Reviewed by Peptide Treatments Medical Advisory Board (Medical Advisory Board)

Ecnoglutide: Research & Evidence

Emerging Evidence

Published research, clinical trial data, and evidence grading for Ecnoglutide across studied indications.

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Research Summary

Ecnoglutide has completed multiple Phase 3 trials primarily in Chinese populations. The EECOH-1 obesity trial (PMID: 40555243, published in Lancet Diabetes & Endocrinology 2025) demonstrated superior and sustained weight reduction vs placebo. A separate Phase 3 T2D trial showed superior HbA1c reduction at 0.6 mg and 1.2 mg once-weekly doses. The EECOH-2 trial compared ecnoglutide to dulaglutide over 52 weeks. DREAMS-1 provided head-to-head data vs semaglutide. Development has been focused on the China market through Sciwind Biosciences — no US FDA submission has been announced. The cAMP-biased mechanism is supported by preclinical data but clinical significance vs non-biased GLP-1 agonists is not yet established.

Evidence by Indication (2 indications)

Indication Tier Trials Summary
Obesity/weight loss Tier B 1 Phase 3 RCT showed superior weight reduction vs placebo
Type 2 diabetes Tier B 2 Phase 3 RCTs vs placebo and vs dulaglutide

Graded using our evidence tier methodology.

Citations (2 sources)

  1. 1. Ecnoglutide for weight reduction in adults with overweight or obesity: Phase 3 trial Clinical Trial

    Sciwind Biosciences Investigators (2025), Lancet Diabetes & Endocrinology

  2. 2. Ecnoglutide vs dulaglutide in Type 2 diabetes: 52-week Phase 3 trial (EECOH-2) Clinical Trial

    Sciwind Biosciences Investigators (2025), Lancet Diabetes & Endocrinology