Study version 1 · Published 2026-09-20

NCT04478708: preserved study context

This version preserves its selected source observations and article-review references. Open the current study collection →

Weight management · Phase 1

AMG 133: first human study

NCT04478708 ↗

Maridebart cafraglutide

What was tested?

Maridebart cafraglutide, also called AMG 133, versus placebo in an ascending-dose study in people with obesity. ↗

Registered primary question: The number of participants with treatment-emergent adverse events, with observation windows varying by study part. ↗

What the reviewed report found

Journal year 2024 · Article summary reviewed 2026-09-15

The authors reported weight reductions in the early human program alongside pharmacologic and preclinical findings.↗

Keep in context: The paper contains both animal experiments and human observations. Only the human study belongs to this trial card; weight change was not the registered primary safety endpoint. ↗↗

What a closer reading adds

Selected full-text sections checked 2026-09-20. These notes add context to the earlier article summary; they are not a complete risk-of-bias assessment.

Which participants are in this report

The full text describes a reported dataset of 75 participants within a registered study enrolling 110. Additional bioavailability, digital-tool and titration cohorts were outside that dataset. The registry total should not be used as the denominator for every published result. Full text ↗ · Indexed abstract ↗

Sections: Clinical study design.

Exploratory weight findings

Safety and tolerability were primary; body weight was exploratory. The sample size followed early-phase conventions rather than a formal efficacy calculation, and the paper describes post hoc tests. This context matters when interpreting its weight-loss signal. Full text ↗ · Indexed abstract ↗

Sections: AMG 133 clinical study; Clinical outcomes; Statistical analysis for phase 1 clinical study.

Participants, design, limitations and sources

Registry snapshot

Registry enrollment
110 · reported actual
Registry status
Completed
Allocation and masking
Randomized · Quadruple
Design
Sequential
Eligible ages
18 Years to 65 Years
Registry results
Posted in this snapshot

Registry source ↗ · Updated 2025-12-10; retrieved 2026-09-20. Registry enrollment is not necessarily the analyzed sample in a publication. Posted registry results and published article results are separate.

Early translational and human program

Design in the report
The publication combines preclinical experiments with an early randomized clinical trial.↗
Participants in the report
The human trial enrolled people with obesity; animal findings in the same report are not human outcomes.↗
Limitations
The abstract does not support a complete participant-flow or harms appraisal. Early exploratory findings cannot establish durable clinical benefit, and the conjugate is not interchangeable with other peptides.↗

This reading covers the article abstract and record metadata. Read its preserved Human Evidence Review →

How the study identity and sources were checked

Study context checked 2026-09-20. Existing article summaries keep their original review dates. This is a selected study reading, not a complete literature or full-text appraisal.

Registry

Single and Multiple Ascending Dose Study of AMG 133 in Participants With Obesity ↗
Protocol identifier: 20180048. Sponsor: Amgen.
Retrieved 2026-09-20; SHA-256 70f00f3032e9c27fe1160ddda7e00030ce4b6d55ad7ff7e8032fc8a04a92e8ef.

PMID 38316982

A GIPR antagonist conjugated to GLP-1 analogues promotes weight loss with improved metabolic parameters in preclinical and phase 1 settings. ↗

Exact trial identity is declared in the article abstract indexed in PubMed. The registry independently labels this reference BACKGROUND. These source labels do not establish that every result in a paper applies to this trial.

Identity metadata retrieved 2026-09-20. EFetch batch XML; locate MedlineCitation/PMID 38316982. SHA-256 f2177628b98083064df17512c3dd229b760887c00cc64c4cfa4fc4e49523b12a.

Scientific summary uses the original 2026-09-15 source snapshot: SHA-256 2c0bc8063119ce5e607f80d3408a47d43f817bd158bcb457a2f27dc8b1305e80.

Selected full text: PMC10896721

A GIPR antagonist conjugated to GLP-1 analogues promotes weight loss with improved metabolic parameters in preclinical and phase 1 settings ↗

Retrieved 2026-09-20; SHA-256 478426a0d5db2904b80277b75c031bfc0e86e4d615de08b17435270cb227511c. Section identifiers and hashes are included in the cited study data.