A Study of CX11 Tablets in Patients With Type 2 Diabetes Mellitus
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Dose-Finding Study of CX11 Tablets in Patients With Type 2 Diabetes Mellitus
This study is testing whether a new medication called CX11 works and is safe for participants with type 2 diabetes who have not reached good blood sugar control while taking a steady dose of metformin, with or without a steady dose of an SGLT2 inhibitor, for at least 90 days.
The study is being done at multiple medical centers. Participants are assigned by chance (randomized) to different groups, and neither the participants nor the study staff know which group they're in (double-blind). The groups are compared side by side (parallel), and some participants will receive inactive pills (placebo) to help measure the true effect of the study drug.
After screening, participants will be randomly placed into one of six groups, with equal chances of being in any group. Each group will receive a different dose of CX11 or a placebo. Treatment will last 24 weeks. After that, all participants will have a 2-week follow-up period to check on safety.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Study Coordinator
- Phone Number: 201-268-3723
- Email: information.center@corxelbio.com
Study Locations
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Greater Poland Voivodeship
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Poznan, Greater Poland Voivodeship, Poland, 60-702
- Recruiting
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Poznaniu
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Kuyavian-Pomeranian Voivodeship
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Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland, 85 001
- Recruiting
- Centrum Medyczne Pratia Bydgoszcz - PPDS
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Lesser Poland Voivodeship
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Krakow, Lesser Poland Voivodeship, Poland, 31-261
- Recruiting
- Medyczne Centrum Diabetologiczno-Endokrynologiczno-Metaboliczne
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Krakow, Lesser Poland Voivodeship, Poland, 31-501
- Recruiting
- FutureMeds - Krakow - PPDS
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Tarnów, Lesser Poland Voivodeship, Poland, 33-100
- Recruiting
- METABOLICA Sp. z o.o
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Lower Silesian Voivodeship
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Wroclaw, Lower Silesian Voivodeship, Poland, 50-381
- Recruiting
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial we Wroclawiu
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Lódzkie
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Lodz, Lódzkie, Poland, 90-127
- Recruiting
- AES - DRS - Synexus Polska Sp. Z o.o. Oddzial w Lodzi
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Lodz, Lódzkie, Poland, 91-363
- Recruiting
- FutureMeds - Lodz - PPDS
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Poland, 02-672
- Recruiting
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Warszawie
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Warsaw, Masovian Voivodeship, Poland, 02-677
- Recruiting
- ETG Warszawa - PPDS
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Warsaw, Masovian Voivodeship, Poland, 00-215
- Recruiting
- FutureMeds - Warszawa Centrum - PPDS
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Poland, 80-382
- Recruiting
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Gdansku
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Gdynia, Pomeranian Voivodeship, Poland, 81-537
- Recruiting
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Gdyni
-
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Silesian Voivodeship
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Częstochowa, Silesian Voivodeship, Poland, 42-202
- Recruiting
- AES - DRS - Synexus Polska Sp. z o.o. Oddzial w Czestochowie
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Alabama
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Birmingham, Alabama, United States, 35205-1605
- Recruiting
- Central Research Associates - Flourish - PPDS
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Birmingham, Alabama, United States, 35211-1320
- Recruiting
- AES - DRS - Synexus Clinical Research US, Inc. - Birmingham
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Huntsville, Alabama, United States, 35802-2569
- Recruiting
- AES - DRS - Optimal Research Alabama - Huntsville
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California
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Long Beach, California, United States, 90815-2521
- Recruiting
- Ark Clinical Research - Long Beach
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Walnut Creek, California, United States, 94598-3343
- Recruiting
- Flourish Research - Walnut Creek - PPDS
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Florida
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Melbourne, Florida, United States, 32934-8172
- Recruiting
- AES - DRS - Optimal Research Florida - Melbourne
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Tampa, Florida, United States, 33606-3571
- Recruiting
- Tampa General Hospital
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Winter Park, Florida, United States, 32789-1857
- Recruiting
- Conquest Research LLC - Winter Park
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Georgia
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Albany, Georgia, United States, 31707-0205
- Recruiting
- Privia Medical Group Georgia, LLC - Albany - Javara - PPDS
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Fayetteville, Georgia, United States, 30214
- Recruiting
- Javara Inc. - Fayetteville
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Savannah, Georgia, United States, 31406-3928
- Recruiting
- Privia Medical Group Georgia, LLC - Savannah - Javara - PPDS
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Thomasville, Georgia, United States, 31792-6618
- Recruiting
- Privia Medical Group Georgia, LLC - Thomasville - Javara - PPDS
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Illinois
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Chicago, Illinois, United States, 60602-3960
- Recruiting
- AES - DRS - Synexus Clinical Research US, Inc. - Chicago
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Indiana
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Evansville, Indiana, United States, 47714-7513
- Recruiting
- AES - DRS - Synexus Clinical Research US, Inc. - Evansville
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Maryland
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Silver Spring, Maryland, United States, 20901-1586
- Recruiting
- Privia Medical Group, LLC - Kelly's Collaborative Care - Javara - PPDS
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Massachusetts
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Springfield, Massachusetts, United States, 01103
- Recruiting
- Elixia Health - Springfield - Elixia - PPDS
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Michigan
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Pontiac, Michigan, United States, 48341
- Recruiting
- Elixia Health - Michigan Kidney Consultants, LLC - Elixia - PPDS
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Minnesota
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Edina, Minnesota, United States, 55435-4305
- Recruiting
- AES - DRS - Synexus Clinical Research US, Inc. - Edina - Minneapolis
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Mankato, Minnesota, United States, 56001
- Recruiting
- Mankato Clinic - East Main Street - Javara - PPDS
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New Jersey
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Berlin, New Jersey, United States, 08009
- Recruiting
- Hassman Research Institute - Berlin - CenExel - PPDS
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New Mexico
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Albuquerque, New Mexico, United States, 87102-2619
- Recruiting
- Albuquerque Clinical Trials Inc
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North Carolina
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Raleigh, North Carolina, United States, 27612-8106
- Recruiting
- M3 Wake Research, Inc - M3 WR
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73118-2872
- Recruiting
- Unity Clinical Research
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South Carolina
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North Charleston, South Carolina, United States, 29406
- Recruiting
- Monroe Biomedical Research Charleston
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Texas
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Dallas, Texas, United States, 75390-7202
- Not yet recruiting
- University of Texas Southwestern Medical Center
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Dallas, Texas, United States, 75246
- Recruiting
- M3 Wake Research - Dallas
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Mesquite, Texas, United States, 751497
- Recruiting
- SMS Clinical Research, LLC - 400 W. Kearney St
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San Antonio, Texas, United States, 78229-3272
- Recruiting
- AES - DRS - Synexus Clinical Research US, Inc. - San Antonio
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San Antonio, Texas, United States, 78229-3539
- Recruiting
- Flourish Research - San Antonio - PPDS
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Stephenville, Texas, United States, 76401-1860
- Recruiting
- Privia Medical Group- North Texas - Stephenville - Javara - PPDS
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Virginia
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Vienna, Virginia, United States, 22182
- Recruiting
- Conquest Research - Arlington
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria
Participants who meet all of the following criteria will be eligible to participate in this study:
- Adults aged 18 to 75.
- Diagnosis of type 2 diabetes for at least 6 months.
- HbA1c between 7.0% and 10.5%.
- Body mass index (BMI) between 23 and 50 kg/m².
- Body weight stable for the past 3 months before joining.
- Stable dose of metformin (≥1000 mg/day), with or without SGLT2i, for ≥3 months.
- Women of childbearing potential (WOCBP): highly effective contraception ≥6 months prior to screening, throughout study, and 90 days post-last dose; negative pregnancy test within 24 hrs of first dose; no intent to donate sperm/ova
- Agrees to avoid grapefruit/grapefruit products
Exclusion Criteria
Participants who meet any of the following criteria will be excluded from this study:
- Anticipated initiation or change in concomitant medications (for more than 14 consecutive days) known to affect weight or glucose metabolism (e.g. treatment with orlistat, thyroid hormones, or systemic corticosteroids).
- Type 1 diabetes or a history of diabetic ketoacidosis.
- Use of any GLP-1 receptor agonist within the past 6 months, or any prior exposure to CX11.
- Use of insulin to control blood sugar within the past 12 months.
- More than one episode of severe low blood sugar, with awareness of hypoglycemia symptoms.
Cardiovascular or cerebrovascular conditions within the past 6 months:
- Heart attack, coronary angioplasty, or bypass surgery (diagnostic angiography allowed).
- Valvular heart disease or prior heart valve repair surgery.
- Unstable angina.
- Transient ischemic attack (TIA) or stroke.
- Decompensated heart failure (NYHA Class III or IV).
- ECG abnormalities indicating significant safety risk, such as supraventricular tachycardia, torsades de pointes, second- or third-degree AV block, myocardial infarction, QTcF > 450 ms in males or > 470 ms in females, PR interval > 220 ms.
- Poorly controlled hypertension at screening: systolic ≥ 180 mmHg or diastolic ≥ 100 mmHg.
Pancreatic or gallbladder conditions:
- Acute or chronic pancreatitis.
- Symptomatic gallbladder disease (previous cholecystectomy is allowed).
- Pancreatic injury or risk factors that increase pancreatitis risk.
Thyroid conditions:
- Poorly controlled abnormal thyroid function on a stable dose before screening.
- Clinically significant abnormal thyroid test results at screening.
- Personal or first-degree family history of medullary thyroid carcinoma or multiple endocrine neoplasia (MEN) type 2A or 2B.
Cancer history:
- Malignancy within the past 5 years, regardless of recurrence or metastasis. Exceptions: localized basal cell skin cancer, low-risk prostate cancer, cervical carcinoma in situ, or high-grade prostatic intraepithelial neoplasia.
Gastrointestinal conditions or treatments that may affect drug absorption:
- Abnormal gastric emptying (e.g., gastric outlet obstruction).
- Severe chronic gastrointestinal disease, including active ulcer within 6 months.
- Crohn's disease, ulcerative colitis, or other inflammatory bowel diseases.
- Prior gastrointestinal surgery (except polypectomy and appendectomy).
- Long-term use of drugs that directly affect gastrointestinal motility (e.g., mosapride, cisapride).
Liver disease:
- Active liver disease other than nonalcoholic fatty liver.
- Chronic active hepatitis B or C.
- Primary biliary cirrhosis.
Eye disease:
- Uncontrolled or potentially unstable diabetic retinopathy or maculopathy.
Abnormal lab results at screening:
- eGFR < 60 mL/min/1.73 m² (CKD-EPI).
- ALT or AST > 2.5 × upper limit of normal (ULN).
- Total bilirubin > 1.5 × ULN (except known Gilbert's syndrome).
- Serum amylase or lipase > 1.5 × ULN.
- Fasting triglycerides > 5.7 mmol/L.
- TSH > 1.5 × ULN or < 1.0 × LLN.
- Calcitonin ≥ 20 ng/L.
- Hemoglobin < 110 g/L (male) or < 100 g/L (female).
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 |
|---|---|
|
Placebo Comparator: Placebo group
|
Matching placebo tablets administered orally once daily (QD)
|
|
Experimental: 120 mg group
|
CX11 tablets administered orally once daily (QD)
Other Names:
|
|
Experimental: 160 mg group
|
CX11 tablets administered orally once daily (QD)
Other Names:
|
|
Experimental: 40 mg group
|
CX11 tablets administered orally once daily (QD)
Other Names:
|
|
Experimental: 80 mg group
|
CX11 tablets administered orally once daily (QD)
Other Names:
|
|
Experimental: 200 mg group
|
CX11 tablets administered orally once daily (QD)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in Glycosylated hemoglobin, Type A1C (HbA1c) from baseline
Time Frame: At Week 24
|
At Week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of participants achieving HbA1c < 7.0%
Time Frame: At Week 24
|
At Week 24
|
|
Proportion of participants achieving HbA1c ≤ 6.5%
Time Frame: At Week 24
|
At Week 24
|
|
Change from baseline in Time in Range (TIR) measured by Continuous Glucose Monitoring (CGM)
Time Frame: To Week 24
|
To Week 24
|
|
Change from baseline in fasting plasma glucose (FPG)
Time Frame: To Week 24
|
To Week 24
|
|
Change in body weight from baseline
Time Frame: To Week 24
|
To Week 24
|
|
Percent change in body weight from baseline
Time Frame: To Week 24
|
To Week 24
|
|
Proportion of participants achieving body weight loss ≥ 5%
Time Frame: At Week 24
|
At Week 24
|
|
Proportion of participants achieving body weight loss ≥ 10%
Time Frame: At Week 24
|
At Week 24
|
|
Change in Systolic Blood Pressure (SBP) from baseline
Time Frame: To Week 24
|
To Week 24
|
|
Change in Diastolic Blood Pressure (DBP) from baseline
Time Frame: To Week 24
|
To Week 24
|
|
Number of Level 2 hypoglycemic episodes (glucose <54 mg/dL)
Time Frame: To Week 24
|
To Week 24
|
|
Number of severe hypoglycemic episodes
Time Frame: To Week 24
|
To Week 24
|
|
Number of treatment-emergent adverse events (TEAEs)
Time Frame: Study duration, approximately 26 weeks
|
Study duration, approximately 26 weeks
|
|
Number of AEs of special interest (AESIs)
Time Frame: Study duration, approximately 26 weeks
|
Study duration, approximately 26 weeks
|
|
Plasma drug concentrations at each specified sampling time point
Time Frame: At Weeks 2, 4, 6, 8, 12, 16, 22 and 24
|
At Weeks 2, 4, 6, 8, 12, 16, 22 and 24
|
|
Mean plasma drug concentration at each specified sampling time point
Time Frame: At Weeks 2, 4, 6, 8, 12, 16, 22 and 24
|
At Weeks 2, 4, 6, 8, 12, 16, 22 and 24
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
- Hypoglycemia
- Continuous Glucose Monitoring
- Type 2 Diabetes Mellitus
- Blood glucose
- HbA1C
- Percentage change in HbA1C
- Change in Fasting Plasma Glucose
- Change in body weight
- Body weight loss
- Hypoglycemics episodes
- Health Survey Short Form-36
- Diabetes treatment satisfaction questionnaire
- Columbia-suicide severity rating scale
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CX11202
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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