CClinicalTrials.gg
Not yet recruitingNCT06732245Updated Mar 27, 2026

Safety and Efficacy of NA-931 and Tirzepatide in Adults Who Are Overweight or Obese

A Phase 2 interventional study of NA-931 and Tirzepatide in Obesity and Overweight, sponsored by Biomed Industries, Inc.. Not yet recruiting at 17 sites in 3 countries. Open to participants aged 19 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-03-27.

Sponsored by Biomed Industries, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
224
Allocation
Randomized
Ages
19 Years to 80 Years
Sex
All
01

Study summary

A phase 2 study to assess the efficacy of NA-931 alone or in addition to Tirzepatide to assess efficacy and safety in overweight or obese men and women

Read the detailed description

This Phase 2 study investigates if NA-931 in addition to Tirzepatide can demonstrate synergic effects by enhancing efficacy and reducing adverse events including preserve/increase muscle mass in the presence of weight and/or fat mass loss.

02

Conditions studied

  • Obesity and Overweight

Keywords

  • NA-931
  • Obesity
  • Biomed Industries, Inc
  • overweight
  • Tirzepatide
  • Zepbound
03

In context

Obesity

6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.

This study's planned enrollment of 224 is above the median of 78 across 4,878 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Biomed Industries, Inc. is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • A written informed consent must be obtained before any study-related assessments are performed.
  • Men and women between 18 and 80 years, inclusive; women of child-bearing potential (defined as those who are not post-menopausal or post-surgical sterilization) must meet both of the following criteria:

    • Two negative pregnancy tests (at screening and at randomization, prior to dosing)
    • Use of intrauterine device, from at least 3 months before the baseline visit through at least 4 months after the last dose of NA-931/placebo oral, and an additional contraceptive (barrier) method from screening through at least 4 months after the last dose of NA-931/placebo oral.
  • Body mass index (BMI) ≥ 30 or BMI ≥ 27 with one or more obesity-associated comorbidities (e.g., hypertension, insulin resistance, sleep apnea, or dyslipidemia)
  • Stable body weight (± 5 kg) within 90 days of screening, and body weight \<150 kg
  • Have a history of at least one self-reported unsuccessful behavioral effort to lose body weight
  • Able to communicate well with the Investigator, comply with the study requirements and adhere to the diet and activity programs for the study duration

Exclusion criteria

Exclusion Criteria:

    • History of, or known hypersensitivity to, monoclonal antibody drugs or a contraindication to Tirzepatide (Zepbound® or Mounjaro®)

      • Use of other investigational drugs at the time of enrollment or within 30 days or 5 half-lives of enrollment, whichever is longer, or longer if required by local regulations
      • Treatment with any medication for the indication of obesity within the past 30 days before screening
      • Diagnosis of diabetes requiring current use of any antidiabetic drug or HbA1c ≥ 6.5% Note: Metabolic syndrome is not an exclusion, even if managed with an anti-diabetic drug such as metformin or an SGLT2 inhibitor. A diagnosis of prediabetes or impaired glucose tolerance managed exclusively with non-pharmacologic approaches (e.g., diet and exercise) is not an exclusion.
      • Any chronic infections likely to interfere with study conduct or interpretation such as hepatitis B (HBV), hepatitis C (HCV), or human immunodeficiency virus (HIV). History of hepatitis A or hepatitis C successfully treated is not exclusionary. Active COVID-19 infection.
      • Donation or loss of 400 mL or more of blood within 8 weeks prior to initial dosing, or longer if required by local regulation, or plasma donation (> 250 mL) within 14 days prior to the first dose
      • Any disorder, unwillingness, or inability not covered by any of the other exclusion criteria, which in the Investigator's opinion, might jeopardize the participant's safety or compliance with the protocol
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Investigator)
Enrollment
224 participants (estimated)

Study arms

  • Placebo comparator
    Placebo Comparator: Placebo

    Placebo Comparator: Placebo to oral NA-931 120 mg daily + no Tirzepatide Participants will receive oral placebo at baseline and at Weeks 4, 12, and 24, 36, and 48 during the core treatment period and will switch during the extension period to receive NA-931 60 mg daily at Weeks 60 and 72.

    Drug: NA-931

  • Placebo comparator
    Placebo + Tirzepatide 5 mg

    Other: Placebo + Tirzepatide 5 mg Participants will receive oral placebo at baseline and at Weeks 4, 12, and 24, 36, and 48, and s.c. Tirzepatide 5 mg weekly per the dose escalation schedule.

    Drug: NA-931

  • Placebo comparator
    Placebo + Tirzepatide 10 mg

    Placebo + Tirzepatide 10 mg Participants will receive oral placebo at baseline and at Weeks 4, 12, and 24, 36, and 48 and s.c. Tirzepatide 10 mg weekly per the dose escalation schedule.

    Drug: Tirzepatide · Drug: NA-931 150 mg + no Tirzepatide

  • Experimental
    NA-931 60mg to NA-931 150 mg + no Tirzepatide

    Experimental: NA-931 60mg to NA-931 150 mg + no Tirzepatide Participants will receive oral NA-931 60 mg at baseline and at Weeks 4, 12, and 24, 36, and 48 during the core treatment period and will switch during the extension period to receive NA-931 60 mg at Weeks 60 and 72.

    Drug: NA-931

  • Active comparator
    NA-931 60 mg + Tirzepatide 5 mg

    NA-931 60 mg + Tirzepatide 5 mg Participants will receive oral NA-931 60 mg at baseline and at Weeks 4, 12, and 24, 36, and 48 and s.c. Tirzepatide 5 mg weekly per the dose escalation schedule.

    Drug: NA-931

  • Active comparator
    NA-931 120 mg + Tirzepatide 5 mg

    NA-931 120 mg + Tirzepatide 5 mg Participants will receive oral NA-931 60 mg at baseline and at Weeks 4, 12, and 24, 36, and 48 and s.c. Tirzepatide 5 mg weekly per the dose escalation schedule.

    Drug: NA-931

  • Experimental
    NA-931 150 mg + no Tirzepatide

    Experimental: NA-931 150 mg + no Tirzepatide Participants will receive oral NA-931 150 mg at baseline and at Weeks 4, 12, 24, 36 and 48

    Drug: Tirzepatide · Drug: NA-931 150 mg + no Tirzepatide

  • Active comparator
    NA-931 150 mg + Tirzepatide 2.5 mg

    NA-931 150 mg + Tirzepatide 2.5 mg Participants will receive oral NA-931 150 mg at baseline, and at Weeks 4, 12, and 24, 36, and 48 and s.c. Tirzepatide 2.5 mg weekly per the dose escalation schedule.

    Drug: Tirzepatide · Drug: NA-931

  • Active comparator
    NA-931 150 mg + Tirzepatide 5 mg

    NA-931 150 mg + Tirzepatide 5 mg Participants will receive oral NA-931 150mg at baseline and at Weeks 4, 12, and 24, 36, and 48 and s.c. Tirzepatide 5 mg per the dose escalation schedule.

    Drug: NA-931

Interventions

  • DrugNA-931

    NA-931 (oral, daily), a quadruple receptor agonist Tirzepatide (Zepbound) placebo

    Also known as: Tirzepatide placebo

  • DrugTirzepatide

    Tirzepatide (s.c. weekly) * Glucagon-like peptide-1 (GLP-1) receptor agonist * Other Names: * Mounjaro * Zepbound NA-931 Placebo (oral, daily)

    Also known as: NA-931 Placebo

  • DrugTirzepatide

    Tirzepatide (s.c. weekly), a Glucagon-like peptide-1 (GLP-1) receptor agonist • Other Names: * Mounjaro * Zepbound NA-931 Placebo (oral, daily)

    Also known as: NA-931 Placebo

  • DrugNA-931

    NA-931, an oral, daily • A quadruple receptor agonist

  • DrugNA-931

    NA-931 (oral, daily), a quadruple receptor agonist Tirzepatide (s.c. weekly) * Glucagon-like peptide-1 (GLP-1) receptor agonist * Other Names: * Mounjaro * Zepbound

    Also known as: Tirzepatide

  • DrugNA-931

    NA-931 (oral daily), a quadruple receptor agonist Tirzepatide (s.c. weekly) * Glucagon-like peptide-1 (GLP-1) receptor agonist * Other Names: * Mounjaro * Zepbound

    Also known as: Tirzepatide

  • DrugNA-931 150 mg + no Tirzepatide

    NA-931 150 mg + no Tirzepatide

  • DrugNA-931

    NA-931 (oral, daily), a quadruple receptor agonist Tirzepatide (s.c. weekly) * Glucagon-like peptide-1 (GLP-1) receptor agonist * Other Names: * Mounjaro * Zepbound

    Also known as: Tirzepatide

  • DrugNA-931

    NA-931 (oral, daily), a quadruple receptor agonist Tirzepatide (s.c. weekly) * Glucagon-like peptide-1 (GLP-1) receptor agonist * Other Names: * Mounjaro * Zepbound

    Also known as: Tirzepatide

06

What researchers measure

Primary outcomes

  1. Change from baseline in body weight at 48 weeks

    Change in total body weight will be measured from baseline to 48 weeks

    Time frame: 48 weeks

Secondary outcomes

  1. Change from baseline in waist circumference (cm) at 48 weeks

    Waist circumference will be measured in standing position with a non-stretchable measuring tape and to the nearest 0.1 centimeter (cm).

    Time frame: 48 weeks

  2. Change from baseline at 48 weeks in total body fat mass in kilograms (kg)

    Fat mass will be obtained by dual-energy x-ray absorptiometry (DXA) Dual energy X-ray absorptiometry (DXA) will be used to assess changes in body composition.

    Time frame: 48 weeks

  3. Change from baseline at 48 weeks in percent body fat

    Percent body fat will be obtained by dual-energy x-ray absorptiometry (DXA) Dual energy X-ray absorptiometry (DXA) will be used to assess changes in body composition.

    Time frame: 48 weeks

  4. Change from baseline at 48 weeks in visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT) and trunk fat mass by dual-energy x-ray absorptiometry (DXA)

    Dual energy X-ray absorptiometry (DXA) will be used to assess changes in body composition.

    Time frame: 48 weeks

  5. Proportion of participants at 48 weeks with change in waist circumference ≥ 5 cm

    Waist circumference will be measured in standing position with a non-stretchable measuring tape and to the nearest 0.1 centimeter (cm).

    Time frame: 48 weeks

  6. Proportion of participants at 48 weeks with change in Body weight ≥ 5%, ≥ 10% and ≥15%

    Body weight will be measured in kilograms (kg) to the nearest 0.1 kg.

    Time frame: 48 weeks

  7. Proportion of participants at 48 weeks with change in Fat mass ≥ 5% ≥ 10% ≥ 15% by Dual energy X-ray absorptiometry (DXA)

    Dual energy X-ray absorptiometry (DXA) will be used to assess the changes in body composition.

    Time frame: 48 weeks

  8. Proportion of participants at 48 weeks with change in Fat mass ≥ 10% with <5% decrease (or and increase) in lean mass by Dual energy X-ray absorptiometry (DXA)

    Dual energy X-ray absorptiometry (DXA) will be used to assess changes in body composition.

    Time frame: 48 weeks

  9. Percentage of weight loss due to fat mass or lean mass at 48 weeks by dual-energy x-ray absorptiometry (DXA)

    Dual energy X-ray absorptiometry (DXA) will be used to assess changes in body composition

    Time frame: 48 weeks

  10. Change from baseline at 48 weeks in fat mass (kg and %) by bioelectrical impedance analysis (BIA)

    Bioelectrical impedance analysis (BIA) is a widely used method for estimating body composition.

    Time frame: 48 weeks

  11. Change from baseline at 48 weeks in lean mass (kg and %) and appendicular lean mass by dual-energy x-ray absorptiometry (DXA)

    Dual-energy x-ray absorptiometry (DXA) will be used to assess changes in body composition.

    Time frame: 48 weeks

  12. Change from baseline at 48 weeks in lean mass (kg) by bioelectrical impedance analysis (BIA)

    Bioelectrical impedance analysis (BIA) is a widely used method for estimating body composition.

    Time frame: 48 weeks

  13. Safety and tolerability measurements throughout 48 weeks by TEAEs [safety labs, vital signs]

    Incidence and severity of treatment emergent adverse events (TEAEs)

    Time frame: 48 weeks

  14. Proportion of Participants with change from baseline in Body Mass Index (BMI) categories at 48 weeks

    BMI categories: (i) Healthy weight: 18.5 kg/m2 to 24.9 kg/m2 (ii) Overweight: 25 kg/m2 to 29.9 kg/m2 (iii) Obesity class 1: 30 kg/m2 to 34.9 kg/m2 (iv) Obesity class II: 35 kg/m2 to 39.9 kg/m2 (v) Obesity class III: ≥ 40 kg/m2

    Time frame: 48 weeks

  15. Proportion of Participants with change from baseline in waist-to-height ratio (WHtR ratio) categories at 48 weeks

    Waist-to-height ratio WHtR ratio categories: \<0.5; 0.5-0.59; ≥0.6.

    Time frame: 48 weeks

  16. Change from baseline in HbA1c (mmol/mol) at 48 weeks

    To assess treatment effects on glucose metabolism and HbA1c.

    Time frame: 48 weeks

  17. Change from baseline at 48 weeks in Quality of Life Short Form 36 (SF-36) survey

    Change from baseline at 48 weeks in Quality of Life Short Form 36 (SF-36) survey. To assess a subject's overall health related quality of life, as well as the physical functioning score. SF- 36 scores range from 0 (worst) to 100 (best).

    Time frame: 48 weeks

  18. Change from Baseline at 48 weeks in Impact of Weight on Quality of Life-Lite for Clinical Trials (IWQOL-Lite)

    Change from baseline in IWQOL-Lite CT. IWQOL-Lite CT is a 20-item modified survey instrument that is used to quantitatively assess an individual's perception of how their weight affects their day- to-day life, as well as the physical function score. Scores range from 0 (worst) to 100 (best).

    Time frame: 48 weeks

07

Study locations

17 sites
  • Biomed Research Unit #90067-102
    Los Angeles, California 90067, United States
  • Biomed Research Unit # 92121-103
    San Diego, California 92121, United States
  • Biomed Research Unit # 94104-101
    San Francisco, California 94104, United States
  • Biomed Research Unit # 33012-104
    Hialeah, Florida 33012, United States
    • David Nguyen, PhD · Contact · research@biomedind.com · 800-824-5235
    • Jennifer Thompson, MS · Contact
    • David Nguyen, PhD · Principal investigator
  • Biomed Research Unit # 32256-105
    Jacksonville, Florida 32256, United States
  • Biomed Research Unit # 33461-106
    Lake Worth, Florida 33461, United States
  • Biomed Research Unit # 10021-107
    New York, New York 10021, United States
  • Biomed Research Unit # 77479-108
    Sugar Land, Texas 77479, United States
  • Biomed Research Unit-NSW-2100-109
    Brookvale, New South Wales 2100, Australia
  • Biomed Research Unit-NSW-2065-110
    Saint Leonards,, New South Wales 2065, Australia
  • , Australia, 4101 Biomed Research Unit-NSW-4101-111
    South Brisbane, Queensland 4101, Australia
  • Biomed Research Unit-VIC-3124-112
    Camberwell, Victoria 3124, Australia
  • , Victoria, Australia, 3084 Biomed Research Unit-VIC-3084-113
    Heidelberg West, Victoria 3084, Australia
  • Biomed Research Unit-NZ-2025-115
    Papatoetoe, Auckland 2025, New Zealand
  • Biomed Research Unit-NZ- 6242-117
    Newtown, Wellington Region 6242, New Zealand
  • Biomed Research Unit-NZ-1010-114
    Auckland, 1010, New Zealand
  • Hamilton, New Zealand, 3200 Biomed Research Unit-NZ-3200-116
    Hamilton, 3200, New Zealand
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06732245
Lead sponsor
Biomed Industries, Inc.
Collaborators
Bioneurals Ltd
Responsible party
Sponsor
First posted
Dec 13, 2024
Start date
Aug 15, 2026 (estimated)
Primary completion
Aug 15, 2027 (estimated)
Completion
Dec 15, 2027 (estimated)
Last update
Mar 27, 2026

Study contacts

Lloyd Tran, PhD
Contact
research@biomedind.com
1-800-824-5135
Jennifer Thompson, MS
Contact
research@biomedind.com
1-800-824-5135
Lloyd Tran, PhD
study chair · Biomed Industries, Inc.

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion