Efficacy and Safety of Ribupatide Administered Once Weekly in Participants Living With Obesity or Overweight and Diabetes (KaiNETIC-2)

Kailera

Status and phase: Enrolling; Phase 3

Conditions: Overweight With Diabetes; Obesity With Diabetes

Treatments: Drug: Ribupatide; Drug: Placebo

Study type: Interventional

Funder types: Industry

Identifiers

NCT07284901

K9531-3104

2025-523510-87-00 (EU Trial (CTIS) Number)

Details and patient eligibility

About

The primary objective of this study is to demonstrate that ribupatide (KAI-9531) subcutaneous (SC) injection once weekly is superior to placebo on:

• Percent change in body weight
• Change in hemoglobin A1c (HbA1c)

Enrollment: 1,156 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

• Diagnosis of type 2 diabetes mellitus (T2DM).
• Receiving stable therapy for T2DM for 3 months prior to Screening. This includes diet and/or exercise alone or in combination with any oral medication for T2DM treatment except for DPP-4 inhibitors. Participants can be treatment naïve if they have an HbA1c of 6.5% to 7.5%, inclusive.
• BMI ≥27 kg/m^2.
• History of being unresponsive to at least 1 self-reported effort to lose weight with diet and/or exercise in the last 6 months.

Key Exclusion Criteria:

• Current diagnosis or history of type 1 diabetes mellitus (T1DM) or any other type of diabetes except T2DM.
• History of diabetic ketoacidosis or hyperosmolar state/coma within 1 year prior to Screening.
• History of severe hypoglycemia or hypoglycemia unawareness within 1 year prior to Screening.
• Started medications within 3 months prior to Screening that may cause significant weight change, including, but not limited to, tricyclic antidepressants, atypical antipsychotics, mood stabilizers, or phentermine.
• Unstable weight defined as self-reported change in body weight exceeding 5% within 3 months prior to Screening.
• Family or personal history of multiple endocrine neoplasia Type 2 or medullary thyroid cancer.
• Uncontrolled hypertension or unstable cardiovascular disease.
• History of chronic or acute pancreatitis.
• Known clinically significant gastric emptying abnormality or chronic treatment with medications that directly affect gastrointestinal (GI) motility if taken for >30 days continually within 3 months prior to Screening.
• History of suicide attempt.
• History of significant active or unstable Major Depressive Disorder (MDD) or other severe psychiatric disorder within 2 years prior to Screening.
• Received treatment with semaglutide, tirzepatide, GLP-1 receptor agonists, GLP-1/glucose-dependent insulinotropic polypeptide (GIP) agonists, glucagon receptor agonists, or other weight loss medications or treatments aside from diet and exercise within 3 months prior to Screening.

Note: Additional inclusion/exclusion criteria may apply, per protocol.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

1,156 participants in 5 patient groups, including a placebo group

Ribupatide: Dose 1

Experimental group

Description:

Participants will receive Dose 1 of ribupatide once weekly.

Treatment:

Drug: Ribupatide

Ribupatide: Dose 2

Experimental group

Description:

Participants will receive Dose 2 of ribupatide once weekly.

Treatment:

Drug: Ribupatide

Ribupatide: Dose 3

Experimental group

Description:

Participants will receive Dose 3 of ribupatide once weekly.

Treatment:

Drug: Ribupatide

Ribupatide: Dose 4

Experimental group

Description:

Participants will receive Dose 4 of ribupatide once weekly.

Treatment:

Drug: Ribupatide

Placebo

Placebo Comparator group

Description:

Participants will receive placebo matched to ribupatide once weekly.

Treatment:

Drug: Placebo