Recent Updates
Recently added Catalysts

Zenagamtide

Phase 3

Cardiovascular Risk | Small molecule | Cardiovascular |Novo Nordisk A/S|Trials Updated: Oct 16, 2026

Zenagamtide development status

Highest phase Phase 3
Registered trials 7 across 1 sponsor since Jun 2026

Zenagamtide target and mechanism

Target class-Tide (Peptide)
ModalitySmall molecule

Also known as Zenagamtide injection

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials7
Total Enrollment12,658

FDA Designations

No designations recorded

Zenagamtide clinical trials

Zenagamtide · 7 trials · 4 indications

Phase 3 5Phase 1 2
NCT07668401AMAZE 13: A Research Study Investigating How Well the Medicine Zenagamtide Helps People in Asia With Excess Body Weight Lose WeightObesity
NOT YET_RECRUITING400 Analytics
NCT07861100A Research Study to Look at How Well Zenagamtide Works Compared to Placebo in People With Established Atherosclerotic Cardiovascular Disease and Either Overweight or ObesityCardiovascular Risk
NOT YET_RECRUITING8,500 Analytics
NCT07668414A Research Study Investigating How Well the Medicine Zenagamtide Helps People With Excess Body Weight Lose Weight Compared to SemaglutideOverweight
RECRUITING650 Analytics
NCT07720271AMAZE 9: A Research Study Investigating How Well Zenagamtide Tablets Help People With Excess Body Weight Lose WeightOverweight
RECRUITING950 Analytics
NCT07797335AMBITION 7: A Research Study Investigating How Well Zenagamtide Lowers Blood Sugar and Body Weight Compared to Insulin Glargine in People With Type 2 Diabetes and Increased Risk of Diseases That Affect the Heart and Blood Vessels Treated With 1-3 Other Diabetes MedicationsType 2 Diabetes
RECRUITING1,778 Analytics
PHASE3NOT YET_RECRUITING
AMAZE 13: A Research Study Investigating How Well the Medicine Zenagamtide Helps People in Asia With Excess Body Weight Lose Weight
ObesityUnlock trial analytics
PHASE3NOT YET_RECRUITING
A Research Study to Look at How Well Zenagamtide Works Compared to Placebo in People With Established Atherosclerotic Cardiovascular Disease and Either Overweight or Obesity
Cardiovascular RiskUnlock trial analytics
PHASE3RECRUITING
A Research Study Investigating How Well the Medicine Zenagamtide Helps People With Excess Body Weight Lose Weight Compared to Semaglutide
OverweightUnlock trial analytics
PHASE3RECRUITING
AMAZE 9: A Research Study Investigating How Well Zenagamtide Tablets Help People With Excess Body Weight Lose Weight
OverweightUnlock trial analytics
PHASE3RECRUITING
AMBITION 7: A Research Study Investigating How Well Zenagamtide Lowers Blood Sugar and Body Weight Compared to Insulin Glargine in People With Type 2 Diabetes and Increased Risk of Diseases That Affect the Heart and Blood Vessels Treated With 1-3 Other Diabetes Medications
Type 2 DiabetesUnlock trial analytics

Study Endpoints

Primary Endpoints

Relative change in body weight
From baseline (week 0) to week 80

Measured as percentage of body weight.

Time from randomization to first occurrence of a 4-point (P) composite major adverse cardiovascular events (MACE) endpoint consisting of: Cardiovascular (CV) death, Non-fatal MI, Non-fatal stroke, HF hospitalization or urgent HF visit
From baseline (week 0) to up to 203 weeks or longer

Measured in days.

Non-inferiority of zenagamtide versus insulin glargine: change in haemoglobin A1c (HbA1c)
From baseline (week 0) to week 52

Measured as percentage (%)-points

Number of treatment emergent adverse events (TEAE)
From first administration of zenagamtide day 1 to day 57

Measured as number of events

AUC, zenagamtide, steady state (ss): area under the zenagamtide plasma concentration-time curve during a dosing interval at steady state
From 0 (pre-dose) up to Day 196 and Day 224

Measured as nanomoles per liter hourly (h\*nmol/L)

Secondary Endpoints

Change in waist circumference
From baseline (week 0) to week 80
Time from randomization to first occurrence of an expanded 5-P composite MACE endpoint consisting of: All-cause death, Non-fatal MI, Non-fatal stroke, HF hospitalization or urgent HF visit, Coronary revascularization
From baseline (week 0) to up to 203 weeks or longer
Time from randomization to first occurrence of a 3-P composite MACE endpoint consisting of: CV death, Non-fatal MI, Non-fatal stroke
From baseline (week 0) to up to 203 weeks or longer
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ZenagamtideEXPERIMENTALParticipants will be randomized to receive 1 out of 3 different dose levels subcutaneously once weekly.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to Zenagamtide subcutaneously once weekly.
Semaglutide dose 1ACTIVE_COMPARATORParticipants will receive semaglutide dose 1 and placebo matched to zenagamtide subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity.
Semaglutide dose 2ACTIVE_COMPARATORParticipants will receive semaglutide dose 2 and placebo matched to zenagamtide subcutaneously once weekly as an adjunct to a reduced-calorie diet and increased physical activity.
Insulin glargine U-100ACTIVE_COMPARATORParticipants will receive Insulin glargine U-100 subcutaneously once daily to one of the body parts: thigh, abdomen or upper arm.
Tirzepatide and ZenagamtideEXPERIMENTALParticipants will receive one of the different dose levels of tirzepatide administered once weekly by subcutaneous injection. Following the last maintenance dose of tirzepatide, participants will switch to one of the different dose levels of zenagamtide administered once weekly by subcutaneous injection.
Zenagamtide subcutaneous (s.c.)EXPERIMENTALParticipants will receive one of the different dose levels of zenagamtide once weekly subcutaneously.
Zenagamtide oralEXPERIMENTALParticipants will receive oral dose of zenagamtide once daily.

Interventions

NameTypeDescription
ZenagamtideDRUGZenagamtide will be administered subcutaneously using PDS290 pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Placebo ( matched to Zenagamtide)DRUGPlacebo matched to Zenagamtide will be administered subcutaneously using PDS290 pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
PlaceboDRUGPlacebo will be administered subcutaneously.
SemaglutideDRUGSemaglutide will be administered subcutaneously using pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Placebo (matched to semaglutide)DRUGPlacebo matched to semaglutide will be administered subcutaneously using pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Placebo (matched to zenagamtide)DRUGPlacebo matched to zenagamtide will be administered subcutaneously using pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Insulin glargine U-100DRUGInsulin glargine U-100 will be administered subcutaneously using SoloSTAR pen-injector to one of the body parts: thigh, abdomen or upper arm (rotation of the injection site within body parts).
TirzepatideDRUGTirzeptide will be administered subcutaneously using pre-filled pen-injectors to one of the body parts: thigh, abdomen or upper arm.
Zenagamtide injectionDRUGZenagamtide will be administered to one of the body parts: thigh, abdomen or upper arm
Zenagamtide tabletDRUGZenagamtide tablet will be taken in the morning in fasted state.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites44

Inclusion Criteria: * Male or female (sex assigned at birth, inclusive of all gender identities). * Age 18 years or above at the time of signing the informed consent Exclusion Criteria: * Glycated haemoglobin (HbA1c) ≥ 6.5% (48 mmol/mol) as measured by the central laboratory at screening. * Histo...

Countries:IndiaJapanMalaysiaSouth KoreaThailandUnited StatesArgentinaAustraliaBrazilBulgariaCanadaChinaCzechiaDenmarkFranceGermanyGreeceIsraelItalyMexicoNetherlandsPolandPuerto RicoSouth AfricaSpainTurkey (Türkiye)United Kingdom
Unlock Eligibility Criteria

Competitive Landscape -Cardiovascular Disorders 38 trials (matched to "Cardiovascular Risk")

Unlock Competitive Intelligence

Recent Changes (Last 90 Days)

LOWOct 16, 2026NCT07868354Status: NOT_YET_RECRUITING → RECRUITING
LOWOct 16, 2026NCT07868354Status: NOT_YET_RECRUITING → RECRUITING
LOWOct 9, 2026NCT07868354NEW_TRIAL: changed
LOWOct 9, 2026NCT07868354NEW_TRIAL: changed
LOWOct 7, 2026NCT07815067lastUpdatePostDate: changed
LOWOct 7, 2026NCT07815067lastUpdatePostDate: changed
LOWOct 6, 2026NCT07861100NEW_TRIAL: changed
LOWOct 6, 2026NCT07861100NEW_TRIAL: changed
LOWOct 2, 2026NCT07815067Status: NOT_YET_RECRUITING → RECRUITING
LOWOct 2, 2026NCT07815067Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 28, 2026NCT07720271Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 28, 2026NCT07668414Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 28, 2026NCT07720271Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 28, 2026NCT07668414Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 11, 2026NCT07815067NEW_TRIAL: changed
LOWSep 11, 2026NCT07815067NEW_TRIAL: changed
LOWSep 1, 2026NCT07797335NEW_TRIAL: changed
LOWSep 1, 2026NCT07797335NEW_TRIAL: changed
LOWAug 25, 2026NCT07720271lastUpdatePostDate: changed
LOWAug 25, 2026NCT07668414lastUpdatePostDate: changed

Frequently asked questions about Zenagamtide

What is Zenagamtide?

Zenagamtide is an investigational peptide therapy developed by Novo Nordisk A/S for cardiovascular risk, obesity, overweight, and type 2 diabetes. It is being studied in Phase 3 clinical trials, including a large placebo-controlled cardiovascular outcomes study and a comparison against insulin glargine in type 2 diabetes. Zenagamtide is also known as Zenagamtide injection.

What is Zenagamtide used for in obesity and type 2 diabetes?

Zenagamtide is being developed to lower blood sugar and body weight in people with type 2 diabetes and to treat overweight and obesity, including in patients with established atherosclerotic cardiovascular disease. These uses are under clinical investigation in Phase 3 trials and are not yet established as approved indications.

Who makes Zenagamtide?

Zenagamtide is developed by Novo Nordisk A/S, which trades under the ticker NVO. Novo Nordisk is sponsoring the Phase 1 and Phase 3 studies of Zenagamtide across the United States, Europe, Asia, Latin America, and other regions.

What phase is Zenagamtide in?

Zenagamtide is in Phase 3 clinical development. Two Phase 3 trials are underway: a placebo-controlled cardiovascular outcomes study in people with atherosclerotic cardiovascular disease and overweight or obesity, and the AMBITION 7 study comparing Zenagamtide with insulin glargine in type 2 diabetes. Zenagamtide is investigational and not approved.

What clinical trials is Zenagamtide in?

Zenagamtide is being studied in four trials. NCT07861100 is a Phase 3 placebo-controlled cardiovascular study with 8,500 planned participants. NCT07797335 (AMBITION 7) is a Phase 3 comparison with insulin glargine enrolling 1,778 people with type 2 diabetes. NCT07868354 and NCT07815067 are Phase 1 studies in overweight or obesity.

Is Zenagamtide the same as Zenagamtide injection?

Yes. Zenagamtide injection is another name for Zenagamtide, the investigational peptide developed by Novo Nordisk A/S. Both names refer to the same drug candidate being evaluated in Phase 1 and Phase 3 clinical trials for cardiovascular risk, obesity, overweight, and type 2 diabetes.