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A Study of BGM0504 in Early T2DM With Obesity

A Randomized, Open-Label, Multicenter Phase 3 Trial to Evaluate the Efficacy, Safety, and Diabetes Remission of BGM0504 Injection Compared With Semaglutide Injection in Early-Stage Chinese Type 2 Diabetes Mellitus Patients With Obesity and Inadequate Glycemic and Weight Control Despite Diet and Exercise Intervention(BRIGHT-1)

This trial is conducted in China. The aim is to compare BGM0504 Injection 15 mg with semaglutide 1.0 mg in Chinese T2DM patients with obesity and inadequate control despite diet and exercise. Over 52 weeks of once weekly treatment, efficacy and safety are evaluated, including the rate of diabetes remission at 12 weeks after treatment discontinuation.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

372

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Jiangsu
      • Nanjing, Jiangsu, Kina, 210008
        • Rekruttering
        • Nanjing Drum Tower Hospital(The Affiliated Hospital of Nanjing University Medical School)

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • ○ Have been diagnosed with type 2 diabetes mellitus (T2DM), disease duration ≤5 years, treatment naïve with ≥8 weeks diet/exercise, or off antidiabetic therapy ≥8 weeks prior to screening.

    • BMI 28.0-35.0 kg/m² at screening, with stable weight (±5%) for 3 months prior to screening.
    • Have HbA1c between ≥7.5% and ≤10.5% at screening.
    • FPG ≤15.0 mmol/L at screening.
    • If hypertensive: SBP <180 mmHg and DBP <110 mmHg at enrollment, on stable (≥2 weeks) ≤2 antihypertensives, or no medication with diet/exercise ≥4 weeks.
    • Willing to comply with protocol, use effective contraception, and provide informed consent.

Exclusion Criteria:

  • ● Previous diagnosis of type 1 diabetes, special type diabetes or gestational diabetes.

    • Prior use of antidiabetics or systemic glucocorticoids within 8 weeks, prior GLP-1/GIP/GCG receptor agonists with intolerance/poor response, or weight-loss drugs within 3 months.
    • History of acute/chronic pancreatitis.
    • Medullary thyroid carcinoma, MEN 2A/2B, or family history.
    • Malignancy within 5 years (except treated BCC/SCC, cervical/PSC/thyroid papillary carcinoma in situ with no recurrence).
    • Severe cardiac conditions within 6 months: NYHA III/IV HF, unstable angina, MI, CABG/stent, severe arrhythmias.
    • Hemorrhagic or ischemic stroke within 6 months.
    • Severe renal disease or eGFR ≤60 mL/min/1.73 m² (CKD-EPI).
    • Pregnant or lactating woman.
    • Prior clinical trial participation with investigational drug or device within 3 months.
    • Other situations that are deemed as inappropriate for participation by investigators.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: BGM0504 Injection 15 mg
Administered as a subcutaneous injection once weekly for 52 weeks.
Aktiv komparator: Semaglutide Injection 1.0 mg
Administered as a subcutaneous injection once weekly for 52 weeks.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Proportion of Participants Achieving HbA1c < 7.0% and Body Weight Reduction ≥ 10% from Baseline
Tidsramme: Week 52
Composite endpoint assessing both glycemic control and weight loss.
Week 52

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Proportion of Participants Achieving Diabetes Remission
Tidsramme: Week 64 (12 weeks off treatment)
Defined as HbA1c < 6.5% without use of glucose-lowering medications.
Week 64 (12 weeks off treatment)
Proportion of Participants Achieving HbA1c < 7.0% with Weight Reduction ≥10% from Baseline
Tidsramme: Weeks 12, 24, 36, 44
Composite endpoint assessing combined glycemic and weight outcomes at multiple thresholds.
Weeks 12, 24, 36, 44
Proportion of Participants Achieving HbA1c < 7.0% with Weight Reduction ≥ 5%, or 15% from Baseline
Tidsramme: Weeks 12, 24, 36, 44, 52
Composite endpoint assessing combined glycemic and weight outcomes at multiple thresholds.
Weeks 12, 24, 36, 44, 52
Proportion of Participants Achieving HbA1c Targets (< 7.0%, ≤ 6.5%, < 5.7%)
Tidsramme: Weeks 12, 24, 36, 44, 52
Glycemic control assessed at each visit.
Weeks 12, 24, 36, 44, 52
Proportion of Participants Achieving HbA1c ≤ 6.5% or < 5.7% with Weight Reduction ≥ 5%, 10%, or 15% from Baseline
Tidsramme: Weeks 12, 24, 36, 44, 52
Composite endpoint assessing stricter glycemic targets combined with weight loss.
Weeks 12, 24, 36, 44, 52
Proportion of Participants Achieving Glycemic and Weight Targets at 12 Weeks Off Treatment
Tidsramme: Week 64
Composite of HbA1c < 5.7% or < 6.5% with weight reduction ≥ 5% or ≥ 10%, assessing durability of response after treatment withdrawal.
Week 64
Change from Baseline in HbA1c
Tidsramme: Weeks 12, 24, 36, 44, 52
Absolute change in glycated hemoglobin from baseline.
Weeks 12, 24, 36, 44, 52
Change from Baseline in Fasting Plasma Glucose (FPG)
Tidsramme: Weeks 12, 24, 36, 44, 52
Absolute change in fasting glucose from baseline.
Weeks 12, 24, 36, 44, 52
Change from Baseline in 2-Hour Postprandial Glucose
Tidsramme: Week 52
Glucose measured 2 hours after a standard meal, absolute change from baseline.
Week 52
Change from Baseline in Body Weight
Tidsramme: Weeks 12, 24, 36, 44, 52
Absolute and percentage change in body weight
Weeks 12, 24, 36, 44, 52
Change from Baseline in BMI
Tidsramme: Weeks 12, 24, 36, 44, 52
Absolute and percentage change in BMI (kg/m²).
Weeks 12, 24, 36, 44, 52
Change from Baseline in Waist Circumference and Hip Circumference
Tidsramme: Weeks 12, 24, 36, 44, 52
Absolute change in waist and hip circumference from baseline.
Weeks 12, 24, 36, 44, 52
Proportion of Participants Achieving Weight Reduction ≥ 5%, 10%, 15%, and 20% from Baseline
Tidsramme: Weeks 12, 24, 36, 44, 52
Categorical weight loss responders at multiple thresholds.
Weeks 12, 24, 36, 44, 52
Percentage Change from Baseline in Lipid Profile (TC, TG, LDL-C, HDL-C)
Tidsramme: Weeks 12, 24, 36, 44, 52
Percentage change in total cholesterol, triglycerides, LDL-C, and HDL-C from baseline.
Weeks 12, 24, 36, 44, 52
Change from Baseline in Systolic and Diastolic Blood Pressure (SBP/DBP)
Tidsramme: Weeks 12, 24, 36, 44, 52
Absolute change in seated SBP and DBP from baseline.
Weeks 12, 24, 36, 44, 52
Incidence of Treatment-Emergent Adverse Events (TEAEs)
Tidsramme: Baseline to 64 weeks
Includes adverse events, serious adverse events, and hypoglycemic events.
Baseline to 64 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

30. august 2026

Primær færdiggørelse (Anslået)

30. september 2028

Studieafslutning (Anslået)

30. november 2028

Datoer for studieregistrering

Først indsendt

24. juli 2026

Først indsendt, der opfyldte QC-kriterier

29. juli 2026

Først opslået (Faktiske)

4. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

29. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • BGM0504-Ⅲ -T2DM-03

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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