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临床试验/NCT05299697
NCT05299697Unknown2 期

A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II Study of TG103 Injection in the Management of Overweight or Obesity

CSPC Baike (Shandong) Biopharmaceutical Co., Ltd.1 个研究点 分布在 1 个国家目标入组 195 人开始时间: 2022年5月20日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
发起方
入组人数
195
试验地点
1
主要终点
Relative change from baseline in body weight at week 24

研究概览

简要总结

This study is a multicenter, randomized, double-blind, placebo-controlled, parallel phase II study to evaluate efficacy, safety, pharmacokinetics characteristics and immunogenicity of two dose levels of TG103 injection, a GLP-1 receptor agonist, in the management of overweight or obesity, to support dose selection for further development.

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
Single (Participant)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female, 18 years ≤ age ≤ 75 years.
  • Body Mass Index (BMI) ≥ 28 kg/m^2, or 24 kg/m^2 < BMI ≤ 28 kg/m^2 with at least one of obesity-related complications.
  • Regular diet and exercise and stable body weight (i.e. <5 kg self-reported change) within 12 weeks before screening as well as body weight ≥ 60 kg at screening.
  • Weight loss less than 5% or weight increase after simple diet and exercise efforts for at least 3 months.
  • Be able to understand the trial and complete the procedures, and be voluntary to participate in this study and sign the informed consent.

排除标准

  • Screening HbA1c ≥ 6.5%, or screening FPG ≥ 7.0mmol/L or<2.8mmol/L, or history of diabetes mellitus or hypoglycemia.
  • Overweight or obesity due to single gene mutation, disease or drug, or weight increase due to non-fat mass increase.
  • Treatment with any medication or product which in the investigator's opinion will cause change in weight to influence trial evaluations within 12 weeks before screening or during this study.
  • Subjects who underwent bariatric surgery within 12 months before screening, or are not yet recovered from any surgery or injury at screening.
  • Subjects who participated in any clinical trial and received the treatment within 12 weeks before screening, or who participated in the clinical trial and received treatment with TG103 injection.
  • History of allergy or suspected allergy to GLP-1 receptor agonists or antibody agents, or other severe allergy history based on which the subjects may be allergic to the study drugs in investigator's opinion.
  • Personal history or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 (MEN-2), or screening calcitonin ≥ 50 ng/L.
  • Previous history or screening ultrasound includes one of the following: chronic pancreatitis, acute pancreatitis, gallstone with at least one of less than 5mm, choledocholithiasis, except that there was no cholelithiasis after treatment or cholecystectomy.
  • No recovery from gastrointestinal disease or symptom at screening, or previous withdrawl of GLP-1 receptor agonist, GLP-1/GIP receptor agonist, GLP-1/GCG receptor agonist or metformin by gastrointestinal adverse drug reaction, or previous history of gastrointestinal surgery that influences the gastrointestinal motility in the investigators' opinions.
  • Acute infection at screening.
  • History of easily relapsed skin disease (e.g. urticaria), or present skin injury in any administration site at screening.
  • History of acute coronary syndrome, stroke, severe asthma, epilepsy, systemic lupus erythematosus, hemolytic anemia, cirrhosis and the other severe disease, or history of malignant tumor.
  • One of the followings at screening: systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg, or NYHA ≥ grade III, or QTc interval prolongation (i.e. QTcF>450ms in males or >470ms in females) or severe arrhythmia (e.g. atrioventricular block equal to or more than II degree, ventricular tachycardia).
  • History of abnormal thyroid function with requirement of medication treatment at screening, or TSH beyond the normal reference range at screening.
  • One of the followings at screening: 1) ALT or AST>3 × UNL (upper normal limit), or total bilirubin>1.5 × UNL, 2) blood amylase or lipase>1.5 × UNL, 3) TG>5.6mmol/L, 4) eGFR<60ml/min/1.73m^2 (calculated by CKD-EPI formula), 5) HBsAg, HCV-antibody, HIV-antibody or anti-TP antibody positive, 6) WBC< 3×10^9/L, or Hb <100g/L, 7) INR>1.
  • History of drug abuse, drug dependence or alcoholism.
  • History of moderate to severe depression, or screening Patient Health Questionaire-9 (PHQ-9) score ≥
  • The fertile female who is pregnant, breast-feeding or with blood HCG positive at screening, or the fertile male or female cannot use an effective contraceptive method during the trial and for 3 months after the end of treatment.
  • Other situations that are not suitable for the study in the investigator's opinion.

研究组 & 干预措施

TG103 15 mg

Experimental

Administered subcutaneously (s.c., under the skin) once every week for 24 weeks. Doses gradually increased to 15 mg.

干预措施: TG103 15 mg (Drug)

TG103 22.5 mg

Experimental

Administered subcutaneously (s.c., under the skin) once every week for 24 weeks. Doses gradually increased to 22.5 mg.

干预措施: TG103 22.5 mg (Drug)

Placebo

Placebo Comparator

Administered subcutaneously (s.c., under the skin) once every week for 24 weeks.

干预措施: Placebo (Drug)

结局指标

主要结局

Relative change from baseline in body weight at week 24

时间窗: From baseline to week 24

percent change in body weight

次要结局

  • Change from baseline to 12 weeks and 24 weeks in TG(triglyceride)(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in HbA1c(From baseline to week 24)
  • Change from baseline to 12 weeks, 24 weeks and 27 weeks in BMI(From baseline to week 27)
  • Change from baseline to 12 weeks and 24 weeks in fasting C peptide(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in HOMA-IR(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in systolic blood pressure and diastolic blood pressure(From baseline to week 24)
  • Number of TEAEs and SAEs from baseline to week 27(From baseline to week 27)
  • Relative change from baseline in body weight (%) at week 12 and week 27(From baseline to week 27)
  • Proportion of subjects with weight loss of ≥ 5% and ≥ 10% of baseline body weight at week 12 and week 24(From baseline to week 24)
  • Change from baseline to 12 weeks, 24 weeks and 27 weeks in body weight(From baseline to week 27)
  • Change from baseline to 12 weeks, 24 weeks and 27 weeks in waist circumference(From baseline to week 27)
  • Change from baseline to 12 weeks and 24 weeks in LDLC(low density lipoprotein cholesterol)(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in scores of the patient health questionnaire (PHQ-9)(From baseline to week 24)
  • Change from baseline to 12 weeks, 24 weeks and 27 weeks in waist to hip circumference ratio(From baseline to week 27)
  • Change from baseline to 12 weeks and 24 weeks in FPG (fasting plasma glucose)(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in FINS (fasting insulin)(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in TC(total cholesterol)(From baseline to week 24)
  • Change from baseline to 12 weeks and 24 weeks in HDLC(high density lipoprotein cholesterol)(From baseline to week 24)

研究者

发起方
CSPC Baike (Shandong) Biopharmaceutical Co., Ltd.
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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A Study of TG103 Injection in Overweight or Obesity | 临床试验