A 12-week Study To Evaluate PF-06291874 Once a Day in Adults With T2DM Inadequately Controlled On Metformin
A 12-week, Phase 2, Randomized, Double-blind, Placebo-controlled, Parallel Group Study To Evaluate The Efficacy And Safety Of Once Daily Pf-06291874 Administration In Adults With Type 2 Diabetes Mellitus Inadequately Controlled On Metformin
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Detailní popis
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 2
Kontakty a umístění
Studijní místa
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Ontario
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Brampton, Ontario, Kanada, L6T 0G1
- Aggarwal and Associates Limited
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Thornhill, Ontario, Kanada, L4J 8L7
- LMC Clinical Research Inc. (Thornhill)
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Toronto, Ontario, Kanada, M4G 3E8
- LMC Clinical Research Inc. (Bayview)
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Toronto, Ontario, Kanada, M9W 4L6
- Manna Research
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Quebec
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Lévis, Quebec, Kanada, G6W 0M6
- Manna Research Inc.
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Mirabel, Quebec, Kanada, J7J 2K8
- Omnispec Clinical Research, Inc.
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California
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Anaheim, California, Spojené státy, 92801
- Anaheim Clinical Trials, LLC
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Los Angeles, California, Spojené státy, 90057
- National Research Institute
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Orange, California, Spojené státy, 92868
- NRC Research Institute
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Roseville, California, Spojené státy, 95661
- Sierra Clinical Research
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Spring Valley, California, Spojené státy, 91978
- Encompass Clinical Research
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Upland, California, Spojené státy, 91786
- Empire Clinical Research
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Walnut Creek, California, Spojené státy, 94598
- Diablo Clinical Research, Inc
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Florida
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Coral Gables, Florida, Spojené státy, 33134
- Clinical Research of South Florida
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DeLand, Florida, Spojené státy, 32720
- Avail Clinical Research, LLC
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Miami, Florida, Spojené státy, 33135
- Suncoast Research Group, LLC
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South Miami, Florida, Spojené státy, 33143
- QPS-MRA, LLC (Miami research Associates)
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West Palm Beach, Florida, Spojené státy, 33409
- Palm Beach Research Center
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Georgia
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Sandy Springs, Georgia, Spojené státy, 30328
- WR-Mount Vernon Clinical Research, LLC
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Hawaii
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Honolulu, Hawaii, Spojené státy, 96814
- East-West Medical Research Institute
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Indiana
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Indianapolis, Indiana, Spojené státy, 46260
- Midwest Institute for Clinical Research
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Louisiana
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Metairie, Louisiana, Spojené státy, 70006
- Crescent City Clinical Research Center, LLC
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Missouri
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Saint Louis, Missouri, Spojené státy, 63141
- St. Louis Clinical Trials, LC
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Nevada
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Las Vegas, Nevada, Spojené státy, 89120
- ALAS Science Clinical Research
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New Jersey
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Berlin, New Jersey, Spojené státy, 08009
- Comprehensive Clinical Research
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Eatontown, New Jersey, Spojené státy, 07724
- Clinilabs Inc.
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Marlton, New Jersey, Spojené státy, 08053
- Pharmaceutical Research Associates, Inc.
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Trenton, New Jersey, Spojené státy, 08611
- TLB Research
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North Carolina
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Asheboro, North Carolina, Spojené státy, 27203
- Randolph Medical Associates
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High Point, North Carolina, Spojené státy, 27265
- High Point Clinical Trials Center, LLC
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North Dakota
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Fargo, North Dakota, Spojené státy, 58103
- Lillestol Research, LLC
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Ohio
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Columbus, Ohio, Spojené státy, 43213
- Aventiv Research
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Texas
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Houston, Texas, Spojené státy, 77081
- Texas Center for Drug Development, Inc.
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Houston, Texas, Spojené státy, 77074
- Juno Research, LLC
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Katy, Texas, Spojené státy, 77450
- Juno Research, LLC
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San Antonio, Texas, Spojené státy, 78229
- Clinical Trials of Texas, Inc.
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Schertz, Texas, Spojené státy, 78154
- Northeast Clinical Research of San Antonio, LLC
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Virginia
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Richmond, Virginia, Spojené státy, 23294
- National Clinical Research - Richmond, Inc.
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Males or non-childbearing potential females between the ages of 18 (or the minimum country specific age of consent if >18) and 70 years, inclusive, at the screening visit (V1) with the diagnosis of T2DM;Female subjects who are not of childbearing potential
- Subjects who have been on a stable dose of metformin either alone or in combination with one additional acceptable OAD
- HbA1c at the Screen Visit (V1), as assessed by study specific central laboratory, is 7-11% if on metformin monotherapy; is 6.5-9.5% if on dual combination therapy (metformin plus 1)
Exclusion Criteria:
- Diagnosis of type 1 diabetes mellitus or secondary forms of diabetes;
- Fasting plasma glucose levels >270 mg/dL (15.0 mmol/L) at the screening and run in visit, (as assessed by study specific central laboratory) confirmed by a single repeat, if deemed necessary
- History of myocardial infarction, unstable angina, arterial revascularization, stroke, New York Heart Association Functional Class III IV heart failure, or transient ischemic attack within 6 months of screening;
- Any medical condition possibly affecting study drug absorption (eg, gastrectomy or any area of intestinal resection, active inflammatory bowel disease or pancreatic insufficiency
- Subjects with a creatinine clearance <60 mL/min as determined by the Cockcroft Gault equation (listed below) using serum creatinine measured at screening, confirmed via a single repeat, if deemed necessary
- Subject with a positive result for hepatitis B surface antigen (HBsAg), hepatitis B core antibodies (HBc Ab) or hepatitis C virus (HCV) antibodies
- Screening seated systolic blood pressure >160 mm Hg and/or diastolic blood pressure >105 mm Hg after at least a 5 minute rest. Blood pressure determined as the mean of triplicate measurements collected with approximately 2 minutes of rest between measurements
- Screening supine 12 lead ECG demonstrating a corrected QT (QTc) >470 msec; or a QRS interval >120 msec. If QTc exceeds 470 msec or QRS exceeds 120 msec, the ECG may be repeated 2 more times with an interval of 2-4 minutes between each measurement and the mean of the 3 values used to determine the subject's eligibility
- Subjects with an arm circumference >52 cm measured at the midpoint of the length of the upper arm;
- History (within the last 6 months) of regular alcohol consumption exceeding 14 drinks per week for men and 7 drinks a week for women. (1 drink = 5 ounces of wine (150 mL) or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of hard liquor);
- Treatment with thiazolidinediones (TZDs), or subcutaneously administered anti diabetic agents (eg, insulin, exenatide, liraglutide, pramlintide) within 6 weeks prior to V1;
- Subjects with a known hypersensitivity or intolerance to a glucagon receptor antagonist, or known prior participation in a trial involving PF 06291874;
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Dvojnásobek
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Komparátor placeba: Placebo
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perorální tableta
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Experimentální: PF-06291874, 30 mg
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study drug to be given as an oral tablet at 30, 60 or 100 mg
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Experimentální: PF-06291874, 60 mg
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study drug to be given as an oral tablet at 30, 60 or 100 mg
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Experimentální: PF-06291874, 100 mg
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study drug to be given as an oral tablet at 30, 60 or 100 mg
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin (HbA1c) (%) at Week 12 as Compared to Placebo
Časové okno: Baseline, Week 12
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HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Baseline was defined as the last pre-dose measurement prior to first double blind dosing for the study.
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Baseline, Week 12
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Change From Baseline in HbA1c (%) at Weeks 2, 4, and 8
Časové okno: Baseline, Weeks 2, 4, 8
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HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Baseline was defined as the last pre-dose measurement prior to first double blind dosing for the study.
n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8
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Change From Baseline in Fasting Plasma Glucose at Weeks 2, 4, 8, and 12
Časové okno: Baseline, Weeks 2,4,8 and 12
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Fasting plasma glucose response changed from baseline at Weeks 2,4,8 and 12. Baseline was defined as the average of the measurements obtained during Day 14 visit window and Day 1 pre-dose measurement.
n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2,4,8 and 12
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Percentage of Participants Achieving Glycosylated Hemoglobin (HbA1c) <7% as Well as <6.5% at Week 12.
Časové okno: Week 12
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HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
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Week 12
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Number of Participants With Laboratory Test Abnormalities
Časové okno: Baseline up to 98 days
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The total number of participants with laboratory test abnormalities (without regard to baseline abnormality) was assessed.
Clinical laboratory tests included hematology, chemistry, urinalysis, and some other tests.
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Baseline up to 98 days
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Number of Participants With Change From Baseline and Absolute Values in 12-lead Electrocardiograms (ECGs) Meeting Categorical Summarization Criteria
Časové okno: Baseline up to Day 98
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ECG criteria of potential clinical concern were 1), time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval): >=140 milliseconds (msec); >=50% increase from baseline; 2), the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization (PR interval): >=300 msec; >=25 percent (%) increase when baseline >200 msec; or increase >=50% when baseline less than or equal to (<=)200 msec; 3), time from ECG Q wave to the end of the T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula (QTcF interval): absolute value >=450 - <480 msec, >=480-<500 msec, >=500 msec; increase from baseline >=30 - <60, >=60 msec.
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Baseline up to Day 98
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Number of Participants With Change From Baseline and Absolute Values in Vital Signs Meeting Categorical Summarization Criteria
Časové okno: Baseline up to Day 98
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Vital signs included seated supine systolic and diastolic blood pressure (BP) and pulse rate.
Vital signs criteria of potential clinical concern were 1), BP: systolic (SBP) greater than or equal to (>=) 30 millimeters of mercury (mm Hg) change from baseline, systolic less than (<) 90 mm Hg; diastolic BP (DBP) >=20 mm Hg change from baseline, diastolic <50 mm Hg; 2), pulse rate <40 or greater than (>) 120 beats per minute (bpm).
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Baseline up to Day 98
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Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Hypoglycemic Adverse Events (HAEs).
Časové okno: Baseline up to Day 119
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An adverse event (AE) was any untoward medical occurrence in a participant administered a study drug; the event need not necessarily have a causal relationship with the treatment.
An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reasons: death; life threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect.
An HAE was identified by characteristic symptoms or blood glucose levels.
Any events occurring following start of treatment (defined as blinded therapy, including single blind placebo administration on Day 14) or increasing in severity were counted as treatment emergent AE.
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Baseline up to Day 119
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Percent Changes From Baseline for Fasting Low Density Lipoprotein-Cholesterol (LDL-C) at Weeks 2, 4, 8 and 12
Časové okno: Baseline, Weeks 2, 4, 8 and 12
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Fasting low density lipoprotein-cholesterol (LDL-C) percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for Triglycerides at Weeks 2, 4, 8 and 12
Časové okno: Baseline, Weeks 2, 4, 8 and 12
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Triglycerides percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Triglycerides MMRM was not appropriate as the data were very skewed and not normally distributed, therefore per SAP non-parametric analysis were reported, presenting medians and CIs for medians, instead.
If the data had many outliers even after the log transformation the following non parametric analysis was presented instead of the MMRM.
An outlier was defined as any data point falling outside of 3.5 x standard deviations the median.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for Total Cholesterol at Weeks 2, 4, 8 and 12
Časové okno: Baseline, Weeks 2, 4, 8 and 12
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Total cholesterol percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) on Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for High Density Lipoprotein-Cholesterol (HDL-C) at Weeks 2, 4, 8 and 12
Časové okno: Baseline, Weeks 2, 4, 8 and 12
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High density lipoprotein-cholesterol (HDL-C) percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for Non-High Density Lipoprotein (HDL) Cholesterol at Weeks 2, 4, 8 and 12
Časové okno: Baseline, Weeks 2, 4, 8 and 12
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Non-HDL-C percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) on Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Changes From Baseline in Body Weight at Weeks 2, 4, 8, and 12.
Časové okno: Baseline, Weeks 2, 4, 8 and 12
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The body weight change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- B4801010
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