A study testing whether a GLP-1 medicine from AstraZeneca, semaglutide, can lower blood sugar and help with weight.

Who can join
Adults 18+, have type 2 diabetes, BMI 23+.
What you take
semaglutide, given as part of the study at no cost to you. Some participants may receive a placebo (an inactive version) instead, decided at random.
How long it lasts
The full study runs about 1.8 years; your own time in it is usually shorter.
What you get
The study medication and study-related care at no cost. Compensation varies by study site; many cover travel and provide the study medication at no cost. The trial coordinator will explain what that site offers before you join.
Phase Phase 3Sponsor AstraZenecaDrug semaglutideClass GLP-1 RASites 41 USEnrollment target 1,200

What this study is for

Primary condition: Type 2 Diabetes Mellitus.

Full scientific study title: A Study to Find Out if the Study Drug Elecoglipron Helps Adults With Type 2 Diabetes Mellitus by Comparing it With Semaglutide, a Medicine A.

Who can join

Age18 and upSexAnyBMI23 or higher

Adults 18+, have type 2 diabetes, BMI 23+. A site coordinator confirms whether you qualify during a free screening visit. The exact medical requirements are below.

Full medical eligibility (for you and your doctor)verbatim from the registry

This is the exact wording from ClinicalTrials.gov, including clinical measures (lab values, imaging scores). Bring it to your doctor if any of it is unclear.

Key inclusion criteria

  • Diagnosed with Type 2 Diabetes Mellitus (T2DM) for at least 90 days prior to screening
  • T2DM inadequately managed with lifestyle management alone or on stable treatment with other background glucose-lowering medication(s)
  • HbA1c value of >= 7% to <= 10.5% (53 to 91.3 mmol/mol)
  • Increased risk of cardiovascular (CV) events defined by >=1 of: documented coronary heart disease, peripheral arterial disease, ischemic cerebrovascular disease, or heart failure (NYHA II-III); or >=2 CV risk factors
  • Body mass index (BMI) of >= 23 kg/m2 at screening

Key exclusion criteria

  • Type 1 Diabetes Mellitus (T1DM), secondary forms of diabetes (including congenital forms), or history of ketoacidosis or hyperosmolar coma
  • Currently receiving or anticipated to receive, therapeutic intervention for diabetic retinopathy and/or macular edema
  • Have had more than one episode of severe hypoglycemia within 180 days prior to screening or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms
  • Clinically significant condition affecting the upper Gastrointestinal (GI) tract or chronic use of any medication that affects gastric motility or gastric emptying
  • History of acute or chronic pancreatitis

Where this study is enrolling

This trial has 41 sites across 23 states. Contact a site coordinator directly to start screening.

Alabama1 site
  • Research Site
    Birmingham, Alabama
Arizona3 sites
  • Research Site
    Mesa, Arizona
  • Research Site
    Phoenix, Arizona
  • Research Site
    Tempe, Arizona
California5 sites
  • Research Site
    Encinitas, California
  • Research Site
    Garden Grove, California
  • Research Site
    Lincoln, California
  • Research Site
    Loma Linda, California
  • Research Site
    Pomona, California
Florida4 sites
  • Research Site
    Crystal River, Florida
  • Research Site
    Hollywood, Florida
  • Research Site
    Jacksonville, Florida
  • Research Site
    Leesburg, Florida
Idaho1 site
  • Research Site
    Idaho Falls, Idaho
Illinois1 site
  • Research Site
    Melrose Park, Illinois
Iowa1 site
  • Research Site
    Ames, Iowa
Kansas1 site
  • Research Site
    Wichita, Kansas
Kentucky1 site
  • Research Site
    Bowling Green, Kentucky
Maryland1 site
  • Research Site
    Rockville, Maryland
Michigan1 site
  • Research Site
    Southfield, Michigan
Missouri2 sites
  • Research Site
    Jefferson City, Missouri
  • Research Site
    Kansas City, Missouri
Nebraska1 site
  • Research Site
    Omaha, Nebraska
Nevada2 sites
  • Research Site
    Henderson, Nevada
  • Research Site
    Las Vegas, Nevada
New Mexico1 site
  • Research Site
    Albuquerque, New Mexico
North Carolina4 sites
  • Research Site
    Durham, North Carolina
  • Research Site
    Morehead City, North Carolina
  • Research Site
    Statesville, North Carolina
  • Research Site
    Wilmington, North Carolina
Ohio1 site
  • Research Site
    Columbus, Ohio
Oklahoma1 site
  • Research Site
    Yukon, Oklahoma
Texas2 sites
  • Research Site
    Dallas, Texas
  • Research Site
    Sugar Land, Texas
Utah2 sites
  • Research Site
    Bountiful, Utah
  • Research Site
    Salt Lake City, Utah
Virginia2 sites
  • Research Site
    Leesburg, Virginia
  • Research Site
    Norfolk, Virginia
Washington2 sites
  • Research Site
    Seattle, Washington
  • Research Site
    Seattle, Washington
West Virginia1 site
  • Research Site
    Morgantown, West Virginia

Timeline

Started enrolling: 2026-07-06. Expected completion: 2028-05-23. Last updated on ClinicalTrials.gov: 2026-06-23.

Official source

We sync this data quarterly from ClinicalTrials.gov, the federal registry for clinical research. Before contacting a site, verify the trial is still recruiting on the official page:

View on ClinicalTrials.gov →

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