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CT-388 phase 1 · GLP Finds editorial

CT-388: what four weeks can—and cannot—tell us

A small four-week human trial examined CT-388 and its tolerability.

Summary

CT-388 is an experimental medicine targeting GLP-1 and GIP receptors. An early human study found weight loss after four weekly injections, but it was far too small and short to establish lasting benefits or long-term safety.

What researchers tested

The repeated-dose portion enrolled 24 adults without diabetes in Mexico: 18 received CT-388 across three dosing schedules and six received placebo. Everyone completed it. The main purpose was to study safety and tolerability.

Raw average weight loss at four weeks
Three active groups each had six people; starting characteristics differed

Original visual based on the study.

Raw average weight loss at four weeks
Group or measureResult
CT-388 groups4.7% to 8.0%
Pooled placebo0.5%

The main finding

Average weight loss after four weeks ranged from 4.7% to 8.0% across CT-388 groups, versus 0.5% with placebo. Each active group contained only six people, and their starting characteristics differed. This was not a comparison with semaglutide or tirzepatide.

Side effects and the bigger picture

Digestive side effects occurred in 15 of 18 CT-388 participants and three of six placebo participants. None were serious in this repeated-dose portion. However, a separate single-dose portion reported serious vomiting considered probably drug-related.

These early results cannot predict a year’s weight loss. Carmot, now part of Roche, funded the research and participated in its design, analysis and writing.

Sources

Chakravarthy and colleagues, Molecular Metabolism, 2026