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Study of AC-201 in Patients With Type 2 Diabetes Mellitus

24. april 2018 opdateret af: TWi Biotechnology, Inc.

A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Phase II Study of AC-201 in Patients With Type 2 Diabetes Mellitus

This is a 24-week randomized placebo-controlled study to investigate the effect of an oral IL-1beta inhibitor AC-201 in patients with type 2 diabetes mellitus already treated on different background diabetes therapies.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

259

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • California
      • Chino, California, Forenede Stater
        • Catalina Research Institute, LLC
      • Los Angeles, California, Forenede Stater
        • National Research Institute
    • Florida
      • Coral Gables, Florida, Forenede Stater
        • Clinical Research of South Florida
      • Jacksonville, Florida, Forenede Stater
        • Jacksonville Impotence Treatment Center
    • Illinois
      • Chicago, Illinois, Forenede Stater
        • Chicago Clinical Research Institute, Inc.
      • Gurnee, Illinois, Forenede Stater
        • Clinical Investigation Specialists, Inc.
    • Indiana
      • Indianapolis, Indiana, Forenede Stater
        • Midwest Institute for Clinical Research, Inc.
    • Kentucky
      • Louisville, Kentucky, Forenede Stater
        • L-MARC Research Center
    • Louisiana
      • New Orleans, Louisiana, Forenede Stater
        • New Orleans Center for Clinical Research
    • Ohio
      • Cincinnati, Ohio, Forenede Stater
        • Sterling Research Group, Ltd
      • Kettering, Ohio, Forenede Stater
        • PriMED Clinical Research
    • Virginia
      • Richmond, Virginia, Forenede Stater
        • National Clinical Research-Richmond, Inc.
    • Washington
      • Renton, Washington, Forenede Stater
        • Rainier Clinical Research Center, Inc.
      • Changhua, Taiwan
        • Changhua Christian Hospital
      • Taichung, Taiwan
        • Cheng Ching General Hospital
      • Taichung, Taiwan
        • Chung Shan Medical University Hospital
      • Taichung, Taiwan
        • Kuang Tien General Hospital
      • Taipei, Taiwan
        • Tri-Service General Hospital
      • Taipei, Taiwan
        • Taipei Medical University Hospital
      • Taipei, Taiwan
        • Taipei Medical University-Shuang Ho Hospital
      • Taipei, Taiwan
        • Cardinal Tien Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

20 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Understanding of the study procedures and agreement to participate in the study by giving written informed consent
  • Males and females age 20 to 75 years, inclusive
  • HbA1c ≥7.5% and ≤10%
  • BMI ≤45 kg/m2
  • FPG ≤270 mg/dL
  • Diagnosis of type 2 diabetes mellitus for ≥6 months
  • On a stable regimen of oral anti-diabetic medications for ≥3 months
  • Willingness to maintain stable diet and exercise throughout the study
  • Willingness to maintain current doses/regimens of vitamins and dietary supplements throughout the study
  • Female patients of childbearing potential and female partners of male patients must be willing to use adequate contraception during the study. All females of childbearing potential must have a negative urine pregnancy test at screening.

Exclusion Criteria:

  • History of type 1 diabetes and/or history of ketoacidosis
  • History of diabetic neuropathy resulting in significant functional impairment and/or requiring active medical or surgical management, including chronic pain syndromes, gastroparesis, skin ulceration, or amputation
  • History of long-term therapy with insulin (>30 days) within 1 year of screening;
  • Pregnancy or lactation
  • Current treatment with any of the following medications within 2 months of screening
  • Anti inflammatory drugs, including chronic daily use of systemic corticosteroids (aspirin ≤325 mg per day is allowed)
  • IL-1 modulators: anakinra and rilonacept
  • Immunosuppressive drugs: TNF inhibitors and IL-6 monoclonal antibody
  • History of severe hypoglycemic episodes within 6 months of screening
  • Hypersensitivity to AC-201 or anthraquinone derivatives
  • Surgery within 30 days prior to screening
  • Serum creatinine >1.5 mg/dL for males or >1.4 mg/dL for females
  • Presence of cancer or history of cancer within the past 5 years other than basal or squamous cell carcinoma of the skin and carcinoma in situ of the cervix
  • Advanced stage heart failure: New York Heart Association Class III or IV cardiac status or hospitalization for congestive heart failure
  • History of unstable angina, myocardial infarction, uncontrolled arrhythmias, cerebrovascular accident, transient ischemic attack, or any revascularization, including percutaneous transluminal coronary angioplasty, within 6 months of screening
  • Uncontrolled hypertension (defined as systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg on ≥3 assessments at screening)
  • Known to be infected with human immunodeficiency virus (HIV)
  • History of acquired immune deficiency syndrome
  • History of TB, active TB (pulmonary, extra-pulmonary, or military), or a positive test for TB confirmed by a PA chest x-ray within 6 months prior to screening
  • History of acute infection with Epstein-Barr Virus (EBV), cytomegalovirus (CMV), or hepatitis C virus (HCV) within 4 weeks prior to screening
  • History of chronic active (not latent) hepatitis B virus, HCV, or CMV infection;
  • History of drug or alcohol abuse
  • Aspartate aminotransferase >3 × the upper limit of normal (ULN) or alanine aminotransferase >3 × ULN at screening
  • Total bilirubin >1.5 × ULN at screening
  • Triglycerides >500 mg/dL at screening
  • Poor mental function or any other reason to expect patient difficulty in complying with the study requirements
  • Acute infections that may affect blood glucose control within 4 weeks prior to screening
  • Known bilateral renal artery stenosis, patient with a solitary kidney, or a post renal transplant
  • History of autoimmune disease or collagen vascular disease
  • History of hyperthyroidism or hypocorticism
  • Participation in any AC-201 studies within 1 year prior to screening
  • Participation in an investigational drug study within 30 days prior to screening
  • Any other serious diseases which, in the opinion of the investigator, might pose a risk to the patient or make participation not in the patient's best interest.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: AC-201, 25mg
25mg BID for 24 weeks
Capsule, 25mg BID
Eksperimentel: AC-201, 50mg
50mg BID for 24 weeks
Capsule, 50mg BID
Eksperimentel: AC-201, 75mg
75mg BID for 24 weeks
Capsule, 75mg BID
Placebo komparator: Placebo
Placebo BID for 24 weeks
Placebo BID

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in HbA1c From Baseline
Tidsramme: 24 weeks
For efficacy analyses, the primary analysis was at Week 24 Endpoint, defined as the last valid post-baseline measurement taken at or before Week 24. Efficacy results for treatment groups were considered statistically significant if change from baseline relative to placebo had p<0.05.
24 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. januar 2011

Primær færdiggørelse (Faktiske)

1. februar 2012

Studieafslutning (Faktiske)

1. marts 2012

Datoer for studieregistrering

Først indsendt

11. januar 2011

Først indsendt, der opfyldte QC-kriterier

12. januar 2011

Først opslået (Skøn)

13. januar 2011

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. maj 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

24. april 2018

Sidst verificeret

1. april 2018

Mere information

Begreber relateret til denne undersøgelse

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Type 2 diabetes mellitus

Kliniske forsøg med AC-201, 25mg

Abonner