Dose-finding of PB-119 Administered Subcutaneously Once-weekly Versus Placebo in Drug-naïve T2DM Subjects
21. januar 2020 opdateret af: PegBio Co., Ltd.
A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Dose Cohort Study to Evaluate the Efficacy and Safety of Twelve Once-weekly Subcutaneous Doses of PB-119 in Drug-naïve Subjects With Type 2 Diabetes Mellitus
This is a multicenter, randomized, double-blind, placebo-controlled, parallel dose cohort, multiple dose study to evaluate the efficacy, safety, and tolerability of different doses of PB-119 in drug-naïve subjects with T2DM.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Subjects will be assessed for eligibility over a 2-week screening period prior to a 2-week run-in period and a 12-week double-blind treatment period,4-week follow up period.
The eligible patients will be randomized to 1 of 3 dose cohorts (A, B, or C).
Each patient will subsequently be randomized within the designated cohort to active drug or placebo at a 3:1 active drug:placebo ratio.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
251
Fase
- Fase 2
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Peking, Kina, 100000
- Peking University People's 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
18 år til 70 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Males and/or females between the ages of ≥18 and ≤70 years at Screening
- Patients in whom T2DM has been diagnosed according to 1999 WHOT2DM diagnostic criteria
- HbA1c ≥7.5% and ≤11% at Screening and at Week -1
- Body mass index (BMI) ≥18.5 and ≤35.0 kg/m2 at Screening
Exclusion Criteria:
- Female who is pregnant, intends to become pregnant or breast-feeding or is of child-bearing potential and not using adequate contraception methods throughout the trial
- Treatment with any glucose lowing agent(s) within 3 months prior to screening.An exception is short-term treatment (no longer than 7 days in total) with insulin in connection with inter-current illness
- Calcitonin ≥50 ng/L at screening
- Patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia, type 2
- Fasting triglyceride ≥500 mg/dL at Screening, or patients with a history of lipid disorders taking unstable treatment dosage (eg, statins) within 3 months prior to screening
- Any acute or chronic condition that, in the opinion of the Investigator, would limit the patient's ability to complete and/or participate in this trial
- Blood amylase or lipase >3x ULN, history of acute or chronic pancreatitis, or history of symptomatic gallbladder disease at Screening
- Serum creatinine ≥1.5 mg/dL (male patients) or ≥1.4 mg/dL (female patients), or estimated glomerular filtration rate (eGFR) <45 mL/min/1.73 m2 at Screening
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >2x upper limit of normal (ULN) at Screening and pre-randomization
- Severe cardiovascular diseases occurring within 6 months prior to screening
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: PB-119 75ug
PB-119 injection 75ug subcutaneously injected once-weekly for 12 weeks
|
60 eligible patients will be included in this group
|
|
Eksperimentel: PB-119 150ug
PB-119 injection 150ug subcutaneously injected once-weekly for 12 weeks
|
60 eligible patients will be included in this group
|
|
Eksperimentel: PB-119 200ug
PB-119 injection 200ug subcutaneously injected once-weekly for 12 weeks
|
60 eligible patients will be included in this group
|
|
Placebo komparator: placebo
placebo injection subcutaneously injected once-weekly for 12 weeks
|
60 eligible patients will be included in this group
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change of glycosylated hemoglobin(HbA1c)
Tidsramme: 12 weeks
|
Change of HbA1c from baseline value to end of treatment
|
12 weeks
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of patients achieving HbA1c <7%
Tidsramme: 12 weeks
|
Percentage of patients achieving HbA1c <7% at Week 12
|
12 weeks
|
|
Percentage of patients achieving HbA1c ≤6.5%
Tidsramme: 12 weeks
|
Percentage of patients achieving HbA1c ≤6.5% at Week 12
|
12 weeks
|
|
HbA1c
Tidsramme: 2, 4, and 8 weeks
|
Changes of HbA1c from baseline value at Weeks 2, 4, and 8
|
2, 4, and 8 weeks
|
|
Fasting plasma glucose(FPG)
Tidsramme: 2, 4, 8, and 12 weeks
|
Changes of fasting plasma glucose(FPG) from baseline value at Weeks 2, 4, 8, and 12.
|
2, 4, 8, and 12 weeks
|
|
2-hour postprandial glucose(2-h PPG)
Tidsramme: 4, 8, and 12 weeks
|
Changes of 2-hour postprandial glucose(2-h PPG) from baseline value at Weeks 4, 8, and 12.
|
4, 8, and 12 weeks
|
|
Insulin
Tidsramme: 4, 8, and 12 weeks
|
Changes of insulin from baseline value at Weeks 4, 8, and 12
|
4, 8, and 12 weeks
|
|
C-peptide
Tidsramme: 4, 8, and 12 weeks
|
Changes of C-peptide from baseline value at Weeks 4, 8, and 12
|
4, 8, and 12 weeks
|
|
Self-monitoring of blood glucose (SMBG)
Tidsramme: 4, 8, and 12 weeks
|
Changes of mean profile and mean increments from baseline value of the 7-point SMBG
|
4, 8, and 12 weeks
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Body mass index(BMI)
Tidsramme: 2, 4, 8, and 12 weeks
|
Changes of BMI from baseline value at Weeks 2, 4, 8, and 12.
|
2, 4, 8, and 12 weeks
|
|
Waist and hip circumferences and waist-to-hip ratio
Tidsramme: 12 weeks
|
Change of waist and hip circumferences and waist-to-hip ratio from baseline value at end of treatment(waist and hip circumferences will be used to calculate waist-to-hip ratio
|
12 weeks
|
|
Blood pressure(both systolic and diastolic)
Tidsramme: 2, 4, 8, and 12 weeks
|
Changes of blood pressure from baseline value at Weeks 2, 4, 8, and 12.
|
2, 4, 8, and 12 weeks
|
|
Blood lipid
Tidsramme: 2, 4, 8, and 12 weeks
|
Changes of blood lipid from baseline value at Weeks 2, 4, 8, and 12
|
2, 4, 8, and 12 weeks
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Linong Ji, MD,PhD, Peking University People's Hospital
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.
- Ji L, Du Y, Xu M, Zhou X, Mo Z, Ma J, Li J, Li Y, Lin J, Wang Y, Yang J, Song W, Jin H, Pang S, Liu H, Li P, Liu J, Yao M, Li W, Jiang X, Shen F, Geng H, Zhou H, Ran J, Lei M, Du Y, Ye S, Guan Q, Lv W, Tan H, Chen T, Yang J, Qin G, Li S, Chen L. Efficacy and safety of PEGylated exenatide injection (PB-119) in treatment-naive type 2 diabetes mellitus patients: a Phase II randomised, double-blind, parallel, placebo-controlled study. Diabetologia. 2021 May;64(5):1066-1078. doi: 10.1007/s00125-021-05392-9. Epub 2021 Mar 9. Erratum In: Diabetologia. 2021 Aug;64(8):1900-1901.
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 (Faktiske)
5. juni 2018
Primær færdiggørelse (Faktiske)
29. juli 2019
Studieafslutning (Faktiske)
29. juli 2019
Datoer for studieregistrering
Først indsendt
18. april 2018
Først indsendt, der opfyldte QC-kriterier
27. april 2018
Først opslået (Faktiske)
11. maj 2018
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
22. januar 2020
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
21. januar 2020
Sidst verificeret
1. januar 2020
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- PB119201
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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