Original Investigation

Treatment With 9-mg Mazdutide for Weight Reduction in Chinese Adults With Obesity

JAMA 10.1001/jama.2026.8142

June 07, 2026 at 9:00 AM EDT

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Can 9 mg of mazdutide administered subcutaneously once weekly provide effective and safe body weight reduction in Chinese adults with obesity (defined as a body mass index of ≥30) compared with placebo?In 461 Chinese adults (16% had type 2 diabetes) (mean age, 34 years; mean body weight, 94 kg; mean body mass index, 34), there was a mean weight reduction of 16.65% in the mazdutide group vs 1.50% in the placebo group after 60 weeks of treatment. The most common adverse events were vomiting (53.1% in the mazdutide group vs 1.3% in the placebo group), nausea (46.9% vs 3.2%, respectively), and diarrhea (39.4% vs 6.5%).Mazdutide provided clinically meaningful weight reduction in Chinese adults with moderate to severe obesity compared with placebo, but participants receiving the drug experienced gastrointestinal adverse reactions compared with those receiving placebo.

Corresponding Authors: Linong Ji, MD, Department of Endocrinology and Metabolism, Peking University People’s Hospital, 11 Xizhimen South St, Beijing 100044, China (jiln@bjmu.edu.cn); Lei Qian, MD, PhD, Innovent Biologics Inc, 999 Jinguang Rd, Shanghai 201100, China (cnradium@126.com).

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