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

  1. MC4R melanocortin-4 receptor, NPY5R neuropeptide y receptor y5, R&D research and development, SNDRI serotonin–norepinephrine–dopamine reuptake inhibitor, CB1 cannabinoid receptor 1, GLP-1R glucagon-like peptide 1 receptor, T2D type 2 diabetes, LAPS long-acting peptide/protein discovery, HO hypothalamic obesity, GCGR glucagon receptor, GIPR glucose-dependent insulinotropic polypeptide/gastric inhibitory polypeptide receptor, NASH nonalcoholic steatohepatitis, OXM oxyntomodulin, DPP-4 dipeptidyl peptidase-4, NAFLD nonalcoholic fatty liver disease, AMYR amylin receptor, CTR calcitonin receptor, TAS2R bitter taste receptor class 2, PYY peptide tyrosine-tyrosine, Y2R neuropeptide y receptor type 2, PWS Prader–Willi syndrome, GDF15 growth differentiation factor 15, α7-nAChR alpha7 nicotinic acetylcholine receptor, MGAT2 monoacylglycerol acyltransferase 2, DGAT2 diacylglycerol acyltransferase 2, IDE insulin degrading enzyme, αGI alpha-glucosidase inhibitor, CCR2/5 C-C chemokine receptor type 2/5, SGLT1/2 sodium-glucose cotransporter 1/2, HF heart failure, CKD chronic kidney disease, T1D type 1 diabetes, MetAP2 methionine aminopeptidase 2, FGF21 fibroblast growth factor 21, FGFR1c fibroblast growth factor receptor 1c isoform, FGFR4 fibroblast growth factor receptor 4, FXR farnesoid x receptor, THR-β thyroid hormone receptor beta, sGC soluble guanylate cyclase, PDE4/5 phosphodiesterase-4/5, ActRII activin type II receptors
  2. Zealand Pharma R&D Pipeline: https://www.zealandpharma.com/product-pipeline
  3. Rhythm Pharmaceuticals R&D Pipeline: https://www.rhythmtx.com/our-pipeline-old
  4. Shionogi & Co. R&D Pipeline: https://www.shionogi.com/global/en/innovation/pipeline.html
  5. MAKScientific R&D Pipeline: https://makscientific.com/drug_pipeline.html
  6. Gannex Pharma R&D Pipeline: https://www.gannexpharma.com/portal/list/index/id/9.html
  7. Novo Nordisk R&D Pipeline: https://www.novonordisk.com/science-and-technology/r-d-pipeline.html