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ObesityPhase 2NCT04667377

A Study to Test Whether Different Doses of BI 456906 Help People With Overweight or Obesity to Lose Weight

A Phase 2 study testing BI 456906 in people with Obesity, run by Boehringer Ingelheim at 43 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is open to adults, aged 18 to 75 years, with overweight or obesity. People with body mass index (BMI) of 27 or higher to join the study. People who have diabetes cannot participate. The purpose of this study is to find out whether a medicine called BI 456906 helps people lose weight. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Obesity
What is being tested?
BI 456906
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
387 participants
Where
43 sitesin 12 countries
Study dates
8 Mar 2021to 7 Oct 2022
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult ≥ 18 years and < 75 years of age at screening
  • Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
  • Obesity or Overweight defined as BMI ≥27 kg/m2 at screening
  • A minimum absolute body weight of 70 kg for females and 80 kg for males at screening
  • Male or female participants. Women of childbearing potential (WOCBP)1 must be willing and able to use two forms of effective contraception where at least one form is highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information.
  • Patients must have undergone at least one previous unsuccessful nonsurgical weight-loss attempt per investigator's judgement

Who cannot join

  • Body weight change of over +/- 5% or more in the past 12 weeks prior to randomization. There must be documentation of weight in the past 12 weeks before randomization.
  • Obesity induced by an endocrinologic disorder (i.e. Cushing Syndrome, hypogonadism, growh hormone deficiency. However, well controlled hypothyroidism, polycystic ovarian disease are still allowed)
  • A HbA1c ≥ 6.5% at screening or diagnosed with type 1 or type 2 diabetes mellitus
  • Exposure to Glucagon like peptide-1 receptor agonist (GLP-1Ra) based therapies within three months prior to screening
  • Any suicidal behaviour in the past 2 years, any suicidal ideation of type 4 or 5 in the Columbia-Suicide Severity Rating Scale (CSSRS) within 3 months before screening, or during screening period
  • History of major depressive disorder within 2 years before randomization
Show all 10Show fewer
  • Major depressive symptoms (defined as a screening Patient Health Questionnaire-9 [PHQ-9] score ≥15) at screening and/or during screening period
  • Diseases of the central nervous system (including but not limited to any kind of seizures or stroke), and other relevant neurological or psychiatric disorders at screening
  • Chronic or relevant acute infections (including but not limited to respiratory tract infections, urinary tract infection, bladder infection, enterocolitis, abscess, tuberculosis, meningitis, influenza, Epstein-Barr virus, HIV/AIDS, and hepatitis B or C, and severe acute respiratory syndrome coronavirus type 19 (SARS CoV-2) (as confirmed by Polychain reaction (PCR) test)), within 2 weeks from screening or during screening.
  • Further exclusion criteria apply

Trial locations and contacts

43 sites in 12 countries.

43 sites in 12 countries

United States10 sites
  • Washington Center for Weight Management and Research, Inc.

    Arlington, Virginia, 22206

  • Velocity Clinical Research, Inc.

    Cleveland, Ohio, 44122

  • TLM Medical Services, LLC

    Columbia, South Carolina, 29204

  • Valley Weight Loss Clinic

    Fargo, North Dakota, 58104

  • L-MARC Research Center

    Louisville, Kentucky, 40213

  • Lucas Research, Inc.

    Morehead City, North Carolina, 28557

  • Coastal Carolina Research Center

    North Charleston, South Carolina, 29405

  • Diablo Clinical Research

    Walnut Creek, California, 94598

  • Allegiance Research Specialists

    Wauwatosa, Wisconsin, 53226

  • PMG Research of Wilmington, LLC

    Wilmington, North Carolina, 28401

Other trials in United States

Australia5 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • The Boden Initiative

    Camperdown, New South Wales, 2006

  • Eastern Clinical Research Unit

    East Ringwood, Victoria, 3135

  • Austin Health

    Heidelberg, Victoria, 3081

  • Nepean Hospital

    Kingswood, New South Wales, 2747

Other trials in Australia

Canada5 sites
  • Joanne F Liutkus Medicine Professional Corporation

    Cambridge, Ontario, N3H 4L5

  • Recherche GCP Research

    Montreal, Quebec, H1M 1B1

  • Bluewater Clinical Research

    Sarnia, Ontario, N7T 4X3

  • Canadian Phase Onward Inc.

    Toronto, Ontario, M3J 0K2

  • LMC Clinical Research Inc. (Bayview)

    Toronto, Ontario, M4G 3E8

Other trials in Canada

China4 sites
  • Beijing Chao-Yang Hospital

    Beijing, 100020

  • Beijing Luhe Hospital Capital Medical University

    Beijing, 101199

  • The First Hospital of Jilin University

    Changchun, 130021

  • Wuhan Union Hospital

    Wuhan, 430022

Other trials in China

Netherlands4 sites
  • EB Flevoresearch

    Almere Stad, 1311 RL

  • PT & R

    Beek, 6191 JW

  • Franciscus Gasthuis

    Rotterdam, 3045 PM

  • Albert SchweitzerZiekenhuis

    Zwijndrecht, 3331 LZ

Other trials in Netherlands

South Korea3 sites
  • Seoul National University Bundang Hospital

    Seongnam, 13620

  • Kyung Hee University Hospital at Gangdong

    Seoul, 05278

  • The Catholic University of Korea, Yeouido St.Mary's Hospital

    Seoul, 07345

Other trials in South Korea

Sweden3 sites
  • Ladulaas Kliniska Studier

    Borås, 506 30

  • Forskningsenheten Carlanderska

    Gothenburg, 40545

  • Akademiska sjukhuset

    Uppsala, 751 85

Other trials in Sweden

Germany2 sites
  • Klinische Forschung Berlin GbR

    Berlin, 10787

  • Universitätsklinikum Carl Gustav Carus Dresden

    Dresden, 01307

Other trials in Germany

New Zealand2 sites
  • Optimal Clinical Trials

    Auckland, 1010

  • P3 Research

    Newtown Wellington NZ, 6021

Other trials in New Zealand

Poland2 sites
  • Salvia Lekston I Madej Sp. J.

    Katowice, 40772

  • Metabolic Health Center Pawel Bogdanski

    Poznan, 60592

Other trials in Poland

United Kingdom2 sites
  • Waterloo Medical Centre

    Blackpool, FY4 3AD

  • Clifton Medical Centre, Rotherham

    Rotherham, S65 1DA

Other trials in United Kingdom

Belgium1 site
  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

About this study

Official title: A Phase II, Randomized, Double Blind, Parallel Group,46 Weeks Dose-finding Study of BI 456906 Administered Once Weekly Subcutaneously Compared With Placebo in Patients With Obesity or Overweight

This study is open to adults, aged 18 to 75 years, with overweight or obesity. People with body mass index (BMI) of 27 or higher to join the study. People who have diabetes cannot participate. The purpose of this study is to find out whether a medicine called BI 456906 helps people lose weight.

Participants are put into 5 groups by chance. 4 groups get different doses of BI 456906. The fifth group gets placebo. Participants get BI 456906 or placebo as injections under the skin once a week. Placebo injections look like BI 456906 injections but do not contain any medicine.

Participants are in the study for about a year. During this time, there are about 20 in-person visits to the study site. At the study site visits, doctors measure participants' body weight. Results are compared between the BI 456906 groups and the placebo group. The doctors also regularly check the general health of the participants.

Conditions
Obesity
Being tested
BI 456906, Placebo
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 456906Drug

    Also called Survodutide

    BI 456906

  • PlaceboDrug

    Placebo

Study groups in NCT04667377
Study groupRoleWhat they receive
0.6 mg BI 456906ExperimentalNot described
Receives: Drug: BI 456906
Placebo groupPlacebo comparatorNot described
Receives: Drug: Placebo
2.4 mg BI456906ExperimentalNot described
Receives: Drug: BI 456906
3.6 mg BI 456906ExperimentalNot described
Receives: Drug: BI 456906
4.8 mg BI 456906ExperimentalNot described
Receives: Drug: BI 456906

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage Change in Body Weight From Baseline to Week 46

    Percentage change in body weight from baseline to Week 46 was modeled using a mixed model for repeated measures (MMRM) with fixed effects for baseline body weight as a continuous linear covariate, and treatment, gender, visit, treatment by visit interaction and baseline by visit interaction as factors, using visit (Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46) as repeated measures, an unstructured covariance matrix to model within subject measurements, adjusted mean (standard error) at Week 46 is reported. For analysis, all available post-baseline body weight measurements (on- and off-treatment) were used, except those for participants who discontinued treatment early due to COVID-19. For these participants only on-treatment values were used. That is, a hypothetical strategy was used for intercurrent event (ICE) "COVID-19 pandemic-related early treatment discontinuation", a treatment policy strategy for ICE "non-pandemic-related early treatment discontinuation".

    Measured: Baseline, Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46.

Secondary outcomes (7)
  1. Weight Loss of ≥ 5% of Baseline Weight at Week 46

    Weight loss of greater than or equal to 5 percent (≥5%) of baseline weight at Week 46 (yes/no), reported as percentage of participants who achieved a weight loss of ≥5% of baseline weight at Week 46. For analysis, all available post-baseline body weight measurements (on- and off-treatment) were used, except those for participants who discontinued treatment early due to COVID-19. For these participants only on-treatment values were used. Percentages were rounded to one decimal place.

    Measured: At baseline and at Week 46.

  2. Weight Loss of ≥ 10% of Baseline Weight at Week 46

    Weight loss of greater than or equal to 10 percent (≥10%) of baseline weight at Week 46 (yes/no), reported as percentage of participants who achieved a weight loss of ≥10% of baseline weight at Week 46. For analysis, all available post-baseline body weight measurements (on- and off-treatment) were used, except those for participants who discontinued treatment early due to COVID-19. For these participants only on-treatment values were used. Percentages were rounded to one decimal place.

    Measured: At baseline and at Week 46.

  3. Weight Loss of ≥ 15% of Baseline Weight at Week 46

    Weight loss of greater than or equal to 15 percent (≥15%) of baseline weight at Week 46 (yes/no), reported as percentage of participants who achieved a weight loss of ≥15% of baseline weight at Week 46. For analysis, all available post-baseline body weight measurements (on- and off-treatment) were used, except those for participants who discontinued treatment early due to COVID-19. For these participants only on-treatment values were used. Percentages were rounded to one decimal place.

    Measured: At baseline and at Week 46.

  4. Absolute Change in Body Weight From Baseline to Week 46

    Absolute change in body weight from baseline to Week 46 was modeled using a mixed model for repeated measures (MMRM) with fixed effects for baseline body weight as a continuous linear covariate, and treatment, gender, visit, treatment by visit interaction and baseline by visit interaction as factors, using visit (Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46) as repeated measures and an unstructured covariance matrix to model within subject measurements, adjusted mean (standard error) at Week 46 is reported. MMRM analysis was performed on the FAS, using planned maintenance treatment (dose assigned at randomisation) and including only on-treatment data, regardless of whether early treatment discontinuation was COVID-19 related.

    Measured: Baseline, Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46.

  5. Absolute Change in Waist Circumference From Baseline to Week 46

    Absolute change in waist circumference from baseline to Week 46 was modeled using a mixed model for repeated measures (MMRM) with fixed effects for baseline waist circumference as a continuous linear covariate, and treatment, gender, visit, treatment by visit interaction and baseline by visit interaction as factors, using visit (Week 6, 12, 18, 24, 32, 40, and 46) as repeated measures and an unstructured covariance matrix to model within subject measurements, adjusted mean (standard error) at Week 46 is reported. MMRM analysis was performed on the FAS, using planned maintenance treatment (dose assigned at randomisation) and including only on-treatment data, regardless of whether early treatment discontinuation was COVID-19 related.

    Measured: Baseline, Week 6, 12, 18, 24, 32, 40, and 46.

  6. Absolute Change in Systolic Blood Pressure From Baseline to Week 46

    Absolute change in systolic blood pressure from baseline to Week 46 was modeled using a mixed model for repeated measures (MMRM) with fixed effects for baseline systolic blood pressure as a continuous linear covariate, and treatment, gender, visit, treatment by visit interaction and baseline by visit interaction as factors, using visit Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46) as repeated measures and an unstructured covariance matrix to model within subject measurements, adjusted mean (standard error) at Week 46 is reported. MMRM analysis was performed on the FAS, using planned maintenance treatment (dose assigned at randomisation) and including only on-treatment data, regardless of whether early treatment discontinuation was COVID-19 related.

    Measured: Baseline, Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46.

  7. Absolute Change in Diastolic Blood Pressure From Baseline to Week 46

    Absolute change in diastolic blood pressure from baseline to Week 46 was modeled using a mixed model for repeated measures (MMRM) with fixed effects for baseline diastolic blood pressure as a continuous linear covariate, and treatment, gender, visit, treatment by visit interaction and baseline by visit interaction as factors, using visit Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46) as repeated measures and an unstructured covariance matrix to model within subject measurements, adjusted mean (standard error) at Week 46 is reported. MMRM analysis was performed on the FAS, using planned maintenance treatment (dose assigned at randomisation) and including only on-treatment data, regardless of whether early treatment discontinuation was COVID-19 related.

    Measured: Baseline, Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Dec 2020
  2. Study start8 Mar 2021
  3. Primary completion15 Sep 2022
  4. Study completion7 Oct 2022

Resources

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
387 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04667377
Sponsor's protocol ID
1404-0036
Other IDs
2020-002479-37
Status last verified
Oct 2023
First submitted
8 Dec 2020
Last updated
2 Nov 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.

Publications

  • Ekinci EI, Maldonado SG, Unseld A, Martinez JA, Hennige AM, Schoelch C. Dual Glucagon and GLP-1 Receptor Agonist Survodutide Improves Biomarkers of Beta-Cell Function and Insulin Sensitivity in People With Type 2 Diabetes or Living With Overweight/Obesity. Diabetes Obes Metab. 2026 Sep;28(9):8242-8253. doi: 10.1111/dom.70861. Epub 2026 Jun 22.

    PubMed 42331726
  • le Roux CW, Steen O, Lucas KJ, Startseva E, Unseld A, Hussain SA, Hennige AM. Subgroup analysis by sex and baseline BMI in people with a BMI >/=27 kg/m2 in the phase 2 trial of survodutide, a glucagon/GLP-1 receptor dual agonist. Diabetes Obes Metab. 2025 Apr;27(4):1773-1782. doi: 10.1111/dom.16167. Epub 2025 Jan 16.

    PubMed 39821928
  • le Roux CW, Steen O, Lucas KJ, Startseva E, Unseld A, Hennige AM. Glucagon and GLP-1 receptor dual agonist survodutide for obesity: a randomised, double-blind, placebo-controlled, dose-finding phase 2 trial. Lancet Diabetes Endocrinol. 2024 Mar;12(3):162-173. doi: 10.1016/S2213-8587(23)00356-X. Epub 2024 Feb 5.

    PubMed 38330987

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 456906 in people with Obesity, run by Boehringer Ingelheim at 43 sites in 12 countries.

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 10 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 2 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, Australia, Canada, China, Netherlands and 7 more countries. 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 Nov 2023). 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 in Body Weight From Baseline to Week 46 (time frame: Baseline, Week 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 28, 32, 36, 40, and 46.). 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 NCT04667377, which also lists 3 linked publications.

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 2 Nov 2023.

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