A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of K-757 and K-833 in Overweight/Obese Patients With Type 2 Diabetes

A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of K-757 and K-833 in Overweight/Obese Patients With Type 2 Diabetes

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.

ClinicalTrials.gov Identifier: NCT05890950

Recruitment Status : **RECRUITING NOW**
First Posted : June 6, 2023
Last Update Posted : June 6, 2023

Sponsor:

Information provided by (Responsible Party):
Kallyope Inc.

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Brief Summary:
This is a multiple dose study to evaluate the safety, tolerability, PK, and PD of K-757 and K-833 when co-administered in overweight/obese patients with Type 2 diabetes mellitus (T2DM).

Obesity Type 2 Diabetes Mellitus in Obese
Drug: K-757 and K-833 Drug: Matching placebo to K-757 and K-833
Phase 1

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Study Type :
Interventional  (Clinical Trial)

Estimated Enrollment :
24 participants

Allocation:
Randomized

Intervention Model:
Parallel Assignment

Masking:
Triple (Participant, Care Provider, Investigator)

Primary Purpose:
Treatment

Official Title:
A 28-Day Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of K-757 and K-833 in Overweight/Obese Patients With Type 2 Diabetes Mellitus

Actual Study Start Date :
March 13, 2023

Estimated Primary Completion Date :
June 2023

Estimated Study Completion Date :
June 2023

Resource links provided by the National Library of Medicine

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Experimental: K-757 and K-833 combination
Drug: K-757 and K-833
Both administered orally

Placebo Comparator: Placebo
Drug: Matching placebo to K-757 and K-833
Both administered orally

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Primary Outcome Measures :

Proportion of participants who experienced 1 or more treatment-emergent AEs [ Time Frame: Up to Day 42 +/- 2days ]
After treatment with the combination of K-757 and K-833

Proportion of participants who discontinued study medication due to an AE [ Time Frame: Up to Day 42 +/- 2days ]
After treatment with the combination of K-757 and K-833

Secondary Outcome Measures :

Area under the concentration-time curve [AUC] of plasma K-757 [ Time Frame: Days 14 and 28 ]
when co-administered with K-833

AUC of plasma K-833 [ Time Frame: Days 14 and 28 ]
when co-administered with K-757

Maximum concentration [Cmax] of plasma K-757 [ Time Frame: Days 14 and 28 ]
when co-administered with K-833

Cmax of plasma K-833 [ Time Frame: Days 14 and 28 ]
when co-administered with K-757

Time of maximum concentration [Tmax] of plasma K-757 [ Time Frame: Days 14 and 28 ]
when co-administered with K-833

Tmax of plasma K-833 [ Time Frame: Days 14 and 28 ]
when co-administered with K-757

Clearance [Cl] of plasma K-757 [ Time Frame: Days 14 and 28 ]
when co-administered with K-833

Cl of plasma K-833 [ Time Frame: Days 14 and 28 ]
when co-administered with K-757

Volume of distribution at steady-state [Vdss] of plasma K-757 [ Time Frame: Days 14 and 28 ]
when co-administered with K-833

Vdss of plasma K-833 [ Time Frame: Days 14 and 28 ]
when co-administered with K-757

Half-life [t1/2] of plasma K-757 [ Time Frame: Days 14 and 28 ]
when co-administered with K-833

t1/2 of plasma K-833 [ Time Frame: Days 14 and 28 ]
when co-administered with K-757

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Information from the National Library of Medicine
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:  
18 Years to 70 Years   (Adult, Older Adult)

Sexes Eligible for Study:  
All

Accepts Healthy Volunteers:  
No

Inclusion Criteria:

Understand the trial procedures and agree to participate by providing written informed consent.
Be willing and able to comply with all trial procedures and restrictions, including following study diet requirements.
Be between 18 to 70 years of age, inclusive, at the Screening Visit.
Has T2DM in accordance with American Diabetes Association (ADA) guidelines at Screening.
Is on stable metformin monotherapy (total daily dose of 500 to 2,000 mg/day) for at least 3 months and tolerating metformin well in the opinion of the investigator. Note: Both the immediate release (IR) and extended release (XR) formulations of metformin are acceptable.
HbA1c of 7.0% to 10.5% at Screening.
Have a Body Mass Index (BMI) ≥25.0 and <38.0 (kg/m2) at the Screening Visit.
Be weight stable (<5% variation) over the last 3 months, by subject report.
Be a nonsmoker who has not used tobacco or nicotine-containing products (e.g. nicotine patch, e-cigarettes, vapes) for at least 3 months before administration of the initial dose of trial drug and agrees to abstain from smoking tobacco or the use of nicotine-containing products while on study.
Be judged to be in generally good health by the Investigator, based on clinical evaluations including laboratory safety tests, medical history, physical examination, 12-lead ECG, and vital sign measurements performed at the Screening Visit and before administration of the initial dose of trial drug.

Meet the following requirements:

Is a male who agrees to all of the following:

To use an appropriate method of contraception, including a condom with or without spermicidal cream or jelly, from the first dose of study drug until 14 days after the last dose of study drug. A male subject who had a vasectomy procedure must follow the same restrictions as a non-vasectomized man.
If partner is pregnant, to use a condom.
To not donate sperm from the first dose of study drug until 14 days after the last dose of study drug.

OR

Is a female who is of non-childbearing potential defined by at least 1 of the following criteria:

Postmenopausal (aged >45 years and with a minimum of 12 months of spontaneous amenorrhea with a Screening serum follicle-stimulating hormone (FSH) level in the menopausal range as established for the laboratory performing the test.
Post hysterectomy, bilateral oophorectomy or bilateral salpingectomy, based on the subject’s recall of their medical history.

OR

Is a female of reproductive potential and:

Exclusion Criteria:

Has participated in another interventional investigational study within 30 days of the Screening Visit. The window will be derived from the date of the last study procedure and/or AE related to the study procedure in the previous study to the Screening Visit of the current study. If the subject received an investigational medication in the prior study, at least 5 half-lives (or longer if required by local regulations) must have passed between the last dose of the investigational product and the Screening Visit.
Is an employee or immediate family member (eg, spouse, parent, child, sibling) of the Sponsor or study site.
Has a history of multiple significant and/or any severe allergies (eg, food, drug, latex allergy) or has had an anaphylactic reaction or significant intolerance to prescription or nonprescription drugs or food.
Has a known hypersensitivity or contraindication to any component of K-757 or K-833, including excipients.
Has a positive alcohol or drug screen at Screening or admission.
Has a positive pregnancy test.
Is a lactating/nursing female.
Has a positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency antibody, at the Screening Visit. Note: Subjects with positive hepatitis B virus or hepatitis C virus serology may be enrolled if quantitative polymerase chain reaction for hepatitis B virus or hepatitis C virus ribonucleic acid is negative.
Does not meet study site COVID-19 admission/study participation restrictions.
Has a fever (>38oC).*
Had major surgery or donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the Screening Visit.*

Is unable to refrain from the use of prohibited prescription or non-prescription drugs including vitamins, herbal and dietary supplements (including St John’s Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication through completion of study participation.
As detailed in Section 10.1, allowable concomitant medications may include HMG-CoA reductase inhibitors (statins), ≤2 permissible anti-hypertensive agents, postmenopausal hormone replacement therapy, and/or proton pump inhibitors (PPIs).

Has been on any GLP-1 receptor agonist, any dipeptidyl peptidase IV (DPP-4) inhibitor, or any approved or investigational medications known to cause weight loss in the prior 3 months.
Has a history of type 1 diabetes mellitus (T1DM) or a history of diabetic ketoacidosis or subject assessed by the investigator as possibly having T1DM.
Has a history of other specific types of other specific types of diabetes (e.g. genetic syndromes, secondary pancreatic diabetes, diabetes due to endocrinopathies, drug- or chemical-induced, and post organ transplant diabetes).
Has been treated with insulin or any other AHAs other than metformin within 4 weeks of screening or within 12 weeks of screening if the AHA was a thiazolidinedione (e.g., rosiglitazone, pioglitazone).
At Screening or Day -1 has a site fasting fingerstick glucose of >270 mg/dL.*
Has evidence or history of diabetic complications or significant end organ damage, eg, proliferative retinopathy and/or macular edema, eGFR (MDRD) ≤60 mL/min, diabetic neuropathy.
One or more self-reported episodes of hypoglycemia (fingerstick glucose <60 mg/dL with symptoms consistent with hypoglycemia or <50 mg/dL irrespective of symptoms) within the last 3 months.
Is using or anticipates the need for using concomitant medications which are inhibitors of P-gp or BCRP or any prohibited medications from screening until the post study visit.
Has excessive consumption of alcohol within 6 months prior to screening (>14 drinks/week for men and >7 drinks/week for women, where l drink= 5 ounces [150 mL] of wine or 12 ounces [360 mL] of beer or 1.5 ounces [45 mL] of hard liquor) or use any of soft drugs(such as marijuana) within 3 months prior to Screening, or hard drugs (such as cocaine) within 6 months prior to Screening.
Is unwilling or unable to refrain from consuming alcohol from 7 days prior to the first dose of study medication through the completion of study participation.
Has a substance abuse disorder.
Had a previous major psychotic disorder.
Has a corrected QT interval to Fridericia’s formula (QTcF) >450 milliseconds (msec) for males and >470 msec for females at screening or admission.

Has a mean value for triplicate semi-recumbent systolic blood pressure >160 millimeters of mercury (mmHg) and/or diastolic blood pressure (BP) >95 mmHg measured after at least 10 minutes at rest at the Screening Visit. Note: If a subject’s BP is exclusionary on the first triplicate assessment at the Screening visit, they may have 1 repeat triplicate BP assessment at that visit, after another rest of at least 10 minutes, to qualify for the study.
If a subject’s BP is exclusionary at screening but the investigator feels that BP is likely to be below the exclusionary thresholds at admission (Day -2), this criterion can be re-assessed at admission. Adjustment of doses of anti-hypertensives already being taken at screening is permissible, but initiation of new agents is not permissible. For subjects whose BP is exclusionary at Screening and at the first triplicate assessment on Day -2, triplicate assessments can be repeated up to twice on Day -2, as needed.

Has alanine aminotransferase or aspartate aminotransferase (ALT or AST) of >1.0X upper limit of normal (ULN) or total bilirubin >1.2X ULN (isolated bilirubin >1.2X ULN is acceptable if bilirubin is fractionated, and direct bilirubin is within the laboratory normal range) at Screening or admission. (Note: Subjects who do not meet this criterion at Screening or at admission may not be rescreened/retested).
Has serum amylase or lipase >1.2X the ULN at the Screening Visit.
Has a recent history (within past 3 years) or current diagnosis of any of the following GI (gastro-intestinal) related diseases: intestinal obstruction, GI perforation, GI motility disorders, adhesions, Clostridium difficile colitis or have had recent unexplained GI bleeding within 3 months prior to screening.
Has any history of pancreatitis (acute or chronic), gastroparesis, ischemic colitis, inflammatory bowel disease (IBD), celiac disease, irritable bowel syndrome (IBS), or colitis.
Has any past surgical history of gastric banding or bariatric surgery or bowel resection.
Has a history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, neurologic disorder, neoplastic, or genitourinary abnormalities or diseases.
Has a history of any illness that, in the opinion of the study investigator, might confound the results of the study or poses an additional risk to the subject by their participation in the study.

note – *Subject may be included if they are able to return to the site within 7 days of initial screening and the exclusion criterion is no longer met.

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Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05890950

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Contact: Annemarie Vance
https://kallyope.com/contact/
annemarie@kallyope.com

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QPS, LLC

Newark, Delaware, United States, 19711

Kallyope Inc.

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Responsible Party:
Kallyope Inc.

ClinicalTrials.gov Identifier:
NCT05890950    

Other Study ID Numbers:
K-757 P005

First Posted:
June 6, 2023    Key Record Dates

Last Update Posted:
June 6, 2023

Last Verified:
May 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:
No

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Studies a U.S. FDA-regulated Drug Product:
Yes

Studies a U.S. FDA-regulated Device Product:
No

Keywords provided by Kallyope Inc.:

ObesityType 2 Diabetes Mellitus

Additional relevant MeSH terms:

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Diabetes MellitusDiabetes Mellitus, Type 2OverweightGlucose Metabolism DisordersMetabolic Diseases
Endocrine System DiseasesOvernutritionNutrition DisordersBody Weight

Source: View full study details on ClinicalTrials.gov

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. By listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.

June 7, 2023Comments OffClinicalTrials.gov | Endocrinology Clinical Trials | Endocrinology Studies | US National Library of Medicine
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