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临床试验/NCT05669755
NCT05669755
进行中(未招募)
3 期

The Cardiovascular Safety and Efficacy of Cagrilintide 2.4 mg s.c. in Combination With Semaglutide 2.4 mg s.c. (CagriSema 2.4 mg/2.4 mg s.c.) Once-weekly in Participants With Established Cardiovascular Disease

Novo Nordisk A/S1194 个研究点 分布在 1 个国家目标入组 7,101 人开始时间: 2023年3月1日最近更新:

概览

阶段
3 期
状态
进行中(未招募)
入组人数
7,101
试验地点
1,194
主要终点
Time to first occurrence of 3-point major adverse cardiovascular event (MACE), a composite endpoint consisting of: cardiovascular (CV) death, non-fatal myocardial infarction, non-fatal stroke

概览

简要总结

This study will look at the effects of CagriSema on cardiovascular events (for example heart attack and stroke) in people living with cardiovascular disease. Participants will either get CagriSema or a dummy medicine (also called "placebo") which has no effect on the body. Which treatment participants will get will be decided by chance. Participant's chance of getting CagriSema or placebo is the same. Participants will inject the study medicine once a week. The study medicine will be injected briefly with a thin needle, typically in the stomach, thighs or upper arms. The study will last for up to 4.5 years.

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
55 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female
  • Age above or equal to 55 years at the time of signing informed consent
  • Body mass index (BMI) greater than or equal to (\>=) 25.0 kilograms per meter square (kg/m\^2)
  • Established CVD as evidenced by at least one of the following:
  • Prior myocardial infarction
  • Prior stroke (ischemic or haemorrhagic stroke)
  • Symptomatic peripheral arterial disease (PAD) defined as at least one of the following:
  • Intermittent claudication with an ankle-brachial index (ABI) less than (\<) 0.85 at rest
  • Intermittent claudication with a \>= 50% stenosis in a lower extremity peripheral artery documented by X-ray angiography, magnetic resonance (MR) angiography, computed tomography (CT) angiography or Doppler ultrasound
  • Prior revascularization procedure of a lower extremity peripheral artery

排除标准

  • Myocardial infarction, stroke, hospitalization for unstable angina pectoris or transient ischaemic attack within 60 days before screening
  • Planned coronary, carotid or peripheral artery revascularisation known on the day of screening
  • Heart failure classified as being in New York Heart Association (NYHA) Class IV at screening
  • Treatment with any glucagon-like peptide-1 (GLP-1) receptor agonist (RA) or a medication with GLP-1 activity within 90 days before screening
  • End stage renal disease defined as estimated glomerular filtration rate (eGFR) \< 15 millileters per minutes per 1.73\^2 (mL/min/1.73 m\^2), as measured by the central laboratory at screening
  • Chronic or intermittent haemodialysis or peritoneal dialysis

研究组 & 干预措施

Placebo

Placebo Comparator

Participants will receive placebo matched to cagrilintide and placebo matched to semaglutide s.c. once weekly for 235 weeks.

干预措施: Placebo (Drug)

CagriSema

Experimental

Participants will receive cagrilintide and semaglutide subcutaneously (s.c.) once-weekly after a dose escalation period of 16 weeks during the maintenance period of 219 weeks.

干预措施: Cagrilintide (Drug)

CagriSema

Experimental

Participants will receive cagrilintide and semaglutide subcutaneously (s.c.) once-weekly after a dose escalation period of 16 weeks during the maintenance period of 219 weeks.

干预措施: Semaglutide (Drug)

结局指标

主要结局

Time to first occurrence of 3-point major adverse cardiovascular event (MACE), a composite endpoint consisting of: cardiovascular (CV) death, non-fatal myocardial infarction, non-fatal stroke

时间窗: From baseline (week 0) to end of study (up to 242 weeks or more)

Measured in days.

次要结局

  • Change in waist-to-height ratio(From baseline (week 0) to 120 weeks)
  • Change in systolic blood pressure (SBP)(From baseline (week 0) to 120 weeks)
  • Time to first occurrence of a composite endpoint: Onset of persistent ≥40% reduction in eGFRcr (CKD-EPI), eGFRcr (CKD-EPI) <15 mL/min/1.73 m^2, Initiation of chronic kidney replacement therapy, Kidney death and CV death(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Time to first occurrence of composite endpoint consisting of: Onset of persistent macro albuminuria, ≥40% reduction in eGFRcr (CKD-EPI), eGFRcr (CKD-EPI) <15 mL/min/1.73 m^2, Initiation of chronic kidney replacement therapy and kidney death(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Time to first occurrence of an expanded 5-point MACE composite endpoint consisting of: CV death, non-fatal myocardial infarction, non-fatal stroke, coronary revascularisation and unstable angina requiring hospitalisation(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Time to first occurrence of a composite endpoint consisting of: all-cause death, non-fatal myocardial infarction and non-fatal stroke(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Time to first occurrence of myocardial infarction (fatal and non-fatal)(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Time to first occurrence of stroke (fatal and non-fatal)(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Change in eGFRcr (CKD-EPI)(From baseline (week 0) to 120 weeks)
  • Ratio to baseline in Urine albumin-to-creatinine ratio (UACR)(From baseline (week 0) to 120 weeks)
  • Relative change in body weight(From baseline (week 0) to 120 weeks)
  • Change in waist circumference(From baseline (week 0) to 120 weeks)
  • Change in diastolic blood pressure (DBP)(From baseline (week 0) to 120 weeks)
  • Ratio to baseline in lipids: Total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, very-low-density lipoprotein (VLDL) cholesterol, triglycerides and free fatty acids(From baseline (week 0) to 120 weeks)
  • Change in glycated haemoglobin (HbA1c)(From baseline (week 0) to 120 weeks)
  • Number of treatment emergent serious adverse events (TESAEs)(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Number of event adjudication committee (EAC)-confirmed malignant neoplasms(From baseline (week 0) to end of study (up to 242 weeks or more))
  • Number of severe hypoglycaemic episodes (level 3) (only for participants with type 2 diabetes mellitus [T2D] at screening)(From baseline (week 0) to end of study (up to 242 weeks or more))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1194)

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