Recruiting
Phase 3

Aleniglipron

Sponsor:

Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics

Code:

NCT07654374

Conditions

Obesity

Overweight

Chronic Weight Management

Type2 Diabetes Mellitus

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Accepted

Interventions

aleniglipron

aleniglipron

aleniglipron

Placebo

Study Details

Brief summary:

This is randomized, double-blind, placebo-controlled study of the long-term efficacy, safety, and tolerability of multiple doses of aleniglipron in participants living with overweight or obesity and T2DM. Participants will be randomized to aleniglipron or placebo for a total of 76 weeks of treatment.

Conditions

Obesity

Overweight

Chronic Weight Management

Type2 Diabetes Mellitus

Study ID

NCT07654374

Start date

Jul 17, 2026

Status verified date

Jun, 2026

Completion date

Nov, 2028

Anticipated

Primary completion date

Sep, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • Signed Informed Consent
  • Have a BMI ≥27.0 kg/m2 at Screening
  • Have a diagnosis of T2DM according to the WHO classification or other locally applicable standards, with HbA1c ≥6.5% (≥53 mmol/mol) to ≤10% (86 mmol/mol) at Screening

Exclusion Criteria:

  • Have type 1 diabetes, history of ketoacidosis or hyperosmolar state/coma, or any other types of diabetes except T2DM.
  • Have had 1 or more episode of severe hypoglycemia and/or 1 or more episode of hypoglycemia unawareness within 180 days prior to Screening.
  • Are currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema
  • Self-reported change in body weight >5 kg (11 pounds) within 3 months before Screening.
  • Have prior or planned surgical or non-surgical treatment for obesity.

Study Design

Enrollment

1100 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: aleniglipron Arm 1

Participants will receive aleniglipron administered orally.

experimental: aleniglipron Arm 2

Participants will receive aleniglipron administered orally.

experimental: aleniglipron Arm 3

Participants will receive aleniglipron administered orally.

placebo comparator: Placebo Arm 4

Participants will receive placebo administered orally.

Interventions

aleniglipron

Drug: aleniglipron administered orally

aleniglipron

Drug: aleniglipron administered orally

aleniglipron

Drug: aleniglipron administered orally

Placebo

Drug: placebo administered orally

Primary outcome measure

  • Percent change in body weight from Baseline [ Time Frame: Baseline and week 76 ]

Central Contacts and Locations

Locations

ACCOMPLISH-2 Research Site

Recruiting

Birmingham, Alabama, United States, 35242

Contacts

ACCOMPLISH-2 Research Site

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Chandler, Arizona, United States, 85225

Contacts

ACCOMPLISH-2 Research Site

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La Jolla, California, United States, 92123

Contacts

ACCOMPLISH-2 Research Site

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San Diego, California, United States, 92108

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ACCOMPLISH-2 Research Site

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Clearwater, Florida, United States, 33756

Contacts

ACCOMPLISH-2 Research Site

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Fort Myers, Florida, United States, 33912

Contacts

ACCOMPLISH-2 Research Site

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Leesburg, Florida, United States, 34748

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ACCOMPLISH-2 Research Site

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Atlanta, Georgia, United States, 30329

Contacts

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Woodstock, Georgia, United States, 30189

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ACCOMPLISH-2 Research Site

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Meridian, Idaho, United States, 83646

Contacts

ACCOMPLISH-2 Research Site

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Des Moines, Iowa, United States, 50314

Contacts

ACCOMPLISH-2 Research Site

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Wichita, Kansas, United States, 67218

Contacts

ACCOMPLISH-2 Research Site

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Silver Spring, Maryland, United States, 20901

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ACCOMPLISH-2 Research Site

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Methuen, Massachusetts, United States, 01844

Contacts

ACCOMPLISH-2 Research Site

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Mankato, Minnesota, United States, 56001

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ACCOMPLISH-2 Research Site

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Minneapolis, Minnesota, United States, 55423

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ACCOMPLISH-2 Research Site

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Gulfport, Mississippi, United States, 39503

Contacts

ACCOMPLISH-2 Research Site

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City of Saint Peters, Missouri, United States, 63303

Contacts

ACCOMPLISH-2 Research Site

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Hazelwood, Missouri, United States, 63042

Contacts

ACCOMPLISH-2 Research Site

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Springfield, Missouri, United States, 65807

Contacts

ACCOMPLISH-2 Research Site

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Missoula, Montana, United States, 59804

ACCOMPLISH-2 Research Site

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Charlotte, North Carolina, United States, 28210

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ACCOMPLISH-2 Research Site

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Winston-Salem, North Carolina, United States, 27104

Contacts

ACCOMPLISH-2 Research Site

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Columbus, Ohio, United States, 43213

Contacts

ACCOMPLISH-2 Research Site

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Moore, Oklahoma, United States, 73160

Contacts

ACCOMPLISH-2 Research Site

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Portland, Oregon, United States, 97202

Contacts

ACCOMPLISH-2 Research Site

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Philadelphia, Pennsylvania, United States, 19152

Contacts

ACCOMPLISH-2 Research Site

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Greer, South Carolina, United States, 29651

Contacts

ACCOMPLISH-2 Research Site

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Austin, Texas, United States, 78704

Contacts

ACCOMPLISH-2 Research Site

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Houston, Texas, United States, 77040

Contacts

ACCOMPLISH-2 Research Site

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Houston, Texas, United States, 77054

Contacts

ACCOMPLISH-2 Research Site

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San Antonio, Texas, United States, 78229

Contacts

ACCOMPLISH-2 Research Site

Recruiting

Manassas, Virginia, United States, 20110

Contacts

ACCOMPLISH-2 Research Site

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Suffolk, Virginia, United States, 23435

Contacts

ACCOMPLISH-2 Research Site

Recruiting

Renton, Washington, United States, 98057

Contacts

More Information

Sponsor

Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics

Last update posted

Sep 1, 2026

Last verified

Jun, 2026

Keywords

  • obesity
  • overweight
  • GSBR-1290
  • aleniglipron
  • chronic weight management
  • obese
  • type 2diabetes mellitus
  • small molecule
  • GLP-1
  • Structure Therapeutics

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics on 2026-09-01.