ZT006 is an oral, long-acting glucagon-like peptide-1. This first-in-human study is designed to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of ZT006 in healthy, overweight and obese participants. The study comprises three parts, i.e. single dose-escalation, multiple dose-escalation, food effect on the pharmacokinetics of ZT006. In the single dose-escalation study, participants will receive a single dose (ZT006 dose level 1 - 5 or corresponding placebo) of ZT006 under fasted condition. A higher dose can only be given after obtaining acceptable safety and tolerability data for at least 7 days after the previous dose. After study drug administration, there will be a 7-day in-house period for safety observation and pharmacokinetics samples collection. Participants will join ambulatory visits until 42 days post-dose. In the multiple dose-escalation study, participants will receive a daily dose of ZT006 or corresponding placebo over 42 days in a dose up-titration fashion according to the following regimen: * Cohort 1: dose level 1 - dose level 2 - dose level 3 * Cohort 2: dose level 1 - dose level 2 - dose level 3 - dose level 4 * Cohort 3: dose level 2 - dose level 3 - dose level 4 * Cohort 4: dose level 2 - dose level 3 - dose level 4 - dose level 5 Dosing of a cohort with higher drug exposure can only be done after evaluation of safety and tolerability data for at least 14 days after the first dose in the previous cohort. Participants will join ambulatory visits until 35 days after the last dose. To evaluate the food effect on the pharmacokinetics of ZT006, participants who have received single dose of ZT006 or placebo of dose level 4 in the single dose-escalation study will receive another dose of ZT006 or placebo after a high fat, high caloric breakfast.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
94
Participants will receive a single dose of ZT006 of dose level 1 under fasted condition.
Participants will receive a single dose of ZT006 of dose level 2 under fasted condition.
Participants will receive a single dose of ZT006 of dose level 3 under fasted condition.
Participants will receive a single dose of ZT006 of dose level 4 under fasted condition in period 1, and after a high fat, high caloric breakfast in period 2.
Participants will receive a single dose of ZT006 of dose level 5 under fasted condition.
Participants will receive daily doses of ZT006 for 42 days: dose level 1 for 7 days, then dose level 2 for 7 days, then dose level 3 for 28 days.
Participants will receive daily doses of ZT006 for 42 days: dose level 1 for 7 days, then dose level 2 for 7 days, then dose level 3 for 14 days, then dose level 4 for 14 days.
Participants will receive daily doses of ZT006 for 42 days: dose level 2 for 7 days, then dose level 3 for 7 days, then dose level 4 for 28 days.
Participants will receive daily doses of ZT006 for 42 days: dose level 2 for 7 days, then dose level 3 for 7 days, then dose level 4 for 14 days, then dose level 5 for 14 days.
Participants will receive a single dose of placebo of ZT006 under fasted condition.
Participants will receive a single dose of placebo of ZT006 under fasted condition in period 1, and after a high fat, high caloric breakfast in period 2.
Participants will receive daily doses of placebo of ZT006 for 42 days.
The Second Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
Rate of treatment-emergent adverse events after single dose administration under fasted condition.
Summarized from adverse event reporting in %
Time frame: From baseline to Day 43
Rate of treatment-emergent adverse events during and after multiple-dose administration.
Summarized from adverse event reporting in %
Time frame: From baseline to end of study (Day 77)
Rate of treatment-emergent adverse events after single dose administration under fed condition.
Summarized from adverse event reporting in %
Time frame: From Day 44 to end of study (Day 86)
Area under the concentration-time curve from time zero to infinity after single-dose administration under fasted condition.
Measured in ng\*h/mL
Time frame: From baseline to Day 43
Maximal observed concentration after single-dose administration under fasted condition.
Measured in ng/mL
Time frame: From baseline to Day 43
Time to reach the maximal observed concentration after single-dose administration under fasted condition.
Measured in hours
Time frame: From baseline to Day 43
Terminal half-life after single-dose administration under fasted condition.
Measured in hours
Time frame: From baseline to Day 43
Area under the concentration-time curve during the dosing interval at steady state.
Measured in ng\*h/mL
Time frame: Day 42 to Day 77
Maximal observed concentration at steady state.
Measured in ng/mL
Time frame: Day 42 to Day 77
Time to reach the maximal observed concentration at steady state.
Measured in hours
Time frame: From Day 42 to Day 77
Terminal half-life at steady state.
Measured in hours
Time frame: From Day 42 to Day 77
Area under the concentration-time curve from time zero to infinity after single-dose administration under fed condition.
Measured in ng\*h/mL
Time frame: From Day 44 to end of study (Day 86)
Maximal observed concentration after single-dose administration under fed condition.
Measured in ng/mL
Time frame: From Day 44 to end of study (Day 86)
Time to reach the maximal observed concentration after single-dose administration under fed condition.
Measured in hours
Time frame: From Day 44 to end of study (Day 86)
Terminal half-life after single-dose administration under fed condition.
Measured in hours
Time frame: From Day 44 to end of study (Day 86)
Incidence of ZT006 anti-drug antibody after single-dose administration under fasted condition.
Measured in %
Time frame: From baseline to Day 43
Incidence of ZT006 anti-drug antibody during and after multiple-dose administration.
Measured in %
Time frame: From baseline to end of study (Day 77)
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