AMAZE 2: A research study investigating how well the medicine NNC0487-0111 helps people with excess body weight and type 2 diabetes lose weight

2024-520441-23-00 Protocol NN9490-8024 Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 13 May 2026 · Status Ongoing, recruiting · 5 EU/EEA countries · 36 sites · Protocol NN9490-8024

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 630
Countries 5
Sites 36

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

  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 waist circumference in participants with overweight or obesity, and T2D
  5. 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
  6. 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
  7. 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
  8. CCI
  9. 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
  10. 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. 1. Male or female (sex at birth).
  2. 2. Age 18 years or above at the time of signing informed consent.
  3. 3. BMI CCI kg/m2.
  4. 4. CCI
  5. 5. Diagnosed with type 2 diabetes mellitus ≥ 180 days before screening.
  6. 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. 7. Haemoglobin A1c (HbA1c) 7-10% (53-86 mmol/mol) (both inclusive) as measured by the central laboratory at screening.

Exclusion criteria 5

  1. 1. Renal impairment with estimated Glomerular Filtration Rate (eGFR) < 30 mL/min/1.73 m2 (2021 CKD-EPI formula), at screening.
  2. 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. 3. Known hypoglycaemic unawareness as indicated by the investigator according to Clarke’s questionnaire question.
  4. 4. Recurrent severe hypoglycaemic episodes within the last year as judged by the investigator.
  5. 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

  1. Relative change in body weight

Secondary endpoints 38

  1. CCI
  2. CCI
  3. CCI
  4. Change in waist circumference
  5. Change in haemoglobin A1c (HbA1c)
  6. Change in systolic blood pressure (SBP)
  7. Change in Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) physical function score
  8. CCI
  9. Change in SF-36v2® Health Survey Acute (SF-36v2 Acute) physical functioning scorea
  10. CCI
  11. Change in body weight
  12. Change in body mass index (BMI)
  13. Change in IWQOL-Lite-CT Physical Psychosocial Total score
  14. CCI
  15. CCI
  16. CCI
  17. CCI
  18. CCI
  19. Achievement of HbA1c < 7.0% (Yes/No)
  20. Achievement of HbA1c ≤ 6.5% (Yes/No)
  21. Achievement of HbA1c < 5.7% (Yes/No)
  22. Change in fasting plasma glucose (FPG)
  23. Change in fasting insulin
  24. Change in urinary albumin-to-creatinine ratio (UACR)
  25. Change in diastolic blood pressure
  26. 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
  27. Change in high-sensitivity C-reactive protein (hsCRP)
  28. CCI
  29. CCI
  30. CCI
  31. CCI
  32. CCI
  33. CCI
  34. Number of Treatment Emergent Adverse Events (TEAEs)
  35. Number of Treatment Emergent Serious Adverse Events (TESAEs)
  36. Number of Treatment Emergent Adverse Events (TEAEs) leading to permanent treatment discontinuation
  37. Number of treatment emergent clinically significant hypoglycaemic episodes (level 2) (< 3.0 mmol/L (54 mg/dL), confirmed by a blood glucose (BG) meter)
  38. 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

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

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

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 10

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Croatia

8 sites · Ongoing, recruiting
Specijalna Bolnica Za Medicinsku Rehabilitaciju Krapinske Toplice
N/A, Ulica Ljudevita Gaja 2, 49217, Krapinske Toplice
Thalassotherapia Specijalna bolnica za medicinsku rehabilitaciju bolesti srca pluca i reumatizma
N/A, Marsala Tita 188/1, 51410, Opatija
Pula General Hospital Ospedale Generale di Pola
N/A, Santoriova Ulica 24a, Pula, Pula - Pola
Poliklinika za oftalmologiju optometriju i neurologiju Lux
N/A, Ulica Stjepana Radica 34b, 21210, Solin
Poliklinika SLAVONIJA OSIJEK za opcu kirurgiju radiologiju baromedicinu ginekologiju i porodiljstvo i internu medicinu
N/A, Josipa Jurja Strossmayera 163, 31000, Osijek
Poliklinika Solmed d.o.o.
N/A, Preradoviceva Ulica 20, Zagreb, Grad Zagreb
Opca Bolnica Varazdin
N/A, Ulica Ivana Mestrovica 1, 42000, Varazdin
Opca Bolnica Karlovac
N/A, Dr. Andrije Stampara 3, 47000, Karlovac

Hungary

7 sites · Not authorised
Somogy Varmegyei Kaposi Mor Oktato Korhaz
N/A, Tallian Gyula Utca 20-32, 7400, Kaposvar
DRC Kft.
N/A, Ady Endre Utca 12/b, 8230, Balatonfured
Central Hospital Of Northern Pest Military Hospital
N/A, Robert Karoly Korut 44, 1134, Budapest XIII
PVN Kutato Kft.
N/A, Halom Utca 10, 1102, Budapest X
Trantor 99 Bt.
N/A, Damjanich Janos Ut 127, Kerulet, Budapest XXI
University Of Szeged
N/A, Kalvaria Sugarut 57, 6725, Szeged
Szent Margit Rendelointezet Nonprofit Kft.
N/A, Vorosvari Ut 88-96/III, III Kerulet, Budapest III

Italy

6 sites · Authorised, recruitment pending
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
N/A, Via Pietro Albertoni 15, 40138, Bologna
Ospedale San Raffaele S.r.l.
N/A, Via Olgettina 60, 20132, Milan
ASST Grande Ospedale Metropolitano Niguarda
N/A, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Dip. di Medicina Interna, Via Del Vespro 129, 90127, Palermo
Azienda Ospedaliero-Universitaria Policlinico Umberto I
N/A, Viale Del Policlinico 155, 00161, Rome
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
UOC di Gastroenterologia - Programma Dipartimentale di Nutrizione Clinica, Via Del Vespro 129, 90127, Palermo

Romania

9 sites · Ongoing, recruiting
Poli Cardinal Med S.R.L.
N/A, Strada Cardinal Alexandru Todea Nr. 22, 545300, Reghin
Spital Judetean De Urgenta Satu Mare
Cardiologie, Piata Eroilor Revolutiei 1-2, 440055, Satu Mare
Diabet Med S.R.L.
N/A, Calea Rahovei No 322d, 050913, Bucharest
Cmi Dr. Cojocaru Cristina
N/A, Str. Capitan Dobrila Eugeniu, nr.1; Bl.L; Sc.B, Constanta
Nutrilife S.R.L.
N/A, Strada Dobrogeanu-Gherea Constantin 10-12, 013764, Bucharest
Sc Cmi Dr. Pletea Noemi S.R.L.
N/A, Strada Stadionului Nr 3a Parter, 600154, Bacau
Clinica Diabnutrimed S.R.L.
N/A, Strada Sfantul Petru Tei 60a, 020359, Bucharest
A & C Medical Prime S.R.L.
N/A, Corp II, Bulevardul Carol I 11 Apt 2, Craiova
Top Diabet S.R.L.
N/A, Block D2 Staircase 3 Apartment 2, Strada Calea Bucuresti No 58, Craiova

Slovakia

6 sites · Ongoing, recruiting
Dia Kontrol s.r.o.
Ambulancia diabetologie a poruch latkovej premeny a vyzivy, Ul. Snp 19, 934 01, Levice
Areteus s.r.o.
Ambulancia diabetologie a poruch latkovej premeny a vyzivy, M. R. Stefanika 25a/3782, 075 01, Trebisov
Oliver-Med s.r.o.
Ambulancia diabetologie a poruch latkovej premeny a vyzivy, P. Dobsinskeho 4380, 979 01, Rimavska Sobota
Peter Farkas MD s.r.o.
Ambulancia diabetologie a poruch latkovej premeny a vyzivy, F. Rakocziho II 2, 936 01, Sahy
Narodny Endokrinologicky A Diabetologicky Ustav
Ambulancia diabetologie a poruch latkovej premeny a vyzivy, Kollarova 282/3, 034 91, Lubochna
DEImedi s.r.o.
Ambulancia diabetologie a poruch latkovej premeny a vyzivy, Mudrochova 966/2, 942 01, Surany

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2026-01-12 Slovakia Acceptable
2026-05-04
2026-05-04