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Not yet recruitingPhase 3

Evaluate the Efficacy and Safety of GZR18 Injection in Obese Subjects With Obstructive Sleep Apnea Not Treated With Positive Airway Pressure (PAP) Therapy

A Multicenter, Randomized, Double-Blind, Parallel, Placebo-Controlled Phase 3 Study to Evaluate the Efficacy and Safety of GZR18 Injection in Obese Subjects With Moderate to Severe Obstructive Sleep Apnea(OSA) Not Treated With Positive Airway Pressure(PAP)

Asset

GZR18

Subcutaneous · GLP-1 agonist

Listed sites

1

Recruiting sites

Enrollment

140

estimated

Study population

Obesity / overweight, Sleep apnea

Key I/E criterion

BMI ≥28

Primary endpoint

Apnea-Hypopnea Index (AHI) after 52 weeks of treatment

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 IDNCT07493057
Org study IDGZR18-OSA-301

Timeline

Milestones

Study first posted2026-03-25actual
Last update posted2026-03-27actual
Study start2026-04-27estimated
Primary completion2027-11-14estimated
Study completion2027-11-14estimated

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweightSleep apnea

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. Subject is aged ≥18 years at the time of signing the informed consent form.

2. Body mass index (BMI) is ≥28 kg/m² at both screening and randomization.

3. Subject has a documented history of at least one unsuccessful attempt at weight loss through dietary control prior to screening, and has had <5% change in body weight during the 12 weeks prior to screening.

4. Subject has been diagnosed with obstructive sleep apnea (OSA) , and has a centrally assessed apnea-hypopnea index (AHI) ≥15 events/hour on polysomnography (PSG) at screening.

5. Unable or unwilling to receive PAP therapy before screening, and not planning to initiate PAP therapy during the study period.

Exclusion criteria

1. Known or suspected hypersensitivity to glucagon-like peptide-1 receptor agonists (GLP-1 RAs) or any of their excipients, or presence of a contraindication to GLP-1 RA use.

2. History of any type of diabetes mellitus (history of gestational diabetes is permitted).

3. Has undergone or plans to undergo during the study period surgical or device-based obesity treatment (exceptions: acupuncture, liposuction, or abdominal fat removal performed >1 year prior to screening; prior device-based obesity treatment is acceptable if the device was removed >1 year before screening).

4. Secondary obesity due to disease, medication, or other causes (e.g., Cushing's syndrome, Prader-Willi syndrome, monogenic obesity, or obesity secondary to hypothalamic/pituitary injury).

5. Clinically significant gastric emptying disorders at screening (e.g., gastroparesis or gastric outlet obstruction); or long-term use (≥4 consecutive weeks) of medications affecting gastrointestinal motility within 6 months prior to screening.

6. History of acute or chronic pancreatitis or pancreatic injury prior to screening.

7. History of symptomatic gallbladder disease at screening (post-cholecystectomy status is permitted); or presence at screening of cholelithiasis conferring high risk for acute biliary pancreatitis.

8. Clinical or subclinical thyrotoxicosis at screening, regardless of treatment status.

9. Inadequately controlled blood pressure at screening or randomization: systolic BP ≥160 mmHg and/or diastolic BP ≥100 mmHg (concurrent antihypertensive therapy is permitted).

10. History within 6 months prior to screening of: decompensated heart failure (NYHA Class III-IV), unstable angina, myocardial infarction, ischemic or hemorrhagic stroke (lacunar infarcts excluded), transient ischemic attack; or invasive cardiovascular procedures/therapies (e.g., valve replacement, CABG, PCI). (Diagnostic coronary angiography without intervention is permitted.)

11. Positive response on the Columbia-Suicide Severity Rating Scale (C-SSRS) Screening Version to Question 4 or 5 of the "Suicidal Ideation" section, or any question in the "Suicidal Behavior" section, with the event occurring within 4 weeks prior to screening; or investigator assessment of significant suicide risk during the study.

12. History of moderate-to-severe depression; or Patient Health Questionnaire-9 (PHQ-9) score ≥15 at screening.

13. Any uncontrolled acute or chronic hepatitis other than metabolic dysfunction-associated fatty liver disease (MAFLD).

14. Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia (MEN) type 2A or 2B.

15. History of malignancy within 5 years prior to screening (exceptions: definitively cured in situ carcinomas, e.g., basal/squamous cell skin cancer, cervical in situ carcinoma, or prostate in situ carcinoma).

Endpoints (9)

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
Other (unclassified)
4
Cardiometabolic biomarkers
1

Weight & body composition

4 endpoints
Secondary/protocol endpoint

Percentage change in body weight from baseline

Time frame:52 weeks

percent change from baseline, improvement

Secondary/protocol endpoint

Proportion of subjects whose body weight decreased by ≥ 5%, ≥ 10%, ≥ 15%, or ≥ 20% relative to baseline

Time frame:52 weeks

threshold achievement, improvement

Secondary/protocol endpoint

Change in body weight (kg) and body mass index (kg/㎡) relative to baseline

Time frame:52 weeks

change from baseline, improvement

Secondary/protocol endpoint

Change in neck circumference and waist circumference relative to the baseline

Time frame:52 weeks

change from baseline, improvement

Cardiometabolic biomarkers

1 endpoint
Secondary/protocol endpoint

Change in high-sensitivity C-reactive protein (hsCRP) relative to baseline

Time frame:52 weeks

change from baseline, improvement

Other (unclassified)

4 endpoints
Primary/protocol endpoint/low confidence

Change from baseline in Apnea-Hypopnea Index (AHI) after 52 weeks of treatment

Time frame:52 weeks

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Percentage change in AHI from baseline

Time frame:52weeks

percent change from baseline, improvement

Secondary/protocol endpoint/low confidence

Proportion of participants with ≥50% reduction in AHI from baseline

Time frame:52 weeks

change from baseline, improvement

Secondary/protocol endpoint/low confidence

Proportion of participants achieving the following criteria:AHI < 5; or 5 ≤ AHI ≤ 14 and Epworth Sleepiness Scale (ESS) score ≤ 10

Time frame:52 weeks

threshold achievement, improvement

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.