A Phase III Clinical Study to Evaluate the Efficacy and Safety of GZR18 Injection in Adult Type 2 Diabetes Mellitus
Type 2 Diabetes Mellitus (T2DM)
What this study involves
The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.
- Study type
- Interventional
- Phase
- Phase 3
- Age range
- 18 years - Not specified
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 1133 Actual
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
The main purpose of this study is to investigate the Efficacy and Safety of GZR18 Injection in Chinese Subjects with Type 2 Diabetes Mellitus and Poor Blood Glucose Control by Metformin Monotherapy or in Combination with Sodium-dependent Glucose Transporter 2 (SGLT2) Inhibitors or Sulfonylureas
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
- T2DM is diagnosed for at least 12 weeks according to the diagnostic criteria of diabetes mellitus issued by the World Health Organization (WHO) in 1999 and the supplementary diagnostic criteria of WHO in 2011 (HbA1c diagnosis is recommended).
- Antidiabetic drugs that meet any of the following within 8 weeks before screening:
- A stable dose of metformin hydrochloride monotherapy at a dose of ≥ 1500 mg/day or the maximum tolerated dose ;
- A stable dose of metformin (≥ 1500 mg/day or the maximum tolerated dose ) in combination with SGLT2 inhibitors;
- A stable dose of metformin (≥1500 mg/day or a maximum tolerated dose \< 1500 but ≥ 1000 mg/day) in combination with a stable daily dose of sulfonylureas.
- HbA1c ≥ 7.5% and ≤ 11% at screening (central laboratory).
- BG \< 15 mmol/L at screening (central laboratory).
Exclusion Criteria:
- Type 1 diabetes mellitus or special type of diabetes mellitus.
- Diabetic ketoacidosis, diabetic lactic acidosis or hyperosmolar state within 6 months before screening, or diabetic ketosis at screening/before randomization.
- Severe chronic complications of diabetes (such as proliferative retinopathy or maculopathy, diabetic painful neuropathy, intermittent claudication, or diabetic foot) at screening or before randomization.
- History of acute or chronic pancreatitis and pancreatic injury before screening.
- History or relevant family history of medullary thyroid cancer, multiple endocrine neoplasia (MEN) 2A or 2B before screening.
- Any laboratory test indicator meeting the following criteria at screening or before randomization:
- Calcitonin level ≥ 50 ng/L (pg/mL) at screening.
- ALT ≥ 3.0 × upper limit of normal (ULN) or AST ≥ 3.0 × ULN or total bilirubin ≥ 2.0 × ULN.
- Estimated glomerular filtration rate (eGFR) \< 60 mL/min/1.73 m2, calculated using CKD-EPI equation (see Appendix 3).
- Fasting triglyceride (TG) ≥ 5.7 mmol/L or 500 mg/dL.
- Blood amylase or lipase \> 1.5 × ULN.
- Hemoglobin ≤ 100 g/L for women and ≤ 110 g/L for men.
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- No masking
GZR18 Dose 1
Participants will receive GZR18 subcutaneously (SC).
Drug: GZR18
GZR18 Dose 2
Participants will receive GZR18 subcutaneously (SC).
Drug: GZR18
semaglutide
Participants will receive semaglutide subcutaneously (SC).
Drug: semaglutide
GZR18 DRUG
Administered SC
semaglutide DRUG
Administered SC
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Change from Baseline in Hemoglobin A1c (HbA1c)(%)
Time frame: Baseline, Week 44
Not reported in this registry record.
Secondary measures
Change from baseline in mean 7-point self-measured blood glucose (SMBG)
Time frame: week 44
Not reported in this registry record.
Proportion of subjects with salvage therapy.
Time frame: week 44
Not reported in this registry record.
Change from baseline in weight (kg)
Time frame: week 44
Not reported in this registry record.
Percent change in weight from baseline (%)
Time frame: week 44
Not reported in this registry record.
Proportion of subjects with ≥ 5% and 10% decrease in weight from baseline.
Time frame: week 44
Not reported in this registry record.
Treatment emergent adverse events (TEAEs)
Time frame: week 44
Not reported in this registry record.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
Tianjin Medical University General HospitalTianjin, ChinaStatus unknown
Study team and timeline
- Lead sponsor
- Gan & Lee Pharmaceuticals.
- Study start
- Feb 13, 2025 Actual
- Primary completion
- Sep 18, 2026 Actual
- Study completion
- Sep 18, 2026 Actual
- First posted
- Jan 16, 2025 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
No central contact is listed. Check the locations and the official record.
Official study title
A Multicenter, Randomized, Active-controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of GZR18 Injection in Chinese Subjects With Type 2 Diabetes Mellitus and Poor Blood Glucose Control by Metformin Monotherapy or in Combination With Sodium-dependent Glucose Transporter 2 (SGLT2) Inhibitors or Sulfonylureas
Ask Wellness Clinical Research
Your message goes to WCR, including when this study is run by another organization. WCR may offer general guidance but may not operate this trial, have access to its team or be able to enroll you.
Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
