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

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

  • June 5, 2026

  • 0 min

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  • 1

    Aleniglipron is a small-molecule GLP-1 receptor agonist developed for obesity treatment, offering oral administration and improved accessibility.

  • 2

    The ACCESS phase-2b study evaluated aleniglipron's efficacy, safety, and tolerability over 36 weeks in adults with obesity or overweight.

  • 3

    Participants receiving aleniglipron showed significant weight loss compared to placebo, with reductions of up to 12.1% in body weight at 120 mg.

  • 4

    Secondary outcomes indicated that 86% of participants on 120 mg aleniglipron achieved ≥5% weight loss, compared to 23% in the placebo group.

  • 5

    Common treatment-emergent adverse events included gastrointestinal issues, with most participants tolerating the titration schedule well.

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