Skip to content

Trial · Interventional

CompletedPhase 2Results postedRegistry data

Research Study Investigating How Well NNC0174-0833 Works in People Suffering From Overweight or Obesity.

NCTNCT03856047 (opens ClinicalTrials.gov in a new tab)Other idNN9838-4433Other idU1111-1214-0429Other id2018-001945-14Other id2018

Overview

Status
Completed
Phase
Phase 2
Enrollment
706 participants (actual)
Sponsor
Novo Nordisk A/S · Industry
Design
Randomized · Quadruple masking
Countries
10 countries

United States, Canada, Denmark, Finland, Ireland, Japan, Poland, Serbia, South Africa, United Kingdom

Start
1 Mar 2019
Primary completion
2 Mar 2020
Completion
25 Mar 2021
First posted
27 Feb 2019
Last update posted
5 Jul 2024
Conditions
Overweight · Obesity

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2019202020212022
  1. Ph 2

    Research Study Investigating How Well NNC0174-0833 Works in People Suffering From Overweight or Obesity.

    NCT03856047

    1 Mar 2019 to 25 Mar 2021

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This study will look at the change in body weight in people taking NNC0174-0833, liraglutide and "dummy" medicine, from the start to the end of the study. As well as taking the medicine, participants will have talks with study staff about healthy food choices, how to be more physically active and what participants can do to lose weight. Participants will either take NNC0174-0833, liraglutide or "dummy" medicine - which treatment participants get is decided by chance. Participants will need to take one injection once a week or once a day, depending on the treatment. The study medicine is injected with a thin needle in a skin fold in the stomach, thigh or upper arm. The study will last for about 8 months. Participants will have 12 clinic visits with the study doctor.

Interventions

  • NNC0174-0833Drug
  • Placebo (NNC0174-0833)Drug
  • Liraglutide 3.0 mgDrug
  • Placebo (Liraglutide 3.0 mg)Drug

Arms12

  • Experimental

    NNC0174-0833, 4.5 mg

    Patients will receive 4.5 mg of NNC0174-0833 once a week as injections for 26 weeks.

  • Experimental

    NNC0174-0833, 2.4 mg

    Patients will receive 2.4 mg of NNC0174-0833 once a week as injections for 26 weeks.

  • Experimental

    NNC0174-0833, 1.2 mg

    Patients will receive 1.2 mg of NNC0174-0833 once a week as injections for 26 weeks.

  • Experimental

    NNC0174-0833, 0.6 mg

    Patients will receive 0.6 mg of NNC0174-0833 once a week as injections for 26 weeks.

  • Experimental

    NNC0174-0833 0.3 mg

    Patients will receive 0.3 mg of NNC0174-0833 once a week as injections for 26 weeks.

  • Placebo comparator

    Placebo 2.4 mg (NNC0174-0833)

    Patients will receive 2.4 mg of placebo (NNC0174-0833) once a week as injections for 26 weeks.

  • Placebo comparator

    Placebo 4.5 mg (NNC0174-0833)

    Patients will receive 4.5 mg of placebo (NNC0174-0833) once a week as injections for 26 weeks.

  • Placebo comparator

    Placebo 1.2 mg (NNC0174-0833)

    Patients will receive 1.2 mg of placebo (NNC0174-0833) once a week as injections for 26 weeks.

  • Placebo comparator

    Placebo 0.6 mg (NNC0174-0833)

    Patients will receive 0.6 mg of placebo (NNC0174-0833) once a week as injections for 26 weeks.

  • Placebo comparator

    Placebo 0.3 mg (NNC0174-0833)

    Patients will receive 0.3 mg of NNC0174-0833 once a week as injections for 26 weeks.

  • Active comparator

    Liraglutide 3.0 mg

    Patients will receive 3.0 mg of liraglutide once daily as injections for 26 weeks.

  • Placebo comparator

    Placebo 3.0 mg (Liraglutide)

    Patients will receive placebo 3.0 mg(liraglutide) once daily as injections for 26 weeks.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in Body Weight (%)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in body weight (%) from week 0 to week 26 is presented. For descriptive analysis and statistical analysis the endpoint was evaluated based on the data from in-trial period and treatment adherent period, respectively. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period. Treatment-adherent: a participant is treatment adherent until the first time of non-adherence defined as: participant has not been dosed with trial product within the prior 14 days; participant has received other weight management drug or bariatric surgery; participant has not reached target dose at a pre-specified week; After the pre-specified evaluation week for the target dose, the participant has not received the target dose ±10% within the prior 14 days.

Secondary outcomes(20)
  1. Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 26 Weeks

    Time frame · Week 26

    Registry description

    Percentage of participants who achieved a weight loss of greater than or equal to (≥) 5% of baseline (week 0) body weight at 26 weeks is presented. The numbers presented are predictions from a logistic regression model.

  2. Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 26 Weeks

    Time frame · Week 26

    Registry description

    Percentage of participants who achieved a weight loss ≥ 10% of baseline (week 0) body weight at 26 weeks is presented. The numbers presented are predictions from a logistic regression model.

  3. Change in Body Weight (Kg)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in body weight (Kg) from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  4. Change in Waist Circumference

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in waist circumference from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  5. Change in Total Cholesterol

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in total cholesterol from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  6. Change in High Density Lipoprotein (HDL) Cholesterol

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in HDL cholesterol from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  7. Change in Low Density Lipoprotein (LDL) Cholesterol

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in LDL cholesterol from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  8. Change in Very Low Density Lipoprotein (VLDL) Cholesterol

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in VLDL cholesterol from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  9. Change in Triglycerides

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in triglycerides from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  10. Change in Glycosylated Haemoglobin (HbA1c) (%-Point)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in HbA1c (measured as percentage point of HbA1c) from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  11. Change in HbA1c (mmol/Mol)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in HbA1c (measured as millimoles per mole (mmol/mol)) from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  12. Change in Fasting Plasma Glucose (FPG) (mmol/L)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in FPG (measured as mmol/L)) from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  13. Change in FPG (mg/dL)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change in FPG (measured as milligrams per decilitre (mg/dL)) from week 0 to week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  14. Change in Fasting Insulin

    Time frame · From baseline (week 0) to week 26

    Registry description

    In the below table, fasting insulin data at week 0 and at week 26 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  15. Percentage Change in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Percentage change in HOMA-IR from week 0 to week 26 is presented. Insulin resistance is a condition in which cells fail to respond to normal actions of hormone in body. HOMA-IR is calculated using a subject's fasting plasma insulin and glucose levels. HOMA-IR = fasting serum insulin (micro international units per milliliter (μU/ml)) × fasting plasma glucose (millimoles per liter (mmol/l)) / 22.5. HOMA-IR scores are classified as follows: less than 1.0: considered Insulin sensitive, 0.5-1.4: considered Healthy, Above 1.8: considered Early insulin resistance; Above 2.7 is considered significant insulin resistance. HOMA-IR score ranges from 0-infinity (no upper limit). Higher the score, higher the level of insulin resistance. Endpoint was evaluated based on data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in in-trial period.

  16. Change in Homeostatic Model Assessment of Beta-cell Function (HOMA-beta)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Change between the value of HOMA-beta cell function collected at Week 26 and HOMA-beta cell function collected at Week 0 is presented. The homeostatic model assessment estimates steady state beta cell function as a percentage of a normal reference population (%B). HOMA %B = 20 \* insulin (micro international units per milliliter (µIU/mL)) / fasting plasma glucose (millimoles per liter (mmol/L)) - 3.5. HOMA-beta score ranges from minus infinity to infinity (no limits). The higher the score the better beta-cell function for HOMA-beta. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period.

  17. Number of Treatment-emergent Adverse Events (TEAEs)

    Time frame · From week 0 to week 32

    Registry description

    An adverse event (AE) was any untoward medical occurrence in a clinical trial participant administered or used a medicinal product, whether or not considered related to the medicinal product or usage. All AEs reported here are TEAEs. TEAE is defined as an event that had onset date during the on-treatment period. The endpoint was evaluated based on the data from on-treatment period which started from the date of first trial product administration to date of last trial product administration excluding potential off-treatment time intervals triggered by at least 6 consecutive missed doses for cagrilintide or 6 consecutive weeks of missed dosing with liraglutide.

  18. Number of Treatment-emergent Serious Adverse Events (TESAEs)

    Time frame · From week 0 to week 32

    Registry description

    An AE was any untoward medical occurrence in a clinical trial participant administered or used a medicinal product, whether or not considered related to the medicinal product or usage. Serious AE is an AE that resulted in death, life threatening, persistent or significant incapacity or substantial disruption of ability to conduct normal life functions, hospitalization or prolongation of existing hospitalization, congenital anomaly or birth defect, important medical events that may not result in death, be life threatening, or require hospitalization. All SAEs reported in the below table are TESAEs. The endpoint was evaluated based on the data from on-treatment period which started from the date of first trial product administration to date of last trial product administration excluding potential off-treatment time intervals triggered by at least 6 consecutive missed doses for cagrilintide or 6 consecutive weeks of missed dosing with liraglutide.

  19. Number of Participants With Occurrence of Anti-drug Antibodies Towards Cagrilintide

    Time frame · From week 0 to week 32

    Registry description

    Number of participants with occurrence of anti-drug antibodies towards cagrilintide from randomisation from week 0 to week 32 is presented. The endpoint was evaluated based on the data from in-trial period. The in-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Follow-up time for positive antibodies was not included in the in-trial period. This endpoint is applicable only for the cagrilintide treatment arms.

  20. Change in Diastolic Blood Pressure (DBP)

    Time frame · From baseline (week 0) to week 26

    Registry description

    Blood pressure was measured in a sitting position after 5 minutes of rest. The end point is evaluated while the subject is treatment-adherent. A participant is treatment adherent until the first time of non-adherence defined as: a) the participant has not been dosed with trial product within the prior 14 days; b) the participant has received other weight management drug or bariatric surgery c) the participant has not reached target dose at a pre-specified week d) After the pre-specified evaluation week for the target dose, the participant has not received the target dose +/- 10 % within the prior 14 days. This endpoint is applicable only for the cagrilintide treatment arms.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· From baseline (week 0) to week 26

Change in Body Weight (%)

GroupValue (Percentage point of body weight)Spread
Cagrilintide 0.3 mg-6.13.9
Cagrilintide 0.6 mg-6.95.4
Cagrilintide 1.2 mg-8.55.4
Cagrilintide 2.4 mg-9.56.2
Cagrilintide 4.5 mg-10.85.5
Liraglutide 3.0 mg-8.55.6
Pooled Placebo-3.05.2
Secondary and other outcome results(7)
Secondary outcomeNumber· Week 26

Percentage of Participants With Weight Loss of ≥ 5% of Baseline Body Weight at 26 Weeks

GroupValue (Percentage of participants)
Cagrilintide 0.3 mg57.47
Cagrilintide 0.6 mg61.98
Cagrilintide 1.2 mg75.84
Cagrilintide 2.4 mg74.12
Cagrilintide 4.5 mg88.74
Liraglutide 3.0 mg76.16
Pooled Placebo30.90
Secondary outcomeNumber· Week 26

Percentage of Participants With Weight Loss of ≥ 10% of Baseline Body Weight at 26 Weeks

GroupValue (Percentage of participants)
Cagrilintide 0.3 mg15.28
Cagrilintide 0.6 mg24.06
Cagrilintide 1.2 mg35.79
Cagrilintide 2.4 mg43.97
Cagrilintide 4.5 mg53.49
Liraglutide 3.0 mg39.43
Pooled Placebo10.44
Secondary outcomeMean· From baseline (week 0) to week 26

Change in Body Weight (Kg)

GroupValue (Kilograms (kg))Spread
Cagrilintide 0.3 mg-6.64.3
Cagrilintide 0.6 mg-7.15.6
Cagrilintide 1.2 mg-9.06.3
Cagrilintide 2.4 mg-10.16.7
Cagrilintide 4.5 mg-11.86.8
Liraglutide 3.0 mg-9.16.4
Pooled Placebo-3.25.8
Secondary outcomeMean· From baseline (week 0) to week 26

Change in Waist Circumference

GroupValue (centimeters (cm))Spread
Cagrilintide 0.3 mg-6.25.0
Cagrilintide 0.6 mg-6.25.9
Cagrilintide 1.2 mg-7.77.1
Cagrilintide 2.4 mg-8.17.1
Cagrilintide 4.5 mg-9.56.1
Liraglutide 3.0 mg-7.45.8
Pooled Placebo-3.45.7
Secondary outcomeMean· From baseline (week 0) to week 26

Change in Total Cholesterol

GroupValue (Milligrams per deciliter (mg/dL))Spread
Cagrilintide 0.3 mg3.927.8
Cagrilintide 0.6 mg-1.822.1
Cagrilintide 1.2 mg-3.124.9
Cagrilintide 2.4 mg-2.926.7
Cagrilintide 4.5 mg-5.422.1
Liraglutide 3.0 mg-9.426.4
Pooled Placebo0.122.8
Secondary outcomeMean· From baseline (week 0) to week 26

Change in High Density Lipoprotein (HDL) Cholesterol

GroupValue (mg/dL)Spread
Cagrilintide 0.3 mg1.56.1
Cagrilintide 0.6 mg1.96.9
Cagrilintide 1.2 mg1.17.3
Cagrilintide 2.4 mg1.85.6
Cagrilintide 4.5 mg2.66.9
Liraglutide 3.0 mg0.86.3
Pooled Placebo0.17.0
Secondary outcomeMean· From baseline (week 0) to week 26

Change in Low Density Lipoprotein (LDL) Cholesterol

GroupValue (mg/dL)Spread
Cagrilintide 0.3 mg5.224.0
Cagrilintide 0.6 mg-0.319.6
Cagrilintide 1.2 mg-0.519.8
Cagrilintide 2.4 mg-0.922.1
Cagrilintide 4.5 mg-2.719.2
Liraglutide 3.0 mg-5.422.9
Pooled Placebo-1.021.5

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Cagrilintide 0.3 mgParticipants were to receive once weekly subcutaneous (s.c.) injection of 0.3 milligrams (mg) cagrilintide for 26 weeks, using NovoPen® 4 pen-injector.0 / 1016 / 10159 / 101
Cagrilintide 0.6 mgParticipants were to receive once weekly s.c. injection of 0.6 mg cagrilintide for 26 weeks, using NovoPen® 4 pen-injector.0 / 1002 / 10058 / 100
Cagrilintide 1.2 mgParticipants were to receive once weekly s.c. injection of cagrilintide for 26 weeks, using NovoPen® 4 pen-injector. Participants initially received 0.6 mg of cagrilintide and the dose was then escalated every other week until the target dose of 1.2 mg was reached: 0.6 mg (week 0) and 1.2 mg (week 2 to week 26).0 / 1027 / 10272 / 102
Cagrilintide 2.4 mgParticipants were to receive once weekly s.c. injection of cagrilintide for 26 weeks, using NovoPen® 4 pen-injector. Participants initially received 0.6 mg of cagrilintide and the dose was then escalated every other week until the target dose of 2.4 mg was reached: 0.6 mg (week 0), 1.2 mg (week 2), 2.4 mg (week 4 to week 26).0 / 1023 / 10262 / 102
Cagrilintide 4.5 mgParticipants were to receive once weekly s.c. injection of cagrilintide for 26 weeks, using NovoPen® 4 pen-injector. Participants initially received 0.6 mg of cagrilintide and the dose was then escalated every other week until the target dose of 4.5 mg was reached: 0.6 mg (week 0), 1.2 mg (week 2), 2.4 mg (week 4), 4.5 mg (week 6 to week 26).0 / 1014 / 10176 / 101
Liraglutide 3.0 mgParticipants were to receive once daily s.c. injection of liraglutide for 26 weeks, using PDS290 pen-injector. Participants initially received 0.6 mg of liraglutide and the dose was then escalated every other week until the target dose of 3.0 mg was reached: 0.6 mg (week 0), 1.2 mg (week 1), 1.8 mg (week 2), 2.4 mg (week 3), 3.0 mg (week 4 to week 26).0 / 994 / 9965 / 99
Placebo PoolParticipants were to receive once weekly / once daily s.c. injection of placebo matched to cagrilintide / liraglutide (0.3 mg, 0.6 mg, 1.2 mg, 2.4 mg or 4.5 mg / 0.6 mg, 1.2 mg, 1.8 mg, 2.4 mg, 3.0 mg ) for 26 weeks respectively.0 / 1013 / 10145 / 101

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies1

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 2021

9 results

Once-weekly cagrilintide for weight management in people with overweight and obesity: a multicentre, randomised, double-blind, placebo-controlled and active-controlled, dose-finding phase 2 trial.

Lau et al. 2021Lancet (London, England)cited by 208

PMID 34798060DOI 10.1016/s0140-6736(21)01751-7PUB-34798060

Full text at the publisher9 results

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * 18 years or older at the time of signing the informed consent. * Female subject of non-childbearing potential or Male subject who is surgically sterilised (vasectomy) or who is willing to use adequate contraceptive methods (as required by local regulation or practice) throughout the trial (until 'end of trial'). * BMI equal to 30.0 kg/m\^2 or greater or BMI equal to 27.0 kg/m\^2 or greater with the presence of at least one of the following weight-related comorbidities (treated or untreated): hypertension or dyslipidaemia (to be assessed at the investigator's discretion). Exclusion Criteria: * HbA1c equal to 48 mmol/mol (6.5 percentage) or greater as measured by the central laboratory at screening. * A self-reported change in body weight greater than 5 kg (11 lbs) within 90 days prior to screening irrespective of medical records.

PepBank is a research reference. Talk to a doctor before you use any peptide.