The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04153929




Registration number
NCT04153929
Ethics application status
Date submitted
5/11/2019
Date registered
6/11/2019
Date last updated
29/11/2022

Titles & IDs
Public title
A Study to Test Whether Different Doses of BI 456906 Are Effective in Treating Adults With Type 2 Diabetes.
Scientific title
A Phase II, Randomized, Parallel Group, Dose-finding Study of Subcutaneously Administered BI 456906 for 16 Weeks, Compared With Placebo and Open-label Semaglutide in Patients With Type 2 Diabetes Mellitus.
Secondary ID [1] 0 0
2019-002390-60
Secondary ID [2] 0 0
1404-0002
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Diabetes Mellitus, Type 2 0 0
Condition category
Condition code
Metabolic and Endocrine 0 0 0 0
Diabetes

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - BI 456906
Treatment: Drugs - Placebo
Treatment: Drugs - Semaglutide

Experimental: BI 456906 0.3 mg -

Experimental: BI 456906 0.9 mg -

Experimental: BI 456906 1.8 mg -

Experimental: BI 456906 2.7 mg -

Experimental: BI 456906 1.2 twice weekly (2.4) mg -

Experimental: BI 456906 1.8 twice weekly (3.6) mg -

Active Comparator: Semaglutide -

Placebo Comparator: Placebo -


Treatment: Drugs: BI 456906
Solution for Injection

Treatment: Drugs: Placebo
Solution for Injection

Treatment: Drugs: Semaglutide
Solution for Injection

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Absolute Change in HbA1c From Baseline to 16 Weeks
Timepoint [1] 0 0
At baseline and at Week 17 (16 weeks after treatment start).
Secondary outcome [1] 0 0
Key Secondary Endpoint: The Relative Change in Body Weight From Baseline to 16 Weeks
Timepoint [1] 0 0
At baseline and at Week 17 (16 weeks after treatment start ).
Secondary outcome [2] 0 0
The Absolute Change in Body Weight From Baseline to 16 Weeks
Timepoint [2] 0 0
At baseline and at Week 17 (16 weeks after treatment start).
Secondary outcome [3] 0 0
The Absolute Change in Waist Circumference From Baseline to 16 Weeks
Timepoint [3] 0 0
At baseline and at Week 17 (16 weeks after treatment start).
Secondary outcome [4] 0 0
Percentage of Patients With 5 % or Greater Body Weight Loss From Baseline to 16 Weeks
Timepoint [4] 0 0
At baseline and at Week 17 (16 weeks after treatment start).
Secondary outcome [5] 0 0
Percentage of Patients With 10% or Greater Body Weight Loss From Baseline to 16 Weeks
Timepoint [5] 0 0
At baseline and at Week 17 (16 weeks after treatment start).

Eligibility
Key inclusion criteria
Inclusion criteria:

- Signed and dated written informed consent in accordance with International conference
on harmonization - Good clinical practice (ICH GCP) and local legislation.

- Male and female patients 18 years to 75 years (both inclusive) of age on the day of
signing informed consent.

- Diagnosis of Type 2 diabetes mellitus (T2DM) at least 6 months prior to informed
consent.

- Glycosylated hemoglobin A1c (HbA1c) 7.0%-10.0% (both inclusive) at screening.

- Treatment with a stable dose of metformin = 1000mg/day for at least 3 months prior to
screening.

- Body mass index (BMI) 25 kg/m2-50 kg/m2 (both inclusive) at screening.

- Women of childbearing potential must be ready and able to use highly effective methods
of birth control.
Minimum age
18 Years
Maximum age
75 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Exclusion criteria:

- Patients with type 1 diabetes.

- Exposure to semaglutide, or other Glucagon-like-peptide 1 receptor (GLP-1R) agonists
(including combination products) within 3 months prior to screening, or any previous
exposure to BI 456906.

- Any additional oral anti-hyperglycemic medication beyond metformin within 3 months
prior to screening.

- Use of insulin for glycemic control within 12 months prior to screening.

- Resting Heart Rate >100 bpm or blood pressure =160/95 mmHg at screening.

- A marked baseline prolongation of QT/QTc (Fridericia) interval or any other clinically
significant Electrocardiogram (ECG) finding at screening.

- Body weight change of +/- 5% or more in the past 3 months or on anti-obesity therapies
at any time during the 6 months prior to screening.

- Continuous oral pharmacotherapy to treat any clinical condition during the Trial.
Following medications are allowed:

- metformin, anti-hypertensives (any medication known to cause heart block or
bradycardia such as beta-blockers, verapamil and diltiazem are excluded unless
used to treat heart rate control or hypertension),

- Hormone replacement therapy including thyroid hormone, lipid lowering, proton
pump inhibitors, H2 blockers for Gastric esophageal reflux disease (GERD),
analgesics,

- sleep medications

- antihistamines

- selective Alpha receptor blocker for benign prostatic hyperplasia Patients must
be on a stable dose for at least 3 months Prior to Screening

- Any suicidal behavior in the past 2 years, any suicidal ideation of type 4 or 5 in the
Columbia-suicide severity rating scale (C-SSRS) in the past 3 months at screening.

- Chronic or relevant acute infections.

- Women who are pregnant, nursing, or who plan to become pregnant while in the trial.

- Further exclusion criteria apply.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Recruitment hospital [1] 0 0
Boden Institute of Obesity, Nutrition, Exercies and Eating Disorders - Camperdown
Recruitment hospital [2] 0 0
Hunter Diabetes Centre - Merewether
Recruitment hospital [3] 0 0
Royal Adelaide Hospital - Adelaide
Recruitment hospital [4] 0 0
Monash University - Box Hill
Recruitment hospital [5] 0 0
Austin Health - Heidelberg
Recruitment hospital [6] 0 0
Baker Heart and Diabetes Institute - Melbourne
Recruitment postcode(s) [1] 0 0
2006 - Camperdown
Recruitment postcode(s) [2] 0 0
2291 - Merewether
Recruitment postcode(s) [3] 0 0
5000 - Adelaide
Recruitment postcode(s) [4] 0 0
3128 - Box Hill
Recruitment postcode(s) [5] 0 0
3081 - Heidelberg
Recruitment postcode(s) [6] 0 0
3004 - Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Florida
Country [3] 0 0
United States of America
State/province [3] 0 0
Georgia
Country [4] 0 0
United States of America
State/province [4] 0 0
Idaho
Country [5] 0 0
United States of America
State/province [5] 0 0
Illinois
Country [6] 0 0
United States of America
State/province [6] 0 0
Iowa
Country [7] 0 0
United States of America
State/province [7] 0 0
Massachusetts
Country [8] 0 0
United States of America
State/province [8] 0 0
Missouri
Country [9] 0 0
United States of America
State/province [9] 0 0
Montana
Country [10] 0 0
United States of America
State/province [10] 0 0
Nevada
Country [11] 0 0
United States of America
State/province [11] 0 0
North Carolina
Country [12] 0 0
United States of America
State/province [12] 0 0
North Dakota
Country [13] 0 0
United States of America
State/province [13] 0 0
Pennsylvania
Country [14] 0 0
United States of America
State/province [14] 0 0
Tennessee
Country [15] 0 0
United States of America
State/province [15] 0 0
Texas
Country [16] 0 0
Austria
State/province [16] 0 0
Vienna
Country [17] 0 0
Austria
State/province [17] 0 0
Wien
Country [18] 0 0
Canada
State/province [18] 0 0
British Columbia
Country [19] 0 0
Canada
State/province [19] 0 0
Ontario
Country [20] 0 0
Canada
State/province [20] 0 0
Quebec
Country [21] 0 0
Czechia
State/province [21] 0 0
Broumov
Country [22] 0 0
Czechia
State/province [22] 0 0
Prague 2
Country [23] 0 0
Germany
State/province [23] 0 0
Aschaffenburg
Country [24] 0 0
Germany
State/province [24] 0 0
Essen
Country [25] 0 0
Germany
State/province [25] 0 0
Münster
Country [26] 0 0
Hungary
State/province [26] 0 0
Balatonfured
Country [27] 0 0
Hungary
State/province [27] 0 0
Budapest
Country [28] 0 0
Hungary
State/province [28] 0 0
Debrecen
Country [29] 0 0
Korea, Republic of
State/province [29] 0 0
Bucheon
Country [30] 0 0
Korea, Republic of
State/province [30] 0 0
Goyang
Country [31] 0 0
Korea, Republic of
State/province [31] 0 0
Seoul
Country [32] 0 0
New Zealand
State/province [32] 0 0
Auckland
Country [33] 0 0
New Zealand
State/province [33] 0 0
Newtown Wellington NZ
Country [34] 0 0
New Zealand
State/province [34] 0 0
Paraparaumu
Country [35] 0 0
New Zealand
State/province [35] 0 0
Tauranga
Country [36] 0 0
Poland
State/province [36] 0 0
Bydgoszcz
Country [37] 0 0
Poland
State/province [37] 0 0
Katowice
Country [38] 0 0
Poland
State/province [38] 0 0
Skorzewo
Country [39] 0 0
Poland
State/province [39] 0 0
Torun
Country [40] 0 0
Poland
State/province [40] 0 0
Warsaw
Country [41] 0 0
Puerto Rico
State/province [41] 0 0
San Juan
Country [42] 0 0
Spain
State/province [42] 0 0
A Coruña
Country [43] 0 0
Spain
State/province [43] 0 0
Barcelona
Country [44] 0 0
Spain
State/province [44] 0 0
Malaga
Country [45] 0 0
Spain
State/province [45] 0 0
Valencia
Country [46] 0 0
Taiwan
State/province [46] 0 0
Changhua
Country [47] 0 0
Taiwan
State/province [47] 0 0
Kaohsiung
Country [48] 0 0
Taiwan
State/province [48] 0 0
Taichung
Country [49] 0 0
United Kingdom
State/province [49] 0 0
Blackpool
Country [50] 0 0
United Kingdom
State/province [50] 0 0
Burbage, Hinkley
Country [51] 0 0
United Kingdom
State/province [51] 0 0
Faringdon
Country [52] 0 0
United Kingdom
State/province [52] 0 0
Rotherham
Country [53] 0 0
United Kingdom
State/province [53] 0 0
Southampton

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Boehringer Ingelheim
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This study is open to adults with type 2 diabetes who take metformin but still have too high
blood sugar. The purpose of the study is to find the best dose of BI 456906 that reduces
blood sugar. The study also looks at whether BI 456906 helps the participants lose weight.

Participants are in the study for about 23 weeks. During this time, most participants visit
the study site about 13 times. Some participants visit the study site about 20 times. At the
start of the study, the participants are put into 7 groups. The participants in groups 1 to 6
get injections under the skin once or twice every week. Some participants get different doses
of BI 456906 and other participants get placebo. Placebo injections look like the BI 456906
injections, but contain no medicine. Participants in group 7 get semaglutide injections every
week. Semaglutide is another medicine for adults with type 2 diabetes.

During the study, the doctors regularly take blood samples from the participants and measure
their body weight. The changes in blood sugar levels and body weight are compared between the
groups. The doctors also check the general health of the participants.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04153929
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04153929