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Phase 2 Completed N=334 Randomized Double-blind Treatment

Dose-Ranging Study in Treatment Naive Type 2 Diabetes Mellitus(T2DM)

Source: ClinicalTrials.gov NCT00500331 ↗
Enrolled (actual)
334
Serious AEs
0.0%
Results posted
Dec 2017
Primary outcomePrimary: Change From Baseline (Week 0) in Glycosylated Hemoglobin (HbA1c) (%) at Week 12 — -0.31; -1.04; -0.96; -1.05 Percentage of hemoglobin — p=<0.001

Summary

This is a dose-ranging study that will evaluate the efficacy, safety and tolerability of a range of doses of investigational product and pioglitazone, compared to placebo, administered as monotherapy over 12 weeks in treatment naive patients with T2DM

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline (Week 0) in Glycosylated Hemoglobin (HbA1c) (%) at Week 12
-0.31; -1.04; -0.96; -1.05; -1.21; -1.38 <0.001 sig
SECONDARY
Change From Baseline in HbA1c (%) at Weeks 4 and 8
-0.30; -0.77; -0.69; -0.64; -0.83; -0.84
SECONDARY
Change From Baseline to Week 12 in Fasting Plasma Glucose (FPG) at Weeks 4, 8 and 12
-0.49; -0.56; -1.43; -1.49; -1.90; -2.48
SECONDARY
Change From Baseline to Week 12 in Fructosamine
5.7; -33.8; -35.7; -38.9; -41.9; -55.2
SECONDARY
Change From Baseline to Week 12 in Fasting Insulin
-30.6; 0.3; -20.7; -9.7; -25.8; -15.1
SECONDARY
Number of Participants at Week 12 With: HbA1c <= 6.5%, HbA1c <7.0%; FPG <7 Mmo/L, FPG <7.8 mmol/L; FPG <5.5 mmol/L; a Decrease From Baseline of HbA1c >= 0.7%; a Decrease From Baseline of FPG ≥1.7 mmol/L
3; 10; 8; 11; 17; 17
SECONDARY
Percent Change From Baseline in Lipid Parameters at Weeks 4, 8 and 12(Triglycerides [TG], Total Cholesterol [TC], Low-density Lipoprotein Cholesterol [LDL-C] and High-density Lipoprotein Cholesterol [HDL-C])
-8.35; -3.45; 6.32; -13.42; -13.04; -4.62
SECONDARY
Change From Baseline to Week 12 in Body Weight
-0.49; -1.78; -2.41; -2.38; -3.52; -4.00
SECONDARY
Change From Baseline to Week 12 in Waist Circumference
-0.7; -1.2; -2.0; -2.2; -2.6; -2.4
SECONDARY
Change From Baseline in 24-hour Percent of Filtered Glucose Excreted in Urine
-1.09; 27.96; 40.43; 38.98; 42.41; 52.39
SECONDARY
Change From Baseline in Plasma Glucose Area Under the Curve (AUC) During a 2-hour Oral Glucose Tolerance Test (OGTT)
-0.90; -6.31; -6.71; -7.69; -6.06; -7.59
SECONDARY
Change From Baseline in Insulin AUC During a 2-hour OGTT
-5.3; 162.4; -70.9; 66.6; -173.9; -97.8
SECONDARY
Change From Baseline in C-peptide AUC During a 2-hr OGTT
-0.140; 0.654; -0.156; -0.026; -0.476; -0.175
SECONDARY
Number of Participants With On-therapy Adverse Events (AE) and Serious Adverse Events (SAE)
18; 18; 17; 19; 18; 22
SECONDARY
Number of Participants With On-therapy Hypoglycemia
1; 1; 0; 0; 1; 0
SECONDARY
Number of Participants With Change From Baseline Vital Signs of Potential Clinical Concern
3; 0; 2; 0; 0; 1
SECONDARY
Number of Participants With Electrocardiogram (ECG) Values of Potential Clinical Concern
0; 0; 0; 0; 0; 0
SECONDARY
Number of Participants With Change From Baseline in Standard Laboratory Parameters of Potential Clinical Concern
1; 0; 0; 0; 0; 0

Eligibility Criteria

Inclusion criteria

  • Subjects with a documented diagnosis of T2DM and have an HbA1c level at Visit 1 of ≥7.0% and ≤9.5% as measured by a central laboratory. Subjects with HbA1c 45 years, in the absence of hormone replacement therapy. In addition to the above criteria, if the post-menopausal status is still questionable, a blood sample should be drawn for simultaneous measurement of follicle stimulating hormone and estradiol; values considered to confirm the post-menopausal state are respectively: FSH >40 MIU/mL and estradiol 5.5 mIU/L at Screening]. Hypothyroidism treated with the same dose and regimen of thyroid hormone replacement for at least 3 months prior to Screening is allowed.
  • 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 ≥4 weeks at any time prior to screening.
  • Has taken insulin or any oral or injectable anti-diabetic medication within 3 months of screening.
  • 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. NYHA Class I may be included 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.
  • Has a QTc interval (Bazett's) ≥450msec at Screening on a single ECG or an average value from 3 ECGs taken 5 minutes apart (on local reading of ECG).
  • Other clinically significant ECG abnormalities which, in the opinion of the investigator, may affect the interpretation of efficacy and 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 transaminase (ALT).
  • aspartate transaminase (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) <60mL/min (as estimated from serum creatinine at Visit 1 and demographic data using the MDRD equation).For the MDRD equation, please refer to the study procedures manual.

Proteinuria of ≥1+ by urinary dipstick

  • Recurrent genitourinary tract infections defined as ≥2 episodes of complicated or uncomplicated cystitis or pyelonephritis in the 6 months prior to Screening
  • A positive qualitative urinary dipstick for leukocy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00500331). 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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