PMID- 33475251 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20221207 IS - 1758-8111 (Electronic) IS - 1758-8103 (Linking) VI - 11 IP - 2 DP - 2021 Apr TI - Efficacy and safety of glucagon-like peptide-1/glucagon receptor co-agonist JNJ-64565111 in individuals with type 2 diabetes mellitus and obesity: A randomized dose-ranging study. PG - e12433 LID - 10.1111/cob.12433 [doi] AB - Weight loss has been shown to improve metabolic parameters and cardiovascular risk in people with type 2 diabetes mellitus (T2DM). This phase 2 study evaluated the safety and efficacy of JNJ-64565111, a dual agonist of GLP-1 and glucagon receptors, in individuals with T2DM and class II/III obesity. In this randomized, double-blind study, participants with T2DM (HbA1c 6.5%-9.5%), body mass index of 35 to 50 kg/m(2) and stable weight were randomly assigned (1:1:1:1) to placebo or JNJ-64565111 (5.0 mg, 7.4 mg or 10.0 mg). The primary endpoint was percent change from baseline in body weight at week 12. Of 195 dosed participants, 144 (73.8%) completed treatment. At week 12, placebo-subtracted body weight changes were -4.6%, -5.9% and -7.2% with JNJ-64565111 5.0 mg, 7.4 mg and 10.0 mg, respectively. All JNJ-64565111 doses were associated with no change in HbA1c and slight numerical elevation of fasting insulin. Numerical increases in fasting plasma glucose were observed with JNJ-64565111 5.0 mg and 7.4 mg. Incidence of treatment-emergent adverse events, especially nausea and vomiting, was higher with JNJ-64565111 vs placebo. Overall, JNJ-64565111 significantly reduced body weight in a dose-dependent manner vs placebo but was associated with greater incidence of treatment-emergent adverse events, no HbA1c reductions, and increased fasting plasma glucose and fasting insulin. CI - (c) 2021 World Obesity Federation. FAU - Di Prospero, Nicholas A AU - Di Prospero NA AUID- ORCID: 0000-0001-8231-6241 AD - Janssen Research & Development, LLC, Raritan, New Jersey, USA. FAU - Yee, Jaqueline AU - Yee J AD - Janssen Research & Development, LLC, Raritan, New Jersey, USA. FAU - Frustaci, Mary E AU - Frustaci ME AD - Janssen Research & Development, LLC, Spring House, Pennsylvania, USA. FAU - Samtani, Mahesh N AU - Samtani MN AD - Janssen Research & Development, LLC, Raritan, New Jersey, USA. FAU - Alba, Maria AU - Alba M AD - Janssen Research & Development, LLC, Raritan, New Jersey, USA. FAU - Fleck, Penny AU - Fleck P AUID- ORCID: 0000-0003-3597-975X AD - Janssen Research & Development, LLC, Raritan, New Jersey, USA. LA - eng GR - Janssen Research & Development, LLC/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20210121 PL - England TA - Clin Obes JT - Clinical obesity JID - 101560587 RN - 0 (Blood Glucose) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Receptors, Glucagon) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Blood Glucose MH - *Diabetes Mellitus, Type 2/drug therapy MH - Double-Blind Method MH - Glucagon-Like Peptide 1 MH - Glucagon-Like Peptide-1 Receptor MH - Glycated Hemoglobin MH - Humans MH - Hypoglycemic Agents/adverse effects MH - *Obesity/complications/drug therapy MH - Receptors, Glucagon OTO - NOTNLM OT - GLP-1/glucagon receptor co-agonist OT - obesity OT - oxyntomodulin OT - randomized trials OT - type 2 diabetes mellitus OT - weight loss EDAT- 2021/01/22 06:00 MHDA- 2021/10/26 06:00 CRDT- 2021/01/21 08:40 PHST- 2020/08/21 00:00 [received] PHST- 2020/11/17 00:00 [revised] PHST- 2020/11/29 00:00 [accepted] PHST- 2021/01/22 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/01/21 08:40 [entrez] AID - 10.1111/cob.12433 [doi] PST - ppublish SO - Clin Obes. 2021 Apr;11(2):e12433. doi: 10.1111/cob.12433. Epub 2021 Jan 21.