AMAZE 1: A research study investigating how well the medicine NNC0487-0111 helps people with excess body weight lose weight

2024-520440-42-00 Protocol NN9490-8021 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 7 May 2026 · Status Ongoing, recruiting · 4 EU/EEA countries · 22 sites · Protocol NN9490-8021

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 1,120
Countries 4
Sites 22

Obesity

To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in body weight in participants with obesity

Key facts

Sponsor
Novo Nordisk A/S
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
7 May 2026 → ongoing
Decision date (initial)
2026-05-04
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Novo Nordisk A/S

External identifiers

EU CT number
2024-520440-42-00
WHO UTN
U1111-1313-6262

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each
versus placebo on change in body weight in participants with obesity

Secondary objectives 28

  1. CCI
  2. CCI
  3. CCI
  4. To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in waist circumference in participants with obesity
  5. To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in systolic blood pressure (SBP) in participants with obesity
  6. To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in physical functioning in participants with obesity
  7. CCI
  8. To confirm superiority of 00 mg, 00 mg, 00mg, 00 mg NNC0487-0111, each versus placebo on change in physical functioning in participants with obesity
  9. CCI
  10. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo in participants with obesity on: Body weight Body mass index (BMI)
  11. CCI
  12. To compare the effect of 00 mg, 00 mg, 00mg, 00 mg NNC0487-0111, each versus placebo in participants with obesity on: Weight-related quality of life CCI CCI
  13. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo group in participants with obesity on: Glucose metabolism Diastolic blood pressure Lipids High-sensitivity C-reactive protein (hsCRP)
  14. CCI
  15. To compare the safety and tolerability of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo in participants with obesity
  16. Extension phase secondary objectives are as follows: To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in body weight in participants with obesity
  17. CCI
  18. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo in participants with obesity on: Body weight Body mass index (BMI)
  19. CCI
  20. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on physical functioning and weight-related quality of life in participants with obesity
  21. CCI
  22. CCI
  23. CCI
  24. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in waist circumference in participants with obesity
  25. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in systolic blood pressure (SBP) in participants with obesity
  26. To compare the effect of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo group in participants with obesity on: Glucose metabolism Diastolic blood pressure Lipids High-sensitivity C-reactive protein (hsCRP)
  27. CCI
  28. To compare the safety and tolerability of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo in participants with obesity

Conditions and MedDRA coding

Obesity

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. 1. Male or female (sex at birth).
  2. 2. Age 18CCI years CCI at the time of signing the informed consent.
  3. 3. Body Mass Index (BMI) CCI kg/m2 .
  4. 4. CCI

Exclusion criteria 3

  1. 1. Glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol) as measured by the central laboratory at screening.
  2. 2. History of type 1 or type 2 diabetes mellitus as declared by the participant or reported in the medical records.
  3. 3. 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 CCI before screening.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Relative change in body weight

Secondary endpoints 46

  1. CCI
  2. CCI
  3. CCI
  4. Change in waist circumference
  5. Change in systolic blood pressure (SBP)
  6. Change in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function score
  7. CCI
  8. Change in SF-36v2® Health Survey Acute (SF-36v2 Acute) physical functioning scorea
  9. CCI
  10. Change in body weight
  11. Change in body mass index (BMI)
  12. CCI
  13. Change in IWQOL-Lite-CT Physical composite score Psychosocial composite score Total score
  14. CCI
  15. CCI
  16. CCI
  17. Change in glycated haemoglobin (HbA1c)
  18. Change in fasting plasma glucose (FPG)
  19. Change in fasting insulin
  20. Change in diastolic blood pressure (DBP)
  21. Change in lipids: Total cholesterol High-density lipoprotein (HDL) cholesterol Low-density lipoprotein (LDL) cholesterol Very low-density lipoprotein (VLDL) cholesterol Non-HDL cholesterol Triglycerides
  22. Change in high-sensitivity C-reactive protein (hsCRP)
  23. CCI
  24. CCI
  25. Number of: Treatment Emergent Adverse Events (TEAEs) Treatment Emergent Serious Adverse Events (TESAEs) TEAEs leading to permanent treatment discontinuation
  26. Extension phase secondary endpoints are as follows: Relative change in body weight
  27. CCI
  28. Change in body weight
  29. Change in body mass index (BMI)
  30. CCI
  31. Change in SF-36v2® Health Survey Acute (SF-36v2 Acute) physical functioning score
  32. Change in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT): Physical composite score Physical functioning score Psychosocial composite score Total score
  33. CCI
  34. CCI
  35. CCI
  36. CCI
  37. Change in waist circumference
  38. Change in systolic blood pressure (SBP)
  39. Change in glycated haemoglobin (HbA1c)
  40. Change in fasting plasma glucose (FPG)
  41. Change in fasting insulin
  42. Change in lipids: Total cholesterol High-density lipoprotein (HDL) cholesterol Low-density lipoprotein (LDL) cholesterol Very low-density lipoprotein (VLDL) cholesterol Non-HDL cholesterol Triglyceride
  43. Change in high-sensitivity C-reactive protein (hsCRP)
  44. CCI
  45. CCI
  46. Number of: Treatment Emergent Adverse Events (TEAEs) Treatment Emergent Serious Adverse Events (TESAEs) TEAEs leading to permanent treatment discontinuation

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 6

NNC0487-0111 B 10142

PRD12193544 · Product

Active substance
Zenagamtide
Substance synonyms
Polypeptide consisting of a glucagon-like peptide-1 receptor agonist and an amylin receptor agonist, connected by a linker with 4 glycine residues, and connected to a C18 fatty acid side chain, NNC0487-0111, Amycretin
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
SUBCUTANEOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

NNC0487-0111 B 10143

PRD12154764 · Product

Active substance
Zenagamtide
Substance synonyms
Polypeptide consisting of a glucagon-like peptide-1 receptor agonist and an amylin receptor agonist, connected by a linker with 4 glycine residues, and connected to a C18 fatty acid side chain, NNC0487-0111, Amycretin
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
SUBCUTANEOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

NNC0487-0111 B 10144

PRD12154763 · Product

Active substance
Zenagamtide
Substance synonyms
Polypeptide consisting of a glucagon-like peptide-1 receptor agonist and an amylin receptor agonist, connected by a linker with 4 glycine residues, and connected to a C18 fatty acid side chain, NNC0487-0111, Amycretin
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
SUBCUTANEOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

NNC0487-0111 B 10145

PRD12154758 · Product

Active substance
Zenagamtide
Substance synonyms
Polypeptide consisting of a glucagon-like peptide-1 receptor agonist and an amylin receptor agonist, connected by a linker with 4 glycine residues, and connected to a C18 fatty acid side chain, NNC0487-0111, Amycretin
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
SUBCUTANEOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

NNC0487-0111 B 10146

PRD12154759 · Product

Active substance
Zenagamtide
Substance synonyms
Polypeptide consisting of a glucagon-like peptide-1 receptor agonist and an amylin receptor agonist, connected by a linker with 4 glycine residues, and connected to a C18 fatty acid side chain, NNC0487-0111, Amycretin
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
SUBCUTANEOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

NNC0487-0111 B 10141

PRD12154765 · Product

Active substance
Zenagamtide
Substance synonyms
Polypeptide consisting of a glucagon-like peptide-1 receptor agonist and an amylin receptor agonist, connected by a linker with 4 glycine residues, and connected to a C18 fatty acid side chain, NNC0487-0111, Amycretin
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED PEN
Route of administration
SUBCUTANEOUS
Max daily dose
0 Other
Max total dose
0 Other
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Placebo 1

Placebo

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Novo Nordisk A/S

Sponsor organisation
Novo Nordisk A/S
Address
Novo Alle 1
City
Bagsvaerd
Postcode
2880
Country
Denmark

Scientific contact point

Organisation
Novo Nordisk A/S
Contact name
EU Submission Hub

Public contact point

Organisation
Novo Nordisk A/S
Contact name
EU Submission Hub

Third parties 11

OrganisationCity, countryDuties
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other
Celerion Switzerland AG
ORG-100013062
Fehraltorf, Switzerland Laboratory analysis
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Other
Roche Diabetes Care Inc.
ORG-100047645
Indianapolis, United States Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other
4G Clinical B.V.
ORG-100044721
Amsterdam, Netherlands Other
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland Other
SYRINX Bioanalytics Oy
ORG-100021026
Turku, Finland Laboratory analysis
Marken Limited
ORG-100050177
London, United Kingdom Other
Colorado Prevention Center
ORG-100046058
Aurora, United States Other
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States Other

Locations

4 EU/EEA countries · 22 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 60 6
Denmark Ongoing, recruiting 70 5
France Ongoing, recruiting 80 5
Germany Ongoing, recruiting 60 6
Rest of world
Argentina, Australia, United States, United Kingdom, Canada
850

Investigational sites

Belgium

6 sites · Ongoing, recruiting
Universitair Ziekenhuis Gent
N/A, Corneel Heymanslaan 10, 9000, Gent
Universitair Ziekenhuis Antwerpen
Department of Endocrinology, Diabetology and Metabolic diseases, Drie Eikenstraat 655, 2650, Edegem
Algemeen Ziekenhuis Delta
N/A, Deltalaan 1, 8800, Roeselare
Meclinas
N/A, Stationsstraat 102-108, 2800, Mechelen
UZ Leuven
N/A, Herestraat 49, 3000, Leuven
Hopital Erasme
N/A, Lennikse Baan 808, 1070, Anderlecht

Denmark

5 sites · Ongoing, recruiting
Region Hovedstaden
N/A, Dyrehavevej 29, 3400, Hilleroed
Region Hovedstaden
N/A, Kettegaard Alle 36, 2650, Hvidovre
Gentofte Hospital
N/A, Gentofte Hospitalsvej 1, 2900, Hellerup
Sanos A/S
N/A, Borgergade 39, 9362, Gandrup
Sanos A/S
N/A, Boulevarden 19g, 7100, Vejle

France

5 sites · Ongoing, recruiting
Hospices Civils De Lyon
N/A, 165 Chemin Du Grand Revoyet, 69310, Pierre Benite
Assistance Publique Hopitaux De Paris
N/A, 20 Rue Leblanc, 75015, Paris
Centre Hospitalier Universitaire De Nantes
N/A, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Centre De Recherche Clinique Portes Du Sud
N/A, 2 Avenue Du 11 Novembre 1918, 69200, Venissieux
Centre Hospitalier Universitaire De Toulouse
N/A, 1 Avenue Du Professeur Jean Poulhes, Tsa 50032, Toulouse Cedex 9

Germany

6 sites · Ongoing, recruiting
Institut für Diabetesforschung Osnabrück
N/A, Blumenhaller Weg 11, 49080, Osnabrück
Smo Md GmbH
Zentrum für klinische Studien Magdeburg, Bierer Weg 9, Leipziger Str., Magdeburg
MVZ im Altstadt-Carree Fulda GmbH
N/A, Dalbergstrasse 22, Innenstadt, Fulda
Herz Und Diabeteszentrum NRW Bad Oeynhausen Universitaetsklinik Der Ruhr-Universitaet Bochum
N/A, Georgstrasse 11, Innenstadt, Bad Oeynhausen
KliFoCenter GmbH
Forschungszentrum Ruhr, Diakonissenstrasse 8, Mitte, Witten
Zentrum fuer klinische Studien Suedbrandenburg GmbH
N/A, Bahnhofstrasse 22, 04910, Elsterwerda

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2026-05-08 2026-05-11
Denmark 2026-05-11 2026-05-12
France 2026-05-07 2026-05-15
Germany 2026-05-08 2026-05-12

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Corrective measures 1 · Art. 77 CTR

Corrective measure CM-FR-0002

Member state
France
Publication date
2026-05-07
Type
3
Reason
7
Immediate action required
Yes
Justification
In line with CTR Q&A / point 1.23, the sponsor is asked to submit a substantial modification application in order to update the CTA in line with the documentation approved during the appeal procedure within 10 days after the submission of this corrective measure.

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 52 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) d1_nn9490-8021-protocol-2024-520440-42-english_for-publication 3
Protocol (for publication) d4_be_nn9490-8021-low-blood-sugar-episodes-hypoglycaemia-diary_-dutch-_for-publication 1
Protocol (for publication) d4_be_nn9490-8021-low-blood-sugar-episodes-hypoglycaemia-diary_-french-_for-publication 1
Protocol (for publication) d4_de_nn9490-8021-low-blood-sugar-episodes-hypoglycaemia-german-_for-publication 1
Protocol (for publication) d4_fr_nn9490-8021-low-blood-sugar-episodes-hypoglycaemia-diary-french-_for-publication 1
Protocol (for publication) d4_nn9490-8021-low-blood-sugar-episodes-hypoglycaemia-diary-english_for-publication 1
Protocol (for publication) d4_nn9490-8021-patient-facing-material-with-copyright_for-publication 1
Recruitment arrangements (for publication) k1_be_nn9490-8021-recruitment-arrangements-english_for-publication 1
Recruitment arrangements (for publication) k1_de_nn9490-8021-recruitment-arrangements-english_for-publication 1
Recruitment arrangements (for publication) k1_dk_nn9490-8021-recruitment-arrangements-informed-consent-procedure_english_for-publication 2
Recruitment arrangements (for publication) k1_fr_nn9490-8021-recruitment-arrangements-french_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-landing-page-trialtree_dutch-_for-publication 2
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-landing-page-trialtree_french-_for-publication 2
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-picture-1-trialtree-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-picture-2-trialtree-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-picture-3-trialtree-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-picture-4-trialtree-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-picture-5-trialtree-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-promotional-text-trialtree_dutch-and-french-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-recruitment-brochure-site-meclinas_dutch-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-recruitment-plan-site-meclinas_dutch-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-recruitment-poster_dutch-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-recruitment-poster_french-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-social-media-texts-site-meclinas_dutch-_for-publication 1
Recruitment arrangements (for publication) k2_be_nn9490-8021-recruitment-material-website-text-site-meclinas_dutch-_for-publication 1
Recruitment arrangements (for publication) k2_de_nn9490-8021-recruitment-material-advertisement-german-_for-publication 1
Recruitment arrangements (for publication) k2_de_nn9490-8021-recruitment-material-recruitment-poster-german-_for-publication 2
Recruitment arrangements (for publication) k2_dk_nn9490-8021-recruitment-material-letter-to-participants-danish-_for-publication 2
Recruitment arrangements (for publication) k2_dk_nn9490-8021-recruitment-material-recruitment-poster-danish_for-publication 2
Recruitment arrangements (for publication) k2_dk_nn9490-8021-recruitment-material-sanos-danish_for-publication 1.1
Recruitment arrangements (for publication) k2_dk_nn9490-8021-recruitment-material-trialtree-danish-_for-publication 2
Recruitment arrangements (for publication) k2-fr-nn9490-8021-recruitment-advertisement-recruitment-poster-french-for-publication 1
Subject information and informed consent form (for publication) l1_be-nn9490-8021-piic-main_dutch-_for-publication 2
Subject information and informed consent form (for publication) l1_be-nn9490-8021-piic-main_french-_for-publication 2
Subject information and informed consent form (for publication) l1_be-nn9490-8021-piic-partner_dutch-_for-publication 1
Subject information and informed consent form (for publication) l1_be-nn9490-8021-piic-partner_french-_for-publication 1
Subject information and informed consent form (for publication) l1_be-nn9490-8021-piic-sponsor-statement-main-icf-_for-publication 1
Subject information and informed consent form (for publication) l1_de-nn9490-8021-piic-adult-_for-publication 2
Subject information and informed consent form (for publication) l1_de-nn9490-8021-piic-future-research-_for-publication 2
Subject information and informed consent form (for publication) l1_de-nn9490-8021-piic-partner-_for-publication_corrected 1
Subject information and informed consent form (for publication) l1_dk-nn9490-8021-piic-main-_for-publication 4
Subject information and informed consent form (for publication) l1_fr-nn9490-8021-piic-adult-_for-publication 1
Subject information and informed consent form (for publication) l1_fr-nn9490-8021-piic-future-_for-publication 1
Subject information and informed consent form (for publication) l1_fr-nn9490-8021-piic-home-delivery-_for-publication 1
Subject information and informed consent form (for publication) l1_fr-nn9490-8021-piic-partner-_for-publication 1
Subject information and informed consent form (for publication) l2_dk-nn9490-8021-other-subject-information-material_retten-til-ikke-viden-_for-publication 1
Subject information and informed consent form (for publication) l2_dk-nn9490-8021-other-subject-information-material_rettigheder-som-forsgsperson-_for-publication 1
Synopsis of the protocol (for publication) d1_be_nn9490-8021-protocol-synopsis-2024-520440-42-dutch-_for-publication 1
Synopsis of the protocol (for publication) d1_be_nn9490-8021-protocol-synopsis-2024-520440-42-french-_for-publication 1
Synopsis of the protocol (for publication) d1_be_nn9490-8021-protocol-synopsis-2024-520440-42-german-_for-publication 1
Synopsis of the protocol (for publication) d1_fr_nn9490-8021-protocol-synopsis-2024-520440-42-french-_for-publication 1
Synopsis of the protocol (for publication) d1_nn9490-8021-protocol-synopsis-2024-520440-42-english_for-publication 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-01-12 Denmark Acceptable
2026-05-04
2026-05-04
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-05-08 Denmark Acceptable
2026-05-04
2026-05-08