Table 1 Weight-loss drugs in clinical development after 2015
From: Signaling pathways in obesity: mechanisms and therapeutic interventions
Agent type | Agent | Indication | Manufacturer | Trials | ClinicalTrials.gov ID/ref. |
---|---|---|---|---|---|
Energy intake | |||||
MC4R agonist | PL-8905 | Obesity | Palatin Technologies | Announced | Not Recorded |
NPY5R antagonist | S-237648 | Obesity | Shionogi & Co. | In-house | See R&D Pipeline |
Triple reuptake inhibitor/SNDRI | Tesofensine/NS-2330 | Obesity | NeuroSearch A/S | Phase 2 | NCT00394667 |
Peripheral CB1 receptor blocker | GFB-024 (inverse agonist) | Kidney diseases | Goldfinch Bio | Phase 1 | NCT04880291 |
 | AM-6545 (antagonist) | Obesity | MAKScientific | Preclinical | See R&D Pipeline |
GLP-1R agonist | Beinaglutide/Benaglutide | Obesity | Shanghai Benemae | Phase 3 | NCT03986008 |
 | Dulaglutide | T2D | Eli Lilly and Company | Phase 3 | NCT03015220 |
 |  |  |  | Phase 2 | NCT02973100 |
 |  |  |  | Phase 4 | NCT02750410 |
 | LY3502970 | Obesity, T2D | Eli Lilly and Company | Phase 1 | NCT05086445 |
 |  |  |  | Phase 2 | NCT05051579 |
 |  |  |  | Phase 2 | NCT05048719 |
 | Efpeglenatide/LAPSExd4 Analog | T2D | Hanmi Pharmaceutical | Phase 3 | NCT03353350 |
 | Exenatide | HO | AstraZeneca | Phase 3 | NCT02860923 |
 | PB-119 | T2D | PegBio Co. | Phase 3 | NCT04504396 |
 |  |  |  | Phase 3 | NCT04504370 |
 | Danuglipron/PF-06882961 | Obesity, T2D | Pfizer | Phase 2 | NCT04707313 |
 |  |  |  | Phase 2 | NCT04617275 |
 |  |  |  | Phase 2 | NCT03985293 |
 | PF-07081532 | Obesity, T2D | Pfizer | Phase 1 | NCT04305587 |
 | RGT001-075 | T2D | Regor Therapeutics | Phase 2 | NCT05297045 |
 | Noiiglutide/SHR20004 | Obesity | Hansoh Pharma | Phase 2 | NCT04799327 |
 | TG103 | Obesity | CSPC Pharmaceutical | Phase 2 | NCT05299697 |
 | TTP273 | T2D | vTv Therapeutics | Phase 2 | NCT02653599 |
 | XW003 | Obesity | Sciwind Biosciences | Phase 2 | NCT05111912 |
 | XW004 | Obesity, T2D | Sciwind Biosciences | Phase 1 | NCT05184322 |
GCGR agonist | HM15136/LAPSGlucagon Analog | Obesity, T2D | Hanmi Pharmaceutical | Phase 1 | NCT04167553 |
 | NN9030/NNC9204-0530 | Obesity | Novo Nordisk | Phase 1 | NCT02835235 |
GIPR agonist | ZP 6590 | Obesity | Zealand Pharma | Preclinical | See R&D Pipeline |
GLP-1R/GCGR dual agonist | Pemvidutide/ALT-801 | Obesity | Altimmune | Phase 2 | NCT05295875 |
 | BI 456906 | Obesity | Boehringer Ingelheim | Phase 2 | NCT04667377 |
 | CT-388 | T2D | Carmot Therapeutics | Phase 1 | NCT04838405 |
 | CT-868 | Obesity, T2D | Carmot Therapeutics | Phase 2 | NCT05110846 |
 | DD01 | Obesity, T2D | D&D Pharmatech | Phase 1 | NCT04812262 |
 | JNJ-64565111 | Obesity, T2D | Johnson & Johnson | Phase 2 | NCT03586830 |
 |  |  |  | Phase 2 | NCT03486392 |
 | NN9277/NNC9204-1177 | Obesity | Novo Nordisk | Phase 1 | NCT02941042 |
 | Efinopegdutide/LAPSGLP/GCG | NASH | Hanmi Pharmaceutical | Phase 2 | NCT03486392 |
 | SAR425899 | T2D | Sanofi | Phase 1 | NCT03376802 |
 | OXM analog—Cotadutide/MEDI0382 | T2D | AstraZeneca | Phase 1 | NCT02548585 |
 |  |  |  | Phase 1 | NCT04208620 |
 | OXM analog—G3215 | Obesity, T2D | Imperial College London | Phase 1 | NCT02692040 |
 | OXM analog—IBI362/LY3305677 | Obesity, T2D | Eli Lilly and Company | Phase 2 | NCT04904913 |
 |  |  |  | Phase 1 | NCT04440345 |
 | OXM analog—MOD-6031 | Obesity, T2D | OPKO Health | Phase 1 | NCT02692781 |
 | OXM analog—OPK-88003/LY2944876 | Obesity, T2D | OPKO Health | Phase 2 | NCT03406377 |
GLP-1R/GIPR dual agonist | HS-20094 | T2D | Hansoh Pharma | Phase 1 | NCT05116410 |
 | Tirzepatide/LY3298176 | Obesity, T2D | Eli Lilly and Company | Phase 3 | NCT05024032 |
 |  |  |  | Phase 3 | NCT04844918 |
 |  |  |  | Phase 3 | NCT04657016 |
 |  |  |  | Phase 3 | NCT04660643 |
 |  |  |  | Phase 3 | NCT04657003 |
 |  |  |  | Phase 3 | NCT04184622 |
GLP-1R/GIPR/GCGR triple agonist | HM15211/LAPSTriple Agonist | NASH | Hanmi Pharmaceutical | Phase 2 | NCT04505436 |
 | LY3437943 | Obesity, T2D | Eli Lilly and Company | Phase 1 | NCT04823208 |
 |  |  |  | Phase 2 | NCT04881760 |
 |  |  |  | Phase 2 | NCT04867785 |
 | NN9423/NNC9204-1706 | Obesity | Novo Nordisk | Phase 1 | NCT03095807 |
 | NNC0480-0389 |  |  |  |  |
 | SAR441255 | Obesity | Sanofi | Phase 1 | NCT04521738 |
GLP-1R agonist and GIPR antagonist | AMG133 | Obesity | Amgen | Phase 1 | NCT04478708 |
 | GMA106 | Obesity | Gmax Biopharm | Phase 1 | NCT05054530 |
DPP-4 inhibitor | HSK7653 | T2D | Haisco Pharmaceutical | Phase 3 | NCT04556851 |
 | Sitagliptin | T2D, NAFLD | Merck & Co. | Phase 4 | NCT05195944 |
 |  |  |  | Phase 3 | NCT02849080 |
 | Yogliptin | Obesity, T2D | Easton Biopharmaceuticals | Phase 3 | NCT05318326 |
AMYR agonist | Cagrilintide/NN9838/AM833/NNC0174-0833 | Obesity, T2D | Novo Nordisk | Phase 1 | NCT04940078 |
 |  |  |  | Phase 1 | NCT05254158 |
 |  |  |  | Phase 2 | NCT03856047 |
 | ZP8396 | Obesity | Zealand Pharma | Phase 1 | NCT05096598 |
AMYR/CTR dual agonist | KBP-042 | T2D | Nordic Bioscience | Phase 2 | NCT03230786 |
 | KBP-089 | T2D | Nordic Bioscience | Phase 1 | NCT03907202 |
TAS2R agonist | ARD-101 | Obesity | Aardvark Therapeutics | Phase 2 | NCT05121441 |
PYY/Y2R signaling | NNC0165-1562 | Obesity | Novo Nordisk | Phase 1 | NCT03574584 |
 | PYY1875/NNC0165-1875 | Obesity | Novo Nordisk | Phase 1 | NCT03707990 |
 | NN9748/NN9747 | Obesity, T2D | Novo Nordisk | Phase 1 | NCT03574584 |
Ghrelin signaling | NOX-B11 | Obesity | NOXXON Pharma | Preclinical | Not Recorded |
 | GLWL-01 | PWS | GLWL Research | Phase 2 | NCT03274856 |
 | RM-853/T-3525770 | PWS | Rhythm Pharmaceuticals | Preclinical | See R&D Pipeline |
 | TZP-301 | Obesity | Ocera Therapeutics | Preclinical | Not Recorded |
 | EX-1350 | Obesity, T2D | Elixir Pharmaceuticals | Preclinical | Not Recorded |
Leptin analog | Metreleptin | Lipodystrophy | AstraZeneca | Phase 3 | NCT05164341 |
Leptin sensitizer | Celastrol | Obesity, T2D | Research Use Only | Preclinical | PMID: 26000480420 |
 | Withaferin A | Obesity, T2D | Research Use Only | Phase 1 | PMID: 30904387421 |
 | ERX1000 | Obesity | ERX Pharmaceuticals | Phase 1 | NCT04890873 |
GDF15 agonist | LA-GDF15 | Obesity | Novo Nordisk | Phase 1 | See R&D Pipeline |
 | LY3463251 | Obesity | Eli Lilly and Company | Phase 1 | NCT03764774 |
α7-nAChR agonist | GTS-21/DMXB-A | Obesity | Otsuka Pharmaceutical | Phase 1 | NCT02458313 |
Energy absorption | |||||
Strain product | WST01 | Obesity, T2D | SJTUSM | Phase 2 | NCT04797442 |
 | Xla1 | Obesity | YSOPIA Bioscience | Phase 1 | NCT04663139 |
Orlistat and acarbose | EMP16-02 | Obesity | Empros Pharma AB | Phase 1 | NCT04521751 |
Energy storage | |||||
MGAT2 inhibitor | BMS-963272 | Obesity | Bristol Myers Squibb | Phase 1 | NCT04116632 |
 | S-309309 | Obesity | Shionogi & Co. | In-house | See R&D Pipeline |
DGAT2 inhibitor | Ervogastat/PF-06865571 | NASH, NAFLD | Pfizer | Phase 1 | NCT03513588 |
Sirt1/AMPK/eNOS signaling | NS-0200/Leucine-Metformin-Sildenafil | Obesity | NuSirt Biopharma | Phase 2 | NCT03364335 |
Labisia pumila extract | SKF7 | Obesity | Medika Natura | Phase 2 | NCT04557267 |
Stimulating IDE synthesis | Cyclo-Z (cyclo(his-pro) plus zinc) | T2D | NovMetaPharma | Phase 2 | NCT03560271 |
 |  |  |  |  | NCT02784275 |
αGI inhibitor | Sugardown/BTI320 | Prediabetes | Boston Therapeutics | Phase 2 | NCT02358668 |
CCR2/CCR5 dual agonist | Cenicriviroc | T2D, NAFLD | AbbVie | Phase 2 | NCT02330549 |
Energy expenditure | |||||
SGLT2 inhibitor | Ipragliflozin/ASP1941 | T2D | Astellas Pharma | Phase 3 | NCT02452632 |
 | Bexagliflozin/EGT1442 | T2D | Theracos | Phase 3 | NCT02836873 |
 |  |  |  | Phase 3 | NCT02715258 |
 |  |  |  | Phase 3 | NCT02558296 |
 | Remogliflozin etabonate | T2D | Avolynt | Phase 2 | NCT02537470 |
 | Canagliflozin | Obesity, T2D | Johnson & Johnson | Phase 4 | NCT02360774 |
 | Dapagliflozin | T2D, HF, CKD | AstraZeneca | Phase 2 | NCT05179668 |
 |  |  |  | Phase 4 | NCT04249778 |
 |  |  |  | Phase 2 | NCT03968224 |
 |  |  |  | Phase 3 | NCT02413398 |
 | Empagliflozin | T1D, T2D | Boehringer Ingelheim | Phase 3 | NCT04233801 |
 |  |  |  | Phase 2 | NCT03132181 |
 |  |  |  | Phase 4 | NCT03157414 |
 |  |  |  | Phase 3 | NCT02863328 |
 |  |  |  | Phase 3 | NCT02580591 |
 |  |  |  | Phase 3 | NCT02414958 |
 | Ertugliflozin | T2D, HF | Merck & Co. | Phase 3 | NCT03717194 |
SGLT1/2 inhibitor | Licogliflozin/LIK066 | Obesity | Novartis | Phase 2 | NCT03320941 |
 |  |  |  | Phase 2 | NCT03100058 |
 | Sotagliflozin | T1D, T2D, CKD | Lexicon Pharmaceuticals | Phase 3 | NCT03242252 |
 |  |  |  | Phase 3 | NCT03242018 |
 |  |  |  | Phase 3 | NCT02531035 |
 |  |  |  | Phase 3 | NCT02384941 |
MetAP2 inhibitor | Beloranib/ZGN-440/ZGN-433 | Obesity | Larimar Therapeutics | Phase 2 | NCT01666691 |
 | ZGN-1061 | Obesity, T2D | Larimar Therapeutics | Phase 2 | NCT03254368 |
FGF21/FGFR1c/β-Klotho signaling | LLF580 | Obesity | Novartis Pharmaceuticals | Phase 1 | NCT03466203 |
 | NN9499/NNC0194-0499 | Obesity | Novo Nordisk | Phase 1 | NCT03479892 |
 | MK-3655/NGM313 | Obesity, NASH | Merck & Co. | Phase 1 | NCT02708576 |
 |  |  |  |  | NCT04583423 |
 | BFKB8488A | NAFLD | Genentech | Phase 1 | NCT02593331 |
FGFR4 inhibitor | IONIS-FGFR4Rx | Obesity | Ionis Pharmaceuticals | Phase 2 | NCT02476019 |
FXR agonist | ASC42 | Obesity, NASH | Gannex Pharma | Phase 1 | See R&D Pipeline |
THR-β agonist | ASC41 | Obesity, NAFLD | Gannex Pharma | Phase 1 | NCT04686994 |
sGC stimulator | Praliciguat/IW-1973 | T2D | Cyclerion Therapeutics | Phase 2 | NCT02906579 |
Neutrophil elastase inhibitor | PHP-303 | Obesity | pH Pharma | Phase 1 | NCT03775278 |
PDE4/5 inhibitor | Roflumilast | Obesity | Altana Pharma | Phase 3 | NCT04800172 |
 | Tadalafil | Obesity | Eli Lilly and Company | Phase 2 | NCT02819440 |
Glabridin analog | HSG4112 | Obesity | Glaceum | Phase 1 | NCT05310032 |
 |  |  |  | Phase 2 | NCT05197556 |
 |  |  |  | Phase 1 | NCT04703764 |
ActRII inhibition | Bimagrumab/BYM338 | T2D | Novartis | Phase 2 | NCT03005288 |