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> Record changed: 2026-11-04

# A Study of Enicepatide (CT-388) in Participants Who Are Overweight or Obese With Type 2 Diabetes Mellitus

NCT06628362

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

Phase

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

Participants

447

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

Lead sponsor

Carmot Therapeutics, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

Start date

2024-11-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

Number of sites

70

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Title and summary

**Summary**

This is a multi-center, randomized, double-blind, placebo-controlled, parallel group dose-finding study to evaluate the efficacy and safety of enicepatide at low, middle, and high doses in participants who are overweight or obese with Type 2 diabetes mellitus (T2DM).

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Short title**

A Study of Enicepatide (CT-388) in Participants Who Are Overweight or Obese With Type 2 Diabetes Mellitus

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Official title**

A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-Center Phase 2 Study to Evaluate the Efficacy, Safety, and Tolerability of Once-Weekly CT-388 Administered Subcutaneously for 48 Weeks to Participants Who Are Overweight or Obese With Type 2 Diabetes Mellitus

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Phase**

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Dates

**Completion date**

2026-10-02

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**First posted**

2024-10-08

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Registry last updated**

2026-10-28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Primary completion date**

2026-05-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Start date**

2024-11-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Size and sites

**Actual participants**

447

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Participants**

447

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Protocol amendments**

4

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Number of sites**

70

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Lead sponsor**

Carmot Therapeutics, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Identifiers

**Registry ID**

NCT06628362

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**ClinicalTrials.gov ID**

NCT06628362

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Double masking

**Masked roles**

Participants, Investigators

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Outcomes

### Primary outcomes

1. Percent Change in Body Weight from Baseline to Week 36  
Timeframe: Baseline to Week 36
2. Change in Glycated Hemoglobin (HbA1c) from Baseline to Week 36  
Timeframe: Baseline to Week 36

### Secondary outcomes

1. Percent Change in Body Weight from Baseline to Week 48  
Timeframe: Baseline to Week 48
2. Change in HbA1c from Baseline to Week 48  
Timeframe: Baseline to Week 48
3. Percentage of Participants with HbA1c <7.0% at Weeks 36 and 48  
Timeframe: Weeks 36 and 48
4. Percentage of Participants with Body Weight Reduction ≥5%, ≥10%, ≥15%, ≥20%, and ≥25% from Baseline to Week 36  
Timeframe: Baseline and Week 36
5. Percentage of Participants with Body Weight Reduction ≥5%, ≥10%, ≥15%, ≥20%, and ≥25% from Baseline to Week 48  
Timeframe: Baseline and Week 48
6. Percent Change in Body Weight from Baseline to Week 28  
Timeframe: Baseline and Week 28
7. Absolute Change in Body Weight (kg) from Baseline to Weeks 36 and 48  
Timeframe: Baseline to Weeks 36 and 48
8. Percent Change in Body Weight from Baseline to Weeks 16, 28, 36, and 48 by Obesity Class  
Timeframe: Baseline to Weeks 16, 28, 36, and 48
9. Change in HbA1c from Baseline to Weeks 16 and 28  
Timeframe: Baseline to Weeks 16 and 28
10. Change in HbA1c from Baseline to Weeks 16, 28, 36, and 48 by Obesity Class  
Timeframe: Baseline to Weeks 16, 28, 36, and 48
11. Percentage of Participants with HbA1c ≤6.5% at Weeks 16, 28, 36, and 48  
Timeframe: Weeks 16, 28, 36, and 48
12. Percentage of Participants with HbA1c <5.7% at Weeks 16, 28, 36, and 48  
Timeframe: Weeks 16, 28, 36, and 48
13. Change in 7-point Self-Monitored Blood Glucose (SMBG) Profile at Weeks 16, 28, 36, and 48  
Timeframe: Weeks 16, 28, 36, and 48
14. Percentage of Participants who Achieve HbA1c ≤6.5% and ≥10.0% Weight Reduction at Weeks 16, 28, 36, and 48  
Timeframe: Baseline, Weeks 16, 28, 36, and 48
15. Percentage of Participants who Achieve HbA1c <7.0% and ≥5.0% Weight Reduction at Weeks 16, 28, 36, and 48  
Timeframe: Baseline, Weeks 16, 28, 36, and 48
16. Change in Body Mass Index (BMI) from Baseline to Weeks 36 and 48  
Timeframe: Baseline, Weeks 36 and 48
17. Change in Waist Circumference from Baseline to Weeks 36 and 48  
Timeframe: Baseline, Weeks 36 and 48
18. Change in Hip Circumference from Baseline to Weeks 36 and 48  
Timeframe: Baseline, Weeks 36 and 48
19. Change in Waist-to-Hip Ratio from Baseline to Weeks 36 and 48  
Timeframe: Baseline, Weeks 36 and 48
20. Change in Waist-to-Height Ratio from Baseline to Weeks 36 and 48  
Timeframe: Baseline, Weeks 36 and 48
21. Change in Fasting Plasma Glucose from Baseline to Weeks 16, 28, 36, and 48  
Timeframe: Baseline to Weeks 16, 28, 36, and 48
22. Change in Fasting Insulin from Baseline to Weeks 16, 28, 36, and 48  
Timeframe: Baseline to Weeks 16, 28, 36, and 48
23. Change in Fasting C-peptide from Baseline to Weeks 16, 28, 36, and 48  
Timeframe: Baseline to Weeks 16, 28, 36, and 48
24. Change in Fasting Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) from Baseline to Weeks 16, 28, 36, and 48  
Timeframe: Baseline to Weeks 16, 28, 36, and 48

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Maximum age**

75 Years

**Healthy volunteers**

No

### Inclusion criteria

- Male or female, 18 to 75 years of age
- Body mass index (BMI) ≥25.0 kg/m^2
- Have a diagnosis of Type 2 Diabetes Mellitus (T2DM) according to the World Health Organization classification or other locally applicable standards
- Have an HbA1c ≥7% and ≤10.5%
- Management of T2DM with diet and exercise alone, metformin, or a sodium-glucose cotransporter-2 (SGLT-2) inhibitor, as monotherapy or in combination, per approved local label
- At least one self-reported unsuccessful diet/exercise effort to lose body weight

### Exclusion criteria

- Have Type 1 Diabetes Mellitus (T1DM), history of ketosis or hyperosmolar state/coma, or any other types of diabetes except T2DM
- Have had 1 or more episodes of Level 3 hypoglycemia or have had hypoglycemia unawareness within 3 months prior to screening
- Have history or presence of proliferative diabetic retinopathy, diabetic macular edema, or non-proliferative diabetic retinopathy that requires acute treatment
- Have evidence of clinically significant autonomic neuropathy (symptoms may include resting tachycardia, orthostatic hypotension, or diabetic diarrhea)
- Had treatment with any oral antihyperglycemic medications, with the exception of metformin or SGLT-2 inhibitors, within 3 months prior to screening or planned concurrent treatment with these medications during the study
- Had treatment with injectable antihyperglycemic medication, with the exception of short-term insulin, within 6 months prior to screening or planned concurrent treatment with these medications during the study
- Self-reported body weight change of >5 kg within 3 months before screening
- Any unbalanced/extreme diets, such as very low calorie, low carbohydrate, very high protein, ketogenic, or intermittent diets, within 3 months of the screening visit, or plan to be on such diets during the study
- Current or recent use of any treatment that promotes weight loss or glucose metabolism
- Current or recent use of treatment that may cause weight gain
- Prior or planned surgical treatment or procedure for obesity, except for liposuction or abdominoplasty if performed >1 year prior to screening. Participants with a history of devices, such as LAP-BAND® or intragastric balloon, are permitted, if devices were removed >1 year prior to screening.
- History of clinically significant or active gastric emptying abnormality (e.g., severe gastroparesis or gastric outlet obstruction, intestinal obstruction), or chronic use of medications that directly affect GI motility
- History of chronic pancreatitis or acute pancreatitis or have signs and symptoms of acute pancreatitis at screening
- Have obesity induced by other endocrinologic disorders (e.g., Cushing syndrome) or diagnosed monogenetic or syndromic forms of obesity
- History or diagnosis of significant active or unstable major depressive disorder or any history/diagnosis of other severe psychiatric conditions (e.g., schizophrenia; bipolar disorder; other serious mood disorder or anxiety disorder, or hyperactivity disorder) within the last year before screening
- History of any hematologic conditions that may interfere with HbA1c measurement (e.g., hemolytic anemias, sickle cell disease, other hemoglobinopathies)
- Family or personal history of medullary thyroid carcinoma
- Women who are pregnant, breastfeeding, or intend to become pregnant, or are of childbearing potential and not using a highly effective contraceptive method as required per protocol

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Sites

- Central Alabama ResearchBirmingham, United States
- University of Alabama at Birmingham (UAB)Birmingham, United States
- Lakeview Clinical Research, LLCGuntersville, United States
- Yuma Clinical TrialsYuma, United States
- AMCR InstituteEscondido, United States
- Ark Clinical-Fountain ValleyFountain Valley, United States
- Orange Country Research CenterLake Forest, United States
- Ark Clinical ResearchLong Beach, United States
- Catalina Research Institute, LLCMontclair, United States
- Asclepes Research CentersSherman Oaks, United States
- Encompass Clinical ResearchSpring Valley, United States
- Flourish Research - Boca RatonBoca Raton, United States
- Tampa Bay Medical ResearchClearwater, United States
- K2 Medical Research, LLC - MaitlandMaitland, United States
- K2 Medical Research, LLC - OrlandoMaitland, United States
- Flourish Research Acquisition, LLCMiami, United States
- K2 Medical Research, LLC - South OrlandoOrlando, United States
- Aging Well AssociatesSt. Petersburg, United States
- K2 Medical Research TampaTampa, United States
- K2 Summit ResearchThe Villages, United States
- Privia Medical Group Georgia, LLCFayetteville, United States
- Privia Medical Group Georgia - ThomasvilleThomasville, United States
- Rophe Adult and Pediatric Medicine/SKYCRNGUnion City, United States
- Duly Health and CareLombard, United States
- McFarland ClinicAmes, United States

And 45 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## References

### Other registry identifiers

- XC45544

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06628362)

## Related records

### Drugs (1)

- [Enicepatide](https://trialight.com/data/asset/enicepatide-9d29d104-0269-5924-99ee-7e5768486cba.md)

### Collaborators (1)

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

### Lead sponsors (1)

- [Carmot Therapeutics, Inc.](https://trialight.com/data/company/carmot-therapeutics-inc-1a07d610-baee-473a-8724-3f31b279f252.md)

### Conditions (2)

- [Obesity disorder](https://trialight.com/data/condition/obesity-disorder-f3b57dc0-68ac-555c-8f13-0d81e595d9cb.md) Primary condition
- [Type 2 diabetes mellitus](https://trialight.com/data/condition/type-2-diabetes-mellitus-98e14a90-bb06-5174-90c7-901a0a259fb9.md)

---

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