Ascletis' Oral Small Molecule GLP-1, ASC30, Demonstrated Placebo-Adjusted Weight Loss of 7.7% with Better Gastrointestinal Tolerability in Its 13-Week U.S. Phase II Study in Participants with Obesity or Overweight
- ASC30 once-daily tablets showed statistically significant and clinically meaningful dose-dependent placebo-adjusted mean body weight reductions with no observed plateau for weight loss.
- ASC30 titrated weekly to target dose demonstrated approximately one-half the rate of vomiting observed with orforglipron titrated weekly.
- No hepatic safety signal was observed, and no elevations of alanine transaminase (ALT), aspartate aminotransferase (AST) or total bilirubin (TBL) were observed.
- Two conference calls/webcasts are scheduled to discuss the results, including a Mandarin session at
At the 13-week primary endpoint, ASC30 once-daily tablets showed dose-dependent placebo-adjusted mean body weight reductions of 5.4%, 7.0% and 7.7% for 20 mg, 40 mg and 60 mg, respectively. No plateau was observed for weight loss. The baseline mean body weight and body mass index (BMI) of participants were 107.3 kg and 38.6 kg/m2, respectively.
80.0% of participants taking 60 mg of ASC30 once daily lost ≥5% of their body weight, compared to 4.2% with placebo; 45.0% of participants taking 60 mg of ASC30 once daily lost ≥7% of their body weight, compared to 4.2% with placebo.
In addition to achieving statistically significant and clinically meaningful weight loss, ASC30 also met secondary and exploratory endpoints. ASC30 attained reductions in known markers of cardiovascular risk, including total cholesterol, low-density lipoprotein cholesterol (LDL-C), triglyceride, and systolic and diastolic blood pressure across all doses. At steady state, the plasma concentrations of ASC30 increased with increasing doses.
The vomiting rate of ASC30 titrated weekly to target dose was approximately half of the published vomiting rate observed with orforglipron titrated weekly (Table 1). The gastrointestinal (GI) tolerability of ASC30 titrated weekly was comparable to published results of orforglipron titrated every four weeks in the Phase III ATTAIN-1 study (Table 1). In the ASC30 Phase II study, all GI adverse events (AEs) were grade 1 (mild) and grade 2 (moderate) in severity and mostly occurred during the dose titration period. There were no grade 3 (severe) or above GI AEs. In the ASC30 Phase II study, there were no any AEs of grade 3 (severe) or above and there were no drug related serious AEs (SAEs).
The total treatment discontinuation rate due to AEs for the ASC30 Phase II study was 4.8%. Treatment discontinuation rates due to AEs for each dose group were 7.3% (20 mg), 7.5% (40 mg) and 0.0% (60 mg) for ASC30 tablets compared to 0.0% with placebo. The AEs leading to treatment discontinuations were only GI AEs (nausea, vomiting and constipation). No hepatic safety signal was observed and there were no elevations of alanine transaminase (ALT), aspartate aminotransferase (AST), or total bilirubin (TBL). In addition, there were no abnormal findings in laboratory tests, vital signs, ECGs (electrocardiograms, including QTc intervals), and physical exams.
"We are excited about the results from of our Phase II study which suggests a potential best-in-class profile of ASC30 for both weight loss and GI tolerability," said
Table 1 Vomiting rate of ASC30 titrated weekly was approximately half the rate observed with orforglipron titrated weekly
|
Cross-trial |
ASC30 13-week study |
Orforglipron 12-week study1 |
Orforglipron ATTAIN-1 72-week study2 |
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|
Titration schedule |
Weekly |
Weekly |
Every four weeks |
||
|
Target dose |
20 mg |
40 mg |
60 mg |
45 mg |
36 mg |
|
Vomiting |
22 % |
25 % |
30 % |
56 % |
24 % |
|
Nausea |
49 % |
63 % |
40 % |
78 % |
34 % |
|
Diarrhea |
15 % |
13 % |
20 % |
11 % |
23 % |
|
Constipation |
12 % |
18 % |
10 % |
Not published |
25 % |
|
|
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|
1. Diabetes Obes Metab. 2023;25:2642–2649 |
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2. N Engl J Med. 2025;393:1796-1806 |
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Conference Calls / Webcasts
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Time:
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About ASC30
ASC30 is an investigational GLP-1R fully biased small molecule agonist with unique and differentiated properties. It is designed to be orally administered once daily and subcutaneously administered once monthly to once quarterly as a treatment therapy and a maintenance therapy for chronic weight management. ASC30 can be taken any time of day without food and/or water restrictions. To date, ASC30 has been investigated in two Phase I and two Phase II clinical studies at multiple sites in the
About the Phase II 13-week study in participants with obesity or overweight with at least one weight-related comorbidity
The Phase II study (NCT07002905) was a 13-week, randomized, double-blind, placebo-controlled trial comparing the efficacy and safety of ASC30 tablets 20 mg, 40 mg and 60 mg as monotherapy to placebo in participants with obesity (BMI ≥30.0 kg/m²) or overweight (BMI ≥27.0 kg/m²) with at least one weight-related comorbidity, who did not have diabetes. The trial randomized 125 participants across multiple sites in the
About
For more information, please visit www.ascletis.com.
Contact:
443-231-0505 (
Peter.vozzo@icrhealthcare.com
+86-181-0650-9129 (
pr@ascletis.com
ir@ascletis.com
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