DiabetesPhase 2NCT02205528
A Study of Once-Daily NNC0090-2746 in Participants With Type 2 Diabetes Inadequately Controlled With Metformin
A Phase 2 study testing Liraglutide, Metformin and NNC0090-2746 in people with Diabetes and Diabetes Mellitus Type 2, run by Novo Nordisk A/S at 20 sites in United States.
Trial summary
This trial is conducted in the United States of America (USA). The aim of the trial is to investigate the efficacy, safety, and tolerability of once-daily subcutaneous (SC) injections of NNC0090-2746 for 12 weeks, as an adjunct to metformin, in participants with T2D. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Diabetes, Diabetes Mellitus Type 2
- What is being tested?
- Liraglutide, Metformin and NNC0090-2746
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 108 participants
- Where
- 20 sitesUnited States
- Study dates
- 18 Aug 2014to 15 Sep 2015
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants aged 18 to 70 years, inclusive
- Active diagnosis of T2D for greater than or equal to (>/=) 3 months
- For females of childbearing potential and males with female partners of childbearing potential, agreement to use highly effective contraceptive measures
- Treated with a stable dose of metformin for at least 8 weeks prior to randomization, and expected to remain at the same stable dose throughout study participation
- Hemoglobin A1c (HbA1c) >/= 7.2% and less than or equal to (</=) 10.5%
- Fasting plasma glucose (FPG) less than (<) 250 milligrams per deciliter (mg/dL)
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- C-peptide greater than (>) 1.5 nanograms per milliliter (ng/mL)
- Body mass index (BMI) >/= 27 kilograms per meter-squared (kg/m^2) and </= 44 kg/m^2
- Stable weight (+/- 5%) within 12 weeks prior to Screening
- Willing and able to maintain existing diet and exercise habits throughout the study
- Capable of performing SC self-injections on a daily basis during the study
Who cannot join
- Females who are pregnant or lactating
- History of type 1 diabetes (T1D), diabetes resulting from pancreatic injury, or secondary forms of diabetes such as Cushing's Syndrome or acromegaly
- History of acute metabolic complications such as diabetic ketoacidosis or state of hyperosmolar hyperglycemia
- History of clinically significant diabetic complications such as diabetic proliferative retinopathy or severe diabetic neuropathy (requiring treatment with antidepressants or opioids)
- History of severe hypoglycemia within 6 months prior to Screening
- History of chronic gastrointestinal (GI) conditions that could impede gastric emptying or potentially affect the interpretation of the study data
Show all 19Show fewer
- History of weight loss surgery or weight loss procedure involving the GI tract, such as gastric bypass, gastric stapling, or gastric banding
- History of an eating disorder (e.g., bulimia, anorexia)
- History of malignancy (except treated basal or squamous cell skin cancer) within 5 years prior to Screening
- Personal or family history of medullary thyroid carcinoma
- History of multiple endocrine neoplasia syndrome type 2
- History of chronic or acute pancreatitis or hemochromatosis
- History of significant cardiovascular disease (such as congestive heart failure New York Heart Association Class II to IV, myocardial infarction within the previous 6 months, coronary disease, or uncontrolled hypertension)
- History of clinically significant renal or liver disease
- History of hypersensitivity or previous intolerance to incretin or glucagon analogues
- Elevations in lipase or amylase levels at Screening > 1.5 times the upper limit of normal (ULN) and considered clinically significant by the investigator
- Positive human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAG), or hepatitis C antibody test at Screening
- Receipt of an investigational drug within 30 days or 5 half-lives, whichever is longer, prior to Screening, or active enrollment in another investigational medication or device study
- Any condition, disorder, or abnormal laboratory test findings at screening that, in the judgment of the investigator, would interfere with the participant's ability to comply with all study requirements, or would require the administration of a treatment during the study that could potentially affect the interpretation of the study data, or would place the participant at unacceptable risk by his/her participation in the study
Trial locations and contacts
20 sites in 1 country.
20 sites in 1 country
United States20 sites
Novo Nordisk Investigational Site
Albuquerque, New Mexico, 87102
Novo Nordisk Investigational Site
Berlin, New Jersey, 08009
Novo Nordisk Investigational Site
Chicago, Illinois, 60607
Novo Nordisk Investigational Site
Chino, California, 91710
Novo Nordisk Investigational Site
Cincinnati, Ohio, 45227
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78404
Novo Nordisk Investigational Site
Eugene, Oregon, 97404
Novo Nordisk Investigational Site
Evanston, Illinois, 60201
Novo Nordisk Investigational Site
Greensboro, North Carolina, 27408
Novo Nordisk Investigational Site
Hawaiian Gardens, California, 90716
Novo Nordisk Investigational Site
Hialeah, Florida, 33012
Novo Nordisk Investigational Site
Houston, Texas, 77074
Novo Nordisk Investigational Site
Knoxville, Tennessee, 37920
Novo Nordisk Investigational Site
Los Angeles, California, 90057
Novo Nordisk Investigational Site
Manassas, Virginia, 20110
Novo Nordisk Investigational Site
Oxon Hill, Maryland, 20745
Novo Nordisk Investigational Site
Port Orange, Florida, 32127
Novo Nordisk Investigational Site
Sanford, Florida, 32771
Novo Nordisk Investigational Site
Spring Valley, California, 91978
Novo Nordisk Investigational Site
Tulsa, Oklahoma, 74136
About this study
Official title: A Multi-Center, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Phase 2a Study With an Open-Label Active Group to Assess the Efficacy and Safety of Once-Daily NNC0090-2746 in Type 2 Diabetic Patients Inadequately Controlled With Metformin
This trial is conducted in the United States of America (USA). The aim of the trial is to investigate the efficacy, safety, and tolerability of once-daily subcutaneous (SC) injections of NNC0090-2746 for 12 weeks, as an adjunct to metformin, in participants with T2D.
- Conditions
- Diabetes, Diabetes Mellitus Type 2
- Being tested
- Liraglutide, Metformin, Placebo, NNC0090-2746
- Medical subject headings
- Diabetes Mellitus, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LiraglutideDrug
Liraglutide will be self-administered daily via SC injection according to manufacturer specifications.
MetforminDrug
Metformin hydrochloride immediate- or extended-release oral tablets will be supplied by the participant or investigational site as standard-of-care treatment beginning at least 8 weeks prior to randomization and throughout the 12-week treatment period. Metformin will also be continued during the 4-week follow-up. Dose selection will be based upon manufacturer specifications.
PlaceboDrug
Matching placebo to NNC0090-2746 will be self-administered daily via SC injection.
NNC0090-2746Drug
NNC0090-2746 solution will be self-administered in daily doses of 1.8 mg via SC injection.
| Study group | Role | What they receive |
|---|---|---|
| Treatment Period: Placebo QD | Placebo comparator | Participants will receive daily SC placebo injections during the 12-week, double-blind treatment period. Receives: Drug: Metformin; Drug: Placebo |
| Treatment Period: NNC0090-2746 QD | Experimental | Participants will receive daily 1.8-mg SC injections of NNC0090-2746 during the 12-week, double-blind treatment period. Receives: Drug: Metformin; Drug: NNC0090-2746 |
| Treatment Period: Liraglutide QD | Active comparator | Participants will receive open-label liraglutide via SC injection during the 12-week treatment period. The dose scheme will be as follows: 0.6 milligrams (mg) each day during Week 1, followed by 1.2 mg each day during Week 2, and 1.8 mg each day from Weeks 3 to 12. Receives: Drug: Liraglutide; Drug: Metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c
Measured: Day 1; Week 8
Secondary outcomes (9)
Change in body weight
Measured: Day 1; Week 8; Week 12
Percent change in body weight
Measured: Day 1; Week 8; Week 12
Change in fasting plasma glucose (FPG)
Measured: Day 1; Week 12
Change in post-prandial plasma glucose level
Measured: Day -7; Week 12
Change in post-prandial insulin level
Measured: Day -7; Week 12
Change in post-prandial C-peptide level
Measured: Day -7; Week 12
Change in beta-cell function
According to the Homeostasis Model Assessment (HOMA) score
Measured: Day 1; Week 12
Incidence of treatment-emergent adverse events
Measured: Day 1; Week 18
Change in percent HbA1c
Measured: Day 1; Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jul 2014 (estimated)
- Study start18 Aug 2014
- Primary completion15 Sep 2015
- Study completion15 Sep 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 108 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Registry (GCR,1452), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02205528
- Sponsor's protocol ID
- NN9709-4336
- Other IDs
- U1111-1189-5627
- Status last verified
- Jul 2020
- First submitted
- 30 Jul 2014
- Last updated
- 21 Jul 2020
- Results posted
- No
Publications
Frias JP, Bastyr EJ 3rd, Vignati L, Tschop MH, Schmitt C, Owen K, Christensen RH, DiMarchi RD. The Sustained Effects of a Dual GIP/GLP-1 Receptor Agonist, NNC0090-2746, in Patients with Type 2 Diabetes. Cell Metab. 2017 Aug 1;26(2):343-352.e2. doi: 10.1016/j.cmet.2017.07.011.
PubMed 28768173
Study at a glance
From the registry record, last updated by the sponsor on 21 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Phase 2a Study With an Open-Label Active Group to Assess the Efficacy and Safety of Once-Daily NNC0090-2746 in Type 2 Diabetic Patients Inadequately Controlled With Metformin
- ClinicalTrials.gov ID
- NCT02205528
- Acronym / sponsor ID
- NN9709-4336
- Conditions
- Diabetes, Diabetes Mellitus Type 2
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 108 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 18 Aug 2014 (actual)
- Primary completion
- 15 Sep 2015 (actual)
- Study completion
- 15 Sep 2015 (actual)
- First posted
- 31 Jul 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial is conducted in the United States of America (USA). The aim of the trial is to investigate the efficacy, safety, and tolerability of once-daily subcutaneous (SC) injections of NNC0090-2746 for 12 weeks, as an adjunct to metformin, in participants with T2D.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Treatment Period: Placebo QD | Placebo comparator | Drug: Metformin, Drug: PlaceboParticipants will receive daily SC placebo injections during the 12-week, double-blind treatment period. |
| Treatment Period: NNC0090-2746 QD | Experimental | Drug: Metformin, Drug: NNC0090-2746Participants will receive daily 1.8-mg SC injections of NNC0090-2746 during the 12-week, double-blind treatment period. |
| Treatment Period: Liraglutide QD | Active comparator | Drug: Liraglutide, Drug: MetforminParticipants will receive open-label liraglutide via SC injection during the 12-week treatment period. The dose scheme will be as follows: 0.6 milligrams (mg) each day during Week 1, followed by 1.2 mg each day during Week 2, and 1.8 mg each day from Weeks 3 to 12. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (11 listed)
- Participants aged 18 to 70 years, inclusive
- Active diagnosis of T2D for greater than or equal to (>/=) 3 months
- For females of childbearing potential and males with female partners of childbearing potential, agreement to use highly effective contraceptive measures
- Treated with a stable dose of metformin for at least 8 weeks prior to randomization, and expected to remain at the same stable dose throughout study participation
- Hemoglobin A1c (HbA1c) >/= 7.2% and less than or equal to (</=) 10.5%
Key exclusion criteria (19 listed)
- Females who are pregnant or lactating
- History of type 1 diabetes (T1D), diabetes resulting from pancreatic injury, or secondary forms of diabetes such as Cushing's Syndrome or acromegaly
- History of acute metabolic complications such as diabetic ketoacidosis or state of hyperosmolar hyperglycemia
- History of clinically significant diabetic complications such as diabetic proliferative retinopathy or severe diabetic neuropathy (requiring treatment with antidepressants or opioids)
- History of severe hypoglycemia within 6 months prior to Screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LiraglutideLiraglutide will be self-administered daily via SC injection according to manufacturer specifications. | Drug | Treatment Period: Liraglutide QD |
| MetforminMetformin hydrochloride immediate- or extended-release oral tablets will be supplied by the participant or investigational site as standard-of-care treatment beginning at least 8 weeks prior to randomization and throughout the 12-week treatment period. Metformin will also be continued during the 4-week follow-up. Dose selection will be based upon manufacturer specifications. | Drug | Treatment Period: Liraglutide QD, Treatment Period: NNC0090-2746 QD, Treatment Period: Placebo QD |
| PlaceboMatching placebo to NNC0090-2746 will be self-administered daily via SC injection. | Drug | Treatment Period: Placebo QD |
| NNC0090-2746NNC0090-2746 solution will be self-administered in daily doses of 1.8 mg via SC injection. | Drug | Treatment Period: NNC0090-2746 QD |
Primary outcome
Change in HbA1c
Time frame: Day 1; Week 8
9 secondary outcomes
Change in body weight
Time frame: Day 1; Week 8; Week 12
Percent change in body weight
Time frame: Day 1; Week 8; Week 12
Change in fasting plasma glucose (FPG)
Time frame: Day 1; Week 12
Change in post-prandial plasma glucose level
Time frame: Day -7; Week 12
Change in post-prandial insulin level
Time frame: Day -7; Week 12
Change in post-prandial C-peptide level
Time frame: Day -7; Week 12
Change in beta-cell function
Time frame: Day 1; Week 12
Incidence of treatment-emergent adverse events
Time frame: Day 1; Week 18
Change in percent HbA1c
Time frame: Day 1; Week 12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jul 2020.
- Results publication: PubMed 28768173Frias JP, Bastyr EJ 3rd, Vignati L, Tschop MH, Schmitt C, Owen K, Christensen RH, DiMarchi RD. The Sustained Effects of a Dual GIP/GLP-1 Receptor Agonist, NNC0090-2746, in Patients with Type 2 Diabetes. Cell Metab. 2017 Aug 1;26(2):343-352.e2. doi: 10.1016/j.cmet.2017.07.011.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Global Clinical Registry (GCR,1452) study director
Novo Nordisk A/S
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Liraglutide, Metformin and NNC0090-2746 in people with Diabetes and Diabetes Mellitus Type 2, run by Novo Nordisk A/S at 20 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in HbA1c (time frame: Day 1; Week 8). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02205528, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2020.