This study is open to adults who are at least 18 years old and have a body mass index of 27 kg/m² or more. People can take part if they have type 2 diabetes and if they are currently being treated only with diet and exercise or with specific diabetes medications. Only people who have previously not managed to lose weight by changing their diet can participate. The purpose of this study is to find out whether a medicine called survodutide (BI 456906) helps people living with overweight or obesity who also have diabetes to lose weight. Participants are divided into 3 groups by chance, like drawing names from a hat. 2 groups get different doses of survodutide and 1 group gets placebo. Placebo looks like survodutide but does not contain any medicine. Every participant has a 2 in 3 chance of getting survodutide. Participants inject survodutide or placebo under their skin once a week for about one and a half years. In addition to the study medicine, all participants receive counselling to make changes to their diet and to exercise regularly. Participants are in the study for about 1 year and 7 months. During this time, it is planned that participants visit the study site up to 14 times and receive 6 phone calls by the site staff. The doctors check participants' health and take note of any unwanted effects. The study staff also regularly measure participants' body weight. The results are compared between the groups to see whether the treatment works.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
755
once weekly subcutaneous injection, pre-filled syringe
once weekly subcutaneous injection, pre-filled syringe
Pinnacle Research Group, LLC
Anniston, Alabama, United States
EmVenio Research-Atlanta-69582
Phoenix, Arizona, United States
Encompass Clinical Research, Spring Valley
Spring Valley, California, United States
Diablo Clinical Research
Walnut Creek, California, United States
Alliance for Multispecialty Research, LLC - Doral
Doral, Florida, United States
Percentage change in body weight from baseline to Week 76
Time frame: Baseline and at Week 76
Achievement of body weight reduction ≥5% (yes/no) from baseline to Week 76
Time frame: Baseline and at Week 76
Achievement of body weight reduction ≥10% (yes/no) from baseline to Week 76
Time frame: Baseline and at Week 76
Achievement of body weight reduction ≥15% (yes/no) from baseline to Week 76
Time frame: Baseline and at Week 76
Achievement of body weight reduction ≥20% (yes/no) from baseline to Week 76
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in body weight (kg)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in glycosylated haemoglobin A1c (HbA1c) (%)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in waist circumference (cm)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in systolic blood pressure (SBP) (mmHg)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in "Capacity to Resist" domain score of Eating Behaviour patient reported outcome (PRO)
"Capacity to Resist" domain score of the Eating Behaviour PRO is ranging between 0 and 24 and a higher score indicates a lower capacity to resist.
Time frame: Baseline and at Week 76
Key secondary endpoint: Absolute change from baseline to Week 76 in Eating Behaviour PRO total score
Eating Behaviour PRO total score is ranging between 0 and 48 and a higher score indicates a worse eating behaviour (greater desire to eat and/or lower capacity to resist).
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in body mass index (BMI) (kg/m2)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in HbA1c (mmol/mol)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in diastolic blood pressure (DBP) (mmHg)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in fasting plasma glucose (FPG) (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in fasting plasma insulin (FPI) (mIU/L)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in total cholesterol (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in high density lipoprotein (HDL) cholesterol (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in low density lipoprotein (LDL) cholesterol (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in very-low-density lipoprotein (VLDL) cholesterol (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in triglycerides (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in free fatty acids (mg/dL)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in alanine aminotransferase (ALT) (U/L)
Time frame: Baseline and at Week 76
Absolute change from baseline to Week 76 in aspartate aminotransferase (AST) (U/L)
Time frame: Baseline and at Week 76
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University of Florida
Gainesville, Florida, United States
East Coast Institute for Research, LLC - Jacksonville
Jacksonville, Florida, United States
New Horizon Research Center-Miami-69732
Miami, Florida, United States
West Orange Endocrinology
Ocoee, Florida, United States
Emory University
Atlanta, Georgia, United States
...and 133 more locations