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GZR18-BWM-303
RecruitingPhase 3Extension Study of the Phase 3 Clinical Study of GZR18 Injection for Weight Loss
A Multicenter Extension Study of the Phase 3 Clinical Study of GZR18 Injection for Weight Loss
Lead sponsor
Asset
GZR18
Subcutaneous · GLP-1 agonist
Listed sites
2
Recruiting sites
1
Enrollment
500
estimated
Study population
Obesity / overweight
Key I/E criterion
•BMI ≥18.5
Primary endpoint
•Percent change (%) from baseline in body weight
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
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Subjects who participated in the original study, completed the last dose at W50, EOT visit at W52 and safety follow-up visit at W55 of either original study, with last dose at W50 ≥ 24 mg (including blinded dose of placebo).
2. Subjects with BMI > 18.5 kg/m² at W55 of the original study and before randomization at Visit 2 (V2) of this study, who are assessed by the investigator as suitable for participating in this study.
3. Subjects of childbearing potential with no birth plan from the signing of ICF to 8 weeks after the last dose, willingness to take effective contraceptive measures, and no plan for sperm or ovum donation. Non-lactating women of childbearing potential (WOCBP) with a negative pregnancy test result before randomization at V2 in this study.
4. Able to understand the procedures and methods of this study, willing and able to maintain a regular diet and exercise lifestyle during the study period, willing and able to undergo subcutaneous injections of the investigational medicinal product (IMP), and willing to sign the ICF voluntarily.
Exclusion criteria
1. Subjects who used Semaglutide (Wegovy®) in the original study.
2. Subjects with a previous diagnosis of any type of diabetes mellitus (excluding gestational diabetes mellitus).
3. Subjects with FPG ≥ 7.0 mmol/L or HbA1c ≥ 6.5% in the central laboratory test at W52 visit of the original study.
4. Subjects who plan to participate in another clinical study of an investigational medicinal product or device, or receive drug or non-drug therapies that affect body weight (excluding diet and exercise control) before completing all scheduled assessments in this clinical study.
5. Subjects with any other factors (including but not limited to previous compliance in the original study) that may affect the efficacy or safety evaluation of this study as judged by the investigator.
Endpoints (21)
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
4 endpointsPercent change (%) from baseline in body weight
Time frame:from Week 0 (W0) to Week 24 (W24)
percent change from baseline, improvement
Changes from baseline in weight;
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline body mass index (BMI);
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in waist circumference, hip circumference, and waist-hip ratio (waist circumference/hip circumference);
Time frame:from Week 0 (W0) to Week 24 (W24)
ratio, improvement
Glycemic / diabetes
2 endpointsChanges from baseline in hemoglobin A1c (HbA1c) ;
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in fasting plasma glucose (FPG);
Time frame:from Week 0 (W0) to Week 24 (W24)
concentration, descriptive
Cardiometabolic biomarkers
7 endpointsChanges from baseline in blood pressure (SBP and DBP);
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in total cholesterol (TC);
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in low-density lipoprotein cholesterol (LDL-C);
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in high-density lipoprotein cholesterol (HDL-C);
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in triglyceride (TG);
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Changes from baseline in free fatty acids.
Time frame:from Week 0 (W0) to Week 24 (W24)
descriptive
Pulse rate;
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Patient-reported / QoL
1 endpointThe scores of Patient Health Questionnaire-9
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Safety / tolerability / PK
4 endpointsTreatment-Emergent Adverse Events (TEAEs);
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Treatment-Emergent Serious Adverse Events (TESAEs);
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
GZR18 anti-drug antibody (ADA) and neutralizing antibody (NAb);
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Cross reaction between GZR18 ADA and endogenous glucagon-like peptide-1 (GLP-1).
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Other (unclassified)
3 endpointsLipase;
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Amylase;
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Calcitonin
Time frame:from Week 0 (W0) to Week 25 (W25)
descriptive
Provenance
Sources
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.