Efficacy and Safety of Oral Azelaprag Plus Once Weekly Tirzepatide Compared with Tirzepatide Alone in Participants with Obesity Aged 55 Years and Over

Trial details

Who runs it

BioAge Labs, Inc.

Trial code

NCT06515418

Record updated

13 March 2025

Original description

This study aims to find out how well a combination of oral azelaprag taken once a day (QD) or twice a day (BID), along with a weekly injection of tirzepatide, works for weight management in adults 55 years and older. The researchers are also looking at safety.Read full original descriptionShow less

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel-Arm Proof-of-Concept Study to Investigate Efficacy and Safety of Oral Azelaprag Plus Once Weekly Tirzepatide Compared with Tirzepatide Alone in Participants with Obesity Aged 55 Years and Over (STRIDES)

This study aims to find out how well a combination of oral azelaprag taken once a day (QD) or twice a day (BID), along with a weekly injection of tirzepatide, works for weight management in adults 55 years and older. The researchers are also looking at safety.

Estimated Study Length:

* with the optional prescreening, the study duration may be up to 48 weeks. * the treatment duration will be 24 weeks followed by 12 weeks follow-up. * the visit frequency will be every 2 weeks for the first 8 weeks of the treatment period and every 4 weeks thereafter.

Inclusion: Male or female, 55 years of age or older at the time of signing the informed consent; Have a BMI between 30 and 40 kg/m2 inclusive at the time of screening; Have a history of at least 1 self-reported unsuccessful dietary effort to lose body weight.

Exclusion: Have a self-reported change in body weight greater than 5 kg (11 lbs) within 90 days prior to screening; Have a prior or planned surgical treatment or device-based therapy for obesity; Have had previous or are currently on treatment with a GLP-1R agonist or tirzepatide (a dual agonist of GLP-1 and GIP receptors); Are currently using warfarin; Have used any weight loss drugs, including herbal or nutritional supplements, within 90 days of screening; Have current or history of treatment with medications that may cause significant weight gain within 90 days of screening; Have diagnosis of type 1 diabetes (T1D) or Type 2 diabetes (T2D) mellitus; Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2); Have an uncontrolled thyroid disease; Have obesity induced by endocrinological disorders; Have a known history or presence of severe active acute or chronic livers disease or acute or chronic pancreatitis, or exocrine pancreatic insufficiency; Have a known history or presence of symptomatic gallbladder disease within the past 2 years; Have a medically significant cardiovascular condition; Have a history of active or untreated malignancy within the last 5 years; Have a history of significant active or unstable major depressive disorder or other severe psychiatric disorder within the last 2 years; Have any lifetime history of a suicide attempt; Have biopsy-confirmed nonalcoholic steatohepatitis (NASH), also known as metabolic dysfunction-associated steatohepatitis (MASH); Have a known clinically significant gastric emptying abnormality.

ClinicalTrials.gov NCT06515418