A Study of Once-Daily NNC0090-2746 in Participants With Type 2 Diabetes Inadequately Controlled With Metformin

NCT ID: NCT02205528

Last Updated: 2020-07-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-18

Study Completion Date

2015-09-15

Brief Summary

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This trial is conducted in the United States of America (USA). The aim of the trial is to investigate the efficacy, safety, and tolerability of once-daily subcutaneous (SC) injections of NNC0090-2746 for 12 weeks, as an adjunct to metformin, in participants with T2D.

Detailed Description

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Conditions

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Diabetes Diabetes Mellitus Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Treatment Period: Placebo QD

Participants will receive daily SC placebo injections during the 12-week, double-blind treatment period.

Group Type PLACEBO_COMPARATOR

Metformin

Intervention Type DRUG

Metformin hydrochloride immediate- or extended-release oral tablets will be supplied by the participant or investigational site as standard-of-care treatment beginning at least 8 weeks prior to randomization and throughout the 12-week treatment period. Metformin will also be continued during the 4-week follow-up. Dose selection will be based upon manufacturer specifications.

Placebo

Intervention Type DRUG

Matching placebo to NNC0090-2746 will be self-administered daily via SC injection.

Treatment Period: NNC0090-2746 QD

Participants will receive daily 1.8-mg SC injections of NNC0090-2746 during the 12-week, double-blind treatment period.

Group Type EXPERIMENTAL

Metformin

Intervention Type DRUG

Metformin hydrochloride immediate- or extended-release oral tablets will be supplied by the participant or investigational site as standard-of-care treatment beginning at least 8 weeks prior to randomization and throughout the 12-week treatment period. Metformin will also be continued during the 4-week follow-up. Dose selection will be based upon manufacturer specifications.

NNC0090-2746

Intervention Type DRUG

NNC0090-2746 solution will be self-administered in daily doses of 1.8 mg via SC injection.

Treatment Period: Liraglutide QD

Participants will receive open-label liraglutide via SC injection during the 12-week treatment period. The dose scheme will be as follows: 0.6 milligrams (mg) each day during Week 1, followed by 1.2 mg each day during Week 2, and 1.8 mg each day from Weeks 3 to 12.

Group Type ACTIVE_COMPARATOR

Liraglutide

Intervention Type DRUG

Liraglutide will be self-administered daily via SC injection according to manufacturer specifications.

Metformin

Intervention Type DRUG

Metformin hydrochloride immediate- or extended-release oral tablets will be supplied by the participant or investigational site as standard-of-care treatment beginning at least 8 weeks prior to randomization and throughout the 12-week treatment period. Metformin will also be continued during the 4-week follow-up. Dose selection will be based upon manufacturer specifications.

Interventions

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Liraglutide

Liraglutide will be self-administered daily via SC injection according to manufacturer specifications.

Intervention Type DRUG

Metformin

Metformin hydrochloride immediate- or extended-release oral tablets will be supplied by the participant or investigational site as standard-of-care treatment beginning at least 8 weeks prior to randomization and throughout the 12-week treatment period. Metformin will also be continued during the 4-week follow-up. Dose selection will be based upon manufacturer specifications.

Intervention Type DRUG

Placebo

Matching placebo to NNC0090-2746 will be self-administered daily via SC injection.

Intervention Type DRUG

NNC0090-2746

NNC0090-2746 solution will be self-administered in daily doses of 1.8 mg via SC injection.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants aged 18 to 70 years, inclusive
* Active diagnosis of T2D for greater than or equal to (\>/=) 3 months
* For females of childbearing potential and males with female partners of childbearing potential, agreement to use highly effective contraceptive measures
* Treated with a stable dose of metformin for at least 8 weeks prior to randomization, and expected to remain at the same stable dose throughout study participation
* Hemoglobin A1c (HbA1c) \>/= 7.2% and less than or equal to (\</=) 10.5%
* Fasting plasma glucose (FPG) less than (\<) 250 milligrams per deciliter (mg/dL)
* C-peptide greater than (\>) 1.5 nanograms per milliliter (ng/mL)
* Body mass index (BMI) \>/= 27 kilograms per meter-squared (kg/m\^2) and \</= 44 kg/m\^2
* Stable weight (+/- 5%) within 12 weeks prior to Screening
* Willing and able to maintain existing diet and exercise habits throughout the study
* Capable of performing SC self-injections on a daily basis during the study

Exclusion Criteria

* Females who are pregnant or lactating
* History of type 1 diabetes (T1D), diabetes resulting from pancreatic injury, or secondary forms of diabetes such as Cushing's Syndrome or acromegaly
* History of acute metabolic complications such as diabetic ketoacidosis or state of hyperosmolar hyperglycemia
* History of clinically significant diabetic complications such as diabetic proliferative retinopathy or severe diabetic neuropathy (requiring treatment with antidepressants or opioids)
* History of severe hypoglycemia within 6 months prior to Screening
* History of chronic gastrointestinal (GI) conditions that could impede gastric emptying or potentially affect the interpretation of the study data
* History of weight loss surgery or weight loss procedure involving the GI tract, such as gastric bypass, gastric stapling, or gastric banding
* History of an eating disorder (e.g., bulimia, anorexia)
* History of malignancy (except treated basal or squamous cell skin cancer) within 5 years prior to Screening
* Personal or family history of medullary thyroid carcinoma
* History of multiple endocrine neoplasia syndrome type 2
* History of chronic or acute pancreatitis or hemochromatosis
* History of significant cardiovascular disease (such as congestive heart failure New York Heart Association Class II to IV, myocardial infarction within the previous 6 months, coronary disease, or uncontrolled hypertension)
* History of clinically significant renal or liver disease
* History of hypersensitivity or previous intolerance to incretin or glucagon analogues
* Elevations in lipase or amylase levels at Screening \> 1.5 times the upper limit of normal (ULN) and considered clinically significant by the investigator
* Positive human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAG), or hepatitis C antibody test at Screening
* Receipt of an investigational drug within 30 days or 5 half-lives, whichever is longer, prior to Screening, or active enrollment in another investigational medication or device study
* Any condition, disorder, or abnormal laboratory test findings at screening that, in the judgment of the investigator, would interfere with the participant's ability to comply with all study requirements, or would require the administration of a treatment during the study that could potentially affect the interpretation of the study data, or would place the participant at unacceptable risk by his/her participation in the study
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Registry (GCR,1452)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Novo Nordisk Investigational Site

Chino, California, United States

Site Status

Novo Nordisk Investigational Site

Hawaiian Gardens, California, United States

Site Status

Novo Nordisk Investigational Site

Los Angeles, California, United States

Site Status

Novo Nordisk Investigational Site

Spring Valley, California, United States

Site Status

Novo Nordisk Investigational Site

Hialeah, Florida, United States

Site Status

Novo Nordisk Investigational Site

Port Orange, Florida, United States

Site Status

Novo Nordisk Investigational Site

Sanford, Florida, United States

Site Status

Novo Nordisk Investigational Site

Chicago, Illinois, United States

Site Status

Novo Nordisk Investigational Site

Evanston, Illinois, United States

Site Status

Novo Nordisk Investigational Site

Oxon Hill, Maryland, United States

Site Status

Novo Nordisk Investigational Site

Berlin, New Jersey, United States

Site Status

Novo Nordisk Investigational Site

Albuquerque, New Mexico, United States

Site Status

Novo Nordisk Investigational Site

Greensboro, North Carolina, United States

Site Status

Novo Nordisk Investigational Site

Cincinnati, Ohio, United States

Site Status

Novo Nordisk Investigational Site

Tulsa, Oklahoma, United States

Site Status

Novo Nordisk Investigational Site

Eugene, Oregon, United States

Site Status

Novo Nordisk Investigational Site

Knoxville, Tennessee, United States

Site Status

Novo Nordisk Investigational Site

Corpus Christi, Texas, United States

Site Status

Novo Nordisk Investigational Site

Houston, Texas, United States

Site Status

Novo Nordisk Investigational Site

Manassas, Virginia, United States

Site Status

Countries

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United States

References

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Frias JP, Bastyr EJ 3rd, Vignati L, Tschop MH, Schmitt C, Owen K, Christensen RH, DiMarchi RD. The Sustained Effects of a Dual GIP/GLP-1 Receptor Agonist, NNC0090-2746, in Patients with Type 2 Diabetes. Cell Metab. 2017 Aug 1;26(2):343-352.e2. doi: 10.1016/j.cmet.2017.07.011.

Reference Type RESULT
PMID: 28768173 (View on PubMed)

Other Identifiers

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U1111-1189-5627

Identifier Type: OTHER

Identifier Source: secondary_id

NN9709-4336

Identifier Type: -

Identifier Source: org_study_id

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