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Phase III: Enicepatide in Obesity or Overweight (Enith1)

Clinical Trial Overview

Clinical Trial Overview

Recruiting

A Phase III, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Once-Weekly RO7795068 Administered to Participants With Obesity or Overweight Without Type 2 Diabetes

Objective

The purpose of this study is to assess the efficacy and safety of enicepatide, a dual glucagon like peptide-1 (GLP-1)/glucose-dependent insulinotropic polypeptide (GIP) receptor agonist (RA), at multiple doses compared with placebo for weight management in participants without Type 2 diabetes mellitus (T2DM) who have obesity or overweight with at least one weight-related comorbidity.

Primary Endpoints

  • Percent (%) Change from Baseline in Body Weight at Week 72

Secondary Endpoints

  • Percentage of Participants Achieving ≥5% Body Weight Loss from Baseline at Week 72
  • Percentage of Participants Achieving ≥10% Body Weight Loss from Baseline at Week 72
  • Percentage of Participants Achieving ≥15% Body Weight Loss from Baseline at Week 72
  • Percentage of Participants Achieving ≥20% Body Weight Loss from Baseline at Week 72
  • Percentage of Participants Achieving ≥25% Body Weight Loss from Baseline at Week 72
  • Change from Baseline in Body Weight (kg) at Week 72
  • Change from Baseline in Waist Circumference (cm) at Week 72
  • Change from Baseline in Fasting Glucose at Week 72
  • Change from Baseline in Fasting Insulin at Week 72
  • Change from Baseline in Low-Density Lipoprotein (LDL) Cholesterol at Week 72
  • Change from Baseline in High-Density Lipoprotein (HDL) Cholesterol at Week 72
  • Change from Baseline in Triglyceride at Week 72
  • Change from Baseline in Systolic Blood Pressure at Week 72
  • Change from Baseline in the Physical Functioning Domain Score of the Short Form (36) Health Survey Version 2 (SF-36v2) Acute Form at Week 72
  • Change from Baseline in Physical Functioning Composite Score of the Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQoL-Lite-CT) Questionnaire at Week 72
  • Change from Baseline in Waist-to-Hip Ratio at Week 72
  • Change from Baseline in Waist-to-Height Ratio at Week 72
  • Percentage of Participants Achieving Normoglycemia (HbA1c <5.7%) at Week 72
  • Change from Baseline in Subscale Scores of the Control of Eating Questionnaire (CoEQ) at Week 72
  • Change from Baseline in Symptoms and Impact of Urinary Incontinence as Assessed by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) at Week 72
  • Percentage of Participants Experiencing No Change, Improvement, or Worsening on the Patient Global Impression of Change (PGI-C) Urinary Incontinence Questionnaire at Week 72
  • Percentage of Participants Experiencing No Change, Improvement, or Worsening on the Patient Global Impression of Severity (PGI-S) Urinary Incontinence Questionnaire at Week 72
  • Percentage of Participants Experiencing No Change, Improvement, or Worsening on the PGI-C Physical Functioning Questionnaire at Week 72
  • Percentage of Participants Experiencing No Change, Improvement, or Worsening on the PGI-S Physical Functioning Questionnaire at Week 72
  • Change from Baseline in Health Related Quality of Life (HRQoL) as Assessed by the SF-36v2 Acute Form Domain Scores and Component Summary Scores at Week 72
  • Change from Baseline in HRQoL as Assessed by the Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQoL-Lite-CT) Questionnaire Domain Scores and Total Score at Week 72
  • Change from Baseline in Non-HDL Cholesterol at Week 72
  • Change from Baseline in Very Low Density Lipoprotein (VLDL) Cholesterol at Week 72
  • Change from Baseline in Total Cholesterol at Week 72
  • Change from Baseline in Free Fatty Acids at Week 72
  • Change from Baseline in Diastolic Blood Pressure at Week 72
  • Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP) at Week 72
  • Percentage of Participants Achieving ≥30% Body Weight Loss from Baseline at Week 72
  • Change from Baseline in Body Mass Index (BMI) at Week 72
  • Percent (%) Change from Baseline in Body Weight by Obesity Class at Week 72
  • Time to Achieve ≥5%, ≥10%, ≥15%, ≥20%, ≥25%, ≥30% Body Weight Loss from Baseline Through Week 72
  • Change from Baseline in Total Lean Tissue Volume (Litres) at Week 72, as Assessed by Magnetic Resonance Imaging (MRI)
  • Percent (%) Change from Baseline in Total Lean Tissue Volume at Week 72, as Assessed by MRI
  • Change from Baseline in Total Adipose Tissue Volume (Litres) at Week 72, as Assessed by MRI
  • Percent (%) Change from Baseline in Total Adipose Tissue Volume at Week 72, as Assessed by MRI
  • Incidence and Severity of Adverse Events, with Severity Determined According to Mild/Moderate/Severe Criteria
  • Change from Baseline in the Columbia-Suicide Severity Rating Scale (C-SSRS) Score Through Week 72
  • Change from Baseline in the Patient Health Questionnaire-9 (PHQ-9) Score Through Week 72

Enicepatide

Other names: RG6640; RO7795068; CT-388

Modality: Biased dual GLP-1/GIP receptor agonist

Disease/Condition: Obesity or Overweight


ADDITIONAL RESOURCES

Inclusion and Exclusion Criteria

Inclusion and Exclusion Criteria

Inclusion Criteria
  • Participants must have at screening:
  • Body mass index (BMI) greater than or equal to (≥)30.0 kg/m^2; or
  • BMI ≥27.0 kg/m^2 and <30.0 kg/m^2 with at least one weight-related comorbidity, such as prediabetes, hypertension, dyslipidemia, diagnosis of obstructive sleep apnea, or weight-related cardiovascular disease
  • History of ≥1 self-reported unsuccessful diet/exercise effort to lose body weight
  • Ability and willingness to self-administer the study drug (or receive an injection from a trained individual if visually impaired or with physical limitations)
Exclusion Criteria
  • History of Type 1 diabetes mellitus (T1DM) or T2DM, or history of ketoacidosis or hyperosmolar state/coma. Prior, but not current, diagnosis of gestational diabetes is allowed if no history of diabetes is recorded since.
  • Self-reported change in body weight >5 kg within 3 months prior to screening
  • Obesity induced by other endocrinologic disorders (e.g., Cushing's syndrome) or diagnosed monogenetic or syndromic forms of obesity (e.g., melanocortin 4 receptor deficiency or Prader-Willi syndrome)
  • Prior or planned surgical treatment for obesity. Liposuction or abdominoplasty if performed more than 1 year prior to screening is allowed.
  • Known clinically significant gastric emptying abnormality (e.g., severe gastroparesis or gastric outlet obstruction)
  • History of acute or chronic pancreatitis or clinically significant gallbladder disease. History of acute pancreatitis caused by gallstones or clinically significant gallbladder disease is allowed if the participant had a cholecystectomy to resolve the problem at least 3 months prior to screening.
  • Poorly controlled hypertension at screening
  • Any of the following cardiovascular conditions within 3 months prior to screening: Acute myocardial infarction; Cerebrovascular accident (stroke)/transient ischemic attack; Unstable angina; Hospitalization due to congestive heart failure.
  • Have a history of significant active or unstable major depressive disorder (MDD) or other severe psychiatric disorder (e.g., schizophrenia, bipolar disorder, or other serious mood or anxiety disorder). Participants with MDD or generalized anxiety disorder whose disease state is considered stable within 1 year prior to screening and expected to remain stable throughout the course of the study, in the opinion of the investigator, are allowed provided that they are not receiving prohibited medication.
  • Treatment with any approved or investigational GLP-1-RA-based therapy (e.g., GLP-1 receptor mono agonist, GLP-1/GIP receptor dual agonist, GLP-1/GIP/Gluc receptor triple agonist) within 6 months prior to randomization
Study Site Locations

36 Results

    Enrollment and Resources

    Enrollment & Resources

    Enrollment

    For more information on eligibility criteria, view the study or reach out to our team.

    Call icon

    Phone

    1-888-662-6728
    (US and Canada)

    Resources

    ClinicalTrials.gov

    Learn more about this trial (NCT07351045) on ClinicalTrials.gov.

    Patient Resources

    Genentech offers a place for patients, relatives, and caregivers to learn more about clinical trials.

    Information is consistent with ClinicalTrials.gov as of July 31, 2026. Products under investigation have not been approved for use outside of the clinical trial setting. This information is presented only for the purposes of providing an overview of clinical trials and should not be construed as a recommendation for use of any product for unapproved purposes.

    Looking for more information?

    Reach out to a Genentech Medical Science Liaison near you, or connect with the contact center.

    Call the Trial Information Support Team: 1-888-662-6728 Hours: Monday-Friday, 5am-5pm PT

    • AD
      Alzheimer's disease

    • ABC
      advanced breast cancer

    • bADLs
      Basic activities of daily living

    • ISLT
      International Shopping List Test

    • MCI
      Mild cognitive impairment

    • CV
      coefficient of variation

    • HEX
      cell hexagonality

    • PDS
      Port Delivery System

    • Q24W
      once every 24 weeks

    • BMI
      Body mass index

    • HbA1c
      hemoglobin A1C

    • HOMA-IR
      Homeostasis Model Assessment of Insulin Resistance

    • NLM
      National Library of Medicine

    • QUICKI
      Quantitative Insulin Sensitivity Check Index

    • SGLT-2
      sodium-glucose cotransporter-2

    • SMBG
      Self-Monitored Blood Glucose

    • T1DM
      Type 1 Diabetes Mellitus

    • T2DM
      Type 2 diabetes mellitus

    • AE
      adverse events

    • AESI
      Adverse Events of Special Interest

    • MDD
      major depressive disorder

    • PHQ-9
      Patient Health Questionnaire-9

    • SAE
      serious adverse events

    • ABR
      Annualized Bleed Rate

    • CBR
      clinical benefit rate

    • CDK4/6i
      cyclin-dependent kinase 4 and 6 inhibitor

    • CNS
      central nervous system

    • CR
      complete response

    • DoR
      duration of response

    • ER
      estrogen receptor

    • HER2
      human epidermal growth factor receptor 2

    • HER2-
      human epidermal growth factor receptor 2-negative

    • HR
      hormone receptor

    • HR+
      hormone receptor-positive

    • mut
      mutated

    • NIS
      non-interventional study

    • ORR
      objective response rate

    • OS
      overall survival

    • PFS
      progression-free-survival

    • PIK3CA
      phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha

    • PIK3CAm
      PIK3CA-mutated

    • PK
      pharmacokinetics

    • PROs
      patient-reported outcomes

    • SD
      stable disease

    • SoC
      standard of care

    • VWD
      von Willebrand disease

    • WHO
      World Health Organization

    • T2D
      Type 2 diabetes

    • T1D
      Type 1 Diabetes

    • ADA
      anti-drug antibody

    • DXA
      Dual-energy X-ray Absorptiometry

    • ASCVD
      atherosclerotic cardiovascular disease

    • FGF21
      fibroblast growth factor 21

    • SHTG
      severe hypertriglyceridemia

    • TG
      triglycerides

    • MASH
      metabolic dysfunction-associated steatohepatitis

    • NAFLD
      non-alcoholic fatty liver disease

    • NAS
      NAFLD Activity Score

    • NASH
      nonalcoholic steatohepatitis

    • pmMS
      partial modified Mayo

    • CD
      Crohn's disease

    • CMV
      cytomegalovirus

    • HIV
      human immunodeficiency virus

    • HBV
      Hepatitis B

    • HCV
      Hepatitis C

    • TB
      tuberculosis

    • UC
      ulcerative colitis

    • TL1A
      tumor necrosis factor-like ligand 1A

    • mMS
      modified Mayo Score

    • APS
      average daily abdominal pain scores in the past week

    • CDAI
      Crohn’s Disease Activity Index

    • IBDQ
      Inflammatory Bowel Disease Questionnaire

    • SF
      stool frequency subscore

    • PBO
      Placebo

    • EASI
      Eczema Area and Severity Index

    • IGA
      Investigator Global Assessment

    • NRS
      Numerical Rating Scale

    • IM
      intramuscular

    • IL
      intralesional

    • PDE-4
      Phosphodiesterase-4

    • ACE
      angiotensin-converting enzyme

    • ARBs
      angiotensin II receptor blockers

    • ASO
      Antisense Oligonucleotide

    • CKD-EPI
      Chronic Kidney Disease Epidemiology Collaboration

    • eGFR
      Estimated Glomerular Filtration Rate

    • FACIT-F
      Functional Assessment of Chronic Illness Therapy-Fatigue subscale

    • g/day
      gram per day

    • g/g
      gram per gram

    • GIP
      Glucose-dependent Insulinotropic Polypeptide

    • GLP-1
      Glucagon-like Peptide-1

    • IgAN
      IgA nephropathy

    • mg/day
      milligrams per day

    • TEAEs
      Treatment-Emergent Adverse Events

    • UPCR
      Urine Protein-to-Creatinine Ratio

    • AEs
      Adverse events

    • ALT
      Alanine aminotransferase

    • AST
      Aspartate aminotransferase

    • C-SSRS
      Columbia-Suicide Severity Rating Scale

    • DMT
      Disease-modifying therapy

    • ECG
      Electrocardiogram

    • EDSS
      Expanded Disability Status Scale

    • Gd
      Gadolinium

    • IPMSSG
      International Pediatric Multiple Sclerosis Study Group

    • MRI
      Magnetic resonance imaging

    • MS
      Multiple sclerosis

    • PD
      Pharmacodynamic

    • PPMS
      Primary progressive multiple sclerosis

    • RMS
      Relapsing multiple sclerosis

    • SI
      Suicidal ideation

    • SPMS
      Secondary progressive multiple sclerosis

    • CYP3A4
      cytochrome-p450-3a4

    • ADAS-Cog-13
      Alzheimer's Disease Assessment Scale-Cognition 13

    • ADAs
      Anti-drug antibodies

    • ADCS-ADL
      Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory

    • CDR-GS
      Clinical Dementia Rating, Global Score

    • CDR-SB
      Clinical Dementia Rating, Sum of Boxes

    • CSF
      Cerebrospinal fluid

    • GFAP
      Glial fibrillar acidic protein

    • iADRS
      Integrated Alzheimer's Disease Rating Scale

    • MMSE
      Mini-Mental State Examination

    • PET
      Positron emission tomography

    • RBANS DMI
      Repeatable Battery for the Assessment of Neuropsychological Status Delayed Memory Index

    • EORTC QLQ-C30
      European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire

    • PRO-CTCAE
      Patient-Reported Outcomes Common Terminology Criteria for Adverse Events

    • TTCD
      Time to Confirmed Deterioration

    • AJCC
      American Joint Committee on Cancer Staging System

    • ECOG
      Eastern Cooperative Oncology Group

    • FFPE
      formalin-fixed, paraffin-embedded

    • RECIST
      Response Evaluation Criteria in Solid Tumors

    • NSCLC
      non-small cell lung cancer

    • BICR
      blinded independent central review

    • CD137
      Cluster of Differentiation 137

    • EORTC QLQ-LC13
      European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Supplemental Lung Cancer Module

    • KRAS G12C
      Kirsten rat sarcoma viral oncogene homolog G12C

    • PD-L1
      Programmed death-ligand 1

    • RAS
      RAt Sarcoma

    • RT
      Radiation therapy

    • DOCR
      duration of complete response

    • DFS
      disease-free survival

    • EFSeff
      event-free survival efficacy causes

    • FACT-Lym LymS
      lymphoma subscale within the functional assessment of cancer therapy-Lymphoma questionnaire

    • IPI
      international prognostic index

    • IRF
      Independent Review Facility

    • Pola-R-CHP
      polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisone

    • LBCL
      large B-cell lymphoma

    • PROMIS-29
      Patient-Reported Outcomes Measurement Information System-29

    • ESR1nmd
      ESR1 no-mutation-detected

    • IV
      intravenous

    • II
      2

    • ECD
      endothelial cell density

    • III
      3

    • SC
      Subcutaneous

    +