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XW014 in Healthy Subjects and Patients With Type 2 Diabetes Mellitus (T2DM)

Phase 1
Active, not recruiting
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Placebo
Registration Number
NCT05579314
Lead Sponsor
Sciwind Biosciences USA Co., Ltd.
Brief Summary

This is a Phase 1, randomized, double-blind, placebo-controlled, first-in-human (FIH) study to evaluate the safety, tolerability, food effect (FE), pharmacokinetics (PK), and pharmacodynamics (PD) of orally administered XW014 in healthy participants and patients with T2DM. This study will consist of 4 parts: a Single Ascending Dose (SAD) part in healthy subjects (Part A), and Multiple Ascending Dose (MAD) parts in healthy subjects with elevated BMI (Part B and Part B-EXT) and patients with T2DM \[Optional\] (Part C).

Detailed Description

Part A - SAD, including FE cohort: Healthy participants with BMI in the range of ≥18.5 kg/m2 to ≤35.0 kg/m2 will be randomized to receive a single oral dose of either XW014 or placebo in each of the planned SAD cohorts.

Part B and Part B-EXT - MAD in healthy participants with elevated BMI: Healthy subjects with BMI in the range of ≥30 kg/m2 to ≤40.0 kg/m2 will be randomized to receive oral doses of XW014 or placebo in each of the planned MAD cohorts.

Part C - MAD in patients with T2DM: Patients with T2DM for at least 6 months, having hemoglobin A1c (HbA1c) in the range of 6.5% to 8.5% will be randomized to receive oral doses of XW014 or placebo in each of the planned MAD cohorts.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
152
Inclusion Criteria
  1. Ability and willingness to participate in the study, give written informed consent, and comply with the study restrictions and all protocol procedures

  2. Sex: male or female

  3. Weight: >50 kg, inclusive, at screening

  4. Age:

    1. For Part A 18 to 70 years, inclusive, at screening
    2. For Part B, Part B-EXT, and C 18 to 55 years, inclusive, at screening
  5. Body Mass Index

    1. For Part A: ≥18.5 kg/m2 and ≤35.0 kg/m2, inclusive, at screening
    2. For Part B and Part B-EXT: ≥30.0 kg/m2 and ≤40.0 kg/m2, inclusive, at screening
    3. For Part C: ≥25.0 kg/m2 and ≤40.0 kg/m2, inclusive, at screening
  6. Patients with T2DM for at least 6 months, having HbA1c of 6.5% to 8.5% (Part C)

Key

Exclusion Criteria
  1. History or clinically significant active disease of the gastrointestinal, cardiovascular, hepatic, neurologic, renal, pancreatic, immunologic, dermatologic, endocrine, genitourinary, or hematologic system
  2. Uncontrolled hypertension
  3. History of type 1 diabetes mellitus
  4. History or current diagnosis of acute or chronic pancreatitis or factors for pancreatitis
  5. Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 or subjects with suspected medullary thyroid carcinoma
  6. Existence of any surgical or medical condition that, in the judgment of the Investigator, might interfere with the absorption, distribution, metabolism, or excretion of the investigational product

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
SAD Cohort A - XW014XW014Single oral XW014 administration
SAD Cohort A - PlaceboPlaceboSingle oral placebo administration
MAD Cohort B - XW014XW014MAD in Healthy Subjects with Elevated BMI
MAD Cohort B - PlaceboPlaceboMAD in Healthy Subjects with Elevated BMI
MAD Cohort C - PlaceboPlaceboMAD in Patients with T2DM
MAD Cohort B-EXT - XW014XW014MAD in Healthy Subjects with Elevated BMI
MAD Cohort C - XW014XW014MAD in Patients with T2DM
MAD Cohort B-EXT - PlaceboPlaceboMAD in Healthy Subjects with Elevated BMI
Primary Outcome Measures
NameTimeMethod
Mean change from baseline in clinical laboratory values, vital signs, clinical findings from physical exam and ECG abnormalities11 weeks
Number and percentage of treatment emergent adverse events (TEAE) and serious adverse events (SAE)11 weeks
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

ICON - Early Development Services

🇺🇸

Salt Lake City, Utah, United States

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