Biomarker & Intervention Discovery

Obesity (Severe / Morbid)

This page lists 8 druggable gene targets and 15 recent clinical trials for Obesity (Severe / Morbid), with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Sources are linked so you can check every claim.

Disease Overview

Spontaneous remission
Not established
Best-intervention remission
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Gap size
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Primary barrier
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Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

FTO 166GIPR 187GLP1R 294LEPR 6MC4R 143NPY 11POMC 2UCP1 3
Therapeutic Agent Effect Direction Evidence Tier Potency Source
BISANTRENE ↓ inhibits Mechanistic
ATENOLOL ? unclear Mechanistic
INTERFERON ALFA-2B ? unclear Mechanistic
PEGINTERFERON ALFA-2A ? unclear Mechanistic
AZATHIOPRINE ? unclear Mechanistic
RIBAVIRIN ? unclear Mechanistic
MERCAPTOPURINE ? unclear Mechanistic
HYDROCHLOROTHIAZIDE ? unclear Mechanistic
ROXADUSTAT ↓ inhibits Mechanistic 9800.0 nM (IC50)
CHEMBL2338328 ↓ inhibits Mechanistic 84000.0 nM (IC50)
CHEMBL485023 ↓ inhibits Mechanistic 60000.0 nM (IC50)
CHEMBL2338327 ↓ inhibits Mechanistic 38000.0 nM (IC50)
CHEMBL426560 ↓ inhibits Mechanistic 2800.0 nM (IC50)
CHEMBL2338326 ↓ inhibits Mechanistic 43000.0 nM (IC50)
CHEMBL2338325 ↓ inhibits Mechanistic 96000.0 nM (IC50)
CHEMBL2030875 ↓ inhibits Mechanistic 92000.0 nM (IC50)
CHEMBL1256568 ↓ inhibits Mechanistic 15000.0 nM (IC50)
CHEMBL2338323 ↓ inhibits Mechanistic 18000.0 nM (IC50)
CHEMBL2338322 ↓ inhibits Mechanistic 23000.0 nM (IC50)
CHEMBL1230640 ↓ inhibits Mechanistic 3300.0 nM (IC50)
BROMAMINIC ACID ↓ inhibits Mechanistic 11000.0 nM (IC50)
CHEMBL2338321 ↓ inhibits Mechanistic 9000.0 nM (IC50)
CHEMBL316034 ↓ inhibits Mechanistic 8300.0 nM (IC50)
N-OXALYLGLYCINE ↓ inhibits Mechanistic 44000.0 nM (IC50)
CHEMBL3613953 ↓ inhibits Mechanistic 13000.0 nM (Kd)
CHEMBL4563024 ↓ inhibits Mechanistic 700.0 nM (IC50)
CHEMBL4559749 ↓ inhibits Mechanistic 7600.0 nM (IC50)
CHEMBL4470475 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4521076 ↓ inhibits Mechanistic 4600.0 nM (IC50)
CHEMBL4576909 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4435677 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4517902 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4471543 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4572939 ↓ inhibits Mechanistic 60.0 nM (IC50)
CHEMBL4563561 ↓ inhibits Mechanistic 1140.0 nM (IC50)
CHEMBL4460597 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4474254 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4453402 ↓ inhibits Mechanistic 30000.0 nM (IC50)
CHEMBL4567838 ↓ inhibits Mechanistic 1600.0 nM (IC50)
CHEMBL4532629 ↓ inhibits Mechanistic 400.0 nM (IC50)

Showing top 40 of 166 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
TIRZEPATIDE ↑ activates Mechanistic 0.03 nM (EC50)
COMPOUND 15A [PMID: 36642961] ↓ inhibits Mechanistic
OLANZAPINE ? unclear Mechanistic
CHEMBL198387 ↓ inhibits Mechanistic 430.0 nM (IC50)
CHEMBL234087 ↓ inhibits Mechanistic 132.0 nM (IC50)
CHEMBL411832 ↓ inhibits Mechanistic 117.0 nM (IC50)
CHEMBL395759 ↓ inhibits Mechanistic 217.0 nM (IC50)
CHEMBL411831 ↓ inhibits Mechanistic 178.0 nM (IC50)
CHEMBL232241 ↓ inhibits Mechanistic 171.0 nM (IC50)
CHEMBL232239 ↓ inhibits Mechanistic 435.0 nM (IC50)
CHEMBL398180 ↓ inhibits Mechanistic 603.0 nM (IC50)
CHEMBL396215 ↓ inhibits Mechanistic 296.0 nM (IC50)
CHEMBL407028 ↓ inhibits Mechanistic 4256.0 nM (IC50)
CHEMBL411833 ↓ inhibits Mechanistic 2023.0 nM (IC50)
CHEMBL232448 ↓ inhibits Mechanistic 3525.0 nM (IC50)
CHEMBL430163 ↓ inhibits Mechanistic 1279.0 nM (IC50)
CHEMBL232037 ↓ inhibits Mechanistic 610.0 nM (IC50)
CHEMBL232242 ↓ inhibits Mechanistic 118.0 nM (IC50)
CHEMBL232224 ↓ inhibits Mechanistic 286.0 nM (IC50)
CHEMBL198736 ↓ inhibits Mechanistic 28.3 nM (IC50)
CHEMBL452451 ↓ inhibits Mechanistic 497.0 nM (IC50)
CHEMBL528775 ↓ inhibits Mechanistic 411.0 nM (IC50)
CHEMBL447684 ↓ inhibits Mechanistic 277.0 nM (IC50)
CHEMBL455214 ↓ inhibits Mechanistic 83.0 nM (IC50)
CHEMBL487668 ↓ inhibits Mechanistic 93.0 nM (IC50)
CHEMBL447742 ↓ inhibits Mechanistic 74.0 nM (IC50)
CHEMBL504245 ↓ inhibits Mechanistic 198.0 nM (IC50)
CHEMBL453457 ↓ inhibits Mechanistic 12.0 nM (IC50)
CHEMBL520893 ↓ inhibits Mechanistic 406.0 nM (IC50)
CHEMBL487662 ↓ inhibits Mechanistic 1392.0 nM (IC50)
CHEMBL486651 ↓ inhibits Mechanistic 98.0 nM (IC50)
CHEMBL456738 ↓ inhibits Mechanistic 145.0 nM (IC50)
CHEMBL509710 ↓ inhibits Mechanistic 279.0 nM (IC50)
CHEMBL445532 ↓ inhibits Mechanistic 380.0 nM (IC50)
CHEMBL452311 ↓ inhibits Mechanistic 216.0 nM (IC50)
CHEMBL452067 ↓ inhibits Mechanistic 220.0 nM (IC50)
CHEMBL452310 ↓ inhibits Mechanistic 3020.0 nM (IC50)
CHEMBL504156 ↓ inhibits Mechanistic 373.0 nM (IC50)
CHEMBL499160 ↓ inhibits Mechanistic 87.0 nM (IC50)
CHEMBL375167 ↓ inhibits Mechanistic 93.0 nM (IC50)

Showing top 40 of 187 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CHEMBL:CHEMBL607309 ? unclear Mechanistic
CHEMBL:CHEMBL585444 ? unclear Mechanistic
CHEMBL:CHEMBL1327172 ? unclear Mechanistic
CHEMBL:CHEMBL1224483 ? unclear Mechanistic
CGP13501 ? unclear Mechanistic
CHEMBL:CHEMBL580340 ? unclear Mechanistic
EFPEGLENATIDE ↑ activates Mechanistic
LIRAGLUTIDE ? unclear Mechanistic
DULOXETINE HYDROCHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL597251 ? unclear Mechanistic
ANGUSTIBALIN ? unclear Mechanistic
DULAGLUTIDE ↑ activates Mechanistic
EXENATIDE ↑ activates Mechanistic 0.66 nM (IC50)
MOFEBUTAZONE ? unclear Mechanistic
CHEMBL:CHEMBL532412 ? unclear Mechanistic
NORTRIPTYLINE HYDROCHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL533602 ? unclear Mechanistic
PEGSEBRENATIDE ↑ activates Mechanistic
OLANZAPINE ? unclear Mechanistic
CHEMBL:CHEMBL317115 ? unclear Mechanistic
CHEMBL:CHEMBL1549738 ? unclear Mechanistic
CYCLOASPEPTIDE A ? unclear Mechanistic
SCOULERINE ? unclear Mechanistic
KEPONE ? unclear Mechanistic
PEGAPAMODUTIDE ↑ activates Mechanistic
CHEMBL:CHEMBL603154 ? unclear Mechanistic
ETOPOSIDE ? unclear Mechanistic
CHEMBL:CHEMBL405914 ? unclear Mechanistic
CHEMBL:CHEMBL1308346 ? unclear Mechanistic
FIDUXOSIN HYDROCHLORIDE ? unclear Mechanistic
CLOZAPINE ? unclear Mechanistic
CHEMBL:CHEMBL578515 ? unclear Mechanistic
CHEMBL:CHEMBL1439833 ? unclear Mechanistic
CHEMBL:CHEMBL601351 ? unclear Mechanistic
CHEMBL:CHEMBL580727 ? unclear Mechanistic
AMORFRUTIN A ? unclear Mechanistic
PROPIONYLPROMAZINE HYDROCHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL588038 ? unclear Mechanistic
CHEMBL:CHEMBL1420370 ? unclear Mechanistic
CHEMBL:CHEMBL580207 ? unclear Mechanistic

Showing top 40 of 294 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
MIBAVADEMAB ↑ activates Mechanistic
SIMVASTATIN ? unclear Mechanistic
VALPROIC ACID ? unclear Mechanistic
METRELEPTIN ↑ activates Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
SETMELANOTIDE ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
SETMELANOTIDE ACETATE ↑ activates Mechanistic
AMISULPRIDE ? unclear Mechanistic
PF-00446687 ↑ activates Mechanistic
CHLORHEXIDINE GLUCONATE ? unclear Mechanistic
OLANZAPINE ? unclear Mechanistic
QUETIAPINE FUMARATE ? unclear Mechanistic
PMX53 ? unclear Mechanistic
AMLINTIDE ? unclear Mechanistic
HALOPERIDOL DECANOATE ? unclear Mechanistic
SETMELANOTIDE ↑ activates Mechanistic
ZIPRASIDONE ? unclear Mechanistic
SORAFENIB ? unclear Mechanistic
PALIPERIDONE ? unclear Mechanistic
BREMELANOTIDE ACETATE ↑ activates Mechanistic
ARIPIPRAZOLE LAUROXIL ? unclear Mechanistic
METHYLNALTREXONE ? unclear Mechanistic
BREMELANOTIDE ↑ activates Mechanistic
CHEMBL:CHEMBL578944 ? unclear Mechanistic
TREBANANIB ? unclear Mechanistic
CLOZAPINE ? unclear Mechanistic
CHEMBL415341 ↑ activates Mechanistic 9.0 nM (EC50)
CHEMBL437822 ↑ activates Mechanistic 7.0 nM (EC50)
CHEMBL24892 ↑ activates Mechanistic 0.9 nM (EC50)
CHEMBL438286 ↑ activates Mechanistic 15.0 nM (EC50)
CHEMBL412174 ↑ activates Mechanistic 10.0 nM (EC50)
CHEMBL264337 ↑ activates Mechanistic 7.0 nM (EC50)
CHEMBL439361 ↑ activates Mechanistic 35.0 nM (EC50)
CHEMBL2371902 ↑ activates Mechanistic 3.0 nM (EC50)
CHEMBL2371888 ↑ activates Mechanistic 25.0 nM (EC50)
CHEMBL3037885 ↑ activates Mechanistic 0.3 nM (EC50)
CHEMBL410148 ↑ activates Mechanistic 2.0 nM (EC50)
CHEMBL2371880 ↑ activates Mechanistic 5.0 nM (EC50)
CHEMBL2371903 ↑ activates Mechanistic 2.0 nM (EC50)
CHEMBL409786 ↑ activates Mechanistic 6.0 nM (EC50)
CHEMBL216474 ↑ activates Mechanistic 37.0 nM (EC50)
CHEMBL406636 ↑ activates Mechanistic 176.0 nM (EC50)
CHEMBL2371913 ↑ activates Mechanistic 65.0 nM (EC50)
CHEMBL262437 ↑ activates Mechanistic 33.0 nM (EC50)
CHEMBL386871 ↑ activates Mechanistic 45.0 nM (EC50)
CHEMBL384036 ↑ activates Mechanistic 105.0 nM (EC50)

Showing top 40 of 143 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
HALOPERIDOL DECANOATE ? unclear Mechanistic
K-252A ? unclear Mechanistic
ANTIHYPERTENSIVE AGENT ? unclear Mechanistic
ENDOTHELIN RECEPTOR ANTAGONIST ? unclear Mechanistic
ROSIGLITAZONE ? unclear Mechanistic
ESTRADIOL 3-BENZOATE ? unclear Mechanistic
BROMOCRIPTINE ? unclear Mechanistic
FREUND'S ADJUVANT ? unclear Mechanistic
VACCINE ? unclear Mechanistic
IMMUNOTOXIN ? unclear Mechanistic
ETHER ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
INTERMEDINE ? unclear Mechanistic
SETMELANOTIDE ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
INSULIN, REGULAR, HUMAN ? unclear Mechanistic
STREPTOZOCIN ? unclear Mechanistic
METYROSINE ? unclear Mechanistic

Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Obesity (Severe / Morbid): recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT06162715 Phase: 2/3 Started: 2024-10-30

The goal of this pilot clinical trial is to determine the effectiveness of Tirzepatide in patients with persistent obesity (BMI \> 30) 12 months after bariatric surgery (Roux-en-Y Gastric Bypass). The investigators also aim to determine the frequency of side effects with Tirzepatide in this patie...

NCT07590219 Phase: 4 Started: 2024-03-30

This randomized controlled trial evaluates the efficacy, safety, metabolic, and cardiovascular effects of liraglutide in children aged 6 to 12 years with severe obesity. Participants are randomized to receive liraglutide plus lifestyle intervention or lifestyle intervention alone for 6 months. In ad...

NCT06309563 Phase: N/A Started: 2023-08-30

The effectiveness of low-protein diets supplemented with essential aminoacid (EAA) formulas in genetic disorders of amino acid (AA) catabolism, such as maple syrup urine disease (MSUD), is widely recognized (Blackburn PR et al. 2017). The main aim of the present study is to evaluate a difference in ...

NCT03137433 Phase: N/A Started: 2018-01-02

This study seeks to examine whether meal-replacement therapy is able to enhance weight loss among teens with severe obesity. In addition, we are also interested in examining the degree of weight loss needed to improve important cardiometabolic risk factors among adolescents.

NCT05409612 Phase: 3 Started: 2022-11-07

Obesity has been considered as a risk factor for mortality and development of complications during infection with the influenza virus. Several case studies of severe and fatal infections have identified possible effects of obesity on disease progression; these effects include extensive viral replica...

NCT02952963 Phase: 4 Started: 2016-10

The purpose of this study is to examine the efffects of bile acid and bile acids sequestrants on GLP-1 secretion, in patients after Roux-en-Y gastric bypass.

NCT02876484 Phase: 4 Started: 2016-06

The purpose of this study is to examine the effects of bile acid and bile acids sequestrants on GLP-1 Secretion, during a meal, in patients after Roux-en-Y gastric bypass.

NCT06987383 Phase: 3 Started: 2026-10-27

This 12-week randomized, double-blind, placebo-controlled trial will test the hypothesis that Vibegron (brand name GEMTESA) can improve energy metabolism, cardiometabolic risk factors, and physical and cognitive function in middle-aged and older adults with obesity.

NCT06628362 Phase: 2 Started: 2024-11-21

This is a multi-center, randomized, double-blind, placebo-controlled, parallel group dose-finding study to evaluate the efficacy and safety of enicepatide at low, middle, and high doses in participants who are overweight or obese with Type 2 diabetes mellitus (T2DM).

NCT07900074 Phase: 4 Started: 2026-10-31

The goal of this clinical trial is to determine if there are differences in the effect of 12 weeks of tirzepatide versus semaglutide on energy balance in adults with obesity and without known diabetes. The main questions it aims to answer are: \- Does tirzepatide have a greater effect on energy expe...

NCT06062069 Phase: 2 Started: 2023-11-27

This study will evaluate the changes in glycemic control in overweight and obese adults with Type 1 Diabetes Mellitus after receiving CT-868 for 16 weeks. The effectiveness and safety of CT-868 will be compared to placebo. All participants will continue with their standard diabetes care using either...

NCT07787728 Phase: 1 Started: 2025-07-14

This study is a randomized, double-blind, placebo-controlled, multiple-dose phase Ib clinical trial, aiming to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity characteristics of MWN109 injection in Chinese non-diabetic participants with overweight or obesity....

NCT07784270 Phase: 3 Started: 2026-08-20

The study will evaluate how well AZD6234 works and how safe it is in adults with excess weight or obesity. Efficacy of AZD6234 will be compared to placebo in percent body weight change from baseline at 68 weeks of treatment

NCT05569681 Phase: N/A Started: 2023-01-07

Morbid obesity, is known to be associated with a high risk of VTE and, unfortunately, fixed doses of anticoagulant regimens may not provide optimal VTE prophylaxis in these patients especially after surgery.

NCT07220629 Phase: 2 Started: 2025-10-02

A Phase 2a randomized, double-blind, placebo-controlled, parallel-group, multicenter study to explore the safety and efficacy of NT-0796 as an adjunct to semaglutide in participants with obesity over a 6 months treatment period.


Agents Found By Disease-Level Search

Searched directly from “Obesity (Severe / Morbid)” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 8-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

Not yet run. python -m biomarker_pipeline.run_disease_agent_discovery --disease "..."