Study of Gelesis100 on Body Weight in Overweight and Obese Subjects With and Without Type 2 Diabetes
Primary Purpose
Overweight, Obesity
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Gelesis100
placebo
Sponsored by
About this trial
This is an interventional treatment trial for Overweight
Eligibility Criteria
Inclusion Criteria:
- Age 22 to 65 years of age, inclusive
- Signed Informed Consent Form
- BMI 27 to 40, inclusive (BMI of <30 should have at least one comorbidity)
- Fasting plasma glucose 90mg/dL to 145 mg/dL, inclusive; non-diabetic normoglycemic (fasting glucose 90 mg/dL to 100 mg/dL, inclusive); non-diabetic impaired fasting glucose 100mg/dL to 126 mg/dL; and diabetic: untreated (126 mg/dL to 145 mg/dL, inclusive) and metformin-treated (metformin dose 1500mg/DL and less, fasting glucose less than 145 mg/dL, inclusive)
Exclusion Criteria:
- Pregnancy or lactation
- Absence of medically approved contraceptive methods in females of childbearing potential
- History of allergic reaction to modified cellulose, citric acid, sodium stearyl fumarate, raw cane sugar, gelatin, and titanium oxide
- Administration of investigational products within 1 month prior to Screening Visit
- Subjects who stopped smoking within 6 months prior to Screening Visit or considering smoking cessation during the study
- Subjects anticipating surgical intervention during the study
- Known Type 1 diabetes
- History of eating disorders
- Angina, coronary bypass, or myocardial infarction within 6 months prior to Screening Visit
- History of: swallowing disorders, esophogeal anatomic abnormalities, gastroesophageal reflux disease, gastric or duodenal ulcer, gastroparesis (chronic nausea, vomiting, heartburn...), gastric bypass or other gastric surgery, intestinal obstruction or at high risk of including suspected small bowel adhesion, pancreatitis, malabsorption, history of bowel resection (except if related to appendectomy), history of abdominal radiation treatment
- Laxative users
- History of: HIV, hepatitis B or C; cancer within the past 5 years
- Abnormal serum thyroid-stimulating hormone (TSH)
- Positive urine drug test
- Anti-obesity medication within 1 month prior to Screening Visit (except stable doses of metformin, no more than 1500 mg/day, for at leaset 1 month in subjects with type 2 diabetes)
- Systemic corticosteroids within 1 month prior to Screening Visit
- Thyroid hormones or preparations within 1 month prior to Screening Visit
- Estrogen within 1 month prior to Screening Visit
- Any other medication known to cause weight loss or weight gain within 1 month prior to Screening Visit
- TSH suppression therapy for thyroid cancer
- medications requiring mandatory administration with meal (lunch or dinner), except metformin
- Other medication or product used for chronic diseases if their impaired gastrointestinal absorption can cause safety issues
- Change in medications treating hypertension and/or dyslipidemia within 1 month prior to Screening Visit (including change in dose)
- Anticipated requirement for use of prohibited concomitant medication
Sites / Locations
- Investigative Site
- Investigative Site
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- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
- Investigative Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Gelesis100
Placebo
Arm Description
Gelesis100 twice daily
Matching placebo twice daily
Outcomes
Primary Outcome Measures
Co-Primary Outcome: Percent Change in Body Weight
Percent change in body weight from Baseline to Day 171 is presented.
Co-Primary Outcome: Percentage of Subjects Who Achieve Body Weight Loss ≥ 5%
Percentage of participants who achieve a body weight loss ≥ 5% from Baseline to Day 171 is presented.
Secondary Outcome Measures
Percent Body Weight Change in Subjects With Impaired Plasma Glucose Status at Baseline
Impaired plasma glucose status is defined as Fasting Plasma Glucose (FPG) ≥100mg/dL and <126mg/dL at baseline measurement.
Change in Plasma Glucose Status (Normal, Impaired, Diabetic) in Subjects With Impaired Plasma Glucose Status at Baseline.
Normal plasma glucose status is defined FPG ≤ 100mg/dL. Impaired plasma glucose status is defined as FPG ≥100mg/dL and <126mg/dL. Diabetic plasma glucose status was defined as FPG >126mg/dL.
Percent Change in Plasma Glucose
Percent change in Plasma Glucose in subjects with impaired glucose and T2D at baseline. Impaired plasma glucose is defined as FPG≥100mg/dL and FPG<126mg/dL.
Change in Body Mass Index (BMI)
The BMI was calculated using height (in cm) and weight (in kg) according to the following formula: BMI (kg/m2((superscript 1)) = Weight (kg)/[Height (cm)/100]2(superscript2).
Change in Hemoglobin HbA1c in Subjects With Type 2 Diabetes at Baseline
To assess the decrease in HbA1c after repeated administration of Gelesis 100 over a period of 168 days in overweight and obese people with type 2 diabetes, The glycosylated hemoglobin was measured in mmol/mol.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02307279
Brief Title
Study of Gelesis100 on Body Weight in Overweight and Obese Subjects With and Without Type 2 Diabetes
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study Assessing the Effect of Gelesis100 on Body Weight in Overweight and Obese Subjects With and Without Type 2 Diabetes
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
November 2014 (Actual)
Primary Completion Date
June 2017 (Actual)
Study Completion Date
June 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gelesis, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study will asses the decrease in body weight after repeated administration of Gelesis100 in overweight and obese subjects with and without Type 2 Diabetes.
Detailed Description
To asses the decrease in body weight after repeated administration of Gelesis100 in overweight and obese subjects with and without Type 2 Diabetes.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overweight, Obesity
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
436 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Gelesis100
Arm Type
Experimental
Arm Description
Gelesis100 twice daily
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo twice daily
Intervention Type
Device
Intervention Name(s)
Gelesis100
Intervention Type
Device
Intervention Name(s)
placebo
Primary Outcome Measure Information:
Title
Co-Primary Outcome: Percent Change in Body Weight
Description
Percent change in body weight from Baseline to Day 171 is presented.
Time Frame
Baseline to Day 171
Title
Co-Primary Outcome: Percentage of Subjects Who Achieve Body Weight Loss ≥ 5%
Description
Percentage of participants who achieve a body weight loss ≥ 5% from Baseline to Day 171 is presented.
Time Frame
Baseline to Day 171
Secondary Outcome Measure Information:
Title
Percent Body Weight Change in Subjects With Impaired Plasma Glucose Status at Baseline
Description
Impaired plasma glucose status is defined as Fasting Plasma Glucose (FPG) ≥100mg/dL and <126mg/dL at baseline measurement.
Time Frame
Baseline to Day 171
Title
Change in Plasma Glucose Status (Normal, Impaired, Diabetic) in Subjects With Impaired Plasma Glucose Status at Baseline.
Description
Normal plasma glucose status is defined FPG ≤ 100mg/dL. Impaired plasma glucose status is defined as FPG ≥100mg/dL and <126mg/dL. Diabetic plasma glucose status was defined as FPG >126mg/dL.
Time Frame
Baseline to Day 171
Title
Percent Change in Plasma Glucose
Description
Percent change in Plasma Glucose in subjects with impaired glucose and T2D at baseline. Impaired plasma glucose is defined as FPG≥100mg/dL and FPG<126mg/dL.
Time Frame
Baseline to Day 171
Title
Change in Body Mass Index (BMI)
Description
The BMI was calculated using height (in cm) and weight (in kg) according to the following formula: BMI (kg/m2((superscript 1)) = Weight (kg)/[Height (cm)/100]2(superscript2).
Time Frame
Baseline to Day 171
Title
Change in Hemoglobin HbA1c in Subjects With Type 2 Diabetes at Baseline
Description
To assess the decrease in HbA1c after repeated administration of Gelesis 100 over a period of 168 days in overweight and obese people with type 2 diabetes, The glycosylated hemoglobin was measured in mmol/mol.
Time Frame
Baseline to Day 171
Other Pre-specified Outcome Measures:
Title
Assess Safety and Tolerability of Administration of Gelesis100
Description
Adverse Events (AEs), Physical Examinations, Vital Signs, Laboratory Tests
Time Frame
Baseline to Day 197
10. Eligibility
Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age 22 to 65 years of age, inclusive
Signed Informed Consent Form
BMI 27 to 40, inclusive (BMI of <30 should have at least one comorbidity)
Fasting plasma glucose 90mg/dL to 145 mg/dL, inclusive; non-diabetic normoglycemic (fasting glucose 90 mg/dL to 100 mg/dL, inclusive); non-diabetic impaired fasting glucose 100mg/dL to 126 mg/dL; and diabetic: untreated (126 mg/dL to 145 mg/dL, inclusive) and metformin-treated (metformin dose 1500mg/DL and less, fasting glucose less than 145 mg/dL, inclusive)
Exclusion Criteria:
Pregnancy or lactation
Absence of medically approved contraceptive methods in females of childbearing potential
History of allergic reaction to modified cellulose, citric acid, sodium stearyl fumarate, raw cane sugar, gelatin, and titanium oxide
Administration of investigational products within 1 month prior to Screening Visit
Subjects who stopped smoking within 6 months prior to Screening Visit or considering smoking cessation during the study
Subjects anticipating surgical intervention during the study
Known Type 1 diabetes
History of eating disorders
Angina, coronary bypass, or myocardial infarction within 6 months prior to Screening Visit
History of: swallowing disorders, esophogeal anatomic abnormalities, gastroesophageal reflux disease, gastric or duodenal ulcer, gastroparesis (chronic nausea, vomiting, heartburn...), gastric bypass or other gastric surgery, intestinal obstruction or at high risk of including suspected small bowel adhesion, pancreatitis, malabsorption, history of bowel resection (except if related to appendectomy), history of abdominal radiation treatment
Laxative users
History of: HIV, hepatitis B or C; cancer within the past 5 years
Abnormal serum thyroid-stimulating hormone (TSH)
Positive urine drug test
Anti-obesity medication within 1 month prior to Screening Visit (except stable doses of metformin, no more than 1500 mg/day, for at leaset 1 month in subjects with type 2 diabetes)
Systemic corticosteroids within 1 month prior to Screening Visit
Thyroid hormones or preparations within 1 month prior to Screening Visit
Estrogen within 1 month prior to Screening Visit
Any other medication known to cause weight loss or weight gain within 1 month prior to Screening Visit
TSH suppression therapy for thyroid cancer
medications requiring mandatory administration with meal (lunch or dinner), except metformin
Other medication or product used for chronic diseases if their impaired gastrointestinal absorption can cause safety issues
Change in medications treating hypertension and/or dyslipidemia within 1 month prior to Screening Visit (including change in dose)
Anticipated requirement for use of prohibited concomitant medication
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hassan M Heshmati, MD
Organizational Affiliation
Chief Medical Officer
Official's Role
Study Director
Facility Information:
Facility Name
Investigative Site
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Investigative Site
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Investigative Site
City
Tustin
State/Province
California
ZIP/Postal Code
92780
Country
United States
Facility Name
Investigative Site
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
Investigative Site
City
West Hills
State/Province
California
ZIP/Postal Code
91307
Country
United States
Facility Name
Investigative Site
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Investigative Site
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32205
Country
United States
Facility Name
Investigative Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Investigative Site
City
Boise
State/Province
Idaho
ZIP/Postal Code
83642
Country
United States
Facility Name
Investigative Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60208
Country
United States
Facility Name
Investigative Site
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Investigative Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Investigative Site
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89401
Country
United States
Facility Name
Investigative Site
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Investigative Site
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Investigative Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Investigative Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43212
Country
United States
Facility Name
Investigative Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43213
Country
United States
Facility Name
Investigative Site
City
Danville
State/Province
Pennsylvania
ZIP/Postal Code
17822
Country
United States
Facility Name
Investigative Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Investigative Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Investigative Site
City
Round Rock
State/Province
Texas
ZIP/Postal Code
78681
Country
United States
Facility Name
Investigative Site
City
West Jordan
State/Province
Utah
ZIP/Postal Code
84088
Country
United States
Facility Name
Investigative Site
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23606
Country
United States
Facility Name
Investigative Site
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
Country
United States
Facility Name
Investigative Site
City
Ottawa
State/Province
Ontario
ZIP/Postal Code
K1N 6N5
Country
Canada
Facility Name
Investigative Site
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1V 0A6
Country
Canada
Facility Name
Investigative Site
City
Hradec
ZIP/Postal Code
500 00
Country
Czechia
Facility Name
Investigative Site
City
Prague
ZIP/Postal Code
121 08
Country
Czechia
Facility Name
Investigative Site
City
Prague
ZIP/Postal Code
140 00
Country
Czechia
Facility Name
Investigative Site
City
Prague
ZIP/Postal Code
182 00
Country
Czechia
Facility Name
Investigative Site
City
Copenhagen
ZIP/Postal Code
DK-1958
Country
Denmark
Facility Name
Investigative Site
City
Milan
State/Province
Milanese
ZIP/Postal Code
20097
Country
Italy
Facility Name
Investigative Site
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Investigative Site
City
Rome
ZIP/Postal Code
00161
Country
Italy
Facility Name
Investigative Site
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Study of Gelesis100 on Body Weight in Overweight and Obese Subjects With and Without Type 2 Diabetes
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