Overview
Sponsor-declared trial summary
Obesity
To confirm superiority of NNC0487-0111 CCI 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
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Trial duration
- 28 Apr 2026 → ongoing
- Decision date (initial)
- 2026-04-27
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Novo Nordisk A/S
External identifiers
- EU CT number
- 2025-523804-62-00
- WHO UTN
- U1111-1327-1477
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
To confirm superiority of NNC0487-0111 CCI versus placebo on change in body weight in participants with obesity
Secondary objectives 19
- To confirm superiority of NNC0487-0111 CCI versus placebo on change in body weight in participants with obesity
- CCI
- CCI
- CCI
- To confirm superiority of NNC0487-0111 CCI versus placebo on change in waist circumference in participants with obesity
- To confirm superiority of NNC0487-0111 CCI versus placebo on change in systolic blood pressure (SBP) in participants with obesity
- To confirm superiority of NNC0487-0111 CCI versus placebo on change in physical functioning in participants with obesity
- To confirm superiority of NNC0487-0111 CCI versus placebo on change in physical functioning in participants with obesity
- To compare the effect of NNC0487-0111 CCI C versus placebo in participants with obesity on: Body weight Body mass index (BMI)
- To investigate the effect of NNC0487-0111 CCI in participants with obesity on: Body weight BMI
- CCI
- To compare the effect of NNC0487-0111 CCI versus placebo in participants with obesity on: Glucose metabolism Diastolic blood pressure (DBP) Lipids High-sensitivity C-reactive protein (hsCRP)
- To investigate the effect of NNC0487-0111 CCI in participants with obesity on: Glucose metabolism DBP Lipids hsCRP
- To investigate the effect of NNC0487-0111 CCI on change in waist circumference in participants with obesity
- To investigate the effect of NNC0487-0111 CCI on change in SBP in participants with obesity
- To compare the effect of NNC0487-0111 CCI versus placebo on physical functioning and weight-related quality of life in participants with obesity
- CCI
- To investigate the safety and tolerability of NNC0487-0111 as an adjunct to reduced-calorie diet and increased physical activity in participants with obesity
- To compare the safety and tolerability of NNC0487-0111 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
- Male or female (sex at birth).
- Age between 18 CCI years CCI at the time of signing informed consent.
- Body Mass Index (BMI) ≥ CCI kg/m2.
- CCI
Exclusion criteria 3
- Glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol) as measured by the central laboratory at screening.
- History of type 1 or type 2 diabetes mellitus as declared by the participant or reported in the medical records.
- 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 20
- Relative change in body weight
- 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
- Change in SF-36v2® Health Survey Acute (SF-36v2 Acute) Physical functioning score
- Change in body weight
- Change in body mass index (BMI)
- 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)
- Change in IWQOL-Lite-CT: Physical composite score Psychosocial composite score Total score
- 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
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
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
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
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
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
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
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 7
| Organisation | City, country | Duties |
|---|---|---|
| Marken Limited ORG-100050177
|
London, United Kingdom | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | Other |
| Veeva Systems Inc. ORG-100006053
|
Pleasanton, United States | Other |
| Roche Diabetes Care Inc. ORG-100047645
|
Indianapolis, United States | Other |
| 4G Clinical B.V. ORG-100044721
|
Amsterdam, Netherlands | Other |
| Celerion Switzerland AG ORG-100013062
|
Fehraltorf, Switzerland | Other |
| Iqvia Biotech Limited ORG-100008726
|
Reading, United Kingdom | Other |
Locations
8 EU/EEA countries · 47 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ongoing, recruiting | 30 | 4 |
| Bulgaria | Ongoing, recruiting | 45 | 8 |
| Denmark | Ongoing, recruiting | 30 | 3 |
| France | Ongoing, recruiting | 40 | 5 |
| Germany | Ongoing, recruiting | 45 | 7 |
| Italy | Ongoing, recruiting | 40 | 8 |
| Netherlands | Ongoing, recruiting | 50 | 5 |
| Spain | Ongoing, recruiting | 45 | 7 |
| Rest of world
Australia, United Kingdom, Argentina, United States
|
— | 275 | — |
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 | 2026-05-05 | 2026-05-08 | |||
| Bulgaria | 2026-05-08 | 2026-05-14 | |||
| Denmark | 2026-05-07 | 2026-05-13 | |||
| France | 2026-04-28 | 2026-04-30 | |||
| Germany | 2026-05-06 | 2026-05-11 | |||
| Italy | 2026-05-28 | 2026-05-29 | |||
| Netherlands | 2026-05-01 | 2026-05-07 | |||
| Spain | 2026-05-05 | 2026-05-07 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 82 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | d1_nn9490-8559-protocol-2025-523804-62-english_for-publication | 1 |
| Protocol (for publication) | d4_be_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-dutch_for-publication | 1 |
| Protocol (for publication) | d4_be_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-french_for-publication | 1 |
| Protocol (for publication) | d4_bg_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-bulgarian_for-publication | 1 |
| Protocol (for publication) | d4_de_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-german_for-publication | 1 |
| Protocol (for publication) | d4_es_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-spanish_for-publication | 1 |
| Protocol (for publication) | d4_fr_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-french_for-publication | 1 |
| Protocol (for publication) | d4_it_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-italian_for-publication | 1 |
| Protocol (for publication) | d4_nn9490-8559-low-blood-sugar-episodes-hypoglycaemia-diary-english_for-publication | 1 |
| Protocol (for publication) | d4_nn9490-8559-patient-facing-material-with-copyright-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_be_nn9490-8559-recruitment-arrangements_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k1_bg_nn9490-8559-recruitment-arrangements-bulgarian_for-publication | 2 |
| Recruitment arrangements (for publication) | k1_de_nn9490-8559-recruitment-arrangements-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_dk_nn9490-8559-recruitment-arrangements-english_for-publication | 2 |
| Recruitment arrangements (for publication) | k1_es_nn9490-8559-recruitment-arrangements-english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_fr_nn9490-8559-recruitment-arrangement_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k1_it_nn9490-8559-recruitment-arrangement_english_for-publication | 1 |
| Recruitment arrangements (for publication) | k1_nl_nn9490-8559-recruitment-arrangements-english_for-publication | 3 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-landing-page-trialtree_dutch_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-landing-page-trialtree_french_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-picture-1-trialtree-_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-picture-2-trialtree_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-picture-3-trialtree_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-picture-4-trialtree_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-picture-5-trialtree_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-promotional-text-trialtree-_dutch-and-french_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-recruitment-poster_dutch_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_be_nn9490-8559-recruitment-material-recruitment-poster_french_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_bg_nn9490-8559-recruitment-material-recruitment-poster_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_de_nn9490-8559-recruitment-material-recruitment-poster-german_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_dk_nn9490-8559-recruitment-material-poster-for-publication | 2 |
| Recruitment arrangements (for publication) | k2_dk_nn9490-8559-recruitment-material-sanos-clinic_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_dk_nn9490-8559-recruitment-material-trialtree-_for-publication | 2 |
| Recruitment arrangements (for publication) | k2_es_nn9490-8559-recruitment-material-carrousel-spanish-for-publication | 1 |
| Recruitment arrangements (for publication) | k2_es_nn9490-8559-recruitment-material-recruitment-advertisement_web-page-spanish_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_es_nn9490-8559-recruitment-material-recruitment-poster-patient-association-spanish-for-public | 2 |
| Recruitment arrangements (for publication) | k2_es_nn9490-8559-recruitment-material-recruitment-poster-spanish-for-publication | 2 |
| Recruitment arrangements (for publication) | k2_es_nn9490-8559-recruitment-material-reel-spanish-for-publication | 1 |
| Recruitment arrangements (for publication) | k2_fr_nn9490-8559-recruitment-material-poster_for-publication | 1.0 |
| Recruitment arrangements (for publication) | k2_it_nn9490-8559-recruitment-material-recruitment-poster-italian-_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_nl_nn9490-8559-recruitment-material-advertisement-campagne-subjectwell-dutch_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_nl_nn9490-8559-recruitment-material-recruitment-campagne-1-dutch_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_nl_nn9490-8559-recruitment-material-recruitment-campagne-2-dutch_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_nl_nn9490-8559-recruitment-material-recruitment-campagne-3-dutch_for-publication | 1 |
| Recruitment arrangements (for publication) | k2_nl_nn9490-8559-recruitment-material-recruitment-poster-dutch_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_be-nn9490-8559-piic-main-dutch_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_be-nn9490-8559-piic-main-french_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_be-nn9490-8559-piic-partner_du-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_be-nn9490-8559-piic-partner_fr-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_be-nn9490-8559-piic-sponsor-statement-main-icf-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_bg-nn9490-8559-piic-home-delivery-bulgarian-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_bg-nn9490-8559-piic-home-delivery-english_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_bg-nn9490-8559-piic-main-bulgarian_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_bg-nn9490-8559-piic-main-english_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_bg-nn9490-8559-piic-partner-bulgarian-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_bg-nn9490-8559-piic-partner-english-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_de-nn9490-8559-piic-adult-_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_de-nn9490-8559-piic-home-delivery-german-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_de-nn9490-8559-piic-male-partner-german-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_dk-nn9490-8559-piic-main_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_es-nn9490-8559-piic-adult-spanish_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_es-nn9490-8559-piic-direct-to-patient-spanish_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_es-nn9490-8559-piic-partner-spanish_for-publication | 2 |
| Subject information and informed consent form (for publication) | l1_fr-nn9490-8559-piic-adult_for-publication | 1.1 |
| Subject information and informed consent form (for publication) | l1_fr-nn9490-8559-piic-home-delivery-_for-publication | 1.0 |
| Subject information and informed consent form (for publication) | l1_fr-nn9490-8559-piic-partner_for-publication | 1.1 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8559-piic-adult-italian_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8559-piic-home-delivery-italian_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_it-nn9490-8559-piic-male-partner_italian-_for-publication | 1 |
| Subject information and informed consent form (for publication) | l1_nl-nn9490-8559-piic-adult-dutch_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_nl-nn9490-8559-piic-future-parents-dutch_for-publication | 3 |
| Subject information and informed consent form (for publication) | l1_nl-nn9490-8559-piic-home-delivery-dutch_for-publication | 1 |
| Subject information and informed consent form (for publication) | l2_dk-nn9490-8559_dine-rettigheder-som-forsgsperson-i-forsg-med-medicin-_for-publication | 14.0 |
| Synopsis of the protocol (for publication) | d1_be_nn9490-8559-protocol-synopsis-2025-523804-62-dutch_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_be_nn9490-8559-protocol-synopsis-2025-523804-62-french_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_be_nn9490-8559-protocol-synopsis-2025-523804-62-german_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_bg_nn9490-8559-protocol-synopsis-2025-523804-62-bulgarian_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_es_nn9490-8559-protocol-synopsis-2025-523804-62-spanish_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_fr_nn9490-8559-protocol-synopsis-2025-523804-62-french_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_it_nn9490-8559-protocol-synopsis-2025-523804-62-italian_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_nl_nn9490-8559-protocol-synopsis-2025-523804-62-dutch_for-publication | 1 |
| Synopsis of the protocol (for publication) | d1_nn9490-8559-protocol-synopsis-2025-523804-62-english_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 | Denmark | Acceptable 2026-04-27
|
2026-04-27 |