Viking Therapeutics Presents Data from its 13-Week Phase 2 VENTURE-Oral Dosing Trial of VK2735 at European Congress on Obesity (ECO) 2026
Oral VK2735 demonstrated early, progressive weight loss from Week 1 through Week 13 without a plateau
Dose-dependent weight loss observed across all VK2735 cohorts, with the highest dose achieving a mean reduction of up to 12.2% (26.6 lbs) from baseline at Week 13
Baseline characteristics in the ongoing Phase 3 VANQUISH-1 study of VK2735 in adults with obesity were also presented in a second poster at the conference
The poster presented today at ECO 2026 highlighted key findings from previously reported trial data, including mean change from baseline in body weight throughout the 13-week treatment period and additional safety and tolerability data, for the Phase 2 study of orally administered VK2735. Participants receiving once-daily oral VK2735 demonstrated statistically significant, dose-dependent weight loss from baseline of up to 12.2% (26.6 lbs) at 13 weeks across all dose cohorts. Compared with placebo, doses >15 mg demonstrated dose-dependent and progressive weight loss starting early in treatment and continuing through the 13-week treatment window, with no plateau. Up to 97% of VK2735-treated participants achieved ≥5% weight loss, and up to 80% achieved ≥10%, compared with 10% and 5%, respectively, for placebo. VK2735 was well tolerated, with the vast majority of treatment-emergent adverse events (TEAEs) reported as mild or moderate in severity. These events typically occurred early in treatment and resolved with continued dosing. The study population was similar to patients typically encountered in clinical practice, with an average BMI of 37 and average age of 51 years. Similar to patients seen in clinical practice, there was a high prevalence of cardiometabolic risk factors, including pre-diabetes (54%). Across all dose cohorts, the male-to-female ratio ranged from 15:85 to 45:55.
"The Phase 2a VENTURE-Oral Dosing study results provide important data to inform the design of our upcoming oral Phase 3 registration studies. We observed compelling efficacy, a clear dose-response, and an encouraging tolerability profile through the 13-week treatment period in the study. All treated cohorts demonstrated statistically significant weight loss from baseline, and the full dataset presented at ECO provides a detailed picture of response over time," said
"From a clinical perspective, the early onset and continued progression of weight loss without plateau over 13 weeks is particularly compelling," said
Highlights from Viking's poster titled Treatment with Oral VK2735 Results in Significant Weight Loss: The Randomized, Placebo-Controlled, Dose-Finding VENTURE-2 Study include:
- Early and progressive weight loss. Patients receiving VK2735 experienced statistically significant reductions in body weight compared with placebo, beginning as early as Week 1 at all doses greater than 15 mg, with continuous and progressive weight loss observed throughout the 13-week treatment period.
- No plateau observed. Weight loss trajectories demonstrate continued downward trends across all active dose levels through Week 13, supporting the potential for continued weight reduction with longer-duration treatment.
- Dose-dependent efficacy . Weight loss increased with escalating doses of VK2735, with the highest dose achieving a mean reduction of up to 12.2% of body weight from baseline at Week 13.
- Favorable tolerability profile. Among subjects receiving VK2735, the majority (98%) of reported drug-related TEAEs were categorized as mild or moderate in severity. Gastrointestinal-related events were the most commonly observed TEAEs and were consistent with dual agonist GLP-1/GIP receptors, typically occurring early in treatment and subsiding with continued dosing.
- Progressive titration enabled tolerability. Dose escalation in 30 mg increments enabled rapid progression to higher dose levels with an encouraging tolerability profile, and gastrointestinal events diminished over time. Lower starting doses and longer titration windows may further improve tolerability.
Change in Body Weight Following 13 Weeks of Daily Dosing with Oral VK2735
|
Dose Level1,2 |
Placebo (n=40) |
VK2735 15 mg (n=40) |
VK2735 30 mg (n=40) |
VK2735 60 mg (n=38) |
VK2735 90 mg (n=39) |
VK2735 120 mg (n=39) |
|
Mean baseline body weight (kg)3 |
105.2 kg |
99.0 kg |
102.9 kg |
102.8 kg |
103.4 kg |
101.9 kg |
|
Mean change from baseline body weight4,5 |
-1.3 kg |
-2.2 kg |
-7.1 kg |
-8.8 kg |
-11.5 kg |
-12.1 kg |
|
Mean percent change from baseline4,5 |
-1.3 % |
-2.3 % |
-7.0 % |
-8.7 % |
-11.1 % |
-12.2 % |
|
p-value vs. baseline5 |
- |
0.0057 |
<0.0001 |
<0.0001 |
<0.0001 |
<0.0001 |
|
Placebo-adjusted mean percent change from baseline4,5 |
- |
-1.0 % |
-5.7 % |
-7.4 % |
-9.8 % |
-10.9 % |
|
p-value vs. placebo5 |
- |
- |
<0.0001 |
<0.0001 |
<0.0001 |
<0.0001 |
|
Percent reporting ≥ 10% weight loss |
5 % |
8 % |
35 % |
40 % |
59 % |
80 % |
|
p-value vs. placebo6 |
- |
- |
<0.01 |
0.0017 |
< 0.0001 |
<0.0001 |
|
Notes: 1) Efficacy population, includes all randomized patients who received at least one dose of study drug and had a valid baseline and post-baseline body weight assessment. 2) Participants treated with VK2735 were titrated to final doses as indicated: 15 mg cohort = 15 mg x 13 weeks; 30 mg cohort = 30 mg x 13 weeks; 60 mg cohort = 30 mg x 2 weeks, 60 mg x 11 weeks; 90 mg cohort = 30 mg x 2 weeks, 60 mg x 2 weeks, 90 mg x 9 weeks; 120 mg cohort = 30 mg x 2 weeks, 60 mg x 2 weeks, 90 mg x 2 weeks, 120 mg x 7 weeks. 3) All enrolled participants were required to have baseline BMI ≥30 kg/m2 or BMI≥27 kg/m2 with at least one weight-related comorbid condition. 4) Least squares mean. 5) Two-sided t-test using mixed model for repeated measures. 6) Logistic regression model with treatment as factor and baseline weight as covariate. |
Poster Presentation Details:
Publication Number: PO4.260
Title: Treatment with Oral VK2735 Results in Significant Weight Loss: The Randomized, Placebo-Controlled, Dose-Finding VENTURE-2 Study
Presented by: Karen Modesto, M.D., Vice President, Clinical Development
Date/Time: On display
Location: Poster area at Level B5, Istanbul Congress Center
Viking also presented a second poster at ECO today highlighting the design and enrollment demographics of the ongoing Phase 3 VANQUISH-1 study of subcutaneous VK2735 in adults with obesity or who are overweight and have at least one weight-related comorbidity.
Poster Presentation Details:
Publication Number: PO4.278
Title: VANQUISH-1: Phase 3 Trial With Enrollment of Diverse Population to Test Efficacy of Subcutaneous VK2735 in Adult Participants with Obesity or Overweight with Weight Related Comorbidities
Presented by:
Date/Time: On display
Location: Poster area at Level B5, Istanbul Congress Center
Copies of these poster presentations are available in the Publications section of Viking's website at www.vikingtherapeutics.com/pipeline/publications/.
About the Phase 2 VENTURE-Oral Trial
The Phase 2 VENTURE-Oral Dosing Trial was a randomized, double-blind, placebo-controlled multicenter study designed to evaluate the safety, tolerability, pharmacokinetics, and weight loss efficacy of VK2735 dosed as an oral tablet once daily for 13 weeks. The trial enrolled 280 adults who are obese (BMI ≥30 kg/m2), or adults who are overweight (BMI ≥27 kg/m2) with at least one weight-related co-morbid condition. Enrolled patients were evenly randomized to one of six dosing arms or placebo. The primary endpoint of the study was the percent change in body weight from baseline after 13 weeks of treatment, while secondary and exploratory endpoints evaluated a range of additional safety and efficacy measures.
About VK2735
VK2735 is a novel dual agonist of the glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) receptors in development for the treatment of metabolic disorders, including obesity. The compound is being evaluated in both oral and subcutaneous formulations.
About GLP-1 and Dual GLP-1/GIP Agonists
Activation of the glucagon-like peptide 1 (GLP-1) receptor has been shown to decrease glucose, reduce appetite, lower body weight, and improve insulin sensitivity in patients with type 2 diabetes, obesity, or both. Semaglutide is a GLP-1 receptor agonist that has been approved by the
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