ClinicalTrials.gg
CompletedNCT06926842Updated Sep 9, 2026

Efficacy and Safety of Petrelintide in Participants With Overweight or Obesity and Type 2 Diabetes (ZUPREME 2)

A Phase 2 interventional study of Petrelintide and Placebo in Overweight, Type 2 Diabetes and Obesity, sponsored by Zealand Pharma. Completed at 48 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

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 Zealand Pharma · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
221
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this study is to investigate efficacy and safety of three doses of petrelintide versus placebo in participants with overweight or obesity and type 2 diabetes.

02

Conditions studied

  • Overweight
  • Type 2 Diabetes
  • Obesity

Browse trials for

Keywords

  • Long-acting amylin analogues
  • Weight management
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 221 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Zealand Pharma is the lead sponsor of 43 studies on the registry; 5 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 8 (47%) have results posted.

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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria:

  • Male or female participants with (BMI) ≥27.0 kg/m2.
  • Diagnosed with type 2 diabetes ≥180 days prior to the day of screening.
  • Treated with metformin with or without sodium-glucose cotransporter 2 inhibitors. Treatment should be stable (same drug[s], dose, and dosing frequency) for at least 90 days prior to screening.

Main Exclusion Criteria:

  • Severe hypoglycemia within 6 months prior to screening or history of hypoglycemia unawareness.
  • Receipt of any other glucose-lowering drug than those listed in the inclusion criterion within 90 days prior to screening.
  • A self-reported change in body weight >5% within 90 days prior to screening, irrespective of medical records.
  • Treatment with any medication (prescribed or over-the-counter) or alternative remedies (herbal or nutritional supplements) intended to promote weight loss within 90 days prior to screening.
  • Previous or planned (during the trial period) obesity treatment with surgery or a body weight loss device. However, liposuction or surgical removal of fat depots more than 1 year prior to screening or device-based interventions (e.g., sleeve, banding, or similar) that have been removed more than 6 months prior to screening, are allowed.
  • Obesity due to endocrine disorders or genetic syndromes.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
221 participants (actual)

Study arms

  • Experimental
    Treatment A: Petrelintide Dose 1

    Randomized participants will receive weekly subcutaneous injections of petrelintide Dose 1.

    Drug: Petrelintide

  • Placebo comparator
    Treatment B: Petrelintide Placebo Dose 1

    Randomized participants will receive weekly subcutaneous injections of matching placebo to petrelintide.

    Other: Placebo

  • Experimental
    Treatment C: Petrelintide Dose 2

    Randomized participants will receive weekly subcutaneous injections of petrelintide Dose 2.

    Drug: Petrelintide

  • Placebo comparator
    Treatment D: Petrelintide Placebo Dose 2

    Randomized participants will receive weekly subcutaneous injections of matching placebo to petrelintide.

    Other: Placebo

  • Experimental
    Treatment E: Petrelintide Dose 3

    Randomized participants will receive weekly subcutaneous injections of petrelintide Dose 3.

    Drug: Petrelintide

  • Placebo comparator
    Treatment F: Petrelintide Placebo Dose 3

    Randomized participants will receive weekly subcutaneous injections of matching placebo to petrelintide.

    Other: Placebo

Interventions

  • Petrelintide will be taken by participants once weekly subcutaneously.

    Also known as: ZP8396

  • OtherPlacebo

    Matching placebo to petrelintide will be taken by participants once weekly subcutaneously.

06

What researchers measure

Primary outcomes

  1. Percentage Change in Body Weight

    Time frame: From Baseline (Day 1) to Weeks 28

Secondary outcomes

  1. Number of Participants Achieving ≥5% Body Weight Loss

    Time frame: From Baseline (Day 1) to Weeks 28

  2. Number of Participants Achieving ≥10% Body Weight Loss

    Time frame: From Baseline (Day 1) to Weeks 28

  3. Change in Body Weight (kilogram)

    Time frame: From Baseline (Day 1) to Weeks 28

  4. Change in Waist Circumference

    Time frame: From Baseline (Day 1) to Weeks 28

  5. Change in Glycated Hemoglobin (HbA1c)

    Time frame: From Baseline (Day 1) to Weeks 28

  6. Change in Fasting Glucose

    Time frame: From Baseline (Day 1) to Weeks 28

  7. Change in High-Sensitivity C-reactive protein (hsCRP)

    Time frame: From Baseline (Day 1) to Weeks 28

  8. Number of Participants Achieving ≤6.5% HbA1c

    Time frame: From Baseline (Day 1) to Weeks 28

  9. Changes in Fasting Lipids

    Time frame: From Baseline (Day 1) to Weeks 28

  10. Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    Time frame: From Baseline (Day 1) to Weeks 38

  11. Number of Participants with Treatment- Emergent Severe or Clinically Significant Hypoglycemic Episodes from Baseline to Week 38

    Time frame: From Baseline (Day 1) to Weeks 38

  12. Number of Participants with Positive Anti-Drug Antibodies (ADAs)

    Time frame: From Baseline (Day 1) to Weeks 38

  13. Change in Systolic Blood Pressure

    Time frame: From Baseline (Day 1) to Week 38

  14. Change in Diastolic Blood Pressure

    Time frame: From Baseline (Day 1) to Week 38

  15. Change in Pulse Rate

    Time frame: From Baseline (Day 1) to Week 38

07

Study locations

48 sites
  • Cullman Clinical Trials - Family Medicine
    Cullman, Alabama 35055, United States
  • AZ Endocrine Institute
    Chandler, Arizona 85224, United States
  • Elite Clinical Studies, LLC
    Phoenix, Arizona 85018, United States
  • M3 Wake Research, Tucson Neuroscience Research, LLC
    Tucson, Arizona 85710, United States
  • Medical Investigation Inc
    Little Rock, Arkansas 72211-1847, United States
  • Velocity Clinical Research
    Huntington Park, California 90255, United States
  • Velocity Clinical Research, North Hollywood
    North Hollywood, California 91606, United States
  • Exalt Clinical Research
    San Diego, California 91910, United States
  • Diablo Clinical Research Inc.
    Walnut Creek, California 94598, United States
  • Chase Medical Research, LLC
    Waterbury, Connecticut 06708, United States
  • Emerson Clinical Research
    Washington D.C., District of Columbia 20009, United States
  • Innovative Research of West Florida
    Clearwater, Florida 33756, United States
  • East Coast Institute for Research, LLC
    Jacksonville, Florida 32204, United States
  • Solutions Through Advanced Research, Inc
    Jacksonville, Florida 32216, United States
  • M3 Wake Research - Lake City
    Lake City, Florida 32055, United States
  • West Orange Endocrinology P.A
    Ocoee, Florida 34761, United States
  • Palm Beach Research Center
    West Palm Beach, Florida 33409, United States
  • M3 Wake Research - Atlanta
    Atlanta, Georgia 30328, United States
  • East Coast Institute for Research - Canton
    Canton, Georgia 30114, United States
  • Privia Medical Group Georgia, LLC
    Savannah, Georgia 31406, United States
  • Great Lakes Clinical Trials
    Chicago, Illinois 60640, United States
  • Iowa Diabetes & Endocrinology Research Center
    West Des Moines, Iowa 50266, United States
  • Heartland Research Associates, LLC
    Wichita, Kansas 67226, United States
  • DelRicht Research - New Orleans
    New Orleans, Louisiana 70115, United States
  • AAMRC
    Flint, Michigan 48504, United States
  • International Diabetes Center
    Minneapolis, Minnesota 55416, United States
  • Velocity Clinical Research, Gulfport
    Gulfport, Mississippi 39503, United States
  • AMR Kansas City
    Kansas City, Missouri 64114, United States
  • Mercury Street Medical Group, PLLC
    Butte, Montana 59701, United States
  • M3 Wake Research - Las Vegas, NV
    Las Vegas, Nevada 89106, United States
  • Palm Research Center, Inc.
    Las Vegas, Nevada 89148, United States
  • Javara Inc
    Charlotte, North Carolina 28210, United States
  • PharmQuest Life Sciences, LLC
    Greensboro, North Carolina 27408, United States
  • M3 Wake Research
    Raleigh, North Carolina 27612, United States
  • Velocity Clinical Research, Cincinnati, Mt. Auburn
    Cincinnati, Ohio 45219, United States
  • Centricity Research
    Columbus, Ohio 43213, United States
  • Lynn Institute of Norman
    Norman, Oklahoma 73072, United States
  • M3 Wake Research - Charleston
    Charleston, South Carolina 29414, United States
  • M3 Wake Research/ClinSearch, LLC
    Chattanooga, Tennessee 37421, United States
  • Elligo Clinical Research, Inc.
    Austin, Texas 78704, United States
  • The University of Texas Southwestern Medical Center
    Dallas, Texas 75390-8857, United States
  • Juno Research LLC
    Houston, Texas 77040, United States
  • Tekton Research, LLC
    Irving, Texas 75039, United States
  • Tekton Research, LLC
    McKinney, Texas 75069, United States
  • Texas Health Care, PLLC
    San Marcos, Texas 78666, United States
  • Consano Clinical Research
    Shavano Park, Texas 78231, United States
  • Texas Health Care
    Stephenville, Texas 76401, United States
  • Manaasas Clinical Research Center
    Manassas, Virginia 20110, United States
08

References and documents

Individual participant data

Plan to share: Undecided

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 Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06926842
Lead sponsor
Zealand Pharma
Collaborators
Parexel
Responsible party
Sponsor
First posted
Apr 15, 2025
Start date
Apr 22, 2025
Primary completion
Aug 13, 2026
Completion
Aug 13, 2026
Last update
Sep 9, 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 Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Petrelintide

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