CK-0045 proof-of-concept study

2024-514191-41-00 Protocol CK-0045_CS02 Therapeutic exploratory (Phase II) Ended

Start 16 Sep 2024 · End 21 Oct 2025 · Status Ended · 1 EU/EEA countries · 2 sites · Protocol CK-0045_CS02

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 90
Countries 1
Sites 2

Type 2 diabetes and Obesity

To investigate the effects of 16 weeks of treatment with CK-0045 at two different dose levels versus placebo on glucose metabolism after a mixed meal tolerance test (MMTT) in participants with overweight / obesity and Type 2 diabetes.

Key facts

Sponsor
Cytoki Pharma ApS
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nutritional and Metabolic Diseases [C18]
Trial duration
16 Sep 2024 → 21 Oct 2025
Decision date (initial)
2024-09-10
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Pharmacokinetic, Others, Safety, Efficacy

To investigate the effects of 16 weeks of treatment with CK-0045 at two different dose levels versus placebo on glucose metabolism after a mixed meal tolerance test (MMTT) in participants with overweight / obesity and Type 2 diabetes.

Secondary objectives 5

  1. To assess the effects of CK-0045 on body weight.
  2. To assess the effects of CK-0045 on lipid metabolism (total cholesterol, HDL-, LDLcholesterol, triglycerides, free fatty acids (FFA), Lp(a)).
  3. To assess the effects of CK-0045 on HbA1c.
  4. To assess the pharmacokinetics (PK) of CK-0045.
  5. To investigate safety, tolerability, and immunogenicity of CK-0045.

Conditions and MedDRA coding

Type 2 diabetes and Obesity

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Male or female person diagnosed with type 2 diabetes mellitus.
  2. Age between 18 and 74 years, both inclusive, at the time of signing the informed consent.
  3. Diagnosed with type 2 diabetes mellitus ≥ 6 months prior to screening.
  4. Treated with diet and exercise and a maximum of three antidiabetic medications at stable doses for at least 3 months prior to screening.
  5. Body Mass Index (BMI) between 27.0 and 40.0 kg/m^2 and HbA1c 6.5-8.5 for participants taking 3 antidiabetic medications or HbA1c 6.5-9.0% for participants taking 2 or less antidiabetic medications at screening

Exclusion criteria 3

  1. Any of the following within the past 6 months prior to screening: myocardial infarction, unstable angina, coronary artery bypass graft, percutaneous coronary intervention (diagnostic angiograms are permitted), transient ischemic attack, cerebrovascular accident or decompensated congestive heart failure, or currently have New York Health Association Class III or IV heart failure or any other clinically significant history or evidence of poorly controlled cardiovascular disorder(s) as judged by the investigator.
  2. Have a known clinically significant gastric emptying abnormality (for example, severe diabetic gastroparesis or gastric outlet obstruction), have undergone gastric bypass (bariatric) surgery or restrictive bariatric surgery (for example, gastric banding ), and/or device-based therapy for obesity, or have had device removal within the past 6 months.
  3. History or signs of clinically relevant skin diseases including but not limited to: psoriasis, atopic dermatitis, eczema, etc., as judged by the investigator.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from baseline in area under the plasma glucose (PG) curve after a MMTT (AUCPG0- 4h) after 16 weeks of treatment.

Secondary endpoints 1

  1. Change from baseline in body weight, total cholesterol, HDL-, LDL-cholesterol, triglycerides, free fatty acids (FFA), Lp(a), and HbA1c after 16 weeks of treatment.

Investigational products

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

Test 1

CK-0045

PRD11264971 · Product

Active substance
CK-0045
Pharmaceutical form
INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
00 µg/Kg microgram(s)/kilogram
Max total dose
00 µg/Kg microgram(s)/kilogram
Max treatment duration
16 Week(s)
Authorisation status
Not Authorised
MA holder
CYTOKI PHARMA
Paediatric formulation
No
Orphan designation
No

Placebo 1

non-preserved sterile liquid formulation

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Cytoki Pharma ApS

Sponsor organisation
Cytoki Pharma ApS
Address
Vandtaarnsvej 77
City
Soeborg
Postcode
2860
Country
Denmark

Scientific contact point

Organisation
Cytoki Pharma ApS
Contact name
Chief Development Officer

Public contact point

Organisation
Cytoki Pharma ApS
Contact name
Chief Development Officer

Third parties 3

OrganisationCity, countryDuties
PROFIL Institut fuer Stoffwechselforschung GmbH
ORG-100016387
Neuss, Germany On site monitoring, Code 11, Code 12, Other, Laboratory analysis, Code 5, Data management, Code 8
SGS France
ORG-100011566
St Benoit, France Laboratory analysis
Klifo A/S
ORG-100016474
Glostrup, Denmark Other

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 90 2
Rest of world 0

Investigational sites

Germany

2 sites · Ended
PROFIL Institut fuer Stoffwechselforschung GmbH
n/a, Hellersbergstrasse 9, Hammfeld, Neuss
CRS Clinical Research Services Mannheim GmbH
Clinical Pharmacology Unit, Grenadierstrasse 1, Neckarstadt, Mannheim

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 2024-09-16 2024-09-16 2025-09-05

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
ck-0045-cs02--synopsis-csr
SUM-124412
2026-03-20T12:56:28 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
ck-0045-cs02--csr-lay-sum 2026-03-20T12:56:42 Submitted Laypersons Summary of Results

Documents 13 files

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

TypeTitleVersion
Laypersons summary of results (for publication) ck-0045-cs02--csr-lay-sum--de 1.0
Laypersons summary of results (for publication) ck-0045-cs02--csr-lay-sum--en 1.0
Protocol (for publication) D1_ck-0045-cs02--ctp--red 4.0
Protocol (for publication) D4_ck-0045-cs02--vas-app-quest 1.0
Recruitment arrangements (for publication) K1_ck-0045-cs02--recruitment-ic-procedures 1.0
Recruitment arrangements (for publication) K1_ck-0045-cs02--recruitment-ic-procedures--crs n/a
Recruitment arrangements (for publication) K2_ck-0045-cs02--rec-adv 2.0
Recruitment arrangements (for publication) K2_ck-0045-cs02--recruit-adv-flyer--crs n/a
Recruitment arrangements (for publication) K2_ck-0045-cs02--recruit-adv-landingpage-crs- 1
Subject information and informed consent form (for publication) ck-0045-cs02--icf--de-red--nsm 2.1
Subject information and informed consent form (for publication) L1_ck-0045-cs02--icf--de-red 5.0
Summary of Product Characteristics (SmPC) (for publication) E1_ck-0045-cs02--smpc--saline n/a
Summary of results (for publication) ck-0045-cs02--synopsis-csr 1.0

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-24 Germany Acceptable
2024-08-30
2024-09-10
2 SUBSTANTIAL MODIFICATION SM-1 2024-10-21 Germany Acceptable 2024-11-28
3 SUBSTANTIAL MODIFICATION SM-3 2024-12-12 Germany Acceptable
2025-01-17
2025-01-22
4 SUBSTANTIAL MODIFICATION SM-4 2025-04-11 Germany Acceptable
2025-05-05
2025-05-12
5 NON SUBSTANTIAL MODIFICATION NSM-1 2025-06-12 Germany Acceptable
2025-05-05
2025-06-12
6 SUBSTANTIAL MODIFICATION SM-5 2025-06-24 Germany Acceptable 2025-07-15