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Phase 2 Completed N=250 Randomized Double-blind Treatment

Dose-Ranging Study In Subjects With Type 2 Diabetes Mellitus Who Are Treatment-Naive

Source: ClinicalTrials.gov NCT00495469 ↗
Enrolled (actual)
250
Serious AEs
0.8%
Results posted
Oct 2017
Primary outcomePrimary: Mean Change From Baseline in Hemoglobin A1c (Glycosylated Hemoglobin) (HbA1c) at Week 12 — -0.19; -0.53; -0.75; -0.53 Percentage — p=0.003

Summary

This is a dose-ranging study to evaluate the efficacy, safety and tolerability of a range of doses of GSK189075 (an SGLT2 inhibitor) compared to placebo, administered over 12 weeks in treatment-naive subjects with type 2 diabetes mellitus

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change From Baseline in Hemoglobin A1c (Glycosylated Hemoglobin) (HbA1c) at Week 12
-0.19; -0.53; -0.75; -0.53; -0.85; -0.78 0.003 sig
SECONDARY
Mean Change From Baseline in HbA1c at Weeks 4 and 8
-0.18; -0.37; -0.57; -0.40; -0.45; -0.31
SECONDARY
Mean Change From Baseline to Week 12 in Fasting Plasma Glucose (FPG)
-0.50; -1.35; -1.56; -1.13; -1.45; -1.63 0.039 sig
SECONDARY
Mean Change From Baseline to Week 12 in Fructosamine (Corrected)
-1.4; -25.5; -36.3; -31.2; -37.9; -30.9 0.005 sig
SECONDARY
Number of Participants Who Were HbA1c Responders at Week 12
3; 5; 4; 4; 7; 6 0.757
SECONDARY
Number of Participants Who Were Fasting Plasma Glucose (FPG) Responders at Week 12
6; 10; 14; 11; 12; 14 0.480
SECONDARY
Mean Change From Baseline to Week 12 in Triglycerides
-0.01; 0.19; -0.32; -0.16; -0.05; -0.18 0.318
SECONDARY
Mean Change From Baseline to Week 12 in Total Cholesterol
-0.03; -0.08; -0.12; 0.10; -0.02; 0.22 0.767
SECONDARY
Mean Change From Baseline to Week 12 in Low Density Lipoprotein Cholesterol (LDL-c)
-0.02; -0.17; -0.03; 0.08; -0.04; 0.23 0.348
SECONDARY
Mean Change From Baseline to Week 12 in High Density Lipoprotein Cholesterol (HDL-c)
-0.02; 0.00; 0.02; 0.06; 0.05; 0.04 0.518
SECONDARY
Mean Change From Baseline to Week 12 in LDL-c/HDL-c Ratio
0.06; -0.19; -0.06; -0.13; -0.07; 0.10 0.143
SECONDARY
Mean Change From Baseline to Week 12 in Total Cholesterol/HDL-c Ratio
0.14; -0.05; -0.20; -0.22; -0.09; 0.01 0.363
SECONDARY
Mean Change From Baseline to Week 12 in Body Weight
-1.03; -1.52; -2.54; -2.46; -2.47; -2.11 0.396
SECONDARY
Number of Participants With Any On-therapy Adverse Events (AEs) and Serious Adverse Events (SAEs)
8; 15; 20; 11; 21; 20
SECONDARY
Number of Participants With On-therapy Hypoglycemia
0; 1; 0; 2; 1; 1
SECONDARY
Number of Participants With Vital Signs of Potential Clinical Importance (PCI) at Any Time on Therapy
1; 2; 0; 3; 2; 2
SECONDARY
Number of Participants With Abnormal Electrocardiogram (ECG) Findings at Any Time Post-Baseline
9; 12; 11; 7; 14; 7
SECONDARY
Number of Participants With Abnormal Chemistry Value of PCI at Any Time on Therapy
0; 1; 0; 0; 0; 0
SECONDARY
Number of Participants With Abnormal Hematology Value of PCI at Any Time on Therapy
1; 0; 0; 1; 2; 0

Eligibility Criteria

Inclusion Criteria

  • Subjects with a documented diagnosis of T2DM and HbA1c ≥7.0% and ≤9.5% measured by the central laboratory at Visit 1.
  • Note: Subjects with HbA1c 5.5 mIU/L (>5.5 MCIU/mL) at Screening
  • BMI of 43 kg/m2
  • Significant weight gain or loss (as defined as >5% of total body weight) in the 3 months prior to Screening
  • Diabetic Medication
  • Has taken insulin, or any oral or injectable anti-diabetic medication within 3 months of screening
  • Has taken insulin or any oral or injectable anti-diabetic medication ≥4 weeks at any time in the past
  • Cardiovascular Disease

Recent history or presence of clinically significant acute cardiovascular disease including:

  • Documented myocardial infarction in the 6 months prior to Screening.
  • Coronary revascularization including percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG) surgery either planned and/or occurred in the 6 months prior to Screening.
  • Unstable angina in the 6 months prior to Screening.
  • Clinically significant supraventricular arrhythmias requiring medical therapy, or history of nonsustained or sustained ventricular tachycardia. Symptomatic valvular heart disease or valvular heart disease requiring therapy other than endocarditis prophylaxis.
  • Congestive heart failure (CHF, New York Heart Association (NYHA) Class II to IV) requiring pharmacologic treatment or the NYHA Class criteria in accordance with the local prescribing information for pioglitazone.
  • Blood pressure (BP) >150/100mmHg. If a subject is receiving permitted antihypertensive therapy, then they must be on stable dose(s) of therapy for at least 4 weeks prior to Screening.
  • Based on local readings, the subject has an initial QTc interval (Bazett's)≥450msec at Screening, and after two additional ECGs taken 5 minutes apart, the average of the QTC interval from the three ECGs is ≥450msec.
  • Other clinically significant ECG abnormalities which, in the opinion of the Investigator, may affect the interpretation of efficacy or safety data, or which otherwise contraindicates participation in a clinical trial with a new chemical entity.
  • Fasting triglycerides ≥400mg/dL (4.56mmol/L) at Screening. If a subject is receiving permitted lipid-lowering therapy, then they must be on a stable dose(s) of therapy for at least 6 weeks prior to Screening. Niacin and bile acid sequestrants are prohibited.
  • Hepatic Disease

Has a diagnosis of active hepatitis (hepatitis B surface antigen or hepatitis C antibody), or clinically significant hepatic enzyme elevation including:

Any one of the following enzymes greater than 2 times the upper limit of the reference range (ULRR) value at Screening.

  • alanine aminotransferase (ALT)
  • aspartate aminotransferase (AST)
  • alkaline phosphatase (AP) Has a total bilirubin level that is >1.5 times the ULRR at Screening with the exception of suspected or confirmed Gilbert's disease.
  • Pancreatic Disease
  • Secondary causes of diabetes:
  • history of chronic or acute pancreatitis
  • Renal Disease

Significant renal disease at Screening as manifested by:

  • Glomerular filtration rate (GFR) 21 units or an average daily intake of >3 units (males) or an average weekly intake of >14 units or an average daily intake of >2 units (females). One unit is equivalent to a half pint of beer or 1 measure of spirits or 1 glass of wine
  • Has participated in any study with an investigational or marketed drug in the 3 months prior to Screening.
  • In the opinion of the investigator has a risk of non-compliance with study procedures, or cannot read, understand, or complete study related materials, particularly the informed consent.
  • Known allergy to any of the tablet or capsule excipients, or history of drug or other allergy, which, in the opinion of the responsible study physician, contraindicates participation.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00495469). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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