This is a phase 3, multicenter, randomized, double-blind, placebo-controlled clinical trial to evaluate the efficacy and safety of MWN109 injection in non-diabetic participants with overweight or obesity. Approximately 760 participants will be enrolled. All participants will be stratified by gender (male or female) and baseline BMI level, and then randomized 1:1:1:1 to 4 treatment groups, with 190 participants per group. All treatment groups will implement dose titration to achieve the target dose. The study comprises a screening period of up to 2 weeks, a 52-week treatment period, and a 4-week follow-up period, for a total study duration of 58 weeks. The primary endpoints are the percentage change in body weight from baseline and the proportion of participants achieving ≥5% weight reduction from baseline at Week 52. The secondary endpoints include the proportions of participants achieving ≥10% and ≥15% weight reduction from baseline, as well as the change from baseline in waist circumference at Week 52.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
760
Administered SC, QW, 52 weeks
Administered SC, QW, 52 weeks
Administered SC, QW, 52 weeks
Administered SC, QW, 52 weeks
Peking University People's Hospital
Beijing, Beijing Municipality, China
Percentage Change from Baseline in Body Weight at Week 52
Percentage change in body weight from baseline to Week 52.
Time frame: Baseline, Week 52
Proportion of Participants Achieving ≥5% Body Weight Reduction from Baseline at Week 52
Proportion of participants with a body weight reduction of 5% or more from baseline at Week 52.
Time frame: Baseline, Week 52
Proportion of Participants Achieving ≥10% Body Weight Reduction from Baseline at Week 52
Proportion of participants with a body weight reduction of 10% or more from baseline at Week 52.
Time frame: Baseline, Week 52
Proportion of Participants Achieving ≥15% Body Weight Reduction from Baseline at Week 52
Proportion of participants with a body weight reduction of 15% or more from baseline at Week 52.
Time frame: Baseline, Week 52
Change in Waist Circumference from Baseline at Week 52
Change in waist circumference from baseline to week 52.
Time frame: Baseline, Week 52
Change from Baseline in Waist-to-Height Ratio (WHtR)
Change in WHtR from baseline throughout the study.
Time frame: up to 52 weeks
Change from Baseline in Body Mass Index (BMI)
Change in BMI from baseline throughout the study.
Time frame: up to 52 weeks
Change from Baseline in Neck Circumference
Change in neck circumference from baseline throughout the study.
Time frame: up to 52 weeks
Change from Baseline in Blood Lipid Parameters
Change in lipid parameters (including total cholesterol, LDL-C, HDL-C, triglycerides) from baseline throughout the study.
Time frame: up to 52 weeks
Change from Baseline in Blood Pressure
Change in systolic and diastolic blood pressure from baseline throughout the study.
Time frame: up to 52 weeks
Change from Baseline in Glucose Metabolism Parameters
Change in glucose metabolism parameters (including fasting plasma glucose, HbA1c, fasting insulin, HOMA-IR) from baseline throughout the study.\]
Time frame: up to 52 weeks
Change from Baseline in Serum Uric Acid
Change in serum uric acid from baseline throughout the study.
Time frame: up to 52 weeks
Change from Baseline in Urinary Albumin-to-Creatinine Ratio (UACR)
Change in UACR from baseline throughout the study.
Time frame: up to 52 weeks
Change in Liver Fat Content (LFC) from Baseline at Week 52
Change in LFC from baseline to week 52.
Time frame: up to 52 weeks
Change in IWQOL-Lite-CT Score from Baseline at Week 24 and Week 52
Change in IWQOL-Lite-CT score from baseline to Week 24 and Week 52.
Time frame: Baseline, Week 24, Week 52
Incidence of Treatment-Emergent Adverse Events (TEAEs)
Number and proportion of participants with treatment-emergent adverse events throughout the study.
Time frame: up to 52 weeks
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