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A Study to Test Whether BI 456906 Helps People Living With Overweight or Obesity Who do Not Have Diabetes to Lose Weight (SYNCHRONIZE™-1)

Primary Purpose

Obesity

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
BI 456906
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female, age ≥18 years at the time of signing informed consent, and at least the legal age of consent in countries where it is >18 years Body mass index (BMI) ≥30 kg/m^2 at screening, OR BMI ≥27 kg/m^2 with the presence of at least one of the obesity-related complications (treated or untreated) e.g,: Hypertension Dyslipidaemia Obstructive sleep apnoea Others. History of at least one self-reported unsuccessful dietary effort to lose body weight. Further inclusion criteria apply. Exclusion Criteria: Body weight change (self-reported) of >5% within 3 months before screening. Treatment with any medication for the indication obesity within 3 months before screening. Glycosylated haemoglobin A1c (HbA1c) ≥6.5% (≥48 mmol/mol) as measured by the central laboratory at screening. History of type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) or treatment with glucose lowering agent started within 3 months before screening. Heart failure (HF) with New York Heart Association (NYHA) functional class IV. Known clinically significant gastric emptying abnormality (e.g. severe diabetic gastroparesis or gastric outlet obstruction). History of either chronic or acute pancreatitis or elevation of serum lipase or amylase >2x upper limit of normal (ULN) as measured by the central laboratory at screening. Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). Further exclusion criteria apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    BI 456906 3.6 mg

    BI 456906 6.0 mg

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Percentage change in body weight from baseline to Week 76
    Achievement of body weight reduction ≥5% (yes/no) from baseline to Week 76

    Secondary Outcome Measures

    Achievement of body weight reduction ≥10% (yes/no) from baseline to Week 76
    Achievement of body weight reduction ≥15% (yes/no) from baseline to Week 76
    Achievement of body weight reduction ≥20% (yes/no) from baseline to Week 76
    Absolute change from baseline to Week 76 in body weight (kg)
    Absolute change from baseline to Week 76 in waist circumference (cm)
    Absolute change from baseline to Week 76 in systolic blood pressure (SBP) (mmHg)
    Absolute change from baseline to Week 76 in "Capacity to Resist" domain score of the Eating Behaviour patient reported outcome (PRO)
    "Capacity to Resist" domain score of the Eating Behaviour PRO is ranging between 0 and 24 and a higher score indicates a lower capacity to resist.
    Absolute change from baseline to Week 76 in Eating Behaviour PRO total score
    Eating Behaviour PRO total score is ranging between 0 and 48 and a higher score indicates a worse eating behaviour (greater desire to eat and/or lower capacity to resist).
    Absolute change from baseline to Week 76 in body mass index (BMI) (kg/m2)
    Absolute change from baseline to Week 76 in diastolic blood pressure (DBP) (mmHg)
    Absolute change from baseline to Week 76 in glycosylated haemoglobin A1c (HbA1c) (%)
    Absolute change from baseline to Week 76 in HbA1c (mmol/mol)
    Absolute change from baseline to Week 76 in fasting plasma glucose (FPG) (mg/dL)
    Absolute change from baseline to Week 76 in fasting plasma insulin (FPI) (mIU/L)
    Absolute change from baseline to Week 76 in total cholesterol (mg/dL)
    Absolute change from baseline to Week 76 in high density lipoprotein (HDL) (mg/dL)
    Absolute change from baseline to Week 76 in low density lipoprotein (LDL) (mg/dL)
    Absolute change from baseline to Week 76 in very-low-density lipoprotein (VLDL) (mg/dL)
    Absolute change from baseline to Week 76 in triglycerides (mg/dL)
    Absolute change from baseline to Week 76 in free fatty acids (mg/dL)
    Absolute change from baseline to Week 76 in alanine aminotransferase (ALT) (U/L)
    Absolute change from baseline to Week 76 in aspartate aminotransferase (AST) (U/L)
    Absolute change from baseline to Week 76 in total fat mass (%)
    Absolute change from baseline to Week 76 in total fat mass (kg)
    Absolute change from baseline to Week 76 in lean body mass (%)
    Absolute change from baseline to Week 76 in lean body mass (kg)
    Absolute change from baseline to Week 76 in visceral fat mass (%)
    Absolute change from baseline to Week 76 in visceral fat mass (kg)
    Relative change from baseline to Week 76 in liver fat content (%)

    Full Information

    First Posted
    September 27, 2023
    Last Updated
    September 27, 2023
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06066515
    Brief Title
    A Study to Test Whether BI 456906 Helps People Living With Overweight or Obesity Who do Not Have Diabetes to Lose Weight
    Acronym
    SYNCHRONIZE™-1
    Official Title
    A Phase 3, Randomised, Double-blind, Parallel-group, 76-week, Efficacy and Safety Study of BI 456906 Administered Subcutaneously Compared With Placebo in Participants With Overweight or Obesity Without Type 2 Diabetes
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 16, 2023 (Anticipated)
    Primary Completion Date
    December 19, 2025 (Anticipated)
    Study Completion Date
    January 16, 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

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

    5. Study Description

    Brief Summary
    This study is open to adults who are at least 18 years old and have a body mass index (BMI) of 30 kg/m² or more, or a BMI of 27 kg/m² or more and at least one health problem related to their weight. People with type 2 diabetes cannot take part in this study. Only people who have previously not managed to lose weight by changing their diet can participate. The purpose of this study is to find out whether a medicine called survodutide (BI 456906) helps people living with overweight or obesity to lose weight. Participants are divided into 3 groups by chance, like drawing names from a hat. 2 groups get different doses of survodutide and 1 group gets placebo. Placebo looks like survodutide but does not contain any medicine. Every participant has a 2 in 3 chance of getting survodutide. Participants inject survodutide or placebo under their skin once a week for about one and a half years. In addition to the study medicine, all participants receive counselling to make changes to their diet and to exercise regularly. Participants are in the study for about 1 year and 7 months. During this time, it is planned that participants visit the study site up to 14 times and receive 6 phone calls by the site staff. The doctors check participants' health and take note of any unwanted effects. The participants' body weight is regularly measured. The results are compared between the groups to see whether the treatment works.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Obesity

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    600 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    BI 456906 3.6 mg
    Arm Type
    Experimental
    Arm Title
    BI 456906 6.0 mg
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    BI 456906
    Other Intervention Name(s)
    survodutide
    Intervention Description
    once weekly subcutaneous injection
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    once weekly subcutaneous injection
    Primary Outcome Measure Information:
    Title
    Percentage change in body weight from baseline to Week 76
    Time Frame
    Baseline and at Week 76
    Title
    Achievement of body weight reduction ≥5% (yes/no) from baseline to Week 76
    Time Frame
    Baseline and at Week 76
    Secondary Outcome Measure Information:
    Title
    Achievement of body weight reduction ≥10% (yes/no) from baseline to Week 76
    Time Frame
    Baseline and at Week 76
    Title
    Achievement of body weight reduction ≥15% (yes/no) from baseline to Week 76
    Time Frame
    Baseline and at Week 76
    Title
    Achievement of body weight reduction ≥20% (yes/no) from baseline to Week 76
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in body weight (kg)
    Time Frame
    Baseline and Week 76
    Title
    Absolute change from baseline to Week 76 in waist circumference (cm)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in systolic blood pressure (SBP) (mmHg)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in "Capacity to Resist" domain score of the Eating Behaviour patient reported outcome (PRO)
    Description
    "Capacity to Resist" domain score of the Eating Behaviour PRO is ranging between 0 and 24 and a higher score indicates a lower capacity to resist.
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in Eating Behaviour PRO total score
    Description
    Eating Behaviour PRO total score is ranging between 0 and 48 and a higher score indicates a worse eating behaviour (greater desire to eat and/or lower capacity to resist).
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in body mass index (BMI) (kg/m2)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in diastolic blood pressure (DBP) (mmHg)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in glycosylated haemoglobin A1c (HbA1c) (%)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in HbA1c (mmol/mol)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in fasting plasma glucose (FPG) (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in fasting plasma insulin (FPI) (mIU/L)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in total cholesterol (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in high density lipoprotein (HDL) (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in low density lipoprotein (LDL) (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in very-low-density lipoprotein (VLDL) (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in triglycerides (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in free fatty acids (mg/dL)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in alanine aminotransferase (ALT) (U/L)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in aspartate aminotransferase (AST) (U/L)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in total fat mass (%)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in total fat mass (kg)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in lean body mass (%)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in lean body mass (kg)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in visceral fat mass (%)
    Time Frame
    Baseline and at Week 76
    Title
    Absolute change from baseline to Week 76 in visceral fat mass (kg)
    Time Frame
    Baseline and at Week 76
    Title
    Relative change from baseline to Week 76 in liver fat content (%)
    Time Frame
    Baseline and at Week 76

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female, age ≥18 years at the time of signing informed consent, and at least the legal age of consent in countries where it is >18 years Body mass index (BMI) ≥30 kg/m^2 at screening, OR BMI ≥27 kg/m^2 with the presence of at least one of the obesity-related complications (treated or untreated) e.g,: Hypertension Dyslipidaemia Obstructive sleep apnoea Others. History of at least one self-reported unsuccessful dietary effort to lose body weight. Further inclusion criteria apply. Exclusion Criteria: Body weight change (self-reported) of >5% within 3 months before screening. Treatment with any medication for the indication obesity within 3 months before screening. Glycosylated haemoglobin A1c (HbA1c) ≥6.5% (≥48 mmol/mol) as measured by the central laboratory at screening. History of type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) or treatment with glucose lowering agent started within 3 months before screening. Heart failure (HF) with New York Heart Association (NYHA) functional class IV. Known clinically significant gastric emptying abnormality (e.g. severe diabetic gastroparesis or gastric outlet obstruction). History of either chronic or acute pancreatitis or elevation of serum lipase or amylase >2x upper limit of normal (ULN) as measured by the central laboratory at screening. Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). Further exclusion criteria apply.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Boehringer Ingelheim
    Phone
    1-800-243-0127
    Email
    clintriage.rdg@boehringer-ingelheim.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Once the criteria in section 'time frame' are fulfilled, researchers can use the following link https:// www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
    IPD Sharing Time Frame
    After structured results have been posted, all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication.
    IPD Sharing Access Criteria
    For study documents - upon signing of a 'Document Sharing Agreement'.For study data -1. after the submission and approval of the research proposal (checks will be performed by the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.
    IPD Sharing URL
    https://www.mystudywindow.com/msw/datasharing
    Links:
    URL
    http://www.mystudywindow.com
    Description
    Related Info

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