NCT04153929

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 Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
413

participants targeted

Target at P75+ for phase_2 diabetes-mellitus-type-2

Timeline
Completed

Started Apr 2020

Typical duration for phase_2 diabetes-mellitus-type-2

Geographic Reach
13 countries

74 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 5, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 6, 2019

Completed
6 months until next milestone

Study Start

First participant enrolled

April 30, 2020

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 8, 2021

Completed
27 days until next milestone

Study Completion

Last participant's last visit for all outcomes

November 4, 2021

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

November 29, 2022

Completed
Last Updated

November 29, 2022

Status Verified

November 1, 2022

Enrollment Period

1.4 years

First QC Date

November 5, 2019

Results QC Date

November 2, 2022

Last Update Submit

November 2, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Absolute Change in HbA1c From Baseline to 16 Weeks

    Absolute change in glycosylated hemoglobin A1c (HbA1c) from baseline to 16 weeks after treatment start is presented. The measurements for this outcome were performed at baseline and at Week 17. Absolute change from baseline in HbA1c to 16 weeks after treatment start was calculated by subtracting the baseline HbA1c value from the HbA1c value at Week 17.

    At baseline and at Week 17 (16 weeks after treatment start).

Secondary Outcomes (5)

  • Key Secondary Endpoint: The Relative Change in Body Weight From Baseline to 16 Weeks

    At baseline and at Week 17 (16 weeks after treatment start ).

  • The Absolute Change in Body Weight From Baseline to 16 Weeks

    At baseline and at Week 17 (16 weeks after treatment start).

  • The Absolute Change in Waist Circumference From Baseline to 16 Weeks

    At baseline and at Week 17 (16 weeks after treatment start).

  • Percentage of Patients With 5 % or Greater Body Weight Loss From Baseline to 16 Weeks

    At baseline and at Week 17 (16 weeks after treatment start).

  • Percentage of Patients With 10% or Greater Body Weight Loss From Baseline to 16 Weeks

    At baseline and at Week 17 (16 weeks after treatment start).

Study Arms (8)

BI 456906 0.3 mg

EXPERIMENTAL
Drug: BI 456906

BI 456906 0.9 mg

EXPERIMENTAL
Drug: BI 456906

BI 456906 1.8 mg

EXPERIMENTAL
Drug: BI 456906

BI 456906 2.7 mg

EXPERIMENTAL
Drug: BI 456906

BI 456906 1.2 twice weekly (2.4) mg

EXPERIMENTAL
Drug: BI 456906

BI 456906 1.8 twice weekly (3.6) mg

EXPERIMENTAL
Drug: BI 456906

Semaglutide

ACTIVE COMPARATOR
Drug: Semaglutide

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

Solution for Injection

BI 456906 0.3 mgBI 456906 0.9 mgBI 456906 1.2 twice weekly (2.4) mgBI 456906 1.8 mgBI 456906 1.8 twice weekly (3.6) mgBI 456906 2.7 mg

Solution for Injection

Placebo

Solution for Injection

Semaglutide

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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.

You may not qualify if:

  • 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.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (80)

National Research Institute

Huntington Park, California, 90255, United States

Location

National Research Institute

Los Angeles, California, 90057, United States

Location

Valley Clinical Trials, Inc.

Northridge, California, 91325, United States

Location

Indago Research and Health Center

Hialeah, Florida, 33012, United States

Location

Meridien Research

Lakeland, Florida, 33803, United States

Location

San Marcus Research Clinic, Inc.

Miami, Florida, 33014, United States

Location

Renstar Medical Research

Ocala, Florida, 34470, United States

Location

Sensible Healthcare, LLC

Ocoee, Florida, 34761, United States

Location

Meridien Research

St. Petersburg, Florida, 33709, United States

Location

In-Quest Medical Research, LLC

Suwanee, Georgia, 30024, United States

Location

Solaris Clinical Research

Meridian, Idaho, 83646, United States

Location

DuPage Medical Group, Ltd

Lombard, Illinois, 60148, United States

Location

Iowa Diabetes and Endocrinology Research Center

West Des Moines, Iowa, 50265, United States

Location

ActivMed Practices & Research

Methuen, Massachusetts, 01844, United States

Location

StudyMetrix Research, LLC

City of Saint Peters, Missouri, 63303, United States

Location

Mercury Street Medical

Butte, Montana, 59701, United States

Location

Palm Research Center

Las Vegas, Nevada, 89148, United States

Location

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27514, United States

Location

PMG Research of Hickory, LLC

Hickory, North Carolina, 28602, United States

Location

Lucas Research, Inc.

Morehead City, North Carolina, 28557, United States

Location

PMG Research of Raleigh, LLC

Raleigh, North Carolina, 27609, United States

Location

PMG Research of Piedmont Healthcare

Statesville, North Carolina, 28625, United States

Location

PMG Research of Wilmington, LLC

Wilmington, North Carolina, 28401, United States

Location

PMG Research of Winston-Salem

Winston-Salem, North Carolina, 27103, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

Lillestol Research, LLC

Fargo, North Dakota, 58104, United States

Location

Heritage Valley Medical Group

Beaver, Pennsylvania, 15009, United States

Location

PMG Research of Knoxville

Knoxville, Tennessee, 37938, United States

Location

Dallas Diabetes and Endocrine Center

Dallas, Texas, 75230, United States

Location

Clinical Trials of Texas, LLC

San Antonio, Texas, 78229, United States

Location

Javara Research

Sugar Land, Texas, 77478, United States

Location

Boden Institute of Obesity, Nutrition, Exercies and Eating Disorders

Camperdown, New South Wales, 2006, Australia

Location

Hunter Diabetes Centre

Merewether, New South Wales, 2291, Australia

Location

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

Location

Monash University

Box Hill, Victoria, 3128, Australia

Location

Austin Health

Heidelberg, Victoria, 3081, Australia

Location

Baker Heart and Diabetes Institute

Melbourne, Victoria, 3004, Australia

Location

KH Rudolfstiftung, 1. Med. Abt., Wien

Vienna, 1030, Austria

Location

AKH - Medical University of Vienna

Vienna, 1090, Austria

Location

Cook Street Medical Clinic

Victoria, British Columbia, V8V 4A1, Canada

Location

LMC Clinical Research Inc. (Brampton)

Brampton, Ontario, L6S 0C6, Canada

Location

LMC Clinical Research Inc. (Thornhill)

Concord, Ontario, L4K 4M2, Canada

Location

The Wharton Medical Clinic Clinical Trials Inc.

Hamilton, Ontario, L8L 5G8, Canada

Location

Devonshire Clinical Research Inc.

Woodstock, Ontario, N4S 5P5, Canada

Location

Manna Research (Quebec)

Lévis, Quebec, G6W 0M5, Canada

Location

Centre Medical Acadie

Montreal, Quebec, H4N 2W2, Canada

Location

Manna Research (Montreal)

Pointe-Claire, Quebec, H9R 4S3, Canada

Location

Edumed s.r.o

Broumov, 55001, Czechia

Location

General Faculty Hospital, Prague

Prague, 128 08, Czechia

Location

Studienzentrum Aschaffenburg

Aschaffenburg, 63739, Germany

Location

InnoDiab Forschung GmbH

Essen, 45136, Germany

Location

Institut für Diabetesforschung Münster GmbH

Münster, 48145, Germany

Location

DRC Gyogyszervizsgalo Kozpont Kft., Balatonfured

Balatonfüred, 8230, Hungary

Location

Bajcsy-Zsilinszky Hospital and Clinic

Budapest, 1106, Hungary

Location

University Debrecen Hospital

Debrecen, 4032, Hungary

Location

Optimal Clinical Trials

Auckland, 1010, New Zealand

Location

P3 Research

Newtown Wellington NZ, 6021, New Zealand

Location

P3 Research Kapiti

Paraparaumu, 5032, New Zealand

Location

P3 Research

Tauranga, 3110, New Zealand

Location

In-Vivo Sp. Z o.o.

Bydgoszcz, 85-048, Poland

Location

Vita Longa Sp. z o.o.

Katowice, 40-748, Poland

Location

Pratia SA

Skorzewo, 60-185, Poland

Location

Clin.Research Centre Clinsante SC Ewa Galczak-Nowak,Torun

Torun, 87-100, Poland

Location

NBR Polska

Warsaw, 00-465, Poland

Location

GCM Medical Group, PSC

San Juan, 00917, Puerto Rico

Location

The Catholic University of Korea, Bucheon St.Mary's Hospital

Bucheon-si, 14647, South Korea

Location

Dongguk University Ilsan Hospital

Goyang, 10326, South Korea

Location

Kangdong Sacred Heart Hospital

Seoul, 134701, South Korea

Location

Hospital A Coruña

A Coruña, 15006, Spain

Location

C.A.P. Sardenya

Barcelona, 08025, Spain

Location

Hospital Virgen de la Victoria

Málaga, 29010, Spain

Location

Hospital Clínico de Valencia

Valencia, 46010, Spain

Location

Chang-Hua Christian Hospital

Changhua, 500, Taiwan

Location

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, 83301, Taiwan

Location

Chung Shan Medical University Hospital

Taichung, 40201, Taiwan

Location

Waterloo Medical Centre

Blackpool, FY4 3AD, United Kingdom

Location

Burbage Surgery

Burbage, Hinkley, LE10 2SE, United Kingdom

Location

White Horse Medical Practice

Faringdon, SN7 7YU, United Kingdom

Location

Clifton Medical Centre, Rotherham

Rotherham, S65 1DA, United Kingdom

Location

Moorgreen Hospital

Southampton, SO30 3JB, United Kingdom

Location

Related Publications (1)

  • Bluher M, Rosenstock J, Hoefler J, Manuel R, Hennige AM. Dose-response effects on HbA1c and bodyweight reduction of survodutide, a dual glucagon/GLP-1 receptor agonist, compared with placebo and open-label semaglutide in people with type 2 diabetes: a randomised clinical trial. Diabetologia. 2024 Mar;67(3):470-482. doi: 10.1007/s00125-023-06053-9. Epub 2023 Dec 14.

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

BI 456906semaglutide

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Results Point of Contact

Title
Boehringer Ingelheim, Call Center
Organization
Boehringer Ingelheim

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The trial has a double blind design within each dose group. Patients, investigators and everyone involved in trial conduct or analysis or with any other interest in this trial will remain blinded with regard to the randomized treatment assignments until after database lock. The semaglutide group is open label.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2019

First Posted

November 6, 2019

Study Start

April 30, 2020

Primary Completion

October 8, 2021

Study Completion

November 4, 2021

Last Updated

November 29, 2022

Results First Posted

November 29, 2022

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will share

After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
After all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication.
Access Criteria
For study documents - upon signing of a 'Document Sharing Agreement'. For study data - 1. after the submission and approval of the research proposal (checks will be performed by both the independent review panel and the sponsor, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a 'Data Sharing Agreement'.
More information

Locations