Dose-finding Study of LIK066 Compared With Placebo or Sitagliptin to Evaluate Change in HbA1c in Patients With Diabetes
A Multi-center, Randomized, Double-blind, Parallel-group Dose-finding Study to Evaluate Change in HbA1c After 12 Weeks Monotherapy With 7 Doses of LIK066 Compared With Placebo or Sitagliptin in Patients With Type 2 Diabetes
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Fase
Fase
- Fase 2
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Confirmed diagnosis of T2DM by standard criteria
- Drug-naïve patients, defined as patients not having received any anti-diabetic medication previously,
- Currently untreated patients , who, after the diagnosis of T2DM, have received anti-diabetic medication for not more than 12 consecutive weeks, and have not received any anti-diabetic treatment within 12 weeks prior to Visit 1
- Patients being treated with mono-therapy for at least 8 consecutive weeks prior to Visit 1 with the following OADs: metformin, dipeptidyl peptidase-4 inhibitors (DPP-4i), SU, glinide, alpha-glucosidase inhibitor (AGI)
- HbA1c ≥ 7 to ≤ 10.5% at Visit 1 for drug-naïve/currently untreated patients
- HbA1c ≥ 7 to ≤ 9.5% at Visit 1 for patients treated with OAD monotherapy
- HbA1c ≥ 7 to ≤ 10.5% at Visit 199 for ALL patients
- Age: ≥18 and ≤ 75 years old at Visit 1
- BMI ≥22 to ≤45 kg/m2 at Visit 1
Exclusion Criteria:
- FPG ≥270 mg/dl (15 mmol/L) for drug-naïve/currently untreated patients or ≥240 mg/dl (13.3 mmol/L) for patients on OAD monotherapy at Visit 1
- Insulin treatment >4 consecutive weeks in the last 6 months, corticosteroid use >7 days in the last 8 weeks, use of growth hormones in the last 6 months, or use of weight control products > 4 weeks in the last 6 months
- History of acute metabolic complications, CV disease, type 1 diabetes mellitus, hepatic disorders, pancreatitis, chronic diarrhea
- Significant lab abnormalities such as TSH outside of normal range, UACR>300 mg/g creatinine, eGFR <60 ml/min/1.73m2, hemoglobin <12 g/L in men and <11 g/L in women, hematuria
- ECG abnormalities including AV block, long QT syndrome or QTc>450 msec for men and >470 msec for women
- History of malignancy
- Women of child-bearing potential not using effective methods of contraception Other protocol-defined inclusion/exclusion criteria may apply
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 |
|---|---|
|
Eksperimentel: LIK066 2.5 mg
Patients receive 2.5 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Eksperimentel: LIK066 5 mg
Patients receive 5 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Eksperimentel: LIK066 10 mg
Patients receive 10 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Eksperimentel: LIK066 25 mg
Patients receive 25 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Eksperimentel: LIK066 50 mg
Patients receive 50 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Eksperimentel: LIK066 100 mg
Patients receive 100 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Eksperimentel: LIK066 150 mg
Patients receive 150 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Aktiv komparator: Sitagliptin 100 mg
Patients receive 100 mg sitagliptin once daily for 12 weeks
|
Active comparator treatment dose
|
|
Placebo komparator: Placebo
Patients receive placebo for 12 weeks
|
Placebo comparator dose
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in glycated hemoglobin (HbA1c) after 12 weeks
Tidsramme: baseline, 12 weeks
|
Change from baseline in HbA1c after 12 weeks of treatment in each of the LIK066 doses and placebo
|
baseline, 12 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from baseline in Fasting Plasma Glucose
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on fasting plasma glucose after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in urinary glucose to creatinine ratio
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on urinary glucose to creatinine ratio after 12 weeks of treatment will be evaluated
|
baseline, 12 weeks
|
|
Change from baseline in Body weight
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in body weight after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in Blood pressure
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in systolic and diastolic blood pressure after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in postprandial glucose during a meal test
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in postprandial glucose during a meal test after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in beta cell function during a meal test
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in beta cell function during a meal test after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in insulin secretion relative to glucose during a meal test
Tidsramme: baseline, 12 weeks
|
The effect of LIK066on change in insulin secretion relative to glucose during a meal test after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in oral glucose insulin sensitivity during a meal test
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in oral glucose insulin sensitivity during a meal test after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in glucagon-like peptide response during a meal test
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in glucagon-like peptide during a meal test after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Change from baseline in Peptide YY response during a meal test
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on change in peptide YY response during a meal test after 12 weeks of treatment will be evaluated.
|
baseline, 12 weeks
|
|
Number of patients with adverse events to assess safety and tolerability of LIK066
Tidsramme: 12 weeks
|
The safety and tolerability of 7 doses of LIK066 after 12 weeks of treatment will be evaluated with number of patients reported for total adverse events, serious adverse events and death.
|
12 weeks
|
|
Change from baseline in renal threshold for glucose excretion
Tidsramme: baseline, 12 weeks
|
The effect of LIK066 on renal threshold for glucose excretion will be calculated from glucose values in an overnight urine collection
|
baseline, 12 weeks
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
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
- Glukosemetabolismeforstyrrelser
- Metaboliske sygdomme
- Sygdomme i det endokrine system
- Diabetes mellitus
- Diabetes mellitus, type 2
- Hypoglykæmiske midler
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Hormoner
- Hormoner, hormonsubstitutter og hormonantagonister
- Proteasehæmmere
- Inkretiner
- Natrium-Glucose Transporter 2-hæmmere
- Dipeptidyl-Peptidase IV-hæmmere
- Sitagliptin fosfat
- Licogliflozin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CLIK066A2202
- 2012-005793-63 (EudraCT nummer)
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