Clinical trial • Endocrinology

Pramlintide acetate for Obesity | Prediabetes

Clinical trial of Pramlintide acetate for Obesity | Prediabetes.

Overview

Trial Therapeutic Area
Endocrinology
Trial Disease
Obesity | Prediabetes
Drug Modality
Peptide/protein/enzyme|Peptide/protein/enzyme|Small molecule

Key dates

Initial CTIS Submission Date
26-08-2024

Trial design

Semaglutide — productName: SEMAGLUTIDE; route: subcutaneous injection; dose information in CTIS: max daily amount 0.34 mg, max total amount 2.4 mg (units and dosing schedule as provided in product entry; no detailed schedule specified in CTIS record).-controlled trial across 1 site in Denmark.

Comparator
Semaglutide — productName: SEMAGLUTIDE; route: subcutaneous injection; dose information in CTIS: max daily amount 0.34 mg, max total amount 2.4 mg (units and dosing schedule as provided in product entry; no detailed schedule specified in CTIS record).
Target Sample Size
40
Trial Duration For Participant
182

Eligibility

Recruits 40 Vulnerable population not selected (isVulnerablePopulationSelected=false). Subject information and informed consent forms are provided (multiple ICF documents available). No assent or special paediatric consent procedures indicated..

Pregnancy Exclusion
Negative pregnancy test, and willing to use contraceptives during the study period
Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected=false). Subject information and informed consent forms are provided (multiple ICF documents available). No assent or special paediatric consent procedures indicated.

Inclusion criteria

  • {"criterion_text":"- BMI ≧ 30kg/m2\n- Pre-diabetes (HbA1c 39-47 mmol/mol)\n- Male or female\n- Aged >18 years of age\n- Negative pregnancy test, and willing to use contraceptives during the study period"}

Exclusion criteria

  • {"criterion_text":"- Presence of diabetes with or without treatment.\n- Recent (<3 months) weight loss ≧ 1% of body weight.\n- Presence of Binge eating disorder.\n- Current or recent (<6 months) treatment with GLP1 RA’s.\n- Previous gastrointestinal surgery that might affect gastric emptying, nutritional absorption and postprandial GI peptide production.\n- History of acute or chronic pancreatitis.\n- Chronic kidney disease.\n- Use of any antipsychotic drugs.\n- Use of any antiresorptive or bone-anabolic drugs or fractures within < 6 months.\n- Use of systemic oral glucocorticoids within < 6 months.\n- Newly (< 3 months) initiated hormonal contraceptive or other hormone therapy."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in kilocalorie (kCal) consumption at ad libitum meal test, from baseline, to after 25 weeks, and after 26 weeks of semaglutide treatment, of which the last week is with the addition of pramlintide.","definition_or_measurement_approach":"Measured as change in kilocalorie (kCal) consumption during an ad libitum meal test at baseline, after 25 weeks of treatment, and after 26 weeks (the last week includes addition of pramlintide)."}

Secondary endpoints

  • {"endpoint_text":"- Total weight loss from baseline, after 25 weeks, and at the end of the study, both as kg and as % of total body weight","definition_or_measurement_approach":"Measured change in body weight from baseline at 25 weeks and at end of study, reported in kilograms and percent of baseline body weight."}
  • {"endpoint_text":"- Difference in total weight loss between the phenotypes","definition_or_measurement_approach":"Comparison of total weight loss between predefined obesity phenotypes (phenotyping details in protocol)."}
  • {"endpoint_text":"- Change in appetite and satiety sensations as measured by VAS prior to and following the meal tests performed at baseline, after 25 weeks, and at the end of the study","definition_or_measurement_approach":"Appetite and satiety assessed using Visual Analogue Scales (VAS) before and after meal tests at baseline, 25 weeks, and end of study."}
  • {"endpoint_text":"- Change in gastric emptying rate assessed by paracetamol test performed at baseline, after 25 weeks, and at the end of the study","definition_or_measurement_approach":"Gastric emptying rate measured using the paracetamol absorption test at baseline, 25 weeks, and end of study."}

Recruitment

Planned Sample Size
40
Recruitment Window Months
12
Consent Approach
Informed consent will be obtained from participants. Multiple subject information and informed consent form documents are listed in the CTIS record (ICF and related participant information documents). Participants are adults (Aged >18 years of age); no paediatric assent described. Specific languages or multi-language provisions are not specified in the available record.

Geography

Total Number Of Sites
1
Total Number Of Participants
40

Denmark

Earliest CTIS Part Ii Submission Date
14-11-2024
Latest Decision Or Authorization Date
03-12-2024
Processing Time Days
19
Number Of Sites
1
Number Of Participants
40

Sites

Site Name
Esbjerg Og Grindsted Sygehus
Department Name
Endocrinology
Principal Investigator Name
Claus Bogh Juhl
Principal Investigator Email
claus.bogh.juhl@rsyd.dk
Contact Person Name
Claus Bogh Juhl
Contact Person Email
claus.bogh.juhl@rsyd.dk
Number Of Participants
40

Sponsor

Primary sponsor

Full Name
Esbjerg Sygehus
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"sponsorDuties code: 1 (as listed in CTIS thirdParties)","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
PRAMLINTIDE ACETATE
Active Substance
Pramlintide acetate
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
SUBCUTANEOUS
Authorisation Status
prodAuthStatus 1; evCode PRD11528954; miaNumber DK H 10000522
Maximum Dose
360 µg daily (max total amount listed: 1980 µg)
Investigational Product Name
SEMAGLUTIDE
Active Substance
Semaglutide
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
prodAuthStatus 2; marketingAuthNumber: - (listed in product dictionary)
Maximum Dose
0.34 mg daily (max total amount listed: 2.4 mg)
Investigational Product Name
PARACETAMOL
Active Substance
Paracetamol
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
prodAuthStatus 2; euMpNumber SUB09611MIG
Maximum Dose
4 g daily (max total amount listed: 4 g)
Combination Treatment
Yes

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