A Study to Evaluate the Pharmacodynamic Effects of Single-Dose Co-Administration of LX4211 With Januvia® in Type 2 Diabetics
A Phase 1, Open-label, 3-period, 3-treatment, Single Dose Crossover Study to Evaluate the Pharmacodynamic Effects of LX4211 When Administered Concurrently With JANUVIA® (Sitagliptin) in Subjects With Type 2 Diabetes Mellitus
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Texas
-
San Antonio, Texas, United States, 78209
- Lexicon Investigational Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults aged 18 to 65 years of age
- History of Type 2 Diabetes Mellitus for at least 3 months prior to Screening, with HgbA1c values of 6.5 to 10.5% and C-peptide ≥1.0 ng/mL
- Body mass index (BMI) ≤45 kg/sq m
- Willing and able to self-monitor blood glucose
- Able to provide written informed consent
Exclusion Criteria:
- History of Type 1 diabetes mellitus, diabetic ketoacidosis, hyperosmolar nonketotic syndrome, or diabetes resulting from pancreatic disorder or secondary diabetes
- Current use of any blood glucose lowering agent other than metformin
- History of renal disease or clinically significant abnormal kidney function tests at Screening or Day -2
- Presence of active hepatic disease or clinically significant abnormal liver function tests at Screening or Day -2
- History of myocardial infarction, severe/unstable angina, or coronary revascularization procedure within 6 months of Day -2
- History of clinically significant cardiac arrhythmias within 1 year of Day -2
- Congestive heart failure and/or New York Heart Association (NYHA) class III or IV symptoms of heart failure
- Subjects with uncontrolled Stage 3 hypertension
- History of 2 or more emergency room visits, doctor's visits, or hospitalizations due to hypoglycemia within 6 months of Day -2
- History of alcohol or drug abuse within 12 months of Screening
- History of bowel resection > 20 cm, any malabsorptive disorder, severe gastroparesis, and GI procedure for the purpose of weight loss that would slow gastric emptying
- History of HIV or hepatitis C
- Major surgery within 3 months of Day -2 or any planned surgery during the study
- History of any active infection within 2 weeks of Day -2
- History of pancreatitis
- History of any malignancy within the last 5 years which would affect the diagnosis or assessment of LX4211 or sitagliptin
- History of any serious adverse reaction or hypersensitivity to LX4211 or sitagliptin
- Presence of any clinically significant physical, laboratory, or ECG findings or any concurrent condition at Screening that may interfere with the study in the opinion of the investigator
- Triglycerides > 1000 mg/dL at Screening or Day -2
- Donation or loss of >400 mL of blood or blood product within 8 weeks prior to Day -2
- Use of any tobacco product for the duration of study participation
- Use of corticosteroids within 2 weeks of Day 1
- Use of digoxin or warfarin within 2 weeks prior to Screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment C
|
400 mg of LX4211 administered as two 200 mg tablets
100 mg Januvia® (sitagliptin) administered as one 100 mg sitagliptin tablet
|
|
Experimental: Treatment A
|
400 mg of LX4211 administered as two 200 mg tablets
|
|
Active Comparator: Treatment B
|
100 mg Januvia® (sitagliptin) administered as one 100 mg sitagliptin tablet
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in gut hormones
Time Frame: Days 1, 8, and 15
|
Days 1, 8, and 15
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change from baseline in fasting plasma glucose
Time Frame: Days 1, 8, and 15
|
Days 1, 8, and 15
|
|
Change from baseline in postprandial glucose
Time Frame: Days 1, 8, and 15
|
Days 1, 8, and 15
|
|
Change from baseline in insulin
Time Frame: Days 1, 8, and 15
|
Days 1, 8, and 15
|
|
Change from baseline in peptide YY
Time Frame: Days 1, 8, and 15
|
Days 1, 8, and 15
|
|
Change from baseline in urinary glucose excretion
Time Frame: Days 1, 8, and 15
|
Days 1, 8, and 15
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary 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 (Estimate)
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
Additional Relevant MeSH Terms
- Glucose Metabolism Disorders
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Protease Inhibitors
- Incretins
- Sodium-Glucose Transporter 2 Inhibitors
- Dipeptidyl-Peptidase IV Inhibitors
- Sitagliptin Phosphate
- (2S,3R,4R,5S,6R)-2-(4-chloro-3-(4-ethoxybenzyl)phenyl)-6-(methylthio)tetrahydro-2H-pyran-3,4,5-triol
Other Study ID Numbers
Other Study ID Numbers
- LX4211.1-105-DM
- LX4211.105 (Other Identifier: Lexicon Pharmaceuticals, Inc.)
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