Clinical trial • Phase III • Endocrinology

TYROSYL-2-AMINOISOBUTYRYL-GLUTAMYL-GLYCYL-... (as listed in product record) for Obesity

Phase III trial of TYROSYL-2-AMINOISOBUTYRYL-GLUTAMYL-GLYCYL-... (as listed in product record) for Obesity.

Overview

Trial Therapeutic Area
Endocrinology
Trial Disease
Obesity
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
21-01-2026
First CTIS Authorization Date
29-04-2026

Trial design

Randomised, wegovy (semaglutide) comparator arms: wegovy 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg flextouch solution for injection in pre-filled pen (subcutaneous); placebo sc qw also used as comparator. kai-9531 is administered sc qw (investigational).-controlled Phase III trial across 17 sites in Bulgaria, Poland.

Randomised
Yes
Comparator
Wegovy (semaglutide) comparator arms: Wegovy 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg FlexTouch solution for injection in pre-filled pen (subcutaneous); placebo SC QW also used as comparator. KAI-9531 is administered SC QW (investigational).
Target Sample Size
932
Trial Duration For Participant
532

Eligibility

Recruits 932 Vulnerable population selected (isVulnerablePopulationSelected = true). Subject information sheets and informed consent forms are provided (SIS and Main ICF files and Pregnancy ICF variants are listed for country-specific use). No specific details on assent, consent by legally authorised representatives, or minors are provided in the available data..

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). Subject information sheets and informed consent forms are provided (SIS and Main ICF files and Pregnancy ICF variants are listed for country-specific use). No specific details on assent, consent by legally authorised representatives, or minors are provided in the available data.

Inclusion criteria

  • {"criterion_text":"-BMI ≥35 kg/m"}
  • {"criterion_text":"-History of at least 1 self-reported unsuccessful effort to lose weight with diet and exercise within the prior 6 months."}

Exclusion criteria

  • {"criterion_text":"-Current diagnosis or history of diabetes mellitus"}
  • {"criterion_text":"-Received treatment with semaglutide, tirzepatide, GLP-1 receptor agonist, GLP-1/GIP, or glucagon receptor agonist within 3 months prior to Screening."}
  • {"criterion_text":"-Started medications within 3 months prior to Screening that may cause significant weight gain, including, but not limited to, tricyclic antidepressants, atypical antipsychotics, and mood stabilizers."}
  • {"criterion_text":"-Unstable weight defined as self-reported change in body weight exceeding 5% within the 3 months prior to Screening."}
  • {"criterion_text":"-Family or personal history of multiple endocrine neoplasia Type 2 or medullary thyroid cancer."}
  • {"criterion_text":"-Uncontrolled hypertension or unstable cardiovascular disease"}
  • {"criterion_text":"-History of chronic or acute pancreatitis"}
  • {"criterion_text":"-Known clinically significant gastric-emptying abnormality (eg, severe gastroparesis, gastric outlet obstruction, or inflammatory bowel disease/irritable bowel syndrome) or chronic treatment with medications that directly affect GI motility."}
  • {"criterion_text":"-History of suicide attempt."}
  • {"criterion_text":"-History of significant active or unstable Major Depressive Disorder (MDD) or other severe psychiatric disorder"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-Percent change in body weight (kg) from baseline at Week 76","definition_or_measurement_approach":"Measured as percent change in body weight (kg) from baseline at Week 76."}

Secondary endpoints

  • {"endpoint_text":"-controlled for Type I error From baseline at Week 76 Percentage of participants with ≥5%,≥10%, ≥15%, ≥20%, and ≥25% reduction in body weight (kg) Change in waist circumference (cm) Change in absolute body weight (kg)","definition_or_measurement_approach":"From baseline at Week 76: percentage of participants achieving predefined percent reductions in body weight; change in waist circumference (cm); change in absolute body weight (kg)."}
  • {"endpoint_text":"-controlled for Type I error From baseline at Week 76 Percentage of participants with ≥5% reduction in body weight (kg) Change in - SBP − Triglycerides (mg/dL) − HDL-cholesterol (mg/dL) − Non-HDL-cholesterol (mg/dL) Change in WQOL-LiteCT Physical function composite score","definition_or_measurement_approach":"From baseline at Week 76: percent of participants with ≥5% weight reduction; change in systolic blood pressure (SBP); changes in specified lipid parameters (mg/dL); change in IWQOL-Lite-CT physical function composite score."}
  • {"endpoint_text":"-not controlled for Type I error from baseline at Week 76: • Percentage of participants with ≥30% reduction in body weight (kg) • Change in BMI (kg/m2) • Change in: − CoEQ Craving Control score − Positive Mood score − Craving for Sweets score − Craving for Savory food score − Hunger score − Satiety score − Combined score • Change in FNQ score","definition_or_measurement_approach":"From baseline at Week 76: percent with ≥30% weight reduction; change in BMI; changes in patient-reported outcome scores (CoEQ domains, FNQ)."}
  • {"endpoint_text":"-not controlled for Type I error Number ofTEAEs","definition_or_measurement_approach":"Number of treatment-emergent adverse events (TEAEs) recorded during treatment period."}
  • {"endpoint_text":"-not controlled for Type I error ADA NAb","definition_or_measurement_approach":"Assessment of anti-drug antibodies (ADA) and neutralizing antibodies (NAb)."}
  • {"endpoint_text":"-not controlled for Type I error Concentrations of KAI-9531","definition_or_measurement_approach":"Measurement of KAI-9531 plasma concentrations (PK assessments)."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
932
Recruitment Window Months
21
Consent Approach
Informed consent via subject information sheets (SIS) and Main ICF documents; country-specific ICFs available for Bulgaria and Poland (files L1 variants). Pregnancy-specific ICF materials (Pregnancy ICF, Pregnant Partner ICF) are provided. No explicit details on assent or consent by legally authorised representatives are provided in the available records; contact emails for study enquiries are listed in sponsor public/scientific contact entries.

Methods

  • Country-specific recruitment arrangements documents and materials (K1 and K2 documents): Participant Brochure, Patient Flyer, Participant Poster, Physician Referral Letter, Doctor-to-Participant Letter, Pre-enrolment Information Card, HCP Fact Sheet, Study Information Slides (documents listed for Bulgaria and Poland).
  • Subject information sheets and informed consent forms provided (SIS and Main ICF country-specific versions for Bulgaria and Poland).
  • Recruitment materials include physician referral and doctor-to-participant letters indicating clinician referral channels.
  • Pre-enrolment information card and participant brochures indicate direct-to-patient printed recruitment materials.

Geography

Total Number Of Sites
17
Total Number Of Participants
268

Bulgaria

Earliest CTIS Part Ii Submission Date
01-04-2026
Latest Decision Or Authorization Date
04-05-2026
Processing Time Days
33
Number Of Sites
9
Number Of Participants
142

Sites

Site Name
Umbal - Prof. D-R Stoyan Kirkovich AD
Department Name
Clinic of endocrinology and metabolic diseases
Contact Person Name
Petya Goycheva
Contact Person Email
dr.petya.goycheva@gmail.com
Site Name
Medical Center Hera EOOD
Contact Person Name
Albena Aleksandrova
Site Name
Diamedical Medical Center 2013 Ltd.
Contact Person Name
Diana Teneva-Yankova
Contact Person Email
diana.teneva@diamedical.eu
Site Name
Endomedical Center OOD
Contact Person Name
Desimira Mironova
Contact Person Email
drmironova@abv.bg
Site Name
Endomedical Center OOD
Contact Person Name
Ivaylo Bogomilov
Contact Person Email
dr.i.bogomilov@gmail.com
Site Name
Outpatient Clinic For Specialized Outpatient Medical Care In Endocrinology Dr Albena Dinkova EOOD
Contact Person Name
Albena Dinkova
Contact Person Email
a.dinkova@abv.bg
Site Name
University Multiprofile Hospital For Active Treatment Kaspela EOOD
Department Name
Clinic of Endocrinology and Metabolic Diseases
Contact Person Name
Georgi Levterov
Contact Person Email
glevterov@yahoo.com
Site Name
Medical Center-Sv. Dimitar EOOD
Contact Person Name
Tzvetelina Totomirova
Contact Person Email
cveti.totomirova@gmail.com
Site Name
Diagnostic Consultative Center Equita OOD
Contact Person Name
Neli Klyuchkova
Contact Person Email
klyuchkova@gmail.com

Poland

Earliest CTIS Part Ii Submission Date
01-04-2026
Latest Decision Or Authorization Date
29-04-2026
Processing Time Days
28
Number Of Sites
8
Number Of Participants
126

Sites

Site Name
Pratia S.A.
Department Name
Centrum Medyczne Pratia Gdynia
Contact Person Name
Agata Leksycka
Contact Person Email
aleksycka@pratia.pl
Site Name
Diab Serwis Popenda Sp. j.
Contact Person Name
Grażyna Popenda
Site Name
Centrum Medyczne All-Med Badania Kliniczne
Contact Person Name
Grażyna Pulka
Contact Person Email
pulkaallmed@gmail.com
Site Name
Centrum Badan Klinicznych Piotr Napora Lekarze sp.p.
Department Name
Centrum Badań Klinicznych Przychodnia Badań Klinicznych
Contact Person Name
Piotr Napora
Contact Person Email
napora.piotr@cbk.wroc.pl
Site Name
Centrum Medyczne Kermed Renata Bijata-Bronisz I Ewa Kowalinska Sp. j.
Department Name
NZOZ Centrum Medyczne KERmed
Contact Person Name
Tomasz Ługowski
Contact Person Email
tomasz.lugowski@gmail.com
Site Name
Futuremeds Sp. z o.o.
Department Name
FutureMeds Gdynia
Contact Person Name
Katarzyna Szudejko
Site Name
Centrum Medyczne Justmed Sp. z o.o.
Department Name
ETG JustMed
Contact Person Name
Justyna Klimkiewicz
Contact Person Email
j.klimkiewicz@etg-network.com
Site Name
Specjalistyczna Praktyka Lekarska Diabetologia, Leczenie Cukrzycy i Otylosci
Contact Person Name
Monika Piwowar
Contact Person Email
monika.diabetes@gmail.com

Sponsor

Primary sponsor

Full Name
Kailera Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
IQVIA Limited
Responsibilities
Clinical operations and multiple vendor services including Remote Dietitian Services, Provision of online subject portal, Cardiac services
Name
Icon Clinical Research Limited
Responsibilities
Clinical research services (sponsor duties code 4)

Third parties

  • {"country":"United States","full_name":"Llx Solutions LLC","duties_or_roles":"Sponsor duties codes: 10","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"Duties codes: 1, 12, 15, 2, 5, 8. Specified services: Remote Dietitian Services, Provision of online subject portal, Cardiac services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Concierge Service – Patient transportation - Reimbursement of patient expense (sponsor duties code 15)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Omnitrace Corp.","duties_or_roles":"Lost to follow-up patient search (sponsor duties code 15)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"Sponsor duties code: 3","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Frontage Laboratories Inc.","duties_or_roles":"Sample management / laboratory services (sponsor duties codes 4)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"EPL Pathology Archives LLC","duties_or_roles":"Samples long term storage (sponsor duties code 15)","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Baim Institute For Clinical Research Inc.","duties_or_roles":"Safety adjudication (sponsor duties code 15)","organisation_type":"Educational Institution"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Sample management / laboratory services (sponsor duties code 4)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"eClinical platform / data services (sponsor duties code 7)","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
KAI-9531
Active Substance
TYROSYL-2-AMINOISOBUTYRYL-GLUTAMYL-GLYCYL-... (as listed in product record)
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection / Solution for injection
Route
Subcutaneous injection
Authorisation Status
Not authorised
Frequency
Once weekly (QW)
Investigational Product Name
Wegovy 0.25 mg FlexTouch solution for injection in pre-filled pen
Active Substance
Semaglutide
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection (pre-filled pen)
Route
Subcutaneous injection
Authorisation Status
Authorised
Starting Dose
0.25 mg
Dose Levels
0.25 mg
Frequency
Once weekly (QW)
Maximum Dose
2.4 mg
Investigational Product Name
Wegovy 0.5 mg FlexTouch solution for injection in pre-filled pen
Active Substance
Semaglutide
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection (pre-filled pen)
Route
Subcutaneous injection
Authorisation Status
Authorised
Starting Dose
0.5 mg
Dose Levels
0.5 mg
Frequency
Once weekly (QW)
Maximum Dose
2.4 mg
Investigational Product Name
Wegovy 1 mg FlexTouch solution for injection in pre-filled pen
Active Substance
Semaglutide
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection (pre-filled pen)
Route
Subcutaneous injection
Authorisation Status
Authorised
Starting Dose
1 mg
Dose Levels
1 mg
Frequency
Once weekly (QW)
Maximum Dose
2.4 mg
Investigational Product Name
Wegovy 1.7 mg FlexTouch solution for injection in pre-filled pen
Active Substance
Semaglutide
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection (pre-filled pen)
Route
Subcutaneous injection
Authorisation Status
Authorised
Starting Dose
1.7 mg
Dose Levels
1.7 mg
Frequency
Once weekly (QW)
Maximum Dose
2.4 mg
Investigational Product Name
Wegovy 2.4 mg FlexTouch solution for injection in pre-filled pen
Active Substance
Semaglutide
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous injection (pre-filled pen)
Route
Subcutaneous injection
Authorisation Status
Authorised
Starting Dose
2.4 mg
Dose Levels
2.4 mg
Frequency
Once weekly (QW)
Maximum Dose
2.4 mg

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