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ObesityPhase 2NCT06124807

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

A Phase 2 study testing Mazdutide in people with Obesity and Overweight and Obesity, run by Eli Lilly and Company at 29 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main purpose of this study, performed under a master protocol W8M-MC-CWMM (NCT06143956), is to investigate weight management efficacy and safety with Mazdutide compared with placebo and in adult participants with obesity or overweight. The study will last about 62 weeks. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Obesity, Overweight and Obesity
What is being tested?
Mazdutide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
179 participants
Where
29 sitesUnited States
Study dates
17 Nov 2023to 9 Jul 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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)

Who cannot join

  • 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
Show all 18Show fewer
  • 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.

Trial locations and contacts

29 sites in 1 country.

29 sites in 1 country

United States29 sites
  • Dent Neurologic Institute

    Amherst, New York, 14226

  • IMA Clinical Research Austin

    Austin, Texas, 78745

  • The Institute for Liver Health II dba Arizona Clinical Trials - Mesa

    Chandler, Arizona, 85225

  • Great Lakes Clinical Trials - Andersonville

    Chicago, Illinois, 60640

  • Great Lakes Clinical Trials - Ravenswood

    Chicago, Illinois, 60640

  • CTI Clinical Research Center

    Cincinnati, Ohio, 45212

  • StudyMetrix Research

    City of Saint Peters, Missouri, 63303

  • Velocity Clinical Research, Dallas

    Dallas, Texas, 75230

  • Spectrum Medical, Inc.

    Danville, Virginia, 24541

  • Northeast Research Institute (NERI)

    Fleming Island, Florida, 32003

  • Pacific Diabetes & Endocrine Center

    Honolulu, Hawaii, 96817

  • PlanIt Research, PLLC

    Houston, Texas, 77079

  • Velocity Clinical Research, Huntington Park

    Huntington Park, California, 90255

  • Las Vegas Medical Research

    Las Vegas, Nevada, 89128

  • L-MARC Research Center

    Louisville, Kentucky, 40213

  • Quality Medical Research

    Nashville, Tennessee, 37211

  • Knownwell

    Needham, Massachusetts, 02492

  • Lucas Research, Inc.

    New Bern, North Carolina, 28562

  • Suncoast Clinical Research, Inc.

    New Port Richey, Florida, 34652

  • Charter Research - Winter Park

    Orlando, Florida, 32803

  • North Suffolk Neurology

    Port Jefferson Station, New York, 11776

  • Peninsula Research Associates

    Rolling Hills Estates, California, 90274

  • Tekton Research - Fredericksburg Road

    San Antonio, Texas, 78229

  • Headlands Research - Scottsdale

    Scottsdale, Arizona, 85260

  • Charter Research - Lady Lake

    The Villages, Florida, 32162

  • Cotton O'Neil Diabetes & Endocrinology

    Topeka, Kansas, 66606

  • The Institute for Liver Health II dba Arizona Liver Health-Tucson

    Tucson, Arizona, 85712

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

  • Central Washington Health Services Association d/b/a Confluence Health

    Wenatchee, Washington, 98801

Other trials in United States

About this study

Official title: 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

The main purpose of this study, performed under a master protocol W8M-MC-CWMM (NCT06143956), is to investigate weight management efficacy and safety with Mazdutide compared with placebo and in adult participants with obesity or overweight. The study will last about 62 weeks.

Being tested
Mazdutide, Placebo
Keywords
Incretins, Weight Loss, Overnutrition
Medical subject headings
Obesity, Overweight, Weight Loss, Overnutrition

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MazdutideDrug

    Also called LY3305677

    Administered subcutaneous (SC)

  • PlaceboDrug

    Administered SC

Study groups in NCT06124807
Study groupRoleWhat they receive
3/6 Milligrams (mg) MazdutideExperimentalParticipants received once-weekly subcutaneous Mazdutide with dose escalation until the target dose (3 or 6 mg) was achieved, starting at 1.5 mg from Weeks 0-3, followed by 3 mg from Weeks 4-31, then 6 mg from Weeks 32-48.
Receives: Drug: Mazdutide
10 mg MazdutideExperimentalParticipants received once-weekly subcutaneous Mazdutide with dose escalation until the target dose (10 mg) was achieved, starting at 1.5 mg from Weeks 0-3, followed by 3 mg from Weeks 4-7, 6 mg from Weeks 8-11, 8 mg from Weeks 12-15, and then 10 mg from Weeks 16-48.
Receives: Drug: Mazdutide
16 mg MazdutideExperimentalParticipants received once-weekly subcutaneous Mazdutide with dose escalation until the target dose (16 mg) was achieved, starting at 1.5 mg from Weeks 0-3, followed by 3 mg from Weeks 4-7, 6 mg from Weeks 8-11, 9 mg from Weeks 12-15, 12 mg from Weeks 16-19, and then16 mg from Weeks 20-48.
Receives: Drug: Mazdutide
PlaceboPlacebo comparatorParticipants received Mazdutide matched placebo subcutaneously once weekly from Weeks 0 to 48.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Body Weight at Week 32

    Least squares means were calculated using an MMRM model for post-baseline measures: Variable = Baseline*Time + Strata*Time + Treatment*Time, where Treatment and Strata are factors. Variance-Covariance structure (Percent Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32

Secondary outcomes (14)
  1. Percent Change From Baseline in Body Weight at Week 48

    Least squares means were calculated using an MMRM model for post-baseline measures: Variable = Baseline*Time + Strata*Time + Treatment*Time, where Treatment and Strata are factors. Variance-Covariance structure (Percent Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 48

  2. Change From Baseline in Body Weight

    Least squares means were calculated using an MMRM model for post-baseline measures: Variable = Baseline*Time + Strata*Time + Treatment*Time, where Treatment and Strata are factors. Variance-Covariance structure (Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32, Week 48

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

    Mean percentage of participants who achieve ≥5% body weight reduction was calculated using imputed data with the logistic regression model Variable = Baseline + Treatment + Strata (Sex), where Treatment and Strata (Sex) are factors. Mean percentage of participants was calculated by combining percentage of participants achieving target at week 32 and week 48 respectively in imputed data sets using Rubin's rule.

    Measured: Baseline, Week 32, Week 48

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

    Mean percentage of participants who achieve ≥10% body weight reduction was calculated using imputed data with the logistic regression model Variable = Baseline + Treatment + Strata (Sex), where Treatment and Strata (Sex) are factors. Mean percentage of participants was calculated by combining percentage of participants achieving target at week 32 and week 48 respectively in imputed data sets using Rubin's rule.

    Measured: Baseline, Week 32, Week 48

  5. Change From Baseline in Body Mass Index (BMI)

    Least squares means were calculated using an MMRM model for post-baseline measures: Variable = Baseline*Time + Strata*Time + Treatment*Time, where Treatment and Strata are factors. Variance-Covariance structure (Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32, Week 48

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

    Blood samples were tested to determine if a participant reacted to Mazdutide by producing anti-Mazdutide antibodies. A participant is TE ADA evaluable if there is at least one non-missing test result for ADA for each of the baseline period and the postbaseline period. A TE ADA evaluable participant is considered to be TE ADA+ if the participant has at least one postbaseline titer that is a 4-fold or greater increase in titer from baseline measurement. If baseline result is ADA Not Present, then the subject is TE ADA+ if there is at least one postbaseline result of ADA Present with titer >=1:20.

    Measured: Baseline up to week 56

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

    PK samples were analyzed using a population PK approach to estimate AUC at steady state. Data presented are Geometric mean with 90% prediction interval.

    Measured: 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

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

    PK samples were analyzed using a population PK approach to estimate Cmax at steady state. Data presented are Geometric mean with 90% prediction interval.

    Measured: 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

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

    Least squares means were calculated using an MMRM model for post-baseline measures: log(Actual Measurement/Baseline) = Treatment*Time + log(Baseline)*Time + Strata*Time, where Treatment and Strata are factors. Variance-Covariance structure (Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32, Week 48

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

    Least squares means were calculated using an MMRM model for post-baseline measures: log (Actual Measurement/Baseline) = Treatment*Time + log (Baseline)*Time + Strata*Time, where Treatment and Strata are factors. Variance-Covariance structure (Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32, Week 48

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

    Least squares means were calculated using an MMRM model for post-baseline measures: log (Actual Measurement/Baseline) = Treatment*Time + log (Baseline)*Time + Strata*Time, where Treatment and Strata are factors. Variance-Covariance structure (Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32, Week 48

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

    Least squares means were calculated using an MMRM model for post-baseline measures: log (Actual Measurement/Baseline) = Treatment*Time + log (Baseline)*Time + Strata*Time, where Treatment and Strata are factors. Variance-Covariance structure (Change from Baseline) = Unstructured. Strata is defined by joint levels of Sex and Baseline BMI (<=30, >30 kg/m^2).

    Measured: Baseline, Week 32, Week 48

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

    mean Percentage of participants with baseline liver fat content (LFC) >= 5% who achieved >30% relative reduction in LFC was estimated using imputed data with the logistic regression model Variable = Baseline + Treatment + Strata (Sex), where Treatment and Strata (Sex) are factors. Mean percentage of participants was calculated by combining percentage of participants achieving target at week 32 and week 48 respectively in imputed data sets using Rubin's rule.

    Measured: Baseline, Week 32, Week 48

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

    Mean Percentage of participants with baseline liver fat content (LFC) >=10% who achieved >30% relative reduction in LFC was estimated using imputed data with the logistic regression model Variable = Baseline + Treatment + Strata (Sex), where Treatment and Strata (Sex) are factors. Mean percentage of participants was calculated by combining percentage of participants achieving target at week 32 and week 48 respectively in imputed data sets using Rubin's rule.

    Measured: Baseline, Week 32, Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2023
  2. Study start17 Nov 2023
  3. Primary completion22 Jan 2025
  4. Study completion9 Jul 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
179 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06124807
Sponsor's protocol ID
18661
Other IDs
W8M-MC-OXA1, CWMM Master Protocol
Status last verified
Mar 2026
First submitted
6 Nov 2023
Last updated
21 Apr 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Plan Description: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Publications

  • Hsia SH, Bays HE, Billings LK, Weideman AMK, Mather KJ, Coskun T, Haupt A, Thomas MK, Tham LS, Calderon B, Ni W, De Araujo OFG. Efficacy and safety of mazdutide in adults with obesity or overweight: a US-based, multicentre, phase 2, randomised, placebo-controlled clinical trial. Lancet Diabetes Endocrinol. 2026 Aug 21:S2213-8587(26)00160-9. doi: 10.1016/S2213-8587(26)00160-9. Online ahead of print.

    PubMed 42628555

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Mazdutide in people with Obesity and Overweight and Obesity, run by Eli Lilly and Company at 29 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Apr 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in Body Weight at Week 32 (time frame: Baseline, Week 32). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06124807, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Apr 2026.

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