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This study is a randomized, double-blind, placebo-controlled, multiple-dose, dose-escalation study in overweight or obese subjects to evaluate the safety, tolerability, pharmacokinetic (PK), and pharmacodynamic (PD) characteristics of HDM1005 injection in overweight or obese subjects.
This study is designed to consist of 5 dose cohorts, with 10 subjects in each cohort. Within each cohort, subjects are randomized in a 4:1 ratio to receive either HDM1005 injection or placebo subcutaneously. The proposed dose cohorts are as follows: cohort a (0.5 mg), cohort b (1.0 mg), cohort c (2.0 mg), cohort d (4.0 mg), cohort e (8.0 mg). Cohorts d,e will use a titration method to gradually reach the target dose. After obtaining safety and tolerability data for at least 14 days following multiple ascending dose (MAD) in the previous dose cohort, the dose to be administered and titration strategy for the next dose cohort are jointly determined by the investigator and the sponsor. Administration is allowed in the higher dose cohort only if the data from the lower dose cohort is indicative of safety. If necessary, the sponsor may continue to explore higher dose cohorts with the agreement of both the investigator and the sponsor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HDM1005 injection dose level 1 | Experimental | HDM1005 injection or pleacebo dose level 1 qw subcutaneous injection, 4weeks |
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| HDM1005 injection dose level 2 | Experimental | HDM1005 injection or pleacebo dose level 2 qw subcutaneous injection, 4weeks |
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| HDM1005 injection dose level 3 | Experimental | HDM1005 injection or pleacebo dose level 3 qw subcutaneous injection, 4weeks |
|
| HDM1005 injection dose level 4 | Experimental | HDM1005 injection or pleacebo dose level 3 qw subcutaneously administered once weekly, for 2 times; subsequently increased to dose level 4 once weekly for 2 times. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HDM1005 injection or placebo | Drug | Within each cohort, subjects are randomized in a 4:1 ratio to receive either HDM1005 injection or placebo subcutaneously. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence, severity, and causality of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) | Safety Outcomes . The incidence, severity, and causality of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) occurring during the study period; TEAEs leading to early study termination; TEAEs leading to death, etc. | Signing informed until day 57 |
| Measure | Description | Time Frame |
|---|---|---|
| area under the concentration- time curve from time zero to time t (AUC0-t). | PK parameter: area under the concentration- time curve from time zero to time t (AUC0-t). | Before the first dose to 672 hours after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Changes of weight in kilogram | Baseline to day 29 | |
| BMI in kg/m^2 | Baseline to day 29 | |
| Changes of glucose |
Inclusion Criteria:
Exclusion criteria
Subjects who meet any of the following criteria will be excluded:
Within 3 months before screening, subjects' body weight changed by ≥5%
Previously diagnosed with type 1, type 2, or another type of diabetes
Diagnosis of overweight or obesity due to other diseases or medications
History or family history of medullary thyroid carcinoma, thyroid C-cell hyperplasia, or multiple endocrine adenomatosis type 2
As determined by the investigator, the subjects have co-existing diseases or conditions that affect gastric emptying or gastrointestinal nutrient absorption.
Cardiovascular and cerebrovascular diseases, gastrointestinal diseases, diabetes mellitus, medullary thyroid cancer, thyroid C cell hyperplasia, multiple endocrine adenomatosis type 2, chronic pancreatitis, and malignant tumors with obvious clinical significance were present; And any respiratory, neurological, urogenital, hematological, or endocrine disorders that may affect the safety of the subject or the findings of the study
Any malignancy within 5 years prior to signing the ICF (except for basal cell carcinoma that has received curative treatment and is considered cured)
Patients who have undergone major surgery within 3 months before signing the ICF, or who plan to undergo surgery during the study period
Previous or combined depression or other mental disorders
Known intolerance or allergy to any component of the investigational drug or GLP-1 receptor (GLP-1R) agonists; Or have a history of severe drug allergies
Use of GLP-1R agonists within 6 months before signing the ICF
Drugs that have been used within 3 months before signing ICF and have been determined by researchers to significantly affect weight and glucose
For subjects taking lipid-lowering drugs, the dose of lipid-lowering drugs was not stable within 30 days before signing the ICF
Participated in any clinical trial within 30 days prior to randomization or within 5 half-lives (whichever is older) after the last administration of the investigational drug in the clinical trial (except those who signed ICF and did not receive drug or device intervention)
Any of the auxiliary test indicators during the screening period meets the following criteria:
a) Hemoglobin <100g/L for women and < 110g/L for men; b) ALT>2.0x upper limit of normal (ULN), or AST>2.0x ULN, or ALP>1.5x ULN, or TBIL>1.5x ULN (Subjects with Gilbert's syndrome can participate in this study if DBIL≤ULN); c) HbA1c≥6.5%, or fasting blood glucose ≥7.0 mmol/L or ≤3.9 mmol/L; d) Triglyceride >5.6 mmol/L; e) calcitonin ≥20 ng/L; f) Thyroid stimulating hormone >6.0 mIU/L or <0.4 mIU/L g) blood amylase or lipase >ULN; h)eGFR < 90 mL/min/1.73m2; i) QTcF Male >450ms, female >470ms
People tested positive for infectious diseases
Habitual smokers, alcoholics and drug abusers
Blood donors within 3 months prior to randomization
Pregnant or lactating women
The Investigator considers that the subject is not suitable to participate in any other circumstances of the trial
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| Name | Affiliation | Role |
|---|---|---|
| Wei Hu, Doctor | The Second Hospital of Anhui Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Anhui Medical University | Hefei | Anhui | 230000 | China |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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|
| Baseline to day 29 |
| Change of blood pressure | Baseline to day 29 |
| Change of Total cholesterol (blood lipid ) | Baseline to day 29 |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |