XW004 To Evaluate the Safety, Tolerability, PK, and PD of Oral Ecnoglutide Tablet in Healthy Adults

PHASE1RECRUITING

XW004 is an acylated human glucagon-like peptide 1 (GLP-1) analogue and is being developed for type 2 diabetes mellitus (T2DM) and obesity management.

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Study details:

This is a single centre, double-blind, randomised, multiple-dose, placebo-controlled study, including six cohorts (Cohorts 1A/1B, 2, 3, 4, 5, 6) with a semi-parallel design. The study is designed to evaluate the safety, tolerability, PK, and PD of oral ecnoglutide tablet in healthy participants. Participants will undergo a Screening period beginning up to 28 days (Cohort 1 to 4) and 42 days (Cohort 5 and 6 ) prior to randomisation/dose administration and will be required to sign an informed consent form (ICF) before undertaking any study specific procedures or assessments.

Participants who meet all of the inclusion and none of the exclusion criteria will be enrolled. Eligible participants will be admitted to the CRU on Day -1 for review of inclusion and exclusion criteria prior to the start of study procedures on Day 1. A Safety Review Committee (SRC) will be established to monitor the progress of this trial and to make recommendations on whether to continue, modify or stop the trial for safety or ethical reasons.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Healthy male or female participants, aged 18 to 55 years (inclusive at the time of informed consenting);
  • Participants must be in good general health, with no significant medical history, and have no clinically significant abnormalities on physical examination at Screening and/or before administration of study drug;
  • Stable body weight for at least 3 months prior to Screening (i.e., <5% change) by self-declaration;
  • Participants must have a Body Mass Index (BMI) ≥22.0 kg/m2 and <32.0 kg/m2 and weigh ≥55 kg at Screening (Cohorts 1A/1B to 3), or participants must have a BMI ≥30.0 kg/m2 and <40.0 kg/m2 and weigh ≥75 kg at Screening (Cohort 4, 5 and 6 only);
  • Exclusion criteria

  • Prior or ongoing medical conditions, medical history, physical findings, or laboratory abnormality that, in the Investigator's (or delegate's) opinion, may require treatment or render the participant unlikely to fully complete the study, or any condition that presents undue risk from the investigational product (IP) or procedures or interfere with study assessments;
  • Confirmed diagnosis of diabetes mellitus type 1, type 2, or of any other forms at any time, and/or occurrence of documented or suspected hypoglycaemic episodes within 12 months prior to Screening;
  • Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2;
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : Yes

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2022-04-12

    Primary completion: 2024-07-01

    Study completion finish: 2024-08-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT05184322

    Intervention or treatment

    DRUG: T2026

    DRUG: Placebo

    DRUG: Oral ecnoglutide tablet

    DRUG: Oral ecnoglutide tablet

    DRUG: Oral ecnoglutide tablet

    DRUG: Oral ecnoglutide tablet

    DRUG: Oral ecnoglutide tablet

    DRUG: Oral ecnoglutide tablet

    DRUG: T2026

    DRUG: Placebo

    DRUG: T2026

    DRUG: Placebo

    Conditions

    • Obesity
    • Type 2 Diabetes Mellitus

    Find a site

    Closest Location:

    Q-Pharm Pty Ltd (AKA Nucleus Network Brisbane)

    Research sites nearby

    Select from list below to view details:

    • Q-Pharm Pty Ltd (AKA Nucleus Network Brisbane)

      Herston, Queensland, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: Cohort 1A/1B
    • Cohort 1A/1B will enroll 14 healthy participants.
    DRUG: T2026
    • Once daily for 15 days.
    EXPERIMENTAL: Cohort 2
    • Cohort 2 will enroll 14 healthy participants.
    DRUG: T2026
    • Once daily for 15 days.
    EXPERIMENTAL: Cohort 3
    • Cohort 3 will enroll 14 healthy participants.
    DRUG: T2026
    • Once daily for 15 days.
    EXPERIMENTAL: Cohort 4
    • Cohort 4 will enroll 14 otherwise healthy participants with obesity.
    DRUG: Oral ecnoglutide tablet
    • Once daily for 6 weeks.
    EXPERIMENTAL: Cohort 5
    • Cohort 5 will enroll 14 otherwise healthy participants with obesity.
    DRUG: Oral ecnoglutide tablet
    • Once daily and titrated up in concentration to once every week during maintenance period.
    EXPERIMENTAL: Cohort 6
    • Cohort 6 will enroll 14 otherwise healthy participants with obesity.
    DRUG: T2026
    • Once daily for 15 days.

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Number and percentage of treatment emergent adverse events (TEAEs) and serious adverse events (SAE)Count of adverse eventsUp to 98 days

    Secondary outcome

    Frequently Asked Questions

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    References

    Clinical Trials Gov: XW004 To Evaluate the Safety, Tolerability, PK, and PD of Oral Ecnoglutide Tablet in Healthy Adults

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