Trial Outcomes & Findings for Study of Gelesis100 on Body Weight in Overweight and Obese Subjects With and Without Type 2 Diabetes (NCT NCT02307279)

NCT ID: NCT02307279

Last Updated: 2022-08-30

Results Overview

Percent change in body weight from Baseline to Day 171 is presented.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

436 participants

Primary outcome timeframe

Baseline to Day 171

Results posted on

2022-08-30

Participant Flow

Participant milestones

Participant milestones
Measure
Gelesis100
Gelesis100 twice daily Gelesis100
Placebo
Matching placebo twice daily placebo
Overall Study
STARTED
223
213
Overall Study
COMPLETED
172
152
Overall Study
NOT COMPLETED
51
61

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Gelesis100 on Body Weight in Overweight and Obese Subjects With and Without Type 2 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gelesis100
n=223 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=213 Participants
Matching placebo twice daily placebo
Total
n=436 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
223 Participants
n=5 Participants
213 Participants
n=7 Participants
436 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
125 Participants
n=5 Participants
120 Participants
n=7 Participants
245 Participants
n=5 Participants
Sex: Female, Male
Male
98 Participants
n=5 Participants
93 Participants
n=7 Participants
191 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
11 Participants
n=5 Participants
16 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
212 Participants
n=5 Participants
197 Participants
n=7 Participants
409 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
189 Participants
n=5 Participants
180 Participants
n=7 Participants
369 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
26 Participants
n=5 Participants
24 Participants
n=7 Participants
50 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Europe
126 participants
n=5 Participants
119 participants
n=7 Participants
245 participants
n=5 Participants
Region of Enrollment
United States
97 participants
n=5 Participants
94 participants
n=7 Participants
191 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Day 171

Population: Overall number of patients analyzed is equal to the intention to treat population (all randomized subjects).

Percent change in body weight from Baseline to Day 171 is presented.

Outcome measures

Outcome measures
Measure
Gelesis100
n=223 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=213 Participants
Matching placebo twice daily placebo
Co-Primary Outcome: Percent Change in Body Weight
-6.41 percentage change in body weight
Standard Deviation 5.79
-4.39 percentage change in body weight
Standard Deviation 5.52

PRIMARY outcome

Timeframe: Baseline to Day 171

Population: Overall Number of Participants Analyzed is equal to the intention to treat population (all randomized subjects).

Percentage of participants who achieve a body weight loss ≥ 5% from Baseline to Day 171 is presented.

Outcome measures

Outcome measures
Measure
Gelesis100
n=223 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=213 Participants
Matching placebo twice daily placebo
Co-Primary Outcome: Percentage of Subjects Who Achieve Body Weight Loss ≥ 5%
58.6 percentage of participants
42.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Day 171

Population: Overall Number of Participants Analyzed is equal to the number of participants with impaired fasting glucose at Baseline.

Impaired plasma glucose status is defined as Fasting Plasma Glucose (FPG) ≥100mg/dL and \<126mg/dL at baseline measurement.

Outcome measures

Outcome measures
Measure
Gelesis100
n=59 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=58 Participants
Matching placebo twice daily placebo
Percent Body Weight Change in Subjects With Impaired Plasma Glucose Status at Baseline
-6.46 percentage change in body weight
Standard Deviation 6.28
-5.54 percentage change in body weight
Standard Deviation 6.08

SECONDARY outcome

Timeframe: Baseline to Day 171

Population: Overall Number of Participants Analyzed is equal to the number of participants with impaired fasting glucose at Baseline.

Normal plasma glucose status is defined FPG ≤ 100mg/dL. Impaired plasma glucose status is defined as FPG ≥100mg/dL and \<126mg/dL. Diabetic plasma glucose status was defined as FPG \>126mg/dL.

Outcome measures

Outcome measures
Measure
Gelesis100
n=59 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=58 Participants
Matching placebo twice daily placebo
Change in Plasma Glucose Status (Normal, Impaired, Diabetic) in Subjects With Impaired Plasma Glucose Status at Baseline.
Diabetic
1 participants
5 participants
Change in Plasma Glucose Status (Normal, Impaired, Diabetic) in Subjects With Impaired Plasma Glucose Status at Baseline.
Normal
23 participants
19 participants
Change in Plasma Glucose Status (Normal, Impaired, Diabetic) in Subjects With Impaired Plasma Glucose Status at Baseline.
Impaired (Pre-diabetic)
35 participants
34 participants

SECONDARY outcome

Timeframe: Baseline to Day 171

Population: Overall Number of Participants Analyzed is equal to the number of participants with impaired fasting glucose at Baseline.

Percent change in Plasma Glucose in subjects with impaired glucose and T2D at baseline. Impaired plasma glucose is defined as FPG≥100mg/dL and FPG\<126mg/dL.

Outcome measures

Outcome measures
Measure
Gelesis100
n=59 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=58 Participants
Matching placebo twice daily placebo
Percent Change in Plasma Glucose
-2.39 percentage of change in plasma glucose
Standard Deviation 20.55
-1.95 percentage of change in plasma glucose
Standard Deviation 14.61

SECONDARY outcome

Timeframe: Baseline to Day 171

Population: Overall number of patients analyzed is equal to the number of all participants with available data.

The BMI was calculated using height (in cm) and weight (in kg) according to the following formula: BMI (kg/m2((superscript 1)) = Weight (kg)/\[Height (cm)/100\]2(superscript2).

Outcome measures

Outcome measures
Measure
Gelesis100
n=223 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=213 Participants
Matching placebo twice daily placebo
Change in Body Mass Index (BMI)
-2.12 kg/m^2
Standard Deviation 1.92
-1.51 kg/m^2
Standard Deviation 1.90

SECONDARY outcome

Timeframe: Baseline to Day 171

Population: Overall number of patients analyzed is equal to the number of all participants with type 2 diabetes at baseline.

To assess the decrease in HbA1c after repeated administration of Gelesis 100 over a period of 168 days in overweight and obese people with type 2 diabetes, The glycosylated hemoglobin was measured in mmol/mol.

Outcome measures

Outcome measures
Measure
Gelesis100
n=21 Participants
Gelesis100 twice daily Gelesis100
Placebo
n=25 Participants
Matching placebo twice daily placebo
Change in Hemoglobin HbA1c in Subjects With Type 2 Diabetes at Baseline
-0.64 mmol/mol
Standard Deviation 5.07
-3.06 mmol/mol
Standard Deviation 4.18

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to Day 197

Adverse Events (AEs), Physical Examinations, Vital Signs, Laboratory Tests

Outcome measures

Outcome data not reported

Adverse Events

Gelesis100

Serious events: 0 serious events
Other events: 159 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 149 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Gelesis100
n=223 participants at risk
Gelesis100 twice daily Gelesis100
Placebo
n=211 participants at risk
Matching placebo twice daily placebo
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon Adenoma
0.00%
0/223 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
0.47%
1/211 • Number of events 1 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.

Other adverse events

Other adverse events
Measure
Gelesis100
n=223 participants at risk
Gelesis100 twice daily Gelesis100
Placebo
n=211 participants at risk
Matching placebo twice daily placebo
Gastrointestinal disorders
Abdominal Distention
11.7%
26/223 • Number of events 27 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
6.6%
14/211 • Number of events 14 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Gastrointestinal disorders
Abdominal pain
5.4%
12/223 • Number of events 12 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
2.8%
6/211 • Number of events 6 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Gastrointestinal disorders
Constipation
5.4%
12/223 • Number of events 13 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
5.2%
11/211 • Number of events 11 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Gastrointestinal disorders
Diarrhoea
12.6%
28/223 • Number of events 31 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
8.5%
18/211 • Number of events 20 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Gastrointestinal disorders
Flatulence
8.5%
19/223 • Number of events 21 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
5.2%
11/211 • Number of events 14 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Gastrointestinal disorders
Infrequent bowel movements
9.4%
21/223 • Number of events 24 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
4.7%
10/211 • Number of events 12 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Gastrointestinal disorders
Nausea
4.9%
11/223 • Number of events 12 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
5.2%
11/211 • Number of events 12 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Infections and infestations
Nasopharyngitis
11.7%
26/223 • Number of events 31 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
14.2%
30/211 • Number of events 37 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Infections and infestations
Upper respiratory tract infections
3.6%
8/223 • Number of events 9 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
5.7%
12/211 • Number of events 14 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Musculoskeletal and connective tissue disorders
Arthralgia
3.1%
7/223 • Number of events 9 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
6.2%
13/211 • Number of events 13 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
Nervous system disorders
Headache
7.2%
16/223 • Number of events 23 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.
8.5%
18/211 • Number of events 26 • From screening (Day -21) to Day 197. The adverse device effect (AE) and the serious adverse device effects (SAE) are collected since screening until 28 days after the last administration of the investigational medical device.
AE reported by subjects are recorded and discussed in detail by the investigator at each visit.

Additional Information

Harry Leider, MD, MBA

Gelesis

Phone: (443)934-4906

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place