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NCT00698828

SUN11031 in Cachexia Associated With Chronic Obstructive Pulmonary Disease (COPD)

Completed Phase 2 Results posted Last updated 28 January 2021
What this trial tests

Phase 2 trial testing Placebo comparator in Cachexia in 227 participants. Completed in 8 October 2009.

Timeline
15 May 2008
Primary endpoint
8 October 2009
8 October 2009

Quick facts

Lead sponsorDaiichi Sankyo
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment227
Start date15 May 2008
Primary completion8 October 2009
Estimated completion8 October 2009
Sites43 locations across Chile, Honduras, Argentina, Romania, Guatemala, United States

Drugs / interventions tested

Conditions studied

Sponsor

Daiichi Sankyo — full company profile →

Who can join

50 and older, any sex, with Cachexia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Mean Change From Baseline to Day 85 in the Distance Walked During the 6 Minute Walk Test (MWT) Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease (COPD) Primary · Baseline up to Day 85 post dose.

Assessment of functional capacity in study participants with chronic obstructive pulmonary disease (COPD) via the 6-minute walk test (6MWT) provided an objective measure of disability. The 6MWT is a practical and objective evaluation of functional exercise capacity. The test measures the distance that a participant can quickly walk on a flat, hard surface in 6 minutes. In order to ensure uniformity among the sites, the specifications of the course for the 6MWT were modified from being 30 meters long with 60-meter laps to be 15 meters long with 30-meter laps to accommodate space limitations enc

Baseline
GroupValue95% CI
Placebo317.30± 80.62
SUN11031 20 μg/kg333.93± 78.91
SUN11031 40 μg/kg333.30± 68.20
Change at Day 85
GroupValue95% CI
Placebo28.50± 54.72
SUN11031 20 μg/kg5.85± 53.38
SUN11031 40 μg/kg10.04± 62.16
Mean Change From Baseline to Days 29, 57, and 85 in the Distance Walked During the 6 Minute Walk Test (MWT) Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease (COPD) Secondary · Baseline up to Day 29, Day 57, and Day 85 post dose.

Assessment of functional capacity in study participants with chronic obstructive pulmonary disease (COPD) via the 6-minute walk test (6MWT) provided an objective measure of disability. The 6MWT is a practical and objective evaluation of functional exercise capacity. The test measures the distance that a participant can quickly walk on a flat, hard surface in 6 minutes. In order to ensure uniformity among the sites, the specifications of the course for the 6MWT were modified from being 30 meters long with 60-meter laps to be 15 meters long with 30-meter laps to accommodate space limitations enc

Baseline
GroupValue95% CI
Placebo317.30± 80.62
SUN11031 20 μg/kg333.93± 78.91
SUN11031 40 μg/kg333.30± 68.20
Change at Day 29
GroupValue95% CI
Placebo24.26± 56.41
SUN11031 20 μg/kg2.80± 46.45
SUN11031 40 μg/kg15.40± 44.39
Change at Day 57
GroupValue95% CI
Placebo27.80± 50.46
SUN11031 20 μg/kg9.66± 47.80
SUN11031 40 μg/kg17.46± 48.27
Change at Day 85
GroupValue95% CI
Placebo28.50± 54.72
SUN11031 20 μg/kg5.85± 53.38
SUN11031 40 μg/kg10.04± 62.16
Mean Change From Baseline to Days 29, 57, and 85 in the Distance Walked During the 6 Minute Walk Test (MWT) By Sub-groups Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease (COPD) Secondary · Baseline up to Day 29, Day 57, and Day 85 post dose.

Assessment of functional capacity in study participants with chronic obstructive pulmonary disease (COPD) via the 6-minute walk test (6MWT) provided an objective measure of disability. The 6MWT is a practical and objective evaluation of functional exercise capacity. The test measures the distance that a participant can quickly walk on a flat, hard surface in 6 minutes. In order to ensure uniformity among the sites, the specifications of the course for the 6MWT were modified from being 30 meters long with 60-meter laps to be 15 meters long with 30-meter laps to accommodate space limitations enc

Males: Baseline
GroupValue95% CI
Placebo316.07± 78.64
SUN11031 20 μg/kg336.24± 86.36
SUN11031 40 μg/kg337.95± 64.10
Males: Change at Day 29
GroupValue95% CI
Placebo30.06± 50.34
SUN11031 20 μg/kg-0.97± 53.57
SUN11031 40 μg/kg11.56± 44.91
Males: Change at Day 57
GroupValue95% CI
Placebo30.41± 38.30
SUN11031 20 μg/kg10.08± 54.74
SUN11031 40 μg/kg11.13± 45.14
Males: Change at Day 85
GroupValue95% CI
Placebo33.24± 49.15
SUN11031 20 μg/kg4.17± 61.90
SUN11031 40 μg/kg11.05± 46.17
Females: Baseline
GroupValue95% CI
Placebo318.94± 84.44
SUN11031 20 μg/kg328.60± 59.58
SUN11031 40 μg/kg322.67± 77.39
Females: Change at Day 29
GroupValue95% CI
Placebo16.53± 63.69
SUN11031 20 μg/kg11.55± 21.19
SUN11031 40 μg/kg24.42± 42.91
Females: Change at Day 57
GroupValue95% CI
Placebo24.34± 63.63
SUN11031 20 μg/kg8.70± 26.45
SUN11031 40 μg/kg31.94± 53.09
Females: Change at Day 85
GroupValue95% CI
Placebo22.23± 61.60
SUN11031 20 μg/kg9.75± 25.06
SUN11031 40 μg/kg7.75± 90.11
Number of Participants With Improvement in Distance Walked During the 6 Minute Walk Test (MWT) By Sub-groups Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease Secondary · Baseline up to Day 85 post dose.

Assessment of functional capacity in study participants with chronic obstructive pulmonary disease (COPD) via the 6-minute walk test (6MWT) provided an objective measure of disability. The 6MWT is a practical and objective evaluation of functional exercise capacity. The test measures the distance that a participant can quickly walk on a flat, hard surface in 6 minutes. In order to ensure uniformity among the sites, the specifications of the course for the 6MWT were modified from being 30 meters long with 60-meter laps to be 15 meters long with 30-meter laps to accommodate space limitations enc

≥20 meter improvement at Day 85 : Males
GroupValue95% CI
Placebo21
SUN11031 20 μg/kg30
SUN11031 40 μg/kg22
≥20 meter improvement at Day 85 : Females
GroupValue95% CI
Placebo17
SUN11031 20 μg/kg6
SUN11031 40 μg/kg12
≥20 meter improvement at Day 85 : Younger than 65 years
GroupValue95% CI
Placebo15
SUN11031 20 μg/kg13
SUN11031 40 μg/kg15
≥20 meter improvement at Day 85 : 65 Years and older
GroupValue95% CI
Placebo23
SUN11031 20 μg/kg13
SUN11031 40 μg/kg19
≥20 meter improvement at Day 85 : BMI <18.9 kg/m^2
GroupValue95% CI
Placebo17
SUN11031 20 μg/kg12
SUN11031 40 μg/kg18
≥20 meter improvement at Day 85 : BMI ≥18.9 kg/m^2
GroupValue95% CI
Placebo21
SUN11031 20 μg/kg14
SUN11031 40 μg/kg16
≥20 meter improvement at Day 85 : Forced Expiratory Volume in 1 second (FEV1) <37% predicted
GroupValue95% CI
Placebo16
SUN11031 20 μg/kg11
SUN11031 40 μg/kg14
≥20 meter improvement at Day 85 : Forced Expiratory Volume in 1 second (FEV1) ≥37% predicted
GroupValue95% CI
Placebo22
SUN11031 20 μg/kg15
SUN11031 40 μg/kg20
Mean Change in Body Weight From Baseline Through Day 99 Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease Secondary · Baseline up to Day 8, Day 15, Day 22, Day 29, Day 43, Day 57, Day 85, and Day 99 post dose.

Measurements of body weight were performed in the morning when the participant had an empty stomach (ie, had consumed no food overnight) and had emptied the bladder and had a bowel movement, if possible. These measurements were performed using the same calibrated scale for an individual participant throughout study.

Baseline
GroupValue95% CI
Placebo48.93± 7.89
SUN11031 20 μg/kg50.63± 8.69
SUN11031 40 μg/kg53.16± 8.80
Change at Day 8
GroupValue95% CI
Placebo0.31± 0.72
SUN11031 20 μg/kg0.78± 0.77
SUN11031 40 μg/kg1.00± 0.90
Change at Day 15
GroupValue95% CI
Placebo0.43± 0.93
SUN11031 20 μg/kg1.09± 1.28
SUN11031 40 μg/kg1.34± 1.12
Change at Day 22
GroupValue95% CI
Placebo0.44± 1.14
SUN11031 20 μg/kg1.36± 1.40
SUN11031 40 μg/kg1.68± 1.42
Change at Day 29
GroupValue95% CI
Placebo0.53± 1.23
SUN11031 20 μg/kg1.43± 1.56
SUN11031 40 μg/kg1.86± 1.51
Change at Day 43
GroupValue95% CI
Placebo0.48± 1.42
SUN11031 20 μg/kg1.62± 1.68
SUN11031 40 μg/kg2.03± 1.63
Change at Day 57
GroupValue95% CI
Placebo0.66± 1.47
SUN11031 20 μg/kg1.62± 1.81
SUN11031 40 μg/kg2.15± 1.86
Change at Day 85
GroupValue95% CI
Placebo0.90± 1.71
SUN11031 20 μg/kg1.75± 2.27
SUN11031 40 μg/kg2.44± 2.18
Mean Change in Lean Body Mass From Baseline Through Days 29, 85 and 99 Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease Secondary · Baseline up to Day 29, Day 85, and Day 99 post dose.

Lean body mass was assessed based on whole-body dual-energy x-ray absorptiometry (DXA).

Baseline
GroupValue95% CI
Placebo37.85± 6.77
SUN11031 20 μg/kg39.25± 7.75
SUN11031 40 μg/kg40.39± 6.80
Change at Day 29
GroupValue95% CI
Placebo0.45± 0.95
SUN11031 20 μg/kg1.12± 1.13
SUN11031 40 μg/kg1.32± 1.01
Change at Day 85
GroupValue95% CI
Placebo0.29± 1.06
SUN11031 20 μg/kg1.36± 1.24
SUN11031 40 μg/kg1.44± 1.50
Change at Day 99
GroupValue95% CI
Placebo0.22± 1.16
SUN11031 20 μg/kg0.90± 1.27
SUN11031 40 μg/kg0.74± 1.55
Absolute Concentrations of SUN11031 Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease Secondary · Day 1 and Day 85 pre-dose; Day 1 at 1 hour and 4 hours; Day 29 at 0.08 hours and 1.5 hours; Day 57 at 0.08 hours and 6 hours; Day 85 at 0.5 hours and 3 hours postdose.

Absolute concentrations of SUN11031 in participant plasma samples were measured. When participants were randomly assigned into 1 of 3 treatment groups at baseline, they were also randomly assigned into 1 of 2 sequences in the pharmacokinetic (PK) sparse sampling schedule based on the randomization number.

Seq 1: Predose 0 hrs, Day 1
GroupValue95% CI
Placebo49.09± 41.92
SUN11031 20 μg/kg392.00± 2032.51
SUN11031 40 μg/kg2125.02± 9355.92
Seq 2: Predose 0 hrs, Day 1
GroupValue95% CI
Placebo58.93± 94.06
SUN11031 20 μg/kg1083.62± 5600.63
SUN11031 40 μg/kg79.49± 105.07
Seq 1+2: Predose 0 hrs, Day 1
GroupValue95% CI
Placebo54.01± 72.46
SUN11031 20 μg/kg727.64± 4147.16
SUN11031 40 μg/kg1014.59± 6354.99
Seq 1: Predose 0 hrs, Day 85
GroupValue95% CI
Placebo55.95± 68.44
SUN11031 20 μg/kg46.51± 26.006
SUN11031 40 μg/kg1090.10± 5491.94
Seq 2: Predose 0 hrs, Day 85
GroupValue95% CI
Placebo49.37± 52.93
SUN11031 20 μg/kg1493.67± 4939.87
SUN11031 40 μg/kg258.34± 1052.19
Seq 1+2: Predose 0 hrs, Day 85
GroupValue95% CI
Placebo52.72± 60.88
SUN11031 20 μg/kg729.14± 3434.37
SUN11031 40 μg/kg660.36± 3879.76
Seq 1: Postdose 0.08 Hrs, Day 29 and Day 57
GroupValue95% CI
Placebo42.51± 37.29
SUN11031 20 μg/kg10967.36± 8543.58
SUN11031 40 μg/kg22717.98± 16899.70
Seq 2: Postdose 0.08 Hrs, Day 29 and Day 57
GroupValue95% CI
Placebo278.61± 1278.26
SUN11031 20 μg/kg16094.13± 12895.48
SUN11031 40 μg/kg23107.50± 17012.10
Absolute Concentrations of SUN11031 Metabolites Desacyl-ghrelin Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease Secondary · Day 1 and Day 85 pre-dose; Day 1 at 1 hour and 4 hours; Day 29 at 0.08 hours and 1.5 hours; Day 57 at 0.08 hours and 6 hours; Day 85 at 0.5 hours and 3 hours postdose.

Absolute concentrations of SUN11031 metabolites desacyl-ghrelin in participant plasma samples were measured. When participants were randomly assigned into 1 of 3 treatment groups at baseline, they were also randomly assigned into 1 of 2 sequences in the pharmacokinetic (PK) sparse sampling schedule based on the randomization number.

Seq 1: Predose 0 hrs, Day 1
GroupValue95% CI
Placebo189.79± 170.09
SUN11031 20 μg/kg351.53± 1102.43
SUN11031 40 μg/kg547.12± 1276.89
Seq 2: Predose 0 hrs, Day 1
GroupValue95% CI
Placebo175.88± 135.75
SUN11031 20 μg/kg754.23± 3103.32
SUN11031 40 μg/kg234.63± 225.77
Seq 1+2: Predose 0 hrs, Day 1
GroupValue95% CI
Placebo183.03± 153.42
SUN11031 20 μg/kg541.04± 2265.36
SUN11031 40 μg/kg371.94± 868.91
Seq 1: Predose 0 hrs, Day 85
GroupValue95% CI
Placebo207.81± 227.93
SUN11031 20 μg/kg196.17± 131.67
SUN11031 40 μg/kg951.98± 3846.40
Seq 2: Predose 0 hrs, Day 85
GroupValue95% CI
Placebo158.60± 131.94
SUN11031 20 μg/kg459.03± 1059.43
SUN11031 40 μg/kg824.12± 3095.66
Seq 1+2: Predose 0 hrs, Day 85
GroupValue95% CI
Placebo184.03± 187.86
SUN11031 20 μg/kg317.86± 731.38
SUN11031 40 μg/kg886.97± 3455.15
Seq 1: Postdose 0.08 Hrs, Day 29 and Day 57
GroupValue95% CI
Placebo174.87± 186.0
SUN11031 20 μg/kg5401.49± 4793.51
SUN11031 40 μg/kg8680.49± 7747.93
Seq 2: Postdose 0.08 Hrs, Day 29 and Day 57
GroupValue95% CI
Placebo292.21± 655.71
SUN11031 20 μg/kg6560.23± 4751.75
SUN11031 40 μg/kg9519.43± 8835.18
Treatment Emergent Adverse Events Reported in ≥ 2% of Participants Following Treatment With SUN11031 in Participants Having Cachexia Associated With Chronic Obstructive Pulmonary Disease Secondary · Baseline up to Day 113 post dose, up to a total of 134 days.

Treatment-emergent adverse events (TEAEs) were defined as adverse events (AEs) that occurred from the time treatment was administered at Day 1 through the last follow-up visit or a worsening of a pre-existing condition.

Number of Participants with at least 1 TEAE
GroupValue95% CI
Placebo58
SUN11031 20 μg/kg59
SUN11031 40 μg/kg56
COPD
GroupValue95% CI
Placebo23
SUN11031 20 μg/kg20
SUN11031 40 μg/kg16
Dyspnea
GroupValue95% CI
Placebo1
SUN11031 20 μg/kg2
SUN11031 40 μg/kg3
Bronchitis
GroupValue95% CI
Placebo4
SUN11031 20 μg/kg5
SUN11031 40 μg/kg3
Nasopharyngitis
GroupValue95% CI
Placebo1
SUN11031 20 μg/kg6
SUN11031 40 μg/kg2
Influenza
GroupValue95% CI
Placebo2
SUN11031 20 μg/kg3
SUN11031 40 μg/kg3
Pneumonia
GroupValue95% CI
Placebo1
SUN11031 20 μg/kg2
SUN11031 40 μg/kg3
Gastroenteritis
GroupValue95% CI
Placebo2
SUN11031 20 μg/kg2
SUN11031 40 μg/kg2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data were collected from baseline up to Day 113 post dose, up to a total of 134 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 6/73 (8%)
Deaths: 1/73
SUN11031 20 μg/kg
Serious: 6/75 (8%)
Deaths: 0/75
SUN11031 40 μg/kg
Serious: 8/76 (11%)
Deaths: 2/76

Serious adverse events (17 terms)

ReactionSystemPlaceboSUN11031 20 μg/kgSUN11031 40 μg/kg
COPDRespiratory, thoracic and mediastinal disorders
Renal Failure AcuteRenal and urinary disorders
PneumoniaInfections and infestations
Intestinal perforationGastrointestinal disorders
HypotensionVascular disorders
Electrocardiogram QT prolongedInvestigations
PneumothoraxRespiratory, thoracic and mediastinal disorders
Acute myocardial infarctionCardiac disorders
Atrial fibrillationCardiac disorders
Small intestinal perforationGastrointestinal disorders
Suicidal ideationPsychiatric disorders
Senile dementiaNervous system disorders
CholecystitisHepatobiliary disorders
Completed suicidePsychiatric disorders
Hypertensive crisisVascular disorders
Chest painGeneral disorders
GastritisGastrointestinal disorders
Other adverse events (14 terms — click to expand)

ReactionSystemPlaceboSUN11031 20 μg/kgSUN11031 40 μg/kg
COPDRespiratory, thoracic and mediastinal disorders
Injection site hematomaInjury, poisoning and procedural complications
DiarrheaGastrointestinal disorders
Weight decreasedInvestigations
NasopharyngitisInfections and infestations
HeadacheNervous system disorders
BronchitisInfections and infestations
NauseaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Injection site painGeneral disorders
Abdominal pain upperGastrointestinal disorders
HypertensionVascular disorders
InsomniaPsychiatric disorders
HyperhidrosisSkin and subcutaneous tissue disorders

Most-reported serious reactions: COPD, Renal Failure Acute, Pneumonia, Intestinal perforation, Hypotension, Electrocardiogram QT prolonged, Pneumothorax, Acute myocardial infarction.

Data from ClinicalTrials.gov NCT00698828 adverse events section.

Sponsor's own description

To evaluate SUN11031 for subcutaneous injection compared to placebo in subjects with cachexia associated with Chronic Obstructive Pulmonary Disease (COPD) to determine the effect on physical performance and body composition.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Cachexia

Currently open trials in the same condition.

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Trials by the same sponsor.

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Data sources for this page

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