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First Research Study to Look at How Two Medicines, NNC0480-0389 and Semaglutide, Work Together in Healthy People, in People With High Body Weight and in People With Diabetes

Primary Purpose

Healthy Volunteers, Overweight, Obesity

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
NNC0480-0389
Semaglutide
Placebo (NNC0480-0389)
Placebo (semaglutide)
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy Volunteers

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Part 1:

  • Male aged 18-45 years (both inclusive) at the time of signing informed consent.
  • Body mass index between 20.0 kg/m^2 and 29.9 kg/m^2 (both inclusive).
  • Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator.

Part 2 (not applicable for proof-of-concept (PoC) cohort):

  • Body mass index between 20.0 kg/m^2 and 39.9 kg/m^2 (both inclusive).
  • Female of non-childbearing potential or male aged 18-55 years (both inclusive) at the time of signing informed consent.
  • Considered to be eligible based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator.

Part 2 (only applicable for PoC cohort):

  • Body mass index between 25.0 kg/m^2 and 39.9 kg/m^2 (both inclusive). Overweight or obesity should be due to excess adipose tissue, as judged by the investigator.
  • Female of non-childbearing potential or male aged 18-64 years (both inclusive) at the time of signing informed consent.
  • Considered to be eligible based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator.
  • Diagnosed with type 2 diabetes at least 90 days prior to the day of screening.
  • Subjects treated with diet and exercise as monotherapy or in combination with 1-2 of the following anti-diabetic drug(s) at a stable dose for at least 30 days prior to screening: metformin, sulfonylureas, meglitinides, DPP-4 inhibitors, alpha-glucosidase inhibitors, thiazolidinediones, GLP-1 receptor agonists or SLGT-2 inhibitors. The metformin dose should be between 1500 mg to 3000 mg or maximum tolerated or effective dose documented in subject's medical record.
  • Glycosylated haemoglobin (HbA1c) in the range of 6.5% (inclusive) and 10% (non-inclusive).

Exclusion Criteria:

Part 1:

  • Any disorder which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol.
  • HbA1c equal to or above 6.5 % (48 mmol/mol) at screening.
  • Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of acetaminophen, ibuprofen and acetylsalicylic acid, or topical medication not reaching systemic circulation within 14 days prior to the day of screening. Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions.

Part 2 (not applicable for PoC cohort):

  • Any disorder (except for conditions associated with T2D for the PoC cohort) which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol.
  • Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions (except conditions associated with T2D for PoC Cohort).
  • Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of acetaminophen, ibuprofen and acetylsalicylic acid, or topical medication not reaching systemic circulation within 14 days prior to the day of screening.
  • HbA1c equal to or above 6.5 % (48 mmol/mol) at screening.

Part 2 (only applicable for PoC cohort):

  • Any disorder (except for conditions associated with T2D for the PoC cohort) which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol.
  • Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, or endocrinological conditions (except conditions associated with T2D for PoC Cohort).
  • Use of any prohibited medications as listed in the protocol within 14 days of screening.
  • Use of prescribed medications at the time of screening at a dose that had not been stable within 30 days prior to screening.

Sites / Locations

  • Novo Nordisk Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

NNC0480-0389 and semaglutide

NNC0480-0389 and placebo (semaglutide)

Placebo (NNC0480-0389) with semaglutide

Placebo (NNC0480-0389) with placebo (semaglutide)

Arm Description

Part 1: 6 subjects will receive a single subcutaneous (s.c., under the skin) dose of NNC0480-0389 co-administered with s.c. semaglutide. Part 2: 12 subjects will receive 4 doses of s.c. NNC0480-0389 co-administered with s.c. semaglutide, after 8 weeks of dosing with s.c semaglutide.

Part 1: 4 subjects will receive a single dose of s.c. NNC0480-0389 co-administered with semaglutide placebo. Part 2: 4 subjects will receive 4 doses of s.c. NNC0480-0389, co-administered with semaglutide placebo after 8 weeks of dosing with semaglutide placebo.

Part 1: 2 subjects will receive a single dose of placebo (NNC0480-0389), co-administered with s.c. semaglutide. Part 2: 4 subjects will receive 4 doses of placebo (NNC0480-0389), co-administered with s.c. semaglutide, after 8 weeks of dosing with s.c. semaglutide

Part 1: 3 subjects will receive a single dose of placebo (NNC0480-0389), co-administered with semaglutide placebo. Part 2: 2 subjects will receive 4 doses of placebo (NNC0480-0389), co-administered with semaglutide placebo, after 8 weeks of dosing with semaglutide placebo.

Outcomes

Primary Outcome Measures

Number of treatment emergent adverse events (TEAE) in Part 1
Number of events
Number of treatment emergent adverse events (TEAE) in Part 2
Number of events

Secondary Outcome Measures

Area under the NNC0480-0389 plasma concentration-time curve from time
h∙nmol/L
Maximum plasma concentration of NNC0480-0389 after administration of a single dose
nmol/L
Area under the semaglutide plasma concentration time curve from time of dosing to infinity after administration of a single dose
h∙nmol/L
The maximum concentration of semaglutide after administration of a single dose
nmol/L
Area under the NNC0480-0389 plasma concentration-time curve from 0 to 168 hours after administration of the 4th dose of NNC0480-0389 in week 12
h∙nmol/L
Maximum plasma concentration of NNC0480-0389 after administration of the 4th dose of NNC0480-0389 in week 12
nmol/L
Area under the semaglutide plasma concentration-time curve from 0-168 hours after administration of the 12th dose of semaglutide
h∙nmol/L
The maximum concentration of semaglutide after administration of the 12th dose of semaglutide
nmol/L

Full Information

First Posted
February 5, 2020
Last Updated
November 11, 2022
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT04259801
Brief Title
First Research Study to Look at How Two Medicines, NNC0480-0389 and Semaglutide, Work Together in Healthy People, in People With High Body Weight and in People With Diabetes
Official Title
Investigation of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Multiple Doses of NNC0480-0389 in Combination With Semaglutide s.c.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
February 17, 2020 (Actual)
Primary Completion Date
March 16, 2022 (Actual)
Study Completion Date
March 16, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate how safe, and how well tolerated, the new study drug NNC0480-0389 is when it is given together with semaglutide. This will be investigated in healthy participants, participants with high bodyweight and participants with type 2 diabetes (T2D). NNC0480-0389 has not been given to humans before. It has been previously tested in the laboratory and on animals. NNC0480-0389 will be tested at various dose levels. Semaglutide is a new approved drug and is already available on the market for treatment of diabetes. It will also be investigated how quickly and to what extent NNC0480-0389 and semaglutide are taken up and eliminated from the body. This is called pharmacokinetics. The effect of NNC0480-0389 given together with semaglutide will also be investigated on body weight and glucose levels in the blood. This is called pharmacodynamics. The effects of NNC0480-0389 and/or semaglutide will be compared to the effects of a placebo. A placebo is a "dummy" medicine without any active medicine. Placebo looks like NNC0480-0389 and/or semaglutide. There are 4 possibilities for which treatment participants will get; participants will receive NNC0480-0389 and semaglutide or NNC0480-0389 and placebo or placebo with semaglutide, or placebo with placebo. Participants and the responsible doctor will not know which combination participants will be given. This is called a double-blinded study. However, this information can be looked up during the study if it is important for participants' health. The study medicines will be given as injections under the skin. Participants will be in the study for about 25 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers, Overweight, Obesity, Diabetes Mellitus, Type 2

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Part 1: Single ascending dose Part 2: Multiple ascending dose
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Sponsor staff involved in the clinical trial is masked according to company standard procedures.
Allocation
Randomized
Enrollment
152 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NNC0480-0389 and semaglutide
Arm Type
Experimental
Arm Description
Part 1: 6 subjects will receive a single subcutaneous (s.c., under the skin) dose of NNC0480-0389 co-administered with s.c. semaglutide. Part 2: 12 subjects will receive 4 doses of s.c. NNC0480-0389 co-administered with s.c. semaglutide, after 8 weeks of dosing with s.c semaglutide.
Arm Title
NNC0480-0389 and placebo (semaglutide)
Arm Type
Experimental
Arm Description
Part 1: 4 subjects will receive a single dose of s.c. NNC0480-0389 co-administered with semaglutide placebo. Part 2: 4 subjects will receive 4 doses of s.c. NNC0480-0389, co-administered with semaglutide placebo after 8 weeks of dosing with semaglutide placebo.
Arm Title
Placebo (NNC0480-0389) with semaglutide
Arm Type
Active Comparator
Arm Description
Part 1: 2 subjects will receive a single dose of placebo (NNC0480-0389), co-administered with s.c. semaglutide. Part 2: 4 subjects will receive 4 doses of placebo (NNC0480-0389), co-administered with s.c. semaglutide, after 8 weeks of dosing with s.c. semaglutide
Arm Title
Placebo (NNC0480-0389) with placebo (semaglutide)
Arm Type
Placebo Comparator
Arm Description
Part 1: 3 subjects will receive a single dose of placebo (NNC0480-0389), co-administered with semaglutide placebo. Part 2: 2 subjects will receive 4 doses of placebo (NNC0480-0389), co-administered with semaglutide placebo, after 8 weeks of dosing with semaglutide placebo.
Intervention Type
Drug
Intervention Name(s)
NNC0480-0389
Intervention Description
Part 1: A single dose of NNC0480-0389, dose increased in each cohort. Part 2: Weekly doses (for 4 weeks) of NNC0480-0389, dose increased in each cohort.
Intervention Type
Drug
Intervention Name(s)
Semaglutide
Intervention Description
Part 1: Single dose of semaglutide (0.5 mg). Part 2: Weekly doses of semaglutide alone for 8 weeks (2 x 0.25 mg, 2 x 0.5 mg and 4 x 1 mg) followed by weekly fixed doses of 1 mg semaglutide for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo (NNC0480-0389)
Intervention Description
Placebo for NNC0480-0389. Part 1: A single dose of placebo (NNC0480-0389), dose increased in each cohort. Part 2: Weekly doses (for 4 weeks) of placebo A, dose increased in each cohort.
Intervention Type
Drug
Intervention Name(s)
Placebo (semaglutide)
Intervention Description
Part 1: Single dose of placebo (semaglutide) (0.5 mg). Part 2: Weekly doses of placebo (semaglutide) alone for 8 weeks (2 x 0.25 mg, 2 x 0.5 mg and 4 x 1 mg) followed by weekly fixed doses of 1 mg semaglutide for 4 weeks.
Primary Outcome Measure Information:
Title
Number of treatment emergent adverse events (TEAE) in Part 1
Description
Number of events
Time Frame
From time of dosing (day 1) until completion of follow-up visit (day 71)
Title
Number of treatment emergent adverse events (TEAE) in Part 2
Description
Number of events
Time Frame
From first combination dosing (day 57) until completion of follow-up visit (day 148)
Secondary Outcome Measure Information:
Title
Area under the NNC0480-0389 plasma concentration-time curve from time
Description
h∙nmol/L
Time Frame
From baseline (day 1) to post treatment follow-up (day 71)
Title
Maximum plasma concentration of NNC0480-0389 after administration of a single dose
Description
nmol/L
Time Frame
From baseline (day 1) to post treatment follow-up (day 71)
Title
Area under the semaglutide plasma concentration time curve from time of dosing to infinity after administration of a single dose
Description
h∙nmol/L
Time Frame
From baseline (day 1) to post treatment follow-up (day 71)
Title
The maximum concentration of semaglutide after administration of a single dose
Description
nmol/L
Time Frame
From baseline (day 1) to post treatment follow-up (day 71)
Title
Area under the NNC0480-0389 plasma concentration-time curve from 0 to 168 hours after administration of the 4th dose of NNC0480-0389 in week 12
Description
h∙nmol/L
Time Frame
From administration of dose in week 12 (day 78) to day 85
Title
Maximum plasma concentration of NNC0480-0389 after administration of the 4th dose of NNC0480-0389 in week 12
Description
nmol/L
Time Frame
From administration of dose in week 12 (day 78) to post treatment follow-up (day 148)
Title
Area under the semaglutide plasma concentration-time curve from 0-168 hours after administration of the 12th dose of semaglutide
Description
h∙nmol/L
Time Frame
From administration of dose in week 12 (day 78) to day 85
Title
The maximum concentration of semaglutide after administration of the 12th dose of semaglutide
Description
nmol/L
Time Frame
From administration of dose in week 12 (day 78) to post treatment follow-up (day 148)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Part 1: Male aged 18-45 years (both inclusive) at the time of signing informed consent. Body mass index between 20.0 kg/m^2 and 29.9 kg/m^2 (both inclusive). Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator. Part 2 (not applicable for proof-of-concept (PoC) cohort): Body mass index between 20.0 kg/m^2 and 39.9 kg/m^2 (both inclusive). Female of non-childbearing potential or male aged 18-55 years (both inclusive) at the time of signing informed consent. Considered to be eligible based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator. Part 2 (only applicable for PoC cohort): Body mass index between 25.0 kg/m^2 and 39.9 kg/m^2 (both inclusive). Overweight or obesity should be due to excess adipose tissue, as judged by the investigator. Female of non-childbearing potential or male aged 18-64 years (both inclusive) at the time of signing informed consent. Considered to be eligible based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator. Diagnosed with type 2 diabetes at least 90 days prior to the day of screening. Subjects treated with diet and exercise as monotherapy or in combination with 1-2 of the following anti-diabetic drug(s) at a stable dose for at least 30 days prior to screening: metformin, sulfonylureas, meglitinides, DPP-4 inhibitors, alpha-glucosidase inhibitors, thiazolidinediones, GLP-1 receptor agonists or SLGT-2 inhibitors. The metformin dose should be between 1500 mg to 3000 mg or maximum tolerated or effective dose documented in subject's medical record. Glycosylated haemoglobin (HbA1c) in the range of 6.5% (inclusive) and 10% (non-inclusive). Exclusion Criteria: Part 1: Any disorder which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol. HbA1c equal to or above 6.5 % (48 mmol/mol) at screening. Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of acetaminophen, ibuprofen and acetylsalicylic acid, or topical medication not reaching systemic circulation within 14 days prior to the day of screening. Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions. Part 2 (not applicable for PoC cohort): Any disorder (except for conditions associated with T2D for the PoC cohort) which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol. Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions (except conditions associated with T2D for PoC Cohort). Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of acetaminophen, ibuprofen and acetylsalicylic acid, or topical medication not reaching systemic circulation within 14 days prior to the day of screening. HbA1c equal to or above 6.5 % (48 mmol/mol) at screening. Part 2 (only applicable for PoC cohort): Any disorder (except for conditions associated with T2D for the PoC cohort) which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol. Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, or endocrinological conditions (except conditions associated with T2D for PoC Cohort). Use of any prohibited medications as listed in the protocol within 14 days of screening. Use of prescribed medications at the time of screening at a dose that had not been stable within 30 days prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Reporting Anchor & Disclosure (1452)
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Groningen
ZIP/Postal Code
9728 NZ
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
IPD Sharing URL
http://novonordisk-trials.com

Learn more about this trial

First Research Study to Look at How Two Medicines, NNC0480-0389 and Semaglutide, Work Together in Healthy People, in People With High Body Weight and in People With Diabetes

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