Evidence reference only. Not medical advice, not a dosing guide, and not a recommendation to use any drug.
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Investigational and unapproved. Findings below describe what trials and reports have observed. Nothing here is an endorsement, a claim of safety or effectiveness, or a clinical recommendation.

CT-388/enicepatide

INVESTIGATIONAL

GIP/GLP-1 receptor dual agonist (once-weekly s.c.)

6
graded findings
4
effect domains
Evidence spread
High evidence 0Moderate evidence 0Low evidence 4Very low evidence 2

CT-388/enicepatide is shown as an investigational or pipeline evidence record. Findings describe what studies and reports observed; they do not endorse use or establish personal suitability.

Thin or bounded evidence here means uncertainty remains visible. It is not evidence that an effect has been ruled out.
CT-388/enicepatide INVESTIGATIONAL
Weight change Decrease
Low evidence

Phase 1 (4 once-weekly doses) produced dose-dependent weight loss by day 29 in overweight/obese participants.

Chakravarthy MV et al. Effects of CT-388, a once-weekly signaling-biased dual GLP-1/GIP r... Source
PopulationPhase 1 double-blind RCT (NCT04838405), healthy participants with overweight/obesity; ~4 wk; placebo comparator
Fundingindustry - Roche
Scope limitsanimal data; human relevance uncertain; conference/abstract-level; identifier not fully verified
Comparatorsplacebo
CT-388/enicepatide INVESTIGATIONAL
Weight change Decrease
Very low evidence

CT-388 (Roche/Genentech, ex-Carmot) is a once-weekly subcutaneous GLP-1/GIP dual agonist. In a phase 2 obesity trial it achieved a statistically significant...

Roche/Genentech phase 2 topline, Jan 2026; earlier phase 1b (Applied Clinical Trials) Source
Full findingCT-388 (Roche/Genentech, ex-Carmot) is a once-weekly subcutaneous GLP-1/GIP dual agonist. In a phase 2 obesity trial it achieved a statistically significant placebo-adjusted weight loss of 22.5% at 48 weeks at the highest dose (24 mg), without reaching a plateau; 87% of the 24 mg group achieved >=10% and 47.8% >=20% weight loss, and 54% reached BMI <30 (vs 13% placebo).
PopulationPhase 2: 469 adults with obesity or overweight + >=1 comorbidity, dose-escalation up to 24 mg once-weekly s.c., 48 weeks, randomised double-blind placebo-controlled
Fundingindustry - Roche (trial sponsor; inferred from registration trial)
Scope limitsno outcome data yet (ongoing)
Comparatorsplacebo
CT-388/enicepatide INVESTIGATIONAL
Weight change Decrease
Very low evidence

Phase 2 topline: clinically meaningful, statistically significant placebo-adjusted weight loss at the highest dose at 48 weeks.

Roche/Genentech press release: Roche announces positive Phase II results for dual GLP-1/G... Source
PopulationCT388-103, N=469 adults with obesity/overweight + >=1 comorbidity; 48 wk; phase 2 double-blind placebo-controlled RCT
Fundingindustry - Roche (trial sponsor; inferred from registration trial)
Scope limitsidentifier not fully verified; no outcome data yet (ongoing)
Comparatorsplacebo
Thin or bounded evidence here means uncertainty remains visible. It is not evidence that an effect has been ruled out.
CT-388/enicepatide INVESTIGATIONAL
Glycaemic control Decrease
Low evidence

Improved glycaemic parameters during fasting and oral glucose tolerance testing in phase 1; HbA1c reductions reported in a phase 1b T2D cohort (conference).

Chakravarthy MV et al. Effects of CT-388, a once-weekly signaling-biased dual GLP-1/GIP r... Source
PopulationPhase 1 overweight/obese (NCT04838405); ADA abstract 763-P = 12-wk cohort adults with obesity + T2D
Fundingindustry - Roche
Scope limitsanimal data; human relevance uncertain; conference/abstract-level; identifier not fully verified
Comparatorsplacebo
Thin or bounded evidence here means uncertainty remains visible. It is not evidence that an effect has been ruled out.
CT-388/enicepatide INVESTIGATIONAL
Pharmacology and mechanism Not directional
Low evidence

Unimolecular peptide dual GLP-1R/GIPR agonist that is cAMP signal-biased at both receptors (minimal receptor internalisation vs native ligands); PK supports...

Chakravarthy MV et al. Effects of CT-388, a once-weekly signaling-biased dual GLP-1/GIP r... Source
Full findingUnimolecular peptide dual GLP-1R/GIPR agonist that is cAMP signal-biased at both receptors (minimal receptor internalisation vs native ligands); PK supports once-weekly dosing.
PopulationCell assays, mice, monkeys, phase 1 humans
Fundingindustry - Roche
Scope limitsanimal data; human relevance uncertain; conference/abstract-level; identifier not fully verified
Comparatorsnative GLP-1/GIP ligands
Thin or bounded evidence here means uncertainty remains visible. It is not evidence that an effect has been ruled out.
CT-388/enicepatide INVESTIGATIONAL
Gastrointestinal tolerability Increase
Low evidence

Generally well tolerated; GI adverse events mostly mild-to-moderate, consistent with incretin class.

Chakravarthy MV et al. Effects of CT-388, a once-weekly signaling-biased dual GLP-1/GIP r... Source
PopulationPhase 1 (NCT04838405) and phase 2 CT388-103 (N=469)
Fundingindustry - Roche
Scope limitsanimal data; human relevance uncertain; conference/abstract-level; identifier not fully verified
Comparatorsplacebo