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CompletedNCT03288740Updated Feb 15, 2021

A Trial to Assess the Pharmacokinetics, Safety and Tolerability of Semaglutide in Healthy Chinese Subjects

A Phase 1 interventional study of Semaglutide 0.5 mg and Placebo (semaglutide 0.5 mg) in Diabetes and Diabetes Mellitus, Type 2, sponsored by Novo Nordisk A/S. Completed at 1 site in China. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-15.

Sponsored by Novo Nordisk A/S · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The main purpose of the trial is to assess the pharmacokinetics of semaglutide (i.e. the way the drug is distributed in the body over a period of time) following once-weekly administration of semaglutide in healthy Chinese subjects. Different dose levels (0.5 and 1.0 mg) will be investigated in this trial. Participants will be administered semaglutide or placebo once-weekly by subcutaneous injection (under the skin fold of the abdominal wall) using a pen injector with a very small, thin needle by the trial doctor at the trial site for 13 weeks. The trial consists of 23 visits in total, including visit for screening and safety tests, visit for dose administration and blood sample collection. The total time of participation will be approximately 18-22 weeks depending on participant's individual visit schedule.

02

Conditions studied

  • Diabetes
  • Diabetes Mellitus, Type 2
03

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy male and female Chinese subjects
  • Age between 18 to 55 years (both inclusive) at the time of signing informed consent
  • Body mass index (BMI) between 20 and 24.9 kg/sqm (both inclusive)
  • Body weight greater than or equal to 54.0 kg

Exclusion criteria

Exclusion Criteria:

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential not using an adequate contraceptive method throughout the trial including follow-up period. Adequate contraceptive measures are sterilisation, intrauterine device (IUD), oral contraceptives or barrier methods
  • Any clinically significant disease history, in the opinion of the investigator, or systemic or organ disease including: pulmonary, gastrointestinal, hepatic, neurologic, renal, genitourinary and endocrine, dermatologic or hematologic diseases
  • Use of prescription or non-prescription systemic products (including routine or non-routine vitamins or herbal products) or topical medicinal products (except paracetamol and oral contraceptives) within 3 weeks (or within 5 half-lives of the medicinal product, whichever is longest) prior to Visit 2 (randomisation)
  • Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2
  • History of pancreatitis (acute or chronic)
  • Calcitonin greater than or equal to 50 ng/L
  • Blood donation, surgery or trauma with significant blood loss (400 mL) within the last 12 weeks prior to screening
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Semaglutide 0.5 mg

    Participants will enter a 13 weeks treatment with 4 weeks dosing at dose level 0.25 mg and 9 weeks at 0.5 mg semaglutide.

    Drug: Semaglutide 0.5 mg

  • Placebo comparator
    Semaglutide 0.5 mg placebo

    Participants will enter a 13 weeks treatment with 4 weeks dosing at dose level 0.25 mg and 9 weeks at 0.5 mg semaglutide placebo.

    Drug: Placebo (semaglutide 0.5 mg)

  • Experimental
    Semaglutide 1.0 mg

    Participants will have 13 weeks treatment with 4 weeks dosing at dose level of 0.25 mg, 4 weeks at 0.5 mg, and 5 weeks at 1.0 mg semaglutide.

    Drug: Semaglutide 1.0 mg

  • Placebo comparator
    Semaglutide 1.0 mg placebo

    Participants will have 13 weeks treatment with 4 weeks dosing at dose level of 0.25 mg, 4 weeks at 0.5 mg, and 5 weeks at 1.0 mg semaglutide placebo.

    Drug: Placebo (semaglutide 1.0 mg)

Interventions

  • DrugSemaglutide 0.5 mg

    A dose of 0.25 mg semaglutide gradually increased to 0.5 mg injected subcutaneously (under the skin) once weekly for 13 weeks.

  • DrugPlacebo (semaglutide 0.5 mg)

    A dose of 0.25 mg semaglutide placebo gradually increased to 0.5 mg injected subcutaneously (under the skin) once weekly for 13 weeks.

  • DrugSemaglutide 1.0 mg

    A dose of 0.25 mg semaglutide gradually increased to 1.0 mg injected subcutaneously (under the skin) once weekly for 13 weeks.

  • DrugPlacebo (semaglutide 1.0 mg)

    A dose of 0.25 mg semaglutide placebo gradually increased to 1.0 mg injected subcutaneously (under the skin) once weekly for 13 weeks.

05

What researchers measure

Primary outcomes

  1. Area under the semaglutide plasma concentration time curve at steady state (semaglutide 0.5 mg)

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after last administration of semaglutide

  2. Area under the semaglutide plasma concentration time curve at steady state (semaglutide 1.0 mg)

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after last administration of semaglutide

Secondary outcomes

  1. Maximum observed semaglutide plasma concentration at steady state

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after last administration of semaglutide

  2. Time to maximum observed semaglutide plasma concentration at steady state

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after last administration of semaglutide

  3. Total apparent clearance of semaglutide at steady state

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after last administration of semaglutide

  4. Terminal elimination half-life of semaglutide at steady state

    Calculated based on semaglutide measured in blood.

    Time frame: 0-840 hours after last administration of semaglutide

  5. Apparent volume of distribution of semaglutide at steady state

    Calculated based on semaglutide measured in blood.

    Time frame: 0-840 hours after last administration of semaglutide

  6. Trough plasma semaglutide concentration

    Calculated based on semaglutide measured in blood.

    Time frame: Before dosing at day 29, 57, 78, 85 and 92

  7. Dose-corrected accumulation ratio

    Calculated based on semaglutide measured in blood.

    Time frame: Based on the area under the semaglutide plasma concentration curve from 0-168 hours after the first dose and the area under the semaglutide plasma concentration curve 0-168 hours after the last dose

  8. Area under the semaglutide plasma concentration time curve

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after the first dose of semaglutide 0.25 mg (starting dose level)

  9. Maximum observed semaglutide plasma concentration

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after the first dose of semaglutide 0.25 mg (starting dose level)

  10. Time to maximum observed semaglutide plasma concentration

    Calculated based on semaglutide measured in blood.

    Time frame: 0-168 hours after the first dose of semaglutide 0.25 mg (starting dose level)

  11. Number of treatment emergent adverse events (TEAEs)

    Count and % of adverse events

    Time frame: Visit 2 (Day 1) - visit 23 (Day 120-127)

  12. Number of hypoglycaemic episodes

    Count of episodes

    Time frame: Visit 2 (Day 1) - visit 23 (Day 120-127)

  13. Incidence of anti-semaglutide antibodies (positive/negative) at follow-up

    Count of episodes

    Time frame: Visit 23 (Day 120-127)

06

Study locations

1 site
  • Novo Nordisk Investigational Site
    Beijing, 100730, China
07

References and documents

Publications

  • Shi A, Xie P, Nielsen LL, Skjoth TV, He X, Haugaard SP. Pharmacokinetics, Safety and Tolerability of Once-Weekly Subcutaneous Semaglutide in Healthy Chinese Subjects: A Double-Blind, Phase 1, Randomized Controlled Trial. Adv Ther. 2021 Jan;38(1):550-561. doi: 10.1007/s12325-020-01548-y. Epub 2020 Nov 7. PubMed 33159658 ↗

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

08

Registry details

Key details

Study ID
NCT03288740
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Sep 20, 2017
Start date
Sep 21, 2017
Primary completion
Jul 10, 2018
Completion
Aug 7, 2018
Last update
Feb 15, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
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