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)
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Zhu
- Telefonnummer: +86025-68182432
- E-Mail: zhudalong@nju.edu.cn
Studienorte
-
-
Jiangsu
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Nanjing, Jiangsu, China, 210008
- Rekrutierung
- Nanjing Drum Tower Hospital(The Affiliated Hospital of Nanjing University Medical School)
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-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: BGM0504 Injection 15 mg
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Administered as a subcutaneous injection once weekly for 52 weeks.
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Aktiver Komparator: Semaglutide Injection 1.0 mg
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Administered as a subcutaneous injection once weekly for 52 weeks.
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Proportion of Participants Achieving HbA1c < 7.0% and Body Weight Reduction ≥ 10% from Baseline
Zeitfenster: Week 52
|
Composite endpoint assessing both glycemic control and weight loss.
|
Week 52
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Proportion of Participants Achieving Diabetes Remission
Zeitfenster: Week 64 (12 weeks off treatment)
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Defined as HbA1c < 6.5% without use of glucose-lowering medications.
|
Week 64 (12 weeks off treatment)
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|
Proportion of Participants Achieving HbA1c < 7.0% with Weight Reduction ≥10% from Baseline
Zeitfenster: 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
Zeitfenster: 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%)
Zeitfenster: 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
Zeitfenster: Weeks 12, 24, 36, 44, 52
|
Composite endpoint assessing stricter glycemic targets combined with weight loss.
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Weeks 12, 24, 36, 44, 52
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Proportion of Participants Achieving Glycemic and Weight Targets at 12 Weeks Off Treatment
Zeitfenster: Week 64
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Composite of HbA1c < 5.7% or < 6.5% with weight reduction ≥ 5% or ≥ 10%, assessing durability of response after treatment withdrawal.
|
Week 64
|
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Change from Baseline in HbA1c
Zeitfenster: Weeks 12, 24, 36, 44, 52
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Absolute change in glycated hemoglobin from baseline.
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Weeks 12, 24, 36, 44, 52
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Change from Baseline in Fasting Plasma Glucose (FPG)
Zeitfenster: Weeks 12, 24, 36, 44, 52
|
Absolute change in fasting glucose from baseline.
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Weeks 12, 24, 36, 44, 52
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Change from Baseline in 2-Hour Postprandial Glucose
Zeitfenster: Week 52
|
Glucose measured 2 hours after a standard meal, absolute change from baseline.
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Week 52
|
|
Change from Baseline in Body Weight
Zeitfenster: Weeks 12, 24, 36, 44, 52
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Absolute and percentage change in body weight
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Weeks 12, 24, 36, 44, 52
|
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Change from Baseline in BMI
Zeitfenster: Weeks 12, 24, 36, 44, 52
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Absolute and percentage change in BMI (kg/m²).
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Weeks 12, 24, 36, 44, 52
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Change from Baseline in Waist Circumference and Hip Circumference
Zeitfenster: Weeks 12, 24, 36, 44, 52
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Absolute change in waist and hip circumference from baseline.
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Weeks 12, 24, 36, 44, 52
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|
Proportion of Participants Achieving Weight Reduction ≥ 5%, 10%, 15%, and 20% from Baseline
Zeitfenster: Weeks 12, 24, 36, 44, 52
|
Categorical weight loss responders at multiple thresholds.
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Weeks 12, 24, 36, 44, 52
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Percentage Change from Baseline in Lipid Profile (TC, TG, LDL-C, HDL-C)
Zeitfenster: Weeks 12, 24, 36, 44, 52
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Percentage change in total cholesterol, triglycerides, LDL-C, and HDL-C from baseline.
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Weeks 12, 24, 36, 44, 52
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Change from Baseline in Systolic and Diastolic Blood Pressure (SBP/DBP)
Zeitfenster: Weeks 12, 24, 36, 44, 52
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Absolute change in seated SBP and DBP from baseline.
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Weeks 12, 24, 36, 44, 52
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Incidence of Treatment-Emergent Adverse Events (TEAEs)
Zeitfenster: Baseline to 64 weeks
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Includes adverse events, serious adverse events, and hypoglycemic events.
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Baseline to 64 weeks
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- BGM0504-Ⅲ -T2DM-03
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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