Clinical trial • Phase II • Endocrinology
Humanised IgG1 monoclonal antibody against human latent myostatin for Obesity | Overweight
Phase II trial of Humanised IgG1 monoclonal antibody against human latent myostatin for Obesity | Overweight.
Overview
- Trial Therapeutic Area
- Endocrinology
- Trial Disease
- Obesity | Overweight
- Trial Stage
- Phase II
- Drug Modality
- Monoclonal antibody | Peptide/protein/enzyme
Key dates
- Initial CTIS Submission Date
- 04-03-2025
- First CTIS Authorization Date
- 09-06-2025
Trial design
Randomised, tirzepatide + placebo (placebo for ro7204239). tirzepatide is provided as mounjaro preparations (products listed for 2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg kwikpen), dosing per protocol (specific schedule not stated in provided data).-controlled Phase II trial across 17 sites in Spain, Poland.
- Randomised
- Yes
- Comparator
- Tirzepatide + placebo (placebo for RO7204239). Tirzepatide is provided as Mounjaro preparations (products listed for 2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg KwikPen), dosing per protocol (specific schedule not stated in provided data).
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 156
- Trial Duration For Participant
- 336
Eligibility
Recruits 156 Vulnerable population selected (isVulnerablePopulationSelected = true). Consent requirement: "Able and willing to provide written informed consent, to participate in all scheduled assessments, and to comply with the study protocol according to ICH and local regulations." No assent process for minors is described; participants must be aged 18 and above..
- Pregnancy Exclusion
- Pregnant or breastfeeding, or with intention of becoming pregnant during the study or within the timeframe in which contraception is required
- Vulnerable Population
- Vulnerable population selected (isVulnerablePopulationSelected = true). Consent requirement: "Able and willing to provide written informed consent, to participate in all scheduled assessments, and to comply with the study protocol according to ICH and local regulations." No assent process for minors is described; participants must be aged 18 and above.
Inclusion criteria
- {"criterion_text":"- Able and willing to provide written informed consent, to participate in all scheduled assessments, and to comply with the study protocol according to ICH and local regulations\n- Male or female participants, aged 18 and above at the time of signing the ICF.\n- BMI ≥ 27.0 kg/m² and <30.0 kg/m² with at least one weight-related comorbidity such as hypertension, dyslipidemia, diagnosis of obstructive sleep apnea, cardiovascular disease\n- History of at least one self-reported unsuccessful dietary or exercise effort to lose body weight\n- Weight stability: self-reported change in body weight less than 5 kg (11 lbs) within 3 months prior to screening\n- Agreement to adhere to the contraception requirements"}
Exclusion criteria
- {"criterion_text":"- Pregnant or breastfeeding, or with intention of becoming pregnant during the study or within the timeframe in which contraception is required\n- Prior history or diagnosis of diabetes mellitus (T1DM, T2DM, or rare forms of diabetes mellitus) or historical or screening laboratory values suggestive of diabetes mellitus, defined as 1 or more values of HbA1c ≥ 6.5% (48 mmol/mol), fasting plasma glucose ≥ 126 mg/dL (7.0 mmol/L), or random glucose ≥ 200 mg/dL (11.1 mmol/L)\n- Have obesity induced by other endocrinologic disorders (e.g., Cushing’s syndrome) or diagnosed monogenetic or syndromic forms of obesity (e.g., melanocortin 4 receptor deficiency [MC4R] or Prader–Willi Syndrome).\n- Participation in unbalanced/extreme diets (e.g., very low calorie, low carbohydrate, very high protein, ketogenic diets) or in an organized weight reduction program within 3 months of the screening visit or plans to engage in such diets or programs during the study.\n- Have any of the following cardiovascular conditions within 6 months prior to screening: a) Acute myocardial infarction, b) Cerebrovascular accident (stroke), c) Unstable angina, or d) Hospitalization due to congestive heart failure.\n- Have a history of NYHA Functional Classification III or IV congestive heart failure"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Percent (%) change in body weight from baseline at Week 48","definition_or_measurement_approach":"Percent change in body weight from baseline measured at Week 48 (body weight measurement compared to baseline)."}
Secondary endpoints
- {"endpoint_text":"- Change from baseline at Week 48 Absolute change in body weight (kg)","definition_or_measurement_approach":"Absolute change in body weight (kg) from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 Change in body mass index (BMI) (kg/m2)","definition_or_measurement_approach":"Change in BMI (kg/m2) from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 Waist-to-height ratio","definition_or_measurement_approach":"Change in waist-to-height ratio from baseline to Week 48 (waist circumference divided by height)."}
- {"endpoint_text":"- Change from baseline at Week 48 Waist circumference","definition_or_measurement_approach":"Change in waist circumference from baseline to Week 48 (measured circumference in cm)."}
- {"endpoint_text":"- Change from baseline at Week 48 in Total body fat mass (kg and %) by dual-energy x-ray absorptiometry (DXA)","definition_or_measurement_approach":"Total body fat mass (kg and %) measured by DXA; change from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 in Total lean body mass (kg and %) by DXA","definition_or_measurement_approach":"Total lean body mass (kg and %) measured by DXA; change from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 in Appendicular lean mass (kg and %) by DXA","definition_or_measurement_approach":"Appendicular lean mass (kg and %) measured by DXA; change from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 in Muscle volume (%) by magnetic resonance imaging (MRI)","definition_or_measurement_approach":"Muscle volume (%) measured by MRI; change from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 in Muscle fat infiltration (%) by MRI","definition_or_measurement_approach":"Muscle fat infiltration (%) measured by MRI; change from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 in the following markers Glucose metabolism: glycated hemoglobin (HbA1c), fasting plasma glucose, fasting C-peptide, and fasting insulin; Homeostasis Model Assessment of Insulin Resistance (HOMA-IR); Quantitative Insulin Sensitivity Check Index (QUICKI)","definition_or_measurement_approach":"Changes in glucose metabolism markers (HbA1c, fasting plasma glucose, fasting C-peptide, fasting insulin) and derived indices (HOMA-IR, QUICKI) from baseline to Week 48."}
- {"endpoint_text":"- Change from baseline at Week 48 in the following markers Fasting lipid profile: total cholesterol, triglycerides, low-density lipoprotein (LDL), high-density lipoprotein (HDL), non-HDL cholesterol","definition_or_measurement_approach":"Changes in fasting lipid profile (total cholesterol, triglycerides, LDL, HDL, non-HDL cholesterol) from baseline to Week 48."}
- {"endpoint_text":"- Incidence, severity, and causal relationship of AEs as reported by the Investigator, with severity determined according to National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 (NCI CTCAE, v5.0)","definition_or_measurement_approach":"Adverse events reported by Investigator; severity graded per NCI CTCAE v5.0; incidence and investigator-assessed causality recorded."}
- {"endpoint_text":"- Change from baseline in vital signs, physical findings, ECG, and clinical laboratory results","definition_or_measurement_approach":"Changes in vital signs, physical exam findings, ECG parameters and laboratory tests from baseline (schedule unspecified here)."}
- {"endpoint_text":"- Incidence of local and systemic injection reactions","definition_or_measurement_approach":"Incidence of injection site reactions and systemic injection-related reactions reported during the study."}
- {"endpoint_text":"- Incidence of abnormal laboratory findings","definition_or_measurement_approach":"Incidence of clinically significant abnormal laboratory values during the study."}
- {"endpoint_text":"- Incidence of abnormal ECG parameters","definition_or_measurement_approach":"Incidence of abnormal ECG findings during the study."}
- {"endpoint_text":"- Incidence of abnormal vital signs","definition_or_measurement_approach":"Incidence of clinically significant abnormal vital signs during the study."}
- {"endpoint_text":"- Serum concentrations of RO7204239 at specified timepoints","definition_or_measurement_approach":"RO7204239 serum concentration measurements at specified study timepoints (PK sampling schedule not specified here)."}
- {"endpoint_text":"- PK parameters of RO7204239 including Ctrough,ss and t1/2 (if appropriate)","definition_or_measurement_approach":"Pharmacokinetic parameters for RO7204239 including trough concentration at steady state (Ctrough,ss) and half-life (t1/2) if applicable."}
- {"endpoint_text":"- Estimated PK parameters of RO7204239 using a population-PK model including AUCtau,ss, Cmax,ss, CL/F, and Vd/F","definition_or_measurement_approach":"Population PK modelling to estimate AUCtau,ss, Cmax,ss, apparent clearance (CL/F) and apparent volume of distribution (Vd/F) for RO7204239."}
- {"endpoint_text":"- Prevalence of anti-drug antibodies (ADAs) at baseline and incidence of ADAs during the study","definition_or_measurement_approach":"Assessment of anti-drug antibodies prevalence at baseline and incidence of ADA development during the study."}
Recruitment
- Planned Sample Size
- 156
- Recruitment Window Months
- 27
- Consent Approach
- Written informed consent required from each participant: "Able and willing to provide written informed consent, to participate in all scheduled assessments, and to comply with the study protocol according to ICH and local regulations." Participants must be 18 years or older. Subject information and informed consent form documents are available (documents include English, Spanish and Polish translations in the submission). No assent process for minors is described.
Geography
- Total Number Of Sites
- 17
- Total Number Of Participants
- 78
Spain
- Earliest CTIS Part Ii Submission Date
- 19-05-2025
- Latest Decision Or Authorization Date
- 09-06-2025
- Processing Time Days
- 21
- Number Of Sites
- 10
- Number Of Participants
- 39
Sites
- Site Name
- Hospital Universitario Marques De Valdecilla
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Luis Alberto Vazquez Salvi
- Principal Investigator Email
- luisalberto.vazquez@scsalud.es
- Contact Person Name
- Luis Alberto Vazquez Salvi
- Contact Person Email
- luisalberto.vazquez@scsalud.es
- Site Name
- Hospital Clinico San Carlos
- Department Name
- Servicio de Endocrinología, Metabolismo y Nutrición
- Principal Investigator Name
- Miguel Angel Rubio Herrera
- Principal Investigator Email
- miguelangel.rubio@salud.madrid.org
- Contact Person Name
- Miguel Angel Rubio Herrera
- Contact Person Email
- miguelangel.rubio@salud.madrid.org
- Site Name
- Hospital Universitari Vall D Hebron
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Andreea Ciudin Mihai
- Principal Investigator Email
- andreea.ciudin@vhir.org
- Contact Person Name
- Andreea Ciudin Mihai
- Contact Person Email
- andreea.ciudin@vhir.org
- Site Name
- Instituto Medico Quirurgico San Rafael S.A.
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Alfonso Soto Gonzalez
- Principal Investigator Email
- asotog30@outlook.es
- Contact Person Name
- Alfonso Soto Gonzalez
- Contact Person Email
- asotog30@outlook.es
- Site Name
- Area Sanitaria De Ferrol
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Diego Bellido Guerrero
- Principal Investigator Email
- diegobellido@endofer.com
- Contact Person Name
- Diego Bellido Guerrero
- Contact Person Email
- diegobellido@endofer.com
- Site Name
- Hospital Universitario Virgen De La Victoria
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Francisco Jose Tinahones Madueno
- Principal Investigator Email
- fjtinahones@hotmail.com
- Contact Person Name
- Francisco Jose Tinahones Madueno
- Contact Person Email
- fjtinahones@hotmail.com
- Site Name
- Hospital General Universitario Gregorio Maranon
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Maria Olga Gonzalez Albarran
- Principal Investigator Email
- ogonzaleza@salud.madrid.org
- Contact Person Name
- Maria Olga Gonzalez Albarran
- Contact Person Email
- ogonzaleza@salud.madrid.org
- Site Name
- Hospital Nisa Sevilla Aljarafe
- Department Name
- Unidad de Salud Metabólica, Diabetes y Obesidad
- Principal Investigator Name
- Cristobal Jesus Morales Portillo
- Principal Investigator Email
- endocmsalud@gmail.com
- Contact Person Name
- Cristobal Jesus Morales Portillo
- Contact Person Email
- endocmsalud@gmail.com
- Site Name
- Hospital Universitario Virgen De La Macarena
- Department Name
- Servicio de Endocrinología y Nutrición
- Principal Investigator Name
- Maria Asuncion Martinez Brocca
- Principal Investigator Email
- masuncion.martinez.sspa@juntadeandalucia.es
- Contact Person Name
- Maria Asuncion Martinez Brocca
- Contact Person Email
- masuncion.martinez.sspa@juntadeandalucia.es
- Site Name
- Hospital Clinico (Castilleja De La Cuesta) / Hospital Nisa Sevilla Aljarafe (site listed as Hospital Nisa Sevilla Aljarafe)
- Department Name
- Servicio de Endocrinología / Unidad de Salud Metabólica, Diabetes y Obesidad
- Principal Investigator Name
- Cristobal Jesus Morales Portillo
- Principal Investigator Email
- endocmsalud@gmail.com
- Contact Person Name
- Cristobal Jesus Morales Portillo
- Contact Person Email
- endocmsalud@gmail.com
Poland
- Earliest CTIS Part Ii Submission Date
- 16-05-2025
- Latest Decision Or Authorization Date
- 23-06-2025
- Processing Time Days
- 38
- Number Of Sites
- 7
- Number Of Participants
- 39
Sites
- Site Name
- Ekamed Sp. z o.o.
- Department Name
- Centrum Medyczne EKAMED
- Principal Investigator Name
- Ewa Szyprowska
- Principal Investigator Email
- ekamed@ekamed.pl
- Contact Person Name
- Ewa Szyprowska
- Contact Person Email
- ekamed@ekamed.pl
- Site Name
- Centrum Badan Klinicznych Pi-House Sp. z o.o.
- Department Name
- Centrum Badan Klinicznych PI-House
- Principal Investigator Name
- Monika Lukaszewicz
- Principal Investigator Email
- pihouse@pihouse.pl
- Contact Person Name
- Monika Lukaszewicz
- Contact Person Email
- pihouse@pihouse.pl
- Site Name
- Centrum Badan Klinicznych Piotr Napora Lekarze sp.p.
- Department Name
- CBK Piotr Napora Lekarze sp. p. Centrum Badan Klinicznych Osrodek Badan Wczesnej Fazy
- Principal Investigator Name
- Piotr Napora
- Principal Investigator Email
- napora.piotr@cbk.wroc.pl
- Contact Person Name
- Piotr Napora
- Contact Person Email
- napora.piotr@cbk.wroc.pl
- Site Name
- Centrum Terapii Wspolczesnej J.M. Jasnorzewska S.K.A.
- Department Name
- Centrum Terapii Wspolczesnej
- Principal Investigator Name
- Malgorzata Jozefowska
- Principal Investigator Email
- biuro@ctw.com.pl
- Contact Person Name
- Malgorzata Jozefowska
- Contact Person Email
- biuro@ctw.com.pl
- Site Name
- Centrum Medyczne All-Med Badania Kliniczne
- Department Name
- CENTRUM MEDYCZNE „ALL-MED”
- Principal Investigator Name
- Grazyna Pulka
- Principal Investigator Email
- allmedpl@gmail.com
- Contact Person Name
- Grazyna Pulka
- Contact Person Email
- allmedpl@gmail.com
- Site Name
- Etg Warszawa Sp. z o.o.
- Department Name
- ETG Warszawa
- Principal Investigator Name
- Agnieszka Tiuryn-Petrulewicz
- Principal Investigator Email
- warszawa@etg-network.com
- Contact Person Name
- Agnieszka Tiuryn-Petrulewicz
- Contact Person Email
- warszawa@etg-network.com
- Site Name
- Centrum Medyczne All-Med / (additional listed Polish sites)
- Department Name
- See site-specific entries
- Contact Person Name
- See site-specific entries
- Contact Person Email
- See site-specific entries
Sponsor
Primary sponsor
- Full Name
- F. Hoffmann-La Roche AG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- Icon Clinical Research Limited
- Responsibilities
- Main CRO
Third parties
- {"country":"United Kingdom","full_name":"Q2q Communications Limited","duties_or_roles":"Event Management - Investigator Meeting","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Almac Clinical Technologies LLC","duties_or_roles":"IXRS provider","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient payment services (travel, accom. stipends)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"ECG Provider","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Main CRO","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Central Imaging Provider","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Actigraph LLC","duties_or_roles":"Wearable device - sensor technology - movement data collection","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- RO7204239
- Active Substance
- Humanised IgG1 monoclonal antibody against human latent myostatin
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous injection
- Route
- Subcutaneous injection
- Authorisation Status
- Investigational (no marketing authorisation indicated in submission data)
- Investigational Product Name
- RO7204239 Placebo
- Modality
- Other
- Investigational Product Name
- Tirzepatide (Mounjaro)
- Active Substance
- Tirzepatide
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Subcutaneous injection (pre-filled pen)
- Route
- Subcutaneous injection
- Authorisation Status
- Authorised (marketing authorisation numbers provided for Mounjaro products)
- Dose Levels
- 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg
- Maximum Dose
- 15 mg
- Combination Treatment
- Yes
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