ClinicalTrials.gg
RecruitingNCT07776509SELENE 3Updated Nov 9, 2026

A Study to Evaluate Effect of AZD6234 as an Adjunct to Incretin-based Therapies in Adult Participants With Obesity or Overweight With Weight-related Comorbidity With or Without Type 2 Diabetes Mellitus

A Phase 3 interventional study of Lenbelintide and Placebo in Obesity or Overweight, Weight-Related Comorbidity and With/Without Diabetes Mellitus, Type 2, sponsored by AstraZeneca. Recruiting at 96 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 9, 2026Site recruiting status changedInterventions changed+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study will evaluate how well AZD6234 works and how safe it is in adults with excess weight or obesity. Efficacy of AZD6234 will be compared to placebo in percent body weight change from baseline at 68 weeks of treatment.

Read the detailed description

This is a Phase III, global, randomised, parallel-group, double-blind, multicentre study to assess the efficacy and safety of AZD6234 as an adjunct to incretin-based therapies, compared with placebo in adults with obesity or overweight with at least one weight-related comorbidity and with or without Type 2 Diabetes Mellitus (T2DM). Eligible participants will be randomised to either receive AZD6234 or matching placebo respectively. Study treatment (AZD6234 or placebo) will be added on to the participant's stable dose of background incretin-based therapies.

02

Conditions studied

  • Obesity or Overweight
  • Weight-Related Comorbidity
  • With/Without Diabetes Mellitus, Type 2

Keywords

  • Obesity
  • Overweight
  • AZD6234
  • Lenbelintide
  • Diabetes Mellitus, Type 2
03

In context

Obesity

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

This study's planned enrollment of 500 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Males \& females (inclusive of all gender identities) age ≥18 years
  • ≥ 30 kg/m2 OR BMI ≥ 27 kg/m2 with at least one of the following weight-related comorbidities (treated or untreated): hypertension, dyslipidaemia, obstructive sleep apnoea, cardiovascular disease, heart failure, chronic kidney disease, metabolic dysfunction associated steatotic liver disease, osteoarthritis of the knee, or stress urinary incontinence
  • For participants with T2DM only:

    • Diagnosed with T2DM ≥ 90 days prior to Screening
    • value at Screening of ≥6.0% (42 mmol/mol) and ≤9.0% (75 mmol/mol) managed with diet and exercise alone or with a stable dose of any oral glycaemic-lowering agent and/or incretin-based medication
  • Receiving a stable dose of incretin- based medications at a dose level that is sufficient for chronic weight management for at least 3 months prior to Screening and Randomisation.
  • Stable body weight (≤ 3% body weight change) for at least 3 months prior to Randomisation
  • History of at least one self-reported unsuccessful attempt to lose body weight in their lifetime

Exclusion criteria

Exclusion Criteria:

  • Obesity primarily caused by other endocrine disorders
  • Type 1 diabetes mellitus
  • Significant hepatobiliary disease and/or any of the following results at Screening:

    • ≥ 3.0 ×
    • AST ≥ 3.0 × ULN
    • TBL > 1.5 × ULN (except for cases of known Gilbert's Syndrome)
  • Use of insulin therapy for T2DM within 3 months prior to screening
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.

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    AZD6234

    AZD6234

    Drug: Lenbelintide

  • Placebo comparator
    Placebo

    Matching placebo

    Drug: Placebo

Interventions

  • IMP injected subcutaneously, once a week.

    Also known as: AZD6234

  • DrugPlacebo

    Placebo matching IMP dose injected subcutaneously, once a week.

06

What researchers measure

Primary outcomes

  1. Percent change in body weight from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies in percent body weight change

    Time frame: 68 weeks

Secondary outcomes

  1. Percent change in body weight from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies in percent body weight change in the T2DM and non-T2DM sub-populations separately

    Time frame: 68 weeks

  2. Absolute change in weight (kg) from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies on the absolute change in weight in the full population and in the T2DM and non-T2DM sub-populations separately

    Time frame: 68 weeks

  3. Achievement of at least 5% body weight loss from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies in body weight loss of at least 5% in the full population and in the T2DM and non T2DM sub-populations separately

    Time frame: 68 weeks

  4. Achievement of at least 10% body weight loss from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies in body weight loss of at least 10% in the full population and in the T2DM and non T2DM sub-populations separately

    Time frame: 68 weeks

  5. Change in waist circumference (cm) from baseline at 68 weeks of treatment

    To evaluate whether AZD6234 as an adjunct to incretin-based therapies on the waist circumference in the full population and in the T2DM and non-T2DM sub-populations separately

    Time frame: 68 weeks

  6. Percent change in triglycerides from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies on triglycerides percent change

    Time frame: 68 weeks

  7. Change in systolic blood pressure (mmHg) from baseline at 68 weeks of treatment

    To evaluate the effect of AZD6234 as compared to placebo as an adjunct to incretin-based therapies on the systolic blood pressure change

    Time frame: 68 weeks

  8. Change in HbA1c from baseline at 68 weeks of treatment

    For participants with T2DM only: to evaluate the effect of AZD6234 as an adjunct to incretin-based therapies on HbA1c change in the T2DM sub population only

    Time frame: 68 weeks

07

Study locations

56 of 96 sites recruiting
  • Research Site
    Escondido, California 92025, United States
    Not yet recruiting
  • Research Site
    Lincoln, California 95648, United States
    Recruiting
  • Research Site
    Walnut Creek, California 94598, United States
    Not yet recruiting
  • Research Site
    Jacksonville, Florida 32204, United States
    Not yet recruiting
  • Research Site
    Jacksonville, Florida 32205, United States
    Not yet recruiting
  • Research Site
    Stockbridge, Georgia 30281, United States
    Recruiting
  • Research Site
    Woodstock, Georgia 30189, United States
    Recruiting
  • Research Site
    Champaign, Illinois 61822, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60640, United States
    Recruiting
  • Research Site
    Beltsville, Maryland 20705, United States
    Not yet recruiting
  • Research Site
    Oxon Hill, Maryland 20745, United States
    Not yet recruiting
  • Research Site
    Kansas City, Missouri 64112, United States
    Recruiting
  • Research Site
    Las Vegas, Nevada 89101, United States
    Not yet recruiting
  • Research Site
    Somerset, New Jersey 08873, United States
    Not yet recruiting
  • Research Site
    Statesville, North Carolina 28625, United States
    Recruiting
  • Research Site
    Fargo, North Dakota 58104, United States
    Recruiting
  • Research Site
    Columbus, Ohio 43215, United States
    Recruiting
  • Research Site
    Portland, Oregon 97202, United States
    Not yet recruiting
  • Research Site
    Smithfield, Pennsylvania 15478, United States
    Recruiting
  • Research Site
    Franklin, Tennessee 37067, United States
    Not yet recruiting
  • Research Site
    Houston, Texas 77043, United States
    Recruiting
  • Research Site
    Manassas, Virginia 20110, United States
    Not yet recruiting
  • Research Site
    Renton, Washington 98057, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Buenos Aires, C1120AAC, Argentina
    Recruiting
  • Research Site
    CABA, C1425HFA, Argentina
    Recruiting
  • Research Site
    Ciudad de Buenos Aires, C1094AAD, Argentina
    Recruiting
  • Research Site
    Ramos Mejía, B1704ETD, Argentina
    Not yet recruiting
  • Research Site
    Rosario, S2000PBJ, Argentina
    Recruiting
  • Research Site
    San Nicolás, B2900DMH, Argentina
    Not yet recruiting
  • Research Site
    Belo Horizonte, 30150-320, Brazil
    Not yet recruiting
  • Research Site
    Campinas, 13060-080, Brazil
    Recruiting
  • Research Site
    Campinas, 13060-803, Brazil
    Not yet recruiting
  • Research Site
    São Paulo, 01236-030, Brazil
    Not yet recruiting
  • Research Site
    São Paulo, 04039-002, Brazil
    Not yet recruiting
  • Research Site
    São Paulo, 04266-010, Brazil
    Not yet recruiting
  • Research Site
    Calgary, Alberta T2V 4J2, Canada
    Recruiting
  • Research Site
    Calgary, Alberta T3R 1W9, Canada
    Recruiting
  • Research Site
    Surrey, British Columbia V3T 4G8, Canada
    Recruiting
  • Research Site
    Vancouver, British Columbia V5Y 3W2, Canada
    Recruiting
  • Research Site
    Guelph, Ontario N1H 1B1, Canada
    Recruiting
  • Research Site
    Hamilton, Ontario L8L 5G8, Canada
    Recruiting
  • Research Site
    Stouffville, Ontario L4A1H2, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M4G3E8, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Joliette, Quebec J6E 6A9, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H4J 1E3, Canada
    Recruiting
  • Research Site
    Beijing, 100034, China
    Not yet recruiting
  • Research Site
    Changchun, 130041, China
    Not yet recruiting
  • Research Site
    Chengdu, 610072, China
    Not yet recruiting
  • Research Site
    Chengdu, 611130, China
    Not yet recruiting
  • Research Site
    Guangzhou, 510280, China
    Not yet recruiting
  • Research Site
    Huzhou, 313003, China
    Not yet recruiting
  • Research Site
    Nanjing, 210008, China
    Not yet recruiting
  • Research Site
    Nanjing, 210009, China
    Not yet recruiting
  • Research Site
    Ningbo, 315000, China
    Not yet recruiting
  • Research Site
    Aarhus N, 8200, Denmark
    Not yet recruiting
  • Research Site
    Gandrup, 9362, Denmark
    Recruiting
  • Research Site
    Herlev, 2730, Denmark
    Recruiting
  • Research Site
    Herlev, 2730, Denmark
    Suspended

    Not enrolling at this site — choose another above.

  • Research Site
    Holbæk, 4300, Denmark
    Recruiting
  • Research Site
    Hvidovre, 2650, Denmark
    Recruiting
  • Research Site
    Middelfart, 5500, Denmark
    Not yet recruiting
  • Research Site
    Odense, 5000, Denmark
    Not yet recruiting
  • Research Site
    Vejle, 7100, Denmark
    Recruiting
  • Research Site
    Holon, 5822012, Israel
    Recruiting
  • Research Site
    Jerusalem, 91120, Israel
    Recruiting
  • Research Site
    Kfar Saba, 4428164, Israel
    Recruiting
  • Research Site
    Petah Tikva, 49100, Israel
    Recruiting
  • Research Site
    Petah Tikva, 4937211, Israel
    Recruiting
  • Research Site
    Tel Aviv, 64239, Israel
    Recruiting
  • Research Site
    Chūōku, 103-0002, Japan
    Recruiting
  • Research Site
    Ichinomiya-shi, 491-8558, Japan
    Recruiting
  • Research Site
    Izunokuni-shi, 410-2295, Japan
    Recruiting
  • Research Site
    Kamakura-shi, 247-0056, Japan
    Recruiting
  • Research Site
    Kawagoe-shi, 350-0851, Japan
    Recruiting
  • Research Site
    Kitakyushu-shi, 802-0077, Japan
    Recruiting
  • Research Site
    Kyoto, 607-8062, Japan
    Recruiting
  • Research Site
    Kyoto, 612-8555, Japan
    Not yet recruiting
  • Research Site
    Mito, 311-4153, Japan
    Recruiting
  • Research Site
    Nishinomiya-shi, 662-0971, Japan
    Recruiting
  • Research Site
    Ōmihachiman, 523-0082, Japan
    Recruiting
  • Research Site
    Yokohama, 230-8765, Japan
    Recruiting
  • Research Site
    Linköping, 58213, Sweden
    Suspended

    Not enrolling at this site — choose another above.

  • Research Site
    Lund, 222 22, Sweden
    Recruiting
  • Research Site
    Mölndal, 43153, Sweden
    Recruiting
  • Research Site
    Örebro, 703 62, Sweden
    Recruiting
  • Research Site
    Stockholm, 113 61, Sweden
    Recruiting
  • Research Site
    Ankara, 06100, Turkey (Türkiye)
    Not yet recruiting
  • Research Site
    Ankara, 06800, Turkey (Türkiye)
    Not yet recruiting
  • Research Site
    Antalya, 07059, Turkey (Türkiye)
    Not yet recruiting
  • Research Site
    Center, 23200, Turkey (Türkiye)
    Not yet recruiting
  • Research Site
    Istanbul, 34384, Turkey (Türkiye)
    Not yet recruiting
  • Research Site
    Airdrie, ML6 0JS, United Kingdom
    Recruiting
  • Research Site
    Chippenham, SN14 6GT, United Kingdom
    Recruiting
  • Research Site
    Hull, HU3 2PA, United Kingdom
    Recruiting
  • Research Site
    Llandough, CF64 2XX, United Kingdom
    Recruiting
  • Research Site
    Rotherham, S65 1DA, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
1 site added, 1 site removed. 46 sites changed recruiting status (45 now recruiting, 1 now not yet recruiting)
Show 46 sites
  • Research Site · Statesville, United StatesNot yet recruiting→Recruiting
  • Research Site · Houston, United StatesNot yet recruiting→Recruiting
  • Research Site · Ciudad de Buenos Aires, ArgentinaNot yet recruiting→Recruiting
  • Research Site · Calgary, CanadaNot yet recruiting→Recruiting
  • Research Site · Hamilton, CanadaNot yet recruiting→Recruiting
  • Research Site · Joliette, CanadaNot yet recruiting→Recruiting
  • Research Site · Jerusalem, IsraelNot yet recruiting→Recruiting
  • Research Site · Kfar Saba, IsraelNot yet recruiting→Recruiting
  • Research Site · Petah Tikva, IsraelNot yet recruiting→Recruiting
  • Research Site · Airdrie, United KingdomNot yet recruiting→Recruiting
  • Research Site · Llandough, United KingdomNot yet recruiting→Recruiting
  • Research Site · Stockbridge, United StatesNot yet recruiting→Recruiting
  • Research Site · Champaign, United StatesNot yet recruiting→Recruiting
  • Research Site · Chicago, United StatesNot yet recruiting→Recruiting
  • Research Site · Kansas City, United StatesNot yet recruiting→Recruiting
  • Research Site · Columbus, United StatesNot yet recruiting→Recruiting
  • Research Site · Smithfield, United StatesNot yet recruiting→Recruiting
  • Research Site · Franklin, United StatesWithdrawn→Not yet recruiting
  • Research Site · Buenos Aires, ArgentinaNot yet recruiting→Recruiting
  • Research Site · CABA, ArgentinaNot yet recruiting→Recruiting
  • Research Site · Rosario, ArgentinaNot yet recruiting→Recruiting
  • Research Site · Campinas, BrazilNot yet recruiting→Recruiting
  • Research Site · Gandrup, DenmarkNot yet recruiting→Recruiting
  • Research Site · Herlev, DenmarkNot yet recruiting→Recruiting
  • Research Site · Holbæk, DenmarkNot yet recruiting→Recruiting
  • Research Site · Hvidovre, DenmarkNot yet recruiting→Recruiting
  • Research Site · Vejle, DenmarkNot yet recruiting→Recruiting
  • Research Site · Holon, IsraelNot yet recruiting→Recruiting
  • Research Site · Tel Aviv, IsraelNot yet recruiting→Recruiting
  • Research Site · Chūōku, JapanNot yet recruiting→Recruiting
  • …and 16 more on the registry record
Show site
  • Research Site · Jacksonville, United States
Show 1 removed
  • Research Site · Fleming Island, United States
across 2 updates, Sep 25, 2026 – Nov 9, 2026
Interventions
Changed AZD6234→Lenbelintide
Sep 25, 2026
Show all 2 updates
  1. Nov 9, 2026
    36 sites changed recruiting status (35 now recruiting, 1 now not yet recruiting)
    Show 36 sites
    • Research Site · Stockbridge, United StatesNot yet recruiting→Recruiting
    • Research Site · Champaign, United StatesNot yet recruiting→Recruiting
    • Research Site · Chicago, United StatesNot yet recruiting→Recruiting
    • Research Site · Kansas City, United StatesNot yet recruiting→Recruiting
    • Research Site · Columbus, United StatesNot yet recruiting→Recruiting
    • Research Site · Smithfield, United StatesNot yet recruiting→Recruiting
    • Research Site · Franklin, United StatesWithdrawn→Not yet recruiting
    • Research Site · Buenos Aires, ArgentinaNot yet recruiting→Recruiting
    • Research Site · CABA, ArgentinaNot yet recruiting→Recruiting
    • Research Site · Rosario, ArgentinaNot yet recruiting→Recruiting
    • Research Site · Campinas, BrazilNot yet recruiting→Recruiting
    • Research Site · Calgary, CanadaNot yet recruiting→Recruiting
    • Research Site · Gandrup, DenmarkNot yet recruiting→Recruiting
    • Research Site · Herlev, DenmarkNot yet recruiting→Recruiting
    • Research Site · Holbæk, DenmarkNot yet recruiting→Recruiting
    • Research Site · Hvidovre, DenmarkNot yet recruiting→Recruiting
    • Research Site · Vejle, DenmarkNot yet recruiting→Recruiting
    • Research Site · Holon, IsraelNot yet recruiting→Recruiting
    • Research Site · Tel Aviv, IsraelNot yet recruiting→Recruiting
    • Research Site · Chūōku, JapanNot yet recruiting→Recruiting
    • Research Site · Ichinomiya-shi, JapanNot yet recruiting→Recruiting
    • Research Site · Izunokuni-shi, JapanNot yet recruiting→Recruiting
    • Research Site · Kamakura-shi, JapanNot yet recruiting→Recruiting
    • Research Site · Kawagoe-shi, JapanNot yet recruiting→Recruiting
    • Research Site · Kitakyushu-shi, JapanNot yet recruiting→Recruiting
    • Research Site · Kyoto, JapanNot yet recruiting→Recruiting
    • Research Site · Mito, JapanNot yet recruiting→Recruiting
    • Research Site · Nishinomiya-shi, JapanNot yet recruiting→Recruiting
    • Research Site · Ōmihachiman, JapanNot yet recruiting→Recruiting
    • Research Site · Yokohama, JapanNot yet recruiting→Recruiting
    • …and 6 more on the registry record
    + 1 other change: verification date
  2. Sep 25, 2026
    1 site added, 1 site removed. 12 sites changed recruiting status (12 now recruiting)
    Show 12 sites
    • Research Site · Statesville, United StatesNot yet recruiting→Recruiting
    • Research Site · Houston, United StatesNot yet recruiting→Recruiting
    • Research Site · Ciudad de Buenos Aires, ArgentinaNot yet recruiting→Recruiting
    • Research Site · Calgary, CanadaNot yet recruiting→Recruiting
    • Research Site · Hamilton, CanadaNot yet recruiting→Recruiting
    • Research Site · Joliette, CanadaNot yet recruiting→Recruiting
    • Research Site · Jerusalem, IsraelNot yet recruiting→Recruiting
    • Research Site · Kfar Saba, IsraelNot yet recruiting→Recruiting
    • Research Site · Petah Tikva, IsraelNot yet recruiting→Recruiting
    • Research Site · Petah Tikva, IsraelNot yet recruiting→Recruiting
    • Research Site · Airdrie, United KingdomNot yet recruiting→Recruiting
    • Research Site · Llandough, United KingdomNot yet recruiting→Recruiting
    Show site
    • Research Site · Jacksonville, United States
    Show 1 removed
    • Research Site · Fleming Island, United States
    Interventions Changed AZD6234→Lenbelintide
    + 1 other change: conditions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07776509
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Aug 20, 2026
Start date
Aug 24, 2026
Primary completion
Aug 9, 2028 (estimated)
Completion
Aug 9, 2028 (estimated)
Last update
Nov 9, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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Studies of the drug tested here: Lenbelintide

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