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NCT07684235ClinicalTrials.gov

Extension Trial to Evaluate the Long-term Efficacy, Safety, and Tolerability of Maridebart Cafraglutide (MARITIME-1-EXTENSION)

A Phase 3, Randomized, Double-Blind Extension Trial to Evaluate the Long-term Efficacy, Safety, and Tolerability of Maridebart Cafraglutide in Participants With Obesity or Overweight

RecruitingTaking participants now, according to the registry record.
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In brief

The primary objective of this trial is to evaluate the long-term efficacy, safety, and tolerability of maridebart cafraglutide in participants with obesity or overweight. Trial 20250197 is an extension of trial 20210181 (NCT06858839).

Phase 33,200 participants sought87 sites4 countries

Categories

Registered in 1 registry

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Trial information is shown as published by the registry, in its original language.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2026-07-06; recorded start 2026-07-23
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 303 other studies in this databaseCounted from the lead sponsor named in the record (Amgen)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 2 conditions.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourSTRONG

A strong methodological design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding13/20

    Double-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 31 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study, international in scope: 3,200 participants (target), run at 87 sites, across 4 countries.

How this score is built
  • Enrolment34/40

    3,200 participants (target)

  • Site count18/25

    31 sites

  • Country count7/15

    2 countries

  • Planned duration6/10

    Planned over about 20 months

  • Sponsor scale9/10

    Amgen has led 301 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Summary

The primary objective of this trial is to evaluate the long-term efficacy, safety, and tolerability of maridebart cafraglutide in participants with obesity or overweight. Trial 20250197 is an extension of trial 20210181 (NCT06858839).

Conditions

  • Obesity
  • Overweight

Eligibility

Eligibility
SexAll
Ages18 Years99 Years
Healthy volunteersNo

Eligibility as written in the registry

Inclusion Criteria: * Signed informed consent form (ICF) which includes compliance with the requirements and restrictions listed in the ICF and in this protocol. * Completed the parent trial (2010181) * Completed week 72 visit in parent trial * Did not permanently discontinue trial intervention in parent trial * Randomized within 7 Days of week 72 visit in the parent trial * Participants must use protocol-specified contraception during treatment, and for an additional 16 weeks after the last dose of trial intervention Exclusion Criteria: * Planned (during the trial) surgical, endoscopic, or device-based treatment for obesity * Body mass index ≤ 18.5 kilograms per meter square (kg/m\^2) * Participant has known sensitivity to any of the products or components to be administered during dosing * History of ischemic optic neuropathy * Any malignancy diagnosed during parent trial (20210181) except for the following treated with curative intent: nonmelanoma skin cancers, breast ductal carcinoma in situ, cervical carcinoma in situ, or prostate cancer in situ. * Newly identified (i.e., identified during 20210181) multiple endocrine neoplasia syndrome type 2 or family (first-degree relative\[s\]) history of medullary thyroid cancer. * Patient Health Questionnaire-9 (PHQ-9) score of ≥ 15 at week 72 visit from parent trial before randomization * Any suicidal ideation of category 4 or 5 OR any suicidal behavior on the Columbia-Suicide Severity Rating Scale (C-SSRS) Since Last Visit version at week 72 visit from parent trial before randomization. * Participant unlikely to be able to complete all protocol-required procedures, restrictions and requirements, in the judgment of the individual and investigator. * History or evidence of any other clinically significant disorder, condition, or disease (including, but not limited to known drug or alcohol abuse, eating disorders, and conditions identified during the parent trial) that, in the opinion of the investigator, would pose a risk to participant safety. * Currently pregnant (confirmed with positive pregnancy test) or breastfeeding or * Planning to become pregnant or breastfeed while on trial until an additional 16 weeks after the last dose of trial intervention. * Major surgical procedures planned during the trial. * Participants with minor surgical procedures (not requiring general anesthesia or deep sedation) planned during the trial may be eligible at the discretion of the investigator. * Investigative site personnel directly affiliated with the trial and/or their immediate family (ie, spouse, parent, child, or sibling, whether biological or legally adopted).

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeInterventional
PhasePhase 3
AllocationRandomised
Intervention modelPARALLEL
Primary purposeTREATMENT
MaskingDOUBLE (2)
Enrolment3,200 participants sought

Sponsor and collaborators

  • Amgen Sponsor

Arms and interventions

  • Maridebart Cafraglutide Low Dose Q4WEXPERIMENTAL

    Participants who received low dose of maridebart cafraglutide in the parent trial (20210181 \[NCT06858839\]) will continue to receive low dose of maridebart cafraglutide subcutaneously (SC) once in 4 weeks(Q4W).

  • Maridebart Cafraglutide Medium Dose Q4WEXPERIMENTAL

    Participants who received medium dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive medium dose of maridebart cafraglutide SC Q4W.

  • Maridebart Cafraglutide Medium Dose Q8WEXPERIMENTAL

    Participants who received medium dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive medium dose of maridebart cafraglutide SC once in 8weeks (Q8W).

  • Placebo Q4W (Received Medium Dose Maridebart Cafraglutide in Parent Trial)PLACEBO_COMPARATOR

    Participants who received medium dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive placebo SC Q4W.

  • Maridebart Cafraglutide High Dose Q4WEXPERIMENTAL

    Participants who received high dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive high dose of maridebart cafraglutide SC Q4W.

  • Maridebart Cafraglutide High Dose Q8WEXPERIMENTAL

    Participants who received high dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive high dose of maridebart cafraglutide SC Q8W.

  • Maridebart Cafraglutide High Dose Q12WEXPERIMENTAL

    Participants who received high dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive high dose of maridebart cafraglutide SC once in 12 weeks (Q12W).

  • Placebo Q4W (Received High Dose Maridebart Cafraglutide in Parent Trial)PLACEBO_COMPARATOR

    Participants who received high dose of maridebart cafraglutide in the parent trial will be re-randomized in this trial to receive placebo SC Q4W.

  • Maridebart Cafraglutide High Dose Q4W (Received Placebo in the Parent Trial)EXPERIMENTAL

    Participants who received placebo in the parent trial will receive high dose of maridebart cafraglutide SC Q4W. Prior to initiating the assigned high dose, participants will undergo a dose-escalation phase gradually increasing doses.

  • Maridebart Cafraglutide Low Dose Q4W(Received Very Low Dose Maridebart Cafraglutide in Parent Trial)EXPERIMENTAL

    Participants who permanently de-escalated to very low dose of maridebart cafraglutide in the parent trial will receive low dose of maridebart cafraglutide SC Q4W.

Interventions

  • Drug Maridebart cafraglutide

    Administered subcutaneously

  • Drug Placebo

    Administered subcutaneously.

Outcome measures

  1. Primary outcome

    Percent Change in Body Weight from Baseline of the Parent Trial (20210181)

    Time frame Baseline of parent trial (20210181) to Week 48 of current trial

  2. Primary outcome

    Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Time frame Baseline of current trial up to 60 weeks

  3. Secondary outcome

    Percentage of Participants Achieving ≥5% Reduction in Body Weight from Baseline of the Parent Trial

    Time frame Baseline of parent trial to Week 48 of current trial

  4. Secondary outcome

    Percentage of Participants Achieving ≥10% Reduction in Body Weight from Baseline of the Parent Trial

    Time frame Baseline of parent trial to Week 48 of current trial

  5. Secondary outcome

    Percentage of Participants Achieving ≥15% Reduction in Body Weight from Baseline of the Parent Trial

    Time frame Baseline of parent trial to Week 48 of current trial

  6. Secondary outcome

    Percentage of Participants Achieving ≥20% Reduction in Body Weight from Baseline of the Parent Trial

    Time frame Baseline of parent trial to Week 48 of current trial

  7. Secondary outcome

    Change from Baseline of the Parent Trial in Waist Circumference

    Time frame Baseline of parent trial to Week 48 of current trial

  8. Secondary outcome

    Change from Baseline of the Parent Trial in the Impact of Weight on Quality of Life-Lite Clinical Trials Version (IWQOL-Lite-CT) Physical Function Composite Score

    Time frame Baseline of parent trial to Week 48 of current trial

  9. Secondary outcome

    Percent Change from Baseline in Body Weight

    Time frame Baseline of current trial to Week 48

  10. Secondary outcome

    Percentage of Participants with No Body Weight Gain of >3% From Baseline

    Time frame Week 48 of current trial

  11. Secondary outcome

    Percentage of Participants with No Body Weight Gain of >5% From Baseline

    Time frame Week 48 of current trial

  12. Secondary outcome

    Percentage of Body Weight Reduction Maintained from the Parent Trial

    Time frame Baseline of parent trial to Week 48 of current trial

  13. Secondary outcome

    Percentage of Participants Maintaining ≥ 80% of the Body Weight Reduction Achieved in the Parent Trial

    Time frame Baseline of parent trial to Week 48 of current trial

Dates

Dates
Start dateJuly 23, 2026 (actual)
Primary completionDecember 26, 2027 (estimated)
CompletionMarch 19, 2028 (estimated)
First postedJuly 6, 2026 (actual)
Last updatedSeptember 3, 2026
Results postedNot stated in the registry record
Status last verifiedSeptember 2026

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

87 sites are recruiting

Australia

Australia
FacilityCityState or regionStatus
Emeritus Research SydneyBotanyNew South WalesRecruiting
Emeritus Research CamberwellCamberwellVictoriaRecruiting
NovatrialsCharlestownNew South WalesRecruiting
Canopy Clinical SutherlandMirandaNew South WalesRecruiting
Canopy Clinical Altona NorthNorth AltonaVictoriaRecruiting
Fusion Clinical ResearchNorwoodSouth AustraliaRecruiting
Canopy Clinical WollongongWollongongNew South WalesRecruiting

Japan

Japan
FacilityCityState or regionStatus
Doujin Memorial Foundation, Meiwa HospitalChiyoda-kuTokyoRecruiting
Tokyo Asbo ClinicChuo-kuTokyoRecruiting
Medical Corp Seikoukai New Medical Research System ClinicHachioji-shiTokyoRecruiting
Medical Corporation AOT Shinagawa Strings ClinicMinato-kuTokyoRecruiting
Clinical Research Hospital TokyoShinjuku-kuTokyoRecruiting
Medical Corporation Hanabusakai Shinei Medical Healthcare ClinicSuginami-kuTokyoRecruiting
Medical Corporation Hitomikai Motomachi Takatsuka Naika ClinicYokohamaKanagawaRecruiting

Puerto Rico

Puerto Rico
FacilityCityState or regionStatus
Ponce Medical School Foundation IncPonceRecruiting
Puerto Rico Medical Research Inc.PonceRecruiting
Latin Clinical Trial CenterSan JuanRecruiting

United States

United States
FacilityCityState or regionStatus
Pinnacle Research Group LLCAnnistonAlabamaRecruiting
Washington Center for Weight Management and Research, IncArlingtonVirginiaRecruiting
Elligo Clinical Research CenterAustinTexasRecruiting
Velocity Clinical Research - Baton RougeBaton RougeLouisianaRecruiting
Johnson County Clinical Trials Juno BellaireBellaireTexasRecruiting
Velocity Clinical Research- BinghamtonBinghamtonNew YorkRecruiting
Pantheon Clinical ResearchBountifulUtahRecruiting
Flourish Research - Great Lakes Clinical TrialsChicagoIllinoisRecruiting
Velocity Clinical Research - CincinnatiCincinnatiOhioRecruiting
Clinical Trial Investigator Clinical Research CenterCincinnatiOhioRecruiting
Cedar Health Research, LLCDallasTexasRecruiting
Alliance For Multispecialty Research - DaphneDaphneAlabamaRecruiting
Epic Medical Research - Red OakDeSotoTexasRecruiting
Velocity Clinical Research - ProvidenceEast GreenwichRhode IslandRecruiting
Great Lakes Research Institute El Paso ResearchEl PasoTexasRecruiting
Cedar Health Research, LLCEulessTexasRecruiting
Prime Health and Wellness Sky Clinical Research Network GroupFayetteMississippiRecruiting
Ark Clinical Research- TustinFountain ValleyCaliforniaRecruiting
Center for Advanced Research and EducationGainesvilleGeorgiaRecruiting
Tribe Clinical Research LLC Dba Mountain View Clinical ResearchGreenvilleSouth CarolinaRecruiting
Accellacare of HickoryHickoryNorth CarolinaRecruiting
East-West Medical ResearchHonoluluHawaiiRecruiting
JCCT- Juno Northwest HoustonHoustonTexasRecruiting
Biopharma Informatic, LLCHoustonTexasRecruiting
Clinical Neuroscience Solutions - JacksonvilleJacksonvilleFloridaRecruiting
Jacksonville Center for Clinical ResearchJacksonvilleFloridaRecruiting
Alliance for Multispecialty Research - Kansas CityKansas CityMissouriRecruiting
New Phase Research and DevelopmentKnoxvilleTennesseeRecruiting
Vector Clinical TrialsLas VegasNevadaRecruiting
Palm Research Center IncLas VegasNevadaRecruiting
Alliance for Multispecialty Research Layton Research CenterLaytonUtahRecruiting
Ark Clinical Research- Long BeachLong BeachCaliforniaRecruiting
Long Beach Clinical Trials Services IncLong BeachCaliforniaRecruiting

37 further sites are listed in the registry record.

Study documents

No documents are linked in this registry record.

Changes over time

  1. September 3, 2026

    Site added

    4 sites added (87 total)

    8387

  2. August 27, 2026

    Site added

    52 sites added (83 total)

    3183

  3. August 4, 2026

    Status changed

    Status changed from Not yet recruiting to Recruiting

    NOT_YET_RECRUITINGRECRUITING

  4. August 4, 2026

    Recruitment opened

    Recruitment opened

    NOT_YET_RECRUITINGRECRUITING

  5. August 4, 2026

    Site added

    31 sites added (31 total)

    031