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Efficacy and Safety of Petrelintide in Participants With Overweight or Obesity and Type 2 Diabetes (ZUPREME 2)

Phase 2
Recruiting
Conditions
Overweight
Type 2 Diabetes
Obesity
Interventions
Other: Placebo
Registration Number
NCT06926842
Lead Sponsor
Zealand Pharma
Brief Summary

The main purpose of this study is to investigate efficacy and safety of three doses of petrelintide versus placebo in participants with overweight or obesity and type 2 diabetes.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
216
Inclusion Criteria
  • Male or female participants with body mass index (BMI) ≥27.0 kg/m2.
  • Diagnosed with type 2 diabetes ≥180 days prior to the day of screening.
  • Treated with metformin with or without sodium-glucose cotransporter 2 inhibitors. Treatment should be stable (same drug[s], dose, and dosing frequency) for at least 90 days prior to screening.

Main

Exclusion Criteria
  • Severe hypoglycemia within 6 months prior to screening or history of hypoglycemia unawareness.
  • Receipt of any other glucose-lowering drug than those listed in the inclusion criterion within 90 days prior to screening.
  • A self-reported change in body weight >5% within 90 days prior to screening, irrespective of medical records.
  • Treatment with any medication (prescribed or over-the-counter) or alternative remedies (herbal or nutritional supplements) intended to promote weight loss within 6 months prior to screening.
  • Previous or planned (during the trial period) obesity treatment with surgery or a body weight loss device. However, liposuction or surgical removal of fat depots more than 1 year prior to screening or device-based interventions (e.g., sleeve, banding, or similar) that have been removed more than 6 months prior to screening, are allowed.
  • Obesity due to endocrine disorders or genetic syndromes.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment A: Petrelintide Dose 1PetrelintideRandomized participants will receive weekly subcutaneous injections of petrelintide Dose 1.
Treatment B: Petrelintide Placebo Dose 1PlaceboRandomized participants will receive weekly subcutaneous injections of matching placebo to petrelintide.
Treatment F: Petrelintide Placebo Dose 3PlaceboRandomized participants will receive weekly subcutaneous injections of matching placebo to petrelintide.
Treatment C: Petrelintide Dose 2PetrelintideRandomized participants will receive weekly subcutaneous injections of petrelintide Dose 2.
Treatment D: Petrelintide Placebo Dose 2PlaceboRandomized participants will receive weekly subcutaneous injections of matching placebo to petrelintide.
Treatment E: Petrelintide Dose 3PetrelintideRandomized participants will receive weekly subcutaneous injections of petrelintide Dose 3.
Primary Outcome Measures
NameTimeMethod
Percentage Change in Body WeightFrom Baseline (Day 1) to Weeks 28
Secondary Outcome Measures
NameTimeMethod
Number of Participants Achieving ≥5% Body Weight LossFrom Baseline (Day 1) to Weeks 28
Number of Participants Achieving ≥10% Body Weight LossFrom Baseline (Day 1) to Weeks 28
Change in Body Weight (kilogram)From Baseline (Day 1) to Weeks 28
Change in Waist CircumferenceFrom Baseline (Day 1) to Weeks 28
Change in Glycated Hemoglobin (HbA1c)From Baseline (Day 1) to Weeks 28
Change in Fasting GlucoseFrom Baseline (Day 1) to Weeks 28
Change in High-Sensitivity C-reactive protein (hsCRP)From Baseline (Day 1) to Weeks 28
Number of Participants Achieving <7% HbA1cFrom Baseline (Day 1) to Weeks 28
Number of Participants Achieving ≤6.5% HbA1cFrom Baseline (Day 1) to Weeks 28
Changes in Fasting LipidsFrom Baseline (Day 1) to Weeks 28
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)From Baseline (Day 1) to Weeks 38
Number of Participants with Treatment- Emergent Severe or Clinically Significant Hypoglycemic Episodes from Baseline to Week 38From Baseline (Day 1) to Weeks 38
Number of Participants with Positive Anti-Drug Antibodies (ADAs)From Baseline (Day 1) to Weeks 38
Change in Systolic Blood PressureFrom Baseline (Day 1) to Week 38
Change in Diastolic Blood PressureFrom Baseline (Day 1) to Week 38
Change in Pulse RateFrom Baseline (Day 1) to Week 38

Trial Locations

Locations (25)

Cullman Clinical Trials - Family Medicine

🇺🇸

Cullman, Alabama, United States

Elite Clinical Studies, LLC

🇺🇸

Phoenix, Arizona, United States

Medical Investigation Inc

🇺🇸

Little Rock, Arkansas, United States

AMCR Institute, Inc.

🇺🇸

Escondido, California, United States

Velocity Clinical Research

🇺🇸

Huntington Park, California, United States

Diablo Clinical Research Inc.

🇺🇸

Walnut Creek, California, United States

Chase Medical Research, LLC

🇺🇸

Waterbury, Connecticut, United States

Innovative Research of West Florida

🇺🇸

Clearwater, Florida, United States

East Coast Institute for Research, LLC

🇺🇸

Jacksonville, Florida, United States

Solutions Through Advanced Research, Inc

🇺🇸

Jacksonville, Florida, United States

West Orange Endocrinology P.A

🇺🇸

Ocoee, Florida, United States

East Coast Institute for Research - Canton

🇺🇸

Canton, Georgia, United States

Iowa Diabetes & Endocrinology Research Center

🇺🇸

West Des Moines, Iowa, United States

DelRicht Research - New Orleans

🇺🇸

New Orleans, Louisiana, United States

AAMRC

🇺🇸

Flint, Michigan, United States

International Diabetes Center

🇺🇸

Minneapolis, Minnesota, United States

Mercury Street Medical Group, PLLC

🇺🇸

Butte, Montana, United States

Palm Research Center, Inc.

🇺🇸

Las Vegas, Nevada, United States

PharmQuest Life Sciences, LLC

🇺🇸

Greensboro, North Carolina, United States

Lynn Institute of Norman

🇺🇸

Norman, Oklahoma, United States

Elligo Clinical Research, Inc.

🇺🇸

Austin, Texas, United States

The University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

Juno Research LLC

🇺🇸

Houston, Texas, United States

Consano Clinical Research

🇺🇸

Shavano Park, Texas, United States

Manaasas Clinical Research Center

🇺🇸

Manassas, Virginia, United States

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