- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02287402
Postmarketing Clinical Study on AO-128
Study Overview
Detailed Description
The α-glucosidase inhibitor voglibose was developed by Takeda Pharmaceutical Co. Ltd and is one of the most commonly used oral antidiabetic agents in Japan. Voglibose is used as first-line treatment for improvement of postprandial hyperglycemia in diabetic patients with inadequate response to diet and exercise therapy and as add-on treatment to other oral antidiabetic drugs and insulin. In 2009, voglibose was approved in Japan for the management of prediabetes (IGT).
This study was a single-group, multi-center, open-label study. The study period consisted of a screening period of 1 week or less, a treatment period of 96 weeks or more, and a follow-up period of 48 weeks. However, if a patient was assessed as having type 2 diabetes mellitus or normoglycemia, the treatment period was to be ended, and only those assessed as normoglycemic were to proceed to follow-up. Follow-up was also to be terminated if patients were assessed as having IGT or type 2 diabetes mellitus during follow-up.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients on diet therapy and exercise therapy for 3 to 6 months prior to the start of screening, with baseline (fasting ) plasma glucose < 126 mg/dL and 2-hour plasma glucose of 140 to 199 mg/dL (revised WHO criteria) during a 75 g oral glucose tolerance test (OGTT) in the screening period
Patients meeting any of 1 through 4 below:
- 1) Comorbid hypertension or high normal blood pressure
- 2) Comorbid dyslipidemia
- 3) Comorbid obesity
- 4) Patients with up to a second-degree family history of type 2 diabetes mellitus
- Patients with HbA1c < 6.5% in the screening period
- Male or female patients at least 20 years of age at the time informed consent was obtained
- Treatment category: Outpatient
Exclusion Criteria:
- Patients previously diagnosed with diabetes mellitus.
- Patients with apparent impaired glucose metabolism or with a disease or condition potentially involving impaired glucose metabolism.
- Patients with serious hepatic impairment.
- Patients with serious renal impairment.
- Patients with serious cardiac, cerebrovascular, pancreatic, hematologic, or other disease.
- Patients with a history of intestinal obstruction or a history of laparotomy within 6 months (24 weeks) before the start of screening.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: AO-128 0.6 mg
One AO-128 0.2 mg tablet was taken orally 3 times a day before meals.
|
AO-128 tablet
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of Diabetic Status in the Treatment Period (Type 2 Diabetes Mellitus, Normoglycemia, or Impaired Glucose Tolerance (IGT)
Time Frame: Treatment period: Up to 122 weeks. Treatment was to be ended when patients were assessed as Type 2 Diabetes Mellitus or normoglycemic.
|
Frequency tabulations of the "assessment of diabetic status in the treatment period (Type 2 Diabetes mellitus, normoglycemia, or IGT)" were prepared in the "Full Analysis Set".
|
Treatment period: Up to 122 weeks. Treatment was to be ended when patients were assessed as Type 2 Diabetes Mellitus or normoglycemic.
|
Assessment of Diabetic Status in Follow-up (Type 2 Diabetes Mellitus, Normoglycemia, or IGT)
Time Frame: Follow-up at Week 12, 24, 36, and 48
|
Frequency tabulations of the "assessment of diabetic status in the follow-up (Type 2 Diabetes mellitus, normoglycemia, or IGT)" were prepared in patients who proceeded to the follow-up in the "Full Analysis Set".
|
Follow-up at Week 12, 24, 36, and 48
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to Progression to Type 2 Diabetes Mellitus in the Treatment Period Calculated by the Kaplan-Meier Method
Time Frame: Day 168, 336, 504, and 672
|
The cumulative progression rate (percentage of participants) was calculated by the Kaplan-Meier method for the "time to progression to Type 2 Diabetes mellitus in the treatment period" in the "Full Analysis Set".
|
Day 168, 336, 504, and 672
|
Time to Progression to Type 2 Diabetes Mellitus in the Treatment Period Calculated Using the Cumulative Incidence Function
Time Frame: Day 168, 336, 504, and 672
|
The cumulative progression rate (percentage of participants) was calculated using the cumulative incidence function for the "time to progression to type 2 diabetes mellitus in the treatment period" in the "Full Analysis Set".
|
Day 168, 336, 504, and 672
|
Time to Improvement to Normoglycemia in the Treatment Period Calculated by the Kaplan-Meier Method
Time Frame: Day 168, 336, 504, and 672
|
The cumulative progression rate (percentage of participants) was calculated by the Kaplan-Meier method for the "time to improvement to normoglycemia in the treatment period" in the "Full Analysis Set".
|
Day 168, 336, 504, and 672
|
Time to Improvement to Normoglycemia in the Treatment Period Measured Values by the Cumulative Incidence Function
Time Frame: Day 168, 336, 504, and 672
|
The cumulative progression rate (percentage of participants) was calculated using the cumulative incidence function for the "time to improvement to normoglycemia in the treatment period" in the "Full Analysis Set".
|
Day 168, 336, 504, and 672
|
2-Hour Plasma Glucose During 75 g Oral Glucose Tolerance Test (OGTT)
Time Frame: Week 0, 24, 48, 72, 96, 120, and the end of the treatment period
|
Summary statistics were calculated at each assessment time point for the 2-hour plasma glucose during 75 g OGTT in the "Full Analysis Set."
|
Week 0, 24, 48, 72, 96, 120, and the end of the treatment period
|
2-Hour Plasma Glucose During 75 g OGTT at Follow-up
Time Frame: Follow-up at week 0, 12, 24, 36, and 48
|
Summary statistics were calculated at each assessment time point for the 2-hour plasma glucose during 75 g OGTT in participants who proceeded to the follow-up in the "Full Analysis Set."
|
Follow-up at week 0, 12, 24, 36, and 48
|
Hemoglobin A1c (HbA1c)
Time Frame: Week 0, 12, 24, 48, 72, 96, 120, and the end of the treatment period.
|
Summary statistics were calculated at each assessment time point for the HbA1c in the "Full Analysis Set."
|
Week 0, 12, 24, 48, 72, 96, 120, and the end of the treatment period.
|
HbA1c at Follow-up
Time Frame: Follow-up at Week 0, 12, 24, 36, and 48
|
Summary statistics were calculated at each assessment time point for the HbA1c in patients who proceeded to the follow-up in the "Full Analysis Set."
|
Follow-up at Week 0, 12, 24, 36, and 48
|
Body Weight
Time Frame: Week 0, 12, 24, 48, 72, 96, 120, and the end of the treatment period
|
Summary statistics were calculated at each assessment time point for the body weight in the "Full Analysis Set."
|
Week 0, 12, 24, 48, 72, 96, 120, and the end of the treatment period
|
Body Weight at Follow-up
Time Frame: Follow-up at Week 0, 12, 24, 36, and 48
|
Summary statistics were calculated at each assessment time point for the HbA1c in patients who proceeded to the follow-up in the "Full Analysis Set."
|
Follow-up at Week 0, 12, 24, 36, and 48
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AO-128/OCT-910
- JapicCTI-101004 (Other Identifier: JapicCTI)
- U1111-1163-1618 (Registry Identifier: WHO)
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.
Clinical Trials on Impaired Glucose Tolerance (IGT)
-
The University of Texas Health Science Center at...Amylin Pharmaceuticals, LLC.CompletedDiabetes | Impaired Glucose Tolerance (IGT)United States
-
Wroclaw Medical UniversityCompletedPreDiabetes | Impaired Glucose Tolerance (IGT) | Impaired Fasting Glucose (IFG)Poland
-
Yale UniversityNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)CompletedT2D | IGT - Impaired Glucose ToleranceUnited States
-
Chinese University of Hong KongUnknownDiabetes | Glucose Intolerance | Impaired Glucose Tolerance (IGT) | Impaired Fasting Glucose (IFG)China
-
The University of Texas Health Science Center at...National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); A... and other collaboratorsRecruitingDiabetes Mellitus, Type 2 | Impaired Glucose Tolerance (IGT) | Impaired Fasting Glucose (IFG)United States
-
Psychiatric Centre RigshospitaletUniversity of Cambridge; University Hospital, Gentofte, CopenhagenUnknownImpaired Glucose Tolerance Associated With DrugsDenmark
-
Columbia UniversityCompletedBody Weight | Impaired Glucose Tolerance in ObeseUnited States
-
Maastricht University Medical CenterCompletedObesity | Insulin Resistance | Impaired Glucose Tolerance in ObeseNetherlands
-
University of Oslo School of PharmacyCompletedRenal Transplant Recipients | Posttransplant Diabetes Mellitus | Posttransplant Impaired Glucose ToleranceNorway
-
Yonsei UniversityCompletedImpaired Glucose Tolerance | Impaired Fasting Glucose | NormalKorea, Republic of
Clinical Trials on AO-128
-
Hospital Cruz Roja MexicanaUnknown
-
TakedaCompletedImpaired Glucose ToleranceJapan
-
ActiveO Inc.CompletedDisk, HerniatedCanada
-
TherOxCompletedMyocardial InfarctionUnited States
-
TakedaTerminatedDiabetic Neuropathies
-
A2A Pharmaceuticals Inc.RecruitingTriple Negative Breast Cancer | Endometrial Cancer | High Grade Serous Ovarian CancerUnited States
-
TakedaCompletedDiabetic NeuropathiesUnited States, Canada
-
Arch OncologyCompletedMultiple MyelomaUnited States
-
Temple UniversityNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Active, not recruitingObesity | Overweight | Pregnancy RelatedUnited States
-
Advanced Accelerator ApplicationsTerminatedSpondyloarthritisUnited States