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> Record changed: 2026-11-04

# A Phase III Study to Evaluate the Efficacy and Safety of Petrelintide in Participants With Overweight or Obesity

NCT07843498

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

Participants

3,900

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

Lead sponsor

Hoffmann-La Roche

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

Start date

2026-09-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

Number of sites

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Title and summary

**Summary**

This study will evaluate the efficacy and safety of petrelintide compared with placebo, in conjunction with a reduced-calorie diet and increased physical activity, for weight management in participants living with overweight or obesity, at least one weight-related comorbidity, and without Type 2 Diabetes (T2D).

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Acronym**

ZUPREME-3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Short title**

A Phase III Study to Evaluate the Efficacy and Safety of Petrelintide in Participants With Overweight or Obesity

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Official title**

A Phase III, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Once Weekly Petrelintide vs. Placebo in Participants With Overweight or Obesity

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Dates

**Completion date**

2029-03-22

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**First posted**

2026-09-28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Registry last updated**

2026-10-07

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Primary completion date**

2028-12-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Start date**

2026-09-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Size and sites

**Participants**

3,900

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Planned participants**

3,900

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Number of sites**

3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Lead sponsor**

Hoffmann-La Roche

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Identifiers

**Registry ID**

NCT07843498

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**ClinicalTrials.gov ID**

NCT07843498

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Outcomes

### Primary outcomes

1. Percentage Change in Body Weight from Baseline  
Timeframe: From Baseline to Week 64

### Secondary outcomes

1. Proportion of Participants Achieving ≥ 5% Body Weight Loss from Baseline  
Timeframe: From Baseline to Week 64
2. Proportion of Participants Achieving ≥ 10% Body Weight Loss from Baseline  
Timeframe: From Baseline to Week 64
3. Proportion of Participants Achieving ≥ 15% Body Weight Loss from Baseline  
Timeframe: From Baseline to Week 64
4. Change from Baseline in Waist Circumference (cm)  
Timeframe: From Baseline to Week 64
5. Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP)  
Timeframe: From Baseline to Week 64
6. Change from Baseline in Triglycerides  
Timeframe: From Baseline to Week 64
7. Change from Baseline in High-Density Lipoprotein (HDL) Cholesterol  
Timeframe: From Baseline to Week 64
8. Change from Baseline in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQoL-Lite-CT) Physical Functioning Composite Score  
Timeframe: From Baseline to Week 64
9. Change from Baseline in IWQoL-Lite-CT Physical Functioning Composite Score in Participants with Poor Physical Functioning at Baseline (as defined by Patient Global Impression of Severity/Status \[PGI-S\])  
Timeframe: From Baseline to Week 64
10. Change from Baseline in Short Form (36) Health Survey Version 2 (SF-36v2) Acute Form Physical Functioning Domain Score  
Timeframe: From Baseline to Week 64
11. Change from Baseline in SF-36v2 Acute Form Physical Functioning Domain Score in Participants with Poor Physical Functioning at Baseline (as defined by PGI-S)  
Timeframe: From Baseline to Week 64
12. Change from Baseline in Mean Daily Food Craving Score  
Timeframe: From Baseline to Week 64
13. Change from Baseline in Mean Daily Peak Hunger Score  
Timeframe: From Baseline to Week 64
14. Change from Baseline in Body Mass Index (BMI) (kg/m²)  
Timeframe: From Baseline to Week 64
15. Change from Baseline in Body Weight (kg)  
Timeframe: From Baseline to Week 64
16. Change from Baseline in Waist-to-Hip Ratio  
Timeframe: From Baseline to Week 64
17. Change from Baseline in Waist-to-Height Ratio  
Timeframe: From Baseline to Week 64
18. Change from Baseline in Fasting Insulin  
Timeframe: From Baseline to Week 64
19. Change from Baseline in Fasting Glucose  
Timeframe: From Baseline to Week 64
20. Change from Baseline in Hemoglobin A1c (HbA1c)  
Timeframe: From Baseline to Week 64
21. Percentage of Participants Achieving HbA1c of <5.7%  
Timeframe: At Week 64
22. Change from Baseline in Very-Low-Density Lipoprotein (VLDL) Cholesterol  
Timeframe: From Baseline to Week 64
23. Change from Baseline in Non-HDL Cholesterol  
Timeframe: From Baseline to Week 64
24. Change from Baseline in Total Cholesterol  
Timeframe: From Baseline to Week 64
25. Change from Baseline in Low-Density Lipoprotein (LDL) Cholesterol  
Timeframe: From Baseline to Week 64

And 16 more, listed on the interactive page.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Participants with BMI ≥ 30 kg/m² or BMI ≥ 27 kg/m² with at least one weight-related comorbidity
- History of at least one self-reported unsuccessful dietary effort to lose body weight

### Exclusion criteria

- HbA1c ≥ 48 mmol/mol (6.5%), measured by the central laboratory at screening
- Known history of Type 1 or Type 2 diabetes mellitus
- Current or previous treatment with petrelintide or any other amylin analog

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Sites

- Pinnacle Research GroupAnniston, United StatesRecruiting
- Progressive Medical ResearchPort Orange, United StatesRecruiting
- Clinical Research AssociatesNashville, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## References

### Other registry identifiers

- 2026-526188-39-00

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07843498)

## Related records

### Drugs (1)

- [Petrelintide](https://trialight.com/data/asset/petrelintide-b3738a49-6b24-44d3-b78a-1cda49db7323.md)

### Collaborators (1)

- [Zealand Pharma](https://trialight.com/data/company/zealand-pharma-95a70d21-85c7-458e-ac9a-895e39993340.md)

### Lead sponsors (1)

- [Hoffmann-La Roche](https://trialight.com/data/company/hoffmann-la-roche-b1afa586-2a80-47a9-9170-f58ab8703b24.md)

### Conditions (1)

- [Obesity disorder](https://trialight.com/data/condition/obesity-disorder-f3b57dc0-68ac-555c-8f13-0d81e595d9cb.md) Primary condition

---

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