ClinicalTrials12 Mar 2026·Phase 3● 7/10i Efficacy and Safety of NNC0487-0111 s.c. Once-weekly Compared to Semaglutide s.c. Once-weekly in Participants With Overweight or Obesity, and Type 2 Diabetes (AMAZE 8)
Novo Nordisk A/S
Phase 3 trial (AMAZE 8) comparing Novo Nordisk's investigational NNC0487-0111 to semaglutide for weight loss in adults with overweight or obesity and type 2 diabetes. Targeting 1,000 participants with expected completion in December 2028, this head-to-head comparison uses body weight change as the primary endpoint. Novo Nordisk is testing a potential next-generation GLP-1 against its own approved semaglutide, suggesting confidence in superior weight loss efficacy. This positions NNC0487-0111 as a potential successor to Wegovy in the competitive obesity market.
Strategic signal
Novo is internally competing semaglutide with its next-generation candidate, signaling either patent cliff preparation or superior efficacy expectations. Direct head-to-head weight loss comparisons provide the clearest commercial differentiation for payers and prescribers in obesity treatment. If NNC0487-0111 demonstrates superior weight loss to semaglutide, Novo gains a stronger position against Eli Lilly's tirzepatide in the expanding obesity market, particularly for formulary positioning where weight loss magnitude drives coverage decisions.
Original Abstract
The purpose of this clinical study is to find out if NNC0487-0111 is safe and effective for treating people who have excess body weight and type 2 diabetes. Participant will receive 2 injections every week: an active medicine and a placebo, both taken as injections under the skin once a week. The placebo is a treatment with no active medicine in it and will be given to all participants. In addition to placebo, participants will receive either of the active medicine NNC0487-0111 (the treatment being tested) or Semaglutide (an approved and commonly prescribed treatment used as comparator). Which treatment participants get is decided by chance. | Condition(s): Obesity; Overweight; Diabetes Mellitus, Type 2 | Primary endpoint(s): Relative change in body weight | Enrollment: 1,000 (estimated) | Phase: Phase 3 | Sponsor: Novo Nordisk A/S | Expected completion: 2028-12-12 | Status: Not Yet Recruiting | Last update: 2026-03-12