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
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
Contact Person Name
Maria Asuncion Martinez Brocca
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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