ObesityPhase 2NCT03320941
A Dose-finding Study to Evaluate the Change in Weight After Treatment With LIK066 in Japanese Patients With Obesity
A Phase 2 study testing LIK066 in people with Obesity, run by Novartis Pharmaceuticals at 24 sites in Japan.
Trial summary
The purpose of the study is to evaluate the efficacy, tolerability and safety of LIK066 to support dose selection for Phase 3 development in Japanese adults with obesity disease. Read more about this study
- Who is it for?
- Ages 20 to 75 years
- Conditions the study is for
- Obesity
- What is being tested?
- LIK066
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 126 participants
- Where
- 24 sitesJapan
- Study dates
- 7 Dec 2017to 25 Jul 2018
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with obesity disease and inadequately controlled body weight with diet and/or exercise
- BMI ≥ 25 kg/m^2 combined with at least two obesity-related comorbidities, or BMI ≥ 35 kg/m^2 at least one obesity-related comorbidity
- Patients with FPG ≥ 110 mg/dL and/or 5.6% ≤ HbA1c ≤ 10.0%, or T2DM with HbA1c ≤ 10.0%
- Waist circumference at umbilical level ≥ 85 cm for male, ≥ 90 cm for female
- Visceral fat area ≥ 100 cm^2
- Agreement to comply with the study-required life-style intervention and treatment during the full duration of the study
Who cannot join
- Pregnancy or lactating women
- Use of pharmacologically active weight-loss medications
- Bariatric surgery
- Ketoacidosis, lactic acidosis, hyperosmolar coma
- Symptomatic genital ingection or urinary tract infection in the 4 weeks prior to screening
- Gastro-intestinal (GI) disorders associated with chronic diarrhea
- Congestive heart failure, New York Heart Association (NYHA) class III or IV
Trial locations and contacts
24 sites in 1 country.
24 sites in 1 country
Japan24 sites
Novartis Investigative Site
Ageo, Saitama, 362-8588
Novartis Investigative Site
Akashi, Hyōgo, 674-0081
Novartis Investigative Site
Chikushino-shi, Fukuoka, 818-0036
Novartis Investigative Site
Fukuoka, Fukuoka, 810-0066
Novartis Investigative Site
Fukuoka, Fukuoka, 819-0006
Novartis Investigative Site
Hachiōji, Tokyo, 192-0046
Novartis Investigative Site
Higashiosaka, Osaka, 577-0802
Novartis Investigative Site
Higashiosaka, Osaka, 577-0803
Novartis Investigative Site
Kakogawa, Hyōgo, 675-0101
Novartis Investigative Site
Kawaguchi, Saitama, 332 0021
Novartis Investigative Site
Kitakyushu, Fukuoka, 807-0857
Novartis Investigative Site
Kiyose, Tokyo, 204-0021
Novartis Investigative Site
Kumamoto, Kumamoto, 860-0863
Novartis Investigative Site
Kumamoto, Kumamoto, 860-8039
Novartis Investigative Site
Kyoto, Kyoto, 600-8898
Novartis Investigative Site
Kyoto, Kyoto, 615-8125
Novartis Investigative Site
Matsudo, Chiba, 271 0077
Novartis Investigative Site
Minato-ku, Tokyo, 108-0075
Novartis Investigative Site
Nagasaki, Nagasaki, 850 0045
Novartis Investigative Site
Shinagawa-ku, Tokyo, 141-0032
Novartis Investigative Site
Tokorozawa, Saitama, 359-0042
Novartis Investigative Site
Tokorozawa, Saitama
Novartis Investigative Site
Toshima-ku, Tokyo, 171-0021
Novartis Investigative Site
Yokohama, Kanagawa, 231-0023
About this study
Official title: A Randomized, Double-blind, Dose-finding Study to Evaluate the Change in Weight After 12 Weeks Treatment With 4 Doses of LIK066 Compared to Placebo in Japanese Patients With Obesity Disease
The purpose of the study is to evaluate the efficacy, tolerability and safety of LIK066 to support dose selection for Phase 3 development in Japanese adults with obesity disease.
- Conditions
- Obesity
- Being tested
- LIK066, Placebo
- Keywords
- Obesity disease, Over weight, T2DM, interventional study, Weight loss
- Medical subject headings
- Obesity, Weight Loss
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LIK066Drug
LIK066 will be supplied in different doses as tablets to be taken orally daily.
PlaceboDrug
Placebo will be supplied as tablets to be taken daily orally.
| Study group | Role | What they receive |
|---|---|---|
| LIK066 2.5 mg | Experimental | Eligible patients randomized to this arm will receive LIK066 2.5 mg orally daily for 12 weeks. Receives: Drug: LIK066 |
| LIK066 10 mg | Experimental | Eligible patients randomized to this arm will receive LIK066 10 mg orally daily for 12 weeks. Receives: Drug: LIK066 |
| LIK066 25 mg | Experimental | Eligible patients randomized to this arm will receive LIK066 25 mg orally daily for 12 weeks. Receives: Drug: LIK066 |
| LIK066 50 mg | Experimental | Eligible patients randomized to this arm will receive LIK066 50 mg orally daily for 12 weeks. Receives: Drug: LIK066 |
| Placebo | Placebo comparator | Eligible patient randomized to this arm will receive LIK066 matching placebo orally daily for 12 weeks. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage Change From Baseline in Body Weight at Week 12
The dose-response relationship of LIK066 as measured by percent change from baseline in body weight relative to placebo after 12 weeks of treatment.
Measured: Baseline, Week 12
Secondary outcomes (18)
Responder Rates According to Percentage Decrease in Body Weight From Baseline to Week 12
The responder rates according to percentage decrease in body weight either ≥ 3%, ≥ 5% or ≥ 10%, from baseline at Week 12, for the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12 No Statistical Analysis for >=5% and >=10% was not calculated due to division by zero
Measured: Baseline, Week 12
Percentage Change From Baseline in Body Weight at Week 12 in Dysglycemic Participants and Participants With Type 2 Diabetes Mellitus (T2DM)
The dose-response relationship for weight loss in dysglycemic participants and participants with T2DM. Percentage change from baseline in body weight at Week 12.
Measured: Baseline, Week 12
Change From Baseline at Week 12 on Waist Circumference at Umbilical Level
Waist circumference will be measured to the nearest 0.1 cm in a standing position, at the end of a normal expiration, using a tape at the level of umbilicus. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Hemoglobin A1c (HbA1c)
HbA1c will be measured from a blood sample obtained and analyzed at a central laboratory. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Change From Baseline at Week 12 on Fasting Plasma Glucose (FPG)
FPG will be measured from a blood sample obtained after an overnight fast (at least 8h after last evening food intake) at a central laboratory. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Change From Baseline at Week 12 on Systolic Blood Pressure (SBP)
After the subject has been sitting for 5 minutes with the back supported and both feet placed on the floor, SBP will be measured three times using the automatic BP monitor and an appropriate size cuff. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Change From Baseline at Week 12 on Diastolic Blood Pressure (DBP)
After the subject has been sitting for 5 minutes with the back supported and both feet placed on the floor, DBP will be measured three times using the automatic BP monitor and an appropriate size cuff. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - Triglycerides (TG)
Fasting lipid profile (Triglycerides (TG)), will be measured on blood samples obtained after an overnight fast and analyzed at a central laboratory For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - Total Cholesterol
Fasting lipid profile (total cholesterol), will be measured on blood samples obtained after an overnight fast and analyzed at a central laboratory For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - High Density Lipoprotein (HDL)
Fasting lipid profile (HDL), will be measured on blood samples obtained after an overnight fast and analyzed at a central laboratory For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - Low Density Lipoprotein (LDL)
Fasting lipid profile (LDL), will be measured on blood samples obtained after an overnight fast and analyzed at a central laboratory For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percent Change From Baseline at Week 12 on High Sensitive C-reactive Protein (hsCRP)
High sensitivity CRP will be measured from a blood sample and analyzed at a central laboratory. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Change From Baseline in Uric Acid at Week 12
Uric acid will be measured from a blood sample and analyzed at a central laboratory. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Change From Baseline on Urine Albumin at Week 12
Urine albumin will be measured from urine sample and analyzed at a central laboratory. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Change From Baseline on Urine Albumin to Creatinine Ratio at Week 12
Urine albumin to creatinine ratio will be measured from urine sample and analyzed at a central laboratory. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percent Change From Baseline on Visceral Fat Area (VFA) at Week 12
VFA by CT scan will be measured at visits and evaluated centrally. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Percent Change From Baseline on Subcutaneous Fat Area (SFA) at Week 12
SFA by CT scan will be measured at visits and evaluated centrally. For the overall population and each of the subgroups (Dysglycemic and Type 2 Diabetes Mellitis (T2DM)) from Baseline to Week 12
Measured: Baseline, Week 12
Pharmacokinetics - Plasma Trough Concentrations of LIK066
Plasma trough concentrations of LIK066 were measured at Week 12 after daily administrations of LIK066 (2.5, 10, 25 and 50 mg).
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Oct 2017
- Study start7 Dec 2017
- Primary completion25 Jul 2018
- Study completion25 Jul 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 126 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03320941
- Sponsor's protocol ID
- CLIK066B1201
- Status last verified
- Jun 2024
- First submitted
- 22 Oct 2017
- Last updated
- 26 Jun 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Yokote K, Sano M, Tsumiyama I, Keefe D. Dose-dependent reduction in body weight with LIK066 (licogliflozin) treatment in Japanese patients with obesity. Diabetes Obes Metab. 2020 Jul;22(7):1102-1110. doi: 10.1111/dom.14006. Epub 2020 Mar 12.
PubMed 32072763
Study at a glance
From the registry record, last updated by the sponsor on 26 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Dose-finding Study to Evaluate the Change in Weight After 12 Weeks Treatment With 4 Doses of LIK066 Compared to Placebo in Japanese Patients With Obesity Disease
- ClinicalTrials.gov ID
- NCT03320941
- Acronym / sponsor ID
- CLIK066B1201
- Conditions
- Obesity
- Keywords
- Obesity disease, Over weight, T2DM, interventional study, Weight loss
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 126 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 7 Dec 2017 (actual)
- Primary completion
- 25 Jul 2018 (actual)
- Study completion
- 25 Jul 2018 (actual)
- First posted
- 25 Oct 2017 (actual)
- Results
- Posted 2 Oct 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to evaluate the efficacy, tolerability and safety of LIK066 to support dose selection for Phase 3 development in Japanese adults with obesity disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| LIK066 2.5 mg | Experimental | Drug: LIK066Eligible patients randomized to this arm will receive LIK066 2.5 mg orally daily for 12 weeks. |
| LIK066 10 mg | Experimental | Drug: LIK066Eligible patients randomized to this arm will receive LIK066 10 mg orally daily for 12 weeks. |
| LIK066 25 mg | Experimental | Drug: LIK066Eligible patients randomized to this arm will receive LIK066 25 mg orally daily for 12 weeks. |
| LIK066 50 mg | Experimental | Drug: LIK066Eligible patients randomized to this arm will receive LIK066 50 mg orally daily for 12 weeks. |
| Placebo | Placebo comparator | Drug: PlaceboEligible patient randomized to this arm will receive LIK066 matching placebo orally daily for 12 weeks. |
Who may qualify
- Ages
- 20 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patients with obesity disease and inadequately controlled body weight with diet and/or exercise
- BMI ≥ 25 kg/m^2 combined with at least two obesity-related comorbidities, or BMI ≥ 35 kg/m^2 at least one obesity-related comorbidity
- Patients with FPG ≥ 110 mg/dL and/or 5.6% ≤ HbA1c ≤ 10.0%, or T2DM with HbA1c ≤ 10.0%
- Waist circumference at umbilical level ≥ 85 cm for male, ≥ 90 cm for female
- Visceral fat area ≥ 100 cm^2
Key exclusion criteria (7 listed)
- Pregnancy or lactating women
- Use of pharmacologically active weight-loss medications
- Bariatric surgery
- Ketoacidosis, lactic acidosis, hyperosmolar coma
- Symptomatic genital ingection or urinary tract infection in the 4 weeks prior to screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LIK066LIK066 will be supplied in different doses as tablets to be taken orally daily. | Drug | LIK066 10 mg, LIK066 2.5 mg, LIK066 25 mg, LIK066 50 mg |
| PlaceboPlacebo will be supplied as tablets to be taken daily orally. | Drug | Placebo |
Primary outcome
Percentage Change From Baseline in Body Weight at Week 12
Time frame: Baseline, Week 12
The dose-response relationship of LIK066 as measured by percent change from baseline in body weight relative to placebo after 12 weeks of treatment.
18 secondary outcomes
Responder Rates According to Percentage Decrease in Body Weight From Baseline to Week 12
Time frame: Baseline, Week 12
Percentage Change From Baseline in Body Weight at Week 12 in Dysglycemic Participants and Participants With Type 2 Diabetes Mellitus (T2DM)
Time frame: Baseline, Week 12
Change From Baseline at Week 12 on Waist Circumference at Umbilical Level
Time frame: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Hemoglobin A1c (HbA1c)
Time frame: Baseline, Week 12
Change From Baseline at Week 12 on Fasting Plasma Glucose (FPG)
Time frame: Baseline, Week 12
Change From Baseline at Week 12 on Systolic Blood Pressure (SBP)
Time frame: Baseline, Week 12
Change From Baseline at Week 12 on Diastolic Blood Pressure (DBP)
Time frame: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - Triglycerides (TG)
Time frame: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - Total Cholesterol
Time frame: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - High Density Lipoprotein (HDL)
Time frame: Baseline, Week 12
Percentage Change From Baseline at Week 12 on Fasting Lipid Profile - Low Density Lipoprotein (LDL)
Time frame: Baseline, Week 12
Percent Change From Baseline at Week 12 on High Sensitive C-reactive Protein (hsCRP)
Time frame: Baseline, Week 12
Change From Baseline in Uric Acid at Week 12
Time frame: Baseline, Week 12
Change From Baseline on Urine Albumin at Week 12
Time frame: Baseline, Week 12
Change From Baseline on Urine Albumin to Creatinine Ratio at Week 12
Time frame: Baseline, Week 12
Percent Change From Baseline on Visceral Fat Area (VFA) at Week 12
Time frame: Baseline, Week 12
Percent Change From Baseline on Subcutaneous Fat Area (SFA) at Week 12
Time frame: Baseline, Week 12
Pharmacokinetics - Plasma Trough Concentrations of LIK066
Time frame: Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jun 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32072763Yokote K, Sano M, Tsumiyama I, Keefe D. Dose-dependent reduction in body weight with LIK066 (licogliflozin) treatment in Japanese patients with obesity. Diabetes Obes Metab. 2020 Jul;22(7):1102-1110. doi: 10.1111/dom.14006. Epub 2020 Mar 12.
- A Plain Language Trial Summary is available on novartisclinicatrials.comLink provided by the sponsor.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
24 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing LIK066 in people with Obesity, run by Novartis Pharmaceuticals at 24 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 24 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 2 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage Change From Baseline in Body Weight at Week 12 (time frame: Baseline, Week 12). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03320941, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2024.