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New diabetes shot could cut injections in half

NCT ID NCT06849843

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study tested a new drug called efsubaglutide alfa in 59 adults with type 2 diabetes whose blood sugar was not well controlled by diet and exercise alone. Participants received either a 3mg injection every two weeks or a 1mg injection weekly for 12 weeks. The goal was to see if the twice-monthly dose could lower blood sugar levels as effectively as the weekly dose.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Efsubaglutide Alfa injection
What this could lead to
If it works, this could offer a more convenient, less frequent injection option for managing type 2 diabetes.
What could go wrong
This is a small, early-phase trial with only 59 participants. The drug may not prove effective or could have side effects. Results may not apply to all diabetes patients.

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

59 people

The number who actually took part.

Started

Dec 2024

Finished

May 2025

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 75 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show 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: 1. Male or female patients aged from 18 to 75; 2. Type 2 diabetes diagonsed at least 8 weeks and has not received any glucose-lowering medication within 8 weeks prior to screening; 3. During screening, HbA1c: 7.0% ≤ HbA1c ≤ 11.0%; 4. Before randomization : 7.0% ≤ HbA1c ≤ 11.0%; 5. During screening and before randomization: FPG\< 13.9 mmol/L 6. 24 kg/m2 ≤ BMI ≤ 40 kg/m2; 7. Without birth plan and voluntarily take effective contraceptive measures; 8. Fully understood the study, voluntarily entered the study and signed the informed consent. Exclusion Criteria: 1. Diabetes other than Type 2; 2. Any DPP-4 inhibitors and / or GLP-1 analogues were used within 3 months before screening; 3. Continuous use of insulin for more than 14 days in the previous year; 4. C-Peptide \<0.3 nmol/L; 5. Diabetic ketoacidosis, diabetic lactic acidosis or hyperosmolar non ketonic diabetic coma occurred within 6 months before screening; 6. Unstable proliferative retinopathy or macular lesion, severe diabetic neuropathy, intermittent claudication or diabetic foot occurred within 6 months before screening; 7. Severe hypoglycemia occurred within 6 months before screening 8. Severe trauma infection or operation within one month before screening; 9. Blood donation or massive blood loss or transfusion within 3 months ; 10. Suspected active infection ; 11. Growth hormone therapy was performed within 6 months before screening; 12. Patients having received corticosteroid continuous ≥ 7 days through within 2 months ; 13. Use any drugs or surgery with weight control effect within 2 months; 14. weight change of more than 5% within 3 months; 15. mean systolic pressure (SBP) ≥ 160mmhg and / or DBP ≥ 90 mmHg at screening, or new/changed antihypertensive drugs or adjusted dosage of antihypertensive drugs within 4 weeks before screening or before induction period 16. with a history of severe cardiovascular disease, high risk of stroke/stroke within 6 months before screening; 17. with a history of acute or chronic pancreatitis, symptomatic gallbladder , pancreatic injury and other risk factors for pancreatitis, or with blood amylase and/or blood lipase ≥1.5 times the upper limit of normal (ULN) at the time of screening or before randomization; 18. Calcitonin level ≥50 ng/L (pg/mL) during screening; 19. with a history of medullary thyroid cancer, multiple endocrine neoplasm (Men) 2A or 2B syndrome, or related family history; 20. with clinically significant abnormal gastric emptying , severe chronic gastrointestinal diseases , long-term use of drugs that have a direct impact on gastrointestinal peristalsis , or having undergone gastrointestinal surgery within 6 months before screening, are not suitable to participate in this clinical study according to the evaluation of the researchers; 21. suffering from hematological diseases or any disease causing hemolysis or erythrocyte instability ; 22. Uncontrolled hyperthyroidism or hypothyroidism; 23. with hemoglobinopathy that may affect the determination of HbA1c levels; 24. HBsAg, HCV-Ab, HIV-Ab, TPAb or COVID-19 nucleic acid tested positive; 25. serious mental illness; 26. drinking more than 14 standard units weekly within 6 months before screening ; 27. a history of organ transplantation or other acquired or congenital immune system diseases; 28. allergic to the active ingredients (GLP-1 and GLP-1 analogues) of the study drug; 29. clear contraindications for the use of metformin; 30. Any of the following conditions: the pacemaker was installed when screened; no pacemaker was installed, but 12 lead ECG showed degree II or III atrioventricular block, long QT syndrome or QTc interval ≥ 450ms (fridericia formula was used to calculate QTCF); Patients with New York Heart Function Classification III or IV; Or other abnormal cardiac function with clinical significance that is not suitable for clinical research judged by researchers; 31. acute or chronic viral hepatitis, or whose laboratory examination indexes meet one of the following criteria at the time of screening or before randomization : alanine aminotransferase (ALT) level ≥ 2.5 fold ULN, aspartate aminotransferase (AST) ≥ 2.5 fold ULN, fasting triglyceride (TG) \> 5.7 mmol/L or 500 mg/dl; the glomerular filtration rate (EGFR) \< 60 ml/min/1.73 m2 was calculated by CKD-EPI (epi - (SCR)) formula; 32. participated in clinical trials of other drugs or devices within 3 months before screening; 33. Medication compliance in the lead-in period was ≤ 50% ; 34. Any other situation that researchers think may affect the patients' informed consent or compliance with the trial protocol, or the patients' participation in the trial may affect the trial results or their own safety.

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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

  • CangZhou Hospital of Integrated TCM and Western Medicine in Hebei Province

    Cangzhou, China

  • Huzhou Central Hospital

    Huzhou, China

  • Jiangsu Province Offical Hospital

    Nanjing, China

  • Nanjing First Hospital

    Nanjing, Jiangsu, 210008, China

  • Ningbo First Hospital

    Ningbo, China

  • Ningbo Medical Center Lihuili Hospital

    Ningbo, China

  • The First Affiliated Hospital of Soochow University

    Suzhou, China

  • The Second Affiliated Hospital of Wenzhou Medical University

    Wenzhou, China

  • Wenzhou Central Hospital

    Wenzhou, China

  • Zibo Municipal Hospital

    Zibo, China

More trials for these conditions

Other studies related to the condition(s) this trial covers.