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Diabetes Mellitus, Type 2Phase 1NCT06247748

Influence of JY09 on Pharmacokinetics of Metformin , Rosuvastatin , and Digoxin and the QT Interval Study in Overweight Chinese Subjects

A Phase 1 study testing Exendin-4 Fc fusion protein (JY09) injection, Metformin Hydrochloride tablet and Rosuvastatin calcium tablets in people with Diabetes Mellitus, Type 2 and Overweight, run by Beijing Dongfang Biotech Co., Ltd. at 1 site in China.

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

This trial is conducted in china. The aim of the trial is as follows: To assess the effect of multiple subcutaneous injections of JY09 injection on the pharmacokinetic (PK) profile of multiple oral doses of metformin hydrochloride tablets, a single oral dose of Rosuvastatin calcium tablets, or digoxin tablets in… Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Diabetes Mellitus, Type 2, Overweight
What is being tested?
Exendin-4 Fc fusion protein (JY09) injection, Metformin Hydrochloride tablet and Rosuvastatin calcium tablets
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
1 siteChina
Study dates
19 Oct 2023to 15 Apr 2024
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 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Age: Overweight subjects with full capacity for civil behavior who are ≥ 18 years old and ≤ 45 years old (the ratio of the number of subjects of either sex is not less than 1/3).
  • Body weight: men ≥ 50.0 kg, women ≥ 45.0 kg, body mass index (BMI) ≥ 24.0 kg/m2 and ≤ 28.0 kg/m2 , BMI = weight (kg)/height (m2 ).
  • Those who do not plan to have children in the last 6 months, do not plan to donate sperm/eggs, and are willing to use effective contraception for 6 months after the end of dosing.
  • Fully understand the trial and possible adverse effects, have the ability to communicate normally with the investigator, as well as comply with study requirements, follow protocol procedures and limitations, and be able to visit on time.
  • Understand the content of the informed consent form, agree to participate in this trial and voluntarily sign the consent form.

Who cannot join

  • A clear history of central nervous system, cardiovascular system, renal, hepatic, pulmonary, metabolic, and musculoskeletal disorders or other notable diseases.
  • Individuals with gastrointestinal disorders, such as history of hepatobiliary disease, history of gastrointestinal disease, history of gastrointestinal surgery (except appendectomy) or history of chronic pancreatitis or idiopathic acute pancreatitis, and those with habitual diarrhea.
  • Previous tip-twisting ventricular tachycardia or other risk factors that can lead to malignant arrhythmias, or a family history of first-degree relatives (i.e., biological parents, siblings, or children) with short QT syndrome, long QT syndrome, unexplained sudden death, drowning, or sudden infant death syndrome in young adulthood (less than/equal to 40 years of age), or cardiac conduction block.
  • Have disorders of electrolyte metabolism such as hyperkalemia, hypokalemia, hypomagnesemia, hypomagnesemia, hypercalcemia or hypocalcemia.
  • If the results of vital signs (blood pressure, pulse, respiration, temperature) are abnormal and clinically significant, a retest is allowed to confirm the results if they are abnormal, and the abnormal values of each vital sign.
  • Physical examination, laboratory tests, 12-lead electrocardiogram (ECG), abdominal ultrasound, calcitonin and chest radiographs (orthopantomograms) suggesting the presence of abnormalities judged by the investigator to be clinically significant (retesting was allowed once).
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  • Smokers who smoked an average of more than 5 cigarettes per day in the 3 months prior to screening or who could not give up smoking during their participation in the trial or who had a positive smoke test.
  • Those who have participated in other clinical trials as a subject within 3 months prior to screening.
  • Those who donated blood or blood products ≥400 mL within 3 months prior to screening.
  • Those who cannot tolerate venipuncture and have a history of needle and blood sickness.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Peking University Third Hospital drug clinical trial Institute

    Beijing, Beijing Municipality

Other trials in China

About this study

Official title: Evaluation of the Effects of Exendin-4 Fc Fusion Protein (JY09) Injection on the Pharmacokinetic Profiles of Metformin Hydrochloride Tablets, Rosuvastatin Calcium Tablets, and Digoxin Tablets and on the QT Interval in Overweight Chinese Subjects

This trial is conducted in china. The aim of the trial is as follows:

  • To assess the effect of multiple subcutaneous injections of JY09 injection on the pharmacokinetic (PK) profile of multiple oral doses of metformin hydrochloride tablets, a single oral dose of Rosuvastatin calcium tablets, or digoxin tablets in overweight Chinese subjects;
  • To assess the effect of multiple subcutaneous injections of JY09 injection on QT interval in overweight Chinese subjects.
Being tested
Exendin-4 Fc fusion protein (JY09) injection, Metformin Hydrochloride tablet, Rosuvastatin calcium tablets, Digoxin tablet
Keywords
JY09, QT Interval
Medical subject headings
Diabetes Mellitus, Type 2, Overweight

What participants receive

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

  • Exendin-4 Fc fusion protein (JY09) injectionDrug

    Also called JY09

    D22 received a single subcutaneous abdominal injection of 1.2 mg of JY09 injection after completion of PK blood sampling; D29, D36, D43, D50, D57, D64, D71, and D78 subjects returned to the study center to receive a subcutaneous abdominal injection of 2.4 mg of JY09 injection(total of 8 administrations).All doses were to be administered within 3 min.

  • Metformin Hydrochloride tabletDrug

    Also called Metformin

    D1 to D4 continuous oral administration of 0.5 g metformin hydrochloride tablets twice daily (D4 was administered only in the morning, with a total of 7 administrations) for a washout period of 96 h;0.5 g metformin hydrochloride tablets orally twice a day continuously from D85 to D88 (D88 was given only in the morning, for a total of 7 doses).

  • Rosuvastatin calcium tabletsDrug

    Also called Rosuvastatin

    D8 received a single oral administration of 10 mg of Rosuvastatin calcium tablets in the morning, with a washout period of 168 h,and 10 mg Rosuvastatin calcium tablets orally at 72 h ± 0.5 h (D95) after JY09 administration.

  • Digoxin tabletDrug

    Also called digoxin

    D15 received a single oral administration of 0.25 mg digoxin tablets in the morning, with a washout period of 168 h,oral 0.25 mg digoxin tablets 72 h±0.5 h after JY09 administration (D102)

Study groups in NCT06247748
Study groupRoleWhat they receive
Exendin-4 Fc fusion protein (JY09) injectionExperimentalD22 received a single subcutaneous abdominal injection of 1.2 mg of JY09 injection after completion of PK blood sampling; D29 to D78 received continuous subcutaneous abdominal injections of 2.4 mg of JY09 injection in the morning, once weekly (total of 8 administrations). All doses were to be administered within 3 min.
Receives: Drug: Exendin-4 Fc fusion protein (JY09) injection; Drug: Metformin Hydrochloride tablet; Drug: Rosuvastatin calcium tablets; Drug: Digoxin tablet

What is being measured

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

  1. The Metformin Peak Concentration (Cmax )

    The peak concentration(Cmax) is the highest level of plasma concentration that occurs after administration.This parameter is an important index to reflect the absorption rate and degree of drug in vivo.

    Measured: During a dosing interval (0-36 hours) after the last of 7 repeated doses of metformin without JY09 exposure (Day 4) and at JY09 steady state (Day 88)

  2. Area under the Metformin blood concentration-time curve

    AUC refers to the area under the drug time curve, which is the area surrounded by the pharmacokinetic blood concentration curve to the time axis. This parameter is an important index to evaluate the degree of drug absorption, reflecting the exposure characteristics of drugs in vivo.

    Measured: During a dosing interval (0-36 hours) after the last of 7 repeated doses of metformin without JY09 exposure (Day 4) and at JY09 steady state (Day 88)

  3. The Rosuvastatin Peak Concentration (Cmax )

    The peak concentration(Cmax) is the highest level of plasma concentration that occurs after administration.This parameter is an important index to reflect the absorption rate and degree of drug in vivo.

    Measured: From time 0 to 96 hours after a single dose of Rosuvastatin without JY09 exposure (Day 8) and at JY09 steady state (Day 95)

  4. Area under the Rosuvastatin blood concentration-time curve

    Area under curve(AUC) refers to the area under the drug time curve, which is the area surrounded by the pharmacokinetic blood concentration curve to the time axis. This parameter is an important index to evaluate the degree of drug absorption, reflecting the exposure characteristics of drugs in vivo.

    Measured: From time 0 to 96 hours after a single dose of Rosuvastatin without JY09 exposure (Day 8) and at JY09 steady state (Day 95)

  5. The Digoxin Peak Concentration (Cmax )

    The peak concentration(Cmax) is the highest level of plasma concentration that occurs after administration.This parameter is an important index to reflect the absorption rate and degree of drug in vivo.

    Measured: From time 0 to 168 hours after a single dose of Digoxin without JY09 exposure (Day 15) and at JY09 steady state (Day 102)

  6. Baseline-corrected difference of Corrected QT interval after multiple subcutaneous injections of JY09 injection

    Corrected QT interval is a QT interval adjusted by heart rate, which is an index of cardiac depolarization and repolarization

    Measured: From time 0 to 72 hours after a single dose of JY09 (Day 22) and at JY09 steady state (Day 92)

Secondary outcomes (11)
  1. Safety endpoint-Adverse events

    All adverse medical events occurring after the subject receives the experimental drug, which may be manifested as symptoms, signs, diseases, or abnormalities in laboratory tests, but may not necessarily have a causal relationship with the experimental drug.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  2. Vital signs-Blood pressure

    Blood pressure includes systolic and diastolic blood pressure.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  3. Vital signs-Pulse

    Pulse refers to the pulsation formed in the arteries when the heart contracts, due to the flow of blood from the heart into the arteries. Pulse is one of the vital signs of human body, and it is an important index to measure heart rate and blood pressure.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  4. Vital signs-Respiration

    Respiration refers to the process of gas exchange between the body and the outside world.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  5. Physical examination

    Include general condition, skin, neck (including thyroid), head (including eyes, ears, nose, throat), chest, abdomen, back, lymph nodes, limbs, and nervous system.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  6. Laboratory tests-Routine blood

    Blood routine refers to the examination of blood conditions and diseases by observing the changes in the number and morphological distribution of blood cells.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  7. Laboratory tests-Blood biochemistry

    Blood biochemical examination can determine the content of sugars, lipids, hormones, ions and other substances in the blood, and provide help for the diagnosis and treatment of diseases.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  8. Laboratory tests-Urine routine

    Urine routine is of great significance not only for the observation of the curative effect of the diagnosis of urinary system diseases, but also for the diagnosis and prognosis of other system diseases.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  9. Laboratory tests-coagulation function

    The coagulation function test is mainly to find out whether the clotting factors in the patient's body are abnormal.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  10. 12-lead electrocardiogram (ECG)

    Electrocardiogram (ECG) is an objective index of the occurrence, propagation and recovery of cardiac excitation. It is used for the examination of various arrhythmias, ventricular and atrial hypertrophy, myocardial infarction, arrhythmia, myocardial ischemia and other diseases.

    Measured: From baseline (Day -1) to follow-up (Day 123)

  11. Immunogenicity

    Immunogenicity refers to the performance that can cause an immune response, that is, the antigen can stimulate specific immune cells, so that immune cells activation, proliferation, differentiation, and eventually produce immune effecting substances antibodies and sensitized lymphocytes.

    Measured: From baseline (Day -1) to follow-up (Day 123)

Timeline

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

  1. First posted8 Feb 2024
  2. Study start19 Oct 2023
  3. Primary completion15 Apr 2024
  4. Study completion15 Apr 2024

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
Non-randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06247748
Sponsor's protocol ID
dfbt-jy09-ow-2023-101
Status last verified
Aug 2024
First submitted
22 Jan 2024
Last updated
21 Aug 2024
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 Exendin-4 Fc fusion protein (JY09) injection, Metformin Hydrochloride tablet and Rosuvastatin calcium tablets in people with Diabetes Mellitus, Type 2 and Overweight, run by Beijing Dongfang Biotech Co., Ltd. at 1 site in China.

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 5 inclusion and 10 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 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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. 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?

The Metformin Peak Concentration (Cmax ) (time frame: During a dosing interval (0-36 hours) after the last of 7 repeated doses of metformin without JY09 exposure (Day 4) and at JY09 steady state (Day 88)). The study lists 6 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 21 Aug 2024.

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