Phase 3 Clinical Study of Mazdutide in Chinese Adults with Overweight or Obesity (GLORY-1) Published in The New England Journal of Medicine (NEJM)
This marks the first time that a clinical study of mazdutide, the world's first dual GCG/GLP-1 receptor agonist submitted for marketing, has been featured in a top-tier, peer-reviewed medical journal. It is also the first time a clinical trial of an innovative metabolic and endocrine therapy developed in
Regarding this groundbreaking new study, Professors
Mazdutide is expected to launch in
In the GLORY-1 study, a total of 610 participants with obesity (BMI ≥ 28 kg/m2) or overweight (24 kg/m2 ≤ BMI < 28 kg/m2) with at least one obesity-related comorbidity were enrolled and randomized to receive mazdutide 4 mg, 6 mg, or placebo, administered subcutaneously once weekly for 48 weeks. The co-primary endpoints were the percentage change in body weight from baseline and a weight reduction of ≥5% at week 32.
At baseline, the mean weight was 87.2 kg, and the mean BMI was 31.1 kg/m 2. The study results showed that mazdutide significantly reduced body weight compared to placebo at both 4 mg and 6 mg doses.
Based on the efficacy estimand, the mean percent change from baseline in body weight was −10.97%, −13.38%, and −0.24% at Week 32 and −12.05%, −14.84%, and −0.47% at Week 48 in the mazdutide 4 mg, 6 mg, and placebo groups, respectively. A total of 76.3% of participants in the mazdutide 4 mg group and 84.0% in the mazdutide 6 mg group had a weight reduction of ≥5% at week 32, compared with 10.9% in the placebo group; 37.0% of participants in the mazdutide 4 mg group and 50.6% in the mazdutide 6 mg group had a weight reduction of ≥15% at week 48, compared with 2.1% in the placebo group.
The primary endpoint and all key secondary endpoints of the study showed statistically significant superiority to placebo with p-values < 0.001 (main results as follows).
|
Efficacy Estimand1 |
Treatment-policy estimand2 |
||||
|
Mazdutide 4 mg (N=203) |
Mazdutide 6 mg (N=202) |
Placebo (N = 205) |
Mazdutide 4 mg (N=203) |
Mazdutide 6 mg (N=202) |
Placebo (N = 205) |
Co-primary endpoint s (Week 32) |
||||||
Percent weight reduction |
−10.97% |
−13.38% |
−0.24% |
−10.09% |
−12.55% |
0.45 % |
Achieved a weight reduction ≥5% |
76.3 % |
84.0 % |
10.9 % |
73.9 % |
82.0 % |
10.5 % |
Some key secondary endpoints (Week 48) |
||||||
Percent weight reduction |
−12.05% |
−14.84% |
−0.47% |
−11.00% |
−14.01% |
0.30 % |
Achieved a weight reduction ≥5% |
73.5 % |
82.8 % |
11.5 % |
71.6 % |
81.6 % |
10.8 % |
Achieved a weight reduction ≥10% |
55.2 % |
67.9 % |
2.9 % |
53.5 % |
66.7 % |
2.6 % |
Achieved a weight reduction ≥15% |
37.0 % |
50.6 % |
2.1 % |
35.7 % |
49.5 % |
2.0 % |
Waist circumference reduction |
−9.48 cm |
−10.96 cm |
−1.48 cm |
−9.12 cm |
−10.72 cm |
−1.41 cm |
1. Efficacy estimand aims to estimate the study treatment effect when participants adhered to the planned treatment regimen. |
2. Treatment policy estimand aims to evaluate the efficacy regardless of intercurrent events (early discontinuation of study treatment and initiation of new anti-obesity medication or bariatric surgery). |
Mazdutide also significantly reduced blood pressure, blood lipids (total cholesterol, triglycerides, and low-density lipoprotein cholesterol), serum uric acid, transaminase levels, and other cardiovascular and metabolic indicators.
In addition, mazdutide significantly reduced liver fat content.
- Among participants with baseline liver fat content ≥ 5%, the mean percent changes in liver fat content from baseline to week 48 were −63.26%, −73.18%, and +8.20% in the mazdutide 4 mg, 6 mg, and placebo groups, respectively;
- Among participants with baseline liver fat content ≥ 10%, the mean percent change from baseline in liver fat content to week 48 were −65.85%, −80.24%, and −5.27% in the mazdutide 4 mg, 6 mg, and placebo groups, respectively.
Good overall safety and tolerability of mazdutide were reported.
- The overall safety profile of the mazdutide group was consistent with findings from previous studies of mazdutide and aligned with that of other GLP-1 receptor agonists. The most frequently reported treatment-emergent adverse events included nausea, diarrhea, and vomiting, which were mostly mild or moderate in severity.
- At Week 48, both the mean change from baseline in heart rate was 2.6 beats per minute in both the mazdutide 4 mg and 6 mg groups. There were no safety signals of increased cardiovascular risk observed throughout the study.
Professor
Published in
Dr.
About Obesity
Despite the chronic nature of obesity and its need for long-term management, treatment options remain limited. While lifestyle interventions remains the cornerstone of treatment, many patients struggle to achieve or maintain meaningful weight reduction. This underscores the urgent need for safe, effective and sustainable pharmacological interventions.
About Mazdutide (IBI362)
Innovent entered into an exclusive license agreement with Eli Lilly and Company (Lilly) for the development and potential commercialization of OXM3 (also known as mazdutide), a GLP-1R and GCGR dual agonist, in
Mazdutide currently has two NDAs accepted for review by NMPA, including:
- For chronic weight management in adults with overweight or obesity;
- For glycemia control in adults with type 2 diabetes.
Mazdutide is currently being evaluated in six Phase 3 clinical studies, including:
- GLORY-1: A Phase 3 trial in Chinese participants with overweight or obesity.
- GLORY-2: A Phase 3 trial in Chinese participants with moderate-to-severe obesity.
- GLORY-3: A Phase 3 trial comparing mazdutide and semaglutide in Chinese participants with overweight/obesity and metabolic dysfunction-associated fatty liver disease (MAFLD).
- DREAMS-1: A Phase 3 trial in treatment-naïve Chinese patients with T2D.
- DREAMS-2: A Phase 3 trial comparing mazdutide and dulaglutide in Chinese T2D patients with inadequate glycemic control on oral antidiabetic drugs.
- DREAMS-3: A Phase 3 trial comparing mazdutide and semaglutide in Chinese patients with T2D and obesity.
Among these, GLORY-1, DREAMS-1 and DREAMS-2 studies have all met their endpoints, and other studies are currently ongoing.
In addition, several new clinical studies of mazdutide are planned, including:
- A Phase 3 trial in adolescents with obesity.
- A Phase 3 trial in Chinese participants with moderate-to-severe obstructive sleep apnea (OSA) and obesity.
- New studies in metabolic dysfunction-associated steatohepatitis (MASH) and heart failure with preserved ejection fraction (HFpEF).
About Innovent
Innovent is a leading biopharmaceutical company founded in 2011 with the mission to empower patients worldwide with affordable, high-quality biopharmaceuticals. The company discovers, develops, manufactures and commercializes innovative medicines that target some of the most intractable diseases. Its pioneering therapies treat cancer, cardiovascular and metabolic, autoimmune and eye diseases. Innovent has launched 15 products in the market. It has 3 new drug applications under regulatory review, 4 assets in Phase III or pivotal clinical trials and 15 more molecules in early clinical stage. Innovent partners with over 30 global healthcare companies, including Eli Lilly, Sanofi, Incyte, LG Chem and
Guided by the motto, "Start with Integrity, Succeed through Action," Innovent maintains the highest standard of industry practices and works collaboratively to advance the biopharmaceutical industry so that first-rate pharmaceutical drugs can become widely accessible. For more information, visit www.innoventbio.com, or follow Innovent on Facebook and LinkedIn.
Statement: (1) Innovent does not recommend the use of any unapproved drug (s)/indication (s). |
( 2) Ramucirumab (Cyramza) and Selpercatinib (Retsevmo) and Pirtobrutinib (Jaypirca) were developed by Eli Lilly and Company. |
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References |
[1] Pan XF, Wang L, Pan A. Epidemiology and determinants of obesity in |
[2] Institute for Health Metrics and Evaluation. Global Health Data Exchange. GBD results tool. http://ghdx.healthdata.org/gbd-resultstool (accessed |
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