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)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Zhu
- Telefonnummer: +86025-68182432
- E-mail: zhudalong@nju.edu.cn
Studiesteder
-
-
Jiangsu
-
Nanjing, Jiangsu, Kina, 210008
- Rekruttering
- Nanjing Drum Tower Hospital(The Affiliated Hospital of Nanjing University Medical School)
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
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
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / 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
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
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).
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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
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
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
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- BGM0504-Ⅲ -T2DM-03
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