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Mazdutide phase 2 · GLP Finds editorial

Mazdutide's earlier trial: what changed over 24 weeks?

A 24-week trial examined mazdutide in Chinese adults without diabetes.

The takeaway

An earlier mazdutide trial found meaningful average weight loss, but its short duration could not establish long-term benefits and risks.

Who was studied?

Researchers randomized 248 Chinese adults with overweight or obesity, without diabetes, to weekly mazdutide or placebo.

Average weight change at week 24; 248 randomized
Percent of starting weight; modified intention-to-treat
0Mazdutide 3 mg−6.7%Mazdutide 4.5 mg−10.4%Mazdutide 6 mg−11.3%Placebo+1.0%

Original visual based on the study.

Average weight change at week 24; 248 randomized
Group or measureResult
Mazdutide 3 mg−6.7%
Mazdutide 4.5 mg−10.4%
Mazdutide 6 mg−11.3%
Placebo+1.0%

What changed?

At 24 weeks, average weight changes were −6.7%, −10.4% and −11.3% with 3, 4.5 and 6 mg, respectively, versus +1.0% with placebo. Placebo participants gained weight on average. Missing measurements were handled by carrying forward earlier observations.

The trade-offs

Digestive symptoms were common. Nine mazdutide recipients had serious adverse events, versus none on placebo; investigators considered them unrelated to treatment. That assessment does not make a small trial proof of long-term safety.

The short follow-up and single-country population limit generalizability. This report covered the lower-dose part of a two-part trial; the 9 mg report is separate.

Innovent sponsored the study.

Sources

Ji and colleagues, Nature Communications, 2023