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CompletedPhase 2Results posted

A Study of LY3305677 Compared With Placebo in Adult Participants With Obesity or Overweight

A Phase 2, Parallel-Group, Double-Blind, 4-Arm Study to Investigate Weight Management With LY3305677 Compared With Placebo and in Adult Participants With Obesity or Overweight

Asset

Mazdutide

Subcutaneous · GLP-1 / glucagon dual

Listed sites

29

Recruiting sites

Enrollment

179

actual

Study population

Obesity / overweight

Key I/E criterion

BMI ≥27

Primary endpoints

Body WeightBody weight, % change

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT06124807
Org study ID18661
Secondary IDCWMM Master ProtocolEli Lilly and Company
Secondary IDW8M-MC-OXA1ISA Number

Timeline

Milestones

Study first posted2023-11-09actual
Study start2023-11-17actual
Primary completion2025-01-22actual
Study completion2025-07-09actual
Last update posted2026-04-21actual
Results first posted2026-04-21actual

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweight

Eligibility

Who can enroll

Minimum age18 Years
Maximum age75 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

W8M-MC-OXA1:

Are males and females who agree to abide by the reproductive and contraceptive requirements

W8M-MC-CWMM:

Have a BMI ≥27 kilograms per square meter (kg/m²)

Exclusion criteria

W8M-MC-OXA1:

Have any prior diagnosis of diabetes mellitus, that is type 2 diabetes mellitus (T2DM), or rare forms of diabetes mellitus, except gestational diabetes.
Have any of the following cardiovascular conditions within 6 months prior to screening:
acute myocardial infarction
cerebrovascular accident (stroke)
unstable angina, or
hospitalization due to congestive heart failure (CHF).
Have a history of New York Heart Association (NYHA) Functional Classification I-IV CHF.
Participants with hypertension who do not have well-controlled blood pressure (BP) (>140/90 mmHg), regardless of antihypertensive treatment. Participants receiving treatment for hypertension should be on a stable antihypertensive regimen for at least 3 months prior to screening.
Have a history of acute or chronic pancreatitis.

Note: If the investigator anticipates a need to add antihypertensive medication during the study, the participant should not be included in the ambulatory blood pressure monitoring (ABPM) procedures.

CWMM:

Have a prior or planned surgical treatment for obesity, except prior liposuction or abdominoplasty, if performed >1 year prior to screening.
Have type 1 diabetes mellitus, latent autoimmune diabetes in adults, or history of ketoacidosis or hyperosmolar coma.
Have poorly controlled hypertension.
Have signs and symptoms of any liver disease other than nonalcoholic fatty liver disease.
Have a history of symptomatic gallbladder disease within the past 2 years.
Have a lifetime history of suicide attempts.

Endpoints (30)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Weight & body composition
12
MASH / liver
12
Safety / tolerability / PK
6

Weight & body composition

12 endpoints
Primary/registry result

Percent Change From Baseline in Body Weight at Week 32

Time frame:Baseline, Week 32

percent change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percent change95% CI
Placebo-0.85
3/6 mg Mazdutide-7.33
10 mg Mazdutide-15.6
16 mg Mazdutide-18.1
Primary/protocol endpoint

Percent Change From Baseline in Body Weight at Week 32

Time frame:Baseline, Week 32

Body weight, % change

percent change from baseline, improvement

Secondary/registry result

Percent Change From Baseline in Body Weight at Week 48

Time frame:Baseline, Week 48

percent change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percent change95% CI
Placebo-0.047
3/6 mg Mazdutide-10.54
10 mg Mazdutide-19.2
16 mg Mazdutide-22.3
Secondary/registry result

Change From Baseline in Body Weight

Time frame:Baseline, Week 32, Week 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Kilograms (Kg)95% CI
PlaceboWeek 32-0.98
Week 48-0.15
3/6 mg MazdutideWeek 32-7.79
Week 48-11.15
10 mg MazdutideWeek 32-16.1
Week 48-19.7
16 mg MazdutideWeek 32-19.2
Week 48-23.9
Secondary/registry result

Mean Percentage of Participants Who Achieve ≥5% Body Weight Reduction

Time frame:Baseline, Week 32, Week 48

threshold achievement, improvement

Posted result

GroupValue (mean), percentage of participants95% CI
PlaceboWeek 3223.97
Week 4825.96
3/6 mg MazdutideWeek 3267.64
Week 4874.77
10 mg MazdutideWeek 3296.10
Week 4895.91
16 mg MazdutideWeek 3292.23
Week 4891.90
Secondary/registry result

Mean Percentage of Participants Who Achieve ≥10% Body Weight Reduction

Time frame:Baseline, Week 32, Week 48

threshold achievement, improvement

Posted result

GroupValue (mean), percentage of participants95% CI
PlaceboWeek 328.73
Week 4813.77
3/6 mg MazdutideWeek 3245.43
Week 4857.86
10 mg MazdutideWeek 3285.95
Week 4883.97
16 mg MazdutideWeek 3277.08
Week 4880.73
Secondary/registry result

Change From Baseline in Body Mass Index (BMI)

Time frame:Baseline, Week 32, Week 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), kilogram per square metre (kg/m^2)95% CI
PlaceboWeek 32-0.32
Week 48-0.017
3/6 mg MazdutideWeek 32-2.84
Week 48-4.07
10 mg MazdutideWeek 32-5.81
Week 48-7.15
16 mg MazdutideWeek 32-6.86
Week 48-8.53
Secondary/protocol endpoint

Percent Change From Baseline in Body Weight at Week 48

Time frame:Baseline, Week 48

Body weight, % change

percent change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Body Weight

Time frame:Baseline, Week 32, Week 48

Body weight, absolute change (kg)

change from baseline, improvement

Secondary/protocol endpoint

Mean Percentage of Participants Who Achieve ≥5% Body Weight Reduction

Time frame:Baseline, Week 32, Week 48

≥5% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Mean Percentage of Participants Who Achieve ≥10% Body Weight Reduction

Time frame:Baseline, Week 32, Week 48

≥10% weight-loss responders

threshold achievement, improvement

Secondary/protocol endpoint

Change From Baseline in Body Mass Index (BMI)

Time frame:Baseline, Week 32, Week 48

BMI, change

change from baseline, improvement

MASH / liver

12 endpoints
Secondary/registry result

Change From Baseline in Liver Fat Content (LFC) by Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF) in Participants With Baseline LFC >=5%

Time frame:Baseline, Week 32, Week 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Percentage of liver fat content95% CI
PlaceboWeek 32-1.62
Week 48-1.35
3/6 mg MazdutideWeek 32-6.15
Week 48-7.81
10 mg MazdutideWeek 32-7.78
Week 48-8.07
16 mg MazdutideWeek 32-7.91
Week 48-7.74
Secondary/registry result

Percent Change From Baseline in Liver Fat Content by MRI-PDFF in Participants With Baseline LFC >=5%

Time frame:Baseline, Week 32, Week 48

percent change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percent change95% CI
PlaceboWeek 32-14.1
Week 48-11.7
3/6 mg MazdutideWeek 32-53.5
Week 48-68.0
10 mg MazdutideWeek 32-67.7
Week 48-70.2
16 mg MazdutideWeek 32-68.8
Week 48-67.4
Secondary/registry result

Change From Baseline in Liver Fat Content by MRI-PDFF in Participants With Baseline LFC >=10%

Time frame:Baseline, Week 32, Week 48

change from baseline, improvement

Posted result

GroupValue (least_squares_mean), Percentage of liver fat content95% CI
PlaceboWeek 32-4.3
Week 48-4.6
3/6 mg MazdutideWeek 32-9.3
Week 48-12.4
10 mg MazdutideWeek 32-13.8
Week 48-13.9
16 mg MazdutideWeek 32-12.8
Week 48-12.6
Secondary/registry result

Percent Change From Baseline in Liver Fat Content by MRI-PDFF in Participants With Baseline LFC >=10%

Time frame:Baseline, Week 32, Week 48

percent change from baseline, improvement

Posted result

GroupValue (least_squares_mean), percent change95% CI
PlaceboWeek 32-24.7
Week 48-26.3
3/6 mg MazdutideWeek 32-53.4
Week 48-71.2
10 mg MazdutideWeek 32-79.5
Week 48-80.2
16 mg MazdutideWeek 32-73.6
Week 48-72.3
Secondary/registry result

Mean Percentage of Participants With Baseline Liver Fat Content (LFC) >= 5% Who Achieved >30% Relative Reduction in LFC

Time frame:Baseline, Week 32, Week 48

change from baseline, improvement

Posted result

GroupValue (mean), percentage of participants95% CI
PlaceboWeek 3224.93
Week 4830.04
3/6 mg MazdutideWeek 3273.97
Week 4887.73
10 mg MazdutideWeek 3284.93
Week 4885.70
16 mg MazdutideWeek 3283.40
Week 4884.23
Secondary/registry result

Mean Percentage of Participants With Baseline Liver Fat Content (LFC) >=10% Who Achieved >30% Relative Reduction in LFC

Time frame:Baseline, Week 32, Week 48

change from baseline, improvement

Posted result

GroupValue (mean), percentage of participants95% CI
PlaceboWeek 3238.57
Week 4836.82
3/6 mg MazdutideWeek 3271.95
Week 4886.64
10 mg MazdutideWeek 3299.71
Week 4890.46
16 mg MazdutideWeek 3292.04
Week 4878.36
Secondary/protocol endpoint

Change From Baseline in Liver Fat Content (LFC) by Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF) in Participants With Baseline LFC >=5%

Time frame:Baseline, Week 32, Week 48

Liver fat content, change

change from baseline, improvement

Secondary/protocol endpoint

Percent Change From Baseline in Liver Fat Content by MRI-PDFF in Participants With Baseline LFC >=5%

Time frame:Baseline, Week 32, Week 48

Liver fat content, change

percent change from baseline, improvement

Secondary/protocol endpoint

Change From Baseline in Liver Fat Content by MRI-PDFF in Participants With Baseline LFC >=10%

Time frame:Baseline, Week 32, Week 48

Liver fat content, change

change from baseline, improvement

Secondary/protocol endpoint

Percent Change From Baseline in Liver Fat Content by MRI-PDFF in Participants With Baseline LFC >=10%

Time frame:Baseline, Week 32, Week 48

Liver fat content, change

percent change from baseline, improvement

Secondary/protocol endpoint

Mean Percentage of Participants With Baseline Liver Fat Content (LFC) >= 5% Who Achieved >30% Relative Reduction in LFC

Time frame:Baseline, Week 32, Week 48

MRI-PDFF ≥30% responders

threshold achievement, improvement

Secondary/protocol endpoint

Mean Percentage of Participants With Baseline Liver Fat Content (LFC) >=10% Who Achieved >30% Relative Reduction in LFC

Time frame:Baseline, Week 32, Week 48

MRI-PDFF ≥30% responders

threshold achievement, improvement

Safety / tolerability / PK

6 endpoints
Secondary/registry result

Number of Participants With Treatment Emergent Anti-drug Antibodies (TE-ADAs)

Time frame:Baseline up to week 56

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Placebo5
3/6 Milligrams (mg) Mazdutide3
10 mg Mazdutide10
16 mg Mazdutide11
Secondary/registry result

Pharmacokinetics (PK): Area Under the Curve (AUC) of Mazdutide at Steady State

Time frame:Predose at Week 0, Week 4, Week 8, Week 12, Week 24, Week 32, Week 48; Post dose (2 to 6 hours after dosing) at Week 0, Week 12, Week 24

concentration, descriptive

Posted result

GroupValue (geometric_mean), nanogram*hour per milliliter (ng*h/mL)95% CI
3 mg Mazdutide9380044800 – 199000
6 mg Mazdutide19000090600 – 404000
10 mg Mazdutide340000158000 – 758000
16 mg Mazdutide537000240000 – 1210000
Secondary/registry result

PK: Maximum Concentration (Cmax) of Mazdutide at Steady State

Time frame:Predose at Week 0, Week 4, Week 8, Week 12, Week 24, Week 32, Week 48; Post dose (2 to 6 hours after dosing) at Week 0, Week 12, Week 24

concentration, descriptive

Posted result

GroupValue (geometric_mean), nanogram per milliliter (ng/mL)95% CI
3 mg Mazdutide694356 – 1330
6 mg Mazdutide1420735 – 2880
10 mg Mazdutide25301290 – 5380
16 mg Mazdutide40202000 – 8020
Secondary/protocol endpoint

Number of Participants With Treatment Emergent Anti-drug Antibodies (TE-ADAs)

Time frame:Baseline up to week 56

Immunogenicity (ADA)

threshold achievement, event

Secondary/protocol endpoint

Pharmacokinetics (PK): Area Under the Curve (AUC) of Mazdutide at Steady State

Time frame:Predose at Week 0, Week 4, Week 8, Week 12, Week 24, Week 32, Week 48; Post dose (2 to 6 hours after dosing) at Week 0, Week 12, Week 24

AUC₀–∞

concentration, descriptive

Secondary/protocol endpoint

PK: Maximum Concentration (Cmax) of Mazdutide at Steady State

Time frame:Predose at Week 0, Week 4, Week 8, Week 12, Week 24, Week 32, Week 48; Post dose (2 to 6 hours after dosing) at Week 0, Week 12, Week 24

Cmax

concentration, descriptive

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.