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Insulin ResistancePhase 1NCT06563115

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of (PEG)-BHD1028

A Phase 1 study testing (PEG)-BHD1028 Single Ascending Dose and (PEG)-BHD1028 Multiple Ascending Dose in people with Insulin Resistance, run by EncuraGen, Inc at 1 site in United States.

Completed

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

Official record
Search all trials

Trial summary

Adiponectin has been known to play critical roles in various physio-regulatory processes, and adiponectin deficiency may contribute to insulin resistance. (PEG)-BHD1028 was developed as an agonist of adiponectin receptors. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Insulin Resistance
What is being tested?
(PEG)-BHD1028 Single Ascending Dose and (PEG)-BHD1028 Multiple Ascending Dose
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteUnited States
Study dates
18 Apr 2022to 23 Jun 2024
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HbA1c < 6.5 % by local laboratory analysis (one retest is permitted)
  • Body Mass Index (BMI) ≥ 27 kg/m2
  • HOMA-IR ≥ 1.8
  • Female subjects must be non-pregnant and non-lactating, and females of childbearing potential must have used a stable regimen of highly effective contraceptive methods (for at least 2 months prior to the Screening) that they were willing to continue for at least 30 days after the last dose of the study drug.
  • Male subjects must be surgically sterile, abstinent or, if engaged in sexual relations with a woman of childbearing potential, the subject and his partner must use an acceptable method of contraception for at least 90 days after the last dose of the study drug.
  • Ability and willingness to comply with all protocol procedures
  • Ability to provide written informed consent

Who cannot join

  • History of type 1 or 2 diabetes mellitus (T1DM, T2DM)
  • Systolic blood pressure > 159 mm Hg or diastolic blood pressure > 99 mmHg at ----Screening (reading may be repeated on a different day)
  • Treatment with antihypertensive medication or statins if the medication was not stable during the 2 months prior to Screening
  • Treatment with thyroid hormones was not stable during the 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 30 days prior to Screening
  • History of gastrointestinal surgery for obesity that may induce malabsorption, or any malabsorption disorder, or clinically significant (C.S.) ongoing gastrointestinal disorders (including gastroparesis, peptic ulcers, and severe gastrointestinal reflux disease)
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  • History of symptomatic heart failure (New York Heart Association class II, III, or IV), myocardial infarction, unstable angina, transient ischemic attack, cerebral infarct, cerebral hemorrhage, or invasive cardiovascular procedure (including coronary artery bypass grafting [CABG] and percutaneous coronary intervention [PCI]) within 6 months of Screening
  • Presence of CS ECG findings (including corrected Q.T. interval using Fridericia's formula [QTcF] > 450 msec for males, QTcF > 470 msec for females, left bundle branch block [LBBB]) at Screening, or cardiac arrhythmia requiring medical or surgical treatment within 6 months prior to Screening
  • Presence of any C.S. physical, laboratory, ECG finding, or medical condition (including moderate to severe osteoarthritis or other C.S. rheumatological disease), that (in the opinion of an Investigator) may interfere with any aspect of the study conduct or interpretation of results
  • Estimated glomerular filtration rate [eGFR] < 60 mL/min/1.73 m2 at Screening (using the Modification of Diet in Renal Disease [MDRD] equation)
  • Clinically significant disease (within the last five years) of the gastrointestinal, cardiovascular, hepatic, neurological, renal, pancreatic, immunological, dermatological, endocrine, genitourinary or hematological system
  • Chronic liver disease, HIV, HBV- or active HCV infection, or a positive test at Screening
  • History of mental handicap, major depression, suicidal behavior or attempts, or other psychiatric disorders requiring medical treatment (within 2 years of Screening), including selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), antipsychotics, lithium, or other psychiatric disorders including eating disorders and seizures
  • Fasting triglycerides > 500 mg/dL or alanine aminotransferase (ALT) and/or (aspartate aminotransferase ) AST d> 2 x upper limit of normal (ULN) (a single retest of triglycerides, ALT, or AST was allowed)
  • Use of any drugs that were known to interfere with glucose or insulin metabolism, including oral corticosteroids, glucagon-like peptide-1 (GLP-1) receptor agonists, monoamine oxidase (MAO) inhibitors, and growth hormone, or use of non-prescription drugs within 7 days of first dosing
  • Administration of vaccines/immunizations within 14 days prior to the initiation of dosing
  • Major surgery within 8 weeks prior to Screening
  • History of, or suspected allergy or hypersensitivity to the investigational product (I.P.) components
  • History of any active infection within 14 days prior to Screening
  • Participation in any other clinical interventional study receiving active treatment within 30 days or 5 half-lives prior to Screening, whichever was longer
  • History of alcohol or illicit drug abuse, including marijuana, or a positive drug test at Screening
  • History of alcohol abuse within approximately 1 year, or average daily alcohol intake >2 drinks for men and > 1 drink of alcoholic beverages for women, or positive alcohol breath test at Screening
  • Daily use of more than 15 cigarettes/week or equivalent use of any tobacco product within 6 weeks prior to Screening, or inability to abstain from smoking during the study
  • Existence of any surgical or medical condition that, in the judgment of an Investigator, might interfere with the absorption, distribution, metabolism, or excretion of the IP
  • A history of fainting from blood collections or vasovagal syncope
  • Any anticipated procedures that might have interfered with compliance or completion of the study
  • Donation or loss of > 500 mL of blood or blood product within 56 days prior to Screening

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Altasciences Clinical

    Overland Park, Kansas, 66212

Other trials in United States

About this study

Official title: A Randomized, Double-Blinded, Placebo-Controlled, Single and Multiple Ascending Dose Study in Overweight/Obese Subjects to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of (PEG)-BHD1028

Adiponectin has been known to play critical roles in various physio-regulatory processes, and adiponectin deficiency may contribute to insulin resistance. (PEG)-BHD1028 was developed as an agonist of adiponectin receptors.

This first-in-human study evaluates the safety, tolerability, pharmacokinetics, and pharmacodynamics of (PEG)-BHD1028 in healthy overweight/obese subjects with insulin resistance.

Read the detailed description

(PEG)-BHD1028 is a peptide agonist to adiponectin receptors, AdipoR1 and R2, designed based on the active site of the hormone and receptor binding configurations. Various scientific and clinical research revealed that adiponectin deficiency is positively associated with pathophysiological conditions, including insulin resistance and inflammation. Despite the beneficial effects of adiponectin, the hormone could not be developed into a therapeutic agent because of the complications in controlling post-transcriptional modifications.

This study investigates the safety and tolerability of (PEG)-BHD1028 after a single ascending dose (SAD) of a placebo, 4, 8, 16, 32, and 64 μg/Kg and multiple ascending doses (MAD) of a placebo, 8, 16, and 32 μg/Kg for 28 days following Q.D. injection subcutaneously in the healthy obese/overweight subjects. The pharmacokinetics (PK) and pharmacodynamics (PD) are also evaluated following single and multiple doses and multiple doses, respectively. The changes in the inflammatory biomarkers are explored during the 28 days as a part of the MAD portion study.

Being tested
(PEG)-BHD1028 Single Ascending Dose, (PEG)-BHD1028 Multiple Ascending Dose, Placebo
Medical subject headings
Insulin Resistance

What participants receive

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

  • (PEG)-BHD1028 Single Ascending DoseDrug

    Also called adiponectin receptor agonist

    4, 8, 16, 32, and 64 μg/Kg

  • (PEG)-BHD1028 Multiple Ascending DoseDrug

    Also called adiponectin receptor agonist

    8, 16, and 32 μg/Kg

  • PlaceboOther

    Diluent

Study groups in NCT06563115
Study groupRoleWhat they receive
Placebo_Single Ascending DosePlacebo comparatorParticipants received a single SC dose of placebo on Day 1
Receives: Other: Placebo
Experimental (PEG)-BHD1028_Single Ascending DoseExperimentalParticipants received a single escalated SC dose of (PEG)-BHD1028 on Day 1
Receives: Drug: (PEG)-BHD1028 Single Ascending Dose
Placebo_Multiple Ascending DosePlacebo comparatorParticipants received SC doses of placebo once a day for 28 days
Receives: Other: Placebo
Experimental (PEG)-BHD1028_Multiple Ascending DoseExperimentalParticipants received SC doses of (PEG)-BHD1028 once a day for 28 days
Receives: Drug: (PEG)-BHD1028 Multiple Ascending Dose

What is being measured

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

  1. Safety and tolerability of (PEG)-BHD1028 -Single ascending dose as measured by TEAEs

    Treatment emergent adverse events (including clinical AEs and Lab AEs) after a single dose of (PEG)-BHD1028 (including clinical AEs and Lab AEs) of (PEG)-BHD1028

    Measured: Baseline to Day 3

  2. Safety and tolerability of (PEG)-BHD1028 -Multiple ascending dose as measured by TEAEs

    Treatment emergent adverse events (including clinical AEs and Lab AEs) after multiple doses of (PEG)-BHD1028

    Measured: Baseline to Day 29

Secondary outcomes (19)
  1. Pharmacokinetics of (PEG)-BHD1028 after a single dose, Cmax

    Maximum plasma concentration of (PEG)-BHD1028

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  2. Pharmacokinetics of (PEG)-BHD1028 after a single dose, Tmax

    Time to reach Maximum plasma concentration of (PEG)-BHD1028

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  3. Pharmacokinetics of (PEG)-BHD1028 after a single dose, t1/2

    Time to reach apparent (PEG)-BHD1028 apparent terminal half life

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  4. Pharmacokinetics of (PEG)-BHD1028 after a single dose, AUClast

    Area under the (PEG)-BHD1028 concentration -time curve up to the last measurable concentration in serum

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  5. Pharmacokinetics of (PEG)-BHD1028 after a single dose, AUCinf

    AUCinf Area under the (PEG)-BHD1028 concentration -time curve up extrapolated to infinity

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  6. Pharmacokinetics of (PEG)-BHD1028 after a single dose, CL/F

    CL/F Apparent clearance of the drug calculated as dose of drug divided by the AUC

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  7. Pharmacokinetics of (PEG)-BHD1028 after a single dose, Vd/F

    Apparent Volume of distribution calculated as Total administered dose/initial plasma concentration

    Measured: pre-dose, and at 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, and 24 hr after the single dose

  8. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, Cmax

    Maximum plasma concentration of (PEG)-BHD1028

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  9. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, Tmax

    Time to reach Maximum plasma concentration of (PEG)-BHD1028

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  10. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, Cav,ss

    Average plasma concentrate at steady state

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  11. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, AUCtau

    Area under the (PEG)-BHD1028 concentration -time curve up to the last dose

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  12. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, t1/2

    Time to reach (PEG)-BHD1028 apparent terminal half life

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  13. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, CLss/F

    Apparent plasma clearance of drug after extravascular administration at steady state

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  14. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, Vd/F

    Apparent volume of distribution after extravascular administration

    Measured: pre-dose, and post dose on Day 1, Day 14 and Day 28

  15. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, Rac(Cmax)

    Accumulation ratio calculated as Cmax (day 28)/ Cmax (day 1)

    Measured: post dose on Day 1 and Day 28

  16. Pharmacokinetics of (PEG)-BHD1028 after multiple doses, Rac(AUC)

    Accumulation ratio calculated as AUC0-t (day 28)/ AUC0-t (day 1)

    Measured: post dose on Day 1 and Day 28

  17. Pharmacodynamics of (PEG)-BHD 1028 after multiple doses as measured by Insulin C -peptide

    Insulin c-peptide as assessed by the net AUC at baseline and the percentage change from baseline. Responders defined as subjects which exhibited a reduction in insulin c-peptide AUC during the Mixed Meal Tolerance Test (MMTT) of at least 15% from Day -1 to Day 28.

    Measured: Day -1 and Day 28

  18. Pharmacodynamics of (PEG)-BHD 1028 after multiple doses as measured by insulin

    Insulin AUC as assessed by the net AUC at baseline and the percentage change from baseline during the Mixed Meal Tolerance Test (MMTT).

    Measured: Day -1 and Day 28

  19. Pharmacodynamics of (PEG)-BHD 1028 after multiple doses as measured by glucose

    Fasting plasma glucose (FPG), Post-prandial glucose (PPG), and glucose AUC assessed during the Mixed Meal Tolerance Test (MMTT).

    Measured: Day -1 and Day 28

Timeline

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

  1. First posted20 Aug 2024
  2. Study start18 Apr 2022
  3. Primary completion23 Apr 2024
  4. Study completion23 Jun 2024

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
Randomized, Double-Blinded, Placebo-Controlled, Single and Multiple Ascending Dose Study
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06563115
Sponsor's protocol ID
ECN1028-101
Status last verified
Aug 2024
First submitted
26 Jul 2024
Last updated
20 Aug 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 (PEG)-BHD1028 Single Ascending Dose and (PEG)-BHD1028 Multiple Ascending Dose in people with Insulin Resistance, run by EncuraGen, Inc at 1 site in United States.

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 7 inclusion and 27 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 20 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 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?

Safety and tolerability of (PEG)-BHD1028 -Single ascending dose as measured by TEAEs (time frame: Baseline to Day 3). The study lists 2 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 20 Aug 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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