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GZR18-BWM-303

RecruitingPhase 3

Extension 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

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

NCT IDNCT07292441
Org study IDGZR18-BWM-303

Timeline

Milestones

Study first posted2025-12-18actual
Study start2026-01-22actual
Last update posted2026-03-11actual
Primary completion2027-09estimated (month precision)
Study completion2027-10estimated (month precision)

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

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

Cardiometabolic biomarkers
7
Weight & body composition
4
Safety / tolerability / PK
4
Other (unclassified)
3
Glycemic / diabetes
2
Patient-reported / QoL
1

Weight & body composition

4 endpoints
Primary/protocol endpoint

Percent change (%) from baseline in body weight

Time frame:from Week 0 (W0) to Week 24 (W24)

percent change from baseline, improvement

Secondary/protocol endpoint

Changes from baseline in weight;

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline body mass index (BMI);

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

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 endpoints
Secondary/protocol endpoint

Changes from baseline in hemoglobin A1c (HbA1c) ;

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline in fasting plasma glucose (FPG);

Time frame:from Week 0 (W0) to Week 24 (W24)

concentration, descriptive

Cardiometabolic biomarkers

7 endpoints
Secondary/protocol endpoint

Changes from baseline in blood pressure (SBP and DBP);

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline in total cholesterol (TC);

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline in low-density lipoprotein cholesterol (LDL-C);

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline in high-density lipoprotein cholesterol (HDL-C);

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline in triglyceride (TG);

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Changes from baseline in free fatty acids.

Time frame:from Week 0 (W0) to Week 24 (W24)

descriptive

Secondary/protocol endpoint

Pulse rate;

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Patient-reported / QoL

1 endpoint
Secondary/protocol endpoint

The scores of Patient Health Questionnaire-9

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Safety / tolerability / PK

4 endpoints
Secondary/protocol endpoint

Treatment-Emergent Adverse Events (TEAEs);

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Secondary/protocol endpoint

Treatment-Emergent Serious Adverse Events (TESAEs);

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Secondary/protocol endpoint

GZR18 anti-drug antibody (ADA) and neutralizing antibody (NAb);

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Secondary/protocol endpoint

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 endpoints
Secondary/protocol endpoint/low confidence

Lipase;

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Secondary/protocol endpoint/low confidence

Amylase;

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Secondary/protocol endpoint/low confidence

Calcitonin

Time frame:from Week 0 (W0) to Week 25 (W25)

descriptive

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableno registry results posted yet

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.