Phase 1 Study to Evaluate the Safety and Tolerability of VK2735

• ClinicalTrials.gov Identifier: NCT05203237
• Recruitment Status: Recruiting
• First Posted: January 24, 2022
• Last Update Posted: September 14, 2023
• Sponsor: Viking Therapeutics, Inc.
• Information provided by (Responsible Party): Viking Therapeutics, Inc.

Study Description

Brief Summary:

This is a Phase 1, randomized, double-blind, placebo-controlled single and multiple ascending dose study to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of VK2735 in healthy adults and otherwise healthy adults who have an increased body mass index (BMI).

Condition or disease	Intervention/treatment	Phase
Weight Loss; NASH	Biological: VK2735; Biological: Placebo; Drug: VK2735 Placebo; Drug: VK2735 Drug	Phase 1

Detailed Description:

This study comprises 3 parts:

Part A (Single Ascending Dose [SAD]) will be conducted to assess the safety, tolerability, and PK profile in healthy participants following 1 single SC injection of VK2735 or VK2735 matching placebo (SAD Cohort 1 through SAD Cohort 6).

Part B (Multiple Ascending Dose [MAD]) will be conducted to assess the safety, tolerability, PK and PD profile in otherwise healthy participants who have an increased BMI following single SC injections of VK2735 or matched placebo administered once weekly for 4 consecutive weeks (MAD Cohort 1 through MAD Cohort 5).

Part C (Multiple Ascending Dose [MAD], PO) will be conducted to assess the safety, tolerability, PK and PD profiles in otherwise healthy, but obese, participants who have a BMI ≥30 kg/m2 following daily oral administration of VK2735 or matched placebo administered for 28 consecutive days (MAD-PO Cohort 1 through MAD-PO Cohort 4, with optional additional cohorts)

Safety Review Committee (SRC) meetings will be held prior to dose escalation for Part A (SAD), Part B (MAD), and Part C (MAD-PO) cohorts in the study. The decisions on dose escalation will be based on safety and laboratory data from each cohort.

Study Design

• Study Type: Interventional (Clinical Trial)
• Estimated Enrollment: 136 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Double (Participant, Investigator)
• Primary Purpose: Treatment
• Official Title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of VK2735, a Dual Glucagon-like Peptide-1 and Gastric Inhibitory Polypeptide Receptor Agonist, in Healthy Adults and Otherwise Healthy Adults Who Have an Increased Body Mass Index
• Actual Study Start Date: December 14, 2021
• Estimated Primary Completion Date: November 2023
• Estimated Study Completion Date: December 2023

Arms and Interventions

Arm	Intervention/treatment
Placebo Comparator: Placebo (Part A); Placebo administered SC once in healthy participants	Biological: Placebo; Administered SC
Experimental: VK2735 (Part A); Escalating doses of VK2735 administered subcutaneously (SC) once in healthy participants.	Biological: VK2735; Administered SC
Placebo Comparator: Placebo (Part B); Placebo administered SC once weekly for four weeks in healthy participants	Biological: Placebo; Administered SC
Experimental: VK2735 (Part B); Escalating doses of VK2735 administered subcutaneously (SC) once weekly in healthy participants.	Biological: VK2735; Administered SC
Placebo Comparator: VK2735 (Part C ); Placebo administered orally daily for 28 days in healthy participants	Drug: VK2735 Placebo; Administered orally
Experimental: VK2735 (Part C); Escalating doses of VK2735 administered daily (PO) in healthy participants.	Drug: VK2735 Drug; Administered orally

Outcome Measures

Primary Outcome Measures :

1. Incidence of treatment-emergent adverse events (TEAEs) and treatment-emergent serious AEs (TESAEs) [ Time Frame: 8 days ]
   To evaluate the safety and tolerability of single doses of subcutaneous injections of VK2735 in healthy participants

Secondary Outcome Measures :

1. Evaluate the Pharmacokinetic profile of VK2735 [ Time Frame: 29 days ]
   Pharmacokinetic profile of VK2735 by measuring peak plasma concentration (Cmax)

Eligibility Criteria

• Ages Eligible for Study: 18 Years to 65 Years (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

Participants must be capable of giving signed informed consent

Participants must be medically healthy, with no significant medical history, have no clinically significant abnormalities on physical examination at Screening and/or before administration of the initial dose of IP in the opinion of the Investigator

Participant body weight must have been stable (no change greater than 5%) for a minimum 8 weeks prior to Screening

Willing and able to comply with scheduled visits, treatment plan, laboratory tests and other clinical study procedures

Willing to comply with contraception requirements

Exclusion Criteria:

Participants with any level of disease or organ system dysfunction as identified during physical examination, medical history or laboratory testing, as assessed by the PI

Any surgical or medical condition (active or chronic) that may interfere with IP distribution, metabolism, excretion, or drug absorption

Participants may be excluded from the study if they have conditions that might compromise safety or other endpoints in the study as judged by the Sponsor (or designee) or Investigator

History or presence of clinically significant acute or unstable cerebrovascular (stroke), hepatic, renal, gastrointestinal, pulmonary, immunological, endocrine, diabetes, hematological, oncological, or central nervous disorder that in the opinion of the Investigator would pose a significant risk for the participant

Use of any investigational drug or product, or participation in an investigational drug study within 30 days prior to dosing or 5 half-lives of the drug (whichever is longest)

Active smoker and/or user of nicotine-containing products unless the participant agrees to discontinue smoking/use of nicotine-containing products from 2 weeks before first IP dose administration through to study completion, including the Follow-up period

Have serum triglycerides > 5.65 mmol/L (500 mg/dL) at Screening

Positive serology for hepatitis B surface antigen (HBsAg), hepatitis C antibodies, or HIV

Contacts and Locations

Contacts

Contact: Marianne Mancini; 858-704-4674; mmancini@vikingtherapeutics.com

Contact: Becky Steele; 858-704-4687; rsteele@vikingtherapeutics.com

Locations

Australia, South Australia

Viking Clinical Site; Recruiting

Adelaide, South Australia, Australia, 5000

Sponsors and Collaborators

Viking Therapeutics, Inc.

Investigators

• Study Director: Marianne Mancini; Viking Therapeutics, Inc.

More Information

• Responsible Party: Viking Therapeutics, Inc.
• ClinicalTrials.gov Identifier: NCT05203237
• Other Study ID Numbers: VK2735-101
• First Posted: January 24, 2022
• Last Update Posted: September 14, 2023
• Last Verified: September 2023

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:

Weight Loss; Body Weight Changes; Body Weight