A Trial Assessing Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ZP7570

Sponsor
Zealand Pharma (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT06000891
Collaborator
Profil Institut für Stoffwechselforschung GmbH (Industry)
54
1
2
9.9
5.4

Study Details

Study Description

Brief Summary

The trial is a Phase 1, single-centre, randomised and double-blind within cohorts, placebo-controlled, sequential multiple ascending dose trial including three cohorts in a semi-parallel design in overweight and obese but otherwise healthy subjects, randomised to ZP7570 or placebo within each cohort where the observational period is 18 weeks. All subjects will be dosed for 13 weeks with ascending weekly doses of ZP7570 at dose levels with corresponding volume of placebo.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

ZP7570 is a dual GLP-1R/GLP-2R agonist in clinical development for weight management. The overall purpose of this trial is to evaluate the safety and tolerability when applying dose titration of ascending doses of ZP7570 and at steady state.

The trial is a Phase 1, single-centre, randomised and double-blind within cohorts, placebo-controlled, sequential multiple ascending dose trial including three cohorts in a semi-parallel design in overweight and obese but otherwise healthy subjects, randomised to ZP7570 or placebo. All subjects will be dosed with ascending weekly doses of ZP7570 with corresponding volume of placebo. After informed consent has been obtained, eligibility of the subjects will be assessed during a screening Visit (V1). Additional tests to assess safety and PK and PD will take place during in-house visits and ambulatory visits.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
54 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
The trial is a single-centre, randomised and double-blind within cohorts, placebo-controlled, sequential multiple ascending dose trial including three cohorts in a semi-parallel designThe trial is a single-centre, randomised and double-blind within cohorts, placebo-controlled, sequential multiple ascending dose trial including three cohorts in a semi-parallel design
Masking:
Double (Participant, Investigator)
Masking Description:
Everyone involved in the conduct of the trial will be blinded until after completion of the trial and the final data review
Primary Purpose:
Treatment
Official Title:
A Randomised, Multiple Ascending Dose Trial Assessing Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ZP7570 Administered in Subjects With Overweight or Obesity
Anticipated Study Start Date :
Sep 6, 2023
Anticipated Primary Completion Date :
Jul 4, 2024
Anticipated Study Completion Date :
Jul 4, 2024

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: ZP7570

ZP7570 for subcutaneous once-weekly injection.

Drug: ZP7570
13 once-weekly subcutaneous injections
Other Names:
  • GLP-1/GLP-2 agonist
  • Placebo Comparator: Placebo

    Placebo for subcutaneous once-weekly injection. Corresponding volume matching active treatment

    Drug: Placebo
    13 once-weekly subcutaneous injections

    Outcome Measures

    Primary Outcome Measures

    1. Incidence of treatment emergent adverse events (TEAEs) [Day 1 to Day 127]

      Incidence of treatment emergent adverse events (TEAEs) from first dose (Day 1) to end of trial (Day 127)

    Secondary Outcome Measures

    1. Pharmacokinetics endpoints related to ZP7570 exposure [Area under the drug concentration curve from baseline to 18 weeks (Day 1 predose to Day 127)]

      Pharmacokinetics: Area under the plasma concentration curve from baseline (Day 1, predose) to 18 weeks (Day 127) .

    2. Pharmacokinetics endpoints related to ZP7570 exposure [Maximum drug concentration (Cmax) from baseline to 18 weeks (Day 1, predose to Day 127)]

      Pharmacokinetics - Maximum plasma concentration (peak) from baseline (Day 1, predose) to 18 weeks (Day 127).

    3. Pharmacokinetics endpoints related to ZP7570 exposure [Time to maximum plasma concentration from baseline to 18 weeks (Day 1, predose to Day 127)]

      Pharmacokinetics - Time to maximum plasma concentration (Tmax) from baseline (Day 1, predose) to 18 weeks (Day 127).

    4. Pharmacokinetics endpoints related to ZP7570 exposure [Elimination rate constant from baseline to 18 weeks (Day 1, predose to Day 127)]

      Pharmacokinetics - Elimination rate constant (λz) from baseline (Day 1, predose) to 18 weeks (Day 127).

    5. Pharmacokinetics endpoints related to ZP7570 exposure [Elimination half-life from baseline to 18 weeks (Day 1, predose to Day 127)]

      Pharmacokinetics - Elimination half-life (t1/2) from baseline (Day 1, predose) to 18 weeks (Day 127).

    6. Pharmacokinetics endpoints related to ZP7570 exposure [Apparent volume of distribution from baseline to 18 weeks (Day 1, predose to Day 127))]

      Pharmacokinetics - Apparent volume of distribution (Vz/f) during the terminal phase from baseline (Day 1, predose) to 18 weeks (Day 127).

    7. Pharmacokinetics endpoints related to ZP7570 exposure [Apparent total clearance of the drug from plasma from baseline to 18 weeks (Day 1, predose to Day 127)]

      Pharmacokinetics - Apparent total clearance of the drug from plasma (Cl/f) from baseline (Day 1, predose) to 18 weeks (Day 127).

    8. Pharmacokinetics endpoints related to ZP7570 exposure [Trough concentration measured from baseline to 18 weeks (Day 1, predose to Day 127)]

      Pharmacokinetics - Trough concentration measured predose (Ctrough) from baseline (Day 1, predose) to 18 weeks (Day 127).

    9. Absolute change in body weight [Day 1 and Day 92]

      Absolute change in body weight in kilogram (kg) from baseline (Day 1) to end of treatment (Day 92)

    10. Percent change in body weight [Day 1 and Day 92]

      Percent change in body weight in percent (%) from baseline (Day 1) to end of treatment (Day 92)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 64 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Age between 18 and 64 years, both inclusive.

    • Body Mass Index (BMI) between 27.0 and 39.9 kg/m^2, both inclusive.

    • In overall good health according to age (medical history, physical and neurological examination, vital signs, and laboratory assessments), as judged by the investigator at screening.

    Exclusion Criteria:
    • History of gastrointestinal (GI) diseases including functional complaints that could interfere with the pharmacokinetics of the IMP or auxiliary medicinal product (acetaminophen) of the trial.

    • Any relevant abnormal renal parameters in the following ranges:

    Serum creatinine above UNL+10% or normalised estimated glomerular filtration rate (eGFR) below 60.0 l/min/1.73m2, as defined by CKD-EPI.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Profil Institut für Stoffwechselforschung GmbH Neuss North Rhine-Westphalia Germany 41460

    Sponsors and Collaborators

    • Zealand Pharma
    • Profil Institut für Stoffwechselforschung GmbH

    Investigators

    • Principal Investigator: Ulrike Hoevelmann, MD, Profil, Neuss, Germany

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Zealand Pharma
    ClinicalTrials.gov Identifier:
    NCT06000891
    Other Study ID Numbers:
    • ZP7570-23012
    • 2022-500614-26
    First Posted:
    Aug 21, 2023
    Last Update Posted:
    Aug 21, 2023
    Last Verified:
    Jun 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Zealand Pharma

    Study Results

    No Results Posted as of Aug 21, 2023