A Research Study on How NNC0487-0111 Works in People With Overweight or Obesity

• ClinicalTrials.gov Identifier: NCT05369390
• Recruitment Status: Completed
• First Posted: May 11, 2022
• Last Update Posted: April 11, 2024
• Sponsor: Novo Nordisk A/S
• Information provided by (Responsible Party): Novo Nordisk A/S

Study Description

Brief Summary:

NNC0487-0111 is a new medicine similar to 2 hormones that are produced in human body: amylin and glucagon-like peptide-1 (GLP-1). Both hormones work like body's own hormones and help the body to feel full. This study tests if the study medicine is safe and to find out how the medicine works in humans. This study also look at how the study medicine affects body weight and how to improve the treatment of people with overweight, obesity or related diseases.

This study will have 4 parts: Part A, B, C and D. Part A: This is planned to consist of five groups, one additional group may be added. Each group will include 8 participants, with 6 participants being randomised to receive a single dose of NNC0487-0111 A and 2 participants randomised to receive placebo. The dosing within each group will be sequential, i.e., 2 sentinel participants (1 on active and 1 on placebo).

Part B: This is planned to consist of three groups, one additional group may be added. Each group will include 12 participants, with 9 participants being randomised to receive NNC0487-0111 A and 3 participants randomised to receive placebo once daily for 10 days. The dosing within each group will be sequential. For the first group, 4 sentinel participants (3 on active and 1 on placebo) will be dosed followed by a safety observation period of 7 days (168 hours), before dosing of the remaining participants in the group will be initiated. For the remaining groups, 4 sentinel participants (3 on active and 1 on placebo) will be dosed followed by a safety observation period of at least 36 hours before dosing of the remaining participants in the group will be initiated.

Part C and D are matching regarding planned visits and procedures, but the study interventions in Part D (NNC0487-0111 B) differ from Part A, B and C (NNC0487-0111 A). Each part is planned to consist of one group, although one additional group may be added. Each group will include 20 participants, with 16 participants being randomised to receive active treatment and 4 participants randomised to receive placebo once-daily for 12 weeks. The dosing will be sequential, i.e., 4 sentinel participants (3 on active and 1 on placebo) will be dosed followed by a safety observation period of at least 36 hours before dosing of the remaining participants in the cohort will be initiated. The remaining participants will be dosed in smaller groups of 8 participants separated by a safety observation period of at least 36 hours.

A safety evaluation will be made between dosing of participants within a group and before moving on to a higher dose.

Condition or disease	Intervention/treatment	Phase
Obesity	Drug: NNC0487-0111 A; Drug: NNC0487-0111 B; Other: Placebo B (NNC0487-0111 B); Other: Placebo A (NNC0487-0111 A)	Phase 1

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 144 participants
• Allocation: Randomized
• Intervention Model: Sequential Assignment
• Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
• Masking Description: Sponsor staff involved in the clinical trial is masked according to company standard procedures.
• Primary Purpose: Treatment
• Official Title: Safety, Tolerability and Pharmacokinetics of NNC0487-0111 in Participants With Overweight or Obesity
• Actual Study Start Date: May 11, 2022
• Actual Primary Completion Date: January 9, 2024
• Actual Study Completion Date: January 9, 2024

Arms and Interventions

Arm	Intervention/treatment
Experimental: Part A: Single ascending dose (SAD); Participants will receive a single dose of any of the six different dose levels (1, 3, 6, 12, 25 and 50 milligrams (mg)) of NNC0487-0111 A or matching placebo in a sequential manner with the dose increasing between cohorts.	Drug: NNC0487-0111 A; Participants will receive NNC0487-0111 A tablet once daily.; Other: Placebo A (NNC0487-0111 A); Participants will receive placebo matched to NNC0487-0111 A tablet once daily.
Experimental: Part B: Multiple ascending dose (MAD); Participants will receive NNC0487-0111 once daily for 10 days at any of the five different dose levels (3, 6, 12, 25 and 50 milligrams (mg)) of NNC0487-0111 A or matching placebo in a sequential manner with the dose increasing between cohorts.	Drug: NNC0487-0111 A; Participants will receive NNC0487-0111 A tablet once daily.; Other: Placebo A (NNC0487-0111 A); Participants will receive placebo matched to NNC0487-0111 A tablet once daily.
Experimental: Part C; Participants will receive NNC0487-0111 A or matching placebo once-daily for 12 weeks: 3 or 6 mg for weeks 1-2, 6 or 12 mg for weeks 3-4, 12 or 25 mg for weeks 5-6, 25 or 50 mg for weeks 7-8, 25 or 50 mg for weeks 9-10 and 50 or 2*50 mg for weeks 11-12.	Drug: NNC0487-0111 A; Participants will receive NNC0487-0111 A tablet once daily.; Other: Placebo A (NNC0487-0111 A); Participants will receive placebo matched to NNC0487-0111 A tablet once daily.
Experimental: Part D; Participants will receive NNC0487-0111 B or matching placebo once-daily for 12 weeks: 3 or 6 mg for weeks 1-2, 6 or 12 mg for weeks 3-4, 12 or 25 mg for weeks 5-6, 25 or 50 mg for weeks 7-8, 25 or 50 mg for weeks 9-10 and 50 or 2*50 mg for weeks 11-12.	Drug: NNC0487-0111 B; Participants will receive NNC0487-0111 B tablet once daily.; Other: Placebo B (NNC0487-0111 B); Participants will receive placebo matched to NNC0487-0111 B tablet once daily.

Outcome Measures

Primary Outcome Measures :

1. Number of treatment emergent adverse events (TEAE) [ Time Frame: Part A: From pre-dose on Day 1 to 22 days; Part B: From pre-dose on Day 1 to 31 days; Part C and D: From pre-dose on Day 1 to 105 days ]
   Number of events

Secondary Outcome Measures :

1. Part A: AUC0-∞,SD; the area under the NNC0487-0111 plasma concentration-time curve from time 0 to infinity after a single dose [ Time Frame: From pre-dose on Day 1 until completion of the end of study visit (Day 22) ]
   Hours*Nanomoles per liter (h*nmol/L)
2. Part A: Cmax,SD; the maximum plasma concentration of NNC0487- 0111 after a single dose [ Time Frame: From pre-dose on Day 1 until completion of the end of study visit (Day 22) ]
   Nanomoles per liter (nmol/L)
3. Part B: AUC0-24h,MD; the area under the NNC0487-011 plasma concentration-time curve from time 0 to 24 hours after last multiple dose [ Time Frame: From pre-dose on Day 10 until Day 11 (24 hours post-dose) ]
   h*nmol/L
4. Part B: Cmax,MD; the maximum plasma concentration of NNC0487- 0111 after last multiple dose [ Time Frame: From pre-dose on Day 10 until Day 22 ]
   nmol/L
5. Part C and D: AUC0-24h,MD; the area under the NNC0487-011 plasma concentration-time curve from time 0 to 24 hours after last multiple dose [ Time Frame: From pre-dose on Day 84 until Day 85 (24 hours post-dose) ]
   h*nmol/L
6. Part C and D: Cmax,MD; the maximum plasma concentration of NNC0487- 0111 after last multiple dose [ Time Frame: From pre-dose on Day 84 until completion of the end of study visit (Day 105) ]
   nmol/L

Eligibility Criteria

• Ages Eligible for Study: 18 Years to 55 Years (Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

Part A and B:

• Male or female aged 18-55 years (both inclusive) at time of signing informed consent
• Body mass index (BMI) of 25.0 to 34.9 kilogram per square meter (kg/m^2) (both inclusive) at screening
• Considered eligible based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator.

Part C and D:

• Male or female aged 18-55 years (both inclusive) at time of signing informed consent
• Body mass index (BMI) of 27.0 to 39.9 kg/m^2 (both inclusive) at screening
• Considered eligible based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator.

Exclusion Criteria:

Part A and B:

• Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
• HbA1c greater than or equal to 6.5 % (48 millimoles per mole (mmol/mol)) at screening
• Any laboratory safety parameters at screening outside the below laboratory ranges, see designated reference range documents for specific values
• Vitamin D (25-hydroxycholecalciferol) less than 20 Nanograms per milliliter (ng/mL) (50 nano molar (NM)) at screening
• Parathyroid hormone (PTH) outside normal range at screening
• Total calcium outside normal range at screening
• Amylase greater than or equal to 2 times upper limit of normal at screening
• Lipase greater than or equal to 2 times upper limit of normal at screening

Part C and D:

• Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
• HbA1c greater than or equal to 6.5 % (48 mmol/mol) at screening
• Any laboratory safety parameters at screening outside the below laboratory ranges, see designated reference range documents for specific values:
• Vitamin D (25-hydroxycholecalciferol) less than 20 ng/mL (50 nM) at screening
• Parathyroid hormone (PTH) outside normal range at screening
• Total calcium outside normal range at screening
• Amylase greater than or equal to 2 times upper limit of normal at screening
• Lipase greater than or equal to 2 times upper limit of normal at screening

Contacts and Locations

Locations

United States, Texas

ICON Early Phase Services, LLC

San Antonio, Texas, United States, 78209

Novo Nordisk Investigational Site

San Antonio, Texas, United States, 78209

Sponsors and Collaborators

Novo Nordisk A/S

More Information

• Responsible Party: Novo Nordisk A/S
• ClinicalTrials.gov Identifier: NCT05369390
• Other Study ID Numbers: NN9487-4830; U1111-1270-0852 ( Other Identifier: World Health Organization (WHO) )
• First Posted: May 11, 2022
• Last Update Posted: April 11, 2024
• Last Verified: April 2024

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Yes
• Plan Description: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
• URL: http://novonordisk-trials.com

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

Keywords provided by Novo Nordisk A/S:

overweight

Additional relevant MeSH terms:

Obesity; Overweight; Overnutrition; Nutrition Disorders; Body Weight