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L'essai clinique NCT06323174 (REIMAGINE 1) pour Diabète de type 2 est actif, pas en recrutement. Consultez la vue en carte du Radar des Essais Cliniques et les outils de découverte par IA pour tous les détails, ou posez vos questions ici.
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A Research Study to See How Much CagriSema Lowers Blood Sugar and Body Weight Compared to Placebo in People With Type 2 Diabetes Treated With Diet and Exercise (REIMAGINE 1)

Actif, pas en recrutement
Les détails de l'essai clinique sont principalement disponibles en anglais. Cependant, l'IA Trial Radar peut vous aider ! Cliquez simplement sur 'Expliquer l'essai' pour voir et discuter des informations sur l'essai dans la langue sélectionnée.
L'essai clinique NCT06323174 (REIMAGINE 1) est conçu pour étudier le treatment de Diabète de type 2. Il s'agit d'un essai interventionnel en Phase III. Son statut actuel est : actif, pas en recrutement. L'essai a débuté le 19 mars 2024 et vise à recruter 180 participants. Dirigé par Novo Nordisk, l'essai devrait être terminé d'ici le 26 décembre 2025. Les données du site ClinicalTrials.gov ont été mises à jour pour la dernière fois le 17 septembre 2025.
Résumé succinct
This study will look at how much CagriSema helps participants with type 2 diabetes lower their blood sugar and body weight. CagriSema is a new investigational medicine. Doctors may not yet prescribe CagriSema. CagriSema will be compared to a "dummy" medicine (also called "placebo") that has no effect on the body. Participants will get either CagriSema or "dummy" medicine. Which treatment participants get is decided by chance. For each participant, the study will last for about one year.
Titre officiel

Efficacy and Safety of Co-administered Cagrilintide and Semaglutide (CagriSema) s.c. in Doses 2.4 mg/2.4 mg and 1.0 mg/1.0 mg Once Weekly Versus Placebo in Participants With Type 2 Diabetes Inadequately Controlled on Diet and Exercise

Conditions
Diabète de type 2
Autres identifiants de l'essai
  • REIMAGINE 1
  • NN9388-4895
  • 2022-502677-42 (Autre Identifiant) (European Medical Agency (EMA))
  • U1111-1283-0404 (Autre Identifiant) (World Health Organization (WHO))
Numéro NCT
Date de début (réel)
2024-03-19
Dernière mise à jour publiée
2025-09-17
Date de fin (estimée)
2025-12-26
Inscription (estimée)
180
Type d'essai
Interventionnel
PHASE
Phase III
Statut
Actif, pas en recrutement
Objectif principal
Traitement
Plan d'attribution
Randomisé
Modèle d'intervention
Parallèle
Masquage
Quadruple aveugle
Bras / Interventions
Groupe de participants/BrasIntervention/Traitement
Comparateur actifCagriSema Dose 2
Participants will receive once-weekly subcutaneous (s.c) injections of CagriSema (cagrilintide and semaglutide) at escalating doses every week in 16-week dose escalation period until target dose (dose 2) of CagriSema (cagrilintide and semaglutide) is achieved and maintained up to 24 weeks.
Cagrilintide
Participants will receive once-weekly cagrilintide subcutaneously.
Semaglutide
Participants will receive once-weekly semaglutide subcutaneously.
Comparateur placeboPlacebo Dose 2
Participants will receive once-weekly s.c injection of placebo matched to Cagrisema (cagrilintide and semaglutide) dose 2 for 40 weeks.
PLACEBO
Participants will receive placebo matched to cagrilintide and semaglutide subcutaneously.
Comparateur actifCagrisema Dose 1
Participants will receive once-weekly subcutaneous (s.c) injections of CagriSema (cagrilintide and semaglutide) at escalating doses every week in 8-week dose escalation period until target dose (dose 1) of CagriSema (cagrilintide and semaglutide) is achieved and maintained up to 32 weeks.
Cagrilintide
Participants will receive once-weekly cagrilintide subcutaneously.
Semaglutide
Participants will receive once-weekly semaglutide subcutaneously.
Comparateur placeboPlacebo Dose 1
Participants will receive once-weekly s.c injection of placebo matched to Cagrisema (cagrilintide and semaglutide) dose 1 for 40 weeks.
PLACEBO
Participants will receive placebo matched to cagrilintide and semaglutide subcutaneously.
Critère principal d'évaluation
Critères d'évaluationDescription de critèresPériode
Change in glycated haemoglobin (HbA1c)
Measured as percentage (%)-points.
From baseline (week 0) to end of treatment (week 40)
Critère secondaire d'évaluation
Critères d'évaluationDescription de critèresPériode
Relative change in body weight
Measured in %.
From baseline (week 0) to end of treatment (week 40)
Number of participants who achieve greater than or equal to (>=) 10% body weight reduction
Measured as count of participants.
From baseline (week 0) to end of treatment (week 40)
Number of participants who achieve >=15% body weight reduction
Measured as count of participants.
From baseline (week 0) to end of treatment (week 40)
Number of participants who achieve HbA1c target values of less than (<) 7.0% (<53 millimoles per mole [mmol/mol])
Measured as count of participants.
At end of treatment (week 40)
Number of participants who achieve HbA1c target values of less than or equal to (<=) 6.5% (<= 48 mmol/mol)
Measured as count of participants.
At end of treatment (week 40)
Change in Fasting Plasma Glucose (FPG)
Measured in millimoles per liter (mmol/L).
From baseline (week 0) to end of treatment (week 40)
Number of participants who achieve >=5% body weight reduction
Measured as count of participants.
From baseline (week 0) to end of treatment (week 40)
Number of participants who achieve >=20% body weight reduction
Measured as count of participants.
From baseline (week 0) to end of treatment (week 40)
Change in waist circumference
Measured in centimeters (cm).
From baseline (week 0) to end of treatment (week 40)
Change in systolic blood pressure (SBP)
Measured in millimeters of mercury (mmHg).
From baseline (week 0) to end of treatment (week 40)
Change in diastolic blood pressure (DBP)
Measured in mmHg.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in high sensitivity C-reactive protein (hsCRP)
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: Total cholesterol
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: High-density lipoprotein (HDL) cholesterol
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: Low-density lipoprotein (LDL) cholesterol
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: Very low-density lipoprotein (VLDL) cholesterol
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: Triglycerides
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: Free fatty acids
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Ratio to baseline in lipids: Non-HDL cholesterol
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Number of participants who achieve type 2 diabetes (T2D) remission (HbA1c <6.5% and no antidiabetic medication)
Measured as count of participants.
At end of study (week 52)
Ratio to baseline in oral glucose tolerance test (OGTT) based oral glucose disposition index (DIo)
Measured as ratio.
From baseline (week 0) to end of treatment (week 40)
Change in experienced level of energy as measured by the SF-36v2 Health Survey Acute (SF-36v2) Vitality score
Measured as score points. SF-36v2 Acute measures Health-Related Quality of Life (HRQoL). The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 Acute scores are norm-based scores, that is. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10. Higher scores indicate better functional health and well-being. The vitality score range is from 25.6 to 69.1.
From baseline (week 0) to end of treatment (week 40)
Change in SF-36v2 score: Physical Component Summary score
Measured as score points. SF-36v2 Acute measures HRQoL. The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 Acute scores are norm-based scores, that is. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10. Higher scores indicate better functional health and well-being. The score range for physical component summary is 6.1 to 79.7.
From baseline (week 0) to end of treatment (week 40)
Change in SF-36v2 score: Mental Component Summary score
Measured as score points. SF-36v2 Acute measures HRQoL. The measure consists of 36 items yielding 8 health domain scores and 2 component summary scores. SF-36v2 Acute scores are norm-based scores, that is. transformed to a scale where the 2009 US general population has a mean of 50 and a standard deviation of 10. Higher scores indicate better functional health and well-being. The score range for mental component summary score is -3.8 to 78.7.
From baseline (week 0) to end of treatment (week 40)
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQ) score
Measured as score points. DTSQs measures treatment satisfaction and diabetes-specific quality of life. The measure consists of 8 items yielding 1 global score and 2 single item scores. Higher scores on the global score indicate greater satisfaction with treatment. Lower scores on the single-item scores indicate BG levels closer to the ideal, while higher scores indicate problems. Single-item scores (score range): Perceived frequency of hyperglycaemia (0-6), Perceived frequency of hypoglycaemia (0-6). Global score (score range): Total Treatment Satisfaction (0-36).
From baseline (week 0) to end of treatment (week 40)
Change in leptin
Measured in nanograms per milliliter (ng/mL).
From baseline (week 0) to end of treatment (week 40)
Change in soluble leptin receptor
Measured in ng/mL.
From baseline (week 0) to end of treatment (week 40)
Number of Treatment Emergent Adverse Events (TEAEs)
Measured as count of events.
From baseline (week 0) to end of treatment +7 weeks (week 47)
Number of clinically significant hypoglycaemic episodes (level 2) (<3.0 mmol (54 milligrams per deciliter [mg/dL]), confirmed by blood glucose (BG) meter
Measured as count of episodes.
From baseline (week 0) to end of treatment +7 weeks (week 47)
Number of severe hypoglycaemic episodes (level 3): hypoglycaemia associated with severe cognitive impairment requiring external assistance for recovery, with no specific glucose threshold
Measured as count of episodes.
From baseline (week 0) to end of treatment + 7 weeks (week 47)
Critères d'éligibilité

Âges éligibles
Adulte, Adulte âgé
Âge minimum
18 Years
Sexes éligibles
Tous
  • Male or female
  • Age 18 years or above at the time of signing the informed consent
  • Diagnosed with type 2 diabetes >=30 days before screening
  • HbA1c 7.0-9.5 percent (53-80 millimoles per mole [mmol/mol]) (both inclusive) as determined by central laboratory at screening
  • Body mass index (BMI) >=23 kilograms per square meter (kg/m^2) at screening. BMI will be calculated in the electronic case report form (eCRF) based on height and body weight at screening

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method
  • Renal impairment with estimated Glomerular Filtration Rate less than 30 milliliter per minute per 1.73 square meter (ml/min/1.73 m^2) as determined by central laboratory at screening
  • Treatment with any medication for the indication of diabetes or obesity within 90 days before screening. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed
  • History of use of any injectable therapy for diabetes or obesity. However, short term insulin treatment for a maximum of 14 consecutive days and prior insulin treatment for gestational diabetes are allowed
  • Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination
Aucune donnée de contact disponible
47 Centres de l'essai dans 7 pays

California

Nat Res Inst Huntington Park, Huntington Park, California, 90255, United States
Valley Clinical Trials, Inc., Northridge, California, 91325, United States
Southern California Dermatology, Santa Ana, California, 92701, United States

Florida

Encore Medical Research LLC, Hollywood, Florida, 33024, United States
Headlands Research Orlando, Orlando, Florida, 32819, United States
Encore Medical Research of Weston, Weston, Florida, 33331, United States

Kansas

Alliance for Multispec Res, Newton, Kansas, 67114, United States

Massachusetts

Brigham & Women's Hospital, Boston, Massachusetts, 02115, United States

Michigan

Arcturus HC PLC Troy Med Res, Troy, Michigan, 48098, United States

New York

Southgate Medical Group, LLP, West Seneca, New York, 14224, United States

Tennessee

Holston Medical Group, Kingsport, Tennessee, 37660, United States

Texas

Headlands Research Brownsville, Brownsville, Texas, 78526, United States
Velocity Clinical Res-Dallas, Dallas, Texas, 75230, United States
Northeast Clinical Research of San Antonio, San Antonio, Texas, 78233, United States
Consano Clinical Research, LLC, Shavano Park, Texas, 78231, United States
Sugar Lakes Family Practice PA, Sugar Land, Texas, 77479, United States
Valley Diab. & Endo Comp Ctr, Weslaco, Texas, 78596, United States

Virginia

TPMG Clinical Research, Newport News, Virginia, 23606, United States

Beijing Municipality

Chinese People's Liberation Army General Hospital-Endocrinology, Beijing, Beijing Municipality, 100853, China

Jiangsu

The Second Affiliated Hospital of Nanjing Medical University-Endocrinology, Nanjing, Jiangsu, 210011, China
The Affiliated Hospital of Jiangsu University-Endocrinology, Zhenjiang, Jiangsu, 212001, China

Shandong

Jinan Central Hospital, Ji'Nan, Shandong, 250000, China
Jinan Central Hospital Affiliated to Shandong University, Jinan, Shandong, 250000, China

Hajdú-Bihar

Belinus Bt., Debrecen, Hajdú-Bihar, 4025, Hungary

Szabolcs-Szatmar Varmegye

Borbánya Praxis E.Ü. Kft., Nyíregyháza, Szabolcs-Szatmar Varmegye, 4405, Hungary
Szent Margit Rendelőintézet Nonprofit Kft., Budapest, 1032, Hungary
PVN Kutato Kft., Budapest, 1102, Hungary
Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, 24127, Italy
Policlinico Mater Domini Università di Catanzaro, Catanzaro, 88100, Italy
IRCCS Ospedale San Raffaele Milano, Milan, 20132, Italy
Azienda Ospealiero Universitaria Policlinico Umberto I, Roma, 00161, Italy

Podkarpackie Voivodeship

Centrum Medyczne Medyk Sp. z o.o., Rzeszów, Podkarpackie Voivodeship, 35-055, Poland
Osteo-Medic s.c. A. Racewicz, J. Supronik, Bialystok, 15-351, Poland
Renew Clinic Sp. z o.o., Bialystok, 15-797, Poland
Centrum Terapii Współczesnej J.M. Jasnorzewska S.K.A., Lodz, 90-338, Poland
NBR Polska Tomasz Klodawski, Warsaw, 00-710, Poland
Panstwowy Instytut Medyczny Ministerstwa Spraw Wewnetrznych I Administracji, Warsaw, 02-507, Poland
Velocity Nova Sp. z o.o., Zamość, 22-400, Poland
King Abdulaziz Hospital-Al Ahsa-National Guard, Al Ahsa, 36428, Saudi Arabia
National Guard Hospital - Jeddah, Jeddah, 21423, Saudi Arabia
King Fahad Medical City, Riyadh, 11525, Saudi Arabia
King Khaled University Hospital,King Saud Univ. Med. City, Riyadh, 12372, Saudi Arabia
King Salman Bin Abdulaziz Hospital, Riyadh, 12769, Saudi Arabia
CHC Zvezdara, Clinical department for endocrinology, Belgrade, 11000, Serbia
Clinical Hospital Center Bezanijska Kosa, Belgrade, 11080, Serbia
Clinical Hospital Centre Zemun, Belgrade, 11080, Serbia
Policlinic for diabetes, Zaječar, 19000, Serbia