Clinical trial Recruiting at 33 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment650 (estimated)
SponsorNovo Nordisk A/S
Industry-sponsored
Locations45 sites (Lancaster, California and 44 other locations)
StatusRecruiting
StartedSeptember 22, 2026
Main results expectedOctober 10, 2028
Study endsOctober 10, 2028
Registry record updatedSeptember 28, 2026
Trial IDNCT07668414 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

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.