Efficacy of Henagliflozin for Weight Loss in Obesity Without Diabetes

NCT ID: NCT06216340

Last Updated: 2024-01-22

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: PHASE4
• Total Enrollment: 300 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-15
• Study Completion Date: 2026-10-01

Brief Summary

This trial is conducted in China. The purpose of the 24-week trial is to investigate the efficacy of henagliflozin to induce body weight loss and the purpose of the extension is to evaluate the hypoglycemic effect of henagliflozin in obese subjects without diabetes.

Trial has the following two periods: 1) A 12-week randomized, double-blind, placebo-controlled, multi-center trial for evaluating the efficacy of henagliflozin to induce body weight loss; 2) A 12-week multicenter randomized controlled open-label trial for evaluating the hypoglycemic effect of henagliflozin followed by a 24-week extension period.

Detailed Description

Primary Hypothesis:

The 12-week henagliflozin taking could induce significantly higher weight loss in obese subjects without diabetes, compared to diet-exercise therapy.

Assessment time points:

Baseline: prior to taking henagliflozin or diet-exercise therapy V1: 4 weeks following the henagliflozin taking or diet-exercise therapy V2: 4 weeks following V1 V3: 4 weeks following V2

Specific Aims 1:

To examine and compare the weight loss, assessed by weight, waist circumference, hip circumference and BMI, after 12-week henagliflozin taking or diet-exercise therapy in obese without diabetes.

Specific Aims 2:

To examine and compare the change of glucose level after 12-week henagliflozin taking or diet-exercise therapy in obese without diabetes.

Secondary Hypothesis 1:

The 24-week henagliflozin taking could siginificantly improve the glucose control in obese subjects with pre-diabetes, compared to diet-exercise therapy.

Assessment time points:

Baseline: prior to taking henagliflozin or diet-exercise therapy V4: 12 weeks following V3

Specific Aims:

To examine and compare the change of glucose level, assessed by fasting plasma glucose (FPG), postprandial plasma glucose (PPG), HbA1c, insulin levels, after 24-week henagliflozin taking or diet-exercise therapy.

Conditions

Obese; Weight Loss; Pre-diabetes

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Control group

Placebo and diet-exercise therapy

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Placebo and diet-exercise therapy

Intervention group

10mg of Henagliflozin and diet-exercise therapy

Group Type: EXPERIMENTAL

Henagliflozin

Intervention Type: DRUG

10mg of Henagliflozin and diet-exercise therapy

Interventions

Henagliflozin

10mg of Henagliflozin and diet-exercise therapy

Intervention Type: DRUG

Placebo

Placebo and diet-exercise therapy

Intervention Type: DRUG

Other Intervention Names

diet-exercise therapy; diet-exercise therapy

Eligibility Criteria

Inclusion Criteria

1. 18 years old≤age≤65 years old, regardless of gender and race

2. Nondiabetic population: without hypoglycemic treatment, FPG<7.0 mmol/l, PPG<11.1 mmol/l, and HbA1c<6.5%

3. obesity: BMI≥28 kg/m2

4. Stable weight: weight change less than 5kg in the past 3 months

5. Ability to understand and sign the informed consent form

Exclusion Criteria

1. Allergies to Henagliflozin or its formulations;

2. Participants have been definitely diagnosed with diabetes;

3. HbA1c≥6.5 % or FPG≥7.0 mmol/l, or PPG≥11.1 mmol/l;

4. Participants have used glucagon-like peptide-1 (GLP-1) receptor agonists, sodium glucose linked transporter-2 (SGLT-2) inhibitors, or other weight loss related drugs within the past 3 months;

5. History of bariatric surgery;

6. Untreated or uncontrolled hypothyroidism/hyperthyroidism;

7. High risk of urinary tract infection;

8. Obesity induced by other endocrinologic disorders (e.g. Cushing's Syndrome);

9. Diagnosis of congenital glucose-galactose malabsorption or familial renal glycosuria

10. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 2.5 times the upper limit of the normal range (UNL); Total bilirubin (TBIL) ≥ 2.0 times the upper limit of the normal range;

11. estimated glomerular filtration rate (eGFR)<30 mL/min/1.73 m2 or end-stage kidney disease, or requiring dialysis;

12. History of major depressive disorder or other severe psychiatric disorders, e.g. schizophrenia, bipolar disorder within the last 2 years;

13. Uncontrolled treated/untreated hypertension (systolic blood pressure ≥160 mm Hg and/or diastolic blood pressure ≥100 mm Hg)

14. myocardial infarction, unstable angina, revascularization surgery, or cerebrovascular diseases within the past 3 months;

15. Cancer (past or present, except basal cell skin cancer or squamous cell skin cancer) or other severe diseases, which in the investigator's opinion could interfere with the results of the trial;

16. Females of child-bearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods (adequate contraceptive measures as required by local law or practice) within 24 months;

17. Participation in a clinical trial within the last 3 months prior to screening;

18. Previous history of gestational diabetes;

19. Previous history of eating disorders;

20. Current or history of treatment with medications that may cause significant weight gain, within 3 months prior to screening, including systemic corticosteroids (except for a short course of treatment, i.e. 7-10 days), tri-cyclic antidepressants, atypical antipsychotic and mood stabilizers (e.g. imipramine, amitriptyline, mirtazapine, paroxetine, phenelzine, chlorpromazine, thioridazine, clozapine, olanzapine, valproic acid and its derivatives, and lithium);

21. Diet attempts using herbal supplements or over-the-counter medications within 3 months before screening

22. Any lifetime history of a suicidal attempt or a history of any suicidal behavior in the last month prior to randomization;

23. Surgery scheduled for the trial duration period, except for minor surgical procedures, at the discretion of the investigator

24. Known or suspected abuse of alcohol or narcotics

25. Subjects from the same house hold participating in the trial

26. Other situations which were inappropriate to the trial, at the discretion of the investigator

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Second Hospital of Nanjing Medical University

OTHER

Sponsor Role: collaborator

The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role: collaborator

Second Affiliated Hospital of Soochow University

OTHER

Sponsor Role: collaborator

Wuxi People's Hospital

OTHER

Sponsor Role: collaborator

Northern Jiangsu People's Hospital

OTHER

Sponsor Role: collaborator

The Affiliated Hospital of Xuzhou Medical University

OTHER

Sponsor Role: collaborator

The First People's Hospital of Lianyungang

OTHER

Sponsor Role: collaborator

Affiliated Hospital of Jiangsu University

OTHER

Sponsor Role: collaborator

The fourth affiliated hospital of nantong university

UNKNOWN

Sponsor Role: collaborator

The First People's Hospital of Changzhou

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ling Yang, MD

Role: PRINCIPAL_INVESTIGATOR

Affiliated Hospital of Jiangsu University

Yu Liu, PHD

Role: PRINCIPAL_INVESTIGATOR

Nanjing Medical University

Bimin Shi, PHD

Role: PRINCIPAL_INVESTIGATOR

First affiliated hospital of soochow university

Ji Hu

Role: PRINCIPAL_INVESTIGATOR

Second Affiliated Hospital of Soochow University

Xiaowei Zhu, PHD

Role: PRINCIPAL_INVESTIGATOR

Wuxi People's Hospital

Zhenwen Zhang, PHD

Role: PRINCIPAL_INVESTIGATOR

Northern Jiangsu People's Hospital

Hongwei Ling, MD

Role: PRINCIPAL_INVESTIGATOR

The Affiliated Hospital of Xuzhou Medical University

Ning Xu, Bachelor

Role: PRINCIPAL_INVESTIGATOR

The First People's Hospital of Lianyungang

Yanmei Liu, MD

Role: PRINCIPAL_INVESTIGATOR

YANCHENG NO.1 PEOPLE'S HOSPITAL

Central Contacts

Fei Hua, PHD

Role: CONTACT

huafei1970@suda.edu.cn

+86-0519-68876242

Xiaolin Huang, PHD

Role: CONTACT

hxl4038@czfph.com

+86-0519-68876242

References

WHO Guidelines on Physical Activity and Sedentary Behaviour. Geneva: World Health Organization; 2020. Available from http://www.ncbi.nlm.nih.gov/books/NBK566045/

Reference Type: BACKGROUND

PMID: 33369898 (View on PubMed)

Wang Y, Mi J, Shan XY, Wang QJ, Ge KY. Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes (Lond). 2007 Jan;31(1):177-88. doi: 10.1038/sj.ijo.0803354. Epub 2006 May 2.

Reference Type: BACKGROUND

PMID: 16652128 (View on PubMed)

Wang Y, Xue H, Sun M, Zhu X, Zhao L, Yang Y. Prevention and control of obesity in China. Lancet Glob Health. 2019 Sep;7(9):e1166-e1167. doi: 10.1016/S2214-109X(19)30276-1. No abstract available.

Reference Type: BACKGROUND

PMID: 31401995 (View on PubMed)

Wang Y, Zhao L, Gao L, Pan A, Xue H. Health policy and public health implications of obesity in China. Lancet Diabetes Endocrinol. 2021 Jul;9(7):446-461. doi: 10.1016/S2213-8587(21)00118-2. Epub 2021 Jun 4.

Reference Type: BACKGROUND

PMID: 34097869 (View on PubMed)

Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, Nadolsky K, Pessah-Pollack R, Plodkowski R; Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITYEXECUTIVE SUMMARYComplete Guidelines available at https://www.aace.com/publications/guidelines. Endocr Pract. 2016 Jul;22(7):842-84. doi: 10.4158/EP161356.ESGL.

Reference Type: BACKGROUND

PMID: 27472012 (View on PubMed)

American Diabetes Association Professional Practice Committee. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022 Jan 1;45(Suppl 1):S17-S38. doi: 10.2337/dc22-S002.

Reference Type: RESULT

PMID: 34964875 (View on PubMed)

Other Identifiers

2023-science-150

Identifier Type: -

Identifier Source: org_study_id