parallel randomized trial
NCT06569355
A Multi-center, Randomized, Double-blind, Placebo-controlled Phase II Clinical Study to Evaluate the Efficacy and Safety of VCT220 Tablets in Overweight/Obese Subjects
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | VCT220 80 mg tablet once daily VCT220 80 mg | lifestyle: standard | 65 | 65 | 63 |
| A2 | VCT220 120 mg tablet once daily VCT220 120 mg | lifestyle: standard | 62 | 62 | 58 |
| A3 | VCT220 VCT220 160 mg slow titration | lifestyle: standard | 31 | 31 | 28 |
| A4 | VCT220 VCT220 160 mg fast titration | lifestyle: standard | 31 | 31 | 29 |
| A5 | Placebo Placebo pooled | lifestyle: standard | 61 | 61 | 59 |
Baseline characteristics
As printed in the trial reports or registry, per arm or for the whole trial.
| Characteristic | Statistic | VCT220 80 mg tablet once daily A1 | VCT220 120 mg tablet once daily A2 | VCT220 160 mg slow titration A3 | VCT220 160 mg fast titration A4 | Placebo A5 |
|---|---|---|---|---|---|---|
| age | mean (years) | 32.8 | 32.3 | 32.5 | 30.6 | 32.9 |
| age | sd (years) | 7.06 | 7.27 | 7.02 | 6.78 | 8.63 |
| bmi: 24 to less than 28 | n | 4 | 5 | 1 | 3 | 3 |
| bmi: 24 to less than 28 | percent | 6.2 | 8.1 | 3.2 | 9.7 | 4.9 |
| bmi: 28 or more | n | 61 | 57 | 30 | 28 | 58 |
| bmi: 28 or more | percent | 93.8 | 91.9 | 96.8 | 90.3 | 95.1 |
| bmi | mean (kg/m2) | 31.68 | 31.77 | 31.91 | 32.71 | 32.39 |
| bmi | sd (kg/m2) | 3.23 | 3.35 | 2.92 | 3.64 | 3.22 |
| female | n | 29 | 24 | 11 | 12 | 28 |
| female | percent | 44.6 | 38.7 | 35.5 | 38.7 | 45.9 |
| other race han | n | 63 | 59 | 30 | 31 | 60 |
| other race han | percent | 96.9 | 95.2 | 96.8 | 100.0 | 98.4 |
| other race other | n | 2 | 3 | 1 | 0 | 1 |
| other race other | percent | 3.1 | 4.8 | 3.2 | 0.0 | 1.6 |
| sbp | mean (mmHg) | 122.5 | 124.0 | 123.1 | 125.7 | 124.7 |
| sbp | sd (mmHg) | 13.58 | 10.40 | 12.26 | 9.21 | 11.05 |
| weight | mean (kg) | 90.53 | 91.29 | 90.49 | 95.29 | 92.40 |
| weight | sd (kg) | 13.09 | 14.62 | 11.49 | 14.73 | 14.37 |
Analyses this trial contributes to
- Serious adverse eventsOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- Serious adverse eventsOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- Discontinuation due to adverse eventsOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- Discontinuation due to adverse eventsOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- NauseaOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- NauseaOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- VomitingOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- VomitingOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- DiarrheaOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- DiarrheaOverweight or obesity without diabetes (adults); longest follow-up; network meta-analysis
- Death by suicideOverweight or obesity without diabetes (adults); longest follow-up; descriptive only
- Death by suicideOverweight or obesity without diabetes (adults); longest follow-up; descriptive only
Results
125 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
Systolic blood pressure change (10 lines; O05)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 16 | A1 | change | -5.2 mmHg | 1.19 | 63 | treatment policy; full analysis; R0001121:Supplement Table S4 | |
| 16 | A2 | change | -7.2 mmHg | 1.22 | 57 | treatment policy; full analysis; R0001121:Supplement Table S4 | |
| 16 | A3 | change | -8.9 mmHg | 1.76 | 28 | treatment policy; full analysis; R0001121:Supplement Table S4 | |
| 16 | A4 | change | -10.4 mmHg | 1.73 | 29 | treatment policy; full analysis; R0001121:Supplement Table S4 | |
| 16 | A5 | change | -3.1 mmHg | 1.21 | 59 | treatment policy; full analysis; R0001121:Supplement Table S4 | |
| 18 | A1 | change | -5.5 mmHg | 1.06 | treatment policy; full analysis; R0001121:Supplement Table S4 | ||
| 18 | A2 | change | -7.2 mmHg | 1.11 | treatment policy; full analysis; R0001121:Supplement Table S4 | ||
| 18 | A3 | change | -8.9 mmHg | 1.59 | treatment policy; full analysis; R0001121:Supplement Table S4 | ||
| 18 | A4 | change | -7.7 mmHg | 1.56 | treatment policy; full analysis; R0001121:Supplement Table S4 | ||
| 18 | A5 | change | -4.3 mmHg | 1.09 | treatment policy; full analysis; R0001121:Supplement Table S4 |
Percent body weight change (50 lines; O10)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 16 | A1 vs A5 | md | -4.160 percent | -5.528 to -2.792 | treatment policy; full analysis; R0001121:Supplement Table S3 | ||
| 16 | A1 | percent change | -5.75 percent | -6.71 to -4.80 | 65 | treatment policy; full analysis; R0001121:Table 2 | |
| 16 | A1 | percent change | -5.760 percent | 0.495 | 65 | treatment policy; full analysis; R0001121:Supplement Table S3 | |
| 16 | A1 | percent change | -5.709 percent | 0.357 | 63 | treatment policy; full analysis; R0001121:Supplement Table S2 | |
| 16 | A1 vs A5 | md | -4.14 percent | -5.51 to -2.77 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A1 vs A5 | md | -4.086 percent | -5.091 to -3.082 | treatment policy; full analysis; R0001121:Supplement Table S2 | ||
| 16 | A1 | percent change | -4.287 percent | 1.139 | 4 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | |
| 16 | A1 vs A5 | md | -2.458 percent | -6.340 to 1.423 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | ||
| 16 | A1 | percent change | -5.837 percent | 0.517 | 61 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | |
| 16 | A1 vs A5 | md | -4.225 percent | -5.674 to -2.777 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | ||
| 16 | A2 vs A5 | md | -5.812 percent | -7.198 to -4.425 | treatment policy; full analysis; R0001121:Supplement Table S3 | ||
| 16 | A2 vs A5 | md | -5.915 percent | -6.930 to -4.899 | treatment policy; full analysis; R0001121:Supplement Table S2 | ||
| 16 | A2 | percent change | -7.957 percent | 1.045 | 5 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | |
| 16 | A2 vs A5 | md | -6.128 percent | -9.713 to -2.542 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | ||
| 16 | A2 | percent change | -7.400 percent | 0.542 | 57 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | |
| 16 | A2 vs A5 | md | -5.789 percent | -7.270 to -4.307 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | ||
| 16 | A2 | percent change | -7.42 percent | -8.41 to -6.44 | 62 | treatment policy; full analysis; R0001121:Table 2 | |
| 16 | A2 | percent change | -7.412 percent | 0.510 | 62 | treatment policy; full analysis; R0001121:Supplement Table S3 | |
| 16 | A2 | percent change | -7.537 percent | 0.365 | 57 | treatment policy; full analysis; R0001121:Supplement Table S2 | |
| 16 | A2 vs A5 | md | -5.81 percent | -7.20 to -4.43 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A3 vs A5 | md | -9.623 percent | -15.334 to -3.911 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | ||
| 16 | A3 | percent change | -11.452 percent | 2.267 | 1 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | |
| 16 | A3 vs A5 | md | -7.725 percent | -9.501 to -5.948 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | ||
| 16 | A3 vs A5 | md | -8.269 percent | -9.389 to -7.148 | treatment policy; full analysis; R0001121:Supplement Table S2 | ||
| 16 | A3 | percent change | -9.336 percent | 0.737 | 30 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | |
| 16 | A3 vs A5 | md | -7.786 percent | -9.482 to -6.091 | treatment policy; full analysis; R0001121:Supplement Table S3 | ||
| 16 | A3 vs A5 | md | -7.79 percent | -9.49 to -6.10 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A3 | percent change | -9.891 percent | 0.438 | 28 | treatment policy; full analysis; R0001121:Supplement Table S2 | |
| 16 | A3 | percent change | -9.386 percent | 0.714 | 31 | treatment policy; full analysis; R0001121:Supplement Table S3 | |
| 16 | A3 | percent change | -9.40 percent | -10.79 to -8.02 | 31 | treatment policy; full analysis; R0001121:Table 2 | |
| 16 | A4 | percent change | -9.746 percent | 0.732 | 31 | treatment policy; full analysis; R0001121:Supplement Table S3 | |
| 16 | A4 vs A5 | md | -8.11 percent | -9.85 to -6.38 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A4 vs A5 | md | -8.146 percent | -9.874 to -6.418 | treatment policy; full analysis; R0001121:Supplement Table S3 | ||
| 16 | A4 vs A5 | md | -8.022 percent | -9.136 to -6.907 | treatment policy; full analysis; R0001121:Supplement Table S2 | ||
| 16 | A4 | percent change | -9.561 percent | 0.794 | 28 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | |
| 16 | A4 | percent change | -10.719 percent | 1.348 | 3 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | |
| 16 | A4 vs A5 | md | -8.890 percent | -13.160 to -4.620 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | ||
| 16 | A4 vs A5 | md | -7.949 percent | -9.816 to -6.083 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | ||
| 16 | A4 | percent change | -9.73 percent | -11.16 to -8.29 | 31 | treatment policy; full analysis; R0001121:Table 2 | |
| 16 | A4 | percent change | -9.644 percent | 0.434 | 29 | treatment policy; full analysis; R0001121:Supplement Table S2 | |
| 16 | A5 | percent change | -1.600 percent | 0.508 | 61 | treatment policy; full analysis; R0001121:Supplement Table S3 | |
| 16 | A5 | percent change | -1.61 percent | -2.59 to -0.63 | 61 | treatment policy; full analysis; R0001121:Table 2 | |
| 16 | A5 | percent change | -1.611 percent | 0.527 | 58 | treatment policy; full analysis; bmi:28_or_more; R0001121:Supplement Table S8 | |
| 16 | A5 | percent change | -1.623 percent | 0.366 | 59 | treatment policy; full analysis; R0001121:Supplement Table S2 | |
| 16 | A5 | percent change | -1.829 percent | 1.360 | 3 | treatment policy; full analysis; bmi:24_to_less_than_28; R0001121:Supplement Table S9 | |
| 18 | A1 | percent change | -5.266 percent | 0.496 | treatment policy; full analysis; R0001121:Supplement Table S1 | ||
| 18 | A2 | percent change | -7.195 percent | 0.522 | treatment policy; full analysis; R0001121:Supplement Table S1 | ||
| 18 | A3 | percent change | -8.488 percent | 0.745 | treatment policy; full analysis; R0001121:Supplement Table S1 | ||
| 18 | A4 | percent change | -9.260 percent | 0.733 | treatment policy; full analysis; R0001121:Supplement Table S1 | ||
| 18 | A5 | percent change | -1.505 percent | 0.513 | treatment policy; full analysis; R0001121:Supplement Table S1 |
Weight loss of 5 percent or more (9 lines; O11A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 16 | A1 vs A5 | rd | 42.3 | 26.17 to 55.34 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A1 | responders | 36 / 65 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A2 vs A5 | rd | 59.5 | 43.27 to 70.91 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A2 | responders | 45 / 62 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A3 | responders | 28 / 31 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A3 vs A5 | rd | 77.2 | 58.61 to 86.15 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A4 vs A5 | rd | 64.3 | 44.03 to 77.15 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A4 | responders | 24 / 31 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A5 | responders | 8 / 61 | treatment policy; full analysis; R0001121:Table 2 |
Weight loss of 10 percent or more (9 lines; O11B)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 16 | A1 | responders | 3 / 65 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A1 vs A5 | rd | 3.0 | -4.73 to 11.19 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A2 | responders | 15 / 62 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A2 vs A5 | rd | 22.6 | 11.14 to 34.59 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A3 | responders | 12 / 31 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A3 vs A5 | rd | 37.1 | 20.50 to 54.59 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A4 vs A5 | rd | 43.5 | 26.03 to 60.64 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A4 | responders | 14 / 31 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A5 | responders | 1 / 61 | treatment policy; full analysis; R0001121:Table 2 |
Weight loss of 15 percent or more (8 lines; O11C)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 16 | A1 | responders | 1 / 65 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A1 vs A5 | rd | 1.5 | -4.52 to 8.21 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A2 vs A5 | rd | 3.2 | -3.14 to 11.02 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A2 | responders | 2 / 62 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A3 | responders | 0 / 31 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A4 vs A5 | rd | 9.7 | 1.01 to 24.90 | treatment policy; full analysis; R0001121:Table 2 | ||
| 16 | A4 | responders | 3 / 31 | treatment policy; full analysis; R0001121:Table 2 | |||
| 16 | A5 | responders | 0 / 61 | treatment policy; full analysis; R0001121:Table 2 |
Weight loss of 20 percent or more (1 lines; O11D)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 16 | A4 | responders | 1.6 | treatment policy; full analysis; R0001121:Results |
All cause mortality (5 lines; O20)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 65 | not stated; safety; R0001121:Results | ||||
| A2 | events | 0 / 62 | not stated; safety; R0001121:Results | ||||
| A3 | events | 0 / 31 | not stated; safety; R0001121:Results | ||||
| A4 | events | 0 / 31 | not stated; safety; R0001121:Results | ||||
| A5 | events | 0 / 61 | not stated; safety; R0001121:Results |
Hospitalization for heart failure (3 lines; O23)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A3 | events | 0 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A4 | events | 0 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A5 | events | 0 / 61 | not stated; safety; R0001121:Table 3 |
Serious adverse events (5 lines; O25)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 2 / 65 | not stated; safety; R0001121:Table 3 | ||||
| A2 | events | 1 / 62 | not stated; safety; R0001121:Table 3 | ||||
| A3 | events | 0 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A4 | events | 0 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A5 | events | 0 / 61 | not stated; safety; R0001121:Table 3 |
Discontinuation due to adverse events (5 lines; O26)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 1 / 65 | not stated; safety; R0001121:Table 3 | ||||
| A2 | events | 1 / 62 | not stated; safety; R0001121:Table 3 | ||||
| A3 | events | 0 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A4 | events | 1 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A5 | events | 1 / 61 | not stated; safety; R0001121:Table 3 |
Nausea (5 lines; O27A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 27 / 65 | not stated; safety; R0001121:Table 3 | ||||
| A2 | events | 26 / 62 | not stated; safety; R0001121:Table 3 | ||||
| A3 | events | 14 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A4 | events | 18 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A5 | events | 5 / 61 | not stated; safety; R0001121:Table 3 |
Vomiting (5 lines; O27B)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 9 / 65 | not stated; safety; R0001121:Table 3 | ||||
| A2 | events | 20 / 62 | not stated; safety; R0001121:Table 3 | ||||
| A3 | events | 11 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A4 | events | 13 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A5 | events | 5 / 61 | not stated; safety; R0001121:Table 3 |
Diarrhea (5 lines; O27C)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 12 / 65 | not stated; safety; R0001121:Table 3 | ||||
| A2 | events | 11 / 62 | not stated; safety; R0001121:Table 3 | ||||
| A3 | events | 5 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A4 | events | 9 / 31 | not stated; safety; R0001121:Table 3 | ||||
| A5 | events | 5 / 61 | not stated; safety; R0001121:Table 3 |
Death by suicide (5 lines; O35B)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 65 | not stated; safety; R0001121:Results | ||||
| A2 | events | 0 / 62 | not stated; safety; R0001121:Results | ||||
| A3 | events | 0 / 31 | not stated; safety; R0001121:Results | ||||
| A4 | events | 0 / 31 | not stated; safety; R0001121:Results | ||||
| A5 | events | 0 / 61 | not stated; safety; R0001121:Results |