Research / Unapproved

Ecnoglutide: Research Status and Trial Overview

Molecular formulaC194H304N48O61
Molecular weight4285 g/mol
Registered trials14
PubChem CID162625103

Regulatory status

Ecnoglutide, also known by the development codes XW003 and VRB-101, is an investigational compound. It does not have an approved drug label, and no regulatory agency has cleared it for medical use.

What ecnoglutide is

Ecnoglutide is a large synthetic peptide with the molecular formula C194H304N48O61 and a molecular weight of approximately 4,285 g/mol. Its structure includes a chain of linked amino acid residues along with a fatty acid side chain, a feature often used to extend a peptide's activity. The compound is catalogued under PubChem CID 162625103. Because no approved label exists, there is no established mechanism, indication, or dosing information to report.

Trial footprint

Fourteen registered clinical trials reference ecnoglutide. Among the studies on record, a Phase 3 trial (NCT05680155) evaluating ecnoglutide against placebo in patients with type 2 diabetes mellitus has been completed. A Phase 3 trial (NCT07387094) is currently recruiting to study ecnoglutide in obese participants with obstructive sleep apnea who are not on positive airway pressure therapy. A separate Phase 2 trial (NCT07553299) examining a weekly oral dose for weight maintenance in participants with obesity or overweight and weight-related comorbidities is active but no longer recruiting.

FAQ

Is ecnoglutide FDA approved?
No. Ecnoglutide is an investigational compound and does not currently have an approved drug label from any regulatory agency. It is being studied in clinical trials, but its safety and effectiveness for any use have not been established through an approval process.
What is ecnoglutide also called?
Ecnoglutide has been studied under the development codes XW003 and VRB-101. These names may appear interchangeably in clinical trial listings and research materials.
What conditions is ecnoglutide being studied for?
Registered trials have examined ecnoglutide in people with type 2 diabetes mellitus and in people with obesity or overweight, including those with obstructive sleep apnea. These are research uses only and do not reflect an approved indication.
How many clinical trials involve ecnoglutide?
As of the most recent data pull, fourteen clinical trials reference ecnoglutide, spanning different phases and study designs.
What kind of molecule is ecnoglutide?
Ecnoglutide is a large synthetic peptide with a molecular weight of approximately 4,285 g/mol. Its structure includes a fatty acid side chain attached to a peptide backbone, a design feature seen in several long-acting peptide compounds.
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Sources: PubChem CID 162625103 ClinicalTrials.gov (NCT05680155, NCT07553299, NCT07387094) ChEMBL

Updated 2026-09-19