Based on: Obesity — gene targets, candidate compounds and trials, OSMF Research Tracker (DGIdb, Open Targets, ChEMBL, PubMed and ClinicalTrials.gov data). Numbers are a snapshot taken 8 October 2026; the tracker page is the live version.
Short answer: as of October 2026, the OSMF Research Tracker lists 56 candidate interventions for obesity that are either approved medicines or have at least one registered clinical trial, built on 8 druggable gene targets, with 14 recent trials on ClinicalTrials.gov. 3 are already approved medicines, for this condition or another one; where the approval is for a different condition, the trial is testing a new use, which is what drug repurposing means. Being in a trial says an intervention is being studied, not that it works; that is what the trial is for.
Which candidates have the most trial activity?
Ranked by the number of registered trials the tracker found. Each trial ID links to the registry entry, where you can read the design, status and sponsor.
- ZT006 — 5 registered trials · investigational · NCT07230132
- HRS-5817 — 4 registered trials · investigational · NCT07238647
- Tirzepatide — 2 registered trials · approved medicine · NCT07481747 NCT06517212
- Y288 — 2 registered trials · investigational · NCT00682916
- fenfluramine — 1 registered trial · approved medicine · NCT00000506
- phentermine — 1 registered trial · approved medicine · NCT00000506
- acarbose — 1 registered trial · investigational · NCT02836704
- Alpha Lipoic Acid — 1 registered trial · investigational · NCT01355952
- AVOID — 1 registered trial · investigational · NCT06521021
- Bariatric surgery — 1 registered trial · investigational · NCT00273104
- calorie health education knowledge and skills — 1 registered trial · investigational · NCT03892733
- Diet + Lifestyle Counseling — 1 registered trial · investigational · NCT00985114
Which gene targets are these built on?
The tracker starts from genes with evidence of being druggable in obesity and asks which compounds act on them. Each symbol links to its DGIdb entry, which lists the interacting drugs and the papers behind them: FTO, GIPR, GLP1R, LEPR, MC4R, NPY, POMC, UCP1.
Which trials are registered?
- Trial of Innovative Fat-loss Focused Approaches in Patients With Class I Obesity: a Comparative Study NCT07866183 · Recruiting · Phase NA · started 2026-06-29
- A Study of Clazakizumab (LY5724886) in Adults With Elevated hsCRP and at Increased Risk for Cardiovascular Event NCT07783802 · Recruiting · Phase PHASE2 · started 2026-08-27
- Diabetes and Heart Disease Risk in Blacks NCT00001853 · Recruiting · started 1998-10-21
- Children s Growth and Behavior Study NCT02390765 · Recruiting · started 2015-04-21
- Effects of Different Fish Oil Types on Type 2 Diabetes Risk Factors in High-Risk Adults NCT07575438 · Recruiting · Phase PHASE2 · started 2026-10-05
- Probiotics in Obese Patients Treated With Semaglutide NCT07847593 · Completed · Phase NA · started 2025-07-09
- MODERN-Dental: Pediatric Obesity, Cardiometabolic Risks, And Periodontal Disease NCT07478653 · Recruiting · Phase NA · started 2026-08-31
- Effects of Brain Stimulation on Food Intake and Behavioral Weight Loss Treatment NCT00739362 · Active Not Recruiting · Phase PHASE2 · started 2009-01-19
- A Study to Learn About the Monthly Dosing Study Medicine Called Berobenatide in Adults With Breathing Problems During Sleep and Overweight or Obesity Who Use a Breathing Machine (PAP) (VESPER-OSA 1) NCT07823608 · Recruiting · Phase PHASE3 · started 2026-09-17
- Efficacy, Safety and Tolerability of Switching From Glucagon-like Peptide-1 Receptor Agonists (GLP-1RA) to Maridebart Cafraglutide in Adults With Obesity or Overweight (MARITIME-SWITCH) NCT07575399 · Recruiting · Phase PHASE3 · started 2026-05-11
How to read this
Evidence is graded on the tracker page in three tiers: clinical (tested in people), mechanistic (a documented action on the target) and correlative (an association in the literature). Most candidates sit in the lower tiers, and many trials are small or early-phase. The purpose of this list is to show where the research is, with sources, so that patients, clinicians and researchers can look further; it is not a ranking of what to take.
Related on this site
Research information, not medical advice. Decisions about any medicine belong with you and your clinician. The underlying data are open (CC BY 4.0) and refreshed daily; this note was generated from the tracker page on 8 October 2026.