Oral small molecule GLP-1 receptor agonist aleniglipron in people with overweight or obesity: a randomized, double-blind, placebo-controlled phase 2b trial

Julio Rosenstock, Ildiko Lingvay, Donna Ryan, Ania M. Jastreboff, Robert Kushner, Andres Acosta, Thomas C. Blevins, Melissa Choi, Faith L. Holmes, Timothy Smith, Lisa Connery, Yao Li, Mike Ke Liu, Aline Barth, Jamie Butcher, Antonio Civitarese, Huibin Yue, Blai Coll · 2026

Read Oral small molecule GLP-1 receptor agonist aleniglipron in people with overweight or obesity: a randomized, double-blind, placebo-controlled phase 2b trial by Julio Rosenstock, Ildiko Lingvay, Donna Ryan, Ania M. Jastreboff, Robert Kushner, Andres Acosta, Thomas C. Blevins, Melissa Choi, Faith L. Holmes, Timothy Smith, Lisa Connery, Yao Li, Mike Ke Liu, Aline Barth, Jamie Butcher, Antonio Civitarese, Huibin Yue, Blai Coll (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13472849.txt.

Description

Rosenstock and co-authors report the ACCESS phase 2b trial of aleniglipron, a once-daily oral GLP-1 pill for obesity, against placebo over 36 weeks. Their 2026 randomized double-blind study enrolled 230 adults with a mean body mass index of 39.5 across 38 United States sites, escalating doses every four weeks to 45, 90, or 120 milligrams.

Every dose beat placebo on the primary endpoint: placebo-adjusted weight change reached −8.2% at 45 mg, −9.8% at 90 mg, and −11.3% at the 120 mg dose by week 36, all highly significant. Weight was still falling when the blinded phase ended, with no plateau in sight. Gut side effects were mostly mild to moderate and faded over time, and treatment-related discontinuations ran at 10.4% across the drug arms.

Catalog record

CREATORJulio Rosenstock, Ildiko Lingvay, Donna Ryan, Ania M. Jastreboff, Robert Kushner, Andres Acosta, Thomas C. Blevins, Melissa Choi, Faith L. Holmes, Timothy Smith, Lisa Connery, Yao Li, Mike Ke Liu, Aline Barth, Jamie Butcher, Antonio Civitarese, Huibin Yue, Blai Coll
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE85 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13472849

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