Tradipitant for GLP-1R agonist–related nausea and vomiting in adults with overweight or class I–II obesity
Official title: The Thetis Study: A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy of Tradipitant on Nausea and Vomiting After GLP-1R Agonist Administration in Healthy Overweight or Obese Volunteers
Run by Vanda Pharmaceuticals · NCT07446439 · Data updated 2026-11-12
This trial will test if tradipitant can reduce nausea and vomiting caused by GLP-1 receptor agonist weight-loss medicines in adults who are overweight or have class I–II obesity.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 280 (estimated) |
| Sponsor | Vanda Pharmaceuticals Industry-sponsored |
| Locations | 10 sites (Los Angeles, California and 9 other locations) |
| Status | Recruiting |
| Started | March 27, 2026 |
| Main results expected | December 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | April 20, 2026 |
| Trial ID | NCT07446439 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with BMI 25 to <40 kg/m2 who are taking a GLP-1R agonist and experiencing nausea or vomiting, without diabetes, other significant chronic illnesses, or contraindications to NK‑1 receptor antagonists.
✕Probably not a fit
Patients with type 1 or type 2 diabetes, preexisting gastrointestinal disorders that cause symptoms, or a history of hypersensitivity to GLP-1 or NK‑1 receptor antagonists are unlikely to benefit or may be ineligible.
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, randomized, placebo-controlled, two-arm trial compares oral tradipitant to placebo for treating nausea and vomiting that occur with GLP-1R agonist use. Eligible participants are adults with BMI between 25 and <40 kg/m2 who do not have type 1 or type 2 diabetes and have no other major chronic medical conditions causing gastrointestinal symptoms. Key exclusions include other disorders that explain GI symptoms, hypersensitivity to NK-1 or GLP-1 receptor antagonists, and recent exposure to investigational drugs. The study is conducted at Vanda investigational sites in California and measures changes in frequency and severity of nausea and vomiting during the treatment period.
Why it matters
Potential benefit: If successful, tradipitant could reduce GLP-1–related nausea and vomiting and improve tolerability and continued use of GLP-1 weight‑loss medications.
How similar studies have gone: NK‑1 receptor antagonists are well established for chemotherapy-related nausea and early-phase data and case reports suggest potential benefit for GLP-1–induced nausea, but large phase‑3 evidence is currently limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Body Mass Index ≥ 25 and \< 40 kg/m\^2 * No serious medical problems or chronic diseases, specifically no type I or type II diabetes Exclusion Criteria: * Another disorder that contributes to gastrointestinal symptoms * History of intolerance and/or hypersensitivity to NK-1 receptor antagonists * History of intolerance and/or hypersensitivity to GLP-1 receptor agonists * Exposure to any investigational medication within the past 60 days
Where it's running
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Vanda Investigational Site
Los Angeles, California, United States Recruiting -
Vanda Investigational Site
San Diego, California, United States Recruiting -
Vanda Investigational Site
Tampa, Florida, United States Recruiting -
Vanda Investigational Site
San Jose, California, United States Not yet recruiting -
Vanda Investigational Site
Hamilton, New Jersey, United States Not yet recruiting -
Vanda Investigational Site
New York, New York, United States Not yet recruiting
Show 4 more locations
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Vanda Investigational Site
Syosset, New York, United States Not yet recruiting -
Vanda Investigational Site
Plano, Texas, United States Not yet recruiting -
Vanda Investigational Site
San Antonio, Texas, United States Not yet recruiting -
Vanda Investigational Site
Burke, Virginia, United States Not yet recruiting
Study contacts
- Study coordinator: Vanda Pharmaceuticals
- Email: clinicaltrials@vandapharma.com
- Phone: (202) 734-3400
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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.