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Overweight and ObesityPhase 1NCT04812262

A Phase 1 Study of DD01 in Overweight/Obese Subjects With T2DM and NAFLD

A Phase 1 study testing DD01 in people with Overweight and Obesity and Type2 Diabetes, run by Neuraly, Inc. at 4 sites in 2 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 is a Phase 1, first in human (FiH), randomized, double-blind, placebo-controlled, single ascending dose (SAD) and multiple ascending dose (MAD) study to investigate the safety, tolerability, PK and PD of DD01 administered by subcutaneous (SC) injection in overweight/obese subjects with type 2 diabetes (T2DM) and… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Overweight and Obesity, Type2 Diabetes, NAFLD
What is being tested?
DD01
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
255 participants
Where
4 sitesin 2 countries
Study dates
24 Feb 2021to 14 Feb 2023
Phase
Phase 1
Are there results?
None posted in the registry

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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Part A Inclusion Criteria:

  • Type 2 diabetes ≥ 12 months.
  • Treatment with diet and exercise or metformin monotherapy on stable dose for 3 months prior to screening
  • HbA1c ≤ 10%).
  • Body Mass Index (BMI) ≥ 25 and ≤ 40.0 kg/m2

Part B Inclusion Criteria

  • Type 2 diabetes ≥ 12 months.
  • Treatment with diet and exercise or metformin monotherapy on stable dose for 3 months prior to screening
  • HbA1c ≤ 10%
  • BMI ≥ 30 kg/m2 and ≤ 40.0 kg/m2
  • Waist circumference ≤ 57 inches
  • Controlled attenuation parameter by FibroScan
  • Liver fat fraction ≥ 10% by magnetic resonance imaging (MRI)

Part A Exclusion Criteria:

  • History of type 1 diabetes mellitus (T1DM)
  • History of acute proliferative retinopathy or maculopathy, severe gastroparesis, and/or severe neuropathy, in particular autonomic neuropathy, as judged by the Investigator.
  • Uncontrolled hypertension
  • Treatment with antihypertensive medication and statins not stable during the past 2 months prior to screening
  • Treatment with thyroid hormones not stable during the past 3 months prior to screening
  • History of any weight control treatment, including over-the-counter and herbal medication and supplements, or any medication with a labeled indication for weight loss or weight gain within 3 months prior to screening
  • History of surgical treatment for obesity
  • History of heart disease
  • History of renal disease
  • History or current diagnosis of acute or chronic pancreatitis or factors for pancreatitis, such as a history of cholelithiasis (without cholecystectomy) or alcohol abuse
  • A history of or active chronic liver disease due to alcohol, auto-immune, HIV, HBV or active HCV-infection or NASH
  • History of major depression, anxiety, suicidal behavior or attempts, or other psychiatric disorder requiring medical treatment
  • Personal or family history of medullary thyroid carcinoma (MTC) or a genetic condition that predispose to MTC (i.e., multiple endocrine neoplasia type 2)
  • Administration of Vaccines/Immunizations within 14 days prior to first dosing or if scheduled during the study. Vaccination for COVID-19 is allowed during the study if a washout period of 5 days after vaccine administration is followed before dosing.
  • History of any major surgery within 6 months prior to screening
  • Participation in any other clinical interventional study receiving active treatment within 30 days or 5 half-lives prior to screening, whichever is longer
  • History of alcohol or illicit drug abuse including marijuana
  • Existence of any surgical or medical condition that, in the judgment of the Investigator, might interfere with the investigational product

PART B Exclusion Criteria

  • History of type 1 diabetes mellitus (T1DM)
  • History of acute proliferative retinopathy or maculopathy, severe gastroparesis, and/or severe neuropathy, in particular autonomic neuropathy, as judged by the Investigator
  • Uncontrolled hypertension (treatment with medications must be stable)
  • History of any weight control treatment
  • History of surgical treatment for obesity
  • History of heart disease
  • History of renal disease
  • Subjects with a history or clinically significant active disease of the gastrointestinal, cardiovascular, hepatic, neurological, renal, pancreatic, immunological, dermatological, endocrine, genitourinary or hematological system.
  • History or current diagnosis of acute or chronic pancreatitis
  • History of major depression, anxiety, suicidal behavior or attempts, or other psychiatric disorder requiring medical treatment
  • History of alcohol or illicit drug abuse including marijuana
  • Existence of any surgical or medical condition that, in the judgment of the Investigator, might interfere with the investigational product
  • Any history of clinically significant chronic liver disease

Trial locations and contacts

4 sites in 2 countries.

4 sites in 2 countries

United States3 sites
  • Prosciento

    Chula Vista, California, 91911

  • Southwest General Healthcare Center

    Fort Myers, Florida, 33907

  • Combined Research Orlando

    Orlando, Florida, 32807

Other trials in United States

Puerto Rico1 site
  • FDI Clinical Research

    San Juan, 00927

Other trials in Puerto Rico

About this study

Official title: A Phase 1, Randomized, Double-blind, Placebo-controlled, Single and Multiple Dose Study to Assess Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of DD01 in Overweight/Obese Subjects With T2DM and NAFLD

This is a Phase 1, first in human (FiH), randomized, double-blind, placebo-controlled, single ascending dose (SAD) and multiple ascending dose (MAD) study to investigate the safety, tolerability, PK and PD of DD01 administered by subcutaneous (SC) injection in overweight/obese subjects with type 2 diabetes (T2DM) and nonalcoholic fatty liver disease (NAFLD).

The study will be conducted in 2 Parts (Part A and B), with up to 8 cohorts included in each part (Part A; Cohorts A1 to A8 and Part B; Cohorts B2 to B8).

Read the detailed description

Part A (SAD):

In Part A, subjects will receive a single dose of study drug, and the safety and efficacy of DD01 will be evaluated in overweight/obese subjects with T2DM.

Part B (MAD):

In Part B, subjects will receive once-weekly doses of the study drug for 4 weeks, and the safety and efficacy of DD01 will be evaluated in overweight/obese subjects with T2DM and NAFLD.

Being tested
DD01, Placebo
Keywords
Liver Disease
Medical subject headings
Overweight, Obesity, Non-alcoholic Fatty Liver Disease, Liver Diseases

What participants receive

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

  • DD01Drug

    The active of DD01 is a synthetic peptide, administered in a 1mL volume for injection.

  • PlaceboDrug

    Placebo drug of DD01, administered in a 1mL volume for injection

Study groups in NCT04812262
Study groupRoleWhat they receive
Group A1 - Single Ascending DoseExperimentalDD01 Dose 1 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group A2, Single Ascending DoseExperimentalDD01 Dose 2 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group A3, Single Ascending DoseExperimentalDD01 Dose 3 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group A4, Single Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group B2 - Multiple Ascending DoseExperimentalDD01 Dose 2 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo
Group B3 - Multiple Ascending DoseExperimentalDD01 Dose 3 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo
Group B4 - Multiple Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo
Group B5 - Multiple Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo
Group B6 - Multiple Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo
Group A5, Single Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group A6, Single Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group A7, Single Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group A8, Single Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection
Receives: Drug: DD01; Drug: Placebo
Group B7 - Multiple Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo
Group B8 - Multiple Ascending DoseExperimentalDD01 Dose 4 (N=6) Placebo (N=2) Subcutaneous injection once weekly for 4 weeks
Receives: Drug: DD01; Drug: Placebo

What is being measured

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

  1. Number of participants with treatment-related adverse events and serious adverse events

    Measured: Part A - 43 days

  2. Number of participants with treatment-related adverse events and serious adverse events (TEAEs)

    Measured: Part B - 57 days

  3. Number of participants with clinically significant abnormalities in clinical laboratory values

    Measured: Part A - 43 days

  4. Number of participants with clinically significant abnormalities in clinical laboratory values

    Measured: Part B - 57 days

  5. Number of participants with clinically significant abnormalities in physical examinations

    Measured: Part A - 43 days

  6. Number of participants with clinically significant abnormalities in physical examinations

    Measured: Part B - 57 days

  7. Number of participants with clinically significant abnormalities in vital signs

    Measured: Part A - 43 days

  8. Number of participants with clinically significant abnormalities in vital signs

    Measured: Part B - 57 days

  9. Blood Pressure assessed by 24-hour ambulatory blood pressure monitoring (ABPM)

    Measured: Part A - 43 days

  10. Blood Pressure assessed by 24-hour ambulatory blood pressure monitoring (ABPM)

    Measured: Part B - 57 days

  11. Heart Rate assessed by 24-hour ambulatory electrocardiography monitoring reader)

    Measured: Part A - 43 days

  12. Heart Rate assessed by 24-hour ambulatory electrocardiography monitoring reader)

    Measured: Part B - 57 days

  13. Number of participants with clinically significant abnormalities in 12-lead ECGs

    Measured: Part A - 43 days

  14. Number of participants with clinically significant abnormalities in 12-lead ECGs

    Measured: Part B - 57 days

Secondary outcomes (21)
  1. Maximum observed blood/plasma concentration of DD01

    Maximum observed blood/plasma concentration (Cmax)

    Measured: Part A - 43 days

  2. Maximum observed blood/plasma concentration of DD01

    Maximum observed blood/plasma concentration (Cmax)

    Measured: Part B - 57 days

  3. Time of the maximum observed blood/plasma concentration of DD01

    Time of the maximum observed blood/plasma concentration (Tmax)

    Measured: Part A - 43 days

  4. Time of the maximum observed blood/plasma concentration of DD01

    Time of the maximum observed blood/plasma concentration (Tmax)

    Measured: Part B - 57 days

  5. Apparent blood/plasma terminal elimination half life of DD01

    Apparent blood/plasma terminal elimination half life (t1/2)

    Measured: Part A - 43 days

  6. Apparent blood/plasma terminal elimination half life of DD01

    Apparent blood/plasma terminal elimination half life (t1/2)

    Measured: Part B - 57 days

  7. Termination elimination rate constant of DD01

    Termination elimination rate constant (kel)

    Measured: Part A - 43 days

  8. Termination elimination rate constant of DD01

    Termination elimination rate constant (kel)

    Measured: Part B - 57 days

  9. Apparent total blood/plasma clearance of DD01

    Apparent total blood/plasma clearance (CL/F)

    Measured: Part A - 43 days

  10. Apparent total blood/plasma clearance of DD01

    Apparent total blood/plasma clearance (CL/F)

    Measured: Part B - 57 days

  11. Apparent volume of distribution of DD01

    Apparent volume of distribution(Vz/F)

    Measured: Part A - 43 days

  12. Apparent volume of distribution of DD01

    Apparent volume of distribution(Vz/F)

    Measured: Part B - 57 days

  13. Area under the blood/plasma concentration time curve from time zero to the time of the last quantifiable concentration of DD01

    Area under the blood/plasma concentration time curve from time zero to the time of the last quantifiable concentration (AUC0-t)

    Measured: Part A - 43 days

  14. Area under the blood/plasma concentration time curve from time zero to the time of the last quantifiable concentration of DD01

    Area under the blood/plasma concentration time curve from time zero to the time of the last quantifiable concentration (AUC0-t)

    Measured: Part B - 57 days

  15. Area under the blood/plasma concentration time curve from time zero to 144 hours postdose of DD01

    Area under the blood/plasma concentration time curve from time zero to 144 hours postdose (AUC0-144)

    Measured: Part A - 43 days

  16. Area under the blood/plasma concentration time curve from time zero to 144 hours postdose of DD01

    Area under the blood/plasma concentration time curve from time zero to 144 hours postdose (AUC0-144)

    Measured: Part B - 57 days

  17. Area under the blood/plasma concentration time curve from time zero to 216 hours postdose of DD01

    Area under the blood/plasma concentration time curve from time zero to 216 hours postdose (AUC0-216)

    Measured: Part A - 43 days

  18. Area under the blood/plasma concentration time curve from time zero to 216 hours postdose of DD01

    Area under the blood/plasma concentration time curve from time zero to 216 hours postdose (AUC0-216)

    Measured: Part B - 57 days

  19. Area under the blood/plasma concentration time curve from time zero to 168 hours postdose of DD01

    Part B only: Area under the blood/plasma concentration time curve from time zero to 168 hours postdose (AUC0-168)

    Measured: Part B - 57 days

  20. Number of participants with antidrug antibodies (ADAs)

    Measured: Part A - 43 days

  21. Number of participants with antidrug antibodies (ADAs)

    Measured: Part B - 57 days

Timeline

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

  1. First posted23 Mar 2021
  2. Study start24 Feb 2021
  3. Primary completion20 Dec 2022
  4. Study completion14 Feb 2023

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
Part A - Cohorts A1, A2, A3, A4, A5, A6, A7 \& A8 Part B - Cohorts B2, B3, B4, B5, B6, B7 \& B8
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04812262
Sponsor's protocol ID
DD01-DN-1
Status last verified
Apr 2024
First submitted
19 Mar 2021
Last updated
29 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DD01 in people with Overweight and Obesity and Type2 Diabetes, run by Neuraly, Inc. at 4 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 29 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States, Puerto Rico. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of participants with treatment-related adverse events and serious adverse events (time frame: Part A - 43 days). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Apr 2024.

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