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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 79 Years |
| Sex | All |
| Enrollment | 3600 (estimated) |
| Sponsor | Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics Industry-sponsored |
| Locations | 71 sites (Birmingham, Alabama and 70 other locations) |
| Status | Recruiting |
| Started | July 13, 2026 |
| Main results expected | September 2028 |
| Study ends | November 2028 |
| Registry record updated | August 10, 2026 |
| Trial ID | NCT07654361 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
- 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.
-
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.
-
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.
-
Aleniglipron for adults with overweight/obesity and type 2 diabetes
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.
-
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.
-
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.
-
EloraTZP for weight loss in adults with overweight/obesity and type 2 diabetes
This trial tests whether a coformulation of eloralintide and tirzepatide helps people with obesity or overweight and type 2 diabetes lose weight compared with tirzepatide alone.
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.