A Study to Test Whether Survodutide (BI 456906) Helps Chinese People Living With Overweight or Obesity to Lose Weight

Obesity Clinical Trial

Official title:

A Phase III, Randomized, Double-blind, Parallel-group, Efficacy and Safety Study of BI 456906 Administered Subcutaneously Compared With Placebo in Chinese Participants With a BMI ≥28 kg/m^2 or BMI ≥24 kg/m^2 With at Least One Weight-related Complication

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06214741
• Other study ID #: 1404-0061
• Secondary ID: U1111-1295-9567
• Status: Recruiting
• Phase: Phase 3
• Start date: January 15, 2024
• Est. completion date: July 3, 2026

Study information

• Verified date: May 2024
• Source: Boehringer Ingelheim
• Contact: Boehringer Ingelheim
• Phone: 18002430127
• Email: clintriage.rdg[@]boehringer-ingelheim.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study in China is open to adults who are at least 18 years old who are living with overweight or obesity. People with a body mass index (BMI) of 28 kg/m^2 or higher or 24 kg/m^2 or higher with at least 1 weight related problem can join the study. The main purpose of this study is to find out whether a medicine called survodutide helps people with overweight or obesity. 2 different doses of survodutide are tested in this study.

Participants are put into 3 groups by chance. Each participant has an equal chance of being in each group. 2 groups get different doses of survodutide. 1 group gets placebo. Participants get survodutide or placebo as injections under the skin once a week for about 19 months.

Placebo injections look like survodutide injections but do not contain any medicine.

Participants are in the study for about 21 months. During this time, there are 20 visits. 14 visits are in person at the study site. Where possible, 6 visits can be done by video call, or by phone in rare cases. During this time, doctors regularly measure participant's body weight. Results are compared between the survodutide groups and placebo group to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 300
• Est. completion date: July 3, 2026
• Est. primary completion date: December 26, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Male or female, age =18 years at the time of signing informed consent.

2. Body mass index (BMI) =28 kg/m^2 at screening, OR BMI =24 kg/m^2 at screening with the presence of at least one of the following weight-related complications:

• Hypertension (defined as repeated, i.e. at least 3 measurements in resting condition, systolic blood pressure (SBP) values of =140 mmHg and/or diastolic blood pressure (DBP) values of =90 mmHg in the absence of anti-hypertensive treatment, or intake of at least 1 anti-hypertensive drug to maintain a normotensive blood pressure)

• Dyslipidaemia (defined as at least 1 lipid-lowering treatment required to maintain normal blood lipid levels, or low density lipoprotein (LDL) =160 mg/dL (=4.1 mmol/L), or triglycerides =150 mg/dL (=1.7 mmol/L), or high density lipoprotein (HDL) <40 mg/dL (<1.0 mmol/L) for men or HDL<50 mg/dL (<1.3 mmol/L) for women)

• Obstructive sleep apnoea

• Cardiovascular disease (CVD) (e.g. heart failure (HF) with New York Heart Association (NYHA) functional class II-III, history of ischaemic or haemorrhagic stroke or cerebrovascular revascularisation procedure [e.g. carotid endarterectomy and/or stent], myocardial infarction (MI), coronary artery disease, or peripheral vascular disease)

• Type 2 diabetes mellitus (T2DM) diagnosed at least 180 days prior to screening (glycosylated haemoglobin A1c (HbA1c) =6.5% (48 mmol/mol) and <10% (86 mmol/mol), and fasting plasma glucose (FPG) =11.1 mmol/L measured by the central laboratory at screening

--- Currently treated with either: diet and exercise alone or stable treatment (for at least 3 months prior to screening) with metformin, sodium-glucose cotransporter-2 inhibitor (SGLT2i) inhibitor, acarbose, sulfonylurea, or glitazone as single agent therapy, or up to 3 anti-hyperglycaemia medications (metformin, SGLT2i, acarbose, sulfonylurea, or glitazone) according to local label

• Non-alcoholic steatohepatitis (NASH), as assessed in medical records by histological liver assessment (within the last 6 months)

3. History of at least one self-reported unsuccessful dietary effort to lose body weight

4. Signed and dated written informed consent in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use-Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial

5. Woman of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria and instructions on the duration of their use will be provided in the participant information.

Further inclusion criteria apply.

Exclusion Criteria:

(A) Obesity:

1. Body weight change (self-reported) >5% within 3 months before screening.

2. Treatment with any medication for the indication obesity within 3 months before screening.

3. Previous or planned (during the trial period) treatment for obesity with surgery or a weight loss device, or prior surgery of the GI tract that could interfere with body weight The following are allowed: (1) liposuction and/or abdominoplasty, if performed >1 year before screening, (2) lap banding, if the band has been removed >1 year before screening, (3) intragastric balloon, if the balloon has been removed >1 year before screening, (4) duodenal-jejunal bypass sleeve, if the sleeve has been removed >1 year before screening, (5) appendectomy, (6) simple hernia repair, or (7) cholecystectomy

4. Have obesity induced by other endocrinologic disorders (for example, Cushing Syndrome) or diagnosed monogenetic or syndromic forms of obesity (for example, melanocortin 4 receptor deficiency, leptin deficiency, or Prader Willi Syndrome) (B) Diabetes-related for participants with T2DM:

5. Treatment with any medication for the indication of T2DM other than stated in the inclusion criteria within 3 months before screening (i.e. insulin, amylin analogues, glucagon-like peptide-1 receptor (GLP- 1R)) agonists, GLP-1R agonist/insulin/glucose-dependent insulinotropic polypeptide (GIP) combinations, and dipeptidyl peptidase 4 inhibitor (DPP-4i))

6. New initiation of any other glucose-lowering investigational drug within 3 months prior to screening for this trial

7. Uncontrolled and potentially unstable diabetic retinopathy or maculopathy, verified by an eye examination within 3 months prior to screening or in the period between screening and randomisation Further exclusion criteria apply.

Related Conditions & MeSH terms

• Obesity
• Overweight

Intervention

Drug:
• survodutide
once weekly subcutaneous injection
• Placebo matching BI 456906
Once weekly subcutaneous injection

Locations

Country	Name	City	State
China	Beijing Chao-Yang Hospital	Beijing
China	Beijing Pinggu Hospital	Beijing
China	Peking University People's Hospital	Beijing
China	The First Hospital of Jilin University	Changchun
China	The Second Hospital of Jilin University	Changchun
China	Changzhou Second People's Hospital	Changzhou
China	People's Hospital of Sichuan Province	Chengdu
China	Second Affiliated Hospital Chongqing Medical University	Chongqing
China	NanFang Hosptial	Guangzhou
China	The Second Affiliated Hospital of Nanjing Medical University	Hangzhou
China	Forth Clinical Hospital of Harbin Medical University	Harbin
China	Huzhou Central Hospital	Huzhou
China	Center Hospital of Jinan	Jinan
China	Jincheng General Hospital	Jincheng
China	Lishui Municipal Central Hospital	Lishui
China	Luoyang Third People's Hospital	Luoyang
China	The First Affiliated Hospital of Henan University of Science and Technology	Luoyang
China	Affiliated Hospital of Nantong University	Nantong
China	The First Affiliated Hospital of Ningbo University	Ningbo
China	Panjin Liao Oil Gem Flower Hospital	Panjin
China	Pingxiang People's Hospital	Pingxiang
China	Shanghai Fifth People's Hospital affiliated to Fudan University	Shanghai
China	Siping Central People's Hospital	Siping
China	Tianjin Medical University Chu Hisen-I Memorial Hospital	Tianjin
China	Tianjin Medical University General Hospital	Tianjin
China	Wuhan Union Hospital	Wuhan
China	The First Affiliated Hospital of Xi'an Medical University	Xi'an
China	The People's Hospital Of Xuancheng City	Xuancheng
China	Yichang NO.1 People's Hospital	Yichang
China	General Hospital of Ningxia Medical University	Yinchuan
China	Yueyang People's Hospital	Yueyang

Sponsors (1)

Lead Sponsor	Collaborator
Boehringer Ingelheim

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage change in body weight from baseline to Week 52		At baseline and at Week 52.
Primary	Achievement of body weight reduction =5% (yes/no) from baseline to Week 52		At baseline and at Week 52.
Secondary	Key secondary endpoint: Achievement of body weight reduction =10% (yes/no) from baseline to Week 52		At baseline and at Week 52
Secondary	Key secondary endpoint: Achievement of body weight reduction =15% (yes/no) from baseline to Week 52		At baseline and at Week 52
Secondary	Key secondary endpoint: Absolute change from baseline to Week 52 in waist circumference (cm)		At baseline and at Week 52
Secondary	Achievement of body weight reduction =20% (yes/no) from baseline to Week 52		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in body weight (kg)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in glycosylated haemoglobin A1c (HbA1c) (%)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in HbA1c (mmol/mol)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in systolic blood pressure (SBP) (mmHg)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in diastolic blood pressure (DBP) (mmHg)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in body mass index (BMI) (kg/m^2)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in fasting plasma glucose (FPG) (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in fasting plasma insulin (FPI) (mIU/L)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in total cholesterol (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in high-density cholesterol (HDL) (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in low-density cholesterol (LDL) (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in very low-density cholesterol (VLDL) (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in triglycerides (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in free fatty acids (mg/dL)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in alanine aminotransferase (ALT) (U/L)		At baseline and at Week 52
Secondary	Absolute change from baseline to Week 52 in aspartate aminotransferase (AST) (U/L)		At baseline and at Week 52

External Links

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