- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04141241
Phase 2a Study to Evaluate the Safety and Efficacy of PH100 Tablet in T2DM Patients With Recent Cardiovascular (PH100_IIa)
November 4, 2019 updated by: Bota Bio Co., Ltd.
Multi-center, Randomized, Double-blinded, Placebo-controlled, Parallel-design, 12-week, Therapeutic Exploratory, Phase 2a Study to Evaluate the Safety and Efficacy of PH100 Tablet in T2DM Patients With Recent Cardiovascular Complications
This is a Multi-center, Randomized, Double-blinded, Placebo-controlled, Parallel-design, 12-Week, Therapeutic exploratory, Phase IIa Study which will patients with type 2 diabetes mellitus and recent cardiovascular complications.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
After a screening, 114 patients will be stratified randomized in a 1:1:1 ratio to the 3 arms (PH100 800mg/day, PH100 1600mg/day, Placebo) to evaluate the safety and efficacy of PH100.
Subjects will visit the centers on Week 4, 8 and 12 during the entire 12-week treatment period.
Study Type
Interventional
Enrollment (Actual)
82
Phase
- Phase 2
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
19 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age >= 19 years old
- Subjects who have been treated for cardiovascular complications (stent insertion due to angina pectoris, myocardial infarction, cerebral ischemia, peripheral vascular disease) within 4 weeks prior to baseline
- T2DM patients who diagnosed with type 2 diabetes prior to or above cardiovascular complications and have been taking oral hypoglycemic agents and/or receiving insulin treatment before the above complication occurred
- Subjects taking a stable dose of statins and are anticipated to have no change in dose during the duration of the study
The following is confirmed through screening:
- AST/ALT ≤ 2.5 X ULN
- Creatinine ≤ 1.5 X ULN
- Hemoglobin ≥ 10 g/dL
- 6.5% ≤ HbA1c ≤ 11%
- Women of child-bearing potential who have negative pregnancy testing results and have agreed to use appropriate measures of contraception* during the duration of the study (*appropriate contraception is defined as women of child-bearing potential, excluding women in whom more than 52 weeks have passed since their last period, using the following methods: surgical sterilization, intrauterine device, condoms, barrier contraceptives, absolute abstinence)
- Subjects who have signed the informed consent form (or whose legal representative has signed) and who are deemed to be able to follow the requirements of the study
Exclusion Criteria:
- T2DM patients, secondary DM patients, Gestational DM patients
- Subjects who have a history of secondary hypertension or have a disease history of suspicious secondary hypertension. This includes but is not restricted to: aortic coarctation, primary hyperaldosteronism, renal artery stenosis, Cushing's disease, pheochromocytoma, polycystic kidney disease, etc.
- Subjects taking anti-inflammatory agents including corticosteroids/NSAIDs (However, maximum 100mg of aspirin per day is allowed)
- Subjects with chronic liver/renal disease or malignancy
- Supplements containing kajime or kajime derivatives (e.g. Seapolynol, Fibroboost, Fibronol, Seanol Longevity Plus, Circulate, Alginol, PC Eckonia Cava, Seanol, Seanol-F, Seanol-EX, Seanol-TX, Venusen, Memories with Seanol-P, Astaxanthol, Brilliant Vision with Seanol-P, Gly-Control, Gyne-Andro-Plex, Lipid Balance, Seanol with Broccoraphanin, Marine D3, Botabio everyone, Botabio power, Botabio red, Botabio premium, Botabio Eplus) and related medications, or subjects who have a history of hypersensitivity to high iodine containing products (seaweed, shellfish, etc.)
- Pregnant, breast-feeding subjects or subjects who have plans for pregnancy
- Subjects who have taken supplements containing kajime or kajime derivatives within 4 weeks of baseline (e.g., Seapolynol, Fibroboost, Fibronol, Seanol Longevity Plus, Circulate, Alginol, PC Eckonia Cava, Seanol, Seanol-F, Seanol- EX, Seanol-TX, Venusen, Memories with Seanol-P, Astaxanthol, Brilliant Vision with Seanol-P, Gly-Control, Gyne-Andro-Plex, Lipid Balance, Seanol with Broccoraphanin, Marine D3, Botabio everyone, Botabio power, Botabio red, Botabio premium, Botabio Eplus)
- Subjects who have participated in another clinical trial within 4 weeks of baseline and have taken other clinical trial medications
- Subjects who have received treatment for or who test positive for HBsAg, HCV antibody, or HIV at baseline
- Subjects who have an acute inflammatory disease other than cardiovascular complications within 4 weeks of baseline
- Subjects who have gastrointestinal diseases that may affect the absorption, distribution, metabolism, and excretion of drugs (e.g. Crohn's disease) and subjects who have a history of gastrointestinal surgery (with the exception of appendectomy and hernia repair), or subjects with active gastritis, gastrointestinal/rectal bleeding, active inflammatory bowel disease within the past 12 months
- Subjects with autoimmune disease (e.g. rheumatoid arthritis) or who require chronic anti-inflammatory treatment
- Subjects with a history of drug or alcohol abuse
- Subjects who are judged not to be appropriate for participation in the study or who have a medical condition that may have an influence on the study results
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: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Low Dose PH100: 800mg/day
|
Drugs that have been administered prior to participation in this study that are not expected to affect the results of this study will be accepted at the investigator's discretion.
Other Names:
|
Experimental: High Dose PH100: 1600mg/day
- PH100 4 tablets (800mg) BID during 12wks
|
Drugs that have been administered prior to participation in this study that are not expected to affect the results of this study will be accepted at the investigator's discretion.
Other Names:
|
Placebo Comparator: Placebo
|
Drugs that have been administered prior to participation in this study that are not expected to affect the results of this study will be accepted at the investigator's discretion.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
hs-CRP (high-sensitivity C-reactive protein)
Time Frame: Visit 2(Baseline Visit) vs Visit 5(week 12)
|
Change in hs-CRP level compared to baseline after 12 weeks of investigational product administration
|
Visit 2(Baseline Visit) vs Visit 5(week 12)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
hs-CRP
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8)
|
Change in hs-CRP level compared to baseline after 4 weeks, 8 weeks of investigational product administration
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8)
|
hs-CRP: monthly rate of change
Time Frame: Between Visit 2(Baseline Visit) and Visit 3(week 4), Between Visit 3(week 4) and Visit 4(week 8), Between Visit 4(week 8) and Visit 5(week 12)
|
Change in hs-CRP level monthly
|
Between Visit 2(Baseline Visit) and Visit 3(week 4), Between Visit 3(week 4) and Visit 4(week 8), Between Visit 4(week 8) and Visit 5(week 12)
|
Interleukin-6 (IL-6)
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Change in IL-6 [Inflammatory Marker]
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Tumor Necrosis Factor-α (TNF- α)
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Change in TNF- α [Inflammatory Marker]
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Malondialdehyde (MDA)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in MDA [Biomarkers of oxidative stress]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Oxidized Low Density Lipoprotein (Oxidized LDL)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in Oxidized LDL [Biomarkers of oxidative stress]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Glutathione Peroxidase (GPX)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in GPX [Biomarkers of oxidative stress]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Superoxide Dismutase (SOD)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in SOD [Biomarkers of oxidative stress]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Total AntiOxidants (TAS)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in TAS [Biomarkers of oxidative stress]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
HbA1c
Time Frame: Visit1(screening), Visit 5(week 12)
|
Change in HbA1c level compared to Visit1(screening) after 12 weeks of investigational product administration
|
Visit1(screening), Visit 5(week 12)
|
Adiponectin
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in Adiponectin level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Free Fatty Acid
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in Free Fatty Acid level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
High Density Lipoprotein-cholesterol (HDL-C)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in HDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Low Density Lipoprotein-cholesterol (LDL-C)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in LDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Triglyceride (TG)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in TG level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Total Cholesterol (TC)
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in TC level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Homocysteine
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in Homocysteine level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Fibrinogen
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in Fibrinogen level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
MACE (Major Adverse Cardiovascular Events)
Time Frame: Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Incidence rate of MACE (Major Adverse Cardiovascular Events) during investigational product administration
|
Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Left Ventricular Ejection Fraction
Time Frame: Visit 2(Baseline Visit), Visit 5(week 12)
|
Change in LVEFF compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration by Echocardiogram
|
Visit 2(Baseline Visit), Visit 5(week 12)
|
Blood Pressure (Systolic Blood Pressure, Diastolic Blood Pressure)
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Change in SiSBP, SiDBP
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
BMI
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Change in BMI
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Waist-hip ratio
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Change in Waist-hip ratio
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
AE (Adverse Events)
Time Frame: Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
[Safety and Tolerability] Incidence of AEs during investigational product administration
|
Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Pulse
Time Frame: Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
[Safety and Tolerability] Check the Vital Sign (pulse) every visit schedule
|
Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Body Temperature
Time Frame: Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
[Safety and Tolerability] Check the Vital Sign (body temperature) every visit schedule
|
Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Actual)
March 4, 2016
Primary Completion (Actual)
May 4, 2018
Study Completion (Actual)
May 4, 2018
Study Registration Dates
First Submitted
October 21, 2019
First Submitted That Met QC Criteria
October 24, 2019
First Posted (Actual)
October 28, 2019
Study Record Updates
Last Update Posted (Actual)
November 6, 2019
Last Update Submitted That Met QC Criteria
November 4, 2019
Last Verified
November 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BOTAB-DBCVC-PH100
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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