Phase 2
N=227
Clinical Study to Assess the Safety and Pharmacokinetics of SRT2104 in Type 2 Diabetic Human Subjects
Diabetes Mellitus, Type 2
Bottom Line
View on ClinicalTrials.gov: NCT00937326 ↗Enrolled (actual)
227
Serious AEs
0.9%
Results posted
Apr 2018
Primary outcome: Primary: Number of Participants With Any Adverse Event (AE), Serious Adverse Event (SAE), AE Related to Study Medication, AE Leading to Discontinuation and Fatal AE of Death — 11; 15; 19; 11 Participants — p=0.4816
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- SRT2104 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 30+ yrs
- Sex
- All
- Sponsor
- Sirtris, a GSK Company
- Primary completion
- Sep 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Any Adverse Event (AE), Serious Adverse Event (SAE), AE Related to Study Medication, AE Leading to Discontinuation and Fatal AE of Death |
11; 15; 19; 11; 15; 0 | 0.4816 |
| PRIMARY Number of Participants With AE by Intensity of Mild, Moderate and Severe |
8; 10; 11; 8; 9; 7 | — |
| PRIMARY Mean Change From Baseline in Weight Over Time |
-0.17; -0.81; -1.25; -0.56; -1.54; -0.40 | — |
| PRIMARY Change From Baseline in Vital Sign Parameter of Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Over Time |
-1.49; 1.30; 0.36; -0.88; -0.24; -1.44 | — |
| PRIMARY Change From Baseline in Vital Sign Parameter of Heart Rate (HR) Over Time |
-0.02; 1.02; 0.23; 1.21; 1.60; 0.05 | — |
| PRIMARY Change From Baseline in Vital Sign Parameter of Respiratory Rate (RR) Over Time |
0.14; -0.07; -0.16; 0.33; 0.00; 0.07 | — |
| PRIMARY Change From Baseline in Vital Sign Parameter of Temperature Over Time |
0.03; -0.00; 0.01; 0.04; 0.01; 0.04 | — |
| PRIMARY Change From Baseline in Electrocardiogram (ECG) Values Over Time |
0.12; 1.47; 0.58; 0.32; 1.57; -0.26 | — |
| PRIMARY Change From Baseline in Hematology Parameters of Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelet and White Blood Cell (WBC) Count Over Time |
0.01; 0.00; 0.00; 0.00; -0.00; 0.01 | — |
| PRIMARY Change From Baseline in Hematology Parameter of Red Blood Cell (RBC) Count Over Time |
-0.02; 0.03; -0.02; 0.03; 0.03; 0.01 | — |
| PRIMARY Change From Baseline in Hematology Parameter of Hematocrit Over Time |
-0.00; 0.00; -0.00; 0.00; 0.00; 0.00 | — |
| PRIMARY Change From Baseline in Hematology Parameter of Hemoglobin Over Time |
-0.75; 1.49; -0.03; 0.47; 1.44; 0.31 | — |
| PRIMARY Change From Baseline in Hematology Parameter of Mean Corpuscular Hemoglobin Over Time |
0.00; 0.15; 0.23; -0.16; 0.17; 0.03 | — |
| PRIMARY Change From Baseline in Hematology Parameter of Mean Corpuscular Hemoglobin Concentration Over Time |
-1.43; 0.00; 0.77; 0.56; 3.33; 0.59 | — |
| PRIMARY Change From Baseline in Hematology Parameter of Mean Corpuscular Volume Over Time |
0.20; 0.28; 0.18; -0.33; -0.17; 0.29 | — |
| PRIMARY Change From Baseline in Coagulation Parameters of Activated Partial Thromplastin Time (aPTT) and Prothrombin Time (PT) Over Time |
0.53; 1.51; -1.58; 1.41; 1.26; -0.43 | — |
| PRIMARY Change From Baseline in Coagulation Parameter of International Normalized Ratio Over Time |
-0.02; 0.02; 0.01; -0.01; -0.03; -0.04 | — |
| PRIMARY Change From Baseline in Chemistry Parameters of Alanine Aminotransferase (ALT), Aspartate Aminotrasferase (AST), Alkaline Phosphatase (ALP), Creatinine Phosphokinase and Lactate Dehydrogenase (LDH) Over Time |
0.90; -0.90; 1.18; -1.53; -0.46; 1.03 | — |
| PRIMARY Change From Baseline in Chemistry Parameter of Bicarbonate, Blood Urea Nitrogen (BUN), Calcium, Chloride, Magnesium, Phosphate, Potassium and Sodium Over Time |
0.74; 0.78; 0.62; 0.13; -0.17; 0.85 | — |
| PRIMARY Change From Baseline in Chemistry Parameter of Direct Bilirubin, Indirect Bilirubin, Serum Creatinine, Total Bilirubin and Uric Acid Over Time |
-0.05; 0.26; 0.27; 0.13; 0.30; 0.11 | — |
| PRIMARY Change From Baseline in Chemistry Parameter of Lipid Profile Over Time |
-0.02; 0.01; 0.02; 0.05; -0.03; -0.02 | — |
| PRIMARY Change From Baseline in Chemistry Parameter of Albumin and Total Protein Over Time |
0.29; 0.80; 0.78; 0.64; 1.02; 0.80 | — |
| PRIMARY Change From Baseline in Urinalysis Parameter of Specific Gravity Over Time |
-0.00; -0.00; 0.00; -0.00; -0.00; -0.00 | — |
| PRIMARY Change From Baseline in Urinalysis Parameter of pH Over Time |
0.05; -0.05; -0.02; 0.00; 0.10; 0.05 | — |
| PRIMARY Area Under Plasma Concentration Curve From Time 0 to Last Measurable Time Point (AUC 0-t), From Time 0 to Infinity (AUC 0-infinity) and From Time 0 to Trough Concentration (AUC 0-τ) of SRT2104 on Day 1 and Day 28 |
1045.8420; 2153.0075; 2375.3150; 2859.5465; 1549.6139; 2731.6308 | — |
| PRIMARY Observed Maximum Plasma Concentration (Cmax) of SRT2104 at Day 1 and Day 28 |
178.729; 366.694; 336.562; 417.832; 185.418; 329.973 | — |
| PRIMARY Time to Cmax (Tmax) at Day 1 and Day 28 |
3.000; 3.000; 3.000; 4.000; 3.000; 3.000 | — |
| PRIMARY Terminal Elimination Half Life (T1/2) of SRT2104 at Day 1 and Day 28 |
13.4184; 12.1669; 13.3434; 9.7846; 18.0115; 20.3500 | — |
| PRIMARY Apparent Total Clearance of SRT2104 From Plasma After Oral Administration (CL/F) on Day 1 and Day 28 |
494.0236; 621.3930; 1582.0131; 2181.8596; 631.5519; 956.6848 | — |
| PRIMARY Apparent Volume of Distribution After Oral Administration (Vd/F) at Day 1 and Day 28 |
12921.7880; 15767.2219; 38320.97415; 32262.5089; 17509.8071; 48475.7739 | — |
| SECONDARY Mean Fasting Plasma Glucose (FPG) Levels Over Time |
10.46; 10.33; 11.10; 10.67; 10.37; 10.08 | 0.997 |
| SECONDARY Change From Baseline in FPG Levels Over Time |
-0.30; -1.00; 0.16; -0.41; 0.17; -0.72 | 0.525 |
| SECONDARY Mean Fasting Plasma Insulin (FPI) Levels Over Time |
89.9; 92.3; 83.8; 74.5; 74.4; 90.0 | 0.999 |
| SECONDARY Change From Baseline in FPI Over Time |
7.2; 12.2; 12.3; 12.9; 4.7; 10.8 | 0.989 |
| SECONDARY Mean Post-prandial Glucose (PPG) and Post-prandial Insulin (PPI) Levels at Day 28 |
12.91; 12.95; 13.58; 13.12; 11.41; 14.05 | 1.000 |
| SECONDARY Change From Baseline in PPG and PPI Levels at Day 28 |
3.38; 2.82; 3.40; 3.14; 2.00; 4.53 | 0.809 |
| SECONDARY Mean Glycosylated Hemoglobin A (HbA1c) Levels on Day 28 |
8.18; 8.66; 8.64; 8.54; 8.29 | 0.118 |
| SECONDARY Change From Baseline in HbA1c Levels at Day 28 |
-0.31; -0.23; -0.05; 0.01; -0.10 | 0.940 |
| SECONDARY AUC From Time 0 to 1 h (AUC 0-1) and AUC From Time 0 to 2 h (AUC 0-2) for PPG and PPI at Day 1 and Day 28 |
13.10; 14.08; 14.28; 14.43; 12.68; 12.35 | 0.2060 |
| SECONDARY Mean Fructosamine Levels at Day 1 and Day 28 |
320.07; 320.38; 319.82; 328.44; 296.00; 305.70 | 1.000 |
| SECONDARY Change From Baseline in Fructosamine Levels at Day 28 |
-14.37; -6.67; 9.76; -4.68; -2.14 | 0.896 |
| SECONDARY Mean Homeostatic Model Assessment-insulin Resistance (HOMA-IR) at Day 1 and Day 28 |
5.4; 5.7; 5.2; 4.1; 5.0; 4.9 | 0.992 |
| SECONDARY Change From Baseline in HOMA-IR at Day 28 |
-0.4; 0.0; -0.9; -0.1; 1.0 | 0.996 |
| SECONDARY Mean HOMA-percentage Cell Beta Function at Day 1 and Day 28 |
38.3; 31.8; 31.2; 27.2; 30.2; 42.9 | 0.810 |
| SECONDARY Change From Baseline in HOMA-percentage of Beta Cell Function at Day 28 |
5.8; 8.5; 2.3; 3.1; 7.6 | 0.994 |
Summary
The primary purpose of this study is to determine the safety and tolerability of SRT2104 (0.25, 0.5, 1.0, and 2.0 g/day) in type 2 diabetic subjects when administered once daily for 28 consecutive days, and to characterize the pharmacokinetic profile of SRT2104 after a single dose and multiple administrations in type 2 diabetic subjects.
The secondary purpose of this study is to determine the effect of SRT2104 (0.25, 0.5, 1.0, and 2.0 g/day) when administered once daily for 28 consecutive days on fasting blood glucose and insulin and post-prandial blood glucose and insulin in type 2 diabetic subjects.
Eligibility Criteria
Inclusion Criteria
- Subjects of any race and gender within the age range of 30 to 70 years.
- All female subjects must be of non-child-bearing potential. For the purposes of this study, this is defined as the subject being amenorrheic for at least 12 consecutive months, or at least 6 weeks post-surgical bilateral oophorectomy with or without hysterectomy, or women who underwent tubal ligation. Menopausal status will be confirmed by demonstrating levels of follicle stimulating hormone (FSH) 40 - 138 mIU/ml and oestradiol < 20 pg/ml at entry, unless this information is available in the subject's medical record. In the event a subject's menopause status has been clearly established (for example, the subject indicates she has been amenorrheic for 10 years), but FSH and/or oestradiol levels are not consistent with a post-menopausal condition, determination of subject eligibility will be at the discretion of the principal investigator following consultation with the sponsor and medical monitor
- All male subjects must agree with their partners to use double-barrier birth control or abstinence while participating in the study and for 12 weeks following the last dose of study drug.
- Willingness to provide written informed consent to participate in the study
- HbA1c ≥ 7.5 and ≤ 10.5
- Fasting glucose ≥ 160 and ≤ 240 mg/dL
- Body Mass Index (BMI) ≥ 25.0 kg/m^2 and ≤ 40.0 kg/m^2
- On stable metformin medication for at least 3 months (≥ 1.0 g/day) prior to Screening
- No prior history of HIV 1 or 2
- Absence of disease markers for hepatitis B & C virus
- Absence of significant disease or clinically significant abnormal laboratory values on the laboratory evaluations, medical history or physical examination during the screening; normal end organ function
- Have a normal 12-lead ECG or one with abnormality considered to be clinically insignificant
- Have a normal chest X-ray (P. A. View) or one with abnormality considered to be clinically insignificant
- Comprehension of the nature and purpose of the study and compliance with the requirement of the entire protocol
Exclusion Criteria
- Any major illness in the past three months or any significant ongoing chronic medical illness not related to diabetes
- Renal or liver impairment, defined as serum creatinine level of ≥ 1.4 mg/dL for females and ≥ 1.5 mg/dL for males, and greater than two times the upper limit of normal for liver enzymes, respectively.
- History of or current gastro-intestinal diseases influencing drug absorption, except for appendectomy
- History, within 3 years, of drug abuse (including Benzodiazepines, opioids, amphetamine, cocaine, and THC)
- History of alcoholism (more than two years), moderate drinkers (more than three drinks per day) or having consumed alcohol within 48 hrs prior to dosing [one drink is equal to one unit of alcohol (one glass wine, half pint beer, one measure of spirit)]
- Participation in any clinical trial within the past three months
- History of difficulty in donating blood or accessibility of veins in left or right arm
- Donation of blood (one unit or 350 ml) within three months prior to receiving the first dose of test material
- Use of any prescription drug therapy, with exception of any prescription medication administered at a stable dose for at least 6 weeks prior to Screening, provided the medication is not contraindicated by the metformin label
- Use of any alternate anti-diabetic therapy, except metformin, within three months of enrollment
Data sourced from ClinicalTrials.gov (NCT00937326). 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.