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Clinical Trials/NCT05943886
NCT05943886
Completed
Phase 1

A Phase 1, Randomised, Double-blind, Placebo-controlled, Single and Multiple Dose Study to Investigate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of HEC88473 Injection in Healthy Subjects, Obese Subjects and T2DM Subjects

Dongguan HEC Biopharmaceutical R&D Co., Ltd.1 site in 1 country164 target enrollmentAugust 11, 2021

Overview

Phase
Phase 1
Intervention
HEC88473 injection
Conditions
Healthy Subjects
Sponsor
Dongguan HEC Biopharmaceutical R&D Co., Ltd.
Enrollment
164
Locations
1
Primary Endpoint
Frequency and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) after a single dose of HEC88473
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

This is a single-center, randomized, double-blind, placebo-controlled, escalating single-dose and multiple-dose study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of HEC88473 injection in healthy subjects, obese subjects and subjects with type 2 diabetes mellitus (T2DM).

Detailed Description

This study is divided into two parts, Part A is an escalating single-dose study in healthy subjects and obese subjects, and Part B is an escalating multiple-dose study in subjects with T2DM.

Registry
clinicaltrials.gov
Start Date
August 11, 2021
End Date
February 17, 2023
Last Updated
2 years ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Males or females, between 18 and 45 years of age, inclusive, at screening.
  • Body weight ≥ 50 kg for males and body weight ≥ 45 kg for females. 18≤body mass index (BMI)\<28 kg/m2 for nonobese subjects and 28≤BMI≤45 kg/m2 for obese subjects.
  • Males or females, between 18 and 65 years of age, inclusive, at screening.
  • 24 kg/m2≤BMI≤35 kg/m
  • Subjects diagnosed with T2DM, newly diagnosed subjects at screening, or treated with diet and exercise alone within 3 months before screening and still have poor blood glucose control, or treated with a stable dose of metformin for ≥ 3 months before screening.
  • 7.0%≤ HbA1c ≤10.5% at screening.

Exclusion Criteria

  • Smoked more than 5 cigarettes per day within 3 months before the study.
  • Immunization with a live attenuated vaccine or coronavirus vaccination within 1 month prior to screening or planned vaccination during the course of the study.
  • Positive alcohol breath test result or positive urine drug screen.
  • Blood donation (\> 300 mL) or massive blood loss (\> 400 mL) within 3 months before screening.
  • Have type 1 diabetes mellitus.
  • Have had ≥1 episode of severe hypoglycemia within 6 months before screening, or history of recurrent hypoglycemia (history of hypoglycemia more than 3 times in 3 months).
  • Have acute or chronic hepatitis, signs and symptoms of any other liver disease other than nonalcoholic fatty liver disease (NAFLD), or alanine aminotransferase (ALT) level \>5 times the upper limit of the reference range at screening.
  • Have serum calcitonin ≥20 ng/L at screening.
  • Have a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2; or have hereditary diseases that can easily induce MTC.
  • Fasted triglycerides \> 5.7 mmol/L at screening. If the patient is on lipid-lowering therapies, doses must be stable for 30 days prior to screening.

Arms & Interventions

Single dose of 0.5 mg HEC88473

Healthy subjects, receiving a single dose of 0.5 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 0.5 mg HEC88473

Healthy subjects, receiving a single dose of 0.5 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 1.7 mg HEC88473

Healthy subjects, receiving a single dose of 1.7 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 1.7 mg HEC88473

Healthy subjects, receiving a single dose of 1.7 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 5.1 mg HEC88473

Healthy subjects, receiving a single dose of 5.1 mg HEC88473 (N=8) or placebo(N=2) after meal. Obese subjects, receiving a single dose of 5.1 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 5.1 mg HEC88473

Healthy subjects, receiving a single dose of 5.1 mg HEC88473 (N=8) or placebo(N=2) after meal. Obese subjects, receiving a single dose of 5.1 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 10.2 mg HEC88473

Healthy subjects, receiving a single dose of 10.2 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 10.2 mg HEC88473

Healthy subjects, receiving a single dose of 10.2 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 17.0 mg HEC88473

Healthy subjects, receiving a single dose of 17.0 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 17.0 mg HEC88473

Healthy subjects, receiving a single dose of 17.0 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 25.5 mg HEC88473

Healthy subjects, receiving a single dose of 25.5 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 25.5 mg HEC88473

Healthy subjects, receiving a single dose of 25.5 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 35.7 mg HEC88473

Healthy subjects, receiving a single dose of 35.7 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 35.7 mg HEC88473

Healthy subjects, receiving a single dose of 35.7 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 47.6 mg HEC88473

Healthy subjects, receiving a single dose of 47.6 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 47.6 mg HEC88473

Healthy subjects, receiving a single dose of 47.6 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 62.9 mg HEC88473

Healthy subjects, receiving a single dose of 62.9 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 62.9 mg HEC88473

Healthy subjects, receiving a single dose of 62.9 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Single dose of 81.6 mg HEC88473

Healthy subjects, receiving a single dose of 81.6 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: HEC88473 injection

Single dose of 81.6 mg HEC88473

Healthy subjects, receiving a single dose of 81.6 mg HEC88473 (N=8) or placebo(N=2) after meal.

Intervention: Placebo

Multiple doses of 5.1 mg HEC88473

T2DM subjects, receiving a weekly dose of 5.1 mg HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal.

Intervention: HEC88473 injection

Multiple doses of 5.1 mg HEC88473

T2DM subjects, receiving a weekly dose of 5.1 mg HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal.

Intervention: Placebo

Multiple doses of 15.3 mg HEC88473

T2DM subjects, receiving a weekly dose of 15.3 mg HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal.

Intervention: HEC88473 injection

Multiple doses of 15.3 mg HEC88473

T2DM subjects, receiving a weekly dose of 15.3 mg HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal.

Intervention: Placebo

Multiple doses of 30.6 mg HEC88473

T2DM subjects, receiving a weekly dose of HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal. The 30.6 mg cohort was administered by titration.

Intervention: HEC88473 injection

Multiple doses of 30.6 mg HEC88473

T2DM subjects, receiving a weekly dose of HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal. The 30.6 mg cohort was administered by titration.

Intervention: Placebo

Multiple doses of 45.9 mg HEC88473

T2DM subjects, receiving a weekly dose of HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal. The 45.9 mg cohort was administered by titration.

Intervention: HEC88473 injection

Multiple doses of 45.9 mg HEC88473

T2DM subjects, receiving a weekly dose of HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal. The 45.9 mg cohort was administered by titration.

Intervention: Placebo

Multiple doses of 68.0 mg HEC88473

T2DM subjects, receiving a weekly dose of HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal. The 68.0 mg cohort was administered by titration.

Intervention: HEC88473 injection

Multiple doses of 68.0 mg HEC88473

T2DM subjects, receiving a weekly dose of HEC88473 (N=10) or placebo (N=2) for 5 consecutive weeks after meal. The 68.0 mg cohort was administered by titration.

Intervention: Placebo

Outcomes

Primary Outcomes

Frequency and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) after a single dose of HEC88473

Time Frame: Baseline to day 15

Adverse Events (AEs)

AUC

Time Frame: Predose and postdose 4、8、10、12、14、24、48、72、96、168、216、336 hours

Area under the serum concentration-time curve (AUC)

Cmax

Time Frame: Predose and postdose 4、8、10、12、14、24、48、72、96、168、216、336 hours

Maximum observed serum concentration of HEC88473

Frequency and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) after multiple dose of HEC88473

Time Frame: Baseline to day 43

Adverse Events (AEs)

Secondary Outcomes

  • Change from baseline of Adiponectin at day 38(Baseline to day 38)
  • OGTT(Day-1, Day3 and Day 7)
  • Assessment of the incidence of anti drug antibodies (ADA) developed against HEC88473 after dosing(Baseline to day 43)
  • Fasting lipid concentration(Baseline to day 43)
  • Change from baseline of HbA1c at day 38(Baseline to day 38)

Study Sites (1)

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