Overweight and Obesity
Conditions
Keywords
HDM1002 tablet, overweight and obesity, Glucagon-Like Peptide-1 Receptor Agonists
Brief summary
It is a multicenter, randomized, double-blind, placebo-controlled phase II clinical trial to evaluate the safety and efficacy of HDM1002 tablets in overweight and obese adults.
Detailed description
This multicenter, randomized, double-blind, placebo-controlled phase II clinical trial aims to evaluate the safety and efficacy of HDM1002 tablets in overweight and obese adults. Participants with a BMI between 24 and 40 will be include. A total of 180 participants will be randomized in a 1:1:1:1 ratio to receive different doses of HDM1002 or placebo. Following the screening period to confirm eligibility up to 2-weeks, the study will consist of a treatment period will be 12 weeks, followed by an approximate 4-week follow-up.
Interventions
HDM1002 tablets 100mg daily, 12weeks
HDM1002 tablets 200mg daily, 12weeks
HDM1002 tablets 400mg daily, 12weeks
Matching placebo will be provided
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female subjects between 18 and 65 years of age (inclusive). * BMI≥28 but \< 40.0 kg/m2 at screening or randomization,or BMI≥24.0 kg/m2 but \< 28 kg/m2 with any of the following: 1. Hypertension 2. Impaired fasting glucose or impaired glucose tolerance 3. Dyslipidemia 4. Obstructive sleep apnea syndrome * At least one previous failure to lose weight through lifestyle modification was defined as \< 5% weight loss after ≥3 months of lifestyle modification.
Exclusion criteria
* Weight change ≥5% as reported or documented. Previous diagnosis of type 1, type 2, or any other type of diabetes. * Diagnosis of overweight or obesity due to other diseases or medications. * History or family history of medullary thyroid carcinoma, C cell hyperplasia, or multiple endocrine neoplasia type 2. * Have diseases or conditions that affect gastric emptying or gastrointestinal absorption of nutrients, such as bariatric surgery or other gastrectomy, irritable bowel syndrome, dyspepsia, chronic pancreatitis, etc. Or a history of acute pancreatitis or acute gallbladder disease within 3 months before signing ICF. * GLP-1R agonist use within 6 months prior to signing ICF. * Use of hypoglycemic drugs within 3 months before signing ICF.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage Change From Baseline in Body Weight at Week 12 | Baseline, Week 12 | Weight was recorded in kilograms (kg), and accuracy to the nearest 0.1 kg. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage Change of Participants Achieving Weight Loss ≥ 5% and ≥ 10% at Week 12 | Baseline, Week 12 | Weight was recorded in kilograms (kg), and accuracy to the nearest 0.1 kg. |
| Percentage Change From Baseline in Body Weight at Week 2, Week 4, Week 6, Week 8, Week 10 | Baseline, Week 2, Week 4, Week 6, Week 8, Week 10 | Weight was recorded in kilograms (kg), and accuracy to the nearest 0.1 kg. |
| Change From Baseline in Body Mass Index (BMI), And Waist Circumference | Baseline, Week 12 | BMI was recorded in kg/m2, and Waist Circumference was recorded in cm |
| Percentage change from baseline in fasting lipid profile (total cholesterol, low density lipoprotein [LDL] cholesterol, high density lipoprotein [HDL] cholesterol, non HDL cholesterol, lipoprotein (a) (Lp[a]), triglycerides) | Baseline, Week 12 | Fasting Lipid Profiles were measured at planned time points. |
| Change From Baseline in Systolic and Diastolic Blood Pressure | Baseline, Week 12 | Blood Pressure was measured using an automated device |
| Number of Participants with Clinical Laboratory Abnormalities, and Abnormalities in Vital Signs, Physical Examination and Electrocardiogram and Number of Participants With Treatment Emergent Adverse Events | Through Week 16] | Vital signs (blood pressure, pulse rate, body temperature, respiratory rate), physical examination, ECG and clinical laboratory evaluations (hematology, clinical chemistry, coagulation, urinalysis, calcitonin, serum amylase and lipase) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Fasting C-Peptide, | Time Frame: Baseline, Week 12 | The fasting plasma glucose measures the levels of C-Peptide were measured at planned time points |
| Change From Baseline in HbA1c at Week 12 | Time Frame: Baseline, Week 12 | HbA1c can be used as a diagnostic test for diabetes and is a widely recognized objective measure of glycemic control |
| Pharmacokinetic (PK) Profiles of HDM1002 and Its Metabolites (If Feasible) | Day 1, Day 15, Day 29, Day 57 and Day 85 | Area under the curve from time 0 to 24 h(AUC0-24h) |
| Change From Baseline in Fasting plasma Glucose | Time Frame: Baseline, Week 12 | The fasting plasma glucose measures the levels of glucose in the bloodFasting Insulin were measured at planned time points |
| Change From Baseline in Fasting Insulin | Time Frame: Baseline, Week 12 | The fasting plasma glucose measures the levels of Fasting Insulin were measured at planned time points |