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MEDICINES & RESEARCH WATCH

New medicines.
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Explore UK status, research findings and their limits, with the sources and context kept close.

  • UK status
  • The evidence
  • What to watch
Explore medicines & research

Research and information listings · Not products to order.

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119Medicines and programmes covered
6Detailed references
113Wider industry summaries

Weight-management focus · Reference review 15 September 2026

0 of 204 monitored sources have current, unchanged checks. This measures the configured sources, not industry completeness.

Latest check attempt: 9 Nov, 04:30 GMT. Refresh status

Showing 6 of 6 medicines

UK authorised

Mounjaro

Tirzepatide · Weekly injection

Reference reviewed 17 September 2026 · Update awaiting review

This reference needs review. The dated information below is the last reviewed reference; check the linked authority for the latest position.

What it does

Acts on GIP and GLP-1 receptors involved in appetite regulation.

Can support weight loss and weight maintenance in eligible adults.

UK position

UK authorised for adult weight management, alongside dietary changes and physical activity.

Trade-offs and limits

  • Digestive side effects are common.
  • Suitability, other medicines and treatment response need clinical review.

Access and availability

NHS — England: Eligible patients only. Eligibility criteria differ between prescribing through a doctor and a specialist weight-management service.

Private access: Private prescription route established. Individual pharmacy stock is not tracked here.

View evidence & source checks
UK authorised

Wegovy injection

Semaglutide · Weekly injection

Reference reviewed 3 October 2026 · Update awaiting review

This reference needs review. The dated information below is the last reviewed reference; check the linked authority for the latest position.

What it does

A GLP-1 receptor agonist that acts on appetite regulation.

Can support weight loss and weight maintenance in eligible patients.

UK position

UK authorised for weight management; for reducing major cardiovascular-event risk in eligible adults with established cardiovascular disease and obesity or overweight; and for adults with non-cirrhotic MASH and moderate to advanced liver fibrosis (F2 to F3). These are separate indications.

Trade-offs and limits

  • Digestive side effects are common.
  • Assessment and ongoing review are needed; authorised strengths do not all have identical NHS access.

Access and availability

NHS — England: Available to eligible patients under indication-specific guidance. Weight-management access follows NICE TA875 and cardiovascular prevention has separate guidance. The MASH appraisal (ID6458) is still in development, with publication expected 7 January 2027; no NHS England MASH access is confirmed here.

Private access: Available through private prescription services following assessment. Supply varies.

View evidence & source checks
UK authorised

Wegovy tablet

Oral semaglutide · Daily tablet

Reference reviewed 15 September 2026 · Update awaiting review

This reference needs review. The dated information below is the last reviewed reference; check the linked authority for the latest position.

What it does

A GLP-1 receptor agonist that acts on appetite regulation.

An oral formulation for eligible adults, used with dietary changes and physical activity.

UK position

UK authorised for adult weight management on 11 June 2026.

Trade-offs and limits

  • Specific fasting and administration instructions matter.
  • Digestive side effects remain possible; tablets and injections are not automatically interchangeable.

Access and availability

NHS — England: No NHS access confirmed in the reviewed sources. MHRA stated at approval that the tablet was not available through the NHS.

Private access: UK private provision is listed by the linked provider. This does not guarantee individual pharmacy stock.

View evidence & source checks
  • MHRA: oral Wegovy authorisationGovernment / regulator communication · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 16 Sept, 07:00 BST
  • Wegovy tablets: UK product informationOfficial product information · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 16 Sept, 07:00 BST
  • UK provider: oral Wegovy private availabilityProvider statement about its own service · Reference reviewed 11 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 24 Oct, 18:58 BST
UK authorised

Orlistat

Orlistat · Capsules taken with meals

Reference reviewed 15 September 2026 · Update awaiting review

This reference needs review. The dated information below is the last reviewed reference; check the linked authority for the latest position.

What it does

Reduces absorption of some dietary fat in the gut.

Can support weight loss alongside dietary changes and physical activity.

UK position

UK authorised. The prescription 120 mg and pharmacy 60 mg products have different conditions of use.

Trade-offs and limits

  • Oily stools, urgency and other digestive effects are common.
  • Medicine interactions and reduced absorption of some vitamins need consideration.

Access and availability

NHS — England: Prescription treatment is available for eligible patients following assessment.

Private access: 120 mg products require a prescription. Lower-dose 60 mg products can be supplied by a pharmacy when suitable.

View evidence & source checks
  • NHS: orlistat uses, access and limitationsNICE / NHS guidance or information · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 16 Sept, 07:00 BST
  • Xenical 120 mg: UK product informationOfficial product information · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 16 Sept, 07:00 BST
  • alli 60 mg: UK product informationOfficial product information · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 16 Sept, 07:00 BST
UK authorised

Foundayo

Orforglipron · Daily tablet

Reference reviewed 15 September 2026 · Update awaiting review

This reference needs review. The dated information below is the last reviewed reference; check the linked authority for the latest position.

What it does

A non-peptide GLP-1 receptor agonist that acts on appetite regulation.

Can support weight loss and maintenance alongside dietary changes and physical activity.

UK position

UK authorised for adult weight management on 10 August 2026; it also has a type 2 diabetes indication.

Trade-offs and limits

  • Nausea, constipation, diarrhoea, vomiting and abdominal symptoms can occur.
  • A prescription and individual clinical assessment are required.

Access and availability

NHS — England: No NHS access confirmed. NICE has a weight-management appraisal in development; authorisation is separate from an NHS funding decision.

Private access: Lilly confirmed UK private-prescription availability on 24 August 2026. Individual pharmacy stock is not tracked here.

View evidence & source checks
Investigational · not UK authorised

Retatrutide

Retatrutide · Weekly injection studied in trials

Reference reviewed 30 September 2026 · Update awaiting review

This reference needs review. The dated information below is the last reviewed reference; check the linked authority for the latest position.

What it does

Acts on GIP, GLP-1 and glucagon receptors.

Lilly reported detailed Phase 3 TRIUMPH-2 results on 29 September 2026 in adults with type 2 diabetes and obesity or overweight. Retatrutide remains investigational.

UK position

Not authorised in the UK. MHRA confirmed this on 24 July 2026; later sponsor evidence still describes it as investigational.

Trade-offs and limits

  • Gastrointestinal adverse events, dysesthesia and treatment discontinuations were reported.
  • A US submission is planned for Q1 2027; this is neither a completed submission nor UK approval.

Access and availability

NHS — England: No routine NHS weight-management access is confirmed; this remains research-stage treatment.

Private access: No approved UK retail treatment. Products marketed online are not equivalent to medicine supplied within a regulated trial.

View evidence & source checks
  • MHRA: retatrutide is not authorised in the UKGovernment / regulator communication · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 16 Sept, 07:00 BST
  • Lilly: retatrutide Phase 3 research updateTrial sponsor announcement; not an authorisation · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 8 Nov, 10:15 GMT
  • Retatrutide TRIUMPH-2 detailed Phase 3 resultssponsor announcement · Reference reviewed 9 October 2026 · Update awaiting reviewLast successful source check: 9 Nov, 04:30 GMT · Last failed check: 8 Nov, 10:15 GMT

Wider industry watch

113 additional medicines and programmes: established treatments, specialist indications, active research and programmes that stopped. These concise evidence summaries are not full prescribing guides. Trial stage, UK authorisation, NHS access and actual supply are separate.

Showing 113 of 113 industry summaries. The medicine-form filter above applies to the detailed reference cards only.

UK established and specialist

Saxenda / liraglutide

UK product information and NICE guidance

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Daily injectable GLP-1 treatment. The UK product information includes adult weight management with dietary changes and physical activity.

UK authorisation

UK product information includes adults with obesity, or overweight with a weight-related condition; the licence is broader than NICE access.

NHS — England

TA664 recommends only a defined group: raised BMI, non-diabetic hyperglycaemia, high cardiovascular risk, specialist tier 3 care and the commercial arrangement. See the full criteria.

Actual supply

Prescription assessment is required. Current private availability and individual stock have not been verified here.

Limits and uncertainty

Digestive adverse effects and treatment-response stopping rules matter; see the complete product information.

UK established and specialist

Mysimba / naltrexone–bupropion

UK product information; NICE does not recommend routine use

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Oral combination authorised for adult weight management within specified BMI and comorbidity criteria.

UK authorisation

The UK product information includes adult weight management alongside diet and activity.

NHS — England

TA494 does not recommend it within its marketing authorisation for weight management. Existing NHS treatment has a continuation provision.

Actual supply

A marketing authorisation does not confirm private supply or stock; these have not been verified here.

Limits and uncertainty

Contraindications, medicine interactions and regular reassessment are important; this is not a suitability assessment.

UK established and specialist

Imcivree / setmelanotide

Specialist treatment for specified rare forms of obesity

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A specialist medicine whose UK indications include specified genetic forms and acquired hypothalamic obesity. This is not a general obesity option.

UK authorisation

The August 2026 UK product information includes acquired hypothalamic obesity from age 4 and specified genetic indications from age 2; indication-specific criteria apply.

NHS — England

HST21 covers POMC/PCSK1 or LEPR deficiency from age 6 under its conditions. HST31 covers genetically confirmed BBS when treatment starts at ages 6–17, with adult continuation. Neither guidance establishes access across the full current licence.

Actual supply

Specialist prescribing and service access are required. Individual supply is not tracked.

Limits and uncertainty

Licensing ages and NICE funding criteria differ. NHS access for acquired hypothalamic obesity and other extensions requires separate review.

Research programme

CagriSema

Phase 3 results; investigational

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Novo reported REIMAGINE 5 and REDEFINE 9 results on 21 September 2026 for cagrilintide plus semaglutide. A US application is not a UK approval.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval.

Research programme

Cagrilintide monotherapy

Phase 3 RENEW programme reported

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Novo’s annual-report narrative describes cagrilintide being developed on its own, separately from CagriSema.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The annual report is a dated sponsor account. Verify later programme changes; combination results cannot be assigned to monotherapy.

Research programme

Zenagamtide / amycretin

Phase 3 weight-management and cardiovascular-outcomes development; AMBIENCE not yet recruiting; separate Phase 1 tirzepatide-switch study not yet recruiting

Developer not recorded

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Novo describes a single molecule targeting GLP-1 and amylin receptors. Its annual report describes weight-management Phase 3 development in early 2026. A sponsor-submitted Phase 1 record, first posted 2 October 2026, plans to assess tolerability in an estimated 60 adults switching from maintenance semaglutide to subcutaneous zenagamtide. A separate sponsor-submitted Phase 1 record, updated 1 October 2026, studies once-weekly subcutaneous NNC0487-0111/amycretin against placebo or a low-energy diet after weight loss, focusing on sleeping and 24-hour energy expenditure in 120 estimated participants. Novo Nordisk's sponsor-submitted AMBIENCE record, first posted 6 October 2026, plans a placebo-controlled Phase 3 cardiovascular-outcomes study of once-weekly subcutaneous zenagamtide in an estimated 8,500 adults with established atherosclerotic cardiovascular disease and overweight or obesity. The primary endpoint is time to first four-point major adverse cardiovascular event, including cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, or heart-failure hospitalisation or urgent visit. A separate sponsor-submitted Phase 1 record, first posted 9 October 2026, plans to assess tolerability when an estimated 60 adults with overweight or obesity, with or without type 2 diabetes, switch from maintenance tirzepatide to subcutaneous zenagamtide.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Oral and injectable development must be checked separately; this does not assign the same trial phase to every formulation or indication. The semaglutide-to-zenagamtide Phase 1 study (NCT07855133) is now listed as recruiting in the sponsor-submitted registry record updated 16 October 2026. It records an actual start of 5 October 2026, estimated enrolment of 60 participants and estimated completion on 6 September 2028. No results are posted. Recruitment and an actual start do not establish comparative efficacy or safety, a recommended switching regimen, UK marketing authorisation, NHS access or UK retail supply. NCT07757087 is recruiting after an actual 3 August 2026 start but has no posted results and estimated September 2028 completion. Metabolic-rate endpoints do not demonstrate preserved muscle, better maintenance, efficacy or superiority. It concerns subcutaneous amycretin and does not advance the oral formulation or the separate Phase 3 programme. AMBIENCE remains not yet recruiting, has no posted results, and lists 26 October 2026 as an estimated start and 16 September 2030 as an estimated completion. Its 23 listed UK facilities do not establish that UK recruitment, appointments or treatment access are open. Planned cardiovascular outcomes do not establish cardiovascular benefit, UK marketing authorisation, NICE or NHS access, UK supply, an approved dose or clinical approval. The switch study remains not yet recruiting and has no posted results. Its 8 October 2026 start has already passed but remains an estimate, not evidence of recruitment or dosing. The protocol studies treatment-emergent adverse events after switching and does not establish comparative efficacy, a recommended switching schedule, UK authorisation, NICE or NHS access, lawful UK supply or clinical approval.

  • Novo Nordisk annual report: innovation and pipelineOriginal sponsor statement; not regulatory approval · Published/updated: Not stated by the source · Source review: 6 October 2026 · Source review required
  • ClinicalTrials.gov NCT07855133: switching from semaglutide to zenagamtideTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 2 October 2026 · Updated 16 October 2026Start 5 October 2026 (actual) · Primary completion 6 September 2028 (estimated) · Completion 6 September 2028 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 18 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07757087: subcutaneous amycretin and energy expenditureTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 11 August 2026 · Updated 1 October 2026Start 3 August 2026 (actual) · Primary completion 18 September 2028 (estimated) · Completion 18 September 2028 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07861100: AMBIENCE zenagamtide cardiovascular-outcomes studyTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 6 October 2026 · Updated 6 October 2026Start 26 October 2026 (estimated) · Primary completion 16 September 2030 (estimated) · Completion 16 September 2030 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07868354: tirzepatide-to-zenagamtide switch-tolerability studyTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 9 October 2026 · Updated 9 October 2026Start 8 October 2026 (estimated) · Primary completion 7 September 2028 (estimated) · Completion 7 September 2028 (estimated)Medical evidence summary reviewed 10 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

MariTide / maridebart cafraglutide

Phase 3 MARITIME programme; extension and cardiovascular-outcomes studies recruiting; MARITIME-T2D-3 not yet recruiting

Developer not recorded

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Amgen’s Q2 2026 update reports ongoing MARITIME weight-management studies, with separate studies for associated conditions. Three sponsor-submitted records updated on 5 October 2026 identify recruiting Phase 3 research: MARITIME-1-EXTENSION in adults with obesity or overweight, MARITIME-2-EXTENSION in adults with obesity or overweight and type 2 diabetes, and a separate cardiovascular-outcomes study in adults with atherosclerotic cardiovascular disease and obesity or overweight. The two extension records report actual July 2026 starts; the cardiovascular record reports an actual July 2025 start. A separate Phase 3 record updated on 6 October 2026 studies maridebart cafraglutide in 250 estimated adults with obstructive sleep apnoea using positive-airway-pressure therapy and overweight or obesity. It is active, not recruiting after an actual 19 December 2025 start. A separate sponsor-submitted Phase 3 MARITIME-T2D-3 record, first posted 8 October 2026, plans to compare once-monthly maridebart cafraglutide with once-weekly semaglutide as add-on therapy in 1,300 estimated adults with type 2 diabetes. Its primary endpoint is HbA1c non-inferiority at week 68; body-weight measures are secondary outcomes.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval. Recruiting status and actual start dates do not establish efficacy, safety, completed enrolment or results. The extension enrolments of 3,200 and 950 and the cardiovascular-study enrolment of 12,800 remain estimates; completion dates are also estimates and none of the three records has posted results. Extension dosing intervals are study arms, not approved regimens. Separate type 2 diabetes and cardiovascular-outcomes research must not be generalized to every weight-management population. These records establish no UK marketing authorisation, NICE or NHS access, UK supply or clinical approval. This PAP-treated specialist-indication study has no posted results and retains estimated completion dates. It does not establish sleep-apnoea benefit, an authorised indication, a completed event or a general weight-management outcome. MARITIME-T2D-3 remains not yet recruiting and has no posted results. Its 2 November 2026 start, enrolment and 2028 completion dates are estimates. A comparator design and planned non-inferiority and superiority analyses are not comparative findings, an approved monthly regimen, a general-obesity result, UK authorisation, NICE or NHS access, lawful UK supply or clinical approval.

  • Amgen: Q2 2026 pipeline updateOriginal sponsor statement; not regulatory approval · Published/updated: Not stated by the source · Source review: 6 October 2026 · Source review required
  • ClinicalTrials.gov NCT07684235: MARITIME-1-EXTENSIONTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 6 July 2026 · Updated 5 October 2026Start 23 July 2026 (actual) · Primary completion 26 December 2027 (estimated) · Completion 19 March 2028 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07684144: MARITIME-2-EXTENSIONTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 6 July 2026 · Updated 5 October 2026Start 29 July 2026 (actual) · Primary completion 26 December 2027 (estimated) · Completion 19 March 2028 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07037433: MariTide cardiovascular-outcomes studyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 25 June 2025 · Updated 8 October 2026Start 25 July 2025 (actual) · Primary completion 30 June 2028 (estimated) · Completion 29 September 2030 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07225686: MariTide in obstructive sleep apnoea on PAP therapyTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 10 November 2025 · Updated 6 October 2026Start 19 December 2025 (actual) · Primary completion 20 August 2027 (estimated) · Completion 21 July 2028 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07866066: MARITIME-T2D-3 MariTide versus semaglutideTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 8 October 2026 · Updated 8 October 2026Start 2 November 2026 (estimated) · Primary completion 4 September 2028 (estimated) · Completion 4 December 2028 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Survodutide

Phase 3 obesity, MASH and type 2 diabetes programmes; Japanese Phase 3 sponsor results reported

Developer not recorded

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Zealand reported SYNCHRONIZE-2 results on 1 October 2026: in adults with obesity/overweight and type 2 diabetes, mean weight loss reached 13.1% versus 3.1% with placebo at 76 weeks under the efficacy estimand. Gastrointestinal adverse events led to discontinuation in 18% versus 1.2%. A sponsor-submitted Phase 3 SYNCHRONIZE-HERA record, first posted 30 September 2026, studies survodutide in an estimated 600 women going through or after menopause. A sponsor-submitted Phase 3b SYNCHRONIZE-START record plans a pragmatic initiation study in an estimated 350 adults, including people switching from semaglutide or tirzepatide to survodutide. The peer-reviewed SYNCHRONIZE-2 abstract reports the treatment-regimen estimand at week 76: mean body-weight change was -9.8% with 6.0 mg, -8.2% with 3.6 mg and -3.9% with placebo; the corresponding HbA1c changes were -0.8, -0.9 and -0.2 percentage points. Separately, NCT07754461 records a recruiting 56-week Phase 3 study of survodutide versus placebo for glycaemic control in people with type 2 diabetes, after an actual 24 August 2026 start. Its estimated enrolment is 600. Boehringer Ingelheim's 5 October 2026 Japanese announcement reports SYNCHRONIZE-JP results after 76 weeks in 274 participants. It reports mean body-weight changes of -12.5% with 3.6 mg and -13.1% with 6.0 mg versus -1.6% with placebo. In a separate MRI-assessed subset it also reports reductions in visceral and liver fat. The sponsor-submitted NCT06176365 record is completed after an actual 16 January 2024 start and 3 December 2025 completion, but has no registry-posted results.

UK authorisation

No UK authorisation established for this investigational programme by the reviewed evidence.

NHS — England

No NHS access established.

Actual supply

No UK retail availability or stock established. Trial participation is separate from commercial supply.

Limits and uncertainty

Sponsor report; reported statistical tests were nominal; efficacy estimand assumes continued treatment. The PubMed abstract of the peer-reviewed NEJM paper has now been reviewed; the full NEJM article returned HTTP 403 and was not reviewed. Cardiovascular outcomes were still expected later in 2026. No cross-trial ranking or transfer of obesity results to MASH. SYNCHRONIZE-HERA remains not yet recruiting, has no posted results and lists 31 October 2026 as an estimated start; the record does not establish that dosing has begun or that outcomes differ by menopausal status. SYNCHRONIZE-START remains not yet recruiting, has no posted results and lists 7 November 2026 as an estimated start. Its open-label design, in which all participants receive survodutide, does not provide comparator-based evidence or establish a validated switching schedule. The treatment-regimen estimates are not interchangeable with the sponsor's 13.1% efficacy-estimand figure. The trial enrolled adults with type 2 diabetes and BMI at least 27 kg/m² and was funded by Boehringer Ingelheim, so these results should not be generalised to all people with obesity or treated as sponsor-independent evidence. The type 2 diabetes study has no posted results. Recruitment and an actual start are not completion or evidence of improved glycaemic control, and this specialist-indication study must not be presented as a completed weight-management result or a new authorised indication. These are sponsor-reported conference results, not ClinicalTrials.gov-posted outcomes or a reviewed full results paper. The MRI findings concern a subset and must not be generalized to every participant; changes in fat measures do not establish muscle strength, function or a muscle-preservation benefit. The Japanese population and local obesity-disease criteria must not be treated as a UK indication. Completed research and reported group averages do not establish individual benefit, UK marketing authorisation, NICE or NHS access, UK supply, an approved dose or clinical approval.

  • Zealand: survodutide Phase III resultsOriginal sponsor statement; not regulatory approval · Published/updated: 7 June 2026 · Source review: 9 October 2026 · Source review required
  • survodutide-synchronize2-20261001Original source — see findings and limitations · Published 1 October 2026 · Reviewed 1 October 2026 · Primary evidence read for this factual update; not automatically content-monitored.
  • survodutide-synchronize2-registryTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 4 October 2023 · Updated 6 August 2026Start 27 November 2023 (actual) · Primary completion 12 December 2025 (actual) · Completion 1 April 2026 (actual)Medical evidence summary reviewed 1 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07850050: SYNCHRONIZE-HERATrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 30 September 2026 · Updated 30 September 2026Start 31 October 2026 (estimated) · Primary completion 26 July 2028 (estimated) · Completion 26 July 2028 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07855900: SYNCHRONIZE-STARTTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 2 October 2026 · Updated 2 October 2026Start 7 November 2026 (estimated) · Primary completion 25 June 2028 (estimated) · Completion 25 June 2028 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Survodutide Once Weekly in Adults with Obesity and Type 2 DiabetesPublished research — see study design · Published 1 October 2026 · Reviewed 4 October 2026 · Peer-reviewed PubMed abstract read for design, population, treatment-regimen estimand, body-weight and HbA1c results, adverse-event context and funding. The full NEJM article returned HTTP 403 and was not reviewed; this evidence URL is not automatically content-monitored.
  • ClinicalTrials.gov NCT07754461: survodutide type 2 diabetes Phase 3 studyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 10 August 2026 · Updated 30 September 2026Start 24 August 2026 (actual) · Primary completion 17 January 2028 (estimated) · Completion 1 May 2028 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Boehringer Ingelheim Japan: SYNCHRONIZE-JP Phase III resultsOriginal source — see findings and limitations · Published 5 October 2026 · Reviewed 6 October 2026 · Original sponsor announcement read for the Japanese Phase III population, completed 76-week comparison, reported group-level weight and MRI-subset findings and gastrointestinal adverse-event summary. Direct retrieval returned HTTP 403, so this page is not assigned an automatic green baseline.
  • ClinicalTrials.gov NCT06176365: SYNCHRONIZE-JPTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 19 December 2023 · Updated 30 April 2026Start 16 January 2024 (actual) · Primary completion 3 December 2025 (actual) · Completion 3 December 2025 (actual)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

VK2735

Injectable Phase 3 ongoing; oral Phase 3 registered but not yet recruiting; oral and subcutaneous maintenance study ongoing

Developer not recorded

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Viking's sponsor-submitted SUNRISE 1 and SUNRISE 2 records, both first posted 9 October 2026, describe separate 68-week oral VK2735 Phase 3 studies in adults without and with type 2 diabetes. Each plans 560 participants and remains not yet recruiting. Separately, Viking reported Part 1 maintenance observations in approximately 180 adults and says Part 2 has now started in approximately 195 adults, testing oral and subcutaneous maintenance after weekly subcutaneous induction. Its injectable VANQUISH Phase 3 studies are ongoing.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The SUNRISE records are registrations, not evidence that Phase 3 recruitment or dosing has started. Their 15 and 16 October 2026 starts, enrolment and 2028 completion dates remain estimates, and neither record has posted results. The daily oral doses are trial arms, not approved dosing regimens. Part 1 findings and Part 2 initiation come from sponsor announcements, not peer-reviewed results, and Part 2 has no posted results. These maintenance studies do not establish switching from another medicine. No reviewed evidence establishes long-term durability, cardiovascular benefit, superiority, UK authorisation, NICE or NHS access, lawful UK supply or clinical approval.

  • Viking: Q2 2026 programme updateOriginal sponsor statement; not regulatory approval · Published/updated: 29 July 2026 · Source review: 6 October 2026 · Source review required
  • Viking: VK2735 maintenance-study topline resultsOriginal sponsor announcement; topline results, not regulatory approval · Published/updated: 22 September 2026 · Source review: 11 October 2026 · Source review required
  • Viking: VK2735 oral-maintenance Part 2 initiationOriginal sponsor announcement; trial initiation, not regulatory approval · Published/updated: 6 October 2026 · Source review: 6 October 2026 · Source review required
  • Viking: VK2735 maintenance-study topline resultsOriginal source — see findings and limitations · Published 22 September 2026 · Reviewed 4 October 2026 · Complete original sponsor announcement reviewed for study population, induction and maintenance periods, randomized regimens, topline-result status and planned oral-maintenance work.
  • Viking: VK2735 oral-maintenance Part 2 initiationOriginal source — see findings and limitations · Published 6 October 2026 · Reviewed 6 October 2026 · Complete original sponsor announcement reviewed for initiation, study population, induction and maintenance regimens, objectives, exploratory endpoint and expected-results timing. The sponsor's isolated VK2375 typo is not adopted as a separate programme.
  • ClinicalTrials.gov NCT07868835: oral VK2735 SUNRISE 1 Phase 3Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 9 October 2026 · Updated 9 October 2026Start 15 October 2026 (estimated) · Primary completion 1 July 2028 (estimated) · Completion 1 August 2028 (estimated)Medical evidence summary reviewed 10 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07868939: oral VK2735 SUNRISE 2 Phase 3Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 9 October 2026 · Updated 9 October 2026Start 16 October 2026 (estimated) · Primary completion 1 October 2028 (estimated) · Completion 1 December 2028 (estimated)Medical evidence summary reviewed 10 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Petrelintide

Phase 3 ZUPREME recruiting; Phase 2 diabetes topline reported

Developer not recorded

Evidence summary reviewed 8 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Zealand announced ZUPREME-2 diabetes Phase 2 topline results on 7 October 2026, reporting 7.4–9.2% mean weight reduction at week 28 using the efficacy estimand versus 2.0% with placebo. These are sponsor-reported findings pending full results. The completed NCT06926842 registry has no posted results and records 221 actual participants, whereas the sponsor reports 220. ZUPREME-3, ZUPREME-4 and ZUPREME-5 are now recruiting. ZUPREME-3 and -5 record actual 30 September starts; ZUPREME-4 retains an estimated 30 September start. The populations are respectively without type 2 diabetes, with type 2 diabetes, and with established cardiovascular disease.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The Phase 2 announcement is topline sponsor evidence, not a full independent outcome review, comparative ranking or prescribing guide. The 221/220 enrolment discrepancy remains unresolved. Phase 3 enrolment and completion remain estimated and none of the three records has posted results. ZUPREME-5 studies weight management in people with cardiovascular disease; that population does not demonstrate cardiovascular-event prevention. The sponsor says the first Phase 3 participants have begun treatment, but this is not assigned as an actual start to ZUPREME-4 while its record retains an estimate. The petrelintide–enicepatide combination remains separate research; planned initiation is not completed dosing evidence. Specialist-indication research does not establish UK authorisation, NICE/NHS access or actual supply.

  • Zealand Pharma: ZUPREME-1 publication and Phase 3 programme statusOriginal sponsor release distributed by GlobeNewswire · Published/updated: 29 September 2026 · Source review: 9 October 2026 · Source review required
  • ClinicalTrials.gov NCT06926842: completed ZUPREME-2 diabetes Phase 2 studyTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 15 April 2025 · Updated 9 September 2026Start 22 April 2025 (actual) · Primary completion 13 August 2026 (actual) · Completion 13 August 2026 (actual)Medical evidence summary reviewed 8 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07843472: ZUPREME-5 with established cardiovascular diseaseTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 28 September 2026 · Updated 7 October 2026Start 30 September 2026 (actual) · Primary completion 28 July 2030 (estimated) · Completion 6 October 2030 (estimated)Medical evidence summary reviewed 8 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07843485: ZUPREME-4 with type 2 diabetesTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 28 September 2026 · Updated 7 October 2026Start 30 September 2026 (estimated) · Primary completion 20 October 2028 (estimated) · Completion 19 January 2029 (estimated)Medical evidence summary reviewed 8 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07843498: ZUPREME-3 without type 2 diabetesTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 28 September 2026 · Updated 7 October 2026Start 30 September 2026 (actual) · Primary completion 21 December 2028 (estimated) · Completion 22 March 2029 (estimated)Medical evidence summary reviewed 8 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Zealand: 7 October 2026 ZUPREME-2 topline announcementOriginal source — see findings and limitations · Published 7 October 2026 · Reviewed 8 October 2026 · Complete original sponsor announcement read; topline findings only. Outside automatic content monitoring; no verified monitor fingerprint.
Research programme

Eloralintide / EloraTZP

Eloralintide Phase 3 ongoing; EloraTZP Phase 2b results reported

Developer not recorded

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Lilly's 30 September 2026 release reports a completed 48-week Phase 2b study of eloralintide plus tirzepatide in 367 adults with obesity or overweight and type 2 diabetes. Eloralintide monotherapy Phase 3 trials are ongoing; EloraTZP co-formulation Phase 3 trials were planned for Q4 2026 and are not treated as started.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Sponsor-reported efficacy-estimate results are not regulatory approval or a cross-trial comparison. The Phase 2b study used separate injections, while the planned Phase 3 product is a co-formulation. Gastrointestinal events were more frequent in combination arms and adverse-event discontinuation ranged from 10.8% to 27.0%.

  • Lilly: EloraTZP Phase 2b resultsOriginal sponsor results announcement; not regulatory approval · Published/updated: 30 September 2026 · Source review: 9 October 2026 · Source review required
  • ClinicalTrials.gov record NCT06603571Original source — see findings and limitations · Published 29 September 2026 · Reviewed 1 October 2026 · Sponsor-submitted registry evidence for completed Phase 2 status, actual dates and enrolment; not automatically content-monitored.
Research programme

Aleniglipron / GSBR-1290

Phase 3 ACCOMPLISH programme; ACCOMPLISH-2 recruiting

Developer not recorded

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Structure’s 8 September update confirms Phase 3 ACCOMPLISH studies of its oral GLP-1 candidate. Earlier Phase 2 reports no longer describe the full development stage. The sponsor-submitted NCT07654374 record now shows ACCOMPLISH-2 recruiting after an actual 17 July 2026 start. The Phase 3 study evaluates oral once-daily aleniglipron in adults with obesity or overweight and type 2 diabetes, with 1,100 estimated participants and a week-76 body-weight endpoint.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval. Recruitment and an actual start are not results or completion. The registry has no posted results; September 2028 primary completion and November 2028 study completion remain estimates. The type 2 diabetes population and maintenance-dose design must not be silently generalized to every aleniglipron study or indication.

  • Structure: aleniglipron and oral amylin updateOriginal sponsor statement; not regulatory approval · Published/updated: 8 September 2026 · Source review: 6 October 2026 · Source review required
  • ClinicalTrials.gov NCT07654374: ACCOMPLISH-2Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 17 June 2026 · Updated 11 September 2026Start 17 July 2026 (actual) · Primary completion 1 September 2028 (estimated) · Completion 1 November 2028 (estimated)Medical evidence summary reviewed 11 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ACCG-2671

Phase 1b/2a clinical programme

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Structure describes an investigational oral small-molecule amylin/calcitonin receptor agonist. Early clinical development is distinct from late-stage treatment evidence.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval.

Research programme

Berobenatide / PF-3944 / PF-08653944 / MET-097i

Phase 3 VESPER-4 and VESPER-6 initiated; VESPER-6 recruiting

Developer not recorded

Evidence summary reviewed 30 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Pfizer's 3 February update reports VESPER-4 initiation. Pfizer's later participant page describes the once-monthly VESPER-6 study, and the sponsor-submitted registry record names the medicine berobenatide (PF-08653944), lists the study as recruiting and records an actual 10 June 2026 start.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

These are programme and recruitment updates, not results, UK marketing authorisation, NHS access or evidence of retail supply. VESPER-6 has an estimated May 2028 primary completion date; weekly and monthly regimens remain distinct.

  • Pfizer: VESPER development updatePfizer original release; exact official investor-hosted PDF bytes are automatically monitored, not regulatory approval · Published/updated: 3 February 2026 · Source review: 9 October 2026 · Source review required
  • Pfizer VESPER-6 participant informationOriginal sponsor trial-participant information; not regulatory approval · Published/updated: Not stated by the source · Source review: 9 October 2026 · Source review required
  • ClinicalTrials.gov NCT07595549 (VESPER-6)Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 19 May 2026 · Updated 28 September 2026Start 10 June 2026 (actual) · Primary completion 4 May 2028 (estimated) · Completion 21 June 2028 (estimated)Medical evidence summary reviewed 30 September 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Enicepatide / CT-388

Phase III ENITH-1/2 ongoing; separate Phase II diabetes results

Developer not recorded

Evidence summary reviewed 7 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Roche reported CT388-104 results on 22 September 2026 in adults with type 2 diabetes and overweight or obesity. ENITH-1/2 weight-management trials are ongoing; additional diabetes and cardiovascular Phase III studies are planned for the first half of 2027. The sponsor-submitted NCT06525935 record now describes the 48-week Phase 2 obesity study as completed after an actual 16 August 2024 start and 8 December 2025 completion, with 469 actual participants. A separate enicepatide Phase 2 study in 447 actual participants with type 2 diabetes and overweight or obesity was updated on 6 October 2026. The record reports an actual 21 November 2024 start, actual 29 May 2026 primary completion and actual 30 September 2026 study completion. The exact ENITH-1 and ENITH-2 Phase 3 records are recruiting after actual 16 and 23 March 2026 starts. ENITH-1 estimates 2,000 participants without type 2 diabetes and ENITH-2 estimates 1,600 participants with type 2 diabetes; both retain estimated 2028 completion dates.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Sponsor-reported results; gastrointestinal adverse events and discontinuations occurred. Planned studies and research results do not establish UK authorisation, NHS access or supply. ClinicalTrials.gov has no posted results for NCT06525935. Completion and actual enrolment do not independently confirm the sponsor-reported Phase 2 findings, establish an approved dose or replace separate outcome review. The registry record does not change the investigational status of enicepatide or establish UK marketing authorisation, NICE or NHS access, UK supply or clinical approval. This completed registry record has no posted results. Completion and actual enrolment do not establish clinical benefit, confirm sponsor-reported findings from another study, advance Phase 3 events or establish an approved dose or indication. Neither ENITH record has posted results. Recruiting status, actual starts and estimated enrolment do not establish efficacy, safety, completed enrolment, UK authorisation, NICE or NHS access, actual supply or an approved dose.

  • Roche: ADA 2026 obesity programme announcementOriginal sponsor statement; not regulatory approval · Published/updated: 1 June 2026 · Source review: 6 October 2026 · Source review required
  • Enicepatide CT388-104 Phase II resultssponsor announcement · Published/updated: 22 September 2026 · Source review: 9 October 2026 · Source review required
  • Roche Q1 2026 presentation, page 33Original source — see findings and limitations · Published 23 April 2026 · Reviewed 29 September 2026 · PDF read for trial-stage evidence; not automatically content-monitored.
  • ClinicalTrials.gov NCT06525935: enicepatide Phase 2 obesity studyTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 29 July 2024 · Updated 5 October 2026Start 16 August 2024 (actual) · Primary completion 8 December 2025 (actual) · Completion 8 December 2025 (actual)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06628362: completed enicepatide Phase 2 diabetes studyTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 8 October 2024 · Updated 6 October 2026Start 21 November 2024 (actual) · Primary completion 29 May 2026 (actual) · Completion 30 September 2026 (actual)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07351045: ENITH-1 without type 2 diabetesTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 20 January 2026 · Updated 14 September 2026Start 16 March 2026 (actual) · Primary completion 24 July 2028 (estimated) · Completion 28 August 2028 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07351058: ENITH-2 with type 2 diabetesTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 20 January 2026 · Updated 14 September 2026Start 23 March 2026 (actual) · Primary completion 7 August 2028 (estimated) · Completion 7 August 2028 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Roche for Patients: ENITH-1Original source — see findings and limitations · Published Not stated by the source · Reviewed 7 October 2026 · Official sponsor study page reviewed for programme identity and study population; publication and update dates were not verified and the page is not automatically monitored.
  • Roche for Patients: ENITH-2Original source — see findings and limitations · Published Not stated by the source · Reviewed 7 October 2026 · Official sponsor study page reviewed for programme identity and study population; publication and update dates were not verified and the page is not automatically monitored.
Discontinued programme

Danuglipron

Development discontinued

Developer not recorded

Evidence summary reviewed 29 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Pfizer announced discontinuation on 14 April 2025. It should not remain on a list of advancing treatment candidates.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval.

  • Pfizer: danuglipron discontinuedPfizer original release; exact official investor-hosted PDF bytes are automatically monitored, not regulatory approval · Published/updated: 14 April 2025 · Source review: 9 October 2026 · Source review required
Paused programme

Dapiglutide

Development paused

Developer not recorded

Evidence summary reviewed 30 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Zealand’s 13 November 2025 financial update records development paused as a portfolio decision. This dated announcement does not establish subsequent resumption; paused is not permanently discontinued.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval.

Discontinued programme

AMG 513

Future development discontinued; Phase 1 completed without posted results

Developer not recorded

Evidence summary reviewed 7 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Amgen’s Q2 2026 update says future development will stop while the existing Phase 1 study follows enrolled participants through completion. The sponsor-submitted Phase 1 record was updated on 6 October 2026 and now reports completed status after an actual 16 September 2026 completion, with 82 actual participants.

UK authorisation

The cited research evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NHS access is established by these research sources.

Actual supply

Trial development is not evidence of lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A dated source summary, not a prescribing guide, efficacy ranking or prediction of approval. Completed trial status does not reverse Amgen's separate decision to discontinue future development and does not mean results were posted. The registry has no posted results and establishes no approved use, UK access or supply.

  • Amgen: Q2 2026 pipeline updateOriginal sponsor statement; not regulatory approval · Published/updated: Not stated by the source · Source review: 6 October 2026 · Source review required
  • ClinicalTrials.gov NCT06585462: completed AMG 513 Phase 1 studyTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 5 September 2024 · Updated 6 October 2026Start 9 September 2024 (actual) · Primary completion 16 September 2026 (actual) · Completion 16 September 2026 (actual)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Elecoglipron

Phase IIb results; Phase III programme announced

Developer not recorded

Evidence summary reviewed 30 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

As reported by the cited source: AstraZeneca reported VISTA and SOLSTICE results and advancement into EMBOLD obesity and ELUMINATE diabetes development. This does not verify initiation of every planned trial.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

Gastrointestinal adverse events were common. Obesity, diabetes, combination and outcome studies require separate stage checks.

Research programme

Ribupatide injection / KAI-9531

Global Phase 3 fully enrolled; China specialist-indication studies active

Developer not recorded

Evidence summary reviewed 7 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Kailera's 30 September 2026 announcement says enrolment is complete across the three global Phase 3 KaiNETIC injection trials: approximately 2,500 adults in KaiNETIC-1, 1,200 in KaiNETIC-2 and 1,200 in KaiNETIC-3. Topline data are expected in mid-2028; this is a planned date, not a completed result. Kailera reported a separate 51-participant Phase 1 injection-site study. This does not change the global Phase 3 stage or prove results from the fully enrolled KaiNETIC programme. Two separate Chinese sponsor-submitted Phase 3 records add specialist and comparator contexts: NCT07285902 is active, not recruiting after an actual 25 December 2025 start and compares HRS9531 injection with semaglutide in 572 actual participants; NCT07709910 studies ribupatide in people with obesity and knee osteoarthritis but remains not yet recruiting with an estimated July 2026 start and 382 estimated participants. Broader registry discovery found two recruiting Chinese Phase 3 obstructive-sleep-apnoea studies (NCT06974851 and PAP-treated NCT06994650), a recruiting 9,262-participant Phase 3 cardiovascular-outcomes study (NCT07551492), and an active-not-recruiting 48-participant Phase 1 adolescent-obesity study (NCT07559136). NCT07660848 separately studies ribupatide and HRS-4729 arms in recruiting Phase 2 MASH research. Hengrui also reported topline results from the 158-participant Phase 2 HRS9531-207 study in women with obesity and polycystic ovary syndrome (NCT06595797); the older registry record remains UNKNOWN, retains 144 estimated participants and has no posted results. The three global KaiNETIC records updated on 6 October 2026 now report actual enrolment of 2,530 participants without diabetes and weight-related comorbidities, 1,270 with diabetes, and 1,270 in the semaglutide-and-placebo comparator study. All three are active, not recruiting after actual December 2025 or January 2026 starts.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

This sponsor-reported enrolment milestone is not a trial result, regulatory approval or evidence of UK access or supply. The three injection trials have different populations and comparators. It does not advance the separate oral ribupatide programme. Neither Chinese record has posted results. Active-not-recruiting status and actual enrolment in the comparator study are not comparative results, while the knee-osteoarthritis start remains an estimate. These studies do not establish an authorised osteoarthritis indication, symptom benefit, superiority, UK access or supply. These are China-based indication-specific studies, not evidence that sleep apnoea, cardiovascular disease, adolescent obesity, MASH or polycystic ovary syndrome are authorised ribupatide indications. Recruiting and active-not-recruiting records have no posted results. The 9,262-participant cardiovascular study is event-driven and its estimated 2031 completion is not a completed outcome. Hengrui's polycystic-ovary-syndrome findings are sponsor-reported topline results; the registry discrepancy and absence of registry-posted results remain explicit. None establishes UK authorisation, NICE/NHS access, UK supply or clinical approval. These status and actual-enrolment updates are not results. All three global records have no posted results and retain estimated 2028 completion dates; the semaglutide arm is a study comparator, not evidence of superiority or an approved switching regimen.

  • Kailera Q2 2026 programme updatesponsor announcement · Published/updated: 12 August 2026 · Source review: 10 October 2026 · Source review required
  • Kailera: KaiNETIC global Phase 3 enrolment completedOriginal sponsor programme announcement; not regulatory approval · Published/updated: 30 September 2026 · Source review: 10 October 2026 · Source review required
  • kailera-easd-20261001Original source — see findings and limitations · Published 1 October 2026 · Reviewed 1 October 2026 · Primary evidence read for this factual update; not automatically content-monitored.
  • ClinicalTrials.gov NCT07285902: HRS9531 versus semaglutideTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 16 December 2025 · Updated 27 February 2026Start 25 December 2025 (actual) · Primary completion 1 March 2027 (estimated) · Completion 1 March 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07709910: ribupatide in obesity and knee osteoarthritisTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 17 July 2026 · Updated 17 July 2026Start 1 July 2026 (estimated) · Primary completion 1 November 2028 (estimated) · Completion 1 December 2028 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Hengrui: Phase 2 HRS9531-207 topline results in obesity with polycystic ovary syndromeOriginal source — see findings and limitations · Published 8 July 2026 · Reviewed 12 October 2026 · Complete original sponsor announcement read for trial identity, sponsor-reported topline outcomes, 158-participant enrolment and HRS9531/KAI-9531 identity; not an independent clinical assessment.
  • ClinicalTrials.gov NCT06595797: Phase II ribupatide in obesity with polycystic ovary syndromeTrial registry record · Last reviewed record: Unknown · No results posted at record-status review · First posted 19 September 2024 · Updated 19 September 2024Start 1 September 2024 (estimated) · Primary completion 1 December 2025 (estimated) · Completion 1 December 2025 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06974851: Phase III ribupatide in obesity with obstructive sleep apnoeaTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 16 May 2025 · Updated 17 November 2025Start 25 July 2025 (actual) · Primary completion 1 December 2026 (estimated) · Completion 1 December 2026 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06994650: Phase III ribupatide in obesity with obstructive sleep apnoea on PAP therapyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 29 May 2025 · Updated 26 January 2026Start 13 August 2025 (actual) · Primary completion 1 December 2026 (estimated) · Completion 1 January 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07551492: Phase III ribupatide cardiovascular-outcomes studyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 24 April 2026 · Updated 8 September 2026Start 29 May 2026 (actual) · Primary completion 24 May 2031 (estimated) · Completion 28 June 2031 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07559136: Phase I ribupatide in adolescents with obesityTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 30 April 2026 · Updated 28 September 2026Start 12 June 2026 (actual) · Primary completion 1 February 2027 (estimated) · Completion 1 April 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07660848: Phase II HRS-4729 and ribupatide study in MASHTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 22 June 2026 · Updated 26 August 2026Start 14 August 2026 (actual) · Primary completion 1 March 2028 (estimated) · Completion 1 July 2028 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07284875: KaiNETIC obesity or overweight without diabetesTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 16 December 2025 · Updated 6 October 2026Start 18 December 2025 (actual) · Primary completion 1 February 2028 (estimated) · Completion 1 March 2028 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07284901: KaiNETIC obesity or overweight with diabetesTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 16 December 2025 · Updated 6 October 2026Start 12 January 2026 (actual) · Primary completion 27 March 2028 (estimated) · Completion 24 April 2028 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07284979: KaiNETIC ribupatide, semaglutide and placebo studyTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 16 December 2025 · Updated 6 October 2026Start 30 December 2025 (actual) · Primary completion 1 March 2028 (estimated) · Completion 1 April 2028 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Oral ribupatide / KAI-9531-T

Recruiting China Phase III; global Phase III remains planned

Developer not recorded

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

As reported by the cited source: Kailera reports oral results from China and plans global Phase III initiation in the first half of 2027. NCT07670884 records a recruiting 675-participant Chinese Phase 3 study of once-daily HRS9531 tablets after an actual 24 July 2026 start, with estimated completion in November 2027.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

Planned initiation is not completed initiation. The Chinese oral Phase 3 record has no posted results and does not establish that the separately planned global Phase 3 programme has started. Formulation-specific China research does not establish UK authorisation, NICE/NHS access, supply or clinical approval.

  • Kailera Q2 2026 programme updatesponsor announcement · Published/updated: 12 August 2026 · Source review: 10 October 2026 · Source review required
  • ClinicalTrials.gov NCT07670884: Phase III oral ribupatide in overweight or obesityTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 26 June 2026 · Updated 13 August 2026Start 24 July 2026 (actual) · Primary completion 31 October 2027 (estimated) · Completion 30 November 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Safiglipron / KAI-7535 / HRS-7535

Global Phase II ongoing; separate China Phase III results and recruiting hypertension Phase III

Developer not recorded

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

As reported by the cited source: Kailera's oral programme and Hengrui's Chinese programme have different development stages. A separate Chinese sponsor-submitted Phase 3 record, NCT07528027, studies HRS-7535 for blood-pressure control in people with hypertension and overweight or obesity. It is recruiting after an actual 29 May 2026 start with 648 estimated participants.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

Keep sponsor, geography and study distinct. The hypertension study has no posted results. Recruitment and an actual start do not establish blood-pressure benefit, a new authorised indication, UK access or supply.

  • Kailera Q2 2026 programme updatesponsor announcement · Published/updated: 12 August 2026 · Source review: 10 October 2026 · Source review required
  • kailera-easd-20261001Original source — see findings and limitations · Published 1 October 2026 · Reviewed 1 October 2026 · Primary evidence read for this factual update; not automatically content-monitored.
  • ClinicalTrials.gov NCT07528027: HRS-7535 in hypertension with overweight or obesityTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 14 April 2026 · Updated 24 September 2026Start 29 May 2026 (actual) · Primary completion 1 December 2027 (estimated) · Completion 1 January 2028 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

KAI-4729 / HRS-4729

China Phase I results; recruiting China Phase II MASH study; global Phase I planned

Developer not recorded

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

As reported by the cited source: Kailera reports early triple-agonist data from China and plans global Phase I in 2026. Kailera's 1 October release adds Chinese Phase 1 findings for HRS-4729. The outside-China Phase 1 remained planned for 2026, with data expected in 2027; initiation was not confirmed. NCT07660848 records a recruiting Chinese Phase 2 MASH study with separate HRS-4729, ribupatide and matching-placebo arms after an actual 14 August 2026 start.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

Small early trial. Do not generalise efficacy or safety from individual dose cohorts. The MASH record has no posted results and does not confirm initiation of the separately planned outside-China Phase 1 programme. A multi-arm MASH study is not evidence of benefit, UK authorisation, NICE/NHS access, supply or clinical approval.

  • Kailera Q2 2026 programme updatesponsor announcement · Published/updated: 12 August 2026 · Source review: 10 October 2026 · Source review required
  • kailera-easd-20261001Original source — see findings and limitations · Published 1 October 2026 · Reviewed 1 October 2026 · Primary evidence read for this factual update; not automatically content-monitored.
  • ClinicalTrials.gov NCT07660848: Phase II HRS-4729 and ribupatide study in MASHTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 22 June 2026 · Updated 26 August 2026Start 14 August 2026 (actual) · Primary completion 1 March 2028 (estimated) · Completion 1 July 2028 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Olatorepatide / HS-20094

Chinese NDA accepted following Phase III

Developer not recorded

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

As reported by the cited source: Hansoh reports Chinese acceptance of its weight-management application for a weekly GLP-1/GIP injection. Acceptance is not marketing approval. Hansoh's 2 October sponsor announcement reports a 48-week randomized, double-blind, placebo-controlled Chinese Phase III LIGHTEN study in 604 adults with overweight or obesity. It reports 90.1% completion and, under the efficacy estimand, mean body-weight changes of -12.5%, -17.5% and -19.3% for weekly olatorepatide 5 mg, 10 mg and 15 mg versus -2.7% for placebo. Under the treatment-regimen estimand it reports -11.8%, -17.0% and -18.7% versus -2.5%.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

Regeneron is the partner outside Hansoh's retained territories. Do not confuse this asset with the Hansoh/Merck oral programme or infer a UK licence. These are sponsor-reported conference findings, not registry-posted results or a reviewed full paper. The sponsor reports average nausea, vomiting, diarrhoea and constipation rates across treatment groups and no treatment-related discontinuations or withdrawals; the Watch does not adopt the announcement's comparative tolerability framing. The Chinese study population and group averages are not personal predictions, a cross-trial ranking, UK authorisation, NICE or NHS access, UK supply, an approved dose or clinical approval.

  • Olatorepatide Chinese NDA acceptanceOriginal Hansoh sponsor announcement; Chinese application acceptance, not regulatory approval · Published/updated: 4 June 2026 · Source review: 12 October 2026 · Source review required
  • Hansoh: EASD 2026 LIGHTEN Phase III olatorepatide presentationOriginal source — see findings and limitations · Published 2 October 2026 · Reviewed 12 October 2026 · Complete original sponsor announcement read for the Chinese LIGHTEN Phase III design, participant count, completion, estimands, group-level weight changes and sponsor-reported gastrointestinal event rates; not automatically content-monitored.
Research programme

Apitegromab with tirzepatide

Published Phase II body-composition research

Developer not recorded

Evidence summary reviewed 30 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

As reported by the cited source: The EMBRAZE paper reports less lean-mass loss with the combination over 24 weeks; exploratory physical-function measures showed no notable group differences.

UK authorisation

Not established for this weight-management programme by the reviewed evidence; requires separate MHRA/product-information verification.

NHS — England

Not established by these research sources; no routine access claim proposed.

Actual supply

UK retail availability and stock unverified. Research development does not establish supply.

Limits and uncertainty

Lean mass is not equivalent to strength or function. Adverse events included gastrointestinal symptoms. The current pipeline page does not establish continuing obesity development; do not classify this as an advancing obesity programme or infer an obesity indication from another indication.

Research programme

Trevogrumab with semaglutide, with or without garetosmab

Phase 2 COURAGE; new 52-week findings reported 1 October 2026

Developer not recorded

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Regeneron reported less lean-mass loss with low-dose trevogrumab plus semaglutide. At 52 weeks, DXA lean-mass change was -4.2% with 75 mg versus -7.3% with placebo plus semaglutide. MRI thigh-muscle volume is a separate measure. Further Phase 2 research in older adults is planned.

UK authorisation

No UK authorisation established for this investigational programme by the reviewed evidence.

NHS — England

No NHS access established.

Actual supply

No UK retail availability or stock established. Trial participation is separate from commercial supply.

Limits and uncertainty

Sponsor report; Lancet paper in press, not independently read. Imaging does not establish improved strength or function. The 2025 garetosmab triplet had more discontinuations and two deaths; causation was not established. New low-dose results do not resolve that safety signal or establish tolerability superiority.

  • COURAGE Phase 2 body-composition findingssponsor announcement · Published/updated: 17 September 2025 · Source review: 9 October 2026 · Source review required
  • regeneron-courage-20261001Original source — see findings and limitations · Published 1 October 2026 · Reviewed 1 October 2026 · Primary evidence read for this factual update; not automatically content-monitored. Direct retrieval failed; primary-page search retrieval was read.
Research programme

HRS-1596

Phase I registered; not yet recruiting in the reviewed registry

Developer not recorded

Evidence summary reviewed 9 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Hengrui describes HRS-1596 as a GLP-1/GIP dual agonist being developed as a potential once-weekly oral treatment. ClinicalTrials.gov lists a Chinese Phase I study as not yet recruiting. Hengrui announced a proposed licence to Novo Nordisk outside Greater China; closing had not been confirmed by the reviewed evidence.

UK authorisation

No UK marketing authorisation is established by the reviewed evidence.

NHS — England

No NHS access is established by the reviewed evidence.

Actual supply

No lawful UK retail supply or pharmacy stock is established. Trial registration and a licence agreement are not supply.

Limits and uncertainty

Early-stage sponsor and registry evidence only. The trial is not yet recruiting, the proposed weekly dosing has not been established as an approved regimen, and the licence transaction remained subject to closing conditions.

  • Hengrui: HRS-1596 licence and Phase I readiness (official Chinese announcement)original sponsor announcement · Published/updated: 29 September 2026 · Source review: 9 October 2026 · Source review required
  • ClinicalTrials.gov NCT07841860Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 25 September 2026 · Updated 25 September 2026Start 1 September 2026 (estimated) · Primary completion 1 December 2026 (estimated) · Completion 1 May 2027 (estimated)Medical evidence summary reviewed 30 September 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Hengrui: HRS-1596 licence and Phase I readiness (official Chinese announcement)Original source — see findings and limitations · Published 29 September 2026 · Reviewed 9 October 2026 · Official original Chinese announcement read for Phase I permission, investigational weekly oral potential and proposed licence closing. Replaces blocked English monitoring endpoint; no new trial-start or closing assertion.
Discontinued programme

Emugrobart (GYM329 / RO7204239)

Obesity development discontinued after Phase II interim assessment

Developer not recorded

Evidence summary reviewed 7 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Chugai says Roche discontinued obesity development of the anti-latent-myostatin antibody after an interim assessment of the Phase II GYMINDA combination study made its pre-specified clinically meaningful weight-loss objective unlikely. Rights are being returned to Chugai; possible work in spinal muscular atrophy is a separate indication. A separate Phase 1 record studies emugrobart effects on insulin sensitivity, muscle composition and muscle function in 30 estimated participants with type 2 diabetes and overweight or obesity. It is active, not recruiting after an actual 30 September 2025 start and actual 14 September 2026 primary completion; overall completion remains estimated for 28 February 2027.

UK authorisation

No UK marketing authorisation is established by the reviewed evidence.

NHS — England

No NHS routine access is established by the reviewed evidence.

Actual supply

No lawful UK retail supply or pharmacy stock is established. UK trial sites were research locations and do not establish supply.

Limits and uncertainty

The sponsor announcement reports the interim conclusion but does not publish complete trial results. The registry had not yet reflected the later discontinuation notice, and its estimated overall completion remained in 2027. This record has no posted results and does not establish muscle preservation, strength, metabolic or weight benefit. Its active-not-recruiting follow-up status does not reverse Chugai's later 28 September 2026 statement that Roche ended future obesity development, establish a restart or support an approved use.

  • Chugai: discontinuation of emugrobart obesity developmentoriginal developer announcement · Published/updated: 28 September 2026 · Source review: 9 October 2026 · Source review required
  • ClinicalTrials.gov NCT06965413 (GYMINDA)Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 11 May 2025 · Updated 9 September 2026Start 5 May 2025 (actual) · Primary completion 3 September 2026 (actual) · Completion 31 March 2027 (estimated)Medical evidence summary reviewed 30 September 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07137585: emugrobart insulin-sensitivity and muscle-composition studyTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 22 August 2025 · Updated 29 September 2026Start 30 September 2025 (actual) · Primary completion 14 September 2026 (actual) · Completion 28 February 2027 (estimated)Medical evidence summary reviewed 7 October 2026 · Record status reviewed 7 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Roche for Patients: RO7204239 insulin-sensitivity and muscle-composition studyOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 7 October 2026 · Official sponsor study page reviewed for study identity and endpoints; publication and update dates were not verified and the page is not automatically monitored.
Research programme

ENV-308

Phase 1 sponsor-reported results; Phase 2 planned

Developer not recorded

Evidence summary reviewed 30 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Enveda describes ENV-308 as an investigational once-daily oral small molecule designed to mimic Lac-Phe and support weight and metabolic maintenance after GLP-1 treatment. The reported first-human study assessed safety, tolerability and drug behaviour in healthy volunteers; it did not test weight loss, body composition or post-GLP-1 maintenance. A Phase II maintenance study is planned.

UK authorisation

The sponsor says ENV-308 is not approved by any regulatory authority; no UK marketing authorisation is established.

NHS — England

No NHS access is established by the reviewed evidence.

Actual supply

No lawful UK retail supply or pharmacy stock is established. Early clinical research is not supply.

Limits and uncertainty

Human evidence is limited to the sponsor's Phase I summary in healthy volunteers. Human weight-maintenance, body-composition and lean-mass outcomes have not been demonstrated in the reviewed evidence, Phase II is only planned, and no matching ClinicalTrials.gov record was found.

Research programme

BI 3034701

Phase 2, active not recruiting

Boehringer Ingelheim; developed in cooperation with Gubra

Evidence summary reviewed 30 September 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Boehringer Ingelheim, working with Gubra, is developing an injectable GLP-1/GIP/NPY2 receptor agonist for obesity or overweight. Its Phase 2 study records 344 actual participants and began on 30 June 2026. Completion is estimated in 2027; no results are posted. A separate Phase 1 dose-titration study remains recruiting.

UK authorisation

Not established by the reviewed research sources. UK trial locations do not establish a marketing authorisation.

NHS — England

Not established by the reviewed evidence.

Actual supply

No commercial UK supply or pharmacy stock established.

Limits and uncertainty

Sponsor descriptions of differentiation and earlier tolerability are not evidence of comparative effectiveness, proven muscle preservation or established safety and efficacy.

  • Boehringer: Phase 2 announcementOriginal source — see findings and limitations · Published 16 July 2026 · Reviewed 30 September 2026 · Primary evidence read; not automatically content-monitored.
  • ClinicalTrials.gov NCT07662122 — updated 2026-09-29Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 23 June 2026 · Updated 29 September 2026Start 30 June 2026 (actual) · Primary completion 26 June 2027 (estimated) · Completion 10 July 2027 (estimated)Medical evidence summary reviewed 30 September 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07754474 — updated 2026-09-23Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 10 August 2026 · Updated 23 September 2026Start 1 September 2026 (actual) · Primary completion 21 June 2027 (estimated) · Completion 21 June 2027 (estimated)Medical evidence summary reviewed 30 September 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Macupatide / LY3532226

Active, not recruiting Phase 2 combination study; separate Phase 1 study not yet recruiting

Eli Lilly and Company

Evidence summary reviewed 9 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records an active, not recruiting Phase 2 study (record updated 9 October 2026) of macupatide and eloralintide, alone or in combination, in an estimated 200 adults with obesity or overweight and type 2 diabetes. It records an actual 16 October 2025 start and estimated March 2027 primary completion. A separate Japanese Phase 1 study remains not yet recruiting and has only an estimated October 2026 start.

UK authorisation

The reviewed registry records do not establish UK marketing authorisation for macupatide or the combination.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Research participation does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Active, not recruiting status is not a result. Neither study has posted results, estimated enrolment and completion dates may change, and the Phase 1 study must not be described as started while its registry status remains not yet recruiting.

  • ClinicalTrials.gov NCT07765511 — planned Phase 1 studyTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 14 August 2026 · Updated 14 August 2026Start 1 October 2026 (estimated) · Primary completion 1 June 2027 (estimated) · Completion 1 June 2027 (estimated)Medical evidence summary reviewed 1 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07215559 — lifecycle reviewed 9 October 2026Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 10 October 2025 · Updated 9 October 2026Start 16 October 2025 (actual) · Primary completion 1 March 2027 (estimated) · Completion 1 May 2027 (estimated)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

IBIO-600

Phase 1; registry recruiting as last updated 29 May 2026

iBio

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A subcutaneous anti-myostatin/GDF11 antibody being studied in adults with overweight or obesity. iBio announced first-participant dosing on 2 June 2026. NCT07487376 records a randomised single-ascending-dose trial with 32 estimated participants and no posted results.

UK authorisation

No UK authorisation established for this investigational programme by the reviewed evidence.

NHS — England

No NHS access established.

Actual supply

No UK retail availability or stock established. Trial participation is separate from commercial supply.

Limits and uncertainty

An older coverage omission, not a new October launch. Human muscle-preservation benefits and GLP-1 combination efficacy are unestablished. Registry estimated completion is May 2027; the sponsor's June release expected the second half of 2027. Preserve both estimates and verify later progress; do not treat either as completed.

  • ibio600-first-dose-20260602Original source — see findings and limitations · Published 2 June 2026 · Reviewed 1 October 2026 · Primary evidence read for this factual update; not automatically content-monitored.
  • ibio600-registryTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 23 March 2026 · Updated 29 May 2026Start 24 May 2026 (actual) · Primary completion 1 May 2027 (estimated) · Completion 1 May 2027 (estimated)Medical evidence summary reviewed 1 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

MBX 4291

Phase 1 recruiting; preliminary blinded sponsor data

MBX Biosciences

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A long-acting GLP-1/GIP co-agonist peptide prodrug being studied in adults with obesity. MBX reported preliminary blinded eight-week data from a small Phase 1 cohort on 11 May 2026. The registry remained recruiting at its 9 June 2026 update and has no posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for MBX 4291.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Trial development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The reported cohort contained eight people including two receiving placebo, remained blinded, and was not a completed controlled result. Once-monthly dosing is a development aim, not an authorised regimen.

  • MBX Biosciences obesity portfolio updateOriginal source — see findings and limitations · Published 11 May 2026 · Reviewed 1 October 2026 · Original sponsor announcement read for Phase 1 design, preliminary blinded data and planned dosing; not automatically content-monitored.
  • ClinicalTrials.gov NCT07142707Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 27 August 2025 · Updated 9 June 2026Start 3 September 2025 (actual) · Primary completion 30 October 2026 (estimated) · Completion 30 October 2026 (estimated)Medical evidence summary reviewed 1 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ARO-INHBE

Recruiting Phase 1/2a; interim sponsor data

Arrowhead Pharmaceuticals

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

An RNA-interference programme designed to reduce hepatic INHBE expression and Activin E. Arrowhead reported interim Phase 1/2a metabolic and body-composition findings on 27 May 2026. The registry remained recruiting at its 25 September update and has no posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for ARO-INHBE.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Research participation does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Interim sponsor-reported findings from an early, dose-escalating study do not establish efficacy, approval or a future dosing interval. Liver-fat and imaging measures are not interchangeable with long-term weight, strength or clinical outcomes.

  • Arrowhead ARO-INHBE EASL 2026 updateOriginal source — see findings and limitations · Published 27 May 2026 · Reviewed 1 October 2026 · Original sponsor announcement read for interim Phase 1/2a findings and limitations; not automatically content-monitored.
  • ClinicalTrials.gov NCT06700538Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 22 November 2024 · Updated 25 September 2026Start 4 December 2024 (actual) · Primary completion 17 September 2027 (estimated) · Completion 17 January 2028 (estimated)Medical evidence summary reviewed 1 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

LX9851

Phase 1 initiated

Novo Nordisk / Lexicon Pharmaceuticals

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

An oral non-incretin small-molecule ACSL5 inhibitor licensed by Novo Nordisk from Lexicon. The companies announced first-in-human Phase 1 initiation on 23 March 2026 in people with overweight or obesity; completion was expected in the first quarter of 2027.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for LX9851.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The reviewed announcement confirms initiation, not results. The ClinicalTrials.gov exact-name search performed for this review returned no matching record, so current recruitment and dates were not independently verified.

  • Lexicon and Novo Nordisk LX9851 Phase 1 initiationOriginal source — see findings and limitations · Published 23 March 2026 · Reviewed 1 October 2026 · Original joint sponsor announcement read for mechanism, initiation and planned completion; not automatically content-monitored.
Research programme

NBIP-1968

Phase 1 initiated

Neurocrine Biosciences

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A once-weekly investigational GLP-1/GIP/glucagon receptor triple agonist. Neurocrine announced first-in-human Phase 1 initiation on 7 August 2026 and described intended later fixed-dose-combination development with its separate Phase 1 CRF2 agonist NBIP-2118.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for NBIP-1968 or the proposed combination.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The reviewed announcement confirms initiation of single-ascending-dose research, not efficacy or combination results. The proposed fixed-dose combination is a development intention, not a completed study or approved regimen.

  • Neurocrine NBIP-1968 Phase 1 initiationOriginal source — see findings and limitations · Published 7 August 2026 · Reviewed 1 October 2026 · Original sponsor announcement read for Phase 1 initiation, formulation and proposed combination; not automatically content-monitored.
Research programme

CRB-913

Phase 1b completed without posted registry results; Phase 2 planned

Corbus Pharmaceuticals

Evidence summary reviewed 9 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A once-daily oral, peripherally restricted CB1 inverse agonist. Corbus reported CANYON-1 topline Phase 1b results on 14 September 2026 after 12 weeks of treatment. A Phase 2 monotherapy study was planned for the first half of 2027, not yet treated as started. The registry update posted on 9 October 2026 records CANYON-1 as completed with 254 actual participants and actual primary and study completion on 3 August 2026.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for CRB-913.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The 9 October registry update confirms completed status but has no posted results. The September sponsor topline announcement remains separate evidence for findings, not registry results or a head-to-head comparison. Planned Phase 2 remains unconfirmed as started.

  • Corbus CANYON-1 topline resultsOriginal source — see findings and limitations · Published 14 September 2026 · Reviewed 1 October 2026 · Original sponsor announcement read for study design, topline findings, adverse events and planned Phase 2; not automatically content-monitored.
  • ClinicalTrials.gov NCT07310901 — lifecycle reviewed 9 October 2026Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 30 December 2025 · Updated 9 October 2026Start 4 December 2025 (actual) · Primary completion 3 August 2026 (actual) · Completion 3 August 2026 (actual)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

SYNT-101

Phase 1/1b 28-day multiple-dose sponsor results; Phase 2 planned

Syntis Bio

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

An investigational daily oral tablet intended to create a transient lining in the small intestine and alter nutrient absorption. On 15 September 2026 Syntis reported observations from the randomised, double-blind, placebo-controlled 28-day multiple-ascending-dose portion in 23 adults with overweight or obesity. The company reported greater weight loss than placebo in each dose cohort and changes in satiety-related hormones; a Phase 2 study was planned for 2027, not treated as started.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for SYNT-101.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Small, early sponsor-reported study. Detailed results were still due for presentation in November 2026 and were not independently reviewed here. The announcement does not provide complete cohort-level weight-loss estimates in its text. Preclinical lean-muscle findings are not human evidence, and the study does not establish long-term benefit, comparative efficacy, UK authorisation, NHS access or supply.

  • Syntis SYNT-101 initial Phase 1/1b dataOriginal source — see findings and limitations · Published 16 July 2026 · Reviewed 1 October 2026 · Original sponsor announcement read for single-dose findings, mechanism and planned multiple-dose reporting; not automatically content-monitored.
  • Syntis SYNT-101 28-day Phase 1/1b multiple-dose resultsOriginal source — see findings and limitations · Published 15 September 2026 · Reviewed 1 October 2026 · Original sponsor announcement read for the 28-day multiple-dose cohort and planned Phase 2; not automatically content-monitored.
Research programme

ALV-100

Recruiting Phase 2 maintenance study

Alveus Therapeutics

Evidence summary reviewed 1 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A GIP-receptor-antagonist/GLP-1-receptor-agonist fusion protein being studied for weight maintenance after semaglutide-associated weight loss. Alveus announced first-patient dosing in the Phase 2 PRESERVE study on 14 September 2026; the registry showed recruiting with an actual 10 August 2026 start at its 28 September update.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for ALV-100.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Research participation does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Recruitment and first dosing are not results. The maintenance population is selected after at least 10% weight loss on semaglutide; findings cannot be assumed for general obesity treatment or other prior medicines.

  • Alveus PRESERVE Phase 2 initiationOriginal source — see findings and limitations · Published 14 September 2026 · Reviewed 1 October 2026 · Original sponsor-distributed announcement read for study population, design and initiation; not automatically content-monitored.
  • ClinicalTrials.gov NCT07837973Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 24 September 2026 · Updated 28 September 2026Start 10 August 2026 (actual) · Primary completion 24 August 2027 (estimated) · Completion 24 August 2027 (estimated)Medical evidence summary reviewed 1 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Authorised outside the UK

Ecnoglutide / XW003

China NMPA weight-management approval reported by sponsor

Sciwind Biosciences

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Sciwind reported on 6 March 2026 that China's NMPA approved ecnoglutide injection for chronic weight management in Chinese adults with overweight or obesity. This is a China-specific authorisation, not a UK approval. A separate sponsor-submitted Chinese Phase 3 study in 360 people with obesity and knee osteoarthritis is recruiting after an actual 3 August 2026 start; it has no posted results.

UK authorisation

The reviewed source establishes a China NMPA approval only; it does not establish UK marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed source.

Actual supply

The China approval does not establish lawful UK retail supply, UK launch or pharmacy stock.

Limits and uncertainty

The regulatory claim and trial figures come from the developer's announcement. China authorisation, UK authorisation, NHS access and actual UK supply are separate questions. The specialist knee-osteoarthritis study is research, not an additional authorised indication or evidence of symptom benefit.

  • Sciwind ecnoglutide China NMPA approval announcementOriginal source — see findings and limitations · Published 6 March 2026 · Reviewed 2 October 2026 · Original sponsor announcement read in full for the China indication and approval boundary; not automatically content-monitored.
  • ClinicalTrials.gov NCT07734311Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 29 July 2026 · Updated 31 August 2026Start 3 August 2026 (actual) · Primary completion 31 May 2028 (estimated) · Completion 30 June 2028 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Authorised outside the UK

Mazdutide / IBI362

China-authorised; recruiting weight-maintenance research

Innovent Biologics

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Innovent reported on 27 June 2025 that China's NMPA approved mazdutide for chronic weight management in adults with overweight or obesity. This is a China-specific authorisation, not a UK approval. Separately, the investigator-sponsored NCT07517042 record describes a recruiting Chinese maintenance study after an actual 10 June 2026 start. It compares reduced-dose weekly mazdutide, intensive lifestyle support, their combination and standard health education after initial mazdutide-assisted weight loss.

UK authorisation

The reviewed source establishes a China NMPA approval only; it does not establish UK marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed source.

Actual supply

The China approval does not establish lawful UK retail supply, UK launch or pharmacy stock.

Limits and uncertainty

The regulatory claim comes from the developer's announcement. China authorisation, UK authorisation, NHS access and actual UK supply are separate questions. The maintenance study has no posted results. Its 420-participant enrolment and December 2028 completion remain estimates, and it does not establish that reduced-dose mazdutide, lifestyle support or their combination maintains weight loss. China authorisation does not establish UK authorisation, NHS access or UK supply.

  • Innovent mazdutide China NMPA approval announcementOriginal source — see findings and limitations · Published 27 June 2025 · Reviewed 2 October 2026 · Original sponsor page and indexed official-page text reviewed for the China approval and indication boundary; the public page is JavaScript-rendered and is not automatically content-monitored.
  • ClinicalTrials.gov NCT07517042: ASCEND-1 mazdutide maintenance studyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 8 April 2026 · Updated 15 September 2026Start 10 June 2026 (actual) · Primary completion 1 December 2028 (estimated) · Completion 1 December 2028 (estimated)Medical evidence summary reviewed 11 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ASC36 subcutaneous injection

US Phase 1 initiation reported by sponsor

Ascletis

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis reported injectable ASC36 Phase 1 initiation on 10 August 2026. Monthly-to-quarterly dosing is a development objective, not an established regimen.

UK authorisation

The reviewed research source does not establish UK marketing authorisation; US IND clearance is not marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

This is separate from oral ASC36. Registry corroboration remains missing, and reported animal findings are not human efficacy evidence.

Research programme

ASC36_35FDC subcutaneous combination

US Phase 1 initiation reported by sponsor

Ascletis

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis reported Phase 1 initiation on 10 August 2026 for an investigational monthly injectable co-formulation targeting amylin, GLP-1 and GIP receptors.

UK authorisation

The reviewed research source does not establish UK marketing authorisation; US IND clearance is not marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Combination evidence is distinct from either monotherapy. No completed human efficacy results are established, and registry corroboration remains missing.

Research programme

ASC35 subcutaneous injection

Recruiting Phase 1; NCT07842640

Ascletis

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a recruiting Phase 1 study of investigational monthly ASC35 Injection B, with an actual 27 August 2026 start, estimated enrolment of 84 and estimated June 2027 completion.

UK authorisation

The reviewed research source does not establish UK marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Trial participation does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

No results are posted. Ascending-dose cohorts, a tirzepatide comparator and estimated completion are not evidence of efficacy, superiority or completion.

  • ClinicalTrials.gov NCT07842640Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 25 September 2026 · Updated 25 September 2026Start 27 August 2026 (actual) · Primary completion 1 June 2027 (estimated) · Completion 1 June 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ARO-ALK7

Recruiting Phase 1/2a

Arrowhead Pharmaceuticals

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Arrowhead's current pipeline records a recruiting first-in-human study in adults with obesity. It evaluates ARO-ALK7 alone and, separately, with tirzepatide; an estimated completion date is not treated as completed research.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Recruiting status and sponsor descriptions are not results. Preclinical body-composition findings do not establish human efficacy, muscle function or future approval, and the cited pipeline's July 2026 estimated completion date is not proof that the study completed.

  • Arrowhead current pipeline: ARO-ALK7Original source — see findings and limitations · Published Not stated by the source · Reviewed 2 October 2026 · Current original sponsor pipeline read for recruiting status, Phase 1/2a design, combination arm and the distinction between estimates and completed events; not automatically content-monitored.
  • Arrowhead ARO-ALK7 Phase 1/2a initiationPreclinical research — see limitations · Published 2 June 2025 · Reviewed 2 October 2026 · Original sponsor announcement read for first dosing and study design; preclinical claims retained as preclinical; not automatically content-monitored.
  • ClinicalTrials.gov NCT06937203Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 22 April 2025 · Updated 8 July 2026Start 9 May 2025 (actual) · Primary completion 1 February 2027 (estimated) · Completion 1 February 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

MWN105 injection

Completed Phase 2 registry; no results posted

Shanghai Minwei Biotechnology

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a Chinese Phase 2 study of once-weekly subcutaneous MWN105 in 120 non-diabetic participants with overweight or obesity. It started on 3 September 2025 and completed on 16 April 2026.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Completed registry status does not mean results have been published or establish efficacy. No results are posted, and the registry does not establish the medicine's mechanism, authorisation or availability.

  • ClinicalTrials.gov NCT07804810Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 4 September 2026 · Updated 4 September 2026Start 3 September 2025 (actual) · Primary completion 21 March 2026 (actual) · Completion 16 April 2026 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

IBI3032 tablets

Completed Phase 1 registry; no results posted

Innovent Biologics

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a completed Chinese Phase 1 study of oral IBI3032 tablets: single ascending doses in healthy participants and four weeks of multiple ascending doses in participants with overweight or obesity.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The 80-participant study completed on 10 August 2026, but no results are posted. Completion does not establish efficacy, a later development stage, authorisation, access or supply.

  • ClinicalTrials.gov NCT07160400Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 8 September 2025 · Updated 11 September 2026Start 4 September 2025 (actual) · Primary completion 6 August 2026 (actual) · Completion 10 August 2026 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

HDM1005 injection

Recruiting Phase 2; tirzepatide-controlled

Hangzhou Zhongmei Huadong Pharmaceutical

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a recruiting Chinese Phase 2 study comparing three once-weekly HDM1005 dose groups with tirzepatide in adults with obesity without diabetes. Actual study start was 31 March 2026; estimated enrolment is 372.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

A comparator arm is not evidence of superiority. Recruitment, estimated July 2027 completion and planned 52-week treatment do not establish completed results, authorisation or supply.

  • ClinicalTrials.gov NCT07521631Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 13 April 2026 · Updated 13 April 2026Start 31 March 2026 (actual) · Primary completion 4 February 2027 (estimated) · Completion 23 July 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

NPM-139 semaglutide implant

Phase 1 registered; not yet recruiting

Vivani Medical

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted SLIM-1 registry record describes a four-week Phase 1 comparison of a subcutaneous semaglutide implant with weekly Wegovy injections in 20 participants with overweight or obesity.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The record remained not yet recruiting at its 30 June 2026 update even though the estimated start was July 2026. Planned dates and a registered comparison are not first dosing, results, UK authorisation or evidence of supply.

  • ClinicalTrials.gov NCT07430059Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 24 February 2026 · Updated 30 June 2026Start 1 July 2026 (estimated) · Primary completion 1 December 2026 (estimated) · Completion 1 January 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

UBT251 / NN9559

Chinese Phase 2 results; global Phase 1b/2a ongoing

United Biotechnology / Novo Nordisk

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Novo Nordisk and United Biotechnology sponsor-reported evidence describes once-weekly injectable UBT251 as a GLP-1/GIP/glucagon triple agonist. A Chinese Phase 2 obesity study reported up to 19.7% mean weight loss after 24 weeks; Novo's later pipeline presentation records a separate global Phase 1b/2a obesity study as ongoing.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for UBT251 or this formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development, licensing rights or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The numerical findings are sponsor-reported and do not support cross-trial comparisons. Novo's September 2026 expectation to initiate weight-management Phase 3 in mid-2027 is a plan, not a completed event, result or regulatory decision.

  • Novo Nordisk and United Biotechnology: UBT251 Chinese Phase 2 topline resultsOriginal source — see findings and limitations · Published 24 February 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for formulation, mechanism, Chinese Phase 2 design, 24-week sponsor-reported result, partnership responsibilities and the separate global Phase 1b/2a plan; not automatically content-monitored.
  • Novo Nordisk Capital Markets Day 2026 obesity presentationOriginal source — see findings and limitations · Published 21 September 2026 · Reviewed 2 October 2026 · Original sponsor pipeline presentation read for the ongoing global Phase 1b/2a obesity study, Chinese Phase 2 context and planned mid-2027 Phase 3 timing; forward-looking dates remain plans; not automatically content-monitored.
  • ClinicalTrials.gov NCT07177469Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 17 September 2025 · Updated 24 September 2026Start 14 March 2025 (actual) · Primary completion 22 October 2025 (actual) · Completion 19 November 2025 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

SGB-7342

Phase 1 first participant dosed; registry status predates sponsor update

SanegeneBio / Suzhou Sanegene Bio

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

SanegeneBio reports that the first participant was dosed in January 2026 in a Chinese Phase 1 study of subcutaneous SGB-7342. The investigational GalNAc-conjugated siRNA targets INHBE messenger RNA; the registered study is a single-ascending-dose safety, tolerability, pharmacokinetic and pharmacodynamic study in adults with obesity or overweight.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for SGB-7342 or this formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

A Chinese Phase 1 study and sponsor pipeline listing do not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The ClinicalTrials.gov record was last updated before the sponsor's first-participant announcement and still displayed not yet recruiting when reviewed. Sponsor-described fat-mass and lean-mass observations are preclinical and are not presented as human efficacy, body-composition or muscle-function evidence. No human study results are posted.

  • SanegeneBio: first participant dosed in Phase 1 SGB-7342 trialPreclinical research — see limitations · Published 13 January 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for the first-participant event, formulation, INHBE RNAi mechanism and Phase 1 design; sponsor preclinical observations remain labelled preclinical; not automatically content-monitored.
  • ClinicalTrials.gov NCT07324850Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 8 January 2026 · Updated 9 January 2026Start 12 January 2026 (estimated) · Primary completion 28 October 2026 (estimated) · Completion 14 April 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ABBV-295

Phase 2 recruiting; separate Phase 1 sponsor results

AbbVie

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

AbbVie's sponsor-submitted NCT07752979 record, updated 6 October 2026, remains a recruiting Phase 2 dose-finding study of subcutaneous ABBV-295 versus placebo in adults with obesity or overweight and weight-related conditions. It records an actual 4 August 2026 start, 360 estimated participants and estimated March 2028 completion. The 30 September sponsor announcement reports separate Phase 1 findings.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or any dosing regimen.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Early clinical development does not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

The sponsor's 30 September announcement described Phase 2 advancement prospectively, while the registry records an actual earlier start; both dated accounts are retained. The 6 October registry update does not change the programme's recruiting Phase 2 stage, estimated enrolment or estimated completion and still has no posted results. Recruitment does not establish efficacy, long-term safety, superiority, an approved dosing interval, UK authorisation, NHS access or supply. The reported Phase 1 cohorts were small and 88% male. No clinical approval is claimed.

  • AbbVie detailed ABBV-295 Phase 1 announcementOriginal source — see findings and limitations · Published 30 September 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for study design, reported cohort size, dosing intervals, findings, approval boundary and planned Phase 2 development; not automatically content-monitored.
  • ClinicalTrials.gov NCT06144684Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 22 November 2023 · Updated 15 January 2026Start 29 November 2023 (actual) · Primary completion 5 January 2026 (actual) · Completion 5 January 2026 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07752979: ABBV-295 Phase 2Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 7 August 2026 · Updated 8 October 2026Start 4 August 2026 (actual) · Primary completion 1 March 2028 (estimated) · Completion 1 March 2028 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07752979: 6 October 2026 record reviewTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 7 August 2026 · Updated 8 October 2026Start 4 August 2026 (actual) · Primary completion 1 March 2028 (estimated) · Completion 1 March 2028 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ASC30 oral tablet

Recruiting global Phase 3 AURORA programme; completed Phase 2 sponsor results

Ascletis Pharma

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Oral ASC30 is an investigational once-daily small-molecule GLP-1 receptor agonist. The sponsor reported the first participant dosed in the global Phase III AURORA programme. AURORA-1 studies adults with obesity or overweight without type 2 diabetes and records 3,003 estimated participants; AURORA-2 studies adults with obesity or overweight and type 2 diabetes and records 1,560 estimated participants. Both sponsor-submitted records are recruiting, have actual August 2026 starts, use 20 mg, 40 mg and 60 mg maintenance-dose groups versus placebo over 72 weeks, and have no posted results. The earlier completed US Phase 2 study and sponsor-reported results remain separate evidence.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for oral ASC30. Phase III recruitment and planned US or EU submissions are not UK approval.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed research evidence.

Actual supply

Global Phase III research and a completed US Phase 2 study do not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

The registries estimate 3,003 and 1,560 participants, while the sponsor describes approximately 4,600 across both trials; these figures are not actual enrolment. July 2028 completion, third-quarter 2028 topline data, an end-2028 US NDA and an early-2029 EMA application are estimates or sponsor plans, not completed events. Neither registry has posted results, so Phase III efficacy, safety, durability or superiority is not established. AURORA-2 is specialist type 2 diabetes research and must not be presented as results for people without diabetes. The oral formulation remains separate from depot ASC30 injection. None of this establishes UK authorisation, NICE/NHS access or UK supply.

  • Ascletis: first participant dosed in ASC30 AURORA Phase III programmeOriginal Ascletis sponsor announcement; first dosing and programme plans, not trial results or marketing authorisation · Published/updated: 30 August 2026 · Source review: 12 October 2026 · Source review required
  • Ascletis ADA 2026 programme announcementOriginal source — see findings and limitations · Published 30 April 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for the oral Phase 2 presentation and formulation distinction; not automatically content-monitored.
  • ClinicalTrials.gov NCT07002905Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 4 June 2025 · Updated 15 December 2025Start 3 July 2025 (actual) · Primary completion 8 December 2025 (actual) · Completion 8 December 2025 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07743463: ASC30 AURORA-1Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 3 August 2026 · Updated 16 September 2026Start 31 August 2026 (actual) · Primary completion 1 July 2028 (estimated) · Completion 1 July 2028 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07743450: ASC30 AURORA-2Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 3 August 2026 · Updated 16 September 2026Start 28 August 2026 (actual) · Primary completion 1 July 2028 (estimated) · Completion 1 July 2028 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

ASC30 subcutaneous depot

Phase 2 sponsor results; investigational monthly and maintenance regimens

Ascletis Pharma

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis reported a 65-participant US Phase 2 study of two subcutaneous depot formulations on 10 March 2026. Formulation A1 was given monthly three times; the sponsor described less-frequent maintenance dosing as a development possibility, not an authorised regimen.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for either ASC30 depot formulation or dosing schedule.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Sponsor-reported Phase 2 findings do not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

Sponsor topline results from a small early study. Monthly treatment and quarterly maintenance are development interpretations, not approved regimens. Formulation A2 did not achieve therapeutic exposure in the reported study and is not represented as equivalent to A1 or to oral ASC30.

  • Ascletis ASC30 depot Phase 2 announcementOriginal source — see findings and limitations · Published 10 March 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for participant count, formulation-specific exposure, dosing, sponsor-reported results and planned maintenance interpretation; not automatically content-monitored.
  • ClinicalTrials.gov NCT06679959Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 8 November 2024 · Updated 26 June 2026Start 16 September 2024 (actual) · Primary completion 26 March 2026 (actual) · Completion 26 March 2026 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Discontinued programme

TERN-601

Phase 2 completed; sponsor decided not to advance the programme

Terns Pharmaceuticals

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Terns reported 12-week Phase 2 FALCON findings in October 2025. Its subsequent quarterly filing states that the company would not advance TERN-601 or invest in other metabolic assets, so it is retained as a stopped programme rather than an advancing oral GLP-1 candidate.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for TERN-601.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

A completed trial does not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

The sponsor's portfolio decision is recorded separately from the Phase 2 trial observations. Completed research is not approval, and stopping internal development does not prove that every future licensing or research possibility is impossible.

  • Terns TERN-601 Phase 2 topline announcementOriginal source — see findings and limitations · Published 21 October 2025 · Reviewed 2 October 2026 · Original sponsor result page identified and search-retrieved, but direct page retrieval returned HTTP 401 in this run; no automatic baseline is claimed.
  • Terns 2025 Q3 Form 10-QOriginal source — see findings and limitations · Published 10 November 2025 · Reviewed 2 October 2026 · Original sponsor filing read through indexed primary text for the decision not to advance TERN-601 or invest in other metabolic assets; direct retrieval was incomplete, so the limitation remains explicit and no baseline is claimed.
  • ClinicalTrials.gov NCT06854952Trial registry record · Last reviewed record: Completed · Results posted; outcomes need separate assessment · First posted 3 March 2025 · Updated 10 August 2026Start 7 March 2025 (actual) · Primary completion 19 August 2025 (actual) · Completion 19 September 2025 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Bimagrumab with semaglutide or tirzepatide

Completed Phase 2 semaglutide results; separate tirzepatide Phase 2 active, not recruiting

Eli Lilly

Evidence summary reviewed 9 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Lilly's sponsor page and registry record an active, not recruiting Phase 2 study of bimagrumab, tirzepatide and their combination in 252 adults with obesity or overweight without diabetes. Primary completion was 16 January 2026, while overall study completion remains estimated for January 2027. A separate completed Phase 2 BELIEVE study randomized 507 adults to bimagrumab, semaglutide, their combinations or placebo. The registry has posted results, and the peer-reviewed March 2026 paper reports substantial weight and fat-mass reductions with the combination while largely preserving lean mass relative to semaglutide alone.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for bimagrumab alone or combined with semaglutide or tirzepatide for weight management.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Trial activity does not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

Active-not-recruiting status and completed enrolment are not results. Body-composition or lean-mass aims do not establish improved strength, function, long-term outcomes or clinical benefit. The trial must remain distinct from BELIEVE with semaglutide and from a separate discontinued type 2 diabetes study. BELIEVE used intravenous bimagrumab and subcutaneous semaglutide in Phase 2 research; it does not establish an approved regimen, UK authorisation, NICE/NHS access, lawful supply or clinical approval. Lean mass measured by DXA is not the same as muscle strength or function, and the paper reports no significant improvement in grip strength or patient-reported outcomes. The completed semaglutide study and the still-active tirzepatide study remain separate programmes of evidence.

  • Lilly trial page J4Z-MC-GIDFOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 2 October 2026 · Original sponsor trial page read for completed enrolment, Phase 2 design, 252-participant target and study dates; publication and update dates are not stated and remain unknown; not automatically content-monitored.
  • ClinicalTrials.gov NCT06643728Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 16 October 2024 · Updated 26 May 2026Start 21 October 2024 (actual) · Primary completion 16 January 2026 (actual) · Completion 1 January 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Lilly ADA 2025 bimagrumab programme announcementOriginal source — see findings and limitations · Published 29 May 2025 · Reviewed 2 October 2026 · Original sponsor announcement read for the separate BELIEVE programme and Lilly's body-composition research rationale; not automatically content-monitored.
  • ClinicalTrials.gov NCT05616013Trial registry record · Last reviewed record: Completed · Results posted; outcomes need separate assessment · First posted 14 November 2022 · Updated 8 July 2026Start 16 November 2022 (actual) · Primary completion 16 May 2024 (actual) · Completion 14 June 2025 (actual)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Nature Medicine BELIEVE randomized Phase 2 paperPeer-reviewed randomized Phase 2 research — see limitations · Published 2 March 2026 · Reviewed 9 October 2026 · Complete peer-reviewed paper read for design, participant count, body-weight, fat-mass, lean-mass, safety and functional-outcome limitations. Outside automatic content monitoring.
  • Lilly EASD 2026 BELIEVE withdrawal-extension presentation listingSponsor congress presentation listing — see limitations · Published Not stated by the source · Reviewed 9 October 2026 · Original sponsor congress page read for the 30 September 2026 withdrawal-extension presentation listing. Page publication and update dates were not verified; the listing is context, not an independently assessed efficacy claim and is outside automatic monitoring.
Research programme

DA-302168S tablets

Recruiting Chinese Phase 3

Chendu DIAO Pharmaceutical Group

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a recruiting Chinese Phase 3 placebo-controlled study of once-daily oral DA-302168S, described there as a small-molecule GLP-1 receptor agonist, in adults with overweight or obesity. Actual study start was 19 June 2026; estimated enrolment is 840.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Recruitment, estimated October 2027 completion and planned outcomes are not completed results. No results are posted, and the record does not establish efficacy, superiority, authorisation or supply.

  • ClinicalTrials.gov NCT07629544Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 5 June 2026 · Updated 6 August 2026Start 19 June 2026 (actual) · Primary completion 9 July 2027 (estimated) · Completion 19 October 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

NNC0662-0419 injection

Phase 2 obesity and type 2 diabetes studies; no posted results

Novo Nordisk

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a completed first-in-human Phase 1 study of once-weekly subcutaneous NNC0662-0419 in 100 participants with overweight or obesity. It used single- and multiple-ascending-dose cohorts and completed on 26 July 2025. The complete current registry search also finds two active, not-recruiting Phase 2 obesity studies: NCT07184632 is a 224-participant dose-finding study and NCT07639021 is a 233-participant dose-escalation study. A separate recruiting 270-participant Phase 2 study, NCT07415954, evaluates glycaemic control in type 2 diabetes. Two additional Phase 1 records cover single-dose pharmacokinetics across Japanese, Chinese and non-Asian participants and oral-contraceptive pharmacokinetics and gastric emptying.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Completed registry status does not mean results have been published or establish efficacy. No results are posted, and the registry does not state a mechanism or establish a later development stage, authorisation, access or supply. None of the six identified NNC0662-0419 records has posted results. Active, not-recruiting status does not mean completion or efficacy. The type 2 diabetes study must not be presented as weight-management evidence; supportive pharmacokinetic studies do not establish treatment benefit. Estimated completions, comparator arms and enrolment do not establish superiority, authorisation, access or supply.

  • ClinicalTrials.gov NCT06737536Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 17 December 2024 · Updated 19 September 2025Start 18 December 2024 (actual) · Primary completion 26 July 2025 (actual) · Completion 26 July 2025 (actual)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07101783: NNC0662-0419 pharmacokinetic studyTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 3 August 2025 · Updated 23 December 2025Start 1 August 2025 (actual) · Primary completion 31 October 2025 (actual) · Completion 31 October 2025 (actual)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07184632: NNC0662-0419 obesity dose-finding studyTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 22 September 2025 · Updated 7 May 2026Start 1 October 2025 (actual) · Primary completion 14 December 2026 (estimated) · Completion 14 December 2026 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07415954: NNC0662-0419 type 2 diabetes studyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 17 February 2026 · Updated 11 September 2026Start 17 April 2026 (actual) · Primary completion 3 September 2027 (estimated) · Completion 1 October 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07525791: NNC0662-0419 supportive Phase 1 studyTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 13 April 2026 · Updated 30 September 2026Start 7 April 2026 (actual) · Primary completion 2 May 2027 (estimated) · Completion 18 June 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07639021: NNC0662-0419 dose-escalation studyTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 10 June 2026 · Updated 16 September 2026Start 9 June 2026 (actual) · Primary completion 14 June 2027 (estimated) · Completion 14 June 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

DR10624 injection

Completed Phase 1 registry; no results posted

Zhejiang Doer Biologics

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry describes DR10624 as a subcutaneous Fc-fusion tri-agonist targeting GLP-1, glucagon and FGF21 receptors. Its 153-participant first-in-human Phase 1 study completed on 31 January 2025.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Completed registry status does not establish efficacy or continued development. No results are posted, and the record does not establish a later trial, authorisation, access or supply.

  • ClinicalTrials.gov NCT05378893Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 18 May 2022 · Updated 4 February 2025Start 22 June 2022 (actual) · Primary completion 10 October 2024 (actual) · Completion 31 January 2025 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

CMS-D008 injection

Phase 1 registered; not yet recruiting

Shenzhen Kangzhe Biotechnology

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry describes a Chinese first-in-human Phase 1 study of subcutaneous CMS-D008 with single-dose, multiple-dose and expansion cohorts in healthy adults and adults with overweight or obesity.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

The record remained not yet recruiting at its 8 April 2026 update, with no listed location, although its estimated start was 2 April 2026. Estimated dates and a registered design are not first dosing, results, authorisation, access or supply; the reviewed record does not state a mechanism.

  • ClinicalTrials.gov NCT07518589Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 8 April 2026 · Updated 8 April 2026Start 2 April 2026 (estimated) · Primary completion 24 November 2027 (estimated) · Completion 10 December 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Enobosarm with semaglutide

Phase 2b PLATEAU active, not recruiting; no results posted

Veru

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records 239 older adults with obesity enrolled in PLATEAU, a Phase 2 study of daily oral enobosarm 3 mg or placebo alongside weekly semaglutide. The study evaluates total body weight, lean and fat mass, physical function, bone mineral density and safety; its registry status is active, not recruiting.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for enobosarm, alone or with semaglutide.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Trial activity and a semaglutide clinical-supply agreement do not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

PLATEAU has no posted results. The sponsor plans an interim analysis in Q1 2027 and final topline data in Q4 2027; those are planned events, not completed findings. Earlier QUALITY findings are sponsor-reported Phase 2 evidence with no registry-posted results, and do not establish approval, long-term benefit, superiority or UK access. Novo Nordisk's supply of Wegovy for PLATEAU is explicitly not an endorsement of enobosarm or the combination.

  • ClinicalTrials.gov NCT07446998 (PLATEAU)Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 3 March 2026 · Updated 4 September 2026Start 26 March 2026 (actual) · Primary completion 1 October 2027 (estimated) · Completion 1 December 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Veru PLATEAU full-enrolment announcementOriginal source — see findings and limitations · Published 27 July 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for completed enrolment, trial design, planned interim and final timing, earlier QUALITY context and the explicit non-endorsement boundary for Novo Nordisk's clinical supply; not automatically content-monitored.
  • Veru fiscal 2026 Q3 PLATEAU updateOriginal source — see findings and limitations · Published 10 August 2026 · Reviewed 2 October 2026 · Original sponsor update read for actual 239-person enrolment and still-planned Q1 and Q4 2027 analyses; sponsor claims are attributed and not treated as regulatory findings; not automatically content-monitored.
  • ClinicalTrials.gov NCT06282458 (QUALITY)Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 28 February 2024 · Updated 17 September 2025Start 29 April 2024 (actual) · Primary completion 11 April 2025 (actual) · Completion 22 August 2025 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

MWN109 injection

Phase 3 registered; not yet recruiting

Shanghai Minwei Biotechnology / Lepu Medical

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a 760-participant Chinese Phase 3 study of once-weekly subcutaneous MWN109 for 52 weeks. The record remains not yet recruiting and its estimated 1 September 2026 start is not treated as first dosing. A separate 120-participant Phase 2 injection study is registry-completed with no posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

Not-yet-recruiting Phase 3 registration is not trial initiation. Completed Phase 2 registry status does not establish efficacy because no results are posted.

  • ClinicalTrials.gov NCT07778693Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 21 August 2026 · Updated 21 August 2026Start 1 September 2026 (estimated) · Primary completion 1 September 2027 (estimated) · Completion 1 November 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07791654Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 28 August 2026 · Updated 28 August 2026Start 23 August 2025 (actual) · Primary completion 21 March 2026 (actual) · Completion 21 March 2026 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

MWN109 tablets

Completed Phase 2; maintenance study active, not recruiting

Shanghai Minwei Biotechnology / Lepu Medical

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

One sponsor-submitted Chinese Phase 2 record reports 255 participants completed 20 weeks of once-daily MWN109 tablets. A distinct 71-participant weight-loss-maintenance study compares daily and weekly oral dosing and remains active, not recruiting.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

Neither registry record has posted results. Completed or active registry status does not establish efficacy, an authorised dosing schedule or supply.

  • ClinicalTrials.gov NCT07791524Trial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 28 August 2026 · Updated 28 August 2026Start 5 January 2026 (actual) · Primary completion 9 July 2026 (actual) · Completion 9 July 2026 (actual)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07804797Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 4 September 2026 · Updated 4 September 2026Start 2 March 2026 (actual) · Primary completion 1 September 2026 (estimated) · Completion 1 September 2026 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

MWN110 injection

Phase 1 registered; not yet recruiting

Shanghai Minwei Biotechnology / Lepu Medical

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry describes first-in-human single- and multiple-dose subcutaneous MWN110 research in healthy participants and people with overweight or obesity. It remains not yet recruiting with estimated enrolment of 103.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme or formulation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or a registry listing does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

The estimated 26 August 2026 start is not first dosing. The registry does not state a mechanism and has no posted results, so external mechanism or muscle-preservation claims are not added.

  • ClinicalTrials.gov NCT07779980Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 21 August 2026 · Updated 24 August 2026Start 26 August 2026 (estimated) · Primary completion 1 August 2027 (estimated) · Completion 1 August 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

TQF3250 capsules

Recruiting Phase 1b in type 2 diabetes with overweight or obesity

Chia Tai Tianqing / Sino Biopharmaceutical

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records an actual 25 August 2026 start for a recruiting Chinese Phase 1b study of oral TQF3250 in people with type 2 diabetes and overweight or obesity. A separate weight-management study remains not yet recruiting.

UK authorisation

US FDA clearance and Chinese clinical-trial activity do not establish UK marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical-trial clearance or recruitment does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

Clinical-trial clearance is not marketing authorisation. The sponsor's expected tolerability and efficacy advantages are forward-looking; neither registry record has posted results.

  • Sino Biopharmaceutical TQF3250 clinical-trial clearance announcementOriginal source — see findings and limitations · Published 4 December 2025 · Reviewed 2 October 2026 · Original sponsor announcement read for formulation, mechanism and clinical-trial clearance boundaries; not automatically content-monitored.
  • ClinicalTrials.gov NCT07747857Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 5 August 2026 · Updated 28 August 2026Start 25 August 2026 (actual) · Primary completion 1 June 2027 (estimated) · Completion 1 July 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07798284Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 1 September 2026 · Updated 1 September 2026Start 1 September 2026 (estimated) · Primary completion 1 April 2027 (estimated) · Completion 1 April 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Tisolagiline / KDS2010

Recruiting Phase 2a

NeuroBiogen

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted registry records a recruiting 75-participant South Korean Phase 2a dose-finding study of once-daily oral KDS2010 for 12 weeks in adults with overweight or obesity, with an actual 29 July 2025 start.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for this programme.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development or recruitment does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

Recruitment is not a result. The registry has no posted results, and the sponsor's mechanism and preclinical statements are not evidence of human obesity efficacy.

  • NeuroBiogen KDS2010 Phase 2a IND announcementOriginal source — see findings and limitations · Published 4 September 2024 · Reviewed 2 October 2026 · Original sponsor page read for Phase 2a IND history; not automatically content-monitored.
  • ClinicalTrials.gov NCT07009171Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 6 June 2025 · Updated 24 June 2026Start 29 July 2025 (actual) · Primary completion 31 January 2027 (estimated) · Completion 30 June 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

TLC-6740 with tirzepatide

Phase 1b/2a sponsor-reported results; Phase 2b planned

OrsoBio

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

OrsoBio reported on 16 December 2025 that 55 adults with obesity completed a 24-week comparison of once-daily oral TLC-6740 plus low-dose tirzepatide versus tirzepatide alone. The broader registry record remains active, not recruiting and has no posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for TLC-6740 or the combination.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Sponsor-reported research and registry activity do not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

The findings are sponsor-reported, not registry-posted results. The planned larger Phase 2b study is not treated as started, and body-composition observations do not establish improved muscle strength or function.

  • OrsoBio TLC-6740 and tirzepatide topline announcementOriginal source — see findings and limitations · Published 16 December 2025 · Reviewed 2 October 2026 · Original sponsor announcement read for the 55-participant comparison, sponsor-reported findings, safety wording and Phase 2b plan; not automatically content-monitored.
  • ClinicalTrials.gov NCT05822544Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 20 April 2023 · Updated 21 August 2026Start 22 April 2023 (actual) · Primary completion 1 September 2026 (estimated) · Completion 1 January 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

BIO101 / 20-hydroxyecdysone with semaglutide

Phase 2 approved in Brazil; sponsor says Q1 2027 start

Biophytis

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Biophytis describes a 164-participant Phase 2 OBA study of oral BIO101 or placebo alongside semaglutide, focused on lower-limb muscle strength during weight loss and a later weight-regain assessment after semaglutide discontinuation.

UK authorisation

Brazilian clinical-trial approval and the reviewed research evidence do not establish UK marketing authorisation.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical-trial approval or registration does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

The registry remains not yet recruiting and still shows an older estimated July 2026 start; the sponsor's later 31 August 2026 update says first-patient enrolment is planned for Q1 2027. Neither date is treated as first dosing, and preclinical findings are not human efficacy evidence.

  • Biophytis OBA timing updateOriginal source — see findings and limitations · Published 31 August 2026 · Reviewed 2 October 2026 · Original sponsor update read for the later Q1 2027 planned study start; not automatically content-monitored.
  • Biophytis OBA protocol-amendment announcementOriginal source — see findings and limitations · Published 9 September 2026 · Reviewed 2 October 2026 · Original sponsor announcement read for the planned post-semaglutide weight-regain follow-up; not automatically content-monitored.
  • ClinicalTrials.gov NCT07411378Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 13 February 2026 · Updated 13 February 2026Start 1 July 2026 (estimated) · Primary completion 1 June 2027 (estimated) · Completion 1 August 2027 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Semaglutide specialist-use trials

Nine Phase 2/4 specialist-use studies registered; all not yet recruiting

Investigator-led US and Canadian studies

Evidence summary reviewed 5 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Three investigator-led registry records study semaglutide beyond its established weight-management use: weekly semaglutide versus placebo for chronic low-back-pain severity; pre-operative semaglutide and behavioural support before hip or knee arthroplasty; and semaglutide plus a levonorgestrel intrauterine device and structured weight loss for conservative treatment of endometrial atypical hyperplasia or grade 1 endometrial cancer. Six records first posted on 5 October add five Phase 4 metabolic-and-bariatric-surgery studies from one Egyptian unit and the Canadian PIVOT Phase 4 study in advanced kidney disease. The surgical records separately study pre-operative use at BMI 60 kg/m² or higher, recurrent weight gain, semaglutide around conversion surgery, tapering versus abrupt discontinuation, and immediate versus criterion-triggered treatment. PIVOT compares semaglutide plus virtual coaching with usual care while studying weight and kidney-transplant access.

UK authorisation

Wegovy's UK weight-management authorisation is described separately. These registry records do not establish UK marketing authorisation for pain, peri-operative arthroplasty or conservative endometrial-treatment indications.

NHS — England

No NICE recommendation or NHS England access is established for these investigational specialist uses.

Actual supply

UK supply for an authorised weight-management indication does not establish lawful supply or availability for these investigational specialist uses, pharmacy stock or sale by SHIFT.

Limits and uncertainty

All three records remain not yet recruiting and have no posted results. Their estimated starts, including 1 October 2026 for the Canadian arthroplasty study, are plans rather than evidence that dosing began. Trial registration does not establish safety, efficacy, an authorised indication or a treatment recommendation. All six new records remain not yet recruiting and have no posted results. The five Egyptian records list estimated October 2026 starts without establishing that recruitment or dosing began; their protocols, tapering schedule and comparator strategies are research designs, not clinical instructions or evidence of benefit. PIVOT lists an estimated January 2027 start, 880 estimated participants and Canadian sites; neither its title nor planned outcomes establish improved transplant access. These indication-specific records do not extend Wegovy's UK authorisation, NICE/NHS access or actual supply.

  • ClinicalTrials.gov NCT07731256: Semaglutide for Low Back PainTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 28 July 2026 · Updated 28 July 2026Start 1 February 2027 (estimated) · Primary completion 1 January 2031 (estimated) · Completion 1 September 2031 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07755085: GLP-1s in Hip and Knee ArthroplastyTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 10 August 2026 · Updated 10 August 2026Start 1 October 2026 (estimated) · Primary completion 1 June 2028 (estimated) · Completion 1 December 2028 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07820358: Semaglutide, Weight Loss, and LNG-IUDTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 15 September 2026 · Updated 1 October 2026Start 1 January 2027 (estimated) · Primary completion 31 December 2028 (estimated) · Completion 31 December 2031 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07858331: semaglutide and virtual support for kidney transplant accessTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 January 2027 (estimated) · Primary completion 1 January 2029 (estimated) · Completion 1 January 2029 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 5 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07859137: pre-operative semaglutide before metabolic and bariatric surgeryTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 October 2026 (estimated) · Primary completion 1 November 2028 (estimated) · Completion 1 November 2028 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 5 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07859150: RESURGE semaglutide after metabolic and bariatric surgeryTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 October 2026 (estimated) · Primary completion 1 April 2029 (estimated) · Completion 1 April 2029 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 5 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07859163: semaglutide around conversion surgery after recurrent weight gainTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 October 2026 (estimated) · Primary completion 1 April 2029 (estimated) · Completion 1 April 2029 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 5 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07859176: tapered versus abrupt semaglutide discontinuation after bariatric surgeryTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 October 2026 (estimated) · Primary completion 1 April 2028 (estimated) · Completion 1 April 2028 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 5 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07859189: immediate versus criterion-triggered semaglutide after bariatric surgeryTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 October 2026 (estimated) · Primary completion 1 October 2028 (estimated) · Completion 1 October 2028 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 5 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Tirzepatide in COPD and sarcopenia (GLIMR COPD)

Phase 2 registered; not yet recruiting

Cleveland Clinic investigator-led study

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The Cleveland Clinic registry record describes a 52-week, open-label Phase 2 study in 30 adults with COPD and obesity or overweight. Twenty participants are planned to receive tirzepatide with standard care and ten standard care alone. The study measures lung function and muscle-related outcomes including grip strength, walking, sit-to-stand performance, lean mass and skeletal-muscle mitochondrial function.

UK authorisation

Mounjaro's UK weight-management authorisation is described separately. This US registry record does not establish UK marketing authorisation for COPD, sarcopenia or muscle restoration.

NHS — England

No NICE recommendation or NHS England access is established for tirzepatide for COPD, sarcopenia or muscle restoration.

Actual supply

UK supply for an authorised indication does not establish lawful supply or availability for these investigational specialist uses, pharmacy stock or sale by SHIFT.

Limits and uncertainty

The record remains not yet recruiting and has no posted results. Its 28 August 2026 start and 15 August 2028 primary completion are registry estimates, not evidence that recruitment, dosing or outcomes occurred. Planned lung-function, lean-mass and physical-function outcomes are not evidence of benefit, and the small open-label US study does not establish comparative efficacy, safety, an authorised indication or a treatment recommendation.

  • ClinicalTrials.gov NCT07747805: GLIMR COPDTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 August 2026 · Updated 5 August 2026Start 28 August 2026 (estimated) · Primary completion 15 August 2028 (estimated) · Completion 15 August 2029 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Tirzepatide in endometrial-cancer research

Early Phase 1 recruiting; separate Phase 2 not yet recruiting

UNC Lineberger investigator-led studies

Evidence summary reviewed 2 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Two UNC Lineberger registry records study short pre-operative tirzepatide use in people with obesity and endometrial cancer or endometrial intraepithelial neoplasia. The 20-participant Early Phase 1 record reports an actual 27 April 2026 start and is recruiting; the separate 40-participant Phase 2 record remains not yet recruiting.

UK authorisation

Mounjaro's established UK weight-management position is described separately. These registry records do not establish UK marketing authorisation for preventing, treating or improving endometrial cancer or endometrial intraepithelial neoplasia.

NHS — England

No NICE recommendation or NHS England access is established for tirzepatide as an endometrial-cancer intervention.

Actual supply

An established weight-management supply route does not establish lawful supply for these investigational oncology uses, pharmacy stock or sale by SHIFT.

Limits and uncertainty

Neither record has posted results. Recruitment and an actual study start do not establish safety, pathological response, cancer benefit or an authorised indication. The studies are small and the Phase 2 start and completion dates remain estimates.

  • ClinicalTrials.gov NCT07065552: Tirzepatide in Obesity-Driven Endometrial CancerTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 15 July 2025 · Updated 2 October 2026Start 27 April 2026 (actual) · Primary completion 1 July 2028 (estimated) · Completion 1 July 2028 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07078838: Tirzepatide in Endometrial Intraepithelial Neoplasia or Grade 1 Endometrial CancerTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 22 July 2025 · Updated 28 September 2026Start 1 January 2027 (estimated) · Primary completion 1 March 2029 (estimated) · Completion 1 March 2029 (estimated)Medical evidence summary reviewed 2 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

NA-931 alone and with tirzepatide

Phase 2 registry not yet recruiting; later Phase 3 programme sponsor-reported

Biomed Industries

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor describes oral NA-931 as a quadruple IGF-1, GLP-1, GIP and glucagon receptor agonist and reports a Phase 3 programme. A separate sponsor-submitted Phase 2 registry record plans NA-931 alone and with weekly tirzepatide in an estimated 224 adults with overweight or obesity, including body-weight, body-composition and physical-function measures.

UK authorisation

The reviewed sponsor and registry evidence does not establish UK marketing authorisation for NA-931, alone or with tirzepatide.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Sponsor announcements and trial records do not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

The Phase 2 registry was last updated 27 March 2026, remains not yet recruiting, has no posted results and retains an already-past 15 August 2026 estimated start. The sponsor's later Phase 3 and lean-mass statements are attributed claims, not registry-posted results, regulatory findings or proof that every planned study has started. No efficacy, safety, superiority or muscle-preservation conclusion is drawn here.

  • ClinicalTrials.gov NCT06732245: NA-931 alone and with tirzepatideTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 13 December 2024 · Updated 27 March 2026Start 15 August 2026 (estimated) · Primary completion 15 August 2027 (estimated) · Completion 15 December 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Biomed Industries NA-931 programme pageOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 3 October 2026 · Original sponsor page read for molecule description, oral formulation and sponsor-reported Phase 3 and lean-mass claims. Page publication and update dates were not independently verified; claims remain attributed and are not automatically content-monitored.
Research programme

AZD6234

Phase 3 SELENE 1 recruiting; Phase 2b APRICUS completed; no registry-posted results

AstraZeneca

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

AZD6234 is a weekly injectable selective amylin receptor agonist in AstraZeneca's research programme. The sponsor-submitted SELENE 1 record lists recruiting Phase 3 monotherapy research in adults with obesity or overweight and a weight-related condition without type 2 diabetes, with an actual 19 August 2026 start and 2,500 estimated participants. Its separate completed Phase 2b APRICUS record retains 262 actual participants and actual 3 December 2025 completion. Neither registry record has posted results.

UK authorisation

The reviewed research sources do not establish UK marketing authorisation for AZD6234.

NHS — England

No NICE recommendation or NHS England access is established by these sources.

Actual supply

Completed research does not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

This corrects an older late-stage coverage omission, not a new October trial start. SELENE 1's registry was first posted and last updated on 25 August 2026; its primary and final completion dates remain estimates in August 2028 and May 2029. Overall recruiting status does not mean every site is recruiting: listed sites also include not yet recruiting, suspended and withdrawn statuses, and no UK location is listed in this record. The sponsor study page still displays ClinicalTrials.gov identifier N/A despite the matching registry record; the study identifier D8750C00014 and SELENE 1 title establish the match. APRICUS's earlier approximate design target of 231 differs from its 262 actual enrolment. Recruitment and study completion do not establish efficacy, safety, superiority or an authorised regimen. Separate combination programmes require their own evidence review.

  • ClinicalTrials.gov NCT06595238: APRICUSTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 19 September 2024 · Updated 2 October 2026Start 1 October 2024 (actual) · Primary completion 3 December 2025 (actual) · Completion 3 December 2025 (actual)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • AstraZeneca portfolio announcementOriginal source — see findings and limitations · Published 30 January 2026 · Reviewed 3 October 2026 · Original sponsor text read for AZD6234 mechanism and injectable formulation. No agreement-closing event or later trial stage is inferred; update date unverified; not automatically content-monitored.
  • ClinicalTrials.gov NCT07784725: SELENE 1Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 25 August 2026 · Updated 25 August 2026Start 19 August 2026 (actual) · Primary completion 11 August 2028 (estimated) · Completion 21 May 2029 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • AstraZeneca SELENE 1 study D8750C00014Original source — see findings and limitations · Published Not stated by the source · Reviewed 3 October 2026 · Original sponsor study page read for recruiting Phase 3, weekly subcutaneous formulation, study identity, estimated enrolment and completion dates. It says verified 1 August 2026; this is not treated as publication/update date. Its N/A registry identifier and absent locations remain explicit; not automatically content-monitored.
Research programme

Mirabegron with alpha-lipoic acid

Phase 2 metabolic pilot; not yet recruiting

NIDDK / NIH investigator-led research

Evidence summary reviewed 9 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

NIDDK's NCT05713799 record describes an oral mirabegron and alpha-lipoic acid crossover pilot in adults with obesity. The 9 October 2026 update remains not yet recruiting, with its estimated start moved again to 14 October 2026, 60 estimated participants and estimated March 2030 completion. Its primary endpoint is insulin sensitivity, with metabolic and exploratory body-composition outcomes.

UK authorisation

The reviewed research record does not establish UK authorisation of this combination for obesity or weight management.

NHS — England

No NICE recommendation or NHS England access for this research combination is established.

Actual supply

A trial listing does not establish lawful UK supply or pharmacy stock for this combination and use, or a product sold by Shift Some Timber.

Limits and uncertainty

First posted in February 2023: an older study, not an October medicine launch. The 14 October start remains estimated, not actual dosing, and no results are posted. The detailed protocol retains a 48-person target while the enrolment field estimates 60; this discrepancy is preserved. Metabolic study aims are not demonstrated weight-loss benefit, a prescribing recommendation or approval of this combination.

  • ClinicalTrials.gov NCT05713799 — lifecycle reviewed 9 October 2026Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 6 February 2023 · Updated 9 October 2026Start 14 October 2026 (estimated) · Primary completion 1 March 2030 (estimated) · Completion 1 March 2030 (estimated)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

AZD1043

Recruiting Phase 1; no posted results

AstraZeneca

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

AstraZeneca's sponsor-submitted NCT07511205 record describes a Phase 1 single- and multiple-ascending-dose study of subcutaneous or intravenous AZD1043 in healthy adults living with overweight or obesity. It records recruiting overall status, an actual 30 March 2026 start and 104 estimated participants. AstraZeneca's pipeline identifies AZD1043 as an ActRII monoclonal antibody in Phase 1 obesity research.

UK authorisation

The reviewed research sources do not establish UK marketing authorisation for AZD1043.

NHS — England

No NICE recommendation or NHS England access is established by these sources.

Actual supply

A recruiting research study does not establish lawful UK retail supply, pharmacy stock or a product sold by Shift Some Timber.

Limits and uncertainty

An older coverage omission, not a newly started October trial. This early study assesses safety, tolerability, pharmacokinetics and pharmacodynamics; it has no posted results and does not establish weight-loss efficacy, long-term safety or clinical benefit. The overall record is recruiting, but its listed UK site remained not yet recruiting at the 9 September update. A UK research site is not NHS access, marketing authorisation or supply. Completion dates and enrolment remain estimates.

  • ClinicalTrials.gov NCT07511205Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 6 April 2026 · Updated 9 September 2026Start 30 March 2026 (actual) · Primary completion 9 April 2027 (estimated) · Completion 17 November 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • AstraZeneca clinical study D9740C00001Original source — see findings and limitations · Published Not stated by the source · Reviewed 3 October 2026 · Original sponsor study page read for study purpose and formulation; publication date unverified and page update date shown by the source; not automatically content-monitored.
  • AstraZeneca pipelineOriginal source — see findings and limitations · Published 27 July 2026 · Reviewed 3 October 2026 · Original sponsor pipeline read for the ActRII monoclonal-antibody description and Phase 1 obesity placement as of 27 July 2026; page publication/update date otherwise unverified; not automatically content-monitored.
Research programme

WVE-007

Recruiting Phase 1/2a monotherapy; Phase 2a combination initiation sponsor-reported

Wave Life Sciences

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

An investigational subcutaneous INHBE-targeting GalNAc-siRNA. The INLIGHT monotherapy registry lists recruiting Phase 1/2a research with 296 estimated participants and no posted results. Wave's 23 September 2026 announcement separately reports Phase 2a initiation with tirzepatide in adults with obesity and type 2 diabetes. A post-incretin weight-maintenance trial remains planned for the second half of 2026.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for WVE-007 or the investigational combination.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Clinical development and listed UK research sites do not establish lawful UK retail supply or pharmacy stock. WVE-007 is not offered for sale by SHIFT.

Limits and uncertainty

This closes an older coverage omission, not a new October trial start. The monotherapy record was last updated on 2 June 2026 and does not describe the later tirzepatide combination; the exact-name registry search returned only that monotherapy record. Combination initiation is therefore attributed to the sponsor, not independently corroborated by a matched combination registry. December 2027 monotherapy completion remains estimated. Earlier body-composition observations are sponsor-reported; the combination synergy cited in the September announcement is preclinical, not completed human combination evidence. Imaging and lean mass do not establish strength or function, clinical benefit or tolerability superiority. Proposed once- or twice-yearly dosing is not an authorised regimen, and the maintenance trial is not treated as started.

  • Wave: WVE-007 with tirzepatide Phase 2a initiationOriginal source — see findings and limitations · Published 23 September 2026 · Reviewed 3 October 2026 · Original sponsor announcement read for INHBE mechanism, subcutaneous formulation, separate Phase 2a combination initiation, monotherapy, planned maintenance and preclinical-versus-human distinction; not automatically content-monitored.
  • ClinicalTrials.gov NCT06842186: INLIGHT monotherapyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 24 February 2025 · Updated 2 June 2026Start 31 January 2025 (actual) · Primary completion 1 December 2027 (estimated) · Completion 1 December 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

NNC0638-0355

Active, not recruiting Phase 1; no posted results

Novo Nordisk

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Novo Nordisk's sponsor-submitted NCT06577766 record studies subcutaneous single and multiple ascending doses of NNC0638-0355 in adults with overweight or obesity. It records an actual 3 September 2024 start, active-not-recruiting status and 63 actual participants; completion remains estimated for 11 October 2027.

UK authorisation

The reviewed registry record does not establish UK marketing authorisation for NNC0638-0355.

NHS — England

No NICE recommendation or NHS England access is established by this research record.

Actual supply

Clinical research does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

This is an older coverage omission, not a newly started October study. The Phase 1 record evaluates safety, tolerability and pharmacokinetics, has no posted results and does not establish weight-loss efficacy, long-term safety or clinical benefit. The record does not identify a mechanism, so none is inferred. Estimated completion is not a completed event.

  • ClinicalTrials.gov NCT06577766: NNC0638-0355Trial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 29 August 2024 · Updated 30 September 2026Start 3 September 2024 (actual) · Primary completion 11 October 2027 (estimated) · Completion 11 October 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

LEAN-PRO GLP-1 dietary-protein study

Recruiting randomised dietary-support study; no posted results

Hellenic Mediterranean University / University General Hospital of Heraklion

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The investigator-submitted NCT07495904 record describes a 130-participant Greek study comparing standard Mediterranean-diet counselling with individualised higher-protein guidance during GLP-1 receptor-agonist treatment. It measures muscle mass through 24 weeks, with body composition, grip strength, sarcopenia risk and later weight maintenance among secondary outcomes.

UK authorisation

This behavioural-support research does not establish a new UK medicine authorisation or an authorised higher-protein regimen.

NHS — England

The reviewed Greek research record does not establish a NICE recommendation or NHS England access pathway for this intervention.

Actual supply

A recruiting study is not evidence that a specific diet service, medicine or supplement is supplied by Shift Some Timber or available through UK pharmacies.

Limits and uncertainty

First posted 27 March 2026 and last updated 2 April 2026: this closes an older coverage omission, not a new October study. Recruitment status does not confirm that the estimated 30 March 2026 start occurred. The record does not name a single GLP-1 medicine, posts no results and does not establish that higher protein preserves muscle, improves strength or prevents regain. Individual protein needs and safety can differ, particularly with kidney or other medical conditions; this listing is not dietary advice.

  • ClinicalTrials.gov NCT07495904: LEAN-PRO GLP-1Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 27 March 2026 · Updated 2 April 2026Start 30 March 2026 (estimated) · Primary completion 30 March 2028 (estimated) · Completion 30 January 2029 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

VK3019

Recruiting Phase 1; no posted results

Viking Therapeutics

Evidence summary reviewed 3 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Viking's sponsor-submitted NCT07846033 record studies single subcutaneous doses of VK3019 in adults with overweight or obesity. It records a recruiting Phase 1 study, an actual 6 July 2026 start and 56 estimated participants. Viking's 24 June announcement identifies VK3019 as an investigational dual amylin and calcitonin receptor agonist and describes the single-ascending-dose study.

UK authorisation

The reviewed research sources do not establish UK marketing authorisation for VK3019.

NHS — England

No NICE recommendation or NHS England access is established by these research sources.

Actual supply

A recruiting US research study does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

This promotes a candidate deferred on 30 September after the later registry record was read; it is not a new October trial start. The 24 June announcement preceded the registry's actual start and is not treated as proof of dosing on that announcement date. The study assesses safety, tolerability, pharmacokinetics and pharmacodynamics after single doses, has no posted results and does not establish weight-loss efficacy, maintenance benefit, combination benefit or long-term safety. Primary completion was estimated for 2 October 2026, but the record remains recruiting and is not treated as completed. Enrolment and November 2026 completion remain estimates.

  • ClinicalTrials.gov NCT07846033: VK3019Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 29 September 2026 · Updated 29 September 2026Start 6 July 2026 (actual) · Primary completion 2 October 2026 (estimated) · Completion 1 November 2026 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Viking Therapeutics: Phase 1 VK3019 study initiationOriginal source — see findings and limitations · Published 24 June 2026 · Reviewed 3 October 2026 · Complete original sponsor announcement read for the investigational DACRA description and announced single-ascending-dose Phase 1 study; the later registry controls actual start and current recruitment status; not automatically content-monitored.
Research programme

AT7687 / AT673 with semaglutide

Active, not recruiting Phase 2; no posted results

Antag Therapeutics

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Antag Therapeutics' 28 July 2026 announcement identifies AT7687 as its peptide GIP-receptor antagonist and links it directly to NCT07724340. The sponsor-submitted registry uses the intervention code AT673 for the same 13-week Phase 2 study of two once-weekly subcutaneous doses or placebo alongside semaglutide in adults with type 2 diabetes and overweight or obesity. The registry records an actual 19 June 2026 start, active-not-recruiting status, eight US locations and 150 estimated participants.

UK authorisation

The reviewed sponsor announcement and registry record do not establish UK marketing authorisation for AT7687 or AT673, the investigational combination or a new semaglutide indication.

NHS — England

No NICE recommendation or NHS England access is established by these research sources.

Actual supply

Use of semaglutide within a US clinical trial does not establish lawful UK retail supply of AT7687 or AT673, combination availability, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The sponsor announcement and registry use different candidate codes for the same NCT07724340 study: Antag calls it AT7687, while ClinicalTrials.gov calls the intervention AT673. The reviewed sources do not explain the naming difference, so the Watch displays both names rather than silently replacing one or treating them as separate programmes. The sponsor describes AT7687 as a peptide GIP-receptor antagonist, but this mechanism is not stated in the registry. First dosing is sponsor-reported; the registry's active-not-recruiting status was verified in July 2026. Neither source has posted trial results. The actual start and first-dose announcement do not establish additional weight loss, glycaemic benefit, safety, superiority or successful co-administration. The eight listed locations are all in the United States. February/March 2027 completion and 150 participants remain estimates, and semaglutide use in the protocol is not evidence of UK access.

  • ClinicalTrials.gov NCT07724340: AT673 with semaglutideTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 24 July 2026 · Updated 29 September 2026Start 19 June 2026 (actual) · Primary completion 1 February 2027 (estimated) · Completion 1 March 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Antag Therapeutics: first participant dosed in AT7687 Phase 2a studyOriginal source — see findings and limitations · Published 28 July 2026 · Reviewed 6 October 2026 · Complete original sponsor announcement read for the AT7687 name, peptide GIP-receptor-antagonist description, first-participant statement, direct NCT07724340 link, 13-week combination design and planned 150 participants; not automatically content-monitored.
Research programme

ZP6590

Recruiting Early Phase 1; first-in-human injection study

Zealand Pharma

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

ZP6590 is an investigational long-acting GIP receptor agonist designed for co-formulation with other peptides. A sponsor-submitted record describes an 88-participant (estimated) first-in-human study of ZP6590 injections versus placebo, with an actual 9 July 2026 start. The record lists recruitment in Germany and no posted results.

UK authorisation

The reviewed research sources do not establish UK marketing authorisation for ZP6590.

NHS — England

No NICE recommendation or NHS England access is established by these research sources.

Actual supply

Recruitment at a German research site does not establish lawful UK retail supply, pharmacy stock or sale by SHIFT.

Limits and uncertainty

The previously reviewed pipeline described first-in-human initiation as the next step. Its latest wording cannot be reverified because that endpoint remains HTTP 403 and verification-pending; the registry, CTIS and Zealand's dated 13 August 2026 interim report corroborate initiation. ClinicalTrials.gov estimates completion on 6 September 2027; CTIS lists an estimated EU trial end of 30 June 2027. These separately scoped estimates are retained without reconciliation. This dose-escalation study assesses safety, tolerability, pharmacokinetics and pharmacodynamics; recruitment is not proof of efficacy or safety. Co-formulation is a development aim, and preclinical combination and antiemetic findings are not human combination benefits.

  • Zealand Pharma ZP6590 pipelineSponsor pipeline; preclinical aims and outdated trial-start narrative · Published/updated: Not stated by the source · Source review: 9 October 2026 · Source review required
  • ClinicalTrials.gov NCT07721597: ZP6590Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 23 July 2026 · Updated 13 August 2026Start 9 July 2026 (actual) · Primary completion 6 September 2027 (estimated) · Completion 6 September 2027 (estimated)Medical evidence summary reviewed 3 October 2026 · Record status reviewed 10 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Zealand Pharma H1 2026: first-in-human ZP6590 trial initiatedOriginal source — see findings and limitations · Published 13 August 2026 · Reviewed 3 October 2026 · Complete original sponsor announcement read; initiation statement corroborates the registry. Not automatically content-monitored.
  • CTIS 2026-525978-19-00: ZP6590-26033Original source — see findings and limitations · Published Not stated by the source · Reviewed 10 October 2026 · Official CTIS summary reviewed: matching protocol, ongoing/recruiting, Human Pharmacology Phase I and actual 9 July 2026 trial/recruitment start in Germany. EU estimated end 30 June 2027 is distinct from the ClinicalTrials.gov estimate. Publication date unknown. Not automatically content-monitored.
  • Zealand Pharma H1 2026 interim report: ZP6590 initiationOriginal source — see findings and limitations · Published 13 August 2026 · Reviewed 10 October 2026 · Complete official PDF retrieved; dated company announcement and relevant pipeline discussion read. Supports sponsor-reported first-in-human initiation, not clinical outcomes. Unknown subsequent content-update date; not automatically content-monitored.
Research programme

SRSD384

Sponsor-reported first participant dosed in Phase 1/2a; registry still not yet recruiting

Sirius Therapeutics

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

SRSD384 is an investigational subcutaneous GalNAc-conjugated siRNA targeting INHBE. Sirius reported on 1 July 2026 that the first participant had been dosed in a two-part Phase 1/2a study in Australia. Part A studies SRSD384 alone in people with overweight or obesity; Part B studies SRSD384 with tirzepatide in participants who also have type 2 diabetes. The sponsor-submitted registry record still says not yet recruiting, has an estimated June 2026 start and 78 estimated participants, and has no posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for SRSD384 or its investigational combination with tirzepatide.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed research evidence.

Actual supply

Research in Australia does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The sponsor's 1 July first-participant statement conflicts with the registry's older not-yet-recruiting status, last updated 5 June 2026; both dated accounts are retained and the registry is not silently treated as current recruitment evidence. The October 2027 completion and 78-participant enrolment remain estimates. The trial evaluates safety, tolerability, pharmacokinetics and pharmacodynamics and has no posted results. Fat reduction, lean-mass preservation and cardiometabolic benefit are development aims informed by genetics and preclinical work, not demonstrated human outcomes. Part B is investigational combination research, not evidence of added benefit, safety, an authorised regimen, UK access or supply.

  • ClinicalTrials.gov NCT07557355: SRSD384Trial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 29 April 2026 · Updated 5 June 2026Start 1 June 2026 (estimated) · Primary completion 1 October 2027 (estimated) · Completion 1 October 2027 (estimated)Medical evidence summary reviewed 11 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Sirius Therapeutics: first participant dosed in SRSD384 Phase 1/2aOriginal source — see findings and limitations · Published 1 July 2026 · Reviewed 11 October 2026 · Complete original sponsor announcement read for reported first dosing, two-part design, Australian research and mechanism claims. Not automatically content-monitored.
Research programme

RJVA-002

Preclinical dual GIP/GLP-1 gene-therapy programme; no human study

Fractyl Health

Evidence summary reviewed 4 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Fractyl describes RJVA-002 as an AAV-based, locally delivered gene-therapy candidate intended to make pancreatic beta cells express GIP and GLP-1 in response to nutrients. The sponsor reported body-weight changes after a single administration in a diet-induced-obesity mouse model; its August 2026 update still called RJVA-002 preclinical.

UK authorisation

The reviewed sponsor sources do not establish UK marketing authorisation or a UK clinical-trial authorisation for RJVA-002.

NHS — England

No NICE recommendation or NHS England access is established by these preclinical sources.

Actual supply

Preclinical research does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The reported approximately 30% change was observed over five weeks in an ongoing mouse study with seven animals per group, not in people. It does not establish human weight loss, durability, safety, tolerability, remission, superiority to medicines or a one-time clinical regimen. RJVA-001 is a different candidate entering human research for inadequately controlled type 2 diabetes; its Netherlands authorisation does not advance RJVA-002 or establish an obesity trial. Revita is a separate endoscopic device procedure and is not silently counted as a medicine or peptide.

  • Fractyl Health: preclinical RJVA-002 resultsPreclinical research — see limitations · Published 7 October 2025 · Reviewed 4 October 2026 · Complete sponsor announcement read for programme identity, mechanism, animal-model design and preclinical result. Not automatically content-monitored.
  • Fractyl Health Q2 2026 business updatePreclinical research — see limitations · Published 10 August 2026 · Reviewed 4 October 2026 · Complete sponsor update read to verify that RJVA-002 remained preclinical and distinct from RJVA-001 and Revita. Not automatically content-monitored.
Research programme

ART27.13

Non-clinical GLP-1 companion exploration; separate Phase 1/2 cancer-cachexia research

Artelo Biosciences

Evidence summary reviewed 4 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Artelo describes ART27.13 as an oral, peripherally restricted cannabinoid receptor agonist and says it initiated a non-clinical study in models relevant to GLP-1-associated muscle preservation. The proposed obesity use remains exploratory and is distinct from the compound's human CAReS programme in cancer anorexia and cachexia.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation or a UK clinical-trial authorisation for ART27.13 as an obesity or GLP-1 companion treatment.

NHS — England

No NICE recommendation or NHS England access for this proposed use is established by the reviewed sources.

Actual supply

This non-clinical exploration and patent filing does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

Artelo announced initiation of a non-clinical study and a provisional patent filing, not a human obesity trial or a completed GLP-1-combination study. Interim lean-mass, activity and weight observations came from small human cohorts with cancer anorexia and cachexia; they are not human obesity evidence and cannot establish prevention of GLP-1-associated lean-mass loss. Lean mass is not the same as strength or function, and the cited evidence does not establish preserved muscle strength or function, clinical benefit, safety in this proposed use, superiority or an approved regimen.

  • Artelo Biosciences: ART27.13 GLP-1 companion explorationOriginal source — see findings and limitations · Published 25 March 2026 · Reviewed 4 October 2026 · Complete sponsor announcement read for programme status, proposed use, non-clinical study initiation, patent filing and separation from cancer-cachexia evidence. Not automatically content-monitored.
  • Artelo Biosciences ART27.13 pipeline pageOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 4 October 2026 · Full readable sponsor pipeline page reviewed for the distinct Phase 1/2 CAReS indication and interim evidence context. Publication and update dates were not displayed and remain unknown. Not automatically content-monitored.
Research programme

RGT-075 / RGT001-075

Completed Phase 2a and Phase 2b registry records; no registry-posted results

Regor Therapeutics

Evidence summary reviewed 4 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

RGT-075 is Regor's investigational once-daily oral small-molecule GLP-1 receptor agonist. Regor reported Phase 2a topline observations from a 73-participant, 12-week study. The sponsor-submitted registry also records the separate 267-participant COMO-1 Phase 2b study as completed on 6 November 2025; neither registry record has posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for RGT-075 for weight management or another indication.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed research evidence.

Actual supply

Completed US research and sponsor announcements do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The Phase 2a weight, adverse-event and discontinuation figures are sponsor-reported topline observations; ClinicalTrials.gov has no posted results for that record. Regor's January 2025 announcement expected COMO-1 topline data by the end of 2025, but the reviewed sponsor-submitted Phase 2b record only establishes completion and has no posted results. Regor's current public pipeline still labels Phase II trials in progress, so the dated registry completion and undated pipeline wording are retained without inferring a Phase 3 start, positive Phase 2b outcome, clinical benefit, comparative tolerability, UK authorisation, NHS access or supply.

  • ClinicalTrials.gov NCT06277934: RGT001-075 Phase 2aTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 26 February 2024 · Updated 7 August 2025Start 8 March 2024 (actual) · Primary completion 13 August 2024 (actual) · Completion 13 August 2024 (actual)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06867718: COMO-1 Phase 2bTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 10 March 2025 · Updated 28 May 2026Start 24 January 2025 (actual) · Primary completion 6 November 2025 (actual) · Completion 6 November 2025 (actual)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Regor: Phase 2a topline announcement and COMO-1 initiationOriginal source — see findings and limitations · Published 10 January 2025 · Reviewed 4 October 2026 · Complete original sponsor announcement read for reported Phase 2a topline observations, planned Phase 2b design and the then-prospective end-2025 result timing. Not automatically content-monitored.
  • Regor Therapeutics pipeline pageOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 4 October 2026 · Complete current sponsor page read for identity, oral GLP-1 mechanism and its undated Phase II-trials-in-progress label. Publication and update dates were not displayed. Not automatically content-monitored.
Research programme

CX11 / VCT220

Completed China Phase III and US Phase II records; hypertension Phase II active, not recruiting

Corxel Pharmaceuticals / Vincentage Pharma

Evidence summary reviewed 4 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

CX11/VCT220 is an investigational once-daily oral non-peptide small-molecule GLP-1 receptor agonist. A 250-participant Chinese Phase II study has a peer-reviewed publication, while the 840-participant Chinese Phase III and 250-participant US Phase II registry records are completed but have no posted results. A separate 160-participant hypertension study in people with obesity or overweight is active, not recruiting.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for CX11/VCT220 for weight management, hypertension or another indication.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed international research evidence.

Actual supply

Completed Chinese and US studies, development rights and sponsor announcements do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The Chinese Phase III and US Phase II outcome figures are sponsor-reported topline observations; neither ClinicalTrials.gov record has posted results. The US announcement says 246 adults were enrolled while its registry records 250 actual participants, so both dated accounts remain visible. A planned global Phase III programme is not treated as started because no matching start record was located. The hypertension study has no posted results and its October and December 2026 completion dates remain estimates. A planned China NDA submission is not an NMPA approval, and no UK authorisation, NHS access, actual UK supply, comparative superiority or clinical benefit is inferred.

  • ClinicalTrials.gov NCT06569355: VCT220 China Phase IITrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 26 August 2024 · Updated 1 July 2025Start 27 December 2023 (actual) · Primary completion 13 July 2024 (actual) · Completion 1 August 2024 (actual)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06939296: VCT220 China Phase IIITrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 22 April 2025 · Updated 16 September 2026Start 24 December 2024 (actual) · Primary completion 25 November 2025 (actual) · Completion 31 March 2026 (actual)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07011797: CX11 US Phase IITrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 10 June 2025 · Updated 28 May 2026Start 17 June 2025 (actual) · Primary completion 23 March 2026 (actual) · Completion 9 April 2026 (actual)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT07360275: VCT220 hypertension Phase IITrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 22 January 2026 · Updated 21 September 2026Start 1 March 2026 (actual) · Primary completion 30 October 2026 (estimated) · Completion 20 December 2026 (estimated)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Peer-reviewed VCT220 Chinese Phase II publicationPeer-reviewed Phase II publication · Published 14 August 2026 · Reviewed 4 October 2026 · Complete abstract and study metadata reviewed, including the 250-person randomized design, sponsor funding and employee conflicts. Not automatically content-monitored.
  • Vincentage: VCT220 China Phase III topline announcementOriginal sponsor announcement · Published 18 May 2026 · Reviewed 4 October 2026 · Complete announcement reviewed for sponsor-reported Phase III topline observations and planned China NDA submission. Not automatically content-monitored.
  • Corxel: CX11 US Phase II topline announcementOriginal sponsor announcement · Published 23 June 2026 · Reviewed 4 October 2026 · Complete announcement reviewed for sponsor-reported Phase II topline observations, the 246-person announcement count and planned global Phase III development. Not automatically content-monitored.
  • Corxel: worldwide ex-Greater China rights to CX11/VCT220Original sponsor announcement · Published 23 December 2024 · Reviewed 4 October 2026 · Complete announcement reviewed for candidate identity and territorial development rights. Rights are not marketing authorisation or supply. Not automatically content-monitored.
Discontinued programme

Azelaprag / BGE-105

Phase 2 STRIDES terminated; azelaprag development discontinued

BioAge Labs

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

BioAge discontinued dosing and enrolment in the STRIDES Phase 2 obesity study on 6 December 2024 after liver transaminitis without clinically significant symptoms was observed in 11 of 204 enrolled participants in azelaprag groups. The sponsor-submitted registry records the study as terminated with an actual 12 February 2025 completion, and BioAge's later annual filing says development of azelaprag was terminated in January 2025.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for azelaprag, alone or with tirzepatide.

NHS — England

No NICE recommendation or NHS England access is established. A terminated research programme is not an NHS treatment option.

Actual supply

The reviewed evidence does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The safety observation and counts are sponsor and sponsor-submitted registry reports; this summary does not independently determine causation, incidence beyond the studied regimens or risk for other APJ agonists. The registry has no posted results, so efficacy, body-composition and muscle-preservation outcomes are not claimed. The absence of clinically significant symptoms in the sponsor report does not make the laboratory finding clinically unimportant. Azelaprag's termination must not be presented as an active programme, approved medicine, recommended combination or evidence about tirzepatide used alone.

  • BioAge Labs: STRIDES Phase 2 discontinuationOriginal sponsor discontinuation announcement · Published/updated: 6 December 2024 · Source review: 11 October 2026 · Source review required
  • ClinicalTrials.gov NCT06515418: STRIDESTrial registry record · Last reviewed record: Terminated · No results posted at record-status review · First posted 23 July 2024 · Updated 13 March 2025Start 27 June 2024 (actual) · Primary completion 6 February 2025 (actual) · Completion 12 February 2025 (actual) · Stopping reason: Dosing of both study drugs has been discontinued due to observation of liver transaminitis without clinically significant symptoms in some subjects receiving azelaprag. All participant visits have been completed.Medical evidence summary reviewed 11 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • BioAge Labs 2024 Form 10-KOriginal source — see findings and limitations · Published 20 March 2025 · Reviewed 11 October 2026 · Complete SEC filing section read for the later statement that azelaprag development was terminated in January 2025. Filing publication date was not independently verified and remains unknown. Not automatically content-monitored.
Research programme

Taldefgrobep alfa / BHV-2000

Phase 2 active, not recruiting; no results posted

Biohaven Therapeutics

Evidence summary reviewed 4 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Biohaven completed enrolment in a US Phase 2 dose-ranging monotherapy study of weekly and four-weekly taldefgrobep alfa in adults with overweight or obesity. The registry records an actual 24 November 2025 start, an estimated September 2026 completion and no posted results.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for taldefgrobep alfa in obesity.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed sources.

Actual supply

An investigational US study does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The sponsor's lean-mass and metabolic statements are development aims, not demonstrated Phase 2 outcomes. Enrolment completion and a past estimated study-completion month do not prove the trial is complete or that topline results exist. The registry has no posted results. Weekly and four-weekly regimens remain investigational; no efficacy, muscle-preservation, strength, function, durability, safety, superiority or combination benefit is established.

  • Biohaven: Phase 2 taldefgrobep obesity study completes enrolmentOriginal source — see findings and limitations · Published 19 March 2026 · Reviewed 4 October 2026 · Complete sponsor announcement read for enrolment, study design, planned dose schedules and planned endpoints. Sponsor descriptions of potential benefit are not treated as results. Not automatically content-monitored.
  • ClinicalTrials.gov NCT07281495: taldefgrobep alfa in adults with overweight and obesityTrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 15 December 2025 · Updated 20 March 2026Start 24 November 2025 (actual) · Primary completion 1 September 2026 (estimated) · Completion 1 September 2026 (estimated)Medical evidence summary reviewed 4 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Biohaven second-quarter 2026 business updateOriginal source — see findings and limitations · Published 10 August 2026 · Reviewed 4 October 2026 · Sponsor update read to confirm enrolment remained complete and that topline timing was still forward-looking. Not automatically content-monitored.
Research programme

RV-8451

Preclinical oral GLP-1 programme; IND submission planned

Rivus Pharmaceuticals

Evidence summary reviewed 4 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Rivus is developing RV-8451 as an oral non-peptide GLP-1 receptor agonist for obesity. The reviewed evidence is limited to diet-induced-obesity non-human-primate studies; the sponsor says IND-enabling work is under way and plans a US IND submission for Q1 2027.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation or a UK clinical-trial authorisation for RV-8451.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed sources.

Actual supply

Preclinical development and a planned US IND submission do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

All reported weight, fat, lean-mass and tolerability findings are sponsor-reported preclinical non-human-primate data. They do not establish human efficacy, muscle preservation, strength, function, safety, gastrointestinal tolerability, superiority to orforglipron, durability or an approved regimen. A planned Q1 2027 IND submission is not a completed filing or a started human trial.

  • Rivus: preclinical RV-8451 data at ADA 2026Original source — see findings and limitations · Published 5 June 2026 · Reviewed 4 October 2026 · Complete sponsor announcement read for modality, preclinical species, study durations, reported endpoints and planned IND timing. Preclinical comparisons are not presented as human benefit or superiority. Not automatically content-monitored.
  • Rivus oral-medicines pipelineOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 4 October 2026 · Full readable sponsor pipeline page reviewed to confirm RV-8451 remains in IND-enabling studies. Publication and update dates were not displayed and remain unknown. Not automatically content-monitored.
Research programme

ZYNERGY / petrelintide plus enicepatide

Phase 2 not yet recruiting; estimated start date has passed

Hoffmann-La Roche

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted NCT07589686 record describes a Phase 2 dose-finding study of weekly petrelintide co-administered with weekly enicepatide in adults with obesity or overweight. The study remains not yet recruiting even though its estimated 30 September 2026 start date has passed; enrolment of 486 and the January 2028 completion remain estimates.

UK authorisation

The reviewed registry evidence does not establish UK marketing authorisation for the combination or either investigational regimen.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed registry evidence.

Actual supply

A not-yet-recruiting trial does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The combination is separate from both monotherapy programmes and cannot inherit either medicine's evidence or development stage. The registry has no posted results. An estimated start date is not proof of first dosing, recruitment or study initiation, and planned weight, metabolic and safety outcomes are not completed evidence.

  • ClinicalTrials.gov NCT07589686: ZYNERGYTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 15 May 2026 · Updated 9 September 2026Start 30 September 2026 (estimated) · Primary completion 12 November 2027 (estimated) · Completion 31 January 2028 (estimated)Medical evidence summary reviewed 11 October 2026 · Record status reviewed 11 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

NNC0721-8060 injection

Recruiting first-in-human Phase 1

Novo Nordisk

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted NCT07767175 record describes a first-in-human study of subcutaneous NNC0721-8060 in adults with overweight or obesity. It is recruiting after an actual 12 August 2026 start and includes semaglutide and placebo arms.

UK authorisation

The reviewed registry evidence does not establish UK marketing authorisation for NNC0721-8060.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed registry evidence.

Actual supply

A recruiting early-stage trial does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The registry does not state a mechanism and has no posted results. Estimated enrolment of 142 and September 2027 completion are not completed evidence. A semaglutide arm does not establish equivalence, superiority or an authorised combination.

  • ClinicalTrials.gov NCT07767175: NNC0721-8060 first-in-human studyTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 17 August 2026 · Updated 4 September 2026Start 12 August 2026 (actual) · Primary completion 23 September 2027 (estimated) · Completion 23 September 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

GZC8072

Recruiting China Phase 1; sponsor-described once-weekly oral peptide GLP-1 RA; no posted results

Gan & Lee Pharmaceuticals

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Gan & Lee describes GZC8072 as an investigational ultra-long-acting oral peptide GLP-1 receptor agonist designed for once-weekly administration. The sponsor-submitted NCT07784699 record studies a single oral dose in healthy adults and multiple oral doses in adults with overweight or obesity. It records recruiting Phase 1 research in China, an actual 2 September 2026 start and 126 estimated participants.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for GZC8072. China's NMPA permission to conduct clinical trials is not a marketing authorisation in China or the UK.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed research evidence.

Actual supply

A recruiting Chinese clinical trial and permission to investigate the medicine do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

This promotes a candidate explicitly deferred on 3 October after the later primary record confirmed an initiated obesity study; it is not a newly started October trial. The Phase 1 study primarily evaluates safety, tolerability, immunogenicity and pharmacokinetics; fasting weight, BMI and waist circumference are secondary outcomes. The registry has no posted results, so it does not establish weight-loss efficacy, a weekly regimen's benefit, long-term safety or superiority. Gan & Lee's 9 September first-participant release planned 112 participants, while the registry updated 30 September estimates 126; the later registry figure is used without treating either estimate as actual enrolment. August 2027 completion remains estimated. The reviewed evidence is China-based and does not establish UK authorisation, NICE/NHS access or UK supply.

  • Gan & Lee: GZC8072 obesity clinical-trial approvalOriginal Gan & Lee sponsor announcement; Chinese clinical-trial permission, not marketing authorisation · Published/updated: 7 September 2026 · Source review: 12 October 2026 · Source review required
  • ClinicalTrials.gov NCT07784699: GZC8072Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 25 August 2026 · Updated 30 September 2026Start 2 September 2026 (actual) · Primary completion 18 August 2027 (estimated) · Completion 18 August 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Gan & Lee: first participant dosed in GZC8072 Phase 1Original source — see findings and limitations · Published 9 September 2026 · Reviewed 5 October 2026 · Complete sponsor-distributed announcement read for reported first dosing, intended weekly oral formulation and the earlier 112-participant plan. The later registry controls current status and estimated enrolment. Not automatically content-monitored.
Paused programme

ARD-201

Phase 2 POWER initiated, then voluntarily paused; STRENGTH planned, then paused

Aardvark Therapeutics

Evidence summary reviewed 5 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Aardvark describes ARD-201 as a planned once-daily oral fixed-dose combination of ARD-101 and a DPP-4 inhibitor. Its August 2026 SEC filing says POWER began in December 2025 to study prevention of weight regain after more than 15% GLP-1-receptor-agonist-associated weight loss. STRENGTH was planned to study weight loss, including ARD-201 alone and with GLP-1 therapy. Both programmes were voluntarily paused on 27 February 2026.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation or a UK clinical-trial authorisation for ARD-201. A US Phase 2 start is not marketing approval.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed sources.

Actual supply

A paused investigational programme does not establish lawful UK retail supply, pharmacy stock, expanded access or sale by Shift Some Timber.

Limits and uncertainty

The FDA clinical hold described in the filing applies to the ARD-101 IND; ARD-201 contains ARD-101, so Aardvark says further ARD-201 timing depends on resolving that hold and future regulatory discussions. The pause followed reversible cardiac observations in a healthy-volunteer ARD-101 study. This entry does not infer causation, severity, a restart, termination or a timetable. No POWER or STRENGTH results, weight-maintenance benefit, weight-loss benefit, lean-mass benefit, safety, superiority or approved regimen is established. The still-live sponsor programme page describes planned trials but does not supersede the later SEC status disclosure.

  • Aardvark Therapeutics second-quarter 2026 Form 10-QOriginal source — see findings and limitations · Published 11 August 2026 · Reviewed 5 October 2026 · Complete SEC filing read for POWER initiation, STRENGTH planning, the voluntary pause, the ARD-101 hold dependency and stated uncertainty. Not automatically content-monitored.
  • Aardvark Therapeutics: voluntary pause of clinical programmesOriginal source — see findings and limitations · Published 27 February 2026 · Reviewed 5 October 2026 · Complete sponsor announcement read for the pause date, affected ARD-201 trials and the stated healthy-volunteer observations. Not automatically content-monitored.
  • Aardvark Therapeutics ARD-201 programmesOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 5 October 2026 · Full sponsor programme page read for formulation, once-daily route and intended POWER/STRENGTH questions. The page displays 'Last Updated: October 2025' without an exact day and is treated as older context, not current trial status. Not automatically content-monitored.
Research programme

ASC36 oral tablets

US Phase 1 initiation sponsor-reported; oral formulation

Ascletis

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis reported initiation of a US Phase I study of ASC36 oral tablets after FDA Investigational New Drug clearance. The study is designed to assess safety, tolerability, pharmacokinetics and pharmacodynamics after single and multiple ascending oral doses in 86 participants with obesity or overweight. This oral-tablet study is separate from ASC36 subcutaneous injection and ASC36_35FDC combination research.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for ASC36 oral tablets. US FDA permission to conduct a study is not marketing approval in the US or UK.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed research evidence.

Actual supply

An initiated US Phase I study does not establish lawful UK retail supply, pharmacy stock, expanded access or sale by Shift Some Timber.

Limits and uncertainty

The sponsor announcement says the study was initiated but does not identify first dosing, recruitment status, study locations, start date or completion date. Exact-name ClinicalTrials.gov API searches returned no matching public record at this review; absence from those searches is not proof that no registry or other record exists. The reported oral bioavailability, half-life, weight change, food-intake and comparator findings are from non-human primates or rats, not human efficacy, safety, superiority or an approved dose. No human results are reported.

  • Ascletis: US Phase I study initiated for ASC36 oral tabletsOriginal Ascletis sponsor announcement; study initiation and plans, not trial results or marketing authorisation · Published/updated: 8 September 2026 · Source review: 12 October 2026 · Source review required
  • Ascletis: US Phase I study initiated for ASC36 oral tabletsOriginal source — see findings and limitations · Published 8 September 2026 · Reviewed 12 October 2026 · Complete original sponsor announcement read for formulation, IND clearance, reported study initiation, planned population and endpoints, and animal-only findings. Automatic monitoring checks the bounded claim-bearing article text; it does not assess clinical outcomes.
Research programme

TE-8105

Phase 2b record posted; not yet recruiting; estimated October 2026 start

Immunwork

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Immunwork's sponsor-submitted NCT07857473 record describes TE-8105 as an injectable GLP-1 receptor agonist in a randomized, placebo-controlled Phase 2b study for adults with overweight or obesity. The record plans three subcutaneous dose-escalation cohorts, 25 weeks of treatment and up to 204 participants at two listed Australian locations.

UK authorisation

The reviewed registry evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for TE-8105.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed research evidence.

Actual supply

A planned Australian clinical study does not establish lawful UK retail supply, pharmacy stock, expanded access or sale by Shift Some Timber.

Limits and uncertainty

The record was first posted on 5 October 2026 and remains not yet recruiting. Its October 2026 start, 204-participant enrolment and February 2028 completion are estimates, not completed dosing, actual enrolment or results. Two Australian facilities are listed, but the record does not establish that either is actively recruiting. No results are posted. The study's safety, tolerability, pharmacokinetic, body-weight, body-composition and metabolic assessments do not establish efficacy, safety, an approved dose, a less-frequent regimen, superiority or clinical benefit. This entry does not transfer evidence from earlier TE-8105 research or sponsor announcements to this Phase 2b study.

  • ClinicalTrials.gov NCT07857473: TE-8105 Phase 2bTrial registry record · Last reviewed record: Not yet recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 5 October 2026Start 1 October 2026 (estimated) · Primary completion 1 February 2028 (estimated) · Completion 1 February 2028 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

GLP-1 use and sarcopenia observation

Recruiting observational study; no treatment assigned; no posted results

Istanbul Saglik Bilimleri University

Evidence summary reviewed 5 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

NCT07858864 observes 42 estimated adults in Turkey who start a GLP-1 or dual GLP-1/GIP medicine prescribed as routine obesity care. Over three months it records SARC-F screening, hand-grip strength, chair-stand and gait performance, bioelectrical-impedance body composition and routine laboratory results.

UK authorisation

This observational record does not establish a new UK medicine authorisation or a muscle-preservation indication for semaglutide, tirzepatide or a drug class.

NHS — England

The Turkish observational study does not establish a NICE recommendation or NHS England access pathway.

Actual supply

The study does not assign, supply or alter treatment. Routine prescribing in Turkey does not establish UK pharmacy stock, lawful UK supply or sale by Shift Some Timber.

Limits and uncertainty

The record was first posted on 5 October 2026 after an actual 30 May study start and remains recruiting, with estimated November completion. It has no untreated comparator, allows different medicines, doses and durations chosen by treating physicians, estimates only 42 participants and posts no results. Planned sarcopenia, strength, function and body-composition measurements do not establish muscle loss, muscle preservation, causation, class effects, clinical benefit or a treatment recommendation.

  • ClinicalTrials.gov NCT07858864: GLP-1 use and sarcopenia observationTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 5 October 2026 · Updated 8 October 2026Start 30 May 2026 (actual) · Primary completion 30 November 2026 (estimated) · Completion 30 November 2026 (estimated)Medical evidence summary reviewed 5 October 2026 · Record status reviewed 8 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

710GO

Recruiting Phase 1 dose-escalation record; food-effect record not yet recruiting

Kalohexis

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

710GO is an investigational oral peptide acting at melanocortin-3 and melanocortin-4 receptors. ANZCTR ACTRN12626000541303 (710GO-HV-01 Parts A/B), updated 2 July 2026, lists a randomized, blinded, placebo-controlled Australian Phase 1 study as recruiting, with actual first enrolment on 21 April 2026, a target of 120 and 11 enrolled at that update. The separately registered Part C food-effect crossover study ACTRN12626000540314, last updated 30 April 2026, still lists not yet recruiting and a target of 12.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for 710GO.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Australian research and sponsor-reported first dosing do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The 28 May 2026 sponsor announcement reported first dosing and approximately 100 planned participants. Its count is retained separately from the later dose-escalation registry's 120 target; 11 is a dated accrual count, not current enrolment or a result. Part C's recruitment start remains anticipated, not actual. Both records give anticipated last enrolment on 2 November and last data collection on 31 December 2026, with no study results posted. Differences in population wording, counts and recruitment timing remain unresolved. ClinicalTrials.gov discovery remains incomplete; these ANZCTR records provide official alternatives. Neither first enrolment nor dosing establishes human efficacy or safety. Weight, fat, lean-mass, tolerability, maintenance and combination observations in the earlier announcement concern preclinical studies, not human benefits, strength, function, durability, superiority or an approved regimen. The separate mifomelatide cancer-cachexia programme is not obesity evidence.

  • Kalohexis: 710GO first-in-human Phase 1 first dosingOriginal source — see findings and limitations · Published 28 May 2026 · Reviewed 5 October 2026 · Original sponsor-distributed announcement read in full. Not automatically content-monitored; direct command-line retrieval returned HTTP 403. No approved retrieval fingerprint is created.
  • ANZCTR ACTRN12626000541303: 710GO-HV-01 dose escalationOriginal source — see findings and limitations · Published 30 April 2026 · Reviewed 10 October 2026 · Complete official registry record read: Parts A/B only, Phase 1, recruiting, actual first enrolment 21 April 2026, target 120, dated accrual 11, anticipated future dates and no posted study results. Not automatically content-monitored.
  • ANZCTR ACTRN12626000540314: 710GO-HV-01 Part C food effectOriginal source — see findings and limitations · Published 30 April 2026 · Reviewed 10 October 2026 · Complete official registry record read: separate open-label randomized food-effect crossover Part C, target 12, not yet recruiting, anticipated dates with actual dates blank, no results documents. Not automatically content-monitored.
Research programme

GUB-UCN2

Recruiting first-in-human Phase 1/2a research

Gubra

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

GUB-UCN2 is an investigational subcutaneous urocortin-2 analogue and selective CRHR2 agonist. Gubra reported on 28 July 2026 that the first participant had completed the first visit in a three-part Phase 1/2a study. The sponsor-submitted registry records a recruiting study with an actual 27 July 2026 start, approximately 188 planned participants, and monotherapy and incretin-combination cohorts. Muscle volume and muscle function are planned study endpoints.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for GUB-UCN2, alone or in combination.

NHS — England

No NICE recommendation or NHS England access is established by this early research.

Actual supply

Clinical development in Germany does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

Recruitment, first visit and an actual study start are not efficacy or safety results. The 188-participant enrolment and December 2028 completion remain estimates, and the registry has no posted results. Muscle-volume, muscle-function and combination cohorts are planned research, not demonstrated preservation, improved function or added benefit. All reported fat-mass, lean-mass, cardiac, renal and metabolic effects in the 28 July announcement are preclinical, not human findings. The evidence establishes no approved dose, UK authorisation, NICE or NHS access, UK supply or clinical approval.

  • ClinicalTrials.gov NCT07702890: GUB-UCN2 Phase 1/2Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 14 July 2026 · Updated 10 September 2026Start 27 July 2026 (actual) · Primary completion 1 December 2028 (estimated) · Completion 1 December 2028 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Gubra: GUB-UCN2 Phase 1/2a initiationOriginal sponsor trial-initiation announcement · Published 28 July 2026 · Reviewed 6 October 2026 · Complete sponsor announcement read for first visit, design and planned cohorts. Preclinical body-composition statements are not human results. Not automatically content-monitored.
Discontinued programme

MBL949

Phase 2 trial terminated early; obesity development not continued

Novartis

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

The sponsor-submitted NCT05199090 record and Novartis patient summary describe a 126-participant Phase 2 obesity study that started in February 2022 and ended early in May 2023. Novartis says the observed tolerability-to-benefit balance was not favourable at the studied doses and that it decided not to continue studying MBL949 in obesity.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for MBL949.

NHS — England

No NICE recommendation or NHS England access is established. A stopped research programme is not an NHS treatment option.

Actual supply

The reviewed evidence does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The registry labels the study terminated and includes posted results, but this concise Watch entry does not independently reanalyse its efficacy or adverse-event tables. Novartis's patient summary says the early-stop decision was not related to the safety of MBL949 while also stating that the effect on weight loss was insufficient given the number of adverse events; both statements are retained without turning them into a broader safety conclusion. This programme must not be presented as active, authorised or supplied, and its outcome does not establish conclusions about other GDF15-pathway candidates.

  • ClinicalTrials.gov NCT05199090: MBL949 Phase 2Original source — see findings and limitations · Published 20 January 2022 · Reviewed 6 October 2026 · Complete sponsor-submitted registry record read for terminated status, stopping reason, actual dates, actual enrolment and posted-results state. Not automatically content-monitored because interpreting posted outcomes needs a separate factual review.
  • Novartis patient results summary: CMBL949A12201Sponsor patient results summary · Published Not stated by the source · Reviewed 6 October 2026 · Complete eight-page sponsor PDF read for study population, early termination and the decision not to continue obesity development. The document does not state a publication or update date; both remain unknown. Not automatically content-monitored.
Research programme

Bivamelagon / LB54640

Phase 2 specialist hypothalamic-obesity research

Rhythm Pharmaceuticals

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Bivamelagon is an investigational once-daily oral MC4R agonist studied in acquired hypothalamic obesity, not general obesity. Rhythm's 9 July 2025 announcement reports sponsor topline results from a 28-person randomized placebo-controlled Phase 2 study. A separate sponsor-submitted long-term extension is enrolling by invitation, with an actual 10 November 2025 start, 25 estimated participants and estimated April 2028 completion.

UK authorisation

The reviewed sources do not establish UK marketing authorisation for bivamelagon. UK authorisation of setmelanotide for specified conditions must not be transferred to this separate investigational medicine.

NHS — England

No NICE recommendation or NHS England access for bivamelagon is established by the reviewed research sources.

Actual supply

Clinical research, including listed UK study sites, does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The Phase 2 findings are sponsor-reported topline results from 28 participants in a rare specialist indication. They do not establish efficacy or safety in general obesity, comparison with authorised treatment, an approved dose, long-term benefit, UK authorisation, NHS access or supply. The open-label extension has no posted registry results; its enrolment and completion remain estimates.

  • Rhythm: bivamelagon Phase 2 topline resultsOriginal sponsor announcement; topline results, not regulatory approval · Published/updated: 9 July 2025 · Source review: 12 October 2026 · Source review required
  • ClinicalTrials.gov NCT07156578: bivamelagon long-term extensionTrial registry record · Last reviewed record: Enrolling by invitation · No results posted at record-status review · First posted 5 September 2025 · Updated 10 February 2026Start 10 November 2025 (actual) · Primary completion 15 April 2028 (estimated) · Completion 15 April 2028 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

RM-718

Phase 1/2 specialist hypothalamic-obesity research; preliminary sponsor data

Rhythm Pharmaceuticals

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

RM-718 is an investigational once-weekly injectable MC4R agonist being studied in acquired hypothalamic obesity. Rhythm's 4 August 2026 announcement reports preliminary Phase 2 findings from an ongoing open-label study: 11 participants were enrolled and seven had reached 16 weeks for the reported mean BMI analysis.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation for RM-718 or transfer any authorisation held by setmelanotide.

NHS — England

No NICE recommendation or NHS England access is established by this early specialist research.

Actual supply

An ongoing clinical programme does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The sponsor announcement is preliminary, open-label and based on very small numbers; two participants discontinued treatment because of adverse events and one withdrew from the extension. It does not establish comparative or long-term benefit, general-obesity use, an approved dose, UK authorisation, NICE or NHS access, UK supply or clinical approval.

  • Rhythm: preliminary RM-718 Phase 2 dataOriginal sponsor announcement; preliminary results, not regulatory approval · Published/updated: 4 August 2026 · Source review: 12 October 2026 · Source review required
Research programme

GS-4571 oral tablets

Recruiting oral Phase 1; no posted results

Gilead Sciences

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Gilead's sponsor-submitted record describes recruiting Phase 1 research of oral GS-4571. The study uses single and multiple ascending doses across healthy participants, adults with obesity without diabetes and adults with type 2 diabetes who do not have obesity. It has an actual 28 August 2024 start, 134 estimated participants and estimated February 2027 completion.

UK authorisation

The reviewed trial record does not establish UK marketing authorisation for GS-4571.

NHS — England

No NICE recommendation or NHS England access is established by this early research record.

Actual supply

A recruiting US Phase 1 trial does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

No results are posted. The primary questions concern pharmacokinetics, safety and tolerability; planned oral dosing, food-effect and omeprazole cohorts are not efficacy findings or an approved regimen. Estimated enrolment and completion are not completed events, and the record does not establish weight loss, comparative benefit, UK authorisation, NHS access, supply or clinical approval.

  • ClinicalTrials.gov NCT06562907: oral GS-4571 Phase 1Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 20 August 2024 · Updated 6 October 2026Start 28 August 2024 (actual) · Primary completion 1 February 2027 (estimated) · Completion 1 February 2027 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Tirzepatide in menopausal vasomotor-symptom research

Recruiting Phase 4 pilot in post-menopausal women with obesity

Mayo Clinic

Evidence summary reviewed 6 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Mayo Clinic's investigator-submitted record describes a 24-week placebo-controlled pilot of tirzepatide in 40 estimated post-menopausal women with obesity. The study has an actual 8 April 2026 start and measures vasomotor-symptom frequency and severity alongside exploratory biological-age markers.

UK authorisation

Tirzepatide has a separate UK adult weight-management authorisation, but this research record does not establish a UK indication for menopausal vasomotor symptoms or biological ageing.

NHS — England

The reviewed record does not establish NICE or NHS England access for tirzepatide to treat menopausal symptoms or alter biological-age markers.

Actual supply

A recruiting single-site US study does not establish a new UK treatment route, pharmacy stock or supply for this specialist research question.

Limits and uncertainty

The study is a small single-site pilot with no posted results. Phase 4 labels the study stage; it does not mean that tirzepatide is approved for vasomotor symptoms or biological ageing. Planned symptom and biomarker outcomes do not establish benefit, disease modification, an approved regimen, UK authorisation for this indication, NHS access, supply or clinical approval.

  • ClinicalTrials.gov NCT07218445: tirzepatide menopause pilotTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 20 October 2025 · Updated 6 October 2026Start 8 April 2026 (actual) · Primary completion 18 September 2027 (estimated) · Completion 18 September 2027 (estimated)Medical evidence summary reviewed 6 October 2026 · Record status reviewed 6 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
Research programme

Ixekizumab with tirzepatide in psoriatic disease

Completed Phase 3b psoriasis and psoriatic-arthritis studies; Phase 4 follow-up active

Eli Lilly and Company

Evidence summary reviewed 9 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Lilly's sponsor-submitted records describe two completed open-label Phase 3b studies of ixekizumab with tirzepatide in adults with moderate-to-severe plaque psoriasis or psoriatic arthritis and obesity or overweight. A 31 August 2026 sponsor release reports prespecified exploratory week-52 findings. Two separate real-world Phase 4 studies have actual March 2025 starts: the psoriasis study is recruiting and the psoriatic-arthritis study is active, not recruiting. On 9 October 2026, Lilly reported a separate prespecified exploratory TOGETHER-PsO analysis of circulating proteins and blood gene expression, presented at Fall Clinical 2026. Broader biomarker changes with concomitant treatment were sponsor-reported as early as week 12 and at week 36.

UK authorisation

The reviewed evidence does not establish a UK marketing authorisation for ixekizumab and tirzepatide as a combined psoriatic-disease and weight-management regimen.

NHS — England

No NICE recommendation or NHS England access for this combination and specialist research question is established by these studies.

Actual supply

Trial completion, a sponsor announcement and active Phase 4 research do not establish a combined UK treatment pathway, lawful retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The sponsor's week-52 analyses are exploratory, open-label and reported without multiplicity control; detailed results were not peer reviewed in the reviewed release. None of the four registry records has posted results. Lilly reports 274 and 271 enrolled participants in TOGETHER-PsO and TOGETHER-PsA, while the later registry records report 281 and 279 actual participants; both dated accounts remain visible. Skin, joint, weight and metabolic outcomes are indication-specific and do not establish comparative superiority, an approved combined regimen, UK authorisation, NHS access, supply or clinical approval. The Phase 4 enrolment and May 2028 or August 2027 completion dates remain estimates. The biomarker announcement is exploratory sponsor-reported conference evidence, not a new trial or independently established clinical benefit, causal mechanism, comparative recommendation or UK combination approval. Its 274 randomized participants remain separate from the registry's previously reviewed 281 actual participants. No registry lifecycle or review date is advanced from this announcement.

  • Lilly: TOGETHER-PsO and TOGETHER-PsA week-52 sponsor resultsOriginal sponsor announcement; exploratory open-label Phase 3b findings — see limitations · Published 31 August 2026 · Reviewed 9 October 2026 · Complete sponsor announcement read for design, sponsor-reported participant counts, week-52 exploratory findings, safety context and stated limitations. This page remains outside automatic content monitoring.
  • ClinicalTrials.gov NCT06588283: TOGETHER-PsOTrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 19 September 2024 · Updated 17 June 2026Start 30 September 2024 (actual) · Primary completion 8 January 2026 (actual) · Completion 1 June 2026 (actual)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06588296: TOGETHER-PsATrial registry record · Last reviewed record: Completed · No results posted at record-status review · First posted 19 September 2024 · Updated 13 May 2026Start 24 September 2024 (actual) · Primary completion 18 November 2025 (actual) · Completion 23 April 2026 (actual)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06857942: TOGETHER AMPLIFY-PsOTrial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 5 March 2025 · Updated 4 September 2026Start 19 March 2025 (actual) · Primary completion 1 May 2028 (estimated) · Completion 1 May 2028 (estimated)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • ClinicalTrials.gov NCT06864026: TOGETHER AMPLIFY-PsATrial registry record · Last reviewed record: Active, not recruiting · No results posted at record-status review · First posted 7 March 2025 · Updated 21 September 2026Start 6 March 2025 (actual) · Primary completion 1 August 2027 (estimated) · Completion 1 August 2027 (estimated)Medical evidence summary reviewed 9 October 2026 · Record status reviewed 9 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.
  • Lilly: TOGETHER-PsO exploratory biomarker findings — 9 October 2026Exploratory biomarker analysis; original sponsor announcement — see limitations · Published 9 October 2026 · Reviewed 9 October 2026 · Original announcement read through trial design, exploratory findings, US safety summaries and forward-looking limitations. Outside automatic content monitoring; no new fingerprint or green baseline.
Research programme

MW-401 / GPR75 programme

Preclinical oral small-molecule programme

Mwyngil Therapeutics

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Mwyngil's pipeline names MW-401 as a selective oral GPR75 antagonist in preclinical development. Its separate 25 June 2026 announcement reports diet-induced-obesity mouse findings for a GPR75 inverse-agonist programme and says candidate optimisation is continuing.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for MW-401.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Preclinical development does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The reported weight and body-composition findings are from mice, not people. They do not establish human efficacy, safety, lean-mass preservation, muscle strength or function, dose, durability or superiority. The dated announcement does not name MW-401, while the undated pipeline page supplies that code; the sponsor's public pages do not explicitly reconcile antagonist and inverse-agonist terminology. No human trial, first dosing or development-candidate selection is established by these sources.

  • Mwyngil pipeline: MW-401Preclinical research — see limitations · Published Not stated by the source · Reviewed 10 October 2026 · Official sponsor pipeline read in full for programme name, modality and preclinical stage; no verified publication or update date. Not automatically content-monitored.
  • Mwyngil: GPR75 preclinical proof-of-concept announcementPreclinical research — see limitations · Published 25 June 2026 · Reviewed 10 October 2026 · Official dated sponsor announcement read in full; animal findings remain preclinical and are not automatically content-monitored.
Research programme

PL1000 / PL2000 MC4R programmes

Preclinical and IND-enabling peptide programmes

Palatin Technologies

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Palatin's 28 September 2026 business update describes non-lipidated PL1000 and lipidated PL2000 melanocortin-4-receptor peptide series in preclinical and IND-enabling work, with specialist development plans that include hypothalamic obesity, Prader-Willi syndrome and Bardet-Biedl syndrome.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for PL1000 or PL2000.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Preclinical development does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The reported body-weight findings and pharmacokinetic comparisons are preclinical animal evidence, not human results. Planned IND filings, Phase 1 starts and data are future targets subject to funding, not completed events. The reviewed sources do not establish human efficacy, safety, muscle preservation, an approved regimen or general-obesity use. Palatin's separate oral small-molecule MC4R work remains a preclinical discovery programme and is not treated as the same formulation as PL1000 or PL2000.

  • Palatin FY2026 results and business updatePreclinical research — see limitations · Published 28 September 2026 · Reviewed 10 October 2026 · Official dated sponsor release read in full for preclinical stage, specialist indications and explicitly planned development events; not automatically content-monitored.
  • Palatin September 2026 corporate presentationOriginal source — see findings and limitations · Published 28 September 2026 · Reviewed 10 October 2026 · Official sponsor presentation read for programme identity and preclinical evidence only; animal data are not human outcomes. Not automatically content-monitored.
Research programme

ASC39 oral tablets

Preclinical oral amylin programme; planned IND not verified

Ascletis Pharma

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis describes ASC39 as a once-daily oral small-molecule selective amylin receptor agonist. Its 3 August 2026 portfolio update reports only animal findings and listed a US IND filing for the third quarter of 2026; no accessible official source reviewed on 10 October confirmed that filing or a human study.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for ASC39.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Preclinical development and a planned US filing do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The reported weight observations are from diet-induced-obesity rats, not people. They do not establish human efficacy, safety, tolerability, dose, durability, muscle preservation or superiority. A planned third-quarter IND filing is not presented as submitted, cleared or as trial initiation; the absence of a later accessible announcement is retained as uncertainty.

  • Ascletis: oral GLP-1/GIP/amylin portfolio updateOriginal source — see findings and limitations · Published 3 August 2026 · Reviewed 10 October 2026 · Complete sponsor-distributed announcement read for programme composition, animal-only evidence and planned filing status. Not automatically content-monitored.
Research programme

ASC30_39 FDC oral combination

Preclinical oral GLP-1/amylin combination; planned IND not verified

Ascletis Pharma

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis selected a once-daily oral fixed-dose combination of ASC30 and ASC39 for clinical development. The reviewed April and August 2026 sponsor announcements report formulation, pharmacokinetic and animal findings and planned a US IND filing in the third quarter of 2026; no accessible official source reviewed on 10 October confirmed that filing or first dosing.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for ASC30_39 FDC.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Preclinical development and a planned US filing do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

Dog pharmacokinetic and formulation observations and rodent or non-human-primate weight findings are not human obesity efficacy or safety results. They do not establish an approved combined regimen, dose, tolerability, durability, muscle preservation or superiority. The planned third-quarter filing is not presented as completed.

  • Ascletis: ASC30_39 FDC selected for clinical developmentOriginal source — see findings and limitations · Published 7 April 2026 · Reviewed 10 October 2026 · Complete sponsor-distributed announcement read for candidate selection, non-human evidence and planned filing. Not automatically content-monitored.
  • Ascletis: oral GLP-1/GIP/amylin portfolio updateOriginal source — see findings and limitations · Published 3 August 2026 · Reviewed 10 October 2026 · Complete sponsor-distributed announcement read for current dated portfolio status. Not automatically content-monitored.
Research programme

ASC30_48 FDC oral combination

Preclinical oral GLP-1/GIP combination; IND filing planned

Ascletis Pharma

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis selected a once-daily oral fixed-dose combination of ASC30 and ASC48 for clinical development. The sponsor reports only non-human-primate weight findings and planned a US IND filing in the fourth quarter of 2026; the reviewed sources do not establish a completed filing, clearance or human study.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for ASC30_48 FDC.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Preclinical development and a planned US filing do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The reported weight observations are from an eight-day non-human-primate study, not people. They do not establish human efficacy, safety, tolerability, dose, durability, muscle preservation, equivalence to tirzepatide or superiority. A fourth-quarter filing remains a plan, not a completed event.

  • Ascletis: ASC30_48 FDC selected for clinical developmentOriginal source — see findings and limitations · Published 15 July 2026 · Reviewed 10 October 2026 · Complete sponsor-distributed announcement read for candidate selection, animal-only evidence and planned filing. Not automatically content-monitored.
  • Ascletis: oral GLP-1/GIP/amylin portfolio updateOriginal source — see findings and limitations · Published 3 August 2026 · Reviewed 10 October 2026 · Complete sponsor-distributed announcement read for current dated portfolio status. Not automatically content-monitored.
Research programme

ASC30_48_39 FDC oral combination

Preclinical oral GLP-1/GIP/amylin combination; IND filing planned

Ascletis Pharma

Evidence summary reviewed 10 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Ascletis describes a once-daily oral fixed-dose combination of ASC30, ASC48 and ASC39 targeting GLP-1, GIP and amylin receptors. Its 3 August 2026 announcement reports only non-human-primate findings and planned a US IND filing in the fourth quarter of 2026; no human trial or completed filing is established.

UK authorisation

The reviewed sponsor evidence does not establish UK marketing authorisation or UK clinical-trial authorisation for ASC30_48_39 FDC.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Preclinical development and a planned US filing do not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

The reported seven-day weight observations are from non-human primates, not people. They do not establish human efficacy, safety, tolerability, dose, durability, muscle preservation, equivalence to injectable combinations or superiority. A fourth-quarter filing remains a plan, not a completed event.

  • Ascletis: oral GLP-1/GIP/amylin portfolio updateOriginal source — see findings and limitations · Published 3 August 2026 · Reviewed 10 October 2026 · Complete sponsor-distributed announcement read for programme composition, animal-only evidence and planned filing status. Not automatically content-monitored.
Research programme

ALN-2232

Recruiting Phase 1/2 monotherapy and tirzepatide co-initiation study

Alnylam Pharmaceuticals

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

An investigational RNA-interference therapeutic targeting ACVR1C in adipose tissue. Alnylam's current trial page describes an enrolling 156-participant study of single and multiple ALN-2232 doses, including a separate part co-initiated with tirzepatide; the sponsor reported Phase 1 initiation on 30 April 2026.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for ALN-2232 or its use with tirzepatide.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Research participation does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

Recruitment and planned study endpoints are not results. Co-initiation is an investigational trial design, not an approved combination, dosing or switching regimen. The sponsor's expectation of Phase 1 data in the second half of 2026 is a plan, not a completed event.

  • Alnylam ALN-2232-001 trial pageOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 11 October 2026 · Official sponsor trial page read for enrolling status, NCT07463846, 156 participants, interventions and 2 March 2026 to 2 March 2028 study dates; publication and update dates were not verified; not automatically content-monitored.
  • Alnylam Q1 2026 resultsOriginal source — see findings and limitations · Published 30 April 2026 · Reviewed 11 October 2026 · Original sponsor release read for Phase 1 initiation, ACVR1C target, adipose-directed RNAi description and planned later data; not automatically content-monitored.
  • Alnylam clinical development pipelineOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 11 October 2026 · Official pipeline read for current Phase 1 placement, ACVR1C target and obesity/weight-management indication; the page says updated July 2026 but does not state a day; not automatically content-monitored.
Research programme

ALN-6222

Recruiting first-in-human Phase 1

Alnylam Pharmaceuticals

Evidence summary reviewed 11 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

A separate investigational RNA-interference therapeutic targeting inhibin E (INHBE). Alnylam's current trial page describes an enrolling, placebo-controlled, single-ascending-dose Phase 1 study of subcutaneous ALN-6222 in 88 adults with obesity; the sponsor reported trial initiation on 30 July 2026.

UK authorisation

The reviewed evidence does not establish UK marketing authorisation for ALN-6222.

NHS — England

No NICE recommendation or NHS England access is established by the reviewed evidence.

Actual supply

Research participation does not establish lawful UK retail supply or pharmacy stock.

Limits and uncertainty

First-in-human recruitment is not evidence of efficacy, safety, muscle preservation, strength or function. The study dates and participant count describe the sponsor's current trial record; no results were reviewed.

  • Alnylam ALN-6222-001 trial pageOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 11 October 2026 · Official sponsor trial page read for enrolling status, NCT07624071, 88 participants, single-dose design and 4 June 2026 to 14 December 2027 study dates; publication and update dates were not verified; not automatically content-monitored.
  • Alnylam Q2 2026 resultsOriginal source — see findings and limitations · Published 30 July 2026 · Reviewed 11 October 2026 · Original sponsor release read for Phase 1 initiation, INHBE target and adult-obesity scope; not automatically content-monitored.
  • Alnylam clinical development pipelineOriginal source — see findings and limitations · Published Not stated by the source · Reviewed 11 October 2026 · Official pipeline read for current Phase 1 placement, INHBE target and obesity/weight-management indication; the page says updated July 2026 but does not state a day; not automatically content-monitored.
Research programme

LY4329090

Recruiting subcutaneous Phase 1; no posted results

Eli Lilly and Company

Evidence summary reviewed 12 October 2026 · Factual source review, not clinical approval

This evidence summary is due for factual review. A successful source check does not renew it.

Lilly's sponsor-submitted record describes recruiting Phase 1 single- and multiple-ascending-dose research of subcutaneous LY4329090 in otherwise healthy adults with obesity or overweight. It records an actual 22 September 2026 start, 184 estimated participants and estimated September 2027 completion.

UK authorisation

The reviewed trial record does not establish UK marketing authorisation for LY4329090.

NHS — England

No NICE recommendation or NHS England access is established by this early research record.

Actual supply

A recruiting Phase 1 trial does not establish lawful UK retail supply, pharmacy stock or sale by Shift Some Timber.

Limits and uncertainty

No results are posted, and the reviewed registry does not disclose a molecular target or mechanism. The primary questions concern safety, tolerability, pharmacokinetics and pharmacodynamics. Recruitment, estimated enrolment and estimated completion are not efficacy, safety, weight-loss or comparative findings, an approved regimen, UK authorisation, NHS access, supply or clinical approval.

  • ClinicalTrials.gov NCT07808073: LY4329090 obesity or overweight Phase 1Trial registry record · Last reviewed record: Recruiting · No results posted at record-status review · First posted 8 September 2026 · Updated 8 October 2026Start 22 September 2026 (actual) · Primary completion 1 September 2027 (estimated) · Completion 1 September 2027 (estimated)Medical evidence summary reviewed 12 October 2026 · Record status reviewed 12 October 2026 · Source review required · These are the dated reviewed facts, not a newly assessed live record. Status checks do not assess clinical outcomes.

What changed?

Recent additions and corrections. Each item keeps its own evidence and review date.

Safety updates matter too

Weight-management medicines are prescribed medicines. New research and approvals do not remove the need to understand risks.

MHRA’s 29 January 2026 notice strengthened warnings about acute pancreatitis with GLP-1 and GLP-1/GIP medicines, including rare severe and fatal reports. Its patient advice is to seek urgent medical attention for severe, persistent abdominal pain, which may radiate to the back and come with nausea or vomiting.

MHRA: strengthened pancreatitis warningsPublished 29 January 2026 · Reviewed 10 October 2026 · Source review required

Report suspected side effects through MHRA Yellow Card. Reporting does not replace urgent medical care. This is one reviewed safety notice, not a complete list of risks; read the product leaflet and speak to your prescriber or pharmacist.

NHS access depends on where you live

The medicine cards describe England. These additional national sources describe different pathways; a recommendation or announcement does not prove local appointments, prescribing capacity or pharmacy stock. This first access comparison concerns weight management, principally tirzepatide; it does not establish access for every medicine or indication.

Scotland

SMC accepted tirzepatide for restricted weight-management use in June 2024. Its public summary describes the eligible group; an individual’s suitability and local pathway still need checking.

SMC: tirzepatide weight-management public summaryPublished 10 June 2024 · Reviewed 10 October 2026 · Source review required

Wales

The circular updated 7 July 2026 describes specialist weight-management prescribing, with specified exceptions for suitably competent prescribers in urgent clinical circumstances and approved innovation proposals. This is not general GP access for everyone meeting NICE criteria.

Welsh Government: weight-management clinical pathwayPublished 23 October 2025 · Updated 7 July 2026 · Reviewed 10 October 2026 · Source review required

Northern Ireland

The 29 June 2026 announcement planned the first phase of the Regional Obesity Management Service for autumn 2026, prioritising highest clinical need. That dated plan does not confirm the service is open or medicine is available now. Current operational access remains unverified here; check with your HSC team.

Department of Health NI: first phase of ROMSPublished 29 June 2026 · Reviewed 10 October 2026 · Source review required

Evidence needs attention

Changed evidence, overdue factual reviews and retrieval failures are different jobs. A delayed check does not establish a medical risk; an unchanged check does not approve medical advice.

Configured-source factual review needed (204)
Programme-summary factual review needed (119)
  • MounjaroProgramme evidence summary reviewed 17 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Wegovy injectionProgramme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Wegovy tabletProgramme evidence summary reviewed Not recorded · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • OrlistatProgramme evidence summary reviewed Not recorded · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • FoundayoProgramme evidence summary reviewed Not recorded · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • RetatrutideProgramme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Saxenda / liraglutideProgramme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Mysimba / naltrexone–bupropionProgramme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Imcivree / setmelanotideProgramme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • CagriSemaProgramme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Cagrilintide monotherapyProgramme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Zenagamtide / amycretinProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MariTide / maridebart cafraglutideProgramme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • SurvodutideProgramme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • VK2735Programme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • PetrelintideProgramme evidence summary reviewed 8 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Eloralintide / EloraTZPProgramme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Aleniglipron / GSBR-1290Programme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ACCG-2671Programme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Berobenatide / PF-3944 / PF-08653944 / MET-097iProgramme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Enicepatide / CT-388Programme evidence summary reviewed 7 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • DanuglipronProgramme evidence summary reviewed 29 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • DapiglutideProgramme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • AMG 513Programme evidence summary reviewed 7 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ElecoglipronProgramme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Ribupatide injection / KAI-9531Programme evidence summary reviewed 7 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Oral ribupatide / KAI-9531-TProgramme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Safiglipron / KAI-7535 / HRS-7535Programme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • KAI-4729 / HRS-4729Programme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Olatorepatide / HS-20094Programme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Apitegromab with tirzepatideProgramme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Trevogrumab with semaglutide, with or without garetosmabProgramme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • HRS-1596Programme evidence summary reviewed 9 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Emugrobart (GYM329 / RO7204239)Programme evidence summary reviewed 7 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ENV-308Programme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • BI 3034701Programme evidence summary reviewed 30 Sept 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Macupatide / LY3532226Programme evidence summary reviewed 9 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • IBIO-600Programme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MBX 4291Programme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ARO-INHBEProgramme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • LX9851Programme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • NBIP-1968Programme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • CRB-913Programme evidence summary reviewed 9 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • SYNT-101Programme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ALV-100Programme evidence summary reviewed 1 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Ecnoglutide / XW003Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Mazdutide / IBI362Programme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC36 subcutaneous injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC36_35FDC subcutaneous combinationProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC35 subcutaneous injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ARO-ALK7Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MWN105 injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • IBI3032 tabletsProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • HDM1005 injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • NPM-139 semaglutide implantProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • UBT251 / NN9559Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • SGB-7342Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ABBV-295Programme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC30 oral tabletProgramme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC30 subcutaneous depotProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • TERN-601Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Bimagrumab with semaglutide or tirzepatideProgramme evidence summary reviewed 9 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • DA-302168S tabletsProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • NNC0662-0419 injectionProgramme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • DR10624 injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • CMS-D008 injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Enobosarm with semaglutideProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MWN109 injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MWN109 tabletsProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MWN110 injectionProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • TQF3250 capsulesProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Tisolagiline / KDS2010Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • TLC-6740 with tirzepatideProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • BIO101 / 20-hydroxyecdysone with semaglutideProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Semaglutide specialist-use trialsProgramme evidence summary reviewed 5 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Tirzepatide in COPD and sarcopenia (GLIMR COPD)Programme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Tirzepatide in endometrial-cancer researchProgramme evidence summary reviewed 2 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • NA-931 alone and with tirzepatideProgramme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • AZD6234Programme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Mirabegron with alpha-lipoic acidProgramme evidence summary reviewed 9 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • AZD1043Programme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • WVE-007Programme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • NNC0638-0355Programme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • LEAN-PRO GLP-1 dietary-protein studyProgramme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • VK3019Programme evidence summary reviewed 3 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • AT7687 / AT673 with semaglutideProgramme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ZP6590Programme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • SRSD384Programme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • RJVA-002Programme evidence summary reviewed 4 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ART27.13Programme evidence summary reviewed 4 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • RGT-075 / RGT001-075Programme evidence summary reviewed 4 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • CX11 / VCT220Programme evidence summary reviewed 4 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Azelaprag / BGE-105Programme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Taldefgrobep alfa / BHV-2000Programme evidence summary reviewed 4 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • RV-8451Programme evidence summary reviewed 4 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ZYNERGY / petrelintide plus enicepatideProgramme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • NNC0721-8060 injectionProgramme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • GZC8072Programme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ARD-201Programme evidence summary reviewed 5 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC36 oral tabletsProgramme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • TE-8105Programme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • GLP-1 use and sarcopenia observationProgramme evidence summary reviewed 5 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • 710GOProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • GUB-UCN2Programme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MBL949Programme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Bivamelagon / LB54640Programme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • RM-718Programme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • GS-4571 oral tabletsProgramme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Tirzepatide in menopausal vasomotor-symptom researchProgramme evidence summary reviewed 6 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • Ixekizumab with tirzepatide in psoriatic diseaseProgramme evidence summary reviewed 9 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • MW-401 / GPR75 programmeProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • PL1000 / PL2000 MC4R programmesProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC39 oral tabletsProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC30_39 FDC oral combinationProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC30_48 FDC oral combinationProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ASC30_48_39 FDC oral combinationProgramme evidence summary reviewed 10 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ALN-2232Programme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • ALN-6222Programme evidence summary reviewed 11 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
  • LY4329090Programme evidence summary reviewed 12 Oct 2026 · Seven-day factual review window exceededNext action: read the linked primary evidence and review the complete programme wording. An unchanged source check does not renew this summary.
Checks delayed (3)
  • NICE HST31: Bardet–Biedl syndromeFactual review due. Source check delayed. Reviewed 6 Oct 2026 · Last attempt 9 Nov 2026 · Check outcome: http_302Next action: read the primary evidence and review affected wording. A source retry is also needed.
  • Zealand Pharma ZP6590 pipelineFactual review due. Source check delayed. Reviewed 9 Oct 2026 · Last attempt 9 Nov 2026 · Check outcome: http_403Next action: read the primary evidence and review affected wording. A source retry is also needed.
  • Gan & Lee: GZC8072 obesity clinical-trial approvalFactual review due. Source check delayed. Reviewed 12 Oct 2026 · Last attempt 9 Nov 2026 · Check outcome: http_404Next action: read the primary evidence and review affected wording. A source retry is also needed.
Verification pending (0)

No items in this queue.

Configured-source and programme-summary queues are separate and can overlap. Neither count measures industry completeness.

What automatic checks can miss

102 additional evidence URLs are outside automatic content monitoring. They keep their dated factual reviews and need manual follow-up. Selected developers and search domains do not define the whole industry; an absent programme is not proof that it does not exist.

See evidence requiring manual follow-up

Trial status monitoring covers the submitted record, not the truth of every claim or the assessment of study outcomes. Safety coverage and UK access coverage are also selected, not complete.

The evidence, kept honest

Checked regularly. Reviewed separately.

1. Go to the source

MHRA decisions, official product information, NHS guidance and original trial announcements. Every reference links to its evidence.

2. Watch for change

The source monitor attempts checks hourly. A changed, withdrawn, overdue or unreachable reference is flagged openly.

3. Review the meaning

A successful check does not renew the review date or confirm clinical advice. Changes need an evidence review before the wording changes.

This is a selected weight-management watch, not an exhaustive global medicine or peptide database. Detailed references and wider industry summaries have different depth. Discovery scans can identify new documents but cannot approve new claims or prove complete coverage. UK authorisation, NHS funding and actual supply are different decisions. The medicine cards describe NHS England access; the UK access section adds bounded national context. Research results do not establish authorisation or guarantee an individual outcome.

General information, not individual medical advice. A clinician or pharmacist can help you understand suitability, risks and interactions. Do not use unapproved products sold as “research peptides”.