ClinicalTrials.gg
Not yet recruitingNCT07924553Updated Nov 9, 2026

Efficacy, Safety and Cardiovascular Protection of Mazdutide in Type 1 Diabetes

An interventional study of Mazdutide and Placbo in Type 1 Diabetes, sponsored by Peking University People's Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Peking University People's Hospital · Not applicable, Interventional, and Treatment

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
182
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is a multicenter, randomized, double-blind, placebo-controlled clinical trial in patients with type 1 diabetes (T1D), conducted in two stages.

Stage 1 is the efficacy and safety assessment (TIMES-EFFICACY). A total of 182 T1D patients who meet the inclusion criteria will be randomized in a 1:1 ratio to two groups: one receiving mazdutide and the other receiving placebo. The follow-up period is 16 weeks. The primary clinical endpoint is the proportion of patients achieving time in range (TIR) >70% with time below range (TBR) \<4%. An interim analysis will be performed at Week 8; if the absolute TBR in the mazdutide group increases by more than 5% relative to the placebo group, the subsequent study will be terminated.

Stage 2 is the cardiovascular protective effect assessment (TIMES-CV). During the Stage 1 efficacy and safety assessment, a pre-specified stratification method will ensure that 104 patients with high cardiovascular risk factors are randomized in a 1:1 ratio to the mazdutide group or the placebo group. After completing the 16-week efficacy and safety assessment, these 104 subjects will continue to receive randomized controlled treatment and enter the cardiovascular effect assessment stage, with a total follow-up duration of 52 weeks. The primary clinical endpoint is the change in non-calcified coronary artery plaque volume.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • type 1 diabetes
  • glucagon-like peptide-1 receptor agonist
  • glucagon receptor agonist
  • mazdutide
03

In context

Diabetes Mellitus, Type 1

3,754 studies on the registry are indexed under Diabetes Mellitus, Type 1; 600 are open to participants now.

This study's planned enrollment of 182 is above the median of 40 across 2,820 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Peking University People's Hospital is the lead sponsor of 609 studies on the registry; 247 are open to participants now.

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

  1. Age ≥18 years at screening.
  2. Patients with a clinical diagnosis of T1D for at least 12 months.

    Patients with T1D must satisfy all three of the following features:

    1. Clinical diagnosis of type 1 diabetes by a specialist physician;
    2. Any one of the following: age at onset \<15 years; no overweight or obesity at onset; diabetic ketoacidosis at onset; peak stimulated C-peptide \<200 pmol/L;
    3. Any one of the following: continuous insulin therapy since diagnosis (excluding pancreas or islet transplantation); one or more positive pancreatic islet autoantibodies (GADA / IAA / IA-2A / ZnT8).
  3. Willingness to use once-weekly mazdutide.
  4. ≥7.0% and \<10.0%.
  5. (BMI) ≥20 kg/m².
  6. Continuous use of any of the following insulin regimens for at least 3 months prior to screening (no concomitant use of other oral glucose-lowering drugs or GLP-1RAs allowed), with a stable insulin dose for at least 2 weeks before enrollment:

    1. Multiple daily injections of basal insulin plus prandial insulin;
    2. Premixed insulin analog injected 2-3 times daily;
    3. Dual insulin analog (insulin degludec/aspart) injected twice daily;
    4. Continuous subcutaneous insulin infusion (CSII). Note: A stable insulin dose is defined as a daily insulin dose adjustment of no more than ±[value not specified in the source document].
  7. Ability to provide prior to any study-related activity.

    • For participants enrolled in TIMES-CV, in addition to the above criteria, the following criteria must also be met: ***

1. Duration of type 1 diabetes ≥5 years. 2. Moderate or high 10-year atherosclerotic cardiovascular disease (ASCVD) risk (≥5.0%) as assessed by the China-PAR model.

3. Carotid atherosclerotic plaque confirmed by ultrasound.

Exclusion criteria

Exclusion Criteria:

  1. Other types of diabetes.
  2. \<20 kg/m².
  3. History of cardiovascular disease: previous myocardial infarction, unstable angina, coronary revascularization (PCI or CABG), stroke, (TIA), or symptomatic peripheral arterial disease.
  4. Renal impairment: estimated (eGFR) \<60 mL/min/1.73 m² (based on the CKD-EPI equation).
  5. Hepatic disease: known severe hepatic disease, or /AST levels >3 times the .
  6. Personal or family history of medullary thyroid carcinoma, or multiple endocrine neoplasia syndrome type 2.
  7. Pancreatic disease: history of acute or chronic pancreatitis.
  8. Pregnancy and lactation: women who are pregnant, breastfeeding, or planning pregnancy and unwilling to use effective .
  9. Medications: use of GLP-1 receptor agonists, GIP or GCG receptor agonists, other non-insulin glucose-lowering drugs, or finerenone within 3 months prior to screening.
  10. Requirement for long-term use of systemic (topical/inhaled use permitted).
  11. History of to GLP-1 receptor agonists, mazdutide, or any of its .
  12. Moderate or more severe non-proliferative diabetic retinopathy or proliferative diabetic retinopathy.
  13. Any other serious medical or psychiatric condition that, in the judgment of the investigator, may interfere with study assessments or endanger the safety of the subject.
Terms in these criteria, in plain language(11)

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.

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.

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.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
182 participants (estimated)

Study arms

  • Experimental
    mazdutide group

    Participants in the treatment group will receive mazdutide by subcutaneous injection once weekly. The dose will be escalated stepwise according to a pre-defined regimen from a safe starting dose to an effective maintenance dose (from 2 mg to 4 mg) over several weeks, with dose reduction permitted if needed.

    Drug: Mazdutide

  • Placebo comparator
    placebo group

    Participants in the control group will receive a placebo matched to mazdutide in appearance, packaging, and mode of administration, by subcutaneous injection once weekly.

    Drug: Placbo

Interventions

  • Mazdutide is a synthetic peptide analog of mammalian oxyntomodulin and a once-weekly dual agonist of the glucagon-like peptide-1 receptor (GLP-1R) and the glucagon receptor (GCGR), under development for the treatment of obesity and type 2 diabetes (T2D). Mazdutide has been shown to induce significant weight loss in patients with obesity and to help improve glycemic control in patients with T2D.

  • DrugPlacbo

    mazdutide matching placebo

06

What researchers measure

Primary outcomes

  1. Proportion of the participants achieving time in range (TIR)>70 and time below range (TBR)<4% (TIMES-EFFICACY)

    The proportion of adult patients with T1D achieving the composite outcome of continuous glucose monitoring (CGM)-measured TIR \>70% and TBR \<4% at Week 16 in the mazdutide group versus the placebo group

    Time frame: From baseline to 16 weeks

  2. Volume of non-calcified coronary artery plaque (TIMES-CV)

    The absolute change in non-calcified coronary artery plaque volume in mm³ from baseline to Week 52, as measured by quantitative analysis of high-resolution coronary computed tomography angiography (CCTA)

    Time frame: From baseline to 52 weeks

Secondary outcomes

  1. Level of HbA1c

    Changes in HbA1c (%) from baseline to Week 16 and Week 52

    Time frame: From baseline to 52 weeks

  2. Volume of coronary atherosclerotic plaque

    Changes in total coronary atherosclerotic plaque volume, fibrous plaque volume, low-density plaque volume, and lipid-rich plaque volume in mm³

    Time frame: From baseline to 52 weeks

  3. Thickness of carotid intima-media

    Changes in carotid intima-media thickness (cIMT) in mm from baseline to Week 52

    Time frame: From baseline to 52 weeks

  4. Time in range (TIR)

    Changes in TIR (%) from baseline to Week 52

    Time frame: From baseline to 52 weeks

  5. Time above range (TAR)

    Changes in TAR (%) from the baseline to Week 52

    Time frame: From baseline to 52 weeks

  6. Time below range (TBR)

    Changes in TBR (%) from baseline to Week 52

    Time frame: From baseline to 52 weeks

  7. Covariation (CV)

    Changes in CV (%) assessed by continuous glucose monitoring from baseline to Week 52

    Time frame: From baseline to 52 weeks

  8. Level of triglyceride (TG)

    Changes in TG (mmol/L) from baseline to Week 52

    Time frame: From baseline to 52 weeks

  9. Level of total cholesterol (TC)

    Changes in TC (mmol/L) from baseline to Week 52

    Time frame: From baseline to 52 weeks

  10. Level of low-density cholesterol (LDL-C)

    Changes in LDL-C (mmol/L) from baseline to Week 52

    Time frame: From baseline to 52 weeks

  11. Level of high-density cholesterol (HDL-C)

    Changes in HDL-C (mmol/L) from baseline to Week 52

    Time frame: From baseline to 52 weeks

Other outcomes

  1. The level of urinary albumin/creatinine ratio

    Changes in urinary albumin/creatinine ratio (mg/g) from baseline to Week 52

    Time frame: From baseline to 52 weeks

  2. Change in hepatic fat content

    Changes in hepatic fat content (%) from baseline to Week 52, assessed by MRI-PDFF

    Time frame: From baseline to 52 weeks

  3. Levels of inflammation-related protein biomarkers

    Changes in inflammation-related protein biomarkers (assessed by Olink) from baseline to Week 52

    Time frame: From baseline to Week 52

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Gao L, Jiang H, Cai H, Tian J, Shi B, Qiu W, Huang C, Han J, Zhang S, Pang S, Bi Y, Chen L, Gu X, Han J, Ma Q, Deng H, Wang Y, Li L, Han-Zhang H, Qian L, Ji L; GLORY-2 Trial Investigators. Treatment With 9-mg Mazdutide for Weight Reduction in Chinese Adults With Obesity: The GLORY-2 Randomized Clinical Trial. JAMA. 2026 Aug 4;336(5):377-388. doi: 10.1001/jama.2026.8142. PubMed 42251595 ↗
  • Guo L, Zhang B, Xue X, Zhang X, Cai H, Jiang H, Zhang L, Jin P, Wang X, Cheng Z, Zhang S, Geng J, Guo Y, Hu H, Ma Q, Li L, Du H, Han-Zhang H, Xue F, Deng H, Qian L, Yang W; DREAMS-2 investigators. Mazdutide versus dulaglutide in Chinese adults with type 2 diabetes. Nature. 2026 Apr;652(8108):181-188. doi: 10.1038/s41586-025-10031-z. Epub 2025 Dec 17. PubMed 41407860 ↗
  • Zhu D, Zhao J, Cai H, Chu X, Xiu S, Song C, Cheng Z, Cao H, Jiang H, Zhang L, Wang H, Shi B, Li Y, Liu M, Feng B, Xue F, Deng H, Li H, Li L, Li Y, Ma Q, Qian L. Mazdutide versus placebo in Chinese adults with type 2 diabetes. Nature. 2026 Apr;652(8108):174-180. doi: 10.1038/s41586-025-10026-w. Epub 2025 Dec 17. PubMed 41407859 ↗
  • Ji L, Jiang H, Bi Y, Li H, Tian J, Liu D, Zhao Y, Qiu W, Huang C, Chen L, Zhong S, Han J, Zhang Y, Lian Q, Yang P, Lv L, Gu J, Liu Z, Deng H, Wang Y, Li L, Pei L, Qian L; GLORY-1 Investigators. Once-Weekly Mazdutide in Chinese Adults with Obesity or Overweight. N Engl J Med. 2025 Jun 12;392(22):2215-2225. doi: 10.1056/NEJMoa2411528. Epub 2025 May 25. PubMed 40421736 ↗
  • Shirley M. Mazdutide: First Approval. Drugs. 2025 Dec;85(12):1621-1627. doi: 10.1007/s40265-025-02249-y. Epub 2025 Sep 30. PubMed 41028652 ↗
  • Pasqua MR, Tsoukas MA, Kobayati A, Aboznadah W, Jafar A, Haidar A. Subcutaneous weekly semaglutide with automated insulin delivery in type 1 diabetes: a double-blind, randomized, crossover trial. Nat Med. 2025 Apr;31(4):1239-1245. doi: 10.1038/s41591-024-03463-z. Epub 2025 Jan 10. PubMed 39794615 ↗

Individual participant data

Plan to share: No — There is no plan to make individual participant data (IPD) collected in this study available to researchers outside the primary research group. The study data will be kept confidential by the sponsor and investigators in accordance with applicable regulations and the study protocol. Sharing of IPD is not planned due to considerations regarding participant confidentiality and data protection.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

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
NCT07924553
Collaborators
Second Xiangya Hospital of Central South University, Shenzhen Second People's Hospital, Zhongnan Hospital, The First Affiliated Hospital of Henan University of Science and Technology, Second Affiliated Hospital of Soochow University, Qilu Hospital of Shandong University, Tangshan Worker's Hospital, Hebei General Hospital, Heji Hospital affiliated to Changzhi Medical College, Tianjin Medical University, The Second Hospital of Shijiazhuang
Responsible party
Linong Ji (Professor, Peking University People's Hospital) — Principal investigator
First posted
Nov 9, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
Mar 1, 2029 (estimated)
Completion
Jun 1, 2029 (estimated)
Last update
Nov 9, 2026

Study contacts

Chu Lin, M.D.
Contact
chulin@bjmu.edu.cn
+86 18811792075
Xiaoling Cai, M.D.
Contact
dr_junel@sina.com
+86 13051396340

Oversight

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

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Studies of the drug tested here: Mazdutide

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