Clinical trial Recruiting at 13 sites Phase 3 Interventional Ages 18 to 79

Aleniglipron for weight management in obesity or overweight with a related condition

Official title: 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

Run by Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics · NCT07654361 · Data updated 2026-11-12

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.

More Obesity trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 79 Years
SexAll
Enrollment3600 (estimated)
SponsorGasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics
Industry-sponsored
Locations71 sites (Birmingham, Alabama and 70 other locations)
StatusRecruiting
StartedJuly 13, 2026
Main results expectedSeptember 2028
Study endsNovember 2028
Registry record updatedAugust 10, 2026
Trial IDNCT07654361 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with obesity or overweight (BMI ≥30 or ≥27 with a weight-related comorbidity) who are willing to follow a reduced-calorie diet and increase physical activity.

Probably not a fit

Individuals with certain diabetes diagnoses, recent significant weight changes, prior obesity surgeries, or other specified conditions may not 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, multicenter, global, randomized, double-blind, placebo-controlled trial evaluating three maintenance doses of aleniglipron once daily for up to at least 76 weeks in adults with obesity or overweight and a weight-related comorbidity. Participants will follow a reduced-calorie diet and increased physical activity while receiving either aleniglipron or placebo to assess long-term changes in body weight, tolerability, and safety. The study will also examine effects on blood pressure, lipid parameters, and patient-reported outcomes. Eligible participants must have BMI ≥30 kg/m2 (or ≥27 kg/m2 with a comorbidity) and meet specific inclusion/exclusion criteria related to other illnesses and prior obesity treatments.

Why it matters

Potential benefit: If successful, participants could experience greater weight loss and improved cardiometabolic factors when using aleniglipron with lifestyle modification.

How similar studies have gone: Prior similar approaches have shown weight-management benefits in other programs, but this trial examines long-term use and safety in a Phase 3 setting.

Who can join: the full rules

Show full inclusion / exclusion criteria
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

Where it's running

  • ACCOMPLISH-1 Research Site
    Clearwater, Florida, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Honolulu, Hawaii, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Silver Spring, Maryland, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Mankato, Minnesota, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Richfield, Minnesota, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Hazelwood, Missouri, United States
    Recruiting
Show 44 more locations
  • ACCOMPLISH-1 Research Site
    St Louis, Missouri, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Charlotte, North Carolina, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Wilmington, North Carolina, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Columbus, Ohio, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Portland, Oregon, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Austin, Texas, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Renton, Washington, United States
    Recruiting
  • ACCOMPLISH-1 Research Site
    Birmingham, Alabama, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Birmingham, Alabama, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Phoenix, Arizona, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Sun City West, Arizona, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Tucson, Arizona, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Escondido, California, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Gardena, California, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    La Jolla, California, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Modesto, California, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Rolling Hills Estates, California, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    San Diego, California, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Leesburg, Florida, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Miami, Florida, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Ocala, Florida, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Ocoee, Florida, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Pembroke, Florida, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Tampa, Florida, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Buford, Georgia, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Columbus, Georgia, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Lawrenceville, Georgia, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Union City, Georgia, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Woodstock, Georgia, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Meridian, Idaho, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Rexburg, Idaho, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Chicago, Illinois, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Iowa City, Iowa, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Wichita, Kansas, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Louisville, Kentucky, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Baton Rouge, Louisiana, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Methuen, Massachusetts, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Needham, Massachusetts, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Ann Arbor, Michigan, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Gulfport, Mississippi, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Ridgeland, Mississippi, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Chesterfield, Missouri, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Butte, Montana, United States
    Not yet recruiting
  • ACCOMPLISH-1 Research Site
    Missoula, Montana, United States
    Not yet recruiting

+21 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.