Recruiting -
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Tucson, Arizona, United States Recruiting -
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Fountain Valley, California, United States Recruiting
Show 44 more locations
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La Jolla, California, United States Recruiting -
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Rolling Hills Estates, California, United States Recruiting -
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San Diego, California, United States Recruiting -
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Waterbury, Connecticut, United States Recruiting -
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Clearwater, Florida, United States Recruiting -
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Fort Myers, Florida, United States Recruiting -
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Jacksonville, Florida, United States Recruiting -
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Leesburg, Florida, United States Recruiting -
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Ocala, Florida, United States Recruiting -
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Ocoee, Florida, United States Recruiting -
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Atlanta, Georgia, United States Recruiting -
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Lawrenceville, Georgia, United States Recruiting -
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Union City, Georgia, United States Recruiting -
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Woodstock, Georgia, United States Recruiting -
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Meridian, Idaho, United States Recruiting -
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Des Moines, Iowa, United States Recruiting -
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Wichita, Kansas, United States Recruiting -
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Silver Spring, Maryland, United States Recruiting -
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Methuen, Massachusetts, United States Recruiting -
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Mankato, Minnesota, United States Recruiting -
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Minneapolis, Minnesota, United States Recruiting -
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Gulfport, Mississippi, United States Recruiting -
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Ridgeland, Mississippi, United States Recruiting -
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Chesterfield, Missouri, United States Recruiting -
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City of Saint Peters, Missouri, United States Recruiting -
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Hazelwood, Missouri, United States Recruiting -
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Springfield, Missouri, United States Recruiting -
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St Louis, Missouri, United States Recruiting -
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Missoula, Montana, United States Recruiting -
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The Bronx, New York, United States Recruiting -
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Charlotte, North Carolina, United States Recruiting -
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Fayetteville, North Carolina, United States Recruiting -
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Morehead City, North Carolina, United States Recruiting -
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Winston-Salem, North Carolina, United States Recruiting -
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Columbus, Ohio, United States Recruiting -
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Moore, Oklahoma, United States Recruiting -
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Tulsa, Oklahoma, United States Recruiting -
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Yukon, Oklahoma, United States Recruiting -
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Portland, Oregon, United States Recruiting -
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Philadelphia, Pennsylvania, United States Recruiting -
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Greer, South Carolina, United States Recruiting -
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Nashville, Tennessee, United States Recruiting -
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Austin, Texas, United States Recruiting -
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Farmers Branch, Texas, United States Recruiting
+24 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Medical Director
- Email: GSBRClinicalTrials@structuretx.com
- Phone: 1-650-457-1959
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Once-daily ASC30 for adults who are overweight or obese with weight-related health issues
This study tests whether three different daily doses of ASC30 can help adults who are overweight or obese with related health problems lose weight and stay safe.
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Once-daily ASC30 to See if it helps adults with obesity or overweight and Type 2 diabetes
This study tests three daily doses of ASC30 against placebo in adults who are overweight or obese and have Type 2 diabetes to see if it helps with weight loss and safety over time.
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Aleniglipron for weight management in obesity or overweight with a related condition
This study tests whether aleniglipron, taken daily, helps people with obesity or overweight plus a weight-related condition lose weight when added to a reduced-calorie diet and more activity, compared with a placebo.
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Berobenatide for knee pain in adults who are overweight or with obesity
This study tests berobenatide vs. placebo to see if it reduces knee pain and improves function while helping with weight in adults with knee osteoarthritis and overweight/obesity.
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Maridebart cafraglutide in people who switched from weekly GLP-1 receptor agonists
This study tests how much maridebart cafraglutide appears in the blood after people with overweight or obesity switch from weekly GLP-1 receptor agonists.
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EloraTZP for weight loss in adults with overweight/obesity and type 2 diabetes
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.