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CompletedNCT06778967ClinicalTrials.gov record

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)

THE QUICK READ

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.
Understand screening

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

Prepare your questions

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.

No results are flagged as posted.

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

A HUMAN NEXT STEP

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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