Dose-Ranging Study in Treatment Naive Type 2 Diabetes Mellitus(T2DM)
Source: ClinicalTrials.gov NCT00500331 ↗Summary
Outcome Measures
| Outcome | Result | p-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
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.