Maridebart Cafraglutid versus Placebo hos Voksne Deltagere med Obstruktiv Søvnapnø, som ikke er i Positiv Luftvejstryk (PAP) Terapi (MARITIME-OSA-2)
En fase 3 randomiseret, dobbeltblind, placebo-kontrolleret undersøgelse for at evaluere effektiviteten, sikkerheden og tåleligheden af Maridebart Cafraglutide hos voksne deltagere med obstruktiv søvnapnø, som ikke er i positiv luftvejsterapi og lever med overvægt eller fedme (MARITIME-OSA-2)
This Phase 3 clinical trial is designed to evaluate the efficacy and safety of maridebart cafraglutide compared to placebo over a 52-week period in adults with obstructive sleep apnea (OSA) who are not on PAP therapy and are living with overweight or obesity.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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New South Wales
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Macquarie Park, New South Wales, Australien, 2113
- Woolcock Institute of Medical Research
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Queensland
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Herston, Queensland, Australien, 4006
- Royal Brisbane and Womens Hospital
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Victoria
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Clayton, Victoria, Australien, 3168
- Monash Medical Centre
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São Paulo, Brasilien, 04266-010
- Centro Paulista de Investigacao Clinica Cepic
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brasilien, 90430-001
- Nucleo de Pesquisa do Rio Grande do Sul
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São Paulo
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Campinas, São Paulo, Brasilien, 13060-080
- Instituto de Pesquisa Clinica de Campinas - Ipecc
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São Paulo, São Paulo, Brasilien, 01228-000
- CPQuali Pesquisa Clinica Ltda
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São Paulo, São Paulo, Brasilien, 05403-900
- Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo Hcfmusp
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Alberta
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Calgary, Alberta, Canada, T2N 4L7
- CaRe Clinic
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Ontario
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Brampton, Ontario, Canada, L6T 0G1
- Aggarwal and Associates Ltd
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Hamilton, Ontario, Canada, L8L 5G8
- Wharton Medical Clinic
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Quebec
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Trois-Rivières, Quebec, Canada, G9A 4P3
- Diex Recherche Trois Rivieres
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California
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Northridge, California, Forenede Stater, 91325
- Valley Clinical Trials
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Rolling Hills Estates, California, Forenede Stater, 90274
- Peninsula Research Associates
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Florida
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Brandon, Florida, Forenede Stater, 33511
- Teradan Clinical Trials
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Palmetto Bay, Florida, Forenede Stater, 33157
- Destiny Research Center
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Pompano Beach, Florida, Forenede Stater, 33060
- Clinical Research Center Of Florida
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Georgia
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Atlanta, Georgia, Forenede Stater, 30328
- NeuroTrials Research
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New York
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Laurelton, New York, Forenede Stater, 11413
- Basil Clinical
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North Carolina
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Monroe, North Carolina, Forenede Stater, 28112
- Monroe Biomedical Research
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45212
- CTI Clinical Research Center
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Texas
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Austin, Texas, Forenede Stater, 78731
- FutureSearch Trials of Neurology
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DeSoto, Texas, Forenede Stater, 75115
- Epic Medical Research - DeSoto
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San Antonio, Texas, Forenede Stater, 78229
- Sleep Therapy & Research Center
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Washington
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Bellevue, Washington, Forenede Stater, 98007
- Northwest Clinical Research Center
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Angers, Frankrig, 49933
- Centre Hospitalier Universitaire d'Angers
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Bordeaux, Frankrig, 33000
- Centre Hospitalier Universitaire de Bordeaux - Hopital Pellegrin
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Grenoble, Frankrig, 38043
- Centre Hospitalier Universitaire de Grenoble - Hopital Nord Michallon
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Fukuoka
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Chikushino-shi, Fukuoka, Japan, 818-8516
- Saiseikai Futsukaichi Hospital
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Fukuoka, Fukuoka, Japan, 814-0180
- Fukuoka University Hospital
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Hiroshima
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Aki-gun, Hiroshima, Japan, 735-8585
- Mazda Hospital of Mazda Motor Corporation
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Hokkaido
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Kitahiroshima-shi, Hokkaido, Japan, 061-1121
- Sleep and Mental Clinic-Kitahiroshima
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Kanagawa
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Yokohama, Kanagawa, Japan, 222-0033
- RESM ShinYokohama Sleep and Respiratory Medical Care Clinic
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Kumamoto
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Kumamoto, Kumamoto, Japan, 862-0954
- Kuwamizu Hospital
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Okinawa
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Urasoe-shi, Okinawa, Japan, 901-2132
- Nakamura Clinic
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Osaka
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Osaka, Osaka, Japan, 532-0003
- Gokeikai Osaka Kaisei Hospital
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Tokyo
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Minato-ku, Tokyo, Japan, 105-0012
- Goodsleep Clinic
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Bialystok, Polen, 15-276
- Uniwersytecki Szpital Kliniczny w Bialymstoku
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Poznan, Polen, 60-569
- Uniwersytecki Szpital Kliniczny w Poznaniu
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Warsaw, Polen, 04-635
- Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
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Madrid, Spanien, 28041
- Hospital Universitario 12 de Octubre
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Catalonia
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Barcelona, Catalonia, Spanien, 08022
- Centro Medico Teknon
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Barcelona, Catalonia, Spanien, 08035
- Hospital Universitari Vall d Hebron
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Galicia
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A Coruña, Galicia, Spanien, 15006
- Hospital Medico Quirurgico San Rafael
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Madrid
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Pozuelo de Alarcón, Madrid, Spanien, 28223
- Hospital Quiron Madrid
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Benesov U Prahy, Tjekkiet, 256 01
- Nemocnice Rudolfa a Stefanie Benesov as
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Brno, Tjekkiet, 625 00
- Fakultni nemocnice Brno
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Ostrava - Poruba, Tjekkiet, 708 00
- Cerebrovaskularni poradna sro
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Berlin, Tyskland, 10117
- Advanced Sleep Research
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Essen, Tyskland, 45136
- InnoDiab Forschung
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Hamburg, Tyskland, 22607
- Diabeteszentrum Hamburg West
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Hanover, Tyskland, 30449
- Siteworks - Zentrum fuer klinische Studien Hannover
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Karlsruhe, Tyskland, 76137
- Siteworks - Zentrum fuer klinische Studien Karlsruhe
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Oldenburg, Tyskland, 23758
- Red-Institut GmbH
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Budapest, Ungarn, 1012
- SomnoCenter Budapest Alvaszavar Kozpont
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Debrecen, Ungarn, 4032
- Debreceni Egyetem Klinikai Kozpont
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Törökbálint, Ungarn, 2045
- Reformatus Pulmonologiai Centrum
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Participants must have an AHI of 15 or higher on polysomnography (PSG) at Day 1 before randomization.
- Body Mass Index (BMI) of 27 kg/m^2 or more at the time of screening.
- History of at least one unsuccessful attempt at weight loss through diet and exercise.
- Participants must not have used PAP therapy for at least 4 weeks before screening, are unwilling/unable to use PAP, and do not plan to use PAP therapy during the study.
Exclusion Criteria:
- Individuals who have had any previous or planned upper airway surgery or major ear, nose or throat surgery for OSA.
- Those with significant craniofacial abnormalities that may affect breathing at screening.
- Participants diagnosed with Central or Mixed Sleep Apnea with proportion of mixed or central apneas/hypopneas ≥ 50%, and/or diagnosis of Cheyne Stokes Respiration.
- Active device treatment of OSA or other treatments, that in the opinion of the investigator, may interfere with study outcomes.
- Individuals with respiratory diseases like obesity hypoventilation syndrome or daytime hypercapnia, neuromuscular diseases or other conditions that could interfere with the trial results, according to the investigator's opinion.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Placebo komparator: Placebo
Participants will receive placebo SC. |
Participants will receive placebo SC. |
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Eksperimentel: Maridebart Cafraglutide
Participants will receive maridebart cafraglutide subcutaneously (SC). |
Participants will receive maridebart cafraglutide SC.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
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Ændring i Apnø-hypopnø-indeks (AHI) fra baseline ved uge 52
Tidsramme: Ved uge 52
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Ved uge 52
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Procentvis ændring i AHI fra baseline i uge 52
Tidsramme: Ved uge 52
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Ved uge 52
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Deltagere, der opnår ≥ 50 % reduktion i AHI fra udgangspunktet efter 52 uger
Tidsramme: Ved uge 52
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Ved uge 52
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Deltagere, der opnår AHI < 5 eller AHI 5 til 14 med Epworth Sleepiness Scale (ESS) ≤ 10 fra baseline i uge 52
Tidsramme: Ved uge 52
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Ved uge 52
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Procentvis ændring i kropsvægt fra baseline i uge 52
Tidsramme: Ved uge 52
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Ved uge 52
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Ændring i søvnapnø-specifik hypoksi-belastning (SASHB) fra baseline i uge 52
Tidsramme: Ved uge 52
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Ved uge 52
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Ændring i systolisk blodtryk (SBP) fra baseline i uge 48
Tidsramme: I uge 48
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I uge 48
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Ændring i Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v1.0 Søvnrelateret Funktionsnedsættelse 8a Score fra baseline ved uge 52
Tidsramme: I uge 52
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I uge 52
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Percent Change in High Sensitivity C-reactive Protein (hs-CRP) from baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in AHI from Baseline at Week 24
Tidsramme: At Week 24
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At Week 24
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Percent Change in AHI from Baseline at Week 24
Tidsramme: At Week 24
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At Week 24
|
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Change in SASHB from Baseline at Week 24
Tidsramme: At Week 24
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At Week 24
|
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Change in ESS Score from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
|
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Change in PROMIS Short Form v1.0 Sleep-related Impairment 8b Score from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
|
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Change in Short Form-36 Health Survey Version 2 (SF-36v2) Acute Domain and Summary Scores from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in Patient Global Impression of Severity (PGI-S) Sleep-Related Impairment, Sleep Quality, Sleepiness from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Percentage of Participants Achieving ≥10% Reduction in Body Weight from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Percentage of Participants Achieving ≥15% Reduction in Body Weight from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Percentage of Participants Achieving ≥20% Reduction in Body Weight from Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in Waist Circumference From Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in Waist-to-Height Ratio From Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
|
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Change in Neck Circumference From Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
|
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Percentage Change in Total Cholesterol, High-density Lipoprotein Cholesterol (HDL-C), Non-HDL-C, Low-density Lipoprotein Cholesterol (LDL-C), and Triglycerides from Baseline at Week 52 in Fasting Conditions
Tidsramme: At Week 52
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At Week 52
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Percent Change in Fasting Insulin From Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in Fasting Plasma Glucose (FPG) (mg/dL, mmol/L) From Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in Hemoglobin A1c From Baseline at Week 52
Tidsramme: At Week 52
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At Week 52
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Change in Diastolic Blood Pressure (DBP) From Baseline at Week 48
Tidsramme: At Week 48
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At Week 48
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Number of Participants with Treatment-emergent Adverse Events and Serious Adverse Events
Tidsramme: Up to Week 100
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Up to Week 100
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Plasma Concentration of Maridebart Cafraglutide at Week 52
Tidsramme: At Week 52
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At Week 52
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: MD, Amgen
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i nervesystemet
- Ernæringsforstyrrelser
- Overernæring
- Kropsvægt
- Luftvejssygdomme
- Respirationsforstyrrelser
- Søvnvågningsforstyrrelser
- Apnø
- Søvnforstyrrelser, iboende
- Dyssomnier
- Søvnapnø syndromer
- Patologiske tilstande, tegn og symptomer
- Ernæringsmæssige og metaboliske sygdomme
- Tegn og symptomer
- Overvægtig
- Fedme
- Søvnapnø, obstruktiv
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 20250002
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
IPD-delingstidsramme
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication (or other new use) have been granted marketing authorization in both the US and Europe, or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD-delingsadgangskriterier
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors, and if not approved, may be further arbitrated by a Data Sharing Independent Review Panel. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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