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Efficacy and Safety of Aleniglipron in Participants With Obesity or Overweight With a Weight-Related Comorbidity (ACCOMPLISH-1)

RecruitingPhase 3

A Randomized, Double-Blind, Placebo-Controlled, Pivotal Phase 3 Study to Evaluate the Long-Term Efficacy and Safety of Multiple Maintenance Doses of Once Daily Oral Aleniglipron for Chronic Weight Management in Adults With Obesity or Overweight and a Weight-Related Comorbidity

Who can join

Ages 18 to 79 · All sexes

Full eligibility criteria
Inclusion Criteria:

* Signed informed consent
* BMI ≥30 kg/m2 (obese) or BMI ≥27 kg/m2 (overweight) and presence of ≥1 of the obesity related comorbidities.

Exclusion Criteria:

* Previously documented diagnosis of type 1 diabetes, type 2 diabetes, or any other type of diabetes.
* Self-reported change in body weight \>5 kg within 3 months before Screening.
* Have prior or planned surgical or non-surgical treatment for obesity.
* Have or plan to have endoscopic and/or device-based therapy for obesity.
* Have obesity induced by other endocrine disorders.
* Impaired renal function at Screening
* Chronic malabsorption

About the study

Study GSBR-1290-12 is a Phase 3 pivotal, multicenter, global, randomized, placebo-controlled, double-blind study to investigate the long-term efficacy, safety, and tolerability of 3 maintenance doses of aleniglipron once daily (QD) compared with placebo, when used in combination with a reduced-calorie diet and increased physical activity. All participants will be randomized to at least 76 weeks of treatment to evaluate the effects on long term body weight changes, tolerability, and safety. In addition, the study will compare the effects between aleniglipron and placebo on blood pressure (BP), lipid parameters, patient-reported outcomes.

What is being tested

Sponsor: Gasherbrum Bio, Inc., a wholly owned subsidiary of Structure Therapeutics · Participants: 3,600 · Started: Jul 13, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07654361

Locations in the U.S.

AlabamaACCOMPLISH-1 Research Site, Birmingham (Not yet recruiting)
ACCOMPLISH-1 Research Site, Birmingham (Not yet recruiting)
ArizonaACCOMPLISH-1 Research Site, Phoenix (Not yet recruiting)
ACCOMPLISH-1 Research Site, Sun City West (Not yet recruiting)
ACCOMPLISH-1 Research Site, Tucson (Not yet recruiting)
CaliforniaACCOMPLISH-1 Research Site, Escondido (Not yet recruiting)
ACCOMPLISH-1 Research Site, Gardena (Not yet recruiting)
ACCOMPLISH-1 Research Site, La Jolla (Not yet recruiting)
ACCOMPLISH-1 Research Site, Modesto (Not yet recruiting)
ACCOMPLISH-1 Research Site, Rolling Hills Estates (Not yet recruiting)
ACCOMPLISH-1 Research Site, San Diego (Not yet recruiting)
FloridaACCOMPLISH-1 Research Site, Clearwater
ACCOMPLISH-1 Research Site, Leesburg (Not yet recruiting)
ACCOMPLISH-1 Research Site, Miami (Not yet recruiting)
ACCOMPLISH-1 Research Site, Ocala (Not yet recruiting)
ACCOMPLISH-1 Research Site, Ocoee (Not yet recruiting)
ACCOMPLISH-1 Research Site, Pembroke (Not yet recruiting)
ACCOMPLISH-1 Research Site, Tampa (Not yet recruiting)
GeorgiaACCOMPLISH-1 Research Site, Buford (Not yet recruiting)
ACCOMPLISH-1 Research Site, Columbus (Not yet recruiting)
ACCOMPLISH-1 Research Site, Lawrenceville (Not yet recruiting)
ACCOMPLISH-1 Research Site, Union City (Not yet recruiting)
ACCOMPLISH-1 Research Site, Woodstock (Not yet recruiting)
HawaiiACCOMPLISH-1 Research Site, Honolulu
IdahoACCOMPLISH-1 Research Site, Meridian (Not yet recruiting)
ACCOMPLISH-1 Research Site, Rexburg (Not yet recruiting)
IllinoisACCOMPLISH-1 Research Site, Chicago (Not yet recruiting)
IowaACCOMPLISH-1 Research Site, Iowa City (Not yet recruiting)
KansasACCOMPLISH-1 Research Site, Wichita (Not yet recruiting)
KentuckyACCOMPLISH-1 Research Site, Louisville (Not yet recruiting)
LouisianaACCOMPLISH-1 Research Site, Baton Rouge (Not yet recruiting)
MarylandACCOMPLISH-1 Research Site, Silver Spring
MassachusettsACCOMPLISH-1 Research Site, Methuen (Not yet recruiting)
ACCOMPLISH-1 Research Site, Needham (Not yet recruiting)
MichiganACCOMPLISH-1 Research Site, Ann Arbor (Not yet recruiting)
MinnesotaACCOMPLISH-1 Research Site, Mankato
ACCOMPLISH-1 Research Site, Richfield
MississippiACCOMPLISH-1 Research Site, Gulfport (Not yet recruiting)
ACCOMPLISH-1 Research Site, Ridgeland (Not yet recruiting)
MissouriACCOMPLISH-1 Research Site, Chesterfield (Not yet recruiting)
ACCOMPLISH-1 Research Site, Hazelwood
ACCOMPLISH-1 Research Site, St Louis
MontanaACCOMPLISH-1 Research Site, Butte (Not yet recruiting)
ACCOMPLISH-1 Research Site, Missoula (Not yet recruiting)
NebraskaACCOMPLISH-1 Research Site, Omaha (Not yet recruiting)
NevadaACCOMPLISH-1 Research Site, Las Vegas (Not yet recruiting)
New YorkACCOMPLISH-1 Research Site, Albany (Not yet recruiting)
ACCOMPLISH-1 Research Site, Brooklyn (Not yet recruiting)
North CarolinaACCOMPLISH-1 Research Site, Charlotte
ACCOMPLISH-1 Research Site, Durham (Not yet recruiting)
ACCOMPLISH-1 Research Site, Fayetteville (Not yet recruiting)
ACCOMPLISH-1 Research Site, New Bern (Not yet recruiting)
ACCOMPLISH-1 Research Site, Wilmington
ACCOMPLISH-1 Research Site, Winston-Salem (Not yet recruiting)
OhioACCOMPLISH-1 Research Site, Columbus (Not yet recruiting)
ACCOMPLISH-1 Research Site, Columbus
OklahomaACCOMPLISH-1 Research Site, Moore (Not yet recruiting)
OregonACCOMPLISH-1 Research Site, Portland
PennsylvaniaACCOMPLISH-1 Research Site, Philadelphia (Not yet recruiting)
South CarolinaACCOMPLISH-1 Research Site, Greer (Not yet recruiting)
TennesseeACCOMPLISH-1 Research Site, Knoxville (Not yet recruiting)
TexasACCOMPLISH-1 Research Site, Austin (Not yet recruiting)
ACCOMPLISH-1 Research Site, Austin
ACCOMPLISH-1 Research Site, Denison (Not yet recruiting)
ACCOMPLISH-1 Research Site, Houston (Not yet recruiting)
ACCOMPLISH-1 Research Site, Houston (Not yet recruiting)
ACCOMPLISH-1 Research Site, San Antonio (Not yet recruiting)
ACCOMPLISH-1 Research Site, Wylie (Not yet recruiting)
UtahACCOMPLISH-1 Research Site, Sandy City (Not yet recruiting)
ACCOMPLISH-1 Research Site, St. George (Not yet recruiting)
WashingtonACCOMPLISH-1 Research Site, Renton

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.