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
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.
Investigators
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)