A Research Study to Check the Safety of NNC9836-0001 When Given to Healthy Participants and Participants With Type 2 Diabetes
A Phase 1 Randomised, Double-blinded, Placebo-controlled Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Doses of NNC9836-0001 Administered to Healthy Participants and Participants With Type 2 Diabetes
The purpose of this clinical study is to determine if the study medicine NNC9836-0001 is safe and tolerable in healthy participants with overweight or obesity or who have type 2 diabetes (T2D). Participants will either get the study medicine NNC9836-0001 or placebo. Which treatment participants get is decided by chance. NNC9836-0001 is a new medicine aimed to treat type 2 diabetes.
調査の概要
研究の種類
入学 (推定)
段階
- フェーズ 1
連絡先と場所
研究連絡先
- 名前:Novo Nordisk
- 電話番号:(+1) 866-867-7178
- メール:clinicaltrials@novonordisk.com
研究場所
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-
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Neuss、ドイツ、41460
- 募集
- Profil Institut für Stoffwechselforschung GmbH
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
All participants:
- Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
- Male or female (sex assigned at birth, inclusive of all gender identities).
Metabolically healthy participants with overweight or mild obesity:
- Age 25 to 59 years (both inclusive) at the time of signing the informed consent.
- Body Mass Index (BMI) 25 to 34.9 kilogram per square meter (kg/m^2) (both inclusive) at screening.
- Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram (ECG), and clinical laboratory tests performed during the screening visit, as judged by the investigator.
Participants with type 2 diabetes:
- Age at the time of signing the informed consent: Age 25 to 69 years (both inclusive)
- BMI at screening: BMI 27 to 39.9 kg/m^2 (both inclusive)
- Diagnosed with T2D greater than equal to (≥) 180 days before screening.
- Concomitant medications before screening: Stable (as judged by the investigator) with daily dose(s) on monotherapy (metformin, sodium-glucose cotransporter 2 inhibitors (SGLT2i), or dipeptidyl peptidase-4 inhibitor (DPP4i) or dual therapy (metformin + SGLT2i or metformin + DPP4i)) ≥90 days before screening. or; Stable weight and stable doses of glucagon-like peptide-1 receptor agonists (GLP-1 RA) with no further titration (as judged by the investigator). GLP-1 RA ≥180 days before screening combined with daily dose(s) of either metformin or SGLT2i or dual therapy (metformin + SGLT2i)) ≥90 days before screening.
- Background pharmacotherapy for all MAD cohort T2D participants should be on stable therapy for ≥90 days before screening with no initiation, discontinuation, or dose changes.
- Considered to be generally healthy as judged by the investigator except for T2D-associated mild conditions under stable treatment.
Exclusion Criteria:
All participants:
- Known or suspected hypersensitivity to study intervention(s) or related products.
- Previous dose administration in this study.
- Participation (i.e., signed informed consent and dosed with Investigational medicinal product (IMP)) in any other interventional clinical study within 30 days or 5 times the half-life of the drug, whichever is longest, before screening.
- Any disorder, which in the investigator's opinion might jeopardise participants safety or compliance with the protocol.
- Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using adequate contraceptive method.
- Minimal to mild hepatic impairment, defined as alanine aminotransferase (ALT) values greater than (>)1.5 × upper limit of normal (ULN), aspartate aminotransferase (AST) values >1.5 × ULN, or total bilirubin >ULN + 20 percent (%) (except in case of Gilbert's disease, as reported by participant or in medical records) at screening.
Metabolically healthy participants with overweight or mild obesity:
- Supine blood pressure outside the range of 90-139 millimetres of mercury (mmHg) for systolic or 50-89 mmHg for diastolic at screening. To consider re-assessment of vital signs in case white-coat hypertension is known or suspected.
- Heart rate outside the range of 45-89 beats per minute (bpm) at screening.
- Unwilling or unable to refrain from use of nonprescription products within 14 days prior to start of run-in, including herbal products and nonroutine vitamins (as judged by the investigator), except the occasional use of over the counter (OTC) acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) at their labelled doses for mild pain.
- Recent (<90 days) or planned major change in diet, use of weight-lowering medication, regularly extended fasting periods, or dietary habits that, per investigator's judgment, may interfere with the conduct of the study.
Participants with type 2 diabetes:
- Any disorder which in the investigator's opinion might jeopardise participant safety or compliance with the protocol. This does not apply for T2D-associated mild conditions under stable treatment.
- Supine blood pressure outside the range of 90-159 mmHg for systolic or 50-99 mmHg for diastolic at screening. This exclusion criterion also pertains to participants being on antihypertensive treatment. To consider re-assessment of vital signs in case white-coat hypertension is known or suspected.
- Heart rate outside the range of 50-99 bpm at screening.
- Unwilling or unable to check self-monitored plasma glucose (SMPG) and unwilling to treat hypoglycaemia per instructions.
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:順次割り当て
- マスキング:ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的:NNC9836-0001
Participants will receive NNC9836-0001 subcutaneously. |
NNC9836-0001 will be administered subcutaneously. |
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プラセボコンパレーター:Placebo
Participants will receive placebo subcutaneously. |
Placebo (NaCl) will be administered subcutaneously. |
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Single ascending dose (SAD): Number of Treatment emergent adverse events (TEAEs)
時間枠:From dosing (day 1) until week 26
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Measured as events. |
From dosing (day 1) until week 26
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Multiple ascending dose (MAD): Number of TEAEs
時間枠:From dosing (day 1) to week 34
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Measured as events. |
From dosing (day 1) to week 34
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
SAD: Area under the curve (AUC)0-last, standard deviation (SD): The area under the NNC9836-0001 plasma concentration-time curve from time zero to last measurable concentration after a single dose
時間枠:From predose day 1 to day 57
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Measured as hours*nanograms per milliliter (h*ng/ml). |
From predose day 1 to day 57
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SAD:Cmax,SD: The maximum observed NNC9836-0001 plasma concentration after a single dose
時間枠:From predose day 1 to day 57
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Measured as nanograms per milliliter (ng/ml). |
From predose day 1 to day 57
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MAD: AUC0-28d,MD: The area under the NNC9836-0001 plasma concentration-time curve after multiple doses
時間枠:From predose day 29 to day 57
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Measured as hour*ng/mL. |
From predose day 29 to day 57
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|
MAD: Cmax,MD: The maximum observed NNC9836-0001 plasma concentration after multiple doses
時間枠:From predose day 29 to day 57
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Measured as ng/mL. |
From predose day 29 to day 57
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター:Clinical Transparency dept. 2834、Novo Nordisk A/S
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
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
詳しくは
本研究に関する用語
その他の研究ID番号
- NN9836-8513
- U1111-1328-6439 (その他の識別子:World Health Organization (WHO))
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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