Phase 1 Study of Ascending Doses of CMS-D008 in Healthy and Overweight/Obese Adults
A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study of Ascending Doses of CMS-D008 to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics in Healthy Adults and Adults Living With Overweight or Obesity
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Voluntarily participate in this study, sign the informed consent form, be able to understand and comply with all requirements and restrictions of the study, and complete the study in accordance with the protocol.
- Male or female aged 18-56 years (inclusive)
- Body mass index (BMI) ≥23 kg/m2 at screening, with stable body weight in the past 4 months
- Glycated hemoglobin (HbA1c) < 6.5% and fasting plasma glucose < 7 mmol/L at screening.
- Participants of childbearing potential (including their partners) have no plan to conceive, donate oocytes, or donate sperm from the date of signing the informed consent form until 7 months after the last study drug administration, and must comply with contraceptive requirements during this period
Exclusion Criteria:
- History or presence of liver disease (except fatty liver disease), allergy, cardiovascular, endocrine (except primary obesity), neuropsychiatric, digestive, respiratory, hematological, immune, or genitourinary system major diseases.
- History or presence of endocrine diseases that may significantly affect body weight, or obesity caused by medication use, single gene mutation, or genetic obesity syndromes.
- Any skin conditions that may interfere with the assessment of injection-site reactions.
- Use of any siRNA agent in the prior 12 months
- Use of glucagon-like peptide-1 (GLP-1) receptor agonists and other weight-loss medications in the past 6 months.
- Use of any prescription or non-prescription drugs (including Chinese herbal medicines, vitamins, minerals, and dietary supplements, etc.) within 2 weeks before dosing or at least 5 elimination half-lives, whichever is longer.
- Participants with clinically significant abnormalities in vital signs, physical examination, laboratory tests, 12-lead ECG, and other auxiliary examinations at screening or baseline, who are considered by the investigator to be ineligible for enrollment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SAD:CMS-D008
5 sequential dose escalation cohorts - participants are randomized either to investigational drug or matching placebo
|
Healthy and overweight or obese participants
|
|
Placebo Comparator: SAD: Placebo
5 sequential dose escalation cohorts - participants are randomized either to investigational drug or matching placebo
|
Healthy and overweight or obese participants
|
|
Experimental: MAD: CMS-D008
3 sequential dose escalation cohorts - participants are randomized either to investigational drug or matching placebo
|
Healthy and overweight or obese participants
|
|
Placebo Comparator: MAD: Placebo
3 sequential dose escalation cohorts - participants are randomized either to investigational drug or matching placebo
|
Healthy and overweight or obese participants
|
|
Experimental: Expansion study: CMS-D008
2 sequential dose escalation cohorts - participants are randomized either to investigational drug or matching placebo
|
Healthy and overweight or obese participants
|
|
Placebo Comparator: Expansion study: Placebo
2 sequential dose escalation cohorts - participants are randomized either to investigational drug or matching placebo
|
Healthy and overweight or obese participants
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline to each visit point in vital signs (temperature, blood pressure, heart rate, respiratory rate)
Time Frame: through study completion,an average of 0.6 years
|
Measured using electronic sphygmomanometer/thermometer according to standard procedures, record actual values at each visit point, and assess abnormal values.
|
through study completion,an average of 0.6 years
|
|
Incidence rate of abnormal findings in comprehensive systemic physical examination
Time Frame: through study completion,an average of 0.6 years
|
Record abnormal physical examination findings by system (cardiovascular, respiratory, digestive, etc.), summarize the number and incidence rate of abnormalities in each system, and categorize them as related or unrelated to the study drug.
|
through study completion,an average of 0.6 years
|
|
Hematology, biochemistry, and urinalysis laboratory test indicators
Time Frame: through study completion,an average of 0.6 years
|
The tests include complete blood count (WBC, RBC, Hb, etc.), blood biochemistry (ALT, AST, Cr, etc.), and urinalysis; changes from baseline were calculated, and the incidence of abnormal values was summarized according to CTCAE 6.0 grading.
|
through study completion,an average of 0.6 years
|
|
12-lead electrocardiogram QTc interval, heart rate, and incidence of morphological abnormalities
Time Frame: through study completion,an average of 0.6 years
|
Collected using standard 12-lead ECG equipment, interpreted by a central laboratory, with the number and incidence rate of QTc interval changes, heart rate abnormalities, and morphological abnormalities (such as premature beats, ST-T changes) summarized.
|
through study completion,an average of 0.6 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maximum plasma drug concentration (Cmax)
Time Frame: Through 48 hours post-dose
|
Calculate the maximum observed plasma concentration from the plasma drug concentration-time curve after administration using non-compartmental analysis (NCA), unit: ng/mL
|
Through 48 hours post-dose
|
|
Tmax
Time Frame: Through 48 hours post-dose
|
Using non-compartmental analysis (NCA) to calculate the time to reach Cmax after drug administration, unit: h
|
Through 48 hours post-dose
|
|
Area under the curve (AUC0-t)
Time Frame: Through 48 hours post-dose
|
Calculate the area under the concentration-time curve from time of administration (0 h) to the last quantifiable concentration time point (t) using non-compartmental analysis (NCA), unit: ng·h/mL
|
Through 48 hours post-dose
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- D008-01-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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