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ALT-801

Phase 2

Obesity/Overweight | Small molecule | Metabolic |Altimmune, Inc.|Trials Updated: Jun 24, 2025

Development status

Highest phase Phase 2
Registered trials 11 across 2 sponsors since Jul 2007

Target and mechanism

Molecular targetGLP-1/glucagon
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment705

FDA Designations

No designations recorded

Clinical trial landscape

ALT-801 · 5 trials · 5 indications

Phase 2 1Phase 1 4
NCT05295875Efficacy and Safety of ALT-801 in the Treatment of ObesityObesity/Overweight
COMPLETED391 Analytics
PHASE2COMPLETED
Efficacy and Safety of ALT-801 in the Treatment of Obesity
Obesity/OverweightUnlock trial analytics

Study Endpoints

Primary Endpoints

Relative change from baseline in body weight percentage
Baseline to Week 48
The Number of Participants with One or More Treatment-Emergent Adverse Events (TEAEs)
Up to Day 110

Number of participants with one or more TEAEs

Changes from baseline in area under the curve of serum glucose, C-peptide, and insulin
Baseline to Day 85
Changes from baseline in fasting serum glucose and insulin as measured by Homeostasis Model Assessment for Insulin Resistance 2 (HOMA-IR2)
Baseline to Day 85
Pharmacokinetic (PK): Maximum observed concentration (Cmax) of ALT-801
Baseline, Day 26
Pharmacokinetic (PK): Area Under the Concentration (AUC) vs Time Curve of ALT-801
Baseline to Day 26
Change in body weight
Baseline to Week 6
Pharmacodynamic (PD): Change from baseline in magnetic resonance derived proton density fat fraction (MRI-PDFF)
Baseline to Week 6

Secondary Endpoints

Percent proportion of subjects with weight loss of greater than or equal to 5%, 10%, and 15%
Baseline to Week 48
Change from baseline in lipids
Baseline to Week 48
The Number of Participants with One or More Treatment-Emergent Adverse Events (TEAEs)
Baseline to Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ALT-801 Dose Level 1EXPERIMENTAL -
ALT-801 Dose Level 2EXPERIMENTAL -
ALT-801 Dose Level 3EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
ALT-801 1.2 mgEXPERIMENTAL1.2 mg once weekly for 12 weeks
ALT-801 1.8 mgEXPERIMENTAL1.8 mg once weekly for 12 weeks
ALT-801 2.4 mgEXPERIMENTAL0.6 mg at Week 1, 1.2 mg at Week 2, 1.8 mg once weekly for 2 weeks (Weeks 3 and 4), and 2.4 mg once weekly for Weeks 5 through 12
ALT-801 (Part 1)EXPERIMENTALSingle ascending dose (SAD) cohorts of ALT-801
Placebo (Part 1)PLACEBO_COMPARATORSingle dose of placebo
ALT-801 (Part 2)EXPERIMENTALMultiple ascending dose (MAD) cohorts of ALT-801 administered once weekly for 12 weeks
Placebo (Part 2)PLACEBO_COMPARATORPlacebo administered once weekly for 12 weeks

Interventions

NameTypeDescription
ALT-801DRUGInjected subcutaneously (SC)
PlaceboOTHERInjected subcutaneously (SC)
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: * Written informed consent signed prior to entry into the study * Male or female age 18 to 75 years, inclusive * Body mass index (BMI) ≥ 30 kg/m2 or BMI ≥ 27 kg/m2 combined with at least one obesity-related comorbidity * At least one unsuccessful weight loss attempt per investig...

Countries:United StatesAustralia
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Frequently asked questions about ALT-801

What is ALT-801?

ALT-801 is an investigational small molecule developed by Altimmune, Inc. for metabolic and liver conditions. It has been studied in non-alcoholic fatty liver disease, obesity and overweight, and type 2 diabetes. It is a clinical-stage candidate that has not been approved for any indication.

What does ALT-801 target?

ALT-801 targets the GLP-1 and glucagon receptors, a dual receptor approach. GLP-1 receptor activity is associated with glucose control and appetite regulation, while glucagon receptor activity is associated with energy expenditure and lipid metabolism. Both receptors are part of the same receptor class.

Who makes ALT-801?

ALT-801 is developed by Altimmune, Inc., which trades on the Nasdaq under the ticker ALT. The company has run its ALT-801 clinical program in the United States, enrolling participants with obesity, overweight, non-alcoholic fatty liver disease, and type 2 diabetes.

What phase is ALT-801 in?

ALT-801 is in Phase 1 development overall, with a Phase 2 study also completed in obesity. It is investigational and has not been approved by the FDA for any indication. The program includes completed trials across obesity, non-alcoholic fatty liver disease, and type 2 diabetes.

What clinical trials is ALT-801 in?

ALT-801 has been evaluated in completed trials including NCT05295875 in obesity, NCT05292911 and NCT05006885 in non-alcoholic fatty liver disease, and NCT05134662 in type 2 diabetes. These studies were randomized, double-blind, and placebo-controlled, with a combined enrollment of 391 participants across the program.

Is ALT-801 the same as any other drug name?

ALT-801 is the name used for this Altimmune small molecule across its clinical program. It has been studied under this designation in trials covering obesity and overweight, non-alcoholic fatty liver disease, and type 2 diabetes, all conducted in the United States with participants aged 18 years and older.