Efficacy and Safety of EGT0001442 in Patients With Type 2 Diabetes Mellitus
Efficacy and Safety of EGT0001442 Compared With Placebo in Patients With Type 2 Diabetes Mellitus Inadequately Controlled by Diet and Exercise and up to One Oral Anti-diabetes Agent
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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Buena Park, California, United States
- Site 5
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Los Angeles, California, United States
- Site 4
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Santa Ana, California, United States
- Site 3
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Florida
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Hialeah, Florida, United States
- Site 1
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-
New Jersey
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Berlin, New Jersey, United States
- Site 9
-
-
North Carolina
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Cary, North Carolina, United States
- Site 7
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Ohio
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Marion, Ohio, United States
- Site 6
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Munroe Falls, Ohio, United States
- Site 8
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Oregon
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Portland, Oregon, United States
- Site 2
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Texas
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North Richland Hills, Texas, United States
- Site 11
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San Antonio, Texas, United States
- Site 7
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female subjects ≥18 years old
- Diagnosed with type 2 diabetes
- Body mass index (BMI) ≤ 45 kg/m2
- HbA1c between 7 and 10% (inclusive) at screening
- FPG <250 mg/dL at screening for subjects not treated with oral anti-diabetic therapies or FPG <240 mg/dL at screening for subjects treated with anti-diabetic therapies
- Diabetes currently treated with diet and exercise only or diet and exercise along with one approved oral anti-diabetic agent
- If taking anti-diabetic medication, dose and regimen must be stable for past 3 months
- If taking anti-hypertensive medication, dose and regimen must be stable for past 3 months
- If taking lipid modifying therapy, dose and regimen must be stable for past 3 months
- Blood glucose <250 mg/dL based on finger stick blood glucose for all subjects at randomization
Exclusion Criteria:
- Hemoglobinopathy that affects HbA1c measurement
- Current use of injected therapy for treatment of diabetes (insulin or GLP-1 receptor based therapy)
- Genitourinary tract infection within 6 weeks of screening
- Greater than 2 episodes of genitourinary tract infection in the past year
- History of kidney stones, bladder malfunction or other significant risk factor for urinary tract infections
- eGFR, as calculated by the modification of diet in renal disease study equation (MDRD), < 50 mL/min/1.73 m2
- Abnormal tests of liver function ALT, AST or bilirubin ≥ 3x ULN
- Diagnosis of retinopathy or significant nephropathy (eGFR < 50 mL/min/1.73 m2
- Uncontrolled hypertension (systolic blood pressure >160 or diastolic blood pressure >95)
- Not willing to use effective birth control, if female with child-bearing potential
- Life expectancy < 2 years
- New York Heart Association (NYHA) Class 4 heart failure
- Sera positive of HCV, HIV, or positive on drug screen
- Currently participating in another interventional trial
- Previous treatment with EGT0001442 or EGT0001474
- Not able to comply with the study scheduled visits
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
PLACEBO_COMPARATOR: Placebo
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EXPERIMENTAL: EGT0001442
EGT0001442 capsule, 20 mg, daily, 96 weeks
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Hemoglobin A1c at 24 Weeks
Time Frame: Baseline and Week 24
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Changes from baseline in HbA1c in placebo and treatment group at end of 24 weeks treatment
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Baseline and Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Systolic and Diastolic Blood Pressure at Week 24
Time Frame: Baseline and Week 24
|
Changes from baseline in systolic and diastolic blood pressure in placebo and treatment group after 24 weeks of treatment
|
Baseline and Week 24
|
|
Changes in Body Weight at Week 24
Time Frame: Baseline and week 24
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Changes from baseline in body weight in placebo and treatment group after 24 weeks of treatment
|
Baseline and week 24
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Change From Baseline in HbA1c Over 96 Weeks Time
Time Frame: Baseline and up to 96 weeks
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Change from baseline in HbA1c level over 96 weeks in placebo and treatment group.
The treatment group was treated with EGT0001442 for 24 weeks.
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Baseline and up to 96 weeks
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Change From Baseline Over Time in Fasting Plasma Glucose (FPG)
Time Frame: 24 weeks
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Changes from baseline in FPG in placebo and treatment group over 24 weeks of treatment
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24 weeks
|
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Percentage of Subjects Achieving HbA1c <7%
Time Frame: Baseline and up to 96 weeks
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The number and percentage of subjects achieving HbA1c response levels <7% for the FAS using LOCF is reported
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Baseline and up to 96 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Mason W Freeman, M.D., Massachusetts General Hospital
Publications and helpful links
General Publications
- Ferrannini E, Ramos SJ, Salsali A, Tang W, List JF. Dapagliflozin monotherapy in type 2 diabetic patients with inadequate glycemic control by diet and exercise: a randomized, double-blind, placebo-controlled, phase 3 trial. Diabetes Care. 2010 Oct;33(10):2217-24. doi: 10.2337/dc10-0612. Epub 2010 Jun 21.
- American Diabetes Association. Standards of medical care in diabetes--2011. Diabetes Care. 2011 Jan;34 Suppl 1(Suppl 1):S11-61. doi: 10.2337/dc11-S011. No abstract available.
- Ehrenkranz JR, Lewis NG, Kahn CR, Roth J. Phlorizin: a review. Diabetes Metab Res Rev. 2005 Jan-Feb;21(1):31-8. doi: 10.1002/dmrr.532.
- Han S, Hagan DL, Taylor JR, Xin L, Meng W, Biller SA, Wetterau JR, Washburn WN, Whaley JM. Dapagliflozin, a selective SGLT2 inhibitor, improves glucose homeostasis in normal and diabetic rats. Diabetes. 2008 Jun;57(6):1723-9. doi: 10.2337/db07-1472. Epub 2008 Mar 20.
- Komoroski B, Vachharajani N, Boulton D, Kornhauser D, Geraldes M, Li L, Pfister M. Dapagliflozin, a novel SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects. Clin Pharmacol Ther. 2009 May;85(5):520-6. doi: 10.1038/clpt.2008.251. Epub 2009 Jan 7.
- Komoroski B, Vachharajani N, Feng Y, Li L, Kornhauser D, Pfister M. Dapagliflozin, a novel, selective SGLT2 inhibitor, improved glycemic control over 2 weeks in patients with type 2 diabetes mellitus. Clin Pharmacol Ther. 2009 May;85(5):513-9. doi: 10.1038/clpt.2008.250. Epub 2009 Jan 7. Erratum In: Clin Pharmacol Ther. 2009 May;85(5):558.
- Neumiller JJ, White JR Jr, Campbell RK. Sodium-glucose co-transport inhibitors: progress and therapeutic potential in type 2 diabetes mellitus. Drugs. 2010 Mar 5;70(4):377-85. doi: 10.2165/11318680-000000000-00000.
- Santer R, Kinner M, Lassen CL, Schneppenheim R, Eggert P, Bald M, Brodehl J, Daschner M, Ehrich JH, Kemper M, Li Volti S, Neuhaus T, Skovby F, Swift PG, Schaub J, Klaerke D. Molecular analysis of the SGLT2 gene in patients with renal glucosuria. J Am Soc Nephrol. 2003 Nov;14(11):2873-82. doi: 10.1097/01.asn.0000092790.89332.d2.
- Sicree, R., Shaw, J., and Zimmet, P. (2010). The Global Burden - Diabetes and Impaired Glucose Tolerance (Baker IDI Heart and Diabetes Institute).
- van den Heuvel LP, Assink K, Willemsen M, Monnens L. Autosomal recessive renal glucosuria attributable to a mutation in the sodium glucose cotransporter (SGLT2). Hum Genet. 2002 Dec;111(6):544-7. doi: 10.1007/s00439-002-0820-5. Epub 2002 Sep 27.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- THR-1442-C-418
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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