Safety and Tolerability Study of MBX-2044 in Patients With Type 2 Diabetes

April 29, 2015 updated by: CymaBay Therapeutics, Inc.

Phase 2a, Randomized, Double-Blind, Placebo-Controlled Multiple Ascending Dose Study of MBX-2044 to Evaluate the Multiple-dose Pharmacokinetics, Safety and Tolerability When Administered Orally in Patients With Type 2 Diabetes

The purpose of this study is to collect important information regarding the glucose-lowering efficacy of MBX-2044 and the safety of MBX-2044 (especially weight gain and edema) in diabetics. It will also provide important information about the appropriate doses to be used in subsequent longer-term studies to evaluate the safety and efficacy of MBX-2044 alone and in combination with other anti-diabetic agents.

Study Overview

Detailed Description

The current study is designed to test the short-term effectiveness and tolerability of MBX-2044 in patients with type 2 diabetes who are currently being controlled with up to one or two non-TZD hypoglycemic agent(s) including sulfonylureas, meglitinides, metformin, α-glucosidase inhibitors or Byetta®. Eligible patients will be enrolled into one of the following treatment cohorts receiving either placebo or MBX-2044 at 1.5, 4.5, 15, 30, or 60 mg/day in a double-blinded study for a 14-day treatment period. Patients will be evaluated for adverse events and vital signs daily. All efficacy and laboratory safety measures will be assessed after 2 weeks. This study will provide important information regarding the glucose-lowering efficacy of MBX-2044 and the safety of MBX-2044 (especially weight gain and edema) in diabetics. It will also provide important information about the appropriate doses to be used in subsequent longer-term studies to evaluate the safety and efficacy of MBX-2044 alone and in combination with other anti-diabetic agents.

Study Type

Interventional

Enrollment (Actual)

60

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Texas
      • San Antonio, Texas, United States, 78229-4801
        • Diabetes and Glandular Disease Research Associates

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Type 2 diabetes previously controlled with up to one or two non-TZD hypoglycemic agents including sulfonylureas (e.g., glyburide, glipizide, glimeprimide), meglitinides (e.g., Prandin®, Starlix®), metformin (e.g., Glucophage®), α-glucosidase inhibitors (e.g.,acarbose, miglitol) or Byetta®
  • All female patients must be either surgically sterile or post-menopausal.
  • Male patients with female partners of childbearing potential must agree to use condoms, or their partner must use a medically acceptable form of contraception.
  • BMI 24-44 kg/m2.
  • Patients must have a FPG ≤ 200 mg/dL at screening.
  • Patients must have Hemoglobin A1c ≥ 6.5%, ≤ 10.0% at screening.
  • Electrocardiogram (ECG) and chest x-ray must be normal, or considered not clinically significant, for participation in this study.
  • Patients must have a blood pressure ≤ 160/90 mm/hg including hypertensive patients controlled with medication.

Exclusion Criteria:

  • History of Type 1 diabetes or diabetes secondary to pancreatitis or pancreatectomy.
  • History of TZD use (Actos or Avandia) within 6 months of Screening Visit.
  • History of TZD discontinuation due to lack of efficacy.
  • History of congestive heart failure within last 5 years.
  • History of significant pulmonary disease, myocardial infarction, cerebrovascular accident, or nephrotic syndrome within last 1 year.
  • Malignancy within the last 5 years (except resected basal cell carcinoma).
  • Ongoing active infection.
  • Change in treatment with lipid-lowering agent within 7 days of screening visit.
  • Current or expected requirement for anticoagulant therapy [except for low-dose aspirin ≤ 325 mg/d or Plavix® ≤ 75 mg/d].
  • Current or expected treatment with phenytoin for the duration of the study.
  • Known hypersensitivity to NSAIDs.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Single Group Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Placebo
Placebo Intervention
Experimental: MBX-2044 1.5 mg
MBX-2044 1.5 mg one capsule daily for 14 days
MBX-2044 4.5 mg three 1.5 mg capsules daily for 14 days
MBX-2044 15 mg one capsule daily for 14 days
MBX-2044 30 mg two 15 mg capsules daily for 14 days
MBX-2044 60 mg one capsule daily for 14 days
MBX-2044 90 mg one 60 mg capsule and two 15 mg capsules daily for 14 days
Experimental: MBX-2044 4.5 mg
MBX-2044 1.5 mg one capsule daily for 14 days
MBX-2044 4.5 mg three 1.5 mg capsules daily for 14 days
MBX-2044 15 mg one capsule daily for 14 days
MBX-2044 30 mg two 15 mg capsules daily for 14 days
MBX-2044 60 mg one capsule daily for 14 days
MBX-2044 90 mg one 60 mg capsule and two 15 mg capsules daily for 14 days
Experimental: MBX-2044 15 mg
MBX-2044 1.5 mg one capsule daily for 14 days
MBX-2044 4.5 mg three 1.5 mg capsules daily for 14 days
MBX-2044 15 mg one capsule daily for 14 days
MBX-2044 30 mg two 15 mg capsules daily for 14 days
MBX-2044 60 mg one capsule daily for 14 days
MBX-2044 90 mg one 60 mg capsule and two 15 mg capsules daily for 14 days
Experimental: MBX-2044 30 mg
MBX-2044 1.5 mg one capsule daily for 14 days
MBX-2044 4.5 mg three 1.5 mg capsules daily for 14 days
MBX-2044 15 mg one capsule daily for 14 days
MBX-2044 30 mg two 15 mg capsules daily for 14 days
MBX-2044 60 mg one capsule daily for 14 days
MBX-2044 90 mg one 60 mg capsule and two 15 mg capsules daily for 14 days
Experimental: MBX-2044 60 mg
MBX-2044 1.5 mg one capsule daily for 14 days
MBX-2044 4.5 mg three 1.5 mg capsules daily for 14 days
MBX-2044 15 mg one capsule daily for 14 days
MBX-2044 30 mg two 15 mg capsules daily for 14 days
MBX-2044 60 mg one capsule daily for 14 days
MBX-2044 90 mg one 60 mg capsule and two 15 mg capsules daily for 14 days
Experimental: MBX-2044 90 mg
MBX-2044 1.5 mg one capsule daily for 14 days
MBX-2044 4.5 mg three 1.5 mg capsules daily for 14 days
MBX-2044 15 mg one capsule daily for 14 days
MBX-2044 30 mg two 15 mg capsules daily for 14 days
MBX-2044 60 mg one capsule daily for 14 days
MBX-2044 90 mg one 60 mg capsule and two 15 mg capsules daily for 14 days

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Evaluate the multiple-dose pharmacokinetics of MBX-2044 administered as monotherapy at the protocol-specified daily dose orally for 14 days
Evaluate the clinical safety and tolerability of MBX-2044 after 14 days administration, including the parameters of weight gain and edema
Determine the maximum tolerated dose (MTD) of MBX-2044, after 14 days administration
Determine the effect of MBX-2044 after 14 days administration, on efficacy parameters

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Sherwyn Schwartz, MD, Diabetes and Glandular Research Associates

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2006

Primary Completion (Actual)

August 1, 2007

Study Completion (Actual)

September 1, 2007

Study Registration Dates

First Submitted

January 15, 2007

First Submitted That Met QC Criteria

January 15, 2007

First Posted (Estimate)

January 17, 2007

Study Record Updates

Last Update Posted (Estimate)

May 1, 2015

Last Update Submitted That Met QC Criteria

April 29, 2015

Last Verified

April 1, 2015

More Information

Terms related to this study

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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