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This is a First in Human study to evaluate the safety and tolerability of DA-1726 following single and multiple doses in participants with obesity, but otherwise healthy subjects.
This is a Phase 1, randomized, placebo-controlled, double-blind, sequential parallel group study to investigate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single and multiple ascending doses of DA-1726 in adult participants (aged 18 to 65 years) with obesity (BMI ≥30 - 45 kg/m2). DA-1726 will be administered via subcutaneous (SC) injection within the clinic setting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 - Single Ascending Dose | Active Comparator | Single doses of DA-1726 in adult participants (aged 18 to 65 years) with obesity (BMI ≥30 - 45 kg/m2). DA-1726 will be administered via subcutaneous (SC) injection within the clinic setting. |
|
| Part 2 - Multiple Ascending Dose | Placebo Comparator | Multiple doses of DA-1726 in adult participants (aged 18 to 65 years) with obesity (BMI ≥30 - 45 kg/m2). DA-1726 will be administered via subcutaneous (SC) injection within the clinic setting. |
|
| Part 3 - Titration | Active Comparator | Multiple doses of DA-1726 in adult participants (aged 18 to 65 years) with obesity (BMI ≥30 - 45 kg/m2). DA-1726 will be administered via subcutaneous (SC) injection within the clinic setting, using either 1-step or 2-steps titration. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DA-1726 | Drug | Active |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | AEs, SAEs, TEAEs and AEs leading to treatment discontinuation. | From date of randomization (baseline) until the discontinuation (up to 24 weeks post-dose baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic | PK profile of DA-1726 serum concentrations of DA-1726 over time. | From date of randomization (baseline) until the study discontinuation (up to 24 weeks post-dose baseline) |
| Immunogenicity |
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Inclusion Criteria:
Willing and able to provide informed consent prior to initiation of any study specific procedures/activities.
Males and females ≥18 to <=65 years of age, at the time of signing informed consent, who have been diagnosed with obesity, defined by BMI.
Except for obesity, otherwise healthy or with stable, well controlled obesity-related conditions as determined by the investigator based on a medical evaluation including physical exam, medical history, laboratory tests, and ECGs.
Body mass index (BMI) ≥ 30.0 kg/m2 to 45.0 kg/m2 (Obesity to be confirmed by Caliper test showing body fat percentage with the average or above the average level).
Has maintained a stable body weight during the 3 months prior to Screening (<5% body weight change).
Willing to maintain current diet and physical activity regimen.
Females must be of non-reproductive potential:
Postmenopausal defined as:
History of hysterectomy; OR
History of bilateral oophorectomy
History of tubal ligation (surgically sterile)
Note: bilateral salpingectomy is not an accepted sterilization method.
Males must agree to practice an acceptable method of effective birth control while on study through 5 half-lives plus one week after receiving last dose of DA-1726. Acceptable methods of birth control include:
Exclusion Criteria:
History or clinical evidence of diabetes mellitus, including a fasting glucose of ≥ 120 mg/dL and/or HbA1c ≥ 6.5% at Screening.
Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN2).
History of cholecystectomy <= 6 months prior to screening.
Subjects with screening calcitonin level of ≥15 pg/mL (calcitonin levels will be monitored during the study).
Triglycerides ≥500 mg/dL at Screening.
History of pancreatitis.
Have a medical history or current evidence of clinically significant cardiac condition as evidenced by any of the following at Screening :
Regular consumption of caffeine-containing beverages, including coffee, tea, energy drinks, and caffeinated sodas, exceeding 3 cups per day.
Current use of tobacco products or having a history of tobacco use within the past 6 months.
Have significant previous or current history of comorbidities capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the investigational product; or of interfering with the interpretation of data.
History of GI abnormality that could affect GI motility (including small bowel or colonic resection, inflammatory bowel disease, irritable bowel syndrome, gastroparesis [clinically significant gastric emptying abnormality], and colon / GI tract cancer).
Have a history of chronic medical conditions involving the heart, liver, or kidneys (e.g., atherosclerotic coronary vascular disease (ASCVD), heart failure, liver cirrhosis, chronic kidney disease).
Untreated or uncontrolled hypo/hyperthyroidism defined as thyroid-stimulating hormone >6 mIU/L or <0.4 mIU/L.
Obesity that was induced by other endocrinologic disorders (e.g., Cushing's Syndrome).
Evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV antibodies.
Evidence of hepatitis C and/or positive hepatitis C antibody and hepatitis B, hepatitis B core antibody, and/or positive hepatitis B surface antigen.
Have a history or presence of psychiatric disorders that would present a safety risk or may significantly impair the participant's ability to comply with study procedures.
Any lifetime history of a suicidal attempt or any suicidal behavior, as assessed by the Columbia Suicide Severity Rating Scale (C-SSRS).
History of malignancy of any type, other than basal cell carcinoma, occurring less than 5 years prior to randomization.
History of substance abuse (i.e., alcohol or illicit substances) within 12 months prior to Screening; and/or a positive test for alcohol/drugs of abuse at Screening.
Previous surgical treatment for obesity or any form of bariatric surgery.
Currently receiving treatment in another investigational drug or device study or 5 half lives or 30 days since last dose of investigational drug, whichever is longer.
Participants with a history of significant allergic or drug reactions (NSAIDs or antibiotics) or known allergy to DA 1726 excipients that would place them at increased risk.
Have received any vaccine ≤30 days prior to check-in.
Albumin level <3.5 g/dL (<35 g/L) at Screening.
Aspartate aminotransferase (AST) ≥1.25 × upper limit of normal (ULN) at Screening.
Alanine aminotransferase (ALT) ≥1.25 × upper limit of normal (ULN) at Screening.
Bilirubin >1.25 upper limit of normal (ULN) at Screening.
Absolute neutrophil count \
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Robert Homolka, MS | Contact | 8572991038 | CRinfo@MetaViaTx.com | |
| Ji Eun Lee, PharmD | Contact | 8572991038 | CRInfo@MetaViaTx.com |
| Name | Affiliation | Role |
|---|---|---|
| Robert Homolka, MS | MetaVia | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Pharmacology of Miami, LLC | Recruiting | Miami | Florida | 33172 | United States |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Masking is to be done at the pharmacy level. The pharmacists that do not have other responsibilities in the study will prepare and administer the drug.
| Placebo to DA-1726 | Drug | Placebo |
|
Measurement of anti-drug antibodies and neutralizing antibodies at baseline until the end of the study (up to 24 weeks post-dose baseline).
| From date of randomization (baseline) until the end of the study (up to 24 weeks post-dose baseline) |
| Pharmacodynamics | Effect of DA-1726 on body composition, cardiac parameters, renal function, liver function and composition, energy expenditure, dietary changes, lipid, metabolic and proteomic-based biomarkers in participants with obesity. | From date of randomization (baseline) until the discontinuation (up to 24 weeks post-dose baseline) |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |