Diabetes Mellitus Type 2
Conditions
Brief summary
The aim of this trial is to investigate the safety, tolerability, pharmacokinetics, and efficacy of THDBH120 injection in participants with T2DM. This study includes three multiple-ascending dose cohorts.
Interventions
Participants received THDBH120 by subcutaneous injection.
Participants received placebo by subcutaneous injection.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female patients 18 to 75 years of age, inclusive; * Have T2DM for at least 6 months before screening based on the disease diagnostic criteria (World Health Organization \[WHO\] Classification for Diabetes); * Treated with diet and exercise alone, or a stable dose of metformin (≥1000 mg/day and not more than the locally approved dose) for at least 2 months prior to screening; * Have a BMI between 23 and 35 kg/m²(inclusive) at screening; * HbA1c levels: 7.0% to 10.0% (inclusive) for subjects treated by diet or exercise alone; 7.0% to 9.0% (inclusive) for subjects receiving stable-dose metformin.
Exclusion criteria
* Have been diagnosed with proliferative diabetic retinopathy, diabetic maculopathy, or non-proliferative diabetic retinopathy requiring treatment during the study; * Have a personal or family history of medullary thyroid carcinoma or have multiple endocrine neoplasia type 2; * Have diagnosed hyperthyroidism or hypothyroidism; * Have grade 2 hypoglycemia events or grade 3 hypoglycemia events within 6 months prior to screening; * Have a history of ketoacidosis, lactic acidosis, or hyperosmolar state leading to hospitalization within 6 months prior to screening; * Presence of uncontrolled hypertension at screening: systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg; * Prolonged QTcF interval on 12-lead ECG at screening (QTcF≥450 ms for males, \>470 ms for females), PR interval \>200 ms, or the presence of long QT syndrome, second- or third-degree atrioventricular block, left or right bundle branch block, Wolff-Parkinson-White syndrome, or any other clinically significant arrhythmias (except sinus arrhythmia); * Weight change ≥ 5% within 3 months prior to screening; * Have been treated with insulin, excluding insulin therapy for gestational diabetes mellitus, or acute/temporary insulin therapy (≤ 14 days) for conditions such as acute illness, hospitalization, or elective surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Participants with One or More Adverse Event(s) and Serious Adverse Event(s) | 78 days |
Secondary
| Measure | Time frame |
|---|---|
| Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve (AUC) of THDBH120. | Day 1 Pre-dose through Day 43 |
| Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of THDBH120 | Day 1 Pre-dose through Day 43 |
| Change From Baseline in HbA1C | 43 days |
| Number of Participants With Anti-THBHD120 Antibodies | 78 days |
Countries
China