| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
Heart failure with preserved ejection fraction
Diabetes Mellitus, type 2 |
Insuficiencia cardíaca con fracción de eyección conservada Diabetes Mellitus, tipo 2 |
|
| E.1.1.1 | Medical condition in easily understood language |
Heart failure with preserved ejection fraction
Type 2 diabetes (T2D) |
Insuficiencia cardíaca con fracción de eyección conservada Diabetes tipo 2 (DT2) |
|
| E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 20.1 |
| E.1.2 | Level | LLT |
| E.1.2 | Classification code | 10076396 |
| E.1.2 | Term | Heart failure with preserved ejection fraction |
| E.1.2 | System Organ Class | 100000004849 |
|
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To investigate the effects of semaglutide s.c. 2.4 mg once-weekly on physical function, symptoms and body weight compared with placebo, both added to standard of care, in subjects with obesity-related HFpEF and T2D. |
| Investigar los efectos de 2,4 mg de semaglutida por vía subcutánea (s.c.) una vez a la semana sobre la función física, los síntomas y el peso corporal en comparación con un placebo, ambos añadidos al tratamiento habitual, en sujetos con IC-FEC relacionada con obesidad y DT2. |
|
| E.2.2 | Secondary objectives of the trial |
| To investigate the effects of semaglutide s.c. 2.4 mg once-weekly on walking distance, biomarker of inflammation, disease specific aspects, social limitation, change in body composition, health-related quality of life, and glycaemic control and hypoglycaemia compared with placebo, both added to standard of care, in subjects with obesity-related HFpEF and T2D. |
| Investigar los efectos de 2,4 mg de semaglutida s.c. una vez a la semana sobre la distancia caminada, el biomarcador de inflamación, aspectos específicos de la enfermedad, la limitación social, el cambio de la composición corporal, la calidad de vida relacionada con la salud y el control de la glucemia e hipoglucemia en comparación con un placebo, ambos añadidos al tratamiento habitual, en sujetos con IC-FEC relacionada con obesidad y DT2. |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
- Male or female, age above or equal to 18 years at the time of signing informed consent. - Body mass index (BMI) at least 30.0 kg/m^2 - New York Heart Association (NYHA) Class II-IV - Left ventricular ejection fraction (LVEF) at least 45% at screening - Diagnosed with T2D at least 90 days prior to the day of screening - HbA1c of maximum 10.0% as measured at the screening visit |
• Varones o mujeres de 18 o más años de edad en el momento de firmar el consentimiento informado. • Índice de masa corporal (IMC) de al menos 30,0 kg/m2 • Clase II-IV de la New York Heart Association (NYHA). • Fracción de eyección del ventrículo izquierdo (FEVI) de al menos un 45% en el momento de la visita de selección. • Diagnóstico de DT2 de al menos 90 días antes del día de la selección. • HbA1c del 10,0 % como máximo, determinada en la visita de selección |
|
| E.4 | Principal exclusion criteria |
- A self-reported change in body weight more than 5 kg (11 lbs) within 90 days before screening irrespective of medical records - Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination performed within 90 days prior to 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. |
- Variación del peso corporal referida por el paciente mayor de 5 kg en los 90 días previos a la selección, con independencia del dato que conste en la historia clínica. - Retinopatía o maculopatía diabética no controlada y potencialmente inestable. Verificada mediante exploración del fondo de ojo realizada en los 90 días previos a la selección o en el período comprendido entre la selección y la aleatorización. La dilatación farmacológica de la pupila es un requisito, a menos que se utilice una cámara fotográfica digital del fondo de ojo especificada para exploración sin dilatación. |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
1. Change in KCCQ clinical summary score 2. Change in body weight |
1.Cambio de la puntuación del resumen clínico del KCCQ 2. Cambio del peso corporal |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
| 1.-2. From baseline (week 0) to end of treatment (week 52) |
| 1.-2. Desde el momento basal (semana 0) al final del tratamiento (semana 52) |
|
| E.5.2 | Secondary end point(s) |
1. Change in C-Reactive Protein 2. Change in 6-minute walking distance 3. Subject achieving 10% weight loss or more (Yes/No) 4. Subject achieving 15% weight loss or more (Yes/No) 5. Subject improving 5 points or more in KCCQ clinical summary score (Yes/No) 6. Subject improving 10 points or more in KCCQ clinical summary score (Yes/No) 7. Change in KCCQ overall summary score 8. Change in waist circumference 9. Change in systolic blood pressure 10. Change in HbA1c 11. Number of treatment emergent severe or clinically significant hypoglycaemia episodes |
1. Cambio de la proteína C reactiva 2. Cambio de la distancia caminada en seis minutos 3. Lograr una reducción del peso corporal igual o mayor al 10% (Si/No) 4. Lograr una reducción del peso corporal igual o mayor al 15% (Si/No) 5. Mejoría de 5 puntos o más en el resumen clínico del cuestionario KCCQ (Si/No) 6. Mejoría de 10 puntos o más en el resumen clínico del cuestionario KCCQ (Si/No) 7. Cambio en la puntuación del resumen general del cuestionario KCCQ 8. Cambio en el perímetro de cintura 9. Cambio en la tensión arterial sistólica (TAS) 10. Cambio en la HbA1c 11. Número de eventos adversos severos relacionados con el tratamiento o episodios hipoglucémicos clínicamente significativos |
|
| E.5.2.1 | Timepoint(s) of evaluation of this end point |
1. and 9. From baseline (week -2) to end of treatment (week 52) 2.-8. and 10. From baseline (week 0) to end of treatment (week 52) 11. From baseline (week 0) to end of trial (week 57) |
1 y 9. Desde el momento basal (semana -2) al final del tratamiento (semana 52) 2-8 y 10. Desde el momento basal (semana 0) al final del tratamiento (semana 52) 11. Desde el momento basal (semana 0) al final del tratamiento (semana 57) |
|
| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | No |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | No |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | Yes |
| E.8.1.5 | Parallel group | Yes |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | Yes |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 2 |
| E.8.3 |
The trial involves single site in the Member State concerned
| No |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
| E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
| E.8.5 | The trial involves multiple Member States | Yes |
| E.8.5.1 | Number of sites anticipated in the EEA | 45 |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
| E.8.6.2 | Trial being conducted completely outside of the EEA | No |
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
| Canada |
| India |
| Israel |
| Japan |
| United States |
| European Union |
| United Kingdom |
| Argentina |
|
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 2 |
| E.8.9.1 | In the Member State concerned months | 1 |
| E.8.9.1 | In the Member State concerned days | 24 |
| E.8.9.2 | In all countries concerned by the trial years | 2 |
| E.8.9.2 | In all countries concerned by the trial months | 1 |
| E.8.9.2 | In all countries concerned by the trial days | 24 |