Overweight or ObesityPhase 3GZR18-BWM-303NCT07292441
Extension Study of the Phase 3 Clinical Study of GZR18 Injection for Weight Loss
A Phase 3 study testing GZR18 injection in people with Overweight or Obesity, run by Gan & Lee Pharmaceuticals. at 2 sites in China.
Trial summary
This is a Phase 3 extension study conducted in subjects who have received GZR18 Injection once every 2 weeks (Q2W) for weight loss treatment for 52 weeks, aiming to explore the effect and safety of continuous injection of GZR18 Injection once every 4 weeks (Q4W) for 24 weeks on body weight. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Overweight or Obesity
- What is being tested?
- GZR18 injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 500 participants
- Where
- 2 sitesChina
- Study dates
- 22 Jan 2026to Oct 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who participated in the original study, completed the last dose at W50, EOT visit at W52 and safety follow-up visit at W55 of either original study, with last dose at W50 ≥ 24 mg (including blinded dose of placebo).
- Subjects with BMI > 18.5 kg/m² at W55 of the original study and before randomization at Visit 2 (V2) of this study, who are assessed by the investigator as suitable for participating in this study.
- Subjects of childbearing potential with no birth plan from the signing of ICF to 8 weeks after the last dose, willingness to take effective contraceptive measures, and no plan for sperm or ovum donation. Non-lactating women of childbearing potential (WOCBP) with a negative pregnancy test result before randomization at V2 in this study.
- Able to understand the procedures and methods of this study, willing and able to maintain a regular diet and exercise lifestyle during the study period, willing and able to undergo subcutaneous injections of the investigational medicinal product (IMP), and willing to sign the ICF voluntarily.
- -
Who cannot join
- Subjects who used Semaglutide (Wegovy®) in the original study.
- Subjects with a previous diagnosis of any type of diabetes mellitus (excluding gestational diabetes mellitus).
- Subjects with FPG ≥ 7.0 mmol/L or HbA1c ≥ 6.5% in the central laboratory test at W52 visit of the original study.
- Subjects who plan to participate in another clinical study of an investigational medicinal product or device, or receive drug or non-drug therapies that affect body weight (excluding diet and exercise control) before completing all scheduled assessments in this clinical study.
- Subjects with any other factors (including but not limited to previous compliance in the original study) that may affect the efficacy or safety evaluation of this study as judged by the investigator.
- -
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
China2 sites, 2 recruiting
- Not yet recruiting
Study site 01
Beijing, Beijing Municipality, Beijing
yue NA Liu, 010-56456739
- Recruiting
Study site 01
Beijing, Beijing Municipality, Beijing
yue NA Liu, 010-56456739, yue3.liu@ganlee.com
About this study
Official title: A Multicenter Extension Study of the Phase 3 Clinical Study of GZR18 Injection for Weight Loss
This is a Phase 3 extension study conducted in subjects who have received GZR18 Injection once every 2 weeks (Q2W) for weight loss treatment for 52 weeks, aiming to explore the effect and safety of continuous injection of GZR18 Injection once every 4 weeks (Q4W) for 24 weeks on body weight.
In this study, it is planned to include subjects who have participated in the original study and completed the study contents of the original protocol. All subjects will maintain a regular diet and exercise lifestyle during the study.
- Conditions
- Overweight or Obesity
- Being tested
- GZR18 injection, Placebo
- Medical subject headings
- Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GZR18 injectionDrug
Used as specified in the protocol
PlaceboOther
Administered the same volume as GZR18
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Not described Receives: Other: Placebo |
| GZR18 injection Dose1 | Experimental | Not described Receives: Drug: GZR18 injection |
| GZR18 injection Dose2 | Experimental | Not described Receives: Drug: GZR18 injection |
| GZR18 injection Dose3 | Experimental | Not described Receives: Drug: GZR18 injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent change (%) from baseline in body weight
Measured: from Week 0 (W0) to Week 24 (W24)
Secondary outcomes (20)
Changes from baseline in weight;
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline body mass index (BMI);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in waist circumference, hip circumference, and waist-hip ratio (waist circumference/hip circumference);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in hemoglobin A1c (HbA1c) ;
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in fasting plasma glucose (FPG);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in blood pressure (SBP and DBP);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in total cholesterol (TC);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in low-density lipoprotein cholesterol (LDL-C);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in high-density lipoprotein cholesterol (HDL-C);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in triglyceride (TG);
Measured: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in free fatty acids.
Measured: from Week 0 (W0) to Week 24 (W24)
Treatment-Emergent Adverse Events (TEAEs);
Measured: from Week 0 (W0) to Week 25 (W25)
Treatment-Emergent Serious Adverse Events (TESAEs);
Measured: from Week 0 (W0) to Week 25 (W25)
Pulse rate;
Measured: from Week 0 (W0) to Week 25 (W25)
Lipase;
Measured: from Week 0 (W0) to Week 25 (W25)
Amylase;
Measured: from Week 0 (W0) to Week 25 (W25)
Calcitonin
Measured: from Week 0 (W0) to Week 25 (W25)
The scores of Patient Health Questionnaire-9
the highest/worst score during the trial (the higher scores mean a worse outcome
Measured: from Week 0 (W0) to Week 25 (W25)
GZR18 anti-drug antibody (ADA) and neutralizing antibody (NAb);
Measured: from Week 0 (W0) to Week 25 (W25)
Cross reaction between GZR18 ADA and endogenous glucagon-like peptide-1 (GLP-1).
Measured: from Week 0 (W0) to Week 25 (W25)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Dec 2025
- Study start22 Jan 2026
- Primary completionSep 2027 (estimated)
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Overweight or ObesityStudies of the same condition, open and under way.
- More trials run by Gan & Lee Pharmaceuticals.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Gan & Lee Pharmaceuticals.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07292441
- Sponsor's protocol ID
- GZR18-BWM-303
- Acronym
- GZR18-BWM-303
- Status last verified
- Nov 2025
- First submitted
- 20 Nov 2025
- Last updated
- 11 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter Extension Study of the Phase 3 Clinical Study of GZR18 Injection for Weight Loss
- ClinicalTrials.gov ID
- NCT07292441
- Acronym / sponsor ID
- GZR18-BWM-303 / GZR18-BWM-303
- Conditions
- Overweight or Obesity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Gan & Lee Pharmaceuticals.Industry (pharma, biotech, devices)
- Study start
- 22 Jan 2026 (actual)
- Primary completion
- Sep 2027 (estimated)
- Study completion
- Oct 2027 (estimated)
- First posted
- 18 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3 extension study conducted in subjects who have received GZR18 Injection once every 2 weeks (Q2W) for weight loss treatment for 52 weeks, aiming to explore the effect and safety of continuous injection of GZR18 Injection once every 4 weeks (Q4W) for 24 weeks on body weight.
In this study, it is planned to include subjects who have participated in the original study and completed the study contents of the original protocol. All subjects will maintain a regular diet and exercise lifestyle during the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Other: Placebo |
| GZR18 injection Dose1 | Experimental | Drug: GZR18 injection |
| GZR18 injection Dose2 | Experimental | Drug: GZR18 injection |
| GZR18 injection Dose3 | Experimental | Drug: GZR18 injection |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Subjects who participated in the original study, completed the last dose at W50, EOT visit at W52 and safety follow-up visit at W55 of either original study, with last dose at W50 ≥ 24 mg (including blinded dose of placebo).
- Subjects with BMI > 18.5 kg/m² at W55 of the original study and before randomization at Visit 2 (V2) of this study, who are assessed by the investigator as suitable for participating in this study.
- Subjects of childbearing potential with no birth plan from the signing of ICF to 8 weeks after the last dose, willingness to take effective contraceptive measures, and no plan for sperm or ovum donation. Non-lactating women of childbearing potential (WOCBP) with a negative pregnancy test result before randomization at V2 in this study.
- Able to understand the procedures and methods of this study, willing and able to maintain a regular diet and exercise lifestyle during the study period, willing and able to undergo subcutaneous injections of the investigational medicinal product (IMP), and willing to sign the ICF voluntarily.
- -
Key exclusion criteria (6 listed)
- Subjects who used Semaglutide (Wegovy®) in the original study.
- Subjects with a previous diagnosis of any type of diabetes mellitus (excluding gestational diabetes mellitus).
- Subjects with FPG ≥ 7.0 mmol/L or HbA1c ≥ 6.5% in the central laboratory test at W52 visit of the original study.
- Subjects who plan to participate in another clinical study of an investigational medicinal product or device, or receive drug or non-drug therapies that affect body weight (excluding diet and exercise control) before completing all scheduled assessments in this clinical study.
- Subjects with any other factors (including but not limited to previous compliance in the original study) that may affect the efficacy or safety evaluation of this study as judged by the investigator.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GZR18 injectionUsed as specified in the protocol | Drug | GZR18 injection Dose1, GZR18 injection Dose2, GZR18 injection Dose3 |
| PlaceboAdministered the same volume as GZR18 | Other | Placebo |
Primary outcome
Percent change (%) from baseline in body weight
Time frame: from Week 0 (W0) to Week 24 (W24)
20 secondary outcomes
Changes from baseline in weight;
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline body mass index (BMI);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in waist circumference, hip circumference, and waist-hip ratio (waist circumference/hip circumference);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in hemoglobin A1c (HbA1c) ;
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in fasting plasma glucose (FPG);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in blood pressure (SBP and DBP);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in total cholesterol (TC);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in low-density lipoprotein cholesterol (LDL-C);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in high-density lipoprotein cholesterol (HDL-C);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in triglyceride (TG);
Time frame: from Week 0 (W0) to Week 24 (W24)
Changes from baseline in free fatty acids.
Time frame: from Week 0 (W0) to Week 24 (W24)
Treatment-Emergent Adverse Events (TEAEs);
Time frame: from Week 0 (W0) to Week 25 (W25)
Treatment-Emergent Serious Adverse Events (TESAEs);
Time frame: from Week 0 (W0) to Week 25 (W25)
Pulse rate;
Time frame: from Week 0 (W0) to Week 25 (W25)
Lipase;
Time frame: from Week 0 (W0) to Week 25 (W25)
Amylase;
Time frame: from Week 0 (W0) to Week 25 (W25)
Calcitonin
Time frame: from Week 0 (W0) to Week 25 (W25)
The scores of Patient Health Questionnaire-9
Time frame: from Week 0 (W0) to Week 25 (W25)
GZR18 anti-drug antibody (ADA) and neutralizing antibody (NAb);
Time frame: from Week 0 (W0) to Week 25 (W25)
Cross reaction between GZR18 ADA and endogenous glucagon-like peptide-1 (GLP-1).
Time frame: from Week 0 (W0) to Week 25 (W25)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GZR18 injection in people with Overweight or Obesity, run by Gan & Lee Pharmaceuticals. at 2 sites in China.
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 5 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 11 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in China. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact yue NA Liu (010-56456739, yue3.liu@ganlee.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent change (%) from baseline in body weight (time frame: from Week 0 (W0) to Week 24 (W24)). 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 11 Mar 2026.