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)
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
研究の種類
研究の種類
入学 (推定)
入学
段階
段階
- フェーズ 3
連絡先と場所
研究連絡先
研究連絡先
- 名前:Zhu
- 電話番号:+86025-68182432
- メール:zhudalong@nju.edu.cn
研究場所
-
-
Jiangsu
-
Nanjing、Jiangsu、中国、210008
- 募集
- Nanjing Drum Tower Hospital(The Affiliated Hospital of Nanjing University Medical School)
-
-
参加基準
適格基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
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.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:BGM0504 Injection 15 mg
|
Administered as a subcutaneous injection once weekly for 52 weeks.
|
|
アクティブコンパレータ:Semaglutide Injection 1.0 mg
|
Administered as a subcutaneous injection once weekly for 52 weeks.
|
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Proportion of Participants Achieving HbA1c < 7.0% and Body Weight Reduction ≥ 10% from Baseline
時間枠:Week 52
|
Composite endpoint assessing both glycemic control and weight loss.
|
Week 52
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Proportion of Participants Achieving Diabetes Remission
時間枠: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
時間枠: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
時間枠: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%)
時間枠: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
時間枠: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
時間枠: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
時間枠: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)
時間枠: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
時間枠:Week 52
|
Glucose measured 2 hours after a standard meal, absolute change from baseline.
|
Week 52
|
|
Change from Baseline in Body Weight
時間枠:Weeks 12, 24, 36, 44, 52
|
Absolute and percentage change in body weight
|
Weeks 12, 24, 36, 44, 52
|
|
Change from Baseline in BMI
時間枠: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
時間枠: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
時間枠: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)
時間枠: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)
時間枠: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)
時間枠:Baseline to 64 weeks
|
Includes adverse events, serious adverse events, and hypoglycemic events.
|
Baseline to 64 weeks
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。