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临床试验/NCT05925114
NCT05925114已完成2 期

A Phase 2, Multicenter, Randomized, Double-blind, Dose-ranging, Placebo-controlled Study to Assess the Safety and Efficacy of S-309309 in Obese Adults

Shionogi48 个研究点 分布在 1 个国家目标入组 365 人开始时间: 2023年6月21日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
365
试验地点
48
主要终点
Percent Change From Baseline in Body Weight

研究概览

简要总结

The primary objective of this study is to understand the efficacy of S-309309 on the body weight of obese adults.

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
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • BMI of ≥ 30 kg/m^2 (obese) with or without comorbidities. An online BMI calculator is available at Calculate Your BMI - Standard BMI Calculator (nih.gov)
  • Stable body weight (defined as ≤ 5 kg of self-reported change) within 90 days prior to study start
  • Lifetime history of at least 1 unsuccessful dietary effort to lose body weight
  • Is a participant of non-childbearing potential (PONCBP) OR Is a participant of childbearing potential (POCBP) and using a contraceptive method that is highly effective as specified in the protocol. A POCBP must have a negative highly sensitive pregnancy test (urine or serum) before a first dose of study intervention as per protocol.

排除标准

  • Obesity of known endocrine origin (eg, untreated hypothyroidism, Cushing's syndrome)
  • Medical history or characteristics suggestive of genetic obesity
  • Any lifetime history of a suicide attempt or history of any suicidal ideation within the past year before entry into the study
  • History of documented human immunodeficiency virus (HIV) infection
  • History of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data
  • History of inflammatory conditions and autoimmune diseases
  • Males: a QT interval corrected using Fridericia's formula (QTcF) interval of > 450 msec at the Screening Visit; females: a QTcF interval > 470 msec at the Screening Visit
  • Active malignancy or history of malignancy (other than nonmelanoma skin cancer or any grade intraepithelial cervical neoplasia that has been surgically treated) within 5 years of enrollment in this study
  • A severe psychiatric condition, such as schizophrenia, bipolar disorder, or major depression in the previous 2 years before the Screening Visit, or history of treatment with antipsychotics, antidepressants, or mood stabilizers in the previous 2 years before the Screening Visit.
  • Suicidal ideation corresponding to type 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS) within the past 30 days prior to the Screening Visit
  • A Patient Health Questionnaire-9 (PHQ-9) score of ≥ 15 at the Screening Visit
  • History of an eating disorder (eg, bulimia or anorexia nervosa)
  • History of drug or alcohol abuse within 5 years of the Screening Visit
  • A self-reported change in body weight > 5 kg (11 pounds [lbs]) within 90 days prior to the Screening Visit
  • Known history of treated or untreated diabetes
  • Baseline hemoglobin A1c (HbA1c) ≥ 6.5% at the Screening Visit
  • Alanine aminotransaminase (ALT) > 3 × upper limit of normal (ULN) at the Screening Visit
  • Aspartate aminotransaminase (AST) > 3 × ULN at the Screening Visit
  • Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m^2 according to the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) at the Screening Visit
  • Chronic history of or current liver disease or known hepatic or biliary abnormalities (with the exception of nonalcoholic fatty liver disease, nonalcoholic steatohepatitis, Gilbert's syndrome or gallstones)
  • Any underlying lens opacity that affects the BCVA, or any posterior subcapsular opacity ≥ P1 based on the LOCS III, even if not impacting the BCVA
  • Marijuana use within 90 days prior to the Screening Visit
  • Use of medications that the investigator considers to be associated with weight changes within 90 days prior to the Screening Visit
  • Concomitant or previous steroid treatments (including eye-drops, inhalers, and nebulizers) for a total of ≥ 15 days during the 24 weeks prior to the Screening Visit; dermatological preparations of steroids will be allowed
  • History of or planned bariatric surgery or intra-abdominal balloon during study participation
  • Concomitant use of any dietary or herbal supplement that is indicated for weight management or maintenance of healthy weight
  • Use of drugs or substances known to be inducers or inhibitors of P-glycoprotein (P-gp) within 28 days prior to dosing
  • Received any investigational drug within 3 months of the Screening Visit
  • History of coronavirus disease 2019 (COVID-19) infection within 14 days prior to the Screening Visit or close contact with a COVID-19 patient in the 14 days prior to the Screening Visit as reported by the participant and the participant's medical history
  • Presence of HIV antibody at the Screening Visit or within 90 days prior to the Screening Visit
  • Regularly consumes excessive amounts of alcohol, defined as > 3 glasses of alcoholic beverages per day
  • Sensitivity to any of the study interventions, or components thereof, or drug or other allergy, that, in the opinion of the investigator or medical monitor, contraindicates participation in the study
  • Female study participants who have a positive urine pregnancy test at the Screening Visit
  • Female study participants who are breastfeeding
  • Poor venous access based on the investigator's judgement
  • Unable to swallow capsules
  • Hemoglobinopathy, hemolytic anemia, or chronic anemia (hemoglobin concentration < 11.5 g/dL for males, < 10.5 g/dL for females) at the Screening Visit or any other condition known to interfere with interpretation of HbA1c measurement
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

研究组 & 干预措施

Dose Level 1: S-309309

Experimental

Participants will receive S-309309 (low dose) once daily for 24 weeks

干预措施: S-309309 (Drug)

Dose Level 2: S-309309

Experimental

Participants will receive S-309309 (middle dose) once daily for 24 weeks

干预措施: S-309309 (Drug)

Dose Level 3: S-309309

Experimental

Participants will receive S-309309 (high dose) once daily for 24 weeks

干预措施: S-309309 (Drug)

Placebo

Placebo Comparator

Participants will receive placebo once daily for 24 weeks

干预措施: Placebo (Drug)

结局指标

主要结局

Percent Change From Baseline in Body Weight

时间窗: Baseline, Week 24

次要结局

  • Percentage of Participants Achieving a Weight Loss of ≥ 5%(Baseline to Week 24)
  • Percentage of Participants Achieving a Weight Loss of ≥ 10%(Baseline to Week 24)
  • Percentage of Participants Achieving a Weight Loss of ≥ 15%(Baseline to Week 24)
  • Percentage of Participants Achieving a Weight Loss of ≥ 20%(Baseline to Week 24)
  • Change From Baseline in Waist Circumference(Baseline, Week 24)
  • Change From Baseline in Hip/Waist Ratio(Baseline, Week 24)
  • Change From Baseline in BMI(Baseline, Week 24)
  • Change From Baseline in Leptin(Baseline, Week 24)
  • Change From Baseline in Glucose Metabolism Parameters as Assessed by Fasting Plasma Glucose (FPG)(Baseline, Week 24)
  • Change From Baseline in Cardiovascular Risk Factors(Baseline, Week 24)
  • Change From Baseline in Body Composition: Total Fat Mass as Assessed by DEXA scan(Baseline, Week 24)
  • Change From Baseline in Glucose Metabolism Parameters as Assessed by Hemoglobin A1c or Glycosylated Hemoglobin (HbA1c)(Baseline, Week 24)
  • Change From Baseline in Body Composition: Lean Mass as Assessed by DEXA scan(Baseline, Week 24)
  • Change From Baseline in Body Composition: Visceral Fat Mass as Assessed by DEXA scan(Baseline, Week 24)
  • Plasma Concentration of S-309309(Up to 24 weeks)
  • Change From Baseline in Adiponectin(Baseline, Week 24)
  • Change From Baseline in High Sensitivity C-reactive Protein (hsCRP)(Baseline, Week 24)

研究者

发起方
Shionogi
申办方类型
Industry
责任方
Sponsor

研究点 (48)

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