NCT07192263尚未招募3 期
A Phase 3, Multi-center, Randomized, Double-Blind, Placebo-Controlled, Parallel Study to Evaluate the Efficacy and Safety of IN-B00009 Injection in Adults With Obesity or Overweight Without Diabetes Mellitus
干预措施
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 入组人数
- 300
- 主要终点
- Percent change in body weight from baseline at Week 40
研究概览
简要总结
This Phase 3 study is designed to evaluate the efficacy and safety of IN-B00009 injection in adults with obesity or overweight without diabetes mellitus
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 19 to 75 years as of the date of written consent
- •Those who meet any of the following obesity criteria at the screening visit
- •BMI ≥ 30 kg/m2
- •27 kg/m2 ≤ BMI < 30 kg/m2 with at least one risk factor or comorbidity
- •BMI (kg/m2) = weight (kg) / height (m)2
- •Hypertension: Taking antihypertensive medication or sitSBP ≥ 140 mmHg or sitDBP ≥ 90 mmHg
- •Dyslipidemia: Taking dyslipidemia medication or Total Cholesterol ≥ 240mg/dL or LDL-C ≥ 160 mg/dL or TG ≥ 200 mg/dL or HDL-C < 40 mg/dL
- •Obstructive sleep apnea
- •Cardiovascular and cerebrovascular diseases: Ischemic cardiovascular and cerebrovascular diseases not corresponding to exclusion criterion 17, heart failure of NYHA Class I to III, etc.
- •Prediabetes: 100 mg/dL ≤ FPG ≤ 125 mg/dL or 140 mg/dL ≤ PG ≤ 199 mg/dL at 2 hours after 75 g oral glucose load or 5.7% ≤ HbA1c ≤ 6.4%
- •Self-reported history of at least one failed attempt at weight control using diet and exercise therapy prior to the screening visit
- •Able to agree to and follow the reduced-calorie diet and exercise therapy recommended in this study during the study period
- •Agrees to use a medically appropriate method of contraception (including medically infertile conditions) during the study period
排除标准
- •Body weight change exceeding 5 kg within 3 months of the screening visit
- •Diabetes (Type 1, Type 2, etc.) or HbA1c ≥ 6.5% at the screening visit
- •Received any of the following medications or treatments within 3 months of the screening visit
- •① Obesity-related medications (such as GLP-1 receptor agonists) or medications including over-the-counter drugs, herbal medicines, or health functional foods for weight control
- •② Received hypoglycemic agent or requires continuous administration during the study period
- •③ Received systemic steroids for 30 consecutive days or more, or requires continuous administration during the study period
- •④ Received other medications that cause significant body weight changes or requires continuous administration during the study period (e.g.: antipsychotics, tricyclic antidepressants, selective serotonin reuptake inhibitors, noradrenergic and specific serotonergic antidepressant, mood stabilizers (lithium), anticonvulsants, serotonin antagonists, first-generation antihistamines, etc.)
- •Diagnosed with obesity due to endocrine disorders (hypothalamic obesity, Cushing's syndrome, insulinoma, adult growth hormone deficiency, hypothyroidism, etc.)
- •Diagnosed with obesity due to genetic variations and congenital disorders
- •Obesity-causing genes: ob, db, Proopiomelanocortin (POMC), Melanocortin 4 receptor (MC4R) genes, etc.
- •Congenital disorders: Prader-Willi syndrome, Laurence-Moon-Biedl syndrome, Alström syndrome, Cohen syndrome, Carpenter syndrome, etc.
- •History of bariatric surgery (e.g., adjustable gastric banding, sleeve gastrectomy, Roux-en-Y gastric bypass, biliopancreatic diversion/duodenal switch, etc.) or device procedures, or plans for such during the study period
- •However, those who have had devices (e.g., gastric band, intragastric balloon) removed for more than 1 year can participate
- •Those who have had liposuction or abdominoplasty for more than 1 year can participate
- •Clinically significant gastrointestinal disorders (e.g., gastroparesis, gastric outlet obstruction, peptic ulcer, severe gastroesophageal reflux disease)
- •History (including family history) of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN2), or results of clinical laboratory test at the screening visit meeting the following:
- •Calcitonin ≥ 100 ng/L
- •TSH < 0.6 mIU/L or TSH > 6.8 mIU/L (However, subjects being treated for hypothyroidism with 0.6 mIU/L ≤ TSH ≤ 6.8 mIU/L, taking stable doses of thyroid hormonal preparation for 3 months prior to the screening visit and unlikely to have dose changes during the study period can participate)
- •History of acute or chronic pancreatitis, or results of clinical laboratory test at the screening visit meeting the following:
- •- Amylase or Lipase > 3 times the upper limit of normal
- •Severe hepatic impairment or results of clinical laboratory test at the screening visit meeting the following:
- •- AST or ALT > 3 times the upper limit of normal or Total bilirubin > 2 times the upper limit of normal
- •Severe renal impairment (eGFR < 30mL/min/1.73m2)
- •Uncontrolled hypertension (sitSBP ≥ 160 mmHg or sitDBP ≥ 100 mmHg) at the screening visit
- •Answered "yes" to question 4 or 5 in the suicidal ideation section of the Columbia-Suicide Severity Rating Scale (C-SSRS) at the screening visit or history of suicide attempt
- •Score of 15 or higher on the Patient Health Questionnaire-9 (PHQ-9) at the screening visit, or history of major depressive disorder with unstable state, anxiety, or other severe psychiatric disorders (schizophrenia, bipolar disorder, etc.) within 2 years
- •History of alcohol addiction or drug abuse within 3 months of the screening visit
- •History of malignant tumor within the last 5 years
- •Those who have been determined as complete remission (CR, pCR) of the tumor and had no relapse for 5 years or more from the date of assessment can participate
- •Those with a history of thyroid cancer (excluding MTC), basal cell and squamous cell skin cancer within the last 5 years can participate
- •Any of the following medical histories confirmed within 3 months of the screening visit
- •Heart failure of NYHA class IV
- •Coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI)
- •Ischemic heart disease (acute myocardial infarction, unstable angina, etc.). However, if the condition has been stable for 6 months or more from the screening visit, participation is possible at the investigator's discretion
- •Severe cerebrovascular disease (cerebral infarction, cerebral hemorrhage, etc.), transient ischemic attack (TIA). However, if the condition has been stable for 6 months or more from the screening visit, participation is possible at the investigator's discretion
- •History of non-arteritic anterior ischemic optic neuropathy (NAION)
- •History of resistance or hypersensitivity to investigational product class drugs (GLP analogues) or history of multi-drug allergies
- •Requires administration of contraindicated medications during the study period
- •Received other investigational products within 30 days or 5 times the half-life (whichever is longer) if the half-life is known, prior to the screening visit
- •Positive for HBsAg, HCV antibody, or HIV antibody at the screening visit
- •- However, those who are HCV-Ab positive but confirmed negative in HCV-RNA test can participate
- •Hematological conditions that may interfere with HbA1c measurement (e.g.: hemolytic anemia, hemoglobinopathies)
- •Scheduled for surgery requiring hospitalization during the study period or requires surgical treatment
- •Positive pregnancy test, pregnant or lactating women
- •Considered inappropriate as a study subject by the investigator for other reasons
研究组 & 干预措施
IN-B00009
Experimental
干预措施: IN-B00009 (Drug)
Placebo
Placebo Comparator
干预措施: Placebo (Drug)
结局指标
主要结局
Percent change in body weight from baseline at Week 40
时间窗: Baseline, 40 weeks
Proportion of subjects with ≥5% body weight loss from baseline at Week 40
时间窗: Baseline, 40 weeks
次要结局
- Percent change in body weight from baseline at Week 24(Baseline, 24 weeks)
- Proportion of subjects with ≥15% body weight loss from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Change in body weight from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Proportion of subjects with ≥5% body weight loss from baseline at Week 24(Baseline, 24 weeks)
- Change in waist circumference from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Percent change in lipids from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Change in glucose metabolism parameters from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Change in blood pressure(systolic, diastolic) from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Change in SF-36(36-Item Short Form Survey) scores from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Proportion of subjects with ≥10% body weight loss from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Change in BMI from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
- Change in IWQOL-Lite-CT(Impact of Weight on Quality of Life-Lite for Clinical Trials version) (Physical function domain) from baseline at Week 24 and Week 40(Baseline, 24 weeks, 40 weeks)
研究者
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