A research study investigating how semaglutide and dapagliflozin act in your body when dosed in one tablet

2022-500007-52-00 Protocol NN9917-4751 Human pharmacology (Phase I) - Bioequivalence study Ended

Start 14 Jun 2022 · End 13 Apr 2023 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol NN9917-4751

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Bioequivalence study
Status Ended
Participants planned 138
Countries 1
Sites 1

Diabetes Mellitus, Type 2

To confirm that oral semaglutide and dapagliflozin steady state pharmacokinetics are not influenced by each other when dosed in a fixed- dose combination compared to when dosed alone in healthy participants.

Key facts

Sponsor
Novo Nordisk A/S
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
14 Jun 2022 → 13 Apr 2023
Decision date (initial)
2022-06-02
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Novo Nordisk A/S

External identifiers

EU CT number
2022-500007-52-00
WHO UTN
U1111-1266-4254

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Bioequivalence, Pharmacokinetic

To confirm that oral semaglutide and dapagliflozin steady state pharmacokinetics are not influenced by each other when dosed in a fixed- dose combination compared to when dosed alone in healthy participants.

Conditions and MedDRA coding

Diabetes Mellitus, Type 2

VersionLevelCodeTermSystem organ class
21.1 LLT 10045242 Type II diabetes mellitus 10027433

Regulatory references

Scientific advice from competent authorities
Food And Drug Administration, Pharmaceuticals And Medical Devices Agency, European Medicines Agency, Health Canada
EU CT numberTitleSponsor
2021-003341-38 The effect of oral semaglutide 50 mg once-daily on energy intake, gastric emptying, appetite, control of eating and pharmacokinetics in participants with obesity

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Male or female
  2. Aged 18-64 years (both inclusive) at the time of signing informed consent
  3. Body mass index between 20.0 and 29.9 kg/m^2 (both inclusive)
  4. Considered to be generally healthy based on the medical history, physical examination, and the results of vital signs, electrocardiogram and clinical laboratory tests performed during the screening visit, as judged by the investigator

Exclusion criteria 7

  1. Participation (i.e., signed informed consent) in any other interventional, clinical study within 30 days (or 5 half-lives of the investigational medicinal product, whichever is longer) before randomisation
  2. Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly-effective contraceptive method
  3. Any disorder which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol
  4. Use of tobacco and nicotine products, defined as any of the below: a) Smoking more than 5 cigarettes or the equivalent per day b) Not willing to refrain from smoking and use of nicotine substitute products during the in-house periods
  5. Blood donation, plasma donation or blood draw, defined as any of the below: a) In excess of 400 mL within the past 90 days prior to the day of screening b) In excess of 50 mL within the past 30 days prior to the day of screening
  6. History of major surgical procedures involving the stomach potentially affecting absorption of trial products (e.g. subtotal and total gastrectomy, sleeve gastrectomy, gastric bypass surgery) or current presence of gastrointestinal implant
  7. Presence of clinically significant gastrointestinal disorders or symptoms of gastrointestinal disorders potentially affecting absorption of drugs and/or nutrients, as judged by the investigator

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. AUC(0-24h,sema,ss): area under the semaglutide plasma concentration−time curve during a dosing interval (0 to 24 hours) at steady state
  2. AUC(0-24h,dapa,ss): area under the dapagliflozin plasma concentration−time curve during a dosing interval (0 to 24 hours) at steady state

Secondary endpoints 4

  1. Cmax,(sema,ss): maximum observed semaglutide plasma concentration during a dosing interval (0 to 24 hours) at steady state
  2. Cmax,(dapa,ss): maximum observed dapagliflozin plasma concentration during a dosing interval (0 to 24 hours) at steady state
  3. tmax,(sema,ss): time to maximum observed semaglutide plasma concentration during a dosing interval (0 to 24) at steady state
  4. tmax,(dapa,ss): time to maximum observed dapagliflozin plasma concentration during a dosing interval (0 to 24 hours) at steady state

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

Semaglutide/dapagliflozin A 1.5/10 mg

PRD9431159 · Product

Active substance
Dapagliflozin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
11.5 mg milligram(s)
Max total dose
80.5 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Semaglutide/dapagliflozin A 4/10 mg

PRD9431160 · Product

Active substance
Dapagliflozin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
14 mg milligram(s)
Max total dose
98 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Semaglutide/dapagliflozin A 9/10 mg

PRD9431161 · Product

Active substance
Dapagliflozin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
19 mg milligram(s)
Max total dose
665 mg milligram(s)
Max treatment duration
5 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Comparator 4

Forxiga 10 mg film-coated tablets

PRD2427550 · Product

Active substance
Dapagliflozin
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
10 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
4 Day(s)
Authorisation status
Authorised
ATC code
A10BK01 — -
Marketing authorisation
EU/1/12/795/009
MA holder
ASTRAZENECA AB
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Semaglutide D 9 mg

PRD9207380 · Product

Active substance
Semaglutide
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
9 mg milligram(s)
Max total dose
315 mg milligram(s)
Max treatment duration
5 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Semaglutide D 1.5 mg

PRD9207381 · Product

Active substance
Semaglutide
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
1.5 mg milligram(s)
Max total dose
10.5 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Semaglutide D 4 mg

PRD9207382 · Product

Active substance
Semaglutide
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
4 mg milligram(s)
Max total dose
28 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Not Authorised
MA holder
NOVO NORDISK A/S
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Novo Nordisk A/S

Sponsor organisation
Novo Nordisk A/S
Address
Novo Alle 1
City
Bagsvaerd
Postcode
2880
Country
Denmark

Scientific contact point

Organisation
Novo Nordisk A/S
Contact name
EU Submission Hub

Public contact point

Organisation
Novo Nordisk A/S
Contact name
EU Submission Hub

Third parties 6

OrganisationCity, countryDuties
SGS Analytics Germany GmbH
ORG-100013017
Berlin, Germany Other
Parexel International GmbH
ORG-100008131
Berlin, Germany Other
Parexel International GmbH
ORG-100008131
Berlin, Germany Other
Hubertus Apotheke Am Salzufer Bernd Drevenstedt e.K.
ORG-100017055
Berlin, Germany Other
Perceptive Eclinical Limited
ORG-100041144
Nottingham, United Kingdom E-data capture
Celerion Inc.
ORG-100029202
Lincoln, United States Other

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 138 1
Rest of world 0

Investigational sites

Germany

1 site · Ended
Parexel International GmbH
Early Phase Clinical Unit Berlin, Klinikum Westend Haus 31, Spandauer Damm 130, Berlin

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2022-06-14 2023-04-13 2022-06-22 2023-01-16

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Clinical study report synopsis
SUM-19671
2024-04-04T14:08:10 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Summary of the result for layperson 2024-04-04T14:08:22 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) NN9917-4751- Summary of the result for layperson- For publication 1
Summary of results (for publication) NN9917-4751- Clinical study report synopsis- For publication 1

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-02-15 Germany Acceptable
2022-05-30
2022-06-02
2 NON SUBSTANTIAL MODIFICATION NSM-1 2022-07-12 Germany Acceptable
2022-05-30
2022-07-12
3 SUBSTANTIAL MODIFICATION SM-1 2022-07-15 Germany Acceptable
2022-08-25
2022-08-25
4 NON SUBSTANTIAL MODIFICATION NSM-2 2022-10-28 Germany Acceptable
2022-08-25
2022-10-28
5 SUBSTANTIAL MODIFICATION SM-2 2022-12-06 Germany Acceptable
2023-02-14
2023-02-15
6 NON SUBSTANTIAL MODIFICATION NSM-3 2023-04-17 Germany Acceptable
2023-02-14
2023-04-17