Overview
Sponsor-declared trial summary
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
- CCI
- CCI
- CCI
- 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
- 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
- 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
- CCI
- 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
- CCI
- 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)
- CCI
- 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
- 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)
- CCI
- To compare the safety and tolerability of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo in participants with obesity
- 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
- CCI
- 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)
- CCI
- 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
- CCI
- CCI
- CCI
- 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
- 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
- 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)
- CCI
- 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. Male or female (sex at birth).
- 2. Age 18CCI years CCI at the time of signing the informed consent.
- 3. Body Mass Index (BMI) CCI kg/m2 .
- 4. CCI
Exclusion criteria 3
- 1. Glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol) as measured by the central laboratory at screening.
- 2. History of type 1 or type 2 diabetes mellitus as declared by the participant or reported in the medical records.
- 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
- Relative change in body weight
Secondary endpoints 46
- CCI
- CCI
- CCI
- Change in waist circumference
- Change in systolic blood pressure (SBP)
- Change in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function score
- CCI
- Change in SF-36v2® Health Survey Acute (SF-36v2 Acute) physical functioning scorea
- CCI
- Change in body weight
- Change in body mass index (BMI)
- CCI
- Change in IWQOL-Lite-CT Physical composite score Psychosocial composite score Total score
- CCI
- CCI
- CCI
- Change in glycated haemoglobin (HbA1c)
- Change in fasting plasma glucose (FPG)
- Change in fasting insulin
- Change in diastolic blood pressure (DBP)
- 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
- Change in high-sensitivity C-reactive protein (hsCRP)
- CCI
- CCI
- Number of: Treatment Emergent Adverse Events (TEAEs) Treatment Emergent Serious Adverse Events (TESAEs) TEAEs leading to permanent treatment discontinuation
- Extension phase secondary endpoints are as follows: Relative change in body weight
- CCI
- Change in body weight
- Change in body mass index (BMI)
- CCI
- Change in SF-36v2® Health Survey Acute (SF-36v2 Acute) physical functioning score
- 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
- CCI
- CCI
- CCI
- CCI
- Change in waist circumference
- Change in systolic blood pressure (SBP)
- Change in glycated haemoglobin (HbA1c)
- Change in fasting plasma glucose (FPG)
- Change in fasting insulin
- 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
- Change in high-sensitivity C-reactive protein (hsCRP)
- CCI
- CCI
- 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
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
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
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
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
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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |