Can a Muscle-Saving drug boost weight loss?
NCT ID NCT06445075
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 study tested whether adding apitegromab (a drug that blocks a muscle-weakening protein) to tirzepatide (a GLP-1 weight-loss drug) helps overweight and obese adults lose fat while keeping lean muscle. 102 participants received either the combination or placebo over 24 weeks. The main goal was to see changes in total lean body mass and body weight.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- apitegromab (a drug that blocks myostatin activation, given by IV infusion every 4 weeks) plus tirzepatide (a GLP-1 receptor agonist)
- What this could lead to
- If successful, this combination could help people lose fat while preserving muscle, improving body composition and metabolic health.
- What could go wrong
- This is an early phase 2 trial with only 102 participants, so results may not apply to everyone. The drug is given by IV, which is less convenient than injections used for other weight-loss medications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
102 people
The number who actually took part.
- Started
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May 2024
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * Able to comprehend the informed consent process and provide written informed consent prior to study enrollment and the conduct of any study-related assessments to study enrollment and the conduct of any study-related assessments * Male or female, age ≥ 18 and ≤ 65 years at the time of informed consent * Stable body weight (±5 kg) within 90 days of Screening * At Screening, a BMI of: 1. ≥30.0 kg/m2 to ≤45.0 kg/m2 or 2. ≥27.0 kg/m2 to \<30.0 kg/m2 with the presence of 1 or more weight-related comorbid condition(s). Note: See exclusion criteria for specific organ class disease parameters Exclusion Criteria: * History of or active cardiovascular, neurovascular, peripheral vascular, pulmonary, hepatic, pancreatic, neuromuscular, and/or psychiatric disease * Active malignancy, other than local subcutaneous squamous cell and basal cell carcinomas * History of immunosuppressive, chemotherapeutic, or radiation treatment within 12 months prior to Screening * History of Type 1 diabetes or active Type 2 diabetes (T2D). If there was a history of T2D and it resolved, then the resolution must have occurred \>12 months prior to Screening. Prediabetes managed with nonpharmacologic approaches (exercise and diet) is not an exclusion
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AdventHealth Translational Research Institute
Orlando, Florida, 32804, United States
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Alliance for Multispecialty Research, LLC
Norman, Oklahoma, 73069, United States
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Apex Mobile Clinical Research
Bellaire, Texas, 77401, United States
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Clinical Trials of Texas, LLC dba Flourish Research
San Antonio, Texas, 78229, United States
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Great Lakes Clinical Trials, LLC d/b/a Flourish Research
Chicago, Illinois, 60640, United States
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ProSciento CRU
Chula Vista, California, 91911, United States
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Tandem Clinical Research GI, LLC
Marrero, Louisiana, 70072, United States
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