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A Research Study of a New Medicine NNC0519-0130 in Healthy People, People With High Body Weight and People With Type 2 Diabetes.

Primary Purpose

Healthy Volunteers (Diabetes Mellitus, Type 2)

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
NNC0519-0130
Placebo (NNC0519-0130)
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 (Diabetes Mellitus, Type 2)

Eligibility Criteria

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

Inclusion Criteria:

  • Single ascending dose (SAD) part:
  • Male aged 18-55 years (both inclusive) at screening
  • Body mass index between 18.5 kilogram per meter square (kg/m^2) and 27.0 kg/m^2 (both inclusive) at screening
  • 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
  • Multiple ascending dose (MAD) part:
  • Male aged 18-55 years (both inclusive) at screening
  • Body mass index between 25.0 kg/m^2 and 39.9 kg/m^2 (both inclusive) at screening. Overweight should be due to excess adipose tissue, as judged by the investigator
  • Considered 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
  • Type 2 diabetes (T2D) part:
  • Female of non-childbearing potential or male aged 18-64 years (both inclusive) at screening
  • Body mass index between 25.0 kg/m^2 and 39.9 kg/m^2 (both inclusive) at screening
  • Diagnosed with type 2 diabetes mellitus greater than or equal to (≥) 180 days before screening
  • Treatment naive to antidiabetic drugs or on a stable daily dose(s) of metformin therapy (any metformin formulation any dose) greater than or equal to (>=) 60 days before screening
  • Insulin naive. However, short-term insulin treatment for a maximum of 14 days before screening is allowed, as is prior insulin treatment for gestational diabetes
  • HbA1c in the range of 6.5% (inclusive) and 9.5% (inclusive)

Exclusion Criteria:

  • Single ascending dose (SAD) part:
  • Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
  • Glycosylated haemoglobin (HbA1c) greater than or equal to (≥) 6.5 % (48 millimoles per mole (mmol/mol)) at screening
  • Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of paracetamol, ibuprofen, acetylsalicylic acid, and domperidon, or topical medication not reaching systemic circulation, within 14 days before screening
  • Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
  • Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions
  • HbA1c greater than or equal to (≥) 6.5 % (48 mmol/mol) at screening
  • Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of paracetamol, ibuprofen, acetylsalicylic acid, and domperidon, or topical medication not reaching systemic circulation, within 14 days before screening
  • Multiple ascending dose (MAD) part:
  • Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
  • Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions
  • HbA1c greater than or equal to (≥) 6.5 % (48 mmol/mol) at screening
  • Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of paracetamol, ibuprofen, acetylsalicylic acid, and domperidon, or topical medication not reaching systemic circulation, within 14 days before screening
  • Type 2 diabetes (T2D) part:
  • Any disorder, except for conditions associated with T2D, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
  • Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological conditions (except conditions associated with diabetes mellitus)
  • Current treatment with systemically effective corticosteroids, monoamine oxidase (MAO) inhibitors, systemic non-selective beta-blockers, growth hormone, non-routine vitamins or herbal products
  • Current treatment with selected oral medication with a narrow therapeutic window, such as warfarin, digoxin, tricyclic antidepressants, lithium, aminophylline, theophylline and anticonvulsants

Sites / Locations

  • Novo Nordisk Investigational SiteRecruiting
  • Novo Nordisk Investigational SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Single ascending dose (SAD) part

Multiple ascending dose (MAD) QD part

Type 2 diabetes (T2D) part

MAD QW part

Arm Description

Participants will receive up to six dose levels of subcutaneous NNC0519-0130 or matching placebo in a sequential manner with the dose increasing between cohorts.

MAD QD part comprises two cohorts in participants with overweight or obesity and a cohort in participants with type 2 diabetes (T2D). The participants in first cohort will receive NNC0519-0130 or matching placebo subcutaneously up to 5 dose levels, and the participants in the second MAD QD cohort will receive NNC0519-0130 or matching placebo orally up to 5 dose levels.

Participants will receive NNC0519-0130 or matching placebo up to 2 dose levels with dose escalation within the cohort.

MAD QW part comprises two cohorts in participants with overweight or obesity and who are otherwise generally healthy. The participants in first cohort will receive NNC0519-0130 and 2nd cohort will receive matching placebo subcutaneously up to 6 dose levels.

Outcomes

Primary Outcome Measures

Number of treatment emergent adverse events (TEAE) in single ascending dose (SAD) part
Measured as Number of events
Number of treatment emergent adverse events (TEAE) in the Multiple ascending dose with daily dosing (MAD QD) subcutaneous cohort
Measured as Number of events
Number of treatment emergent adverse events (TEAE) in MAD QW s.c. cohort
Measured as Number of events
Number of treatment emergent adverse events (TEAE) in T2D QW cohort
Measured as number of events

Secondary Outcome Measures

AUC0-∞,NNC0519-0130,SD: Area under the NNC0519-0130 plasma concentration-time curve from time 0 (time of dosing) to infinity after a single dose
Measured in h*nmol/L
Cmax,NNC0519-0130,SD: Maximum plasma concentration of NNC0519-0130 after a single dose
Measure in nmol/L
Number of treatment emergent adverse events (TEAE) in the MAD QD oral cohort
Measured as Number of events
AUC0-24h,NNC0519-0130,SS: Area under the NNC0519-0130 plasma concentration-time curve after the last dose in each treatment period in MAD QD part
Measured in h*nmol/L
Cmax,NNC0519-0130,SS: Maximum plasma concentration of NNC0519-0130 after the last dose in each treatment period in MAD QD part
Measured in nmol/L
AUC0-168h,NNC0519-0130,MD: Area under the NNC0519-0130 plasma concentration-time curve after the last dose in T2D QW cohort
Measured in h*nmol/L
Cmax,NNC0519-0130,MD: Maximum plasma concentration of NNC0519-0130 after the last dose in T2D QW cohort
Measured in nmol/L
AUC0-168h,NNC0519-0130,SS: Area under the NNC0519-0130 plasma concentration-time curve after the last dose in each treatment period in the MAD QW s.c. cohort
measured in h*nmol/L
Cmax,NNC0519-0130,SS: Maximum plasma concentration of NNC0519-0130 after the last dose in each treatment period in the MAD QW s.c. cohort
Measured in nmol/L

Full Information

First Posted
April 18, 2022
Last Updated
July 16, 2023
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT05363774
Brief Title
A Research Study of a New Medicine NNC0519-0130 in Healthy People, People With High Body Weight and People With Type 2 Diabetes.
Official Title
Investigation of Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Subcutaneous Doses of NNC0519-0130 in Healthy Participants and Multiple Subcutaneous and Oral Doses of NNC0519-0130 in Participants With Overweight or Obesity and Participants With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 20, 2022 (Actual)
Primary Completion Date
September 18, 2023 (Anticipated)
Study Completion Date
January 26, 2024 (Anticipated)

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
NNC0519-0130 is a new medicine which may possibly help participants with type 2 diabetes, as it is expected to lower elevated sugar levels in the blood. The medicine may also lower the appetite. This could help reducing overweight which is often present in participants with type 2 diabetes. In this study NNC0519-0130 is given to humans for the first time. This study will be looking into how safe the new medicine NNC0519-0130 is and will measure its concentrations in the blood. Moreover, effects on blood sugar, blood fat and body weight will be tested. There are different study parts with different participants. Healthy participants (men), healthy participants (men) with high body weight and people with diabetes (men and women) take part. Single doses and multiple doses are tested and the medicine is studied as an injection or when given orally (as a tablet). The participants are invited to take part in a part of the study which will look at the effects of weekly injected doses of NNC0519-0130 taken over the course of several weeks. It is planned that participants will be given the study medicine once weekly. The dose will be increased every three weeks, if safety and tolerability allow. Participants will take up to six different dose levels. This means that the period with weekly injections of study medicine will in total last up to 18 weeks. Participants will either get the study medicine NNC0519-0130 or placebo (a 'dummy' medicine that looks like the medicines but without any active medicine). Which medicine participant gets is decided by chance. The injection of study medicine will be done by trained staff into the tissue underneath the skin of belly using a syringe and needle. The total duration of the study could last up to 25 weeks.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
114 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Single ascending dose (SAD) part
Arm Type
Experimental
Arm Description
Participants will receive up to six dose levels of subcutaneous NNC0519-0130 or matching placebo in a sequential manner with the dose increasing between cohorts.
Arm Title
Multiple ascending dose (MAD) QD part
Arm Type
Experimental
Arm Description
MAD QD part comprises two cohorts in participants with overweight or obesity and a cohort in participants with type 2 diabetes (T2D). The participants in first cohort will receive NNC0519-0130 or matching placebo subcutaneously up to 5 dose levels, and the participants in the second MAD QD cohort will receive NNC0519-0130 or matching placebo orally up to 5 dose levels.
Arm Title
Type 2 diabetes (T2D) part
Arm Type
Experimental
Arm Description
Participants will receive NNC0519-0130 or matching placebo up to 2 dose levels with dose escalation within the cohort.
Arm Title
MAD QW part
Arm Type
Experimental
Arm Description
MAD QW part comprises two cohorts in participants with overweight or obesity and who are otherwise generally healthy. The participants in first cohort will receive NNC0519-0130 and 2nd cohort will receive matching placebo subcutaneously up to 6 dose levels.
Intervention Type
Drug
Intervention Name(s)
NNC0519-0130
Intervention Description
SAD part: Participants will receive up to six dose levels of subcutaneous NNC0519-0130 in a sequential manner with the dose increasing between cohorts. MAD part: The participants in first cohort will receive NNC0519-0130 subcutaneously up to 5 dose levels, and the participants in the second MAD cohort will receive NNC0519-0130 orally up to 4 dose levels. T2D part: Participants will receive NNC0519-0130 up to two dose levels with dose escalation within the cohort. MAD QW part: Participants will receive NNC0519-0130 up to 6 dose levels.
Intervention Type
Drug
Intervention Name(s)
Placebo (NNC0519-0130)
Intervention Description
SAD part: Participants will receive up to six dose levels of subcutaneous placebo (NNC0519-0130) in a sequential manner with the dose increasing between cohorts. MAD part: Participants in first cohort will receive placebo (NNC0519-0130) subcutaneously up to 5 dose levels, and the participants in the second MAD cohort will receive NNC0519-0130 orally up to 4 dose levels. T2D part: Participants will receive placebo (NNC0519-0130) up to two dose levels with dose escalation within the cohort. MAD QW part: Participants will receive Placebo up to 6 dose levels.
Primary Outcome Measure Information:
Title
Number of treatment emergent adverse events (TEAE) in single ascending dose (SAD) part
Description
Measured as Number of events
Time Frame
From time of dosing (day 1) until completion of the follow-up visit (assessed up to 22 days)
Title
Number of treatment emergent adverse events (TEAE) in the Multiple ascending dose with daily dosing (MAD QD) subcutaneous cohort
Description
Measured as Number of events
Time Frame
From time of dosing (day 1) until completion of the follow-up visit (assessed up to 133 days)
Title
Number of treatment emergent adverse events (TEAE) in MAD QW s.c. cohort
Description
Measured as Number of events
Time Frame
From time of first dosing (day 1) until completion of the follow-up visit (assessed up to 133 days)
Title
Number of treatment emergent adverse events (TEAE) in T2D QW cohort
Description
Measured as number of events
Time Frame
From time of dosing (day 1) until completion of the follow-up visit (assessed up to 133 days)
Secondary Outcome Measure Information:
Title
AUC0-∞,NNC0519-0130,SD: Area under the NNC0519-0130 plasma concentration-time curve from time 0 (time of dosing) to infinity after a single dose
Description
Measured in h*nmol/L
Time Frame
From pre-dose (day 1) until completion of the follow-up visit (assessed up to 22 days)
Title
Cmax,NNC0519-0130,SD: Maximum plasma concentration of NNC0519-0130 after a single dose
Description
Measure in nmol/L
Time Frame
From pre-dose (day 1) until completion of the follow-up visit (assessed up to 22 days)
Title
Number of treatment emergent adverse events (TEAE) in the MAD QD oral cohort
Description
Measured as Number of events
Time Frame
From time of dosing (day 1) until completion of the follow-up visit (assessed up to 112 days)
Title
AUC0-24h,NNC0519-0130,SS: Area under the NNC0519-0130 plasma concentration-time curve after the last dose in each treatment period in MAD QD part
Description
Measured in h*nmol/L
Time Frame
From pre-dose (last dose in each treatment period) until 24 hours post-dose
Title
Cmax,NNC0519-0130,SS: Maximum plasma concentration of NNC0519-0130 after the last dose in each treatment period in MAD QD part
Description
Measured in nmol/L
Time Frame
From pre-dose (last dose in each treatment period) until 24 hours postdose
Title
AUC0-168h,NNC0519-0130,MD: Area under the NNC0519-0130 plasma concentration-time curve after the last dose in T2D QW cohort
Description
Measured in h*nmol/L
Time Frame
From pre-dose (last dose) until 168 hours post-dose
Title
Cmax,NNC0519-0130,MD: Maximum plasma concentration of NNC0519-0130 after the last dose in T2D QW cohort
Description
Measured in nmol/L
Time Frame
From pre-dose (last dose) until 168 hours post-dose
Title
AUC0-168h,NNC0519-0130,SS: Area under the NNC0519-0130 plasma concentration-time curve after the last dose in each treatment period in the MAD QW s.c. cohort
Description
measured in h*nmol/L
Time Frame
From pre-dose (last dose in each treatment period) until 168 hours post-dose
Title
Cmax,NNC0519-0130,SS: Maximum plasma concentration of NNC0519-0130 after the last dose in each treatment period in the MAD QW s.c. cohort
Description
Measured in nmol/L
Time Frame
From pre-dose (last dose in each treatment period) until 168 hours post-dose

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: Single ascending dose (SAD) part: Male aged 18-55 years (both inclusive) at screening Body mass index between 18.5 kilogram per meter square (kg/m^2) and 27.0 kg/m^2 (both inclusive) at screening 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 Multiple ascending dose (MAD) part (MAD QD and MAD QW): Male aged 18-55 years (both inclusive) at screening Body mass index between 25.0 kg/m^2 and 39.9 kg/m^2 (both inclusive) at screening. Overweight should be due to excess adipose tissue, as judged by the investigator Considered 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 Type 2 diabetes (T2D) part: Female of non-childbearing potential or male aged 18-64 years (both inclusive) at screening Body mass index between 25.0 kg/m^2 and 39.9 kg/m^2 (both inclusive) at screening Diagnosed with type 2 diabetes mellitus greater than or equal to (≥) 180 days before screening Treatment naive to antidiabetic drugs or on a stable daily dose(s) of metformin therapy (any metformin formulation any dose) greater than or equal to (>=) 60 days before screening Insulin naive. However, short-term insulin treatment for a maximum of 14 days before screening is allowed, as is prior insulin treatment for gestational diabetes HbA1c in the range of 6.5% (inclusive) and 9.5% (inclusive) Exclusion Criteria: Single ascending dose (SAD) part: Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol Glycosylated haemoglobin (HbA1c) greater than or equal to (≥) 6.5 % (48 millimoles per mole (mmol/mol)) at screening Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of paracetamol, ibuprofen, acetylsalicylic acid, and domperidon, or topical medication not reaching systemic circulation, within 14 days before screening Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions HbA1c greater than or equal to (≥) 6.5 % (48 mmol/mol) at screening Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of paracetamol, ibuprofen, acetylsalicylic acid, and domperidon, or topical medication not reaching systemic circulation, within 14 days before screening Multiple ascending dose (MAD) part (MAD QD and MAD QW): Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, cardiovascular, gastrointestinal, or endocrinological conditions HbA1c greater than or equal to (≥) 6.5 % (48 mmol/mol) at screening Use of prescription medicinal products or non-prescription drugs, except routine vitamins, occasional use of paracetamol, ibuprofen, acetylsalicylic acid, and domperidon, or topical medication not reaching systemic circulation, within 14 days before screening Type 2 diabetes (T2D) part: Any disorder, except for conditions associated with T2D, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological conditions (except conditions associated with diabetes mellitus) Current treatment with systemically effective corticosteroids, monoamine oxidase (MAO) inhibitors, systemic non-selective beta-blockers, growth hormone, non-routine vitamins or herbal products Current treatment with selected oral medication with a narrow therapeutic window, such as warfarin, digoxin, tricyclic antidepressants, lithium, aminophylline, theophylline and anticonvulsants
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Novo Nordisk
Phone
(+1) 866-867-7178
Email
clinicaltrials@novonordisk.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Transparency dept. 2834
Organizational Affiliation
Novo Nordisk A/S
Official's Role
Study Director
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Søborg
ZIP/Postal Code
2860
Country
Denmark
Individual Site Status
Recruiting
Facility Name
Novo Nordisk Investigational Site
City
Neuss
ZIP/Postal Code
41460
Country
Germany
Individual Site Status
Recruiting

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

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A Research Study of a New Medicine NNC0519-0130 in Healthy People, People With High Body Weight and People With Type 2 Diabetes.

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