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ObesityPhase 1NCT05184322

XW004 To Evaluate the Safety, Tolerability, PK, and PD of Oral Ecnoglutide Tablet in Healthy Adults

A Phase 1 study testing T2026 and Oral ecnoglutide tablet in people with Obesity and Type 2 Diabetes Mellitus, run by Sciwind Biosciences APAC CO Pty. Ltd. at 1 site in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

XW004 is an acylated human glucagon-like peptide 1 (GLP-1) analogue and is being developed for type 2 diabetes mellitus (T2DM) and obesity management. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Obesity, Type 2 Diabetes Mellitus
What is being tested?
T2026 and Oral ecnoglutide tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
87 participants
Where
1 siteAustralia
Study dates
12 Apr 2022to 25 Mar 2025
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male or female participants, aged 18 to 55 years (inclusive at the time of informed consenting);
  • Participants must be in good general health, with no significant medical history, and have no clinically significant abnormalities on physical examination at Screening and/or before administration of study drug;
  • Stable body weight for at least 3 months prior to Screening (i.e., <5% change) by self-declaration;
  • Participants must have a Body Mass Index (BMI) ≥22.0 kg/m2 and <32.0 kg/m2 and weigh ≥55 kg at Screening (Cohorts 1A/1B to 3), or participants must have a BMI ≥30.0 kg/m2 and <40.0 kg/m2 and weigh ≥75 kg at Screening (Cohort 4, 5 and 6 only);

Who cannot join

  • Prior or ongoing medical conditions, medical history, physical findings, or laboratory abnormality that, in the Investigator's (or delegate's) opinion, may require treatment or render the participant unlikely to fully complete the study, or any condition that presents undue risk from the investigational product (IP) or procedures or interfere with study assessments;
  • Confirmed diagnosis of diabetes mellitus type 1, type 2, or of any other forms at any time, and/or occurrence of documented or suspected hypoglycaemic episodes within 12 months prior to Screening;
  • Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2;

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Q-Pharm Pty Ltd (AKA Nucleus Network Brisbane)

    Herston, Queensland, 4006

Other trials in Australia

About this study

Official title: A Phase 1, Randomised, Double-blind, Placebo-controlled, Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Oral Ecnoglutide Tablet in Healthy Adult Participants

XW004 is an acylated human glucagon-like peptide 1 (GLP-1) analogue and is being developed for type 2 diabetes mellitus (T2DM) and obesity management.

Read the detailed description

This is a single centre, double-blind, randomised, multiple-dose, placebo-controlled study, including six cohorts (Cohorts 1A/1B, 2, 3, 4, 5, 6) with a semi-parallel design. The study is designed to evaluate the safety, tolerability, PK, and PD of oral ecnoglutide tablet in healthy participants. Participants will undergo a Screening period beginning up to 28 days (Cohort 1 to 4) and 42 days (Cohort 5 and 6 ) prior to randomisation/dose administration and will be required to sign an informed consent form (ICF) before undertaking any study specific procedures or assessments. Participants who meet all of the inclusion and none of the exclusion criteria will be enrolled. Eligible participants will be admitted to the CRU on Day -1 for review of inclusion and exclusion criteria prior to the start of study procedures on Day 1. A Safety Review Committee (SRC) will be established to monitor the progress of this trial and to make recommendations on whether to continue, modify or stop the trial for safety or ethical reasons.

Being tested
T2026, Placebo, Oral ecnoglutide tablet
Keywords
Obesity, Type 2 Diabetes Mellitus
Medical subject headings
Obesity, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • T2026Drug

    Also called Absorption enhancer excipient

    Once daily for 15 days.

  • PlaceboDrug

    Once daily for 15 days.

  • Oral ecnoglutide tabletDrug

    Also called GLP-1 analogue, XW004

    Once daily for 6 weeks.

  • Oral ecnoglutide tabletDrug

    Also called GLP-1 analogue, XW004

    Once daily and titrated up in concentration to once every week during maintenance period.

  • Oral ecnoglutide tabletDrug

    Also called GLP-1 analogue, XW004

    Once daily for 15 days.

  • Oral ecnoglutide tabletDrug

    Also called GLP-1 analogue, XW004

    Once daily for 15 days.

  • Oral ecnoglutide tabletDrug

    Also called GLP-1 analogue, XW004

    Once daily for 15 days.

  • Oral ecnoglutide tabletDrug

    Also called GLP-1 analogue, XW004

    Once daily for 15 days.

  • T2026Drug

    Also called Absorption enhancer excipient

    Once daily for 6 weeks.

  • PlaceboDrug

    Once daily for 6 weeks.

  • T2026Drug

    Also called Absorption enhancer excipient

    Once daily to once weekly for 12 weeks.

  • PlaceboDrug

    Once daily to once weekly for 12 weeks.

Study groups in NCT05184322
Study groupRoleWhat they receive
Cohort 1A/1BExperimentalCohort 1A/1B will enroll 14 healthy participants.
Receives: Drug: T2026; Drug: Placebo; Drug: Oral ecnoglutide tablet
Cohort 2ExperimentalCohort 2 will enroll 14 healthy participants.
Receives: Drug: T2026; Drug: Placebo; Drug: Oral ecnoglutide tablet
Cohort 3ExperimentalCohort 3 will enroll 14 healthy participants.
Receives: Drug: T2026; Drug: Placebo; Drug: Oral ecnoglutide tablet
Cohort 4ExperimentalCohort 4 will enroll 14 otherwise healthy participants with obesity.
Receives: Drug: Oral ecnoglutide tablet; Drug: T2026; Drug: Placebo
Cohort 5ExperimentalCohort 5 will enroll 14 otherwise healthy participants with obesity.
Receives: Drug: Oral ecnoglutide tablet; Drug: T2026; Drug: Placebo
Cohort 6ExperimentalCohort 6 will enroll 14 otherwise healthy participants with obesity.
Receives: Drug: T2026; Drug: Oral ecnoglutide tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number and percentage of treatment emergent adverse events (TEAEs) and serious adverse events (SAE)

    Count of adverse events

    Measured: Up to 98 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2022
  2. Study start12 Apr 2022
  3. Primary completion13 Jul 2024
  4. Study completion25 Mar 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a single centre, double-blind, randomised, multiple-dose, placebo-controlled study, including six cohorts (Cohorts 1A/1B, 2, 3, 4, 5, 6) with a semi-parallel design.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
87 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05184322
Sponsor's protocol ID
SCW0503-1011
Status last verified
Nov 2024
First submitted
21 Dec 2021
Last updated
10 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing T2026 and Oral ecnoglutide tablet in people with Obesity and Type 2 Diabetes Mellitus, run by Sciwind Biosciences APAC CO Pty. Ltd. at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number and percentage of treatment emergent adverse events (TEAEs) and serious adverse events (SAE) (time frame: Up to 98 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2025.

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