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Not yet recruitingNCT07843472ZUPREME-5Updated Sep 28, 2026

A Phase III Study to Evaluate the Efficacy and Safety of Petrelintide in Participants With Overweight or Obesity and Established Cardiovascular Disease

A Phase 3 interventional study of Petrelintide and Placebo in Obesity or Overweight and Cardiovascular Disease, sponsored by Hoffmann-La Roche. Not yet recruiting. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,500
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

This study will evaluate the efficacy and safety of petrelintide compared with placebo, in conjunction with a reduced-calorie diet and increased physical activity, for weight management in participants living with overweight or obesity and established cardiovascular disease (CVD).

02

Conditions studied

  • Obesity or Overweight
  • Cardiovascular Disease
03

Who can participate

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

Inclusion criteria

  • Participants with BMI ≥ 27 kg/m² and established CVD
  • History of at least one self-reported unsuccessful dietary effort to lose body weight

Exclusion criteria

Exclusion Criteria:

  • Known history of Type 1 diabetes mellitus
  • Current or previous treatment with petrelintide or any other amylin analog
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,500 participants (estimated)

Study arms

  • Experimental
    Petrelintide

    Combination Product: Petrelintide

  • Placebo comparator
    Placebo

    Combination Product: Placebo

Interventions

  • Combination productPetrelintide

    Petrelintide will be administered subcutaneously (SC) using a drug-device combination product.

    Also known as: RO7895515, ZP8396

  • Combination productPlacebo

    Petrelintide-matching placebo will be administered SC using a drug-device combination product.

05

What researchers measure

Primary outcomes

  1. Percentage Change in Body Weight from Baseline

    Time frame: From Baseline to Week 64

Secondary outcomes

  1. Proportion of Participants Achieving ≥ 5% Body Weight Loss from Baseline

    Time frame: From Baseline to Week 64

  2. Proportion of Participants Achieving ≥ 10% Body Weight Loss from Baseline

    Time frame: From Baseline to Week 64

  3. Proportion of Participants Achieving ≥ 15% Body Weight Loss from Baseline

    Time frame: From Baseline to Week 64

  4. Change from Baseline in Waist Circumference (cm)

    Time frame: From Baseline to Week 64

  5. Change from Baseline in High-Sensitivity C-Reactive Protein (hsCRP)

    Time frame: From Baseline to Week 64

  6. Change from Baseline in Triglycerides

    Time frame: From Baseline to Week 64

  7. Change from Baseline in High-Density Lipoprotein (HDL) Cholesterol

    Time frame: From Baseline to Week 64

  8. Change from Baseline in Impact of Weight on Quality of Life-Lite Clinical Trials (IWQoL-Lite-CT) Physical Functioning Composite Score

    Time frame: From Baseline to Week 64

  9. Change from Baseline in IWQoL-Lite-CT Physical Functioning Composite Score in Participants with Poor Physical Functioning at Baseline (as defined by Patient Global Impression of Severity/Status [PGI-S])

    Time frame: From Baseline to Week 64

  10. Change from Baseline in Short Form (36) Health Survey Version 2 (SF-36v2) Acute Form Physical Functioning Domain Score

    Time frame: From Baseline to Week 64

  11. Change from Baseline in SF-36v2 Acute Form Physical Functioning Domain Score in Participants with Poor Physical Functioning at Baseline (as defined by PGI-S)

    Time frame: From Baseline to Week 64

  12. Change from Baseline in Mean Daily Food Craving Score

    Time frame: From Baseline to Week 64

  13. Change from Baseline in Mean Daily Peak Hunger Score

    Time frame: From Baseline to Week 64

  14. Change from Baseline in Body Mass Index (BMI) (kg/m²)

    Time frame: From Baseline to Week 64

  15. Change from Baseline in Body Weight (kg)

    Time frame: From Baseline to Week 64

  16. Change from Baseline in Waist-to-Hip Ratio

    Time frame: From Baseline to Week 64

  17. Change from Baseline in Waist-to-Height Ratio

    Time frame: From Baseline to Week 64

  18. Change from Baseline in Fasting Insulin

    Time frame: From Baseline to Week 64

  19. Change from Baseline in Fasting Glucose

    Time frame: From Baseline to Week 64

  20. Change from Baseline in Hemoglobin A1c (HbA1c)

    Time frame: From Baseline to Week 64

  21. Percentage of Participants with Type 2 Diabetes at Screening Achieving HbA1c of < 5.7%

    Time frame: At Week 64

  22. Percentage of Participants with Type 2 Diabetes at Screening Achieving HbA1c of < 6.5%

    Time frame: At Week 64

  23. Percentage of Participants with Type 2 Diabetes at Screening Achieving HbA1c of < 7%

    Time frame: At Week 64

  24. Percentage of Participants With Baseline Prediabetes Achieving HbA1c of < 5.7%

    Time frame: At Week 64

  25. Change from Baseline in Very-Low-Density Lipoprotein (VLDL) Cholesterol

    Time frame: From Baseline to Week 64

  26. Change from Baseline in Non-HDL Cholesterol

    Time frame: From Baseline to Week 64

  27. Change from Baseline in Total Cholesterol

    Time frame: From Baseline to Week 64

  28. Change from Baseline in Low-Density Lipoprotein (LDL) Cholesterol

    Time frame: From Baseline to Week 64

  29. Change from Baseline in Free Fatty Acids

    Time frame: From Baseline to Week 64

  30. Change from Baseline in Systolic Blood Pressure

    Time frame: From Baseline to Week 64

  31. Change from Baseline in Diastolic Blood Pressure

    Time frame: From Baseline to Week 64

  32. Change from Baseline in Health-Related Quality of Life (HRQoL) as assessed by SF-36v2 Acute Form Domain Scores and Component Summary Scores

    Time frame: From Baseline to Week 64

  33. Change from Baseline in HRQoL as assessed by IWQoL-Lite-CT Domain Scores and Total Score

    Time frame: From Baseline to Week 64

  34. Proportion of Participants with ≥ 14.6-Point Increase from Baseline in IWQoL-Lite-CT Physical Function Score

    Time frame: From Baseline to Week 64

  35. Proportion of Participants with ≥ 3.7-Point Increase from Baseline in SF36v2 Physical Functioning Score

    Time frame: From Baseline to Week 64

  36. Proportion of Participants with Baseline Poor Physical Functioning Achieving ≥ 14.6-Point Increase in IWQoL-Lite-CT Physical Functioning Score

    Time frame: From Baseline to Week 64

  37. Proportion of Participants with Baseline Poor Physical Functioning Achieving a ≥ 3.7-Point Increase in SF36v2 Physical Functioning Score

    Time frame: From Baseline to Week 64

  38. Change from Baseline in Mean Daily Average Hunger Score

    Time frame: From Baseline to Week 64

  39. Change from Baseline in Mean Daily Average Satiety Score

    Time frame: From Baseline to Week 64

  40. Change from Baseline in Mean Daily Average Appetite Score

    Time frame: From Baseline to Week 64

  41. Incidence and Severity of Adverse Events, with Severity Determined According to Mild/Moderate/Severe Criteria

    Time frame: From Baseline to Week 64

  42. Percentage of Participants with Baseline Anti-Drug Antibodies (ADAs) and Treatment-Emergent ADAs Against Petrelintide

    Time frame: From Baseline to Week 64

06

Study locations

No study locations are listed for this record.

07

Registry details

Key details

Study ID
NCT07843472
Lead sponsor
Hoffmann-La Roche
Collaborators
Zealand Pharma
Responsible party
Sponsor
First posted
Sep 28, 2026
Start date
Sep 30, 2026 (estimated)
Primary completion
Jul 28, 2030 (estimated)
Completion
Oct 6, 2030 (estimated)
Last update
Sep 28, 2026

Study contacts

Reference Study ID Number: CC46446 https://forpatients.roche.com/No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. and Canada)
Fastest Response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact

Oversight

Data monitoring committee
Yes
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 Sep 2026. You cannot join it, but the record below documents what was studied.

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