A Study of The Effect of Aleglitazar on Insulin Sensitivity in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Metformin
A Single Centre, Randomized, Double-Blind, Placebo-Controlled, Phase II Study to Assess the Efficacy of Aleglitazar on Insulin Sensitivity in Patients With Type 2 Diabetes Mellitus (T2D) Who Are Inadequately Controlled With Metformin Monotherapy
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
-
Neuss, Tyskland, 41460
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adult patients, 30 to 70 years of age inclusive at screening
- Type 2 diabetes mellitus patients treated with stable metformin therapy for at least 12 weeks prior to screening; metformin dose should not exceed the maximum dose specified in the label
- HbA1c >/= 6.5% and </= 9% at screening and baseline
- Fasting plasma glucose </= 13.3 mmol/L (</= 240 mg/dl) at screening and baseline
- Body mass index (BMI) >/= 25 at screening; BMI >/= 27 for subjects with HbA1c < 7%
- Stable weight +/- 5% for at least 12 weeks prior to screening
Exclusion Criteria:
- Women who are pregnant, intending to become pregnant during the study period, currently lactating women, or women of child-bearing potential not using highly effective, medically approved birth control methods
- Diagnosis or history of type 1 diabetes mellitus, diabetes resulting from pancreatic injury, or secondary forms of diabetes
- Acute metabolic diabetic complications such as ketoacidosis or hyperosmolar coma within the past 6 months
- Any previous treatment with a thiazolidinedione or with a dual peroxisome proliferator activated receptor (PPAR) agonist
- Any body weight lowering or lipoprotein-modifying therapy (e.g. fibrates) within 12 weeks prior to screening with the exception of stable (>/= 1 month) statin therapy
- History of bariatric surgery or currently undergoing evaluation for bariatric surgery
- Prior intolerance to fibrate
- Treatment with any anti-diabetic medication other than metformin in the last 12 weeks prior to screening and/or herbal/over-the-counter preparations that may affect glycemic control within 12 weeks prior to screening
- Clinically apparent liver disease
- Positive for hepatitis B, hepatitis C or HIV infection
- Clinical evidence of anemia
- Symptomatic congestive heart failure (New York Heart Association Class II-IV) at screening
- Myocardial infarction, acute coronary syndrome, or transient ischemic attack/stroke within 6 months prior to screening
- Known macular edema at screening or prior to screening visit
- Uncontrolled hypertension despite stable (for at least 4 weeks) anti-hypertensive treatment
- Diagnosed and/or treated malignancy (except for treated cases of basal cell skin cancer, in situ carcinoma of the cervix or in situ prostate cancer) within the past 5 years
- Chronic oral or parenteral corticosteroid treatment (> 2 weeks) within 3 months prior to screening
- History of active substance abuse (including alcohol) within the past 2 years or positive test result for drugs of abuse or alcohol prior to first dosing
- Presence of any absolute or relative contraindication for the conduct of magnetic resonance imaging (MRI) investigation
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Placebo komparator: Placebo
|
patients will continue on their existing dose and regimen of metformin (but not more than the maximum dose specified in the label)
orally daily, 16 weeks
|
|
Eksperimentel: Aleglitazar
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150 mcg orally daily, 16 weeks
patients will continue on their existing dose and regimen of metformin (but not more than the maximum dose specified in the label)
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in whole-body insulin sensitivity as assessed by M-value (Insulin-stimulated glucose disposal rate)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in hepatic insulin sensitivity (basal index of hepatic insulin resistance)
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
|
Change in parameters of beta cell function (first and second phase insulin secretion)
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
|
Change in HbA1c
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
|
Change in lipid profile
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
|
Change in mean 24h blood pressure
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
|
Change in hepatic fat content measured by magnetic resonance spectroscopy (MRI)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
|
Change in fat content/distribution in the abdominal region measured by MRI
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in total body fat content measured by air displacement phlethysmography
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in homeostatic indexes of insulin sensitivity assessed by Homeostasis Model Assessment for Insulin Sensitivity (HOMA-IS)
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
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Change in markers of cardiovascular risk (high sensitivity C-reactive protein, adiponectin, free fatty acid)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Safety: Incidence of adverse events
Tidsramme: 22 weeks
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22 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- WC28038
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