A Research Study to See How Well CagriSema Helps People in China With Excess Body Weight Lose Weight

Novo Nordisk A/S300 enrolled

Overview

This study will look at how well the new medicine CagriSema helps people with excess body weight losing weight compared to a "dummy" medicine and a medicine called semaglutide. Participants will either get CagriSema, a dummy medicine or semaglutide. Which treatment participants get is decided by chance. Participants will take one injection once a week. The study medicine will be injected briefly with a thin needle, typically in the stomach, thighs or upper arms. The study will last for about 1 year.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

300

Conditions

Obesity or Overweight

Interventions

CagrilintideDRUG

Participants will receive 2.4 mg cagrilintide subcutaneously.

SemaglutideDRUG

Participants will receive 2.4 mg semaglutide subcutaneously.

Placebo SemaglutideDRUG

Participants will receive placebo matched to semaglutide subcutaneously.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Male or female * Age above or equal to 18 years at the time of signing informed consent 1. Body Mass Index (BMI) greater than or equal to 30.0 kilograms per square meter (kg/m\^2) or 2. BMI greater than or equal to 27.0 kg/m\^2 with the presence of at least one weight-related comorbidity including, but not limited to, type 2 diabetes mellitus, hypertension, dyslipidaemia, obstructive sleep apnoea or cardiovascular disease For participants with Type 2 diabetes (T2D) at screening the following criteria also apply: * Diagnosed with type 2 diabetes mellitus greater than equal to 180 days before screening * Treatment with either lifestyle intervention, or treatment with 1-3 marketed oral antidiabetic drugs (OADs) (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose cotransporter 2 inhibitor (SGLT2i)), thiazolidinediones, or sulphonylureas (SUs) as a single agent or in combination) according to local label * Treatment with oral antidiabetic drugs should be stable (same drug(s), dose and dosing frequency) for at least 60 days before screening * Glycated Haemoglobin (HbA1c) 7 percent-10 percent (53-86 millimoles per mole \[mmol/mol\]) (both inclusive) as measured by the central laboratory at screening Exclusion Criteria: For participants without T2D at screening: * HbA1c greater than or equal to 6.5 percent (48 mmol/mol) as measured by the central laboratory at screening * History of type 1 or type 2 diabetes mellitus For participants with T2D at screening: * Clinically significant or severe hypoglycaemia within 6 months before screening or history of hypoglycaemia unawareness * Renal impairment with estimated glomerular filtration rate (eGFR) lesser than 30 milli liter per min/1.73 meter square (mL/min/1.73 m\^2), as measured by the central laboratory at screening * Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination

Locations (37)

Outcomes

Primary Outcomes

CagriSema 2.4 mg/2.4 mg versus placebo: Relative change in body weight

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Number of participants who achieve (yes/no): Body weight reduction greater than or equal to 5%

Measured as count of participants

Time frame: From baseline (week 0) to end of treatment (week 44)

Secondary Outcomes

CagriSema 2.4 mg/2.4 mg versus placebo: Number of participants who achieve (yes/no): Body weight reduction greater than or equal to 20%

Measured as count of participants

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus semaglutide 2.4 mg: Relative change in body weight

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Change in waist circumference

Measured in centimeter (cm)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Number of participants who achieve (yes/no): Body weight reduction greater than or equal to 10%

Measured as count of participants

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Number of participants who achieve (yes/no): Body weight reduction greater than or equal to 15%

Measured as count of participants

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.

Participants will receive placebo matched to cagrilintide subcutaneously.

Chinese People's Liberation Army General Hospital-Endocrinology

Beijing, Beijing Municipality, China

Chongqing University Three Gorges Hospital

Chongqing, Chongqing Municipality, China

Fujian Medical University Union Hospital-Endocrinology

Fuzhou, Fujian, China

Huizhou Central People's Hospital-Endocrinology

Huizhou, Guangdong, China

Hengshui People's Hospital (Harrison International Peace Hospital)-Endocrinology

Hengshui, Hebei, China

The Second Hospital of Hebei Medical University-Endocrinology

Shijiazhuang, Hebei, China

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Huaihe Hospital of Henan University-Endocrinology

Kaifeng, Henan, China

Huaihe Hospital of Henan University

Kaifeng, Henan, China

The First Affiliated Hospital of Henan University of Science and Technology-Endocrinology

Luoyang, Henan, China

...and 27 more locations

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus semaglutide 2.4 mg: Change in waist circumference

Measured in centimeter (cm)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Change in Glycated Haemoglobin (HbA1c)

Measured in percentage points

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Change in Fasting Plasma Glucose (FPG)

Measured as millimole per liter (mmol/L)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in fasting serum insulin

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Change in Systolic Blood Pressure (SBP)

Measured in millimeter of mercury (mmHg)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Change in Diastolic Blood Pressure (DBP)

Measured in millimeter of mercury (mmHg)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in total cholesterol

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in high-density lipoprotein (HDL) cholesterol

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in low-density lipoprotein (LDL) cholesterol

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in very low-density lipoprotein (VLDL) cholesterol

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in triglycerides

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Relative change in free fatty acids

Measured in percentage (%)

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Change in Short Form-36 Version 2.0 (SF- 36v2) Physical Functioning score

Measured as score points. The SF-36v2.0 is a 36-item commonly used generic clinical outcome assessment (COA) instrument measuring health-related quality of life and general health status across disease areas. SF-36v2 questionnaire measures 8 domains of functional health and well-being as well as 2 component summary scores (physical component summary and mental component summary). This endpoint assess the 'physical functioning domain'. The 0-100 scale scores from the SF-36 will be converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. In the metric of norm-based scores, 50 and 10 correspond to the mean and standard deviation respectively. A positive change score indicates an improvement since baseline.

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Change in SF-36v2: Physical Component Summary Score

Measured as score points. The SF-36v2.0 is a 36-item commonly used generic COA instrument measuring health-related quality of life and general health status across disease areas. SF-36v2 questionnaire measures 8 domains of functional health and well-being as well as 2 component summary scores (physical component summary and mental component summary). This endpoint assess the 'physical component summary'. The 0-100 scale scores from the SF-36 will be converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively. A positive change score indicates an improvement since baseline.

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Change in SF-36v2: Mental Component Summary score

Measured as score points. The SF-36v2.0 is a 36-item commonly used generic COA instrument measuring health-related quality of life and general health status across disease areas. SF-36v2 questionnaire measures 8 domains of functional health and well-being as well as 2 component summary scores (physical component summary and mental component summary). This endpoint assess the 'mental component summary'. The 0-100 scale scores from the SF-36 will be converted to norm-based scores to enable a direct interpretation in relation to the distribution of the scores in the 2009 U.S. general population. In the metric of norm-based scores, 50 and 10 corresponds to the mean and standard deviation respectively. A positive change score indicates an improvement since baseline.

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Change in Impact of Weight on Quality Of Life-Lite Clinical Trials Version (IWQOLLite- CT) Physical Function score

Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patient's physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score. This endpoint assess the 'physical function score'. The scores range between 0-100 where higher scores indicate a better quality of life. A positive change score indicates an improvement since baseline.

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo: Change in IWQOL-Lite-CT Total score

Measured as score points. IWQOL-Lite-CT version 3 is a 20-item COA instrument used to assess the impact of body weight changes in obesity studies on patient's physical and psychosocial functioning in three composite scores (physical function, physical and psychosocial) and a total score. This endpoint assess the 'total score'. The scores range between 0-100 where higher scores indicate a better quality of life. A positive change score indicates an improvement since baseline.

Time frame: From baseline (week 0) to end of treatment (week 44)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Number of Treatment Emergent Adverse Events (TEAEs)

Measured as count of events

Time frame: From baseline (week 0) to end of study (week 51)

CagriSema 2.4 mg/2.4 mg versus placebo and semaglutide 2.4 mg: Number of Treatment Emergent Serious Adverse Events (TESAEs)

Measured as count of events

Time frame: From baseline (week 0) to end of study (week 51)

Number of clinically significant hypoglycaemic episodes (level 2) (lesser than 3.0 mmol/L (54 milligrams per deciliter[mg/dL]), confirmed by BG meter) (only for participants with Type 2 diabetes (T2D) at screening)

Measured as count of episodes

Time frame: From baseline (week 0) to end of study (week 51)

Number of severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold (only for participants with T2D at screening)

Measured as count of episodes

Time frame: From baseline (week 0) to end of study (week 51)