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Single, Ascending Dose, First Time in Human Study for GZR18 in Healthy Subjects

Primary Purpose

Diabetes Mellitus, Type 2

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GZR-18
Placebo
Sponsored by
Gan and Lee Pharmaceuticals, USA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2

Eligibility Criteria

18 Years - 60 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Sign and date informed consent prior to any study-related activities being performed
  2. Be considered healthy in the opinion of the PI or qualified designee and have no clinically significant abnormal laboratory values at screening
  3. Male
  4. Aged 18 to 60 years, inclusive, at the time of signing the informed consent. Note: if the study is to be conducted at a clinical site located in Lincoln, Nebraska, the lower age limit will be 19 years of age
  5. Have a BMI between 20.0 to 35.0 kg/m2, inclusive, at Screening or check-in prior to dosing
  6. Have a normal renal function as defined by estimated glomerular filtration rate (eGFR) > 90 mL/min/1.73m2 at Screening or check-in prior to dosing
  7. Be able to understand and comply with protocol requirements, instructions, and any protocol-stated restrictions

    Exclusion criteria:

  8. The Investigator or qualified designee considers the subject unfit for the study, based on medical interview, physical examination, or laboratory results. Individuals must be free from clinically significant illness or disease, as determined by the PI or qualified designee, with no clinically significant abnormality identified on the medical or laboratory evaluations, including 12-lead ECG
  9. Positive hepatitis-B surface antigen, positive hepatitis-C, or positive HIV test
  10. History of cholelithiasis or obstructive or inflammatory gallbladder disease within 3 months prior to screening
  11. Personal or family history of medullary cell carcinoma or multiple endocrine neoplasia syndrome type 2
  12. History of inadequately controlled thyroid disease, as reflected by an abnormal thyroid stimulating hormone test or free T4
  13. History of gastrointestinal disease that could affect fat or bile acid ab-sorption, including inflammatory bowel disease, chronic diarrhea, Crohn's disease, or malabsorption syndromes within the past year. Note: Subjects with a cholecystectomy more than 1 year prior to screening can be considered for inclusion in the study
  14. History of gastrointestinal surgical intervention for obesity
  15. History of chronic or acute pancreatitis
  16. History of significant drug or other allergy or hypersensitivity that, in the opinion of the Investigator or qualified designee, contraindicates the subject's participation in the study
  17. History of alcohol abuse, defined as an average weekly intake of greater than 21 units or an average daily intake of greater than 3 units. One unit is defined as equivalent to a half-pint of beer or 1 measure of spirits or 1 glass of wine
  18. Unwilling to abstain from alcohol from 24 hours prior to the start of dosing until discharge from the clinic
  19. Smoked or used tobacco- or nicotine-containing products within the previous 6 months prior to Screening
  20. Treatment with an investigational drug or participated in any other interventional clinical study during the previous 30 days or within 5 half-lives after the last dose of the investigational drug, whichever is longer. Note: 30-day/5-half-life washout is defined as last dose of investigational drug in the previous study until the first screening visit in the current study
  21. Unwilling to refrain from the use of illicit drugs and unwilling to ad-here to other protocol-stated restrictions while participating in the study
  22. Unwilling to abstain from caffeine- or xanthine-containing products from 24 hours prior to dosing until discharge from the clinic
  23. A positive drug and alcohol screen at screening or check-in prior to dosing
  24. A positive pre-study urine cotinine screen indicating use of tobacco/nicotine-containing products at Screening or check-in prior to dosing
  25. Use of prescription or non-prescription drugs, vitamins, or dietary/herbal supplements within 1 week prior to the dosing of study drug through the final follow-up visit
  26. Donated 500 mL or greater of blood within 56 days prior to dosing or plans on donating blood in the 30 days following completion of the study
  27. Have any condition that, in the opinion of the Investigator, would compromise the safety of the subject or the quality of the data

Sites / Locations

  • Celerion

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Drug:GZR-18 administered via subcutaneous injection

Placebo control

Arm Description

For Assigned Interventions: GZR-18 administered once via subcutaneous injection at doses of 1.0 ug/kg, 5.0 ug/kg, 10.0 ug/kg, 20.0 ug/kg, 30.0 ug/kg, 40.0 ug/kg & 50.0 ug/kg

Commercially obtained sterile, normal saline for injection will be used as the matching placebo. Placebo will be dosed in an identical manner to active study drug. The volume of placebo will be calculated according to body weight using active drug dose for volume calculation in order to maintain the study blind.

Outcomes

Primary Outcome Measures

Dose limiting toxicity
The primary outcome for this study is Dose Limiting Toxicity, which is the composite of any SAE, any pancreatitis(as measured by amylase) or renal dysfunction (as measured by serum creatinine)

Secondary Outcome Measures

Maximum Plasma Concentration
Cmax
Glycosylated Hemoglobin
HbA1c

Full Information

First Posted
February 25, 2022
Last Updated
March 22, 2023
Sponsor
Gan and Lee Pharmaceuticals, USA
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1. Study Identification

Unique Protocol Identification Number
NCT05328726
Brief Title
Single, Ascending Dose, First Time in Human Study for GZR18 in Healthy Subjects
Official Title
A Double-blind, Randomized, Placebo-controlled, Sequential, Single, Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Parameters of Subcutaneous Injections of GZR18 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
March 8, 2022 (Actual)
Primary Completion Date
February 9, 2023 (Actual)
Study Completion Date
March 9, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gan and Lee Pharmaceuticals, USA

4. Oversight

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

5. Study Description

Brief Summary
Single ascending dose first time in human study for GZR18 in healthy subjects
Detailed Description
A double-blind, randomized, placebo-controlled, sequential, single, ascending dose study to evaluate the safety, tolerability, pharmacokinetic, and pharmacodynamic parameters of subcutaneous injections of GZR18 in healthy subjects

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
This is a double-blinded, randomized, placebo-controlled, sequential, dose-escalating, single-dose study.
Masking
ParticipantInvestigator
Masking Description
Enrollment of up to 56 subjects in up to 7 cohorts may occur. Randomization is 3:1 (active drug:placebo) across all cohorts. Within each cohort, 6 subjects will be randomized to receive GZR18, and 2 subjects will be randomized to receive placebo.
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Drug:GZR-18 administered via subcutaneous injection
Arm Type
Experimental
Arm Description
For Assigned Interventions: GZR-18 administered once via subcutaneous injection at doses of 1.0 ug/kg, 5.0 ug/kg, 10.0 ug/kg, 20.0 ug/kg, 30.0 ug/kg, 40.0 ug/kg & 50.0 ug/kg
Arm Title
Placebo control
Arm Type
Placebo Comparator
Arm Description
Commercially obtained sterile, normal saline for injection will be used as the matching placebo. Placebo will be dosed in an identical manner to active study drug. The volume of placebo will be calculated according to body weight using active drug dose for volume calculation in order to maintain the study blind.
Intervention Type
Drug
Intervention Name(s)
GZR-18
Intervention Description
As previously described in Arms
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo Control
Intervention Description
Placebo will be dosed in an identical manner to active study drug.
Primary Outcome Measure Information:
Title
Dose limiting toxicity
Description
The primary outcome for this study is Dose Limiting Toxicity, which is the composite of any SAE, any pancreatitis(as measured by amylase) or renal dysfunction (as measured by serum creatinine)
Time Frame
Up to 31 days
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration
Description
Cmax
Time Frame
Up to 720 hours
Title
Glycosylated Hemoglobin
Description
HbA1c
Time Frame
Up to 720 hours

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Sign and date informed consent prior to any study-related activities being performed Be considered healthy in the opinion of the PI or qualified designee and have no clinically significant abnormal laboratory values at screening Male Aged 18 to 60 years, inclusive, at the time of signing the informed consent. Note: if the study is to be conducted at a clinical site located in Lincoln, Nebraska, the lower age limit will be 19 years of age Have a BMI between 20.0 to 35.0 kg/m2, inclusive, at Screening or check-in prior to dosing Have a normal renal function as defined by estimated glomerular filtration rate (eGFR) > 90 mL/min/1.73m2 at Screening or check-in prior to dosing Be able to understand and comply with protocol requirements, instructions, and any protocol-stated restrictions Exclusion criteria: The Investigator or qualified designee considers the subject unfit for the study, based on medical interview, physical examination, or laboratory results. Individuals must be free from clinically significant illness or disease, as determined by the PI or qualified designee, with no clinically significant abnormality identified on the medical or laboratory evaluations, including 12-lead ECG Positive hepatitis-B surface antigen, positive hepatitis-C, or positive HIV test History of cholelithiasis or obstructive or inflammatory gallbladder disease within 3 months prior to screening Personal or family history of medullary cell carcinoma or multiple endocrine neoplasia syndrome type 2 History of inadequately controlled thyroid disease, as reflected by an abnormal thyroid stimulating hormone test or free T4 History of gastrointestinal disease that could affect fat or bile acid ab-sorption, including inflammatory bowel disease, chronic diarrhea, Crohn's disease, or malabsorption syndromes within the past year. Note: Subjects with a cholecystectomy more than 1 year prior to screening can be considered for inclusion in the study History of gastrointestinal surgical intervention for obesity History of chronic or acute pancreatitis History of significant drug or other allergy or hypersensitivity that, in the opinion of the Investigator or qualified designee, contraindicates the subject's participation in the study History of alcohol abuse, defined as an average weekly intake of greater than 21 units or an average daily intake of greater than 3 units. One unit is defined as equivalent to a half-pint of beer or 1 measure of spirits or 1 glass of wine Unwilling to abstain from alcohol from 24 hours prior to the start of dosing until discharge from the clinic Smoked or used tobacco- or nicotine-containing products within the previous 6 months prior to Screening Treatment with an investigational drug or participated in any other interventional clinical study during the previous 30 days or within 5 half-lives after the last dose of the investigational drug, whichever is longer. Note: 30-day/5-half-life washout is defined as last dose of investigational drug in the previous study until the first screening visit in the current study Unwilling to refrain from the use of illicit drugs and unwilling to ad-here to other protocol-stated restrictions while participating in the study Unwilling to abstain from caffeine- or xanthine-containing products from 24 hours prior to dosing until discharge from the clinic A positive drug and alcohol screen at screening or check-in prior to dosing A positive pre-study urine cotinine screen indicating use of tobacco/nicotine-containing products at Screening or check-in prior to dosing Use of prescription or non-prescription drugs, vitamins, or dietary/herbal supplements within 1 week prior to the dosing of study drug through the final follow-up visit Donated 500 mL or greater of blood within 56 days prior to dosing or plans on donating blood in the 30 days following completion of the study Have any condition that, in the opinion of the Investigator, would compromise the safety of the subject or the quality of the data
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kimberly Lazaroff, MSN
Organizational Affiliation
Gan and Lee Pharmaceuticals, USA Corp
Official's Role
Study Director
Facility Information:
Facility Name
Celerion
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

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Single, Ascending Dose, First Time in Human Study for GZR18 in Healthy Subjects

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