Study to Assess Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of JNJ-64565111 in Type 2 Diabetes Mellitus (T2DM)
A Double-Blind, Randomized, Placebo-Controlled, Multiple Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of JNJ-64565111 in Men and Women 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
-
-
-
Neuss, Germany
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of Type 2 Diabetes Mellitus (T2DM) at least 3 months prior to Screening
- On a stable treatment regimen at least 3 months prior to Screening of (1) diet and exercise, or (2) metformin monotherapy (at a dose of at least 1,000 milligram (mg) per day)
- Blood pressure between 90 and 140 millimeter of mercury (mmHg) systolic, inclusive, and between 60 and 100 mmHg diastolic, inclusive at Screening (sitting) and Day -2 (supine). If blood pressure is out of range, up to 2 repeated assessments are permitted
- HbA1c greater than or equal to 6.5% and less than 8.5% at Screening
- Females of non-childbearing potential
Exclusion Criteria:
- History of, or currently active, significant illness or medical disorders, including cardiovascular disease (including cardiac arrhythmias, myocardial infarction, stroke, peripheral vascular disease), hematological disease (example, von Willebrand's disease or other bleeding disorders), respiratory disease, hepatic or gastrointestinal disease, neurological or psychiatric disease, ophthalmologic disorders, neoplastic disease, skin disorder, renal disorder, or any other illness that the Principal Investigator (PI) considers should exclude the participant or that could interfere with the interpretation of the study results
- Previous surgical treatment for obesity (example, gastric bypass, gastric banding)
- History of diabetic neuropathy with signs of gastroparesis and/or known proliferative retinopathy or maculopathy
- History or current diagnosis of acute or chronic pancreatitis
- History of an invasive cardiovascular surgical procedure including, but not limited to, coronary artery bypass graft (CABG), or percutaneous coronary intervention (PCI)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1 (JNJ-64565111 2.5 nmol/kg or Placebo)
Participants in ratio of 3:1 will receive 2.5 Nanomole Per Kilogram (nmol/kg) JNJ-64565111 or placebo.
|
Participants will receive JNJ-64565111 subcutaneously in the abdomen on Days 1, 8, 15 and 22.
Participants will receive Placebo subcutaneously in the abdomen on Days 1, 8, 15 and 22.
|
|
Experimental: Cohort 2 (JNJ-64565111 3 nmol/kg or Placebo)
Participants in ratio of 3:1 will receive 3.0 nmol/kg JNJ-64565111 or placebo.
Dose may be escalated based on review by Sponsor and Principal Investigator of blinded safety, tolerability, pharmacokinetic, and (all available) pharmacodynamic data collected up to Day 29 but dose will not exceed 3.5 nmol/kg.
|
Participants will receive JNJ-64565111 subcutaneously in the abdomen on Days 1, 8, 15 and 22.
Participants will receive Placebo subcutaneously in the abdomen on Days 1, 8, 15 and 22.
|
|
Experimental: Cohort 3 (JNJ-64565111 3.5 nmol/kg or Placebo)
Participants in ratio of 3:1 will receive 3.5 nmol/kg JNJ-64565111 or placebo.
Dose may be escalated based on review by Sponsor and Principal Investigator of blinded safety, tolerability, pharmacokinetic, and (all available) pharmacodynamic data collected up to Day 29 but dose will not exceed 3.5 nmol/kg.
|
Participants will receive JNJ-64565111 subcutaneously in the abdomen on Days 1, 8, 15 and 22.
Participants will receive Placebo subcutaneously in the abdomen on Days 1, 8, 15 and 22.
|
|
Experimental: Cohort 4 (JNJ-64565111 Repeat or Lower Dose or Placebo)
Participants in ratio of 3:1 will receive a dose of JNJ-64565111 or placebo that would be a repeat or lower dose level previously assessed as well-tolerated.
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Participants will receive JNJ-64565111 subcutaneously in the abdomen on Days 1, 8, 15 and 22.
Participants will receive Placebo subcutaneously in the abdomen on Days 1, 8, 15 and 22.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of Participants With Adverse Events as a Measure of Safety and Tolerability
Time Frame: Up to Day 72
|
Up to Day 72
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Incidence of Anti-JNJ-64565111 Antibodies as Measure of Immunogenicity
Time Frame: Up to Day 72
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Up to Day 72
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Change From Baseline in Body Weight
Time Frame: Baseline, up to Day 72
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Baseline, up to Day 72
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|
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Maximum Observed Plasma Concentration (Cmax)
Time Frame: Up to Day 72
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Maximum observed plasma concentration (Cmax) will be assessed after first dose and last dose.
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Up to Day 72
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Time to Reach Maximum Observed Plasma Concentration (Tmax)
Time Frame: Up to Day 72
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Tmax defined as actual sampling time to reach maximum observed analyte concentration will be assessed after first dose and last dose.
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Up to Day 72
|
|
Area Under Concentration from time zero to the last quantifiable concentration AUC(0-last)
Time Frame: Up to Day 72
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AUC from time zero to the last quantifiable concentration will be assessed after first dose and after last dose.
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Up to Day 72
|
|
Area Under Curve over the dosing interval AUC(0-tau)
Time Frame: Up to Day 72
|
The AUC [0-tau] is the measure of the plasma drug concentration from time zero to end of dosing interval.
It is used to characterize drug absorption.
AUC [0-tau] will be assessed after first dose and last dose.
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Up to Day 72
|
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Elimination Half-Life (t1/2)
Time Frame: Up to Day 72
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The elimination half-life (t1/2) is the time measured for the plasma concentration to decrease by 1 half to its original concentration.
t1/2 will be assessed after first dose and last dose.
|
Up to Day 72
|
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Apparent Clearance (CL/F)
Time Frame: Up to Day 72
|
The Oral Clearance (CL/F) is the clearance based on oral bioavailability.
CL/F will be assessed after first dose and last dose.
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Up to Day 72
|
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Apparent Volume of Distribution (V/F)
Time Frame: Up to Day 72
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Apparent volume of distribution will be assessed after first dose and last dose.
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Up to Day 72
|
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Terminal Rate Constant (K)
Time Frame: Up to Day 72
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Terminal rate constant will be assessed after first dose and last dose.
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Up to Day 72
|
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Average concentration over the dosing interval at steady state (Caverage,ss)
Time Frame: Up to Day 72
|
The average concentration over the dosing interval at steady state, calculated as AUC(0-tau)/tau and will be assessed after last dose.
|
Up to Day 72
|
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Minimum Observed Plasma Concentration (Cmin)
Time Frame: Up to Day 72
|
The Cmin is the minimum observed plasma concentration over the dosing interval at steady state.
Cmin will be assessed after last dose.
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Up to Day 72
|
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Area Under Curve from time zero extrapolated to infinity AUC(0-inf)
Time Frame: Up to Day 72
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AUC from time zero extrapolated to infinity will be assessed after last dose.
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Up to Day 72
|
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Accumulation Ratio
Time Frame: Up to Day 72
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Accumulation ratio calculated as AUC(0-tau), Day 22 / AUC(0-tau), Day 1 will be assessed after last dose.
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Up to Day 72
|
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Change From Baseline in Blood Pressure
Time Frame: Baseline, up to Day 72
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Baseline, up to Day 72
|
|
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Change From Baseline in Heart Rate
Time Frame: Baseline, up to Day 72
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Baseline, up to Day 72
|
|
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Change From Baseline for 24-hour Mean Plasma Glucose
Time Frame: Baseline, Day 26
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Mean plasma glucose defined as the total and/or incremental area under the concentration (AUC) time curve over 0 to 24 hours, divided by 24.
|
Baseline, Day 26
|
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Change From Baseline in Fasting Plasma Glucose (FPG)
Time Frame: Baseline, up to Day 72
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Baseline, up to Day 72
|
|
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Change From Baseline in Hemoglobin A1c (HbA1c)
Time Frame: Baseline, up to Day 72
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Baseline, up to Day 72
|
|
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Change From Baseline on Fasting Lipids
Time Frame: Baseline, up to Day 72
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Total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), very low-density lipoprotein cholesterol (VLDL-C), triglycerides and free fatty acids will be reported.
|
Baseline, up to Day 72
|
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Change From Baseline in Insulin Secretion
Time Frame: Baseline, Day 26
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Baseline, Day 26
|
|
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Change From Baseline in Insulin Sensitivity
Time Frame: Baseline, Day 26
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Baseline, Day 26
|
|
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Change From Baseline for C-peptide
Time Frame: Baseline, Day 26
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Baseline, Day 26
|
|
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Change From Baseline for Glucagon
Time Frame: Baseline, Day 26
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Baseline, Day 26
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Study record dates
Study Major Dates
Study Start (Actual)
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 (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CR108166
- 64565111EDI1001 (Other Identifier: Janssen Research & Development, LLC)
- 2016-001084-37 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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