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ObesityPhase 1NCT04703764

A Study to Investigate the Safety and Pharmacokinetic/Pharmacodynamic Characteristics of HSG4112

A Phase 1 study testing HSG4112 in people with Obesity, run by Glaceum at 2 sites in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

1. Study Objective <Part 1> To evaluate the safety and pharmacokinetic/pharmacodynamic characteristics of HSG4112 after multiple oral administration in healthy female subjects. <Part 2> To evaluate the safety and pharmacokinetic/pharmacodynamic characteristics of HSG4112 after multiple oral administration in obese… Read more about this study

Who is it for?
Ages 19 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Obesity
What is being tested?
HSG4112
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
2 sitesSouth Korea
Study dates
15 Feb 2021to 3 Feb 2022
Phase
Phase 1
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 19 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Able to comprehend and willing to sign an informed consent form approved by the IRB before screening.
  • Females between 19 and 50 years of age at screening.
  • Body mass index (BMI) between 18.0 and 24.9.
  • BMI (kg/m2) = Body weight (kg) / {Height (m)2}
  • In good health, determined by no clinically significant findings from medical history, physical examination, vital signs, 12-lead electrocardiogram, and clinical laboratory evaluations at screening, or subjects who are deemed acceptable by the Investigator regardless of the test results.
  • Not pregnant or lactating, with a regular menstrual cycle (i.e., 28±7 days).
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  • Able to comprehend and willing to sign an informed consent form approved by the IRB before screening.
  • Adults between 19 and 50 years of age at screening.
  • Body mass index (BMI) of 30.0 or higher, with a waist circumference of 90 cm or higher for males and 85 cm or higher for females.
  • BMI (kg/m2) = Body weight (kg) / {Height (m)2}
  • Deemed acceptable by the Investigator through medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluations at screening, or subjects who are deemed acceptable by the Investigator regardless of the test results.

Who cannot join

  • Significant history or clinical manifestation of any hepatic, kidney, neurological, immune, respiratory, endocrine, hematological, neoplastic, or cardiovascular disease, or psychiatric disorder (e.g., mood disorder, obsessive-compulsive disorder).
  • History of stomach or intestinal disorders (e.g., Chrons disease, ulcer) or surgeries - not including appendectomy, hemorrhoidectomy, or herniotomy - which may affect the pharmacokinetic or pharmacodynamic evaluation of the investigational product.
  • Significant history or clinical manifestation of hypersensitivity to any drug compound (e.g., licorice, aspirin, antibiotics).
  • One or more of the following laboratory test results at screening:
  • ALT > 60 IU/L
  • Glucose (fasting) > 100 mg/dL or < 70 mg/dL
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  • Systolic blood pressure of < 90 mmHg or > 150 mmHg, or diastolic blood pressure of < 60 mgHg or > 100 mmHg as determined by vital signs monitored after resting in sitting position for at least 3 minutes.
  • History of drug/chemical abuse or tested positive in urine drug screen.
  • Use or intend to use any prescription medications/products or phytotherapeutic/herbal/plant-derived preparations within 14 days prior to dosing, or any nonprescription medications/products (i.e., over-the-counter (OTC) drugs), health products, or vitamins within 7 days prior to dosing, unless deemed acceptable by the Investigator.
  • Participation in any clinical study or bioequivalence study involving administration of an investigational drug, including any study investigating HSG4112, within 6 months prior to dosing (i.e., within 6 months of the last dose from the previous study).
  • Whole blood donation within 2 months prior to dosing, plasma/platelet donation within 1 month prior to dosing, or receipt of blood products within 1 month prior to dosing.
  • Smoker. However, participation is acceptable if the subject has quit smoking at least 3 months prior to dosing.
  • Alcohol consumption of > 21 units/week (1 unit = 10 g of pure alcohol) or unable to abstain from consuming alcohol during the study period.
  • Ingestion of grapefruit-containing foods or beverages 24 hours prior to dosing until discharge, or unable to abstain from ingesting such foods or beverages during the same period.
  • Unable to abstain from caffeine-containing foods or beverages (e.g., coffee, tea (e.g., black tea, green tea), soft drinks, coffee milk, energy drinks, sports drinks) during the admission period.
  • One or more of the following contraception- or pregnancy-related exclusion criteria:
  • Females of childbearing potential who are unable or unwilling to use acceptable contraceptive methods during the study period. 'A female of childbearing potential' refers to premenopausal females (i.e., females who who have experienced amenorrhoea for 12 months or longer) who are capable of becoming pregnant following menarche and have not been surgically sterilized (e.g., hysterectomy, bilateral tubal ligation, bilateral salpingectomy, bilateral oophorectomy).
  • Acceptable contraceptive methods include: intrauterine device that has been proven highly effective, physical contraception (e.g., diaphragm, uterine cap, condom) used with chemical sterilization (e.g., spermicide), or surgical sterilization (e.g., vasectomy, hysterectomy, tubal ligation, salpingectomy) of the subject or the subject's male partner.
  • Intend to use hormonal contraceptive methods during the study period.
  • Females of childbearing potential who have tested positive for pregnancy, determined by the pregnancy test.
  • Subjects who, in the opinion of the Investigator, should not participate in this study based on clinical laboratory test results or other reasons.
  • <Part 2>
  • Significant history or clinical manifestation of any hepatic, kidney, neurological, immune, respiratory, endocrine, hematological, neoplastic, cardiovascular, psychiatric diseases or compulsive disorder.
  • History of stomach or intestinal disorders (e.g., Chrons disease, ulcer) or surgeries - not including appendectomy, hemorrhoidectomy, or herniotomy - which may affect the pharmacokinetic or pharmacodynamic evaluation of the investigational product.
  • Significant history or clinical manifestation of hypersensitivity to any drug compound (e.g., licorice, aspirin, antibiotics).
  • One or more of the following laboratory test results at screening:
  • AST > 100 IU/L
  • ALT > 100 IU/L
  • Cholesterol > 300 mg/dL (subjects who need treatment for their cholesterol level will be excluded)
  • Triglyceride > 300 mg/dL
  • Glucose (fasting) of 126 mg/dL or higher
  • Systolic blood pressure of < 90 mmHg or > 150 mmHg, or diastolic blood pressure of < 60 mgHg or > 100 mmHg as determined by vital signs monitored after resting in sitting position for 3 minutes or longer.
  • History of drug/chemical abuse or tested positive in urine drug screen.
  • Use or intend to use any prescription medications/products or phytotherapeutic/herbal/plant-derived preparations 14 days prior to dosing, or any nonprescription medications/products (i.e., over-the-counter (OTC) drugs), health products, or vitamins 7 days prior to dosing, unless deemed acceptable by the Investigator.
  • Participation in any clinical study or bioequivalence study involving administration of an investigational drug, including any study investigating HSG4112, 6 months prior to dosing (i.e., within 6 months of the last dose from the previous study).
  • Whole blood donation within 2 months prior to dosing, plasma/platelet donation within 1 month prior to dosing, or receipt of blood products within 1 month prior to dosing.
  • Smoker. However, participation is acceptable if the subject has quit smoking 3 months prior to dosing.
  • Alcohol consumption of > 21 units/week (1 unit = 10 g of pure alcohol) or unable to abstain from consuming alcohol during the study period.
  • Ingestion of grapefruit-containing foods or beverages 24 hours prior to dosing until discharge, or unable to abstain from ingesting such foods or beverages during the same period.
  • Unable to abstain from caffeine-containing foods or beverages (e.g., coffee, tea (black tea, green tea, etc.), soft drinks, coffee milk, energy drinks, sports drinks) during the admission period.
  • Females who have tested positive in a urine HCG test, are pregnant, or lactating before the dosing of an investigational product, excluding females who have experienced amenorrhoea for 12 months or longer or have been surgically sterilized (e.g., hysterectomy, bilateral tubal ligation, bilateral salpingectomy, bilateral oophorectomy).
  • Unable or unwilling to use contraceptive methods during the study period, up to 30 days after the last day of dosing.
  • Acceptable contraceptive methods include:
  • Use of an intrauterine device that has been proven highly effective by the subject or the subject's partner.
  • Physical contraception (e.g., diaphragm, uterine cap, condom) used with chemical sterilization (e.g., spermicide)
  • Surgical sterilization of the subject or the subject's partner (e.g., vasectomy, hysterectomy, tubal ligation, salpingectomy).
  • Subjects who, in the opinion of the Investigator, should not participate in in this study based on clinical laboratory test results or other reasons.

Trial locations and contacts

2 sites in 1 country.

South Korea2 sites
  • Kyungpook National University Hospital

    Daegu, 41944

  • Seoul National University Hospital

    Seoul, 03080

Other trials in South Korea

About this study

Official title: A Dose Blocked-randomized, Double Blind, Placebo-controlled, Multiple Dosing, Phase I Clinical Trial to Evaluate the Safety and Pharmacokinetic/Pharmacodynamic Characteristics of HSG4112 After Oral Administration in Healthy and Obese Adult Subjects

  1. Study Objective <Part 1> To evaluate the safety and pharmacokinetic/pharmacodynamic characteristics of HSG4112 after multiple oral administration in healthy female subjects. <Part 2> To evaluate the safety and pharmacokinetic/pharmacodynamic characteristics of HSG4112 after multiple oral administration in obese subjects.
  2. Background The previous phase 1 clinical trials investigating HSG4112 only included healthy male subjects, and food effect was observed in theses studies - the plasma exposure to HSG4112 following administration under fed conditions was approximately 2.5 times higher compared to the exposure following administration under fasted conditions. Therefore, this study is designed to evaluate the safety of HSG4112 in healthy female subjects and obese subjects following the administration of HSG4112 under fed conditions.
  3. Study Design and Plan

<Part 1> This study is a dose block-randomized, double-blind, placebo-controlled, multiple dosing, phase 1 clinical study. A unique randomization number will be assigned to each subject deemed eligible to participate in the study based on the inclusion/exclusion criteria. Each subject will be randomized to one of the two dose groups. In each dose group, 8 subjects will be randomized to receive HSG4112 and 2 subjects will be randomized to receive placebo. The subjects will be studied in a double-blind manner and will receive the investigational product (i.e., HSG4112 or placebo) via once-daily oral administration for 14 consecutive days. After the Post-Study Visit of the last volunteer in the 480 mg dose group, the Investigator will review all the available safety data in a blinded manner to ensure if it is safe to proceed with the 720 mg dose group. In order to evaluate safety and tolerability, assessments, such as vital signs, 12-lead ECG, laboratory test, pregnancy test, physical examination, and adverse event monitoring will be performed. Blood samples will be collected to evaluate the pharcokinetic/pharmacodynamic characteristics of HSG4112.

<Part 2> This study is a dose block-randomized, double-blind, placebo-controlled, multiple dosing, phase 1 clinical study. A unique randomization number will be assigned to each subject deemed eligible to participate in the study based on the inclusion/exclusion criteria. Each subject will be randomized to one of the two dose groups. In each dose group, 8 subjects will be randomized to receive HSG4112 and 2 subjects will be randomized to receive placebo. The subjects will be studied in a double-blind manner and will receive the investigational product (i.e., HSG4112 or placebo) via once-daily oral administration for 14 consecutive days. In order to evaluate safety and tolerability, assessments, such as vital signs, 12-lead ECG, laboratory test, pregnancy test, physical examination, and adverse event monitoring will be performed. Blood samples will be collected to evaluate the pharcokinetic/pharmacodynamic characteristics of HSG4112.

Conditions
Obesity
Being tested
HSG4112, Placebo
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HSG4112Drug

    Also called 2-(8,8 dimethyl 2,3,4,8,9,10 hexahydropyrano[2,3 f]chromen 3 yl) 5 ethoxyphenol

    Once-daily, 14-day multiple oral administration

  • PlaceboDrug

    Once-daily, 14-day multiple oral administration

Study groups in NCT04703764
Study groupRoleWhat they receive
HSG4112 480 mgExperimental60 mg HSG4112 tablet, 8 tablets, once-daily, 14-day multiple oral administration
Receives: Drug: HSG4112
Placebo 480 mgPlacebo comparator60 mg placebo tablet, 8 tablets, once-daily, 14-day multiple oral administration
Receives: Drug: Placebo
HSG4112 720 mgExperimental60 mg HSG4112 tablet, 12 tablets, once-daily, 14-day multiple oral administration
Receives: Drug: HSG4112
Placebo 720 mgPlacebo comparator60 mg placebo tablet, 12 tablets, once-daily, 14-day multiple oral administration
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetic Assessment by Area Under the Plasma Concentration-Time Curve of HSG4112 Over Dosing Interval

    Area under the plasma concentration-time curve of HSG4112 over dosing interval (AUCtau,ss)

    Measured: Hour 0 to 24

  2. Pharmacokinetic Assessment by Area Under the Plasma Concentration-Time Curve of HSG4112 from Time Zero to the Last Measurable Point

    Area under the plasma concentration-time curve from time zero to the last measurable point (AUClast)

    Measured: Hour 0 to 192

  3. Pharmacokinetic Assessment by Area Under the Plasma Concentration-Time Curve of HSG4112 from Time Zero to Infinity

    Area under the plasma concentration-time curve from time zero to infinity (AUCinf)

    Measured: Hour 0 to 192

  4. Pharmacokinetic Assessment by Maximum and Minimum Plasma Concentration of HSG4112

    Maximum and minimum plasma concentration of HSG4112 (Cmax,ss; Cmin,ss)

    Measured: Hour 0 to 192

  5. Pharmacokinetic Assessment by Time to Maximum Observed Plasma Concentration of HSG4112

    Time to maximum observed plasma concentration of HSG4112 (Tmax)

    Measured: Hour 0 to 192

  6. Pharmacokinetic Assessment by Half-Life of HSG4112

    Half-life of HSG4112 (T1/2)

    Measured: Hour 0 to 192

  7. Pharmacokinetic Assessment by Oral Clearance of HSG4112

    Oral clearance of HSG4112 (CLss/F)

    Measured: Hour 0 to 192

  8. Pharmacokinetic Assessment by Volume of Distribution of HSG4112

    Volume of distribution of HSG4112 (Vd/F)

    Measured: Hour 0 to 192

  9. Safety and Tolerability Assessment by Number of Participants with Change in Vital Signs

    Number of participants with clinically significant change in vital signs including blood pressure (mmHg) measured with blood pressure monitor, heart rate (beats per minute) measured with pulse oximeter, and body temperature (degrees Celcius) measured with thermometer

    Measured: Day 1, 14, and post-study visit

  10. Safety and Tolerability Assessment by Number of Participants with Change in 12-Lead Electrocardiogram

    Number of participants with clinically significant change in 12-lead electrocardiogram

    Measured: Day -1, 11, and post-study visit

  11. Safety and Tolerability Assessment by Number of Participants with Change in Laboratory Test

    Number of participants with clinically significant change in laboratory test assessed through hematology, blood biochemistry, urinalysis, and blood coagulation test

    Measured: Day -1, 8, 13, 15, 17, and post-study visit

  12. Safety and Tolerability Assessment by Pregnancy Test

    Monitoring the pregnancy status of participants through urine pregnancy test by measuring the level of human chorionic gonadotropin

    Measured: Day -1, 11, and post-study visit

  13. Safety and Tolerability Assessment by Number of Patients with Change in Physical Examination

    Number of participants with clinically significant change in physical examination

    Measured: Day -1, 1 to 14, 17, and post-study visit

Secondary outcomes (5)
  1. Pharmacodynamic Assessment by Change of Body Weight in Healthy Subjects

    Assessment of the weight loss effect of HSG4112 by change of observed body weight compared to baseline (kg)

    Measured: Day -1, 8, 15, and 22

  2. Pharmacodynamic Assessment by Change of Body Weight in Obese Subjects

    Assessment of the weight loss effect of HSG4112 by change of observed body weight compared to baseline (kg)

    Measured: Day 1 to 17, 18, 20, and 22

  3. Pharmacodynamic Assessment by Change of Waist Circumference

    Assessment of the weight loss effect of HSG4112 by change of observed waist circumference compared to baseline (cm)

    Measured: Day -1, 8, 15, and 22

  4. Pharmacodynamic Assessment by Change of Biomarkers

    Assessment of the weight loss effect of HSG4112 by measurement of biomarkers including leptin, adiponectin, insulin, C-peptide (connecting peptide), IL6 (interleukin 6), TNF-alpha (tumor necrosis factor alpha), and CCL2 (C-C motif ligand 2) from baseline to day of last dosing

    Measured: Day 1 and 14 pre-dose

  5. Pharmacodynamic Assessment by Change of Fat Mass and Body Fat Percentage

    Assessment of the weight loss effect of HSG4112 by change of fat mass (kg) and body fat percentage (%) compared to baseline

    Measured: Day 1, 8, 15, and 22

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2021
  2. Study start15 Feb 2021
  3. Primary completion20 Jan 2022
  4. Study completion3 Feb 2022

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04703764
Sponsor's protocol ID
HSG4112-P1-03
Status last verified
Sep 2022
First submitted
16 Dec 2020
Last updated
9 Sep 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HSG4112 in people with Obesity, run by Glaceum at 2 sites in South Korea.

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 47 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 9 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in South Korea. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Pharmacokinetic Assessment by Area Under the Plasma Concentration-Time Curve of HSG4112 Over Dosing Interval (time frame: Hour 0 to 24). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Sep 2022.

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