Obesity

A randomized phase I study of BI 1820237, a novel neuropeptide Y receptor type 2 agonist, alone or in combination with low‐dose liraglutide in otherwise healthy men with overweight or obesity

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

BI 1820237 treatment was associated with transient nausea and vomiting at higher doses. No differences in tolerability were observed when combined with liraglutide; effects on gastric emptying appeared additive.

Study context

Population
Otherwise healthy men with increased body mass index (BMI) (25.0–34.9 kg/m²)randomized
Participants
95 men
Comparison
BI 1820237 alone or with low-dose liraglutide vs placebo
Primary endpoint
Proportion of participants with drug-related AEs
Methodological detailsfirst-in-human, three-part, partially blinded, phase I, single ascending doses
  • First-in-human
  • Three-part
  • Partially blinded
  • Phase I
  • Single ascending doses

Primary result

As reported in the abstract

Drug-related AEs (mainly gastrointestinal)

Drug-related adverse events (AEs), parts 1 + 2

39.0%

n = 23

Drug-related AEs, part 3

30.6%

n = 11

Drug-related AE with placebo + liraglutide (part 3)

1

11.1%

Secondary outcomes

Gastric emptying (post-dose paracetamol pharmacokinetics (PK))

BI 1820237 and low-dose liraglutide suggested additive effects on gastric emptying

Safety

Drug-related AEs, mainly gastrointestinal, parts 1 + 2
39.0% (n = 23)
Drug-related AEs, part 3
30.6% (n = 11)
Transient nausea and vomiting at higher BI 1820237 doses

Original publication

A randomized phase I study of BI 1820237, a novel neuropeptide Y receptor type 2 agonist, alone or in combination with low‐dose liraglutide in otherwise healthy men with overweight or obesity. Diabetes Obes Metab. Published 7 October 2024. doi:10.1111/dom.15984

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