A Phase 1 Study of DD01 in Overweight/Obese Subjects With T2DM and NAFLD

NCT ID: NCT04812262

Last Updated: 2024-04-29

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

PHASE1

Total Enrollment

255 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-24

Study Completion Date

2023-02-14

Brief Summary

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This is a Phase 1, first in human (FiH), randomized, double-blind, placebo-controlled, single ascending dose (SAD) and multiple ascending dose (MAD) study to investigate the safety, tolerability, PK and PD of DD01 administered by subcutaneous (SC) injection in overweight/obese subjects with type 2 diabetes (T2DM) and nonalcoholic fatty liver disease (NAFLD).

The study will be conducted in 2 Parts (Part A and B), with up to 8 cohorts included in each part (Part A; Cohorts A1 to A8 and Part B; Cohorts B2 to B8).

Detailed Description

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Part A (SAD):

In Part A, subjects will receive a single dose of study drug, and the safety and efficacy of DD01 will be evaluated in overweight/obese subjects with T2DM.

Part B (MAD):

In Part B, subjects will receive once-weekly doses of the study drug for 4 weeks, and the safety and efficacy of DD01 will be evaluated in overweight/obese subjects with T2DM and NAFLD.

Conditions

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Overweight and Obesity Type2 Diabetes NAFLD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Part A - Cohorts A1, A2, A3, A4, A5, A6, A7 \& A8 Part B - Cohorts B2, B3, B4, B5, B6, B7 \& B8
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group A1 - Single Ascending Dose

DD01 Dose 1 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A2, Single Ascending Dose

DD01 Dose 2 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A3, Single Ascending Dose

DD01 Dose 3 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A4, Single Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B2 - Multiple Ascending Dose

DD01 Dose 2 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B3 - Multiple Ascending Dose

DD01 Dose 3 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B4 - Multiple Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B5 - Multiple Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B6 - Multiple Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A5, Single Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A6, Single Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A7, Single Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group A8, Single Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B7 - Multiple Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Group B8 - Multiple Ascending Dose

DD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks

Group Type EXPERIMENTAL

DD01

Intervention Type DRUG

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Placebo

Intervention Type DRUG

Placebo drug of DD01, administered in a 1mL volume for injection

Interventions

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DD01

The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

Intervention Type DRUG

Placebo

Placebo drug of DD01, administered in a 1mL volume for injection

Intervention Type DRUG

Eligibility Criteria

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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


* 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)

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


* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Neuraly, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Prosciento

Chula Vista, California, United States

Site Status

Southwest General Healthcare Center

Fort Myers, Florida, United States

Site Status

Combined Research Orlando

Orlando, Florida, United States

Site Status

FDI Clinical Research

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Other Identifiers

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DD01-DN-1

Identifier Type: -

Identifier Source: org_study_id

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