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CompletedNCT06445075EMBRAZEUpdated Jan 23, 2026

Efficacy and Safety of Apitegromab for the Treatment of Adults Who Are Overweight or Obese

A Phase 2 interventional study of Apitegromab and Placebo in Overweight and Obesity, sponsored by Scholar Rock, Inc.. Completed at 7 sites in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-23.

Primary conditionObesityRegistry: OverweightReclassifiedWhy we changed it
Registry
Overweight — the first condition term the registry derived for this study.
ClinicalTrials.gg
Obesity
Why
  1. The study's listed conditions name Obesity, a narrower term within Overweight.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Scholar Rock, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2025, 1 year 8 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Jan 2026.
Phase
Phase 2
Study type
Interventional
Enrollment
102
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A phase 2 study to evaluate the effects of apitegromab as an adjunctive therapy to GLP-1 receptor agonist therapy in subjects with overweight or obesity

Read the detailed description

This phase 2 randomized, double-blind, placebo-controlled, multicenter study assessed the safety, efficacy, and pharmacokinetics (PK) of apitegromab when used as an adjunctive therapy to GLP-1 receptor agonist therapy in subjects with overweight and obesity and without diabetes. Each subject received tirzepatide throughout the treatment period. In addition, all subjects were randomized 1:1 to receive either apitegromab or placebo during the treatment period.

02

Conditions studied

  • Overweight and Obesity

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Keywords

  • Overweight
  • Obesity
03

In context

Obesity Reclassified

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's enrollment of 102 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Scholar Rock, Inc. is the lead sponsor of 9 studies on the registry; 3 are open to participants now.

Compared within Obesity, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Overweight. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Able to comprehend the process and provide written informed consent prior to study enrollment and the conduct of any study-related assessments to study enrollment and the conduct of any study-related assessments
  • Male or female, age ≥ 18 and ≤ 65 years at the time of informed consent
  • Stable body weight (±5 kg) within 90 days of Screening
  • At Screening, a of:

    1. ≥30.0 kg/m2 to ≤45.0 kg/m2 or
    2. ≥27.0 kg/m2 to \<30.0 kg/m2 with the presence of 1 or more weight-related comorbid condition(s). Note: See exclusion criteria for specific organ class disease parameters

Exclusion criteria

Exclusion Criteria:

  • History of or active cardiovascular, neurovascular, peripheral vascular, pulmonary, hepatic, pancreatic, neuromuscular, and/or psychiatric disease
  • Active , other than local subcutaneous squamous cell and basal cell carcinomas
  • History of , chemotherapeutic, or radiation treatment within 12 months prior to Screening
  • History of Type 1 diabetes or active Type 2 diabetes (T2D). If there was a history of T2D and it resolved, then the resolution must have occurred >12 months prior to Screening. Prediabetes managed with nonpharmacologic approaches (exercise and diet) is not an exclusion
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
102 participants (actual)

Study arms

  • Experimental
    Cohort 1

    Apitegromab + incretin mimetic

    Drug: Apitegromab · Drug: Tirzepatide

  • Placebo comparator
    Cohort 2

    Placebo + incretin mimetic

    Drug: Placebo · Drug: Tirzepatide

Interventions

  • Apitegromab (SRK-015) is a fully human anti-proMyostatin monoclonal antibody (mAb) that specifically binds to human pro/latent myostatin, inhibiting myostatin activation. Apitegromab was administered every 4 weeks by intravenous (IV) infusion.

    Also known as: SRK-015

  • DrugPlacebo

    Same appearance and composition as apitegromab drug product but does not contain the active ingredient. Placebo was administered every 4 weeks by intravenous (IV) infusion.

  • Glucose-dependent insulinotropic polypeptide (GIP) receptor and glucagon-like peptide-1 (GLP-1) receptor agonist. Tirzepatide was administered every week by subcutaneous injection.

    Also known as: ZEPBOUND

06

What researchers measure

Primary outcomes

  1. Change from Baseline in total Lean Body Mass (kg) at 24 weeks

    Dual-energy X-ray absorptiometry was used to evaluate body composition

    Time frame: Baseline and 24 weeks

Secondary outcomes

  1. Change from Baseline in body weight

    Total body weight was assessed via a calibrated scale

    Time frame: Baseline and 24 weeks

  2. Change from Baseline in percent lean body mass (%)

    Dual-energy X-ray absorptiometry was used to evaluate body composition

    Time frame: Baseline and 24 weeks

  3. Change from Baseline in fat body mass (kg and %)

    Dual-energy X-ray absorptiometry was used to evaluate body composition

    Time frame: Baseline and 24 weeks

  4. Change from Baseline in visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), and trunk fat body mass (kg and %)

    Dual-energy X-ray absorptiometry was used to evaluate body composition

    Time frame: Baseline and 24 weeks

  5. Percent (%) of weight loss from baseline due to fat body mass loss

    Dual-energy X-ray absorptiometry was used to evaluate body composition

    Time frame: Baseline and 24 weeks

  6. Percent (%) of weight loss from baseline due to lean body mass loss

    Dual-energy X-ray absorptiometry was used to evaluate body composition

    Time frame: Baseline and 24 weeks

  7. Concentration of apitegromab in circulation over time

    Blood samples were assessed for circulating concentration of apitegromab

    Time frame: Baseline up to 40 weeks

  8. Concentration of latent myostatin in circulation over time

    Blood samples were assessed for circulating concentration of latent myostatin

    Time frame: Baseline up to 24 weeks

  9. Treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)

    Incidence and severity of TEAEs and SAEs

    Time frame: Baseline up to 40 weeks

  10. Presence of anti-drug antibodies (ADA) against apitegromab over time

    Measured in serum blood samples

    Time frame: Baseline up to 40 weeks

Other outcomes

  1. Change from Baseline in HbA1c

    Blood samples were assessed for HbA1c (glycated hemoglobin)

    Time frame: Baseline up to 32 weeks

  2. Change from baseline in fasting serum triglycerides

    Blood samples were assessed for fasting serum triglycerides

    Time frame: Baseline up to 32 weeks

  3. Change from baseline in total cholesterol

    Blood samples were assessed for total cholesterol

    Time frame: Baseline up to 32 weeks

  4. Change from baseline in low-density lipoprotein cholesterol (LDL-C)

    Blood samples were assessed for low-density lipoprotein cholesterol (LDL-C)

    Time frame: Baseline up to 32 weeks

07

Study locations

7 sites
  • ProSciento CRU
    Chula Vista, California 91911, United States
  • AdventHealth Translational Research Institute
    Orlando, Florida 32804, United States
  • Great Lakes Clinical Trials, LLC d/b/a Flourish Research
    Chicago, Illinois 60640, United States
  • Tandem Clinical Research GI, LLC
    Marrero, Louisiana 70072, United States
  • Alliance for Multispecialty Research, LLC
    Norman, Oklahoma 73069, United States
  • Apex Mobile Clinical Research
    Bellaire, Texas 77401, United States
  • Clinical Trials of Texas, LLC dba Flourish Research
    San Antonio, Texas 78229, United States
08

References and documents

Publications

  • Pratley RE, Denham DS, Trivedi R, Watkins E, Connery L, Barnes J, Yu D, Hong J, Simard C, Umans K, Liu L, Tirucherai GS, Marantz JL. Apitegromab for lean mass preservation during tirzepatide-induced weight loss: a randomized, double-blind, placebo-controlled phase 2 trial. Nat Med. 2026 Jun 8. doi: 10.1038/s41591-026-04440-4. Online ahead of print. PubMed 42260100 ↗

Individual participant data

Plan to share: Yes

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06445075
Lead sponsor
Scholar Rock, Inc.
Responsible party
Sponsor
First posted
Jun 6, 2024
Start date
May 21, 2024
Primary completion
Mar 4, 2025
Completion
Jun 17, 2025
Last update
Jan 23, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Apitegromab

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