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Phase 2 Completed N=231 Randomized Double-blind Treatment

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ACZ885 in Patients With Type 2 Diabetes

Source: ClinicalTrials.gov NCT00605475 ↗
Enrolled (actual)
231
Serious AEs
1.3%
Results posted
Feb 2012
Primary outcomePrimary: Mean Change From Baseline in Plasma HbA1c (Glycosylated Hemoglobin / Hemoglobin A1c) — -0.38; -0.26; -0.25; -0.30 percent

Summary

The purpose of this study was to evaluate, in patients with Type 2 Diabetes Mellitus, whether Canakinumab can lower Glycosylated hemoglobin / hemoglobin A1c (HbA1c) and/or peak glucose levels in response to an oral glucose tolerance test (OGTT).

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change From Baseline in Plasma HbA1c (Glycosylated Hemoglobin / Hemoglobin A1c)
-0.38; -0.26; -0.25; -0.30; -0.47; -0.24
PRIMARY
Mean Change From Baseline in Plasma Glucose Area Under the Curve (AUC) 0 - 4 Hours Following Oral Glucose Tolerance Test (OGTT )
-4.7; -0.9; 1.6; -0.9; -2.8; -2.3
SECONDARY
Mean Change From Baseline in Plasma C-peptide AUC ( Area Under the Curve) 0-4 Hours, Following Oral Glucose Tolerance Test (OGTT)
-335; -614; -492; -25; 779; 129
SECONDARY
Mean Change From Baseline in Plasma Insulin AUC ( Area Under the Curve) 0-4 Hours, Following Oral Glucose Tolerance Test ( OGTT )
-1.58; -14.25; -12.61; 6.06; 2.06; -8.26
SECONDARY
Mean Change From Baseline in Plasma Proinsulin AUC ( Area Under the Curve) 0-4 Hours, Following Oral Glucose Tolerance Test ( OGTT )
-9.9; 11.0; -13.7; -15.0; 26.1; -16.2
SECONDARY
Mean Change From Baseline in Plasma Glucagon AUC ( Area Under the Curve) 0-4 Hours, Following Oral Glucose Tolerance Test
-3.6; -4.0; -3.1; -3.7; -0.6; -2.7
SECONDARY
Mean Change From Baseline in Peak Plasma Insulin/Proinsulin Level, Following Oral Glucose Tolerance Test (OGTT)
0.173; -1.035; 0.160; 1.039; 0.293; -0.031
SECONDARY
Mean Insulin Secretion Rate ( ISR ) Relative to Glucose, 0 - 4 Hours
20.4; 18.0; 14.5; 17.1; 19.1; 18.5
SECONDARY
Mean Insulin Secretion Rate ( ISR ), 0 - 4 Hours
255; 246; 207; 231; 262; 234
SECONDARY
Insulin Sensitivity Index ( ISI ) at Day 28, Day 48
2.91; 2.63; 3.13; 2.96; 3.57; 3.77
SECONDARY
Insulinogenic Index, 0 - 30 Minutes
0.174; 0.140; 0.090; 0.105; 0.139; 0.102
SECONDARY
Mean Change From Baseline in Peak Plasma Glucose Following Oral Glucose Tolerance Test ( OGTT )
-1.3; 0.0; 0.2; -0.2; -0.8; -1.0
SECONDARY
Mean Change From Baseline in Peak Plasma Fructosamine Level
4.8; -0.7; -9.2; -13.9; 1.4; -0.9
SECONDARY
Insulin Resistance as Measured by the Homeostatic Model Assessment (HOMA-IR)
3.30; 3.74; 4.03; 3.34; 3.31; 3.25
SECONDARY
β-cell Function as Measured by the Homeostatic Model Assessment (HOMA-β )
40.2; 35.9; 38.1; 38.2; 42.0; 37.9
SECONDARY
Number of Participants Reporting Death, Serious Adverse Events (SAEs), Adverse Events (AE) Above 5% Frequency
0; 0; 1; 2; 0; 0

Eligibility Criteria

Inclusion Criteria

  • Male or female patients aged 18 to 70 years, with type 2 diabetes mellitus (non-insulin dependent diabetes) for at least 6 months prior to study start
  • HbA1c between 7.0 and 9.5%
  • On stable dose metformin monotherapy
  • Stable body weight

Exclusion Criteria

  • Poorly controlled type 2 diabetes (very low or very high blood sugar levels, or other indicators of poor control)
  • Acute infections prior to dosing
  • Patients with type 1 diabetes (insulin-dependent diabetes)
  • Taking diabetes medication (other than metformin)

Other protocol-defined inclusion/exclusion criteria may apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00605475). 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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