Can Zenagamtide help people with excess weight lose more than Semaglutide
Official title: Efficacy and Safety of Zenagamtide s.c. Once-weekly Compared to Semaglutide s.c. Once-weekly in Participants With Obesity (AMAZE 7)
Run by Novo Nordisk A/S · NCT07668414 · Data updated 2026-11-12
This study tests whether Zenagamtide can help adults with overweight or obesity lose weight more effectively than Semaglutide or placebos.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 650 (estimated) |
| Sponsor | Novo Nordisk A/S Industry-sponsored |
| Locations | 45 sites (Lancaster, California and 44 other locations) |
| Status | Recruiting |
| Started | September 22, 2026 |
| Main results expected | October 10, 2028 |
| Study ends | October 10, 2028 |
| Registry record updated | September 28, 2026 |
| Trial ID | NCT07668414 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years and older with overweight or obesity who do not have diabetes (HbA1c < 6.5%) and have not recently used GLP-1–based therapies.
✕Probably not a fit
People with diabetes, recent GLP-1 therapies, or certain metabolic conditions may not benefit from this treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 3 trial compares Zenagamtide to Semaglutide and to matched-placebo groups to see which approach yields greater weight loss in adults with overweight or obesity. Participants are randomly assigned to receive Zenagamtide, Semaglutide, or a placebo that matches each treatment, enabling direct comparisons. The study excludes adults with diabetes (HbA1c 6.5% or higher) or prior GLP-1–based therapies within the past year. Enrollment is limited to adults 18 and older who can provide informed consent, with sites in California.
Why it matters
Potential benefit: If successful, Zenagamtide could offer an additional or superior option for weight loss in adults with overweight or obesity.
How similar studies have gone: GLP-1–based weight-loss therapies have shown benefits in related trials, but direct comparisons with Zenagamtide are needed to confirm efficacy.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female (sex at birth). * Age 18 years or above at the time of signing the informed consent. Exclusion Criteria: * Glycated haemoglobin (HbA1c) ≥ 6.5% (48 millimoles per mole \[mmol/mol\]) as measured by the central laboratory at screening. * History of type 1 or type 2 diabetes mellitus as declared by the participant or reported in the medical records. * Treatment with glucagon-like-peptide-1 (GLP-1) receptor agonists (RA), dual GLP-1/gastric inhibitory peptide (GIP) RAs (or any other GLP-1 based treatment) or amylin analogues within 1 year before screening.
Where it's running
-
First Valley Medical Group
Lancaster, California, United States Recruiting -
Desert Oasis Healthcare
Palm Springs, California, United States Recruiting -
Western University of Health Sciences
Pomona, California, United States Recruiting -
Artemis Insitute for Clin Res
San Diego, California, United States Recruiting -
Med Home Development Grp
Washington D.C., District of Columbia, United States Recruiting -
Encore Medical Research LLC
Hollywood, Florida, United States Recruiting
Show 39 more locations
-
NextPhase Research
Hollywood, Florida, United States Recruiting -
PharmaDev Clinical Research Institute LLC
Miami, Florida, United States Recruiting -
South Broward Research LLC
Miramar, Florida, United States Recruiting -
Florida Inst For Clin Res LLC
Orlando, Florida, United States Recruiting -
Oviedo Medical Research, LLC
Oviedo, Florida, United States Recruiting -
Palm Beach Research Center
West Palm Beach, Florida, United States Recruiting -
Encore Medical Research of Weston
Weston, Florida, United States Recruiting -
Conquest Research
Atlanta, Georgia, United States Recruiting -
Eastside Bariatric and Gen Surg
Snellville, Georgia, United States Recruiting -
Endeavor Health
Skokie, Illinois, United States Recruiting -
Midwest Inst For Clin Res
Indianapolis, Indiana, United States Recruiting -
Amicis Centers of Clinical Research
St Louis, Missouri, United States Recruiting -
Ichor Research
Syracuse, New York, United States Recruiting -
Southgate Medical Group, LLP
West Seneca, New York, United States Recruiting -
Piedmont Healthcare/Research
Statesville, North Carolina, United States Recruiting -
Lillestol Research LLC
Fargo, North Dakota, United States Recruiting -
Geisinger Clinic
Danville, Pennsylvania, United States Recruiting -
Medical University Of South Carolina
Charleston, South Carolina, United States Recruiting -
Hillcrest Clinical Research
Simpsonville, South Carolina, United States Recruiting -
Spartanburg Medical Research
Spartanburg, South Carolina, United States Recruiting -
Amarillo Med Spec LLP
Amarillo, Texas, United States Recruiting -
Texas Diabetes & Endocrinology
Austin, Texas, United States Recruiting -
Pinnacle Clinical Research
Brownsville, Texas, United States Recruiting -
Osvaldo A. Brusco MD
Corpus Christi, Texas, United States Recruiting -
National Clin Res Inc.
Richmond, Virginia, United States Recruiting -
Rainier Clin Res Ctr Inc
Renton, Washington, United States Recruiting -
Seattle Clinical Research Center
Seattle, Washington, United States Recruiting -
Jacksonville Ctr Clin Res
Jacksonville, Florida, United States Not yet recruiting -
Essence MD Research
Naples, Florida, United States Not yet recruiting -
Chicago Research Center, Inc
Chicago, Illinois, United States Not yet recruiting -
Southern Clin Research
Zachary, Louisiana, United States Not yet recruiting -
PharmQuest Life Sciences LLC
Greensboro, North Carolina, United States Not yet recruiting -
UT Southwestern Med Center
Dallas, Texas, United States Not yet recruiting -
Epic Medical Research
DeSoto, Texas, United States Not yet recruiting -
Houston Research Institute
Houston, Texas, United States Not yet recruiting -
The Endocrine Center
Houston, Texas, United States Not yet recruiting -
Sleep Therapy Research Center
San Antonio, Texas, United States Not yet recruiting -
Olympus Clinical Research
Sugar Land, Texas, United States Not yet recruiting -
Gastroent Consult of SW VA
Roanoke, Virginia, United States Not yet recruiting
Study contacts
- Study coordinator: Novo Nordisk
- Email: clinicaltrials@novonordisk.com
- Phone: (+1) 866-867-7178
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
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.
-
Monthly dose of PF-08653944 vs placebo in Chinese adults who are overweight or obese
This study tests whether berobenatide (PF-08653944) given once a month helps adults in China lose weight compared with a placebo.
-
FutureShape Family: a family-based weight-management program with semaglutide for children and parents
This trial tests whether a family-centered program that combines a prescription medication (semaglutide) with lifestyle support and app-based coaching can help adults with obesity and their children who are overweight/obese.
-
Home self-administration of a weight-management medicine with an autoinjector in adults who are overweight or obese
This study tests whether adults who are overweight or have obesity can successfully self-administer maridebart cafraglutide at home using an autoinjector.
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.