Obesity evidence dossier

Elecoglipron

A late-stage oral GLP-1RA with peer-reviewed Phase 2 obesity efficacy; pivotal Phase 3 weight-management results are pending.

AstraZenecaPhase 3 EMBOLD weight-management master protocol (NCT07667803), recruiting.Oral tablet, once daily.
Weight loss score /10044
Comparison statusOther trial data · Analysis not fully specified
EvidencePhase 2 · Journal article
Follow-up26 weeks

Total weight loss

10.5%

VISTA · 75 mg daily, weekly titration · week 26 · Analysis not fully specified

Placebo-adjusted

9.9%

Difference from placebo in the same study when reported.

Study context

Once-daily oral small-molecule GLP-1 receptor agonist./Adults with obesity or overweight, without diabetes/310 participants across the study/26-week endpoint

Baseline: See the source for enrollment criteria

Ranked result & calculation

VISTA · 75 mg daily, weekly titration · 26 weeks

Adults with obesity or overweight, without diabetes. 310 participants across the study (not this dose arm alone).

Analysis not fully specified. The source does not establish a treatment-policy analysis; interpret this score provisionally. Estimated primary-endpoint means; treatment-policy status is not specified in the indexed abstract.

Average weight loss
10.5%
Placebo group
0.6% loss
Beyond placebo
9.9 percentage points (arm subtraction)
Stopped due to adverse events
Not verified for this result

Primary result at week 26 in a 36-week study.

Score: 70% × 42.2 total-loss points + 30% × 49.5 beyond-placebo points = 44/100, rounded. Conversion scales

VISTA, Lancet ↗Phase 2 · Journal article · Reviewed 2026-09-21

Evidence

Benchmark read

VISTA: Analysis not fully specified. Estimated primary-endpoint means; treatment-policy status is not specified in the indexed abstract. Primary result at week 26 in a 36-week study.

Safety

Side effects and cautions

Discontinuation read

Adverse-event discontinuation has not been verified for this result.

Common side effects

Phase 2 reporting characterized tolerability as consistent with the GLP-1RA class, with gastrointestinal adverse events the principal practical concern.

Main cautions

Investigational; efficacy estimates derive from an efficacy estimand and Phase 2 follow-up, so they should not be treated as Phase 3 effectiveness results.

Upcoming catalyst

What to watch next

EMBOLD Phase 3 72-week weight-management outcomes.

Linked clinical trials

Trials in the saddl3 obesity snapshot

Non-diabetic obesity studies are prioritized; diabetes and healthy-volunteer studies remain visible and labeled.

Back to obesity comparisonVISTA, LancetBack to total weight loss
Elecoglipron 10.5%