A Phase 1 Study of DD01 in Overweight/Obese Subjects With T2DM and NAFLD
Overweight and Obesity, Type2 Diabetes, NAFLD
About this trial
This is an interventional treatment trial for Overweight and Obesity focused on measuring Liver Disease
Eligibility Criteria
Part A Inclusion Criteria:
- Type 2 diabetes ≥ 12 months.
- Treatment with diet and exercise or metformin monotherapy on stable dose for 3 months prior to screening
- HbA1c ≤ 10%).
- Body Mass Index (BMI) ≥ 25 and ≤ 40.0 kg/m2
Part B Inclusion Criteria
- Type 2 diabetes ≥ 12 months.
- Treatment with diet and exercise or metformin monotherapy on stable dose for 3 months prior to screening
- HbA1c ≤ 10%
- BMI ≥ 30 kg/m2 and ≤ 40.0 kg/m2
- Waist circumference ≤ 57 inches
- Controlled attenuation parameter by FibroScan
- Liver fat fraction ≥ 10% by magnetic resonance imaging (MRI)
Part A Exclusion Criteria:
- History of type 1 diabetes mellitus (T1DM)
- History of acute proliferative retinopathy or maculopathy, severe gastroparesis, and/or severe neuropathy, in particular autonomic neuropathy, as judged by the Investigator.
- Uncontrolled hypertension
- Treatment with antihypertensive medication and statins not stable during the past 2 months prior to screening
- Treatment with thyroid hormones not stable during the past 3 months prior to screening
- History of any weight control treatment, including over-the-counter and herbal medication and supplements, or any medication with a labeled indication for weight loss or weight gain within 3 months prior to screening
- History of surgical treatment for obesity
- History of heart disease
- History of renal disease
- History or current diagnosis of acute or chronic pancreatitis or factors for pancreatitis, such as a history of cholelithiasis (without cholecystectomy) or alcohol abuse
- A history of or active chronic liver disease due to alcohol, auto-immune, HIV, HBV or active HCV-infection or NASH
- History of major depression, anxiety, suicidal behavior or attempts, or other psychiatric disorder requiring medical treatment
- Personal or family history of medullary thyroid carcinoma (MTC) or a genetic condition that predispose to MTC (i.e., multiple endocrine neoplasia type 2)
- Administration of Vaccines/Immunizations within 14 days prior to first dosing or if scheduled during the study. Vaccination for COVID-19 is allowed during the study if a washout period of 5 days after vaccine administration is followed before dosing.
- History of any major surgery within 6 months prior to screening
- Participation in any other clinical interventional study receiving active treatment within 30 days or 5 half-lives prior to screening, whichever is longer
- History of alcohol or illicit drug abuse including marijuana
- Existence of any surgical or medical condition that, in the judgment of the Investigator, might interfere with the investigational product
PART B Exclusion Criteria
- History of type 1 diabetes mellitus (T1DM)
- History of acute proliferative retinopathy or maculopathy, severe gastroparesis, and/or severe neuropathy, in particular autonomic neuropathy, as judged by the Investigator
- Uncontrolled hypertension (treatment with medications must be stable)
- History of any weight control treatment
- History of surgical treatment for obesity
- History of heart disease
- History of renal disease
- Subjects with a history or clinically significant active disease of the gastrointestinal, cardiovascular, hepatic, neurological, renal, pancreatic, immunological, dermatological, endocrine, genitourinary or hematological system.
- History or current diagnosis of acute or chronic pancreatitis
- History of major depression, anxiety, suicidal behavior or attempts, or other psychiatric disorder requiring medical treatment
- History of alcohol or illicit drug abuse including marijuana
- Existence of any surgical or medical condition that, in the judgment of the Investigator, might interfere with the investigational product
- Any history of clinically significant chronic liver disease
Sites / Locations
- ProscientoRecruiting
- Southwest General Healthcare CenterRecruiting
- Combined Research OrlandoRecruiting
- FDI Clinical ResearchRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Arm 13
Arm 14
Arm 15
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Group A1 - Single Ascending Dose
Group A2, Single Ascending Dose
Group A3, Single Ascending Dose
Group A4, Single Ascending Dose
Group B2 - Multiple Ascending Dose
Group B3 - Multiple Ascending Dose
Group B4 - Multiple Ascending Dose
Group B5 - Multiple Ascending Dose
Group B6 - Multiple Ascending Dose
Group A5, Single Ascending Dose
Group A6, Single Ascending Dose
Group A7, Single Ascending Dose
Group A8, Single Ascending Dose
Group B7 - Multiple Ascending Dose
Group B8 - Multiple Ascending Dose
DD01 Dose 1 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 2 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 3 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 2 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
DD01 Dose 3 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks