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Overweight and/or ObesityPhase 1NCT07673900

Semaglutide Delivered Epi-Intradermally by Microarray Patch (VX-201) Versus Subcutaneous Administration in Healthy Overweight and Obese Participants

A Phase 1 study testing VX-201 and semaglutide SC in people with Overweight and/or Obesity, run by Terrestrial Bio, Inc. at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

VX-201-101 is a first-in-human Phase 1 clinical study evaluating VX-201, a needle-free microneedle (MN) array patch (MAP) that delivers semaglutide through the skin as an alternative to subcutaneous (SC) injection. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Overweight and/or Obesity
What is being tested?
VX-201 and semaglutide SC
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
1 siteUnited States
Study dates
15 Jun 2026to 18 May 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • To be eligible for study participation, all subjects must meet all the following inclusion criteria:
  • Medically healthy with no clinically significant medical history, vital sign, or coagulation results at Screening; chemistry, hematology, or urinalysis at Screening and Day -1 (SAD)/Day 0 (MD) as deemed by the Investigator
  • Age 18 to 60 years, inclusive, at the time of Screening
  • Body mass index ≥25 to <35 kg/m2 if participating in the SAD phase or ≥27 to <40 kg/m2 if participating in the MD phase, at the time of Screening
  • Must be able to communicate well with the Investigator, understand and comply with the requirements of the study (including required confinement periods), and understand and provide written consent

Who cannot join

  • All subjects meeting any of the following criteria will be excluded from this study:
  • Any disorder which in the investigator's opinion might jeopardize the subject's safety, evaluation of results, or compliance with the protocol
  • Any of the following obesity or glycemia-related history:
  • Treatment with a GLP-1 receptor agonist within 90 days before screening
  • Treatment with any medication for the indication of obesity within the past 90 days before screening
  • A self-reported change in body weight > 5 kg (11 lb) within 90 days before screening irrespective of medical records.
Show all 25Show fewer
  • Previous or planned (during the trial period) obesity treatment with surgery or a weight loss device
  • HbA1c ≥ 6.5% as measured at screening
  • History of type 1 or type 2 diabetes mellitus
  • Have a history of heart block, or a pulse rate (PR) interval >200 milliseconds (msec), or any abnormality in the 12-lead electrocardiogram (ECG) at screening that, in the opinion of the investigator, increases the risks associated with participating in the study
  • Have a significant history of or current cardiovascular (myocardial infarction, congestive heart failure, cerebrovascular accident, venous thromboembolism, etc.), respiratory, hepatic, renal, gastrointestinal (GI), endocrine, hematological (including history of thrombocytopenia), or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs, or of constituting a risk when taking the study medication, or interfering with the interpretation of data
  • Estimated glomerular filtration rate <80 mL/min as determined by the Mosteller body surface area correction equation at Screening
  • Have a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2
  • Presence of acute pancreatitis within the past 90 days prior to the day of screening or history or presence of chronic pancreatitis
  • Active malignancy or history of malignancy of any organ system (other than localized squamous cell or basal cell carcinoma of the skin that have been excised or resolved), treated or untreated, within the past 5 years
  • Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method
  • Any prescription medications (except for hormonal contraception associated with inhibition of ovulation as described Exclusion 9) within 14 days of Screening
  • Previously participated in another dose level group in the study
  • Known hypersensitivity to semaglutide
  • Known or suspected alcohol or drugs/chemical substance abuse within one year prior to the day of screening, or positive drug or alcohol screen results at Screening or Day-1
  • Positive result for human immunodeficiency virus (HIV) or presence of actively replicating viral hepatitis due to hepatitis B virus (HBV) or hepatitis C virus (HCV) infection at Screening
  • Excessive tattoos, skin blemishes, or excessive hair near patch administration site
  • Participation in any clinical study with an investigational or approved drug/device within 30 days or 5 half-lives (whichever is longer) before Screening or is planning to participate in another clinical study while enrolled in this study
  • Donated or lost >200 mL of blood within 60 days before Day -1, donated plasma within 7 days before Day -1, or plans to donate blood or plasma during the study
  • Is directly affiliated with the study at the study site or is an immediate family member (spouse, parent, child, or sibling; biological or legally adopted) of personnel directly affiliated with the study at the study site, or is employed by Terrestrial Bio (that is an employee, temporary contract worker, or designee responsible for the conduct of the study) or is an immediate family member of an employee of Terrestrial Bio

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Lynda G Tussey, PhD contact

1-339-330-0088

lynda@terrestrialbio.com

United States1 site, 1 recruiting
  • Celerion Clinical Research

    Tempe, Arizona, 85283

    Site Director, 1-866-445-7033, studies@celerion.com

    Bridgette Blazek, MD

    Recruiting

Other trials in United States

About this study

Official title: A Randomized, Phase 1 Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Epi/Intra-dermally Administered Semaglutide (VX-201) Compared to Subcutaneous Administration in Healthy Overweight and Obese Participants: Single and Multiple Dose Assessment

VX-201-101 is a first-in-human Phase 1 clinical study evaluating VX-201, a needle-free microneedle (MN) array patch (MAP) that delivers semaglutide through the skin as an alternative to subcutaneous (SC) injection.

Being tested
VX-201, semaglutide SC
Keywords
first in human, Phase 1, randomized, single ascending dose, multiple dose, open label, pharmacokinetics, microarray patch, semaglutide

What participants receive

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

  • VX-201Combination product

    Also called Sema MAP

    VX-201 is a needle free, shelf-stable, microneedle array patch (MAP) for delivery of semaglutide epi/intra-dermally

  • semaglutide SCDrug

    Also called semaglutide, Wegovy

    Semaglutide is a long acting GLP-1 analogue with low renal clearance and an elimination half-life of approximately 7 days following subcutaneous administration.

Study groups in NCT07673900
Study groupRoleWhat they receive
VX-201 0.25 mg SAD PhaseExperimentalSubjects will receive a single 0.25 mg VX-201 dose
Receives: Combination Product: VX-201
Single 0.25 mg semaglutide SC doseActive comparatorSubjects will receive a single 0.25 mg semaglutide SC dose
Receives: Drug: semaglutide SC
Multiple VX-201 1.7 and 2.5 mg doseExperimentalSubjects will receive four weekly 1.7 mg VX-201 doses followed by four weekly 2.4 mg VX-201 doses
Receives: Combination Product: VX-201
Multiple semaglutide SC 1.7 and 2.5 mg doseActive comparatorSubjects will receive four weekly 1.7 mg of semaglutide SC doses followed by four weekly 2.4 mg semaglutide SC doses
Receives: Drug: semaglutide SC
Single VX-201 0.5 mg doseExperimentalSubjects will receive a single 0.5 mg VX-201 dose
Receives: Combination Product: VX-201
Single semaglutide SC 0.5 mg doseActive comparatorSubjects will receive a single 0.5 mg semaglutide SC dose
Receives: Drug: semaglutide SC

What is being measured

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

  1. Type, incidence, and severity of treatment emergent adverse events (TEAEs), including assessment of application site skin sensitivity, vital signs, electrocardiograms (ECGs), and clinical laboratory results)

    Measured: From enrollment until approximately 5 weeks after the last dose of study drug

Timeline

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

  1. First posted29 Jun 2026
  2. Study start15 Jun 2026
  3. Primary completion10 Feb 2027 (estimated)
  4. Study completion18 May 2027 (estimated)

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
62 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07673900
Sponsor's protocol ID
VX-201-101
Status last verified
Jul 2026
First submitted
21 Jun 2026
Last updated
31 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing VX-201 and semaglutide SC in people with Overweight and/or Obesity, run by Terrestrial Bio, Inc. at 1 site 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 5 inclusion and 25 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: looking for participants now, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Lynda G Tussey, PhD (1-339-330-0088, lynda@terrestrialbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Type, incidence, and severity of treatment emergent adverse events (TEAEs), including assessment of application site skin sensitivity, vital signs, electrocardiograms (ECGs), and clinical laboratory results) (time frame: From enrollment until approximately 5 weeks after the last dose of study drug). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 31 Jul 2026.

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