ClinicalTrials.gg
Not yet recruitingNCT07812597Updated Sep 10, 2026

A Study Evaluating Safety and Tolerability of Switching From Semaglutide to Zovaglutide in Adults With Obesity (HORIZON-SWITCH-SZ)

A Phase 2 interventional study of zovaglutide Arm 1 and zovaglutide Arm 2 in Obesity, sponsored by Beijing QL Biopharmaceutical Co.,Ltd. Not yet recruiting at 16 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Beijing QL Biopharmaceutical Co.,Ltd · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
210
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The main purpose of this study is to evaluate the safety and tolerability of continuing treatment with zovaglutide injection following titration to 2.4 mg semaglutide injection in adult participants with obesity.

02

Conditions studied

  • Obesity

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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 210 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Beijing QL Biopharmaceutical Co.,Ltd is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Male or female subjects aged≥18years and≤75 years at the time of signing the Form (ICF).
  • At screening, (BMI)≥28kg/m²
  • Weight change due to diet and exercise alone within 3 months prior to screening did not exceed 5%.

Exclusion criteria

Exclusion Criteria:

  • Previously diagnosed obesity caused by monogenic mutations, other diseases, or medications.
  • Previous diagnosis of diabetes; or ≥ 6.5% or fasting blood glucose ≥ 7.0 mmol/L at screening.
  • Used of medicines or treatments that affect weight within 3 months prior to screening.
  • History of acute or chronic pancreatitis, or pancreatic injury.
  • History of medullary thyroid carcinoma (MTC) or type 2 multiple endocrine neoplasia (MEN2) in personal or family history.
  • History of medullary thyroid carcinoma (MTC) or type 2 multiple endocrine neoplasia (MEN2) in personal or family history.
  • Patient Health Questionnaire-9 (PHQ-9) scale score is ≥ 15 at screening
  • Screening Columbia-Suicide Severity Rating Scale(C-SSRS) questionnaire suicide ideation response of "Category 4 or 5," or any "yes" response to suicidal behavior questions
Terms in these criteria, in plain language(3)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
210 participants (estimated)

Study arms

  • Experimental
    zovaglutide Arm1

    Participants will receive zovaglutide dosing schedule 1 after randomization.

    Drug: zovaglutide Arm 1

  • Experimental
    zovaglutide Arm2

    Participants will receive zovaglutide dosing schedule 2 after randomization.

    Drug: zovaglutide Arm 2

  • Active comparator
    semaglutide Arm

    Participants will receive semaglutide once weekly after randomization

    Drug: semaglutide

Interventions

  • Zovaglutide will be administered via subcutaneous (SC) injection.

    Also known as: ZT002 Injection

  • Zovaglutide will be administered via subcutaneous (SC) injection.

    Also known as: ZT002 Injection

  • Semaglutide will be administered via subcutaneous (SC) injection.

06

What researchers measure

Primary outcomes

  1. Proportion of participants achieving successful switch from semaglutide 2.4 mg to zovaglutide after randomization

    Measure description:Definition of successful switch: Participants administered the target dose of assigned zovaglutide at both week28 and week32.

    Time frame: from week 20 (randomization) to week 36

Secondary outcomes

  1. Proportion of participants achieving successful switch without severe gastrointestinal adverse event (GIAE)

    Time frame: from week 20 (randomization) to week 36

  2. Proportion of participants achieving successful switch without dose modification

    Time frame: from week 20 (randomization) to week 36

  3. Incidence of GIAE

    Time frame: from week 20 (randomization) to week 40

  4. Percentage of GIAE-free duration relative to total period after randomization

    Time frame: from week 20 (randomization) to week 40

  5. Changes in body weight from randomization

    Time frame: from week 20 ( randomization) to week 36

07

Study locations

16 sites
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07812597
Responsible party
Sponsor
First posted
Sep 10, 2026
Start date
Oct 12, 2026 (estimated)
Primary completion
Jan 13, 2028 (estimated)
Completion
Mar 24, 2028 (estimated)
Last update
Sep 10, 2026

Study contacts

Xiaoming Feng
Contact
feng.xiaoming@qlbiopharm.com
+8613932155055
Fengtai Xue
Contact
fengtai@qlbiopharm.com
+8618801907066
Linong Ji, Doctor
principal investigator · Peking University People's Hospital

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 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: ZT002

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