Adverse effect · Ecnoglutide

How common is GI side effects with Ecnoglutide?

B
Grade B — probable, not settledSame RCTs · effect size: moderate · adverse
Short answerProbable, not settled. Human data exist (Same RCTs) and mostly agree, showing a moderate effect — but too few, too small, or not yet peer-reviewed for a firm answer. The class profile. Ten of 499 people on ecnoglutide stopped for adverse events in the obesity trial.

What the studies show

The class profile. Ten of 499 people on ecnoglutide stopped for adverse events in the obesity trial.

“The most common adverse events were mild-to-moderate gastrointestinal related events.”

Verbatim, from the abstractJi L, et al. Efficacy and safety of a biased GLP-1 receptor agonist ecnoglutide in adults with overweight or obesity: a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Diabetes Endocrinol, 2025

Human trials exist and mostly agree, but there are too few of them, they are too small, or one big one is still reading out. Expect the grade to move.

  1. 1

In context

Ecnoglutide is a once-weekly GLP-1 receptor agonist developed by Sciwind Biosciences in China, engineered to favour the cAMP signalling pathway. In a 664-person phase 3 trial published in 2025, Chinese adults with overweight or obesity lost 13.2% at 40 weeks on the top dose against 0.1% on placebo. Two phase 3 diabetes trials are also published. It is not approved in any region this site covers.

Ecnoglutide is investigational (phase 3 published). Legal status differs by country — see the regulation section or the jurisdiction pages.

Questions

Is Ecnoglutide proven to cause GI side effects?
Not yet settled. Same RCTs — LYO grades it B, meaning probable but liable to change as trials read out.
What studies are behind the grade?
The class profile. Ten of 499 people on ecnoglutide stopped for adverse events in the obesity trial.
Is Ecnoglutide approved for this?
No. Ecnoglutide is investigational (phase 3 published); it is not an approved medicine for any indication in the jurisdictions LYO covers.

Other outcomes for Ecnoglutide

Written and maintained by LYO Research — how pages are written and checked. Reviewed 23 September 2026. Grades count human evidence only; see how LYO grades. Not medical advice. Correct this page →