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ObesityPhase 3SYNCHRONIZE™JPNCT06176365

A Study to Test Whether Survodutide Helps Japanese People Living With Obesity Disease

A Phase 3 study testing Survodutide in people with Obesity, run by Boehringer Ingelheim at 28 sites in Japan.

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

This study is open to adults who are at least 18 years old and have a body mass index (BMI) of 35 kg/m² or more and at least one health problem related to their weight, or a BMI of 27 kg/m² or more and at least two health problems related to their weight. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obesity
What is being tested?
Survodutide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
274 participants
Where
28 sitesJapan
Study dates
16 Jan 2024to 3 Dec 2025
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, age ≥18 years at the time of signing informed consent
  • Body Mass Index (BMI)
  • ≥35 kg/m² at screening with the presence of at least one obesity-related comorbidities (treated or untreated) according to the Japan Society for the Study of Obesity (JASSO) guideline OR
  • BMI ≥27 kg/m² at screening with the presence of at least two obesity-related comorbidities (treated or untreated) according to the JASSO guideline For all trial patients, at least one co-morbidity should be the following (i)-(iii).
  • Type 2 diabetes mellitus (T2DM)
  • Diagnosed with T2DM (defined as Glycosylated haemoglobin A1c (HbA1c) ≥6.5% [≥48 mmol/mol]) at least 180 days prior to screening
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  • HbA1c ≥6.5% (48 mmol/mol) and <10% (86 mmol/mol) as measured by the central laboratory at screening
  • Currently treated with either: diet and exercise alone or stable treatment (for at least 3 months prior to screening) with metformin, SGLT-2i, acarbose, sulfonylurea, or glitazone as single agent therapy, or up to 3 antihyperglycaemia medications (metformin, SGLT-2i, acarbose, sulfonylurea, or glitazone) according to local label ii. Hypertension iii. Dyslipidaemia
  • History of at least one self-reported unsuccessful dietary effort to lose body weight
  • Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial
  • Woman of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria and instructions on the duration of their use will be provided in the patient information.
  • In the investigator's opinion, patients are well-motivated, capable, and willing to:
  • Learn how to self-inject the Investigational medicinal product (IMP), as required for this protocol (persons with physical limitations who are not able to perform the injections must have the assistance of an individual trained to inject the IMP) OR
  • Inject the IMP or accept injection from a designated person
  • Follow study procedures for the duration of the study, including, but not limited to: follow lifestyle advice (for example, dietary restrictions and exercise and exercise plan), maintain a diary, and complete required questionnaires, and handle the IMP as described in the instructions for use (IFU)

Who cannot join

  • Obesity:
  • Body weight change (self-reported) >5% within 3 months before screening
  • Treatment with any medication for the indication obesity within 3 months before screening
  • Previous or planned (during the trial period) treatment for obesity with surgery or a weight loss device, or prior surgery of the gastrointestinal (GI) tract that could interfere with body weight The following are allowed: (1) liposuction and/or abdominoplasty, if performed >1 year before screening, (2) lap banding, if the band has been removed >1 year before screening, (3) intragastric balloon, if the balloon has been removed >1 year before screening, (4) duodenal-jejunal bypass sleeve, if the sleeve has been removed >1 year before screening, (5) appendectomy, (6) simple hernia repair, or (7) cholecystectomy.
  • Have obesity induced by other endocrinologic disorders (i.e. Cushing Syndrome) or diagnosed monogenetic or syndromic forms of obesity (i.e. melanocortin 4 receptor deficiency, leptin deficiency, or Prader Willi Syndrome)
  • Glycaemia:
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  • For trial patients without T2DM:
  • History of T1DM or T2DM or treatment with glucose lowering agent started within 3 months before screening
  • For trial patients with T2DM:
  • History of T1DM
  • Treatment with any medication for the indication of T2DM other than stated in the inclusion criteria within 3 months before screening (i.e. insulin, amylin analogues, GLP-1R agonists, GLP-1R agonist/insulin/GIP combinations, and DPP-4i)
  • New initiation of any other glucose-lowering investigational drug within 3 months prior to screening for this trial
  • Further exclusion criteria apply.

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

Japan28 sites
  • Hosokawa Surgery Clinic

    Aichi, Nagoya, 453-0812

  • Nagoya City University Hospital

    Aichi, Nagoya, 467-8602

  • Chiba University Hospital

    Chiba, Chiba, 260-8677

  • Gifu University Hospital

    Gifu, Gifu, 501-1194

  • Jiyugaoka Yamada Clinic

    Hokkaido, Obihiro, 080-0848

  • Yamasaki Family Clinic

    Hyogo, Amagasaki, 660-0861

  • Kobe University Hospital

    Hyogo, Kobe, 650-0017

  • Motomachi Takatsuka Naika Clinic

    Kanagawa, Yokohama, 231-0023

  • Morinagaueno Clinic

    Kumamoto, Kumamoto, 860-0863

  • Yoshimura Clinic

    Kumamoto, Kumamoto, 861-8039

  • Medical Corporation KEISEIKAI Kajiyama Clinic

    Kyoto, Kyoto, 600-8898

  • Ijinkai Takeda General Hospital

    Kyoto, Kyoto, 601-1495

  • Osaka Metropolitan University Hospital

    Osaka, Osaka, 545-8586

  • OCROM Clinic

    Osaka, Suita, 565-0853

  • Saino Clinic

    Saitama, Tokorozawa, 359-1141

  • Dojinkinenkai Meiwa Hospital

    Tokyo, Chiyoda-ku, 101-0041

  • Suidoubashi Medical Clinic

    Tokyo, Chiyoda-ku, 101-0065

  • Tokyo-Eki Center-building Clinic

    Tokyo, Chuo-ku, 103-0027

  • Tokyo Center Clinic

    Tokyo, Chuo-ku, 103-0028

  • Fukuwa Clinic

    Tokyo, Chuo-ku, 104-0031

  • Tokyo Asbo Clinic

    Tokyo, Chuo-ku, 104-0031

  • New Medical Research System Clinic

    Tokyo, Hachioji, 192-0046

  • Shimamura Kinen Hospital

    Tokyo, Nerima-ku, 177-0051

  • Clinical Research Hospital Tokyo

    Tokyo, Shinjuku-ku, 160-0004

  • HS Clinic

    Tokyo, Shinjuku-ku, 169-0072

  • ToCROM Clinic

    Tokyo, Shinjyuku-ku, 160-0008

  • Shinei Medical Healthcare Clinic

    Tokyo, Suginami-ku, 166-0003

  • Ikebukuro Metropolitan Clinic

    Tokyo, Toshima-ku, 171-0021

Other trials in Japan

About this study

Official title: A Phase III, Randomised, Double-blind, Parallel-group, 76-week, Efficacy and Safety Study of Survodutide Administered Subcutaneously Compared With Placebo in Patients With Obesity Disease in Japanese

This study is open to adults who are at least 18 years old and have

  • a body mass index (BMI) of 35 kg/m² or more and at least one health problem related to their weight, or
  • a BMI of 27 kg/m² or more and at least two health problems related to their weight.
Read more

People who have either type 2 diabetes, high blood pressure, or increased blood lipids can take part in this study. Only people who have previously not managed to lose weight by changing their diet can participate.

The purpose of this study is to find out whether a medicine called survodutide (BI 456906) helps people living with obesity disease to lose weight. Participants are divided into 3 groups by chance, like drawing names from a hat. 2 groups get different doses of survodutide and 1 group gets placebo. Placebo looks like survodutide but does not contain any medicine.

Every participant has a 2 in 3 chance of getting survodutide. Participants inject survodutide or placebo under their skin once a week for about one and a half years. In addition to the study medicine, all participants receive counselling to make changes to their diet and to exercise regularly.

Participants are in the study for about 1 year and 7 months. During this time, it is planned that participants visit the study site up to 14 times and receive 6 phone calls by the site staff.

The doctors check participants' health and take note of any unwanted effects. The participants' body weight is regularly measured. The results are compared between the groups to see whether the treatment works.

Conditions
Obesity
Being tested
Survodutide, Placebo matching survodutide
Medical subject headings
Obesity

What participants receive

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

  • SurvodutideDrug

    Also called BI 456906

    once weekly subcutaneous injection

  • Placebo matching survodutideDrug

    once weekly subcutaneous injection

Study groups in NCT06176365
Study groupRoleWhat they receive
Survodutide - 3.6 mgExperimentalNot described
Receives: Drug: Survodutide
Survodutide - 6.0 mgExperimentalNot described
Receives: Drug: Survodutide
Placebo groupPlacebo comparatorNot described
Receives: Drug: Placebo matching survodutide

What is being measured

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

  1. Percentage change in body weight from baseline to Week 76

    Measured: at baseline, at week 76

  2. Achievement of body weight reduction ≥5% (yes/no) from baseline to Week 76

    Measured: at baseline, at week 76

Secondary outcomes (34)
  1. Achievement of body weight reduction ≥10% (yes/no) from baseline to Week 76

    Measured: at baseline, at week 76

  2. Achievement of body weight reduction ≥15% (yes/no) from baseline to Week 76

    Measured: at baseline, at week 76

  3. Achievement of body weight reduction ≥20% (yes/no) from baseline to Week 76

    Measured: at baseline, at week 76

  4. Absolute change from baseline to Week 76 in body weight (kg)

    Measured: at baseline, at week 76

  5. Absolute change from baseline to Week 76 in body mass index (BMI) (kg/m²)

    Measured: at baseline, at week 76

  6. Absolute change from baseline to Week 76 in waist circumference measured at umbilical level (cm)

    Measured: at baseline, at week 76

  7. Absolute change from baseline to Week 76 in waist circumference measured at midway between the lower rib margin and the iliac crest (cm)

    Measured: at baseline, at week 76

  8. Absolute change from baseline to Week 76 in systolic blood pressure (SBP) (mmHg)

    Measured: at baseline, at week 76

  9. Absolute change from baseline to Week 76 in diastolic blood pressure (DBP) (mmHg)

    Measured: at baseline, at week 76

  10. Absolute change from baseline to Week 76 in "Capacity to Resist" domain score of the Eating Behaviour Patient reported outcome (PRO)

    The "Capacity to Resist domain score" of the Eating Behaviour Patient reported outcome (PRO) (units on a scale) will be derived as the sum of items in the domain (possible responses being 0="Not at all", 1="A little", 2="Moderately", 3="A lot", 4="Extremely").

    The domain score is ranging between 0 and 24 and a higher score indicates a lower capacity to resist.

    Measured: at baseline, at week 76

  11. Absolute change from baseline to Week 76 in Eating Behaviour PRO total score

    The Eating Behaviour PRO total score (units on a scale) will be derived from the "Desire to Eat" and "Capacity to Resist" domain as the sum of all items (possible responses being 0="Not at all", 1="A little", 2="Moderately", 3="A lot", 4="Extremely").

    Each domain consists of 6 items. The score is ranging between 0 and 48 and a higher score indicates a worse eating behaviour (greater desire to eat and/or lower capacity to resist).

    Measured: at baseline, at week 76

  12. Absolute change from baseline to Week 76 in glycosylated haemoglobin A1c (HbA1c) (%)

    Measured: at baseline, at week 76

  13. Absolute change from baseline to Week 76 in HbA1c (mmol/mol)

    Measured: at baseline, at week 76

  14. Absolute change from baseline to Week 76 in fasting plasma glucose (FPG) (mg/dL)

    Measured: at baseline, at week 76

  15. Absolute change from baseline to Week 76 in fasting plasma insulin (FPI) (mIU/L)

    Measured: at baseline, at week 76

  16. Absolute change from baseline to Week 76 in total cholesterol (mg/dL)

    Measured: at baseline, at week 76

  17. Absolute change from baseline to Week 76 in high density lipoprotein (HDL) (mg/dL)

    Measured: at baseline, at week 76

  18. Absolute change from baseline to Week 76 in low density lipoprotein (LDL) (mg/dL)

    Measured: at baseline, at week 76

  19. Absolute change from baseline to Week 76 in very-low-density lipoprotein (VLDL) (mg/dL)

    Measured: at baseline, at week 76

  20. Absolute change from baseline to Week 76 in triglycerides (mg/dL)

    Measured: at baseline, at week 76

  21. Absolute change from baseline to Week 76 in free fatty acids (mg/dL)

    Measured: at baseline, at week 76

  22. Absolute change from baseline to Week 76 in alanine aminotransferase (ALT) (U/L)

    Measured: at baseline, at week 76

  23. Absolute change from baseline to Week 76 in aspartate aminotransferase (AST) (U/L)

    Measured: at baseline, at week 76

  24. Relative change from baseline to Week 76 in liver fat content (%), assessed by Magnetic resonance imaging proton density fat fraction (MRI-PDFF)

    Measured: at baseline, at week 76

  25. Absolute change from baseline to Week 76 in total fat mass (percentage [%]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  26. Absolute change from baseline to Week 76 in total fat mass (volume [L]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  27. Absolute change from baseline to Week 76 in lean body mass (percentage [%]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  28. Absolute change from baseline to Week 76 in lean body mass (volume [L]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  29. Absolute change from baseline to Week 76 in visceral fat mass (percentage [%]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  30. Absolute change from baseline to Week 76 in visceral fat mass (volume [L]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  31. Absolute change from baseline to Week 76 in contractile thigh muscle volume (percentage [%]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  32. Absolute change from baseline to Week 76 in contractile thigh muscle volume (volume [L]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  33. Absolute change from baseline to Week 76 in sub-cutaneous fat volume (volume [L]) assessed by MRI for body composition

    Measured: at baseline, at week 76

  34. Absolute change from baseline to Week 76 in sub-cutaneous fat volume (percentage [%]) assessed by MRI for body composition

    Measured: at baseline, at week 76

Timeline

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

  1. First posted19 Dec 2023
  2. Study start16 Jan 2024
  3. Primary completion3 Dec 2025
  4. Study completion3 Dec 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
274 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06176365
Sponsor's protocol ID
1404-0053
Acronym
SYNCHRONIZE™JP
Status last verified
Apr 2026
First submitted
11 Dec 2023
Last updated
30 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Publications

  • Yokote K, Yamauchi T, Fukushima Y, Takatsuka Y, Kato M, Yan S, Inoue T, Borowska L, Brueckmann M, Ogawa W; SYNCHRONIZE-JP Trial Investigators. Survodutide for the Treatment of Obesity Disease in Japanese Participants: Rationale, Design and Baseline Characteristics of the Phase 3 SYNCHRONIZE-JP Trial. Diabetes Obes Metab. 2026 Aug;28(8):6595-6606. doi: 10.1111/dom.70862. Epub 2026 May 31.

    PubMed 42219222

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Survodutide in people with Obesity, run by Boehringer Ingelheim at 28 sites in Japan.

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 15 inclusion and 13 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 30 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Japan. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

Percentage change in body weight from baseline to Week 76 (time frame: at baseline, at week 76). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06176365, which also lists 1 linked publication.

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 30 Apr 2026.

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