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
- Contact Person Email
- albena.aleksandrova.md@gmail.com
- 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
- Contact Person Email
- grazyna.popenda.diabserwis@gmail.com
- 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
- Contact Person Email
- katarzyna.szudejko@futuremeds.com
- 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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