Overview
Sponsor-declared trial summary
Overweight or obesity, and type 2 diabetes
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 overweight or obesity, and type 2 diabetes (T2D)
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
- 13 May 2026 → ongoing
- Decision date (initial)
- 2026-05-11
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Novo Nordisk A/S
External identifiers
- EU CT number
- 2024-520441-23-00
- WHO UTN
- U1111-1313-6325
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 overweight or obesity, and type 2 diabetes (T2D)
Secondary objectives 10
- CCI
- CCI
- CCI
- To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on waist circumference in participants with overweight or obesity, and T2D
- To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on change in haemoglobin A1c in participants with overweight or obesity, and T2D
- To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on systolic blood pressure in participants with overweight or obesity, and T2D
- To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on physical functioning in participants with overweight or obesity, and T2D
- CCI
- To confirm superiority of 00 mg, 00 mg, 00 mg, 00 mg NNC0487-0111, each versus placebo on physical functioning in participants with overweight or obesity, and T2D
- CCI
Conditions and MedDRA coding
Overweight or obesity, and type 2 diabetes
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 7
- 1. Male or female (sex at birth).
- 2. Age 18 years or above at the time of signing informed consent.
- 3. BMI CCI kg/m2.
- 4. CCI
- 5. Diagnosed with type 2 diabetes mellitus ≥ 180 days before screening.
- 6. Treatment with lifestyle intervention, and/or 0-3 marketed oral antidiabetic drugs (OAD)s (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose cotransporter 2 inhibitor (SGLT2i), thiazolidinediones, or sulfonylureas (SU) as a single agent or in combination) according to local label. Treatment with oral antidiabetic drugs should be stable (same drug(s), dose and dosing frequency) for at least CCI before screening.
- 7. Haemoglobin A1c (HbA1c) 7-10% (53-86 mmol/mol) (both inclusive) as measured by the central laboratory at screening.
Exclusion criteria 5
- 1. Renal impairment with estimated Glomerular Filtration Rate (eGFR) < 30 mL/min/1.73 m2 (2021 CKD-EPI formula), at screening.
- 2. Participant with diabetic retinopathy or maculopathy who received treatment with retinal photocoagulation, vitrectomy or anti-Vascular Endothelial Growth Factor (anti-VEGF) within180 days before screening or are expected to require treatment within 180 days after screening. Diabetic retinopathy or maculopathy must be verified by an eye examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination.
- 3. Known hypoglycaemic unawareness as indicated by the investigator according to Clarke’s questionnaire question.
- 4. Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
- 5. 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 38
- CCI
- CCI
- CCI
- Change in waist circumference
- Change in haemoglobin A1c (HbA1c)
- 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)
- Change in IWQOL-Lite-CT Physical Psychosocial Total score
- CCI
- CCI
- CCI
- CCI
- CCI
- Achievement of HbA1c < 7.0% (Yes/No)
- Achievement of HbA1c ≤ 6.5% (Yes/No)
- Achievement of HbA1c < 5.7% (Yes/No)
- Change in fasting plasma glucose (FPG)
- Change in fasting insulin
- Change in urinary albumin-to-creatinine ratio (UACR)
- Change in diastolic blood pressure
- 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
- CCI
- CCI
- CCI
- CCI
- Number of Treatment Emergent Adverse Events (TEAEs)
- Number of Treatment Emergent Serious Adverse Events (TESAEs)
- Number of Treatment Emergent Adverse Events (TEAEs) leading to permanent treatment discontinuation
- Number of treatment emergent clinically significant hypoglycaemic episodes (level 2) (< 3.0 mmol/L (54 mg/dL), confirmed by a blood glucose (BG) meter)
- Number of treatment emergent severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 6
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
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
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 10
| Organisation | City, country | Duties |
|---|---|---|
| SYRINX Bioanalytics Oy ORG-100021026
|
Turku, Finland | Laboratory analysis |
| Roche Diabetes Care Inc. ORG-100047645
|
Indianapolis, United States | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Other |
| Celerion Switzerland AG ORG-100013062
|
Fehraltorf, Switzerland | Laboratory analysis |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Other |
| Veeva Systems Inc. ORG-100006053
|
Pleasanton, United States | Other |
| 4G Clinical B.V. ORG-100044721
|
Amsterdam, Netherlands | Other |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | Other |
| Nordic Bioscience A/S ORG-100009315
|
Herlev, Denmark | Laboratory analysis |
| Marken Limited ORG-100050177
|
London, United Kingdom | Other |
Locations
5 EU/EEA countries · 36 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Croatia | Ongoing, recruiting | 40 | 8 |
| Hungary | Not authorised | 65 | 7 |
| Italy | Authorised, recruitment pending | 30 | 6 |
| Romania | Ongoing, recruiting | 80 | 9 |
| Slovakia | Ongoing, recruiting | 50 | 6 |
| Rest of world
Korea, Republic of, United States, Brazil, Mexico, Argentina
|
— | 365 | — |
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 |
|---|---|---|---|---|---|
| Croatia | 2026-05-13 | 2026-05-14 | |||
| Romania | 2026-05-13 | 2026-05-14 | |||
| Slovakia | 2026-05-13 | 2026-05-14 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 41 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | d1_nn9490-8024-protocol-2024-520441-23-english_-for-publication | 3 |
| Protocol (for publication) | d4_nn9490-8024-patient-facing-material-with-copyright-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_hr_nn9490-8024-recruitment-arrangements-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_hu_nn9490-8024-recruitment-arrangements-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_it_nn9490-8024-recruitment-arrangements-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_ro_nn9490-8024-recruitment-arrangements-romanian_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_sk_nn9490-8024-recruitment-arrangements-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_sk_nn9490-8024-recruitment-material-participant-recruitment-poster-slovak-_for-publication | 2 |
| Recruitment arrangements (for publication) | k2-hr-nn9490-8024-recruitment-advertisement-recruitment-poster-croatian-for-publication | 1 |
| Recruitment arrangements (for publication) | k2-hu-nn9490-8024-recruitment-advertisement-recruitment-poster-hungarian-for-publication | 2 |
| Recruitment arrangements (for publication) | k2-it-nn9490-8024-recruitment-advertisement-recruitment-poster-italian-for-publication | 1 |
| Recruitment arrangements (for publication) | k2-ro-nn9490-8024-recruitment-advertisement-recruitment-poster-romanian-for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_hr-nn9490-8024-piic-dtp-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_hr-nn9490-8024-piic-future-research-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_hr-nn9490-8024-piic-informed-consent-form-for-contact-persons-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_hr-nn9490-8024-piic-main-_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_hr-nn9490-8024-piic-male-partner-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_hr-nn9490-8024-piic-pregnant-participant-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_hu-nn9490-8024-piic-dtp-hungarian-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_hu-nn9490-8024-piic-future-and-genetic-ic-hungarian-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_hu-nn9490-8024-piic-future-and-genetic-pi-hungarian-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_hu-nn9490-8024-piic-main-hungarian-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_hu-nn9490-8024-piic-partner-hungarian-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8024-piic-future-research-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8024-piic-home-delivery-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8024-piic-main-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8024-piic-male-partner-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_ro-nn9490-8024-piic-future-research-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_ro-nn9490-8024-piic-main-adult-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_ro-nn9490-8024-piic-male-partner-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_sk-nn9490-8024-piic-data-protection-notice-to-main-adult-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_sk-nn9490-8024-piic-dtp-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_sk-nn9490-8024-piic-future-research-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_sk-nn9490-8024-piic-main-adult-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_sk-nn9490-8024-piic-male-partner-_for-publication | 2 |
| Synopsis of the protocol (for publication) | d1_hr_nn9490-8024-protocol-synopsis-2024-520441-23-croatian-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_hu_nn9490-8024-protocol-synopsis-2024-520441-23-hungarian-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_it_nn9490-8024-protocol-synopsis-2024-520441-23-italian-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_nn9490-8024-protocol-synopsis-2024-520441-23-english_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_ro_nn9490-8024-protocol-synopsis-2024-520441-23-romanian-_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_sk_nn9490-8024-protocol-synopsis-2024-520441-23-slovakian-_for-publication | 1 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2026-01-12 | Slovakia | Acceptable 2026-05-04
|
2026-05-04 |