Randomized Trialhigh evidence

Efficacy and safety of once-daily oral zenagamtide, a novel unimolecular GLP-1 and amylin receptor agonist, in adults with type 2 diabetes: a multicentre, randomised, parallel, double-blind, placebo-controlled, dose-finding, phase 2 trial.

Lancet (London, England)·July 30, 2026·PMID 42532079

Why it matters

Zenagamtide is a first-in-class oral unimolecular agonist combining GLP-1 and amylin agonism, offering a novel mechanism for glycemic control and potential weight loss in type 2 diabetes. Its oral formulation and dual receptor activity could address unmet needs in metabolic therapeutics, providing an alternative to injectable multi-agonists.

Infographic summary of Efficacy and safety of once-daily oral zenagamtide, a novel unimolecular GLP-1 and amylin receptor agonist, in adults with type 2 diabetes: a multicentre, randomised, parallel, double-blind, placebo-controlled, dose-finding, phase 2 trial.
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