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Investigate the Efficacy and Safety of GSK1070806 in Obese Subjects With T2DM (T2DM)

18 de noviembre de 2016 actualizado por: GlaxoSmithKline

A Single Blind (Sponsor-unblinded), Placebo-controlled, Parallel-group Study to Investigate the Efficacy and Safety of GSK1070806 in the Treatment of Obese Subjects With T2DM.

GSK1070806 is a humanised IgG1/kappa antibody which is directed against the soluble cytokine interleukin-18 (IL-18). The aims of this placebo controlled study are to evaluate the efficacy, safety, tolerability, pharmacokinetics and pharmacodynamics of GSK1070806 in obese subjects with Type 2 diabetes mellitus (T2DM), and to gain a better understanding of the mechanism by which GSK1070806 exerts its therapeutic effects.

Descripción general del estudio

Descripción detallada

The study will be a randomised, single-blind (sponsor-unblinded), placebo-controlled, study to investigate the efficacy, safety, tolerability, pharmacokinetics and pharmacodynamics of repeat intravenous infusions (2 doses 4-weeks apart) of GSK1070806 in obese patients with T2DM. The primary objective of the study will be to assess improvements in fasting and postprandial glucose control. This will be a parallel-group study in 30 obese subjects with T2DM who are poorly controlled on metformin monotherapy (HbA1C>7% but <9.5%), and who have levels of microalbuminuria indicative of progressive kidney disease i.e. 30-300mg/L albumin in urine or ACR ≥3.5 mg/mmol (female) or ≥2.5 mg/mmol (male) and ≤30mg/mmol. There will be three treatment groups comprising two active and one placebo arm with 10 subjects per dose group. The study contains a broad range of biomarker assessments, the purpose of which is to evaluate the mechanistic basis by which GSK1070806 exerts its therapeutic benefit in subjects with T2DM.

Subjects will be randomised into one of the three treatment groups where they will receive two intravenous infusions of GSK1070806 or placebo twenty-eight days apart. A MMT challenge will be conducted on Day 1, Day 29, Day 57 and Day 85 for evaluation of the primary endpoints.

Tipo de estudio

Intervencionista

Inscripción (Actual)

37

Fase

  • Fase 2

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Alicante, España, 03004
        • GSK Investigational Site
      • Alzira/Valencia, España, 46600
        • GSK Investigational Site
      • Granada, España, 18012
        • GSK Investigational Site
      • La Roca del Valles (Barcelona), España, 08430
        • GSK Investigational Site
      • Lleida, España, 25198
        • GSK Investigational Site
      • Madrid, España, 28046
        • GSK Investigational Site
      • Madrid, España, 28034
        • GSK Investigational Site
      • Malaga, España, 29010
        • GSK Investigational Site
      • Málaga, España, 29010
        • GSK Investigational Site
      • Petrer, Alicante, España, 03610
        • GSK Investigational Site
      • Santander, España, 39008
        • GSK Investigational Site
      • Cambridge, Reino Unido, CB2 2GG
        • GSK Investigational Site
      • Dundee, Reino Unido, DD1 9SY
        • GSK Investigational Site
    • Warwickshire
      • Birmingham, Warwickshire, Reino Unido, B15 2TT
        • GSK Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 70 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  1. A diagnosis of T2DM as determined by a responsible physician based on a medical evaluation including medical history, physical examination, and laboratory tests, with onset at least 6 months prior to Screening.
  2. Male or female between 18 and 70 years of age inclusive, at the time of signing the informed consent.
  3. HbA1c levels ≥ 7.0 % and ≤ 9.5%; at Screening.
  4. On a stable dose of monotherapy with metformin for three months prior to screening, and at a total daily dose greater than or equal to 1000 mg for at least 2 months prior to dosing.
  5. Fasting plasma glucose level < 13.3 mmol/L (240 mg/dL) at screening.
  6. Obese with BMI ≥ 30 kg/m2, and < 40 kg/m2.
  7. Presence of microalbuminuria: 30-300mg/L albumin in urine or Albumin Creatinine Ratio (ACR) ≥ 3.5 mg/mmol (female) or ≥2.5 mg/mmol (male) and ≤ 30 mg/mmol (female and male)..
  8. The subject is capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
  9. A female subject is eligible to participate if she is of:

    • Non-childbearing potential
    • Child-bearing potential and agrees to use an acceptable form of contraception.
  10. Male subjects must agree to use one of the contraception methods listed
  11. ALT < 2xULN; alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
  12. Single or Average QTc, QTcB or QTcF < 450 msec; or QTc < 480 msec in subjects with Bundle Branch Block.

Exclusion Criteria:

  1. Current evidence, or history within the last 7 days, of an influenza-like illness as defined by fever (>38°C) and two or more of the following symptoms: cough, sore throat, runny nose, sneezing, limb / joint pain, headache, vomiting / diarrhoea in the absence of a known cause, other than influenza.
  2. Use of anti-inflammatory drugs including corticosteroids, chronic maintenance therapy with NSAIDs, anti-Tumor Necrosis Factor (anti-TNF) or anti-Interleukin-1 (anti-IL1) within 60 days prior to dosing.
  3. Current evidence of ongoing or acute infection, history of repeated, chronic or opportunistic infections (e.g. recurrent folliculitis, other cutaneous infections or repeated pneumonia) or history of a serious bacterial infection within 6 months of randomisation.
  4. History of malignancy or significant cardiac, pulmonary, metabolic, renal, hepatic, or gastrointestinal conditions.
  5. History chronic granulomatous infections, such as of Mycobacterium tuberculosis or any other previous Mycobacterium infection.
  6. Creatinine clearance less than 60ml/min
  7. Screens positive of Hepatitis B surface antigen, Hepatitis C antibody or Human Immunodeficiency Virus (HIV)
  8. History of a severe allergic reaction, anaphylaxis or immunodeficiency.
  9. Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  10. A positive pre-study drug/alcohol screen.
  11. History of regular alcohol consumption within 6 months of the study
  12. The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  13. Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
  14. Unable to refrain from the use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication.
  15. History of sensitivity to any of the study medications, or components thereof
  16. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  17. Pregnant females as determined by positive serum or urine hCG test at screening.
  18. Lactating females.
  19. Unwillingness or inability to follow the procedures outlined in the protocol.
  20. Subject is mentally or legally incapacitated.
  21. Subject has received a live attenuated vaccine(s) within 30 days of randomisation or will require vaccination with a live attenuated vaccine prior to the end of the study.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Ciencia básica
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador activo: GSK1070806 0.25mg/kg
TwoIV administrations of 0.25mg/kg GSK1070806 4weeks apart
To investigate the efficacy and biomarker changes of GSK1070806 after 0.25mg/kg IV administration
To investigate the efficacy and biomarker changes of GSK1070806 after 5mg/kg IV administration
Comparador activo: GSK1070806 5mg/kg
Two IV administrations of 5mg/kg of GSK1070806 4 weeks apart
To investigate the efficacy and biomarker changes of GSK1070806 after 0.25mg/kg IV administration
To investigate the efficacy and biomarker changes of GSK1070806 after 5mg/kg IV administration
Comparador de placebos: Placebo (Saline)
Two IV administrations of saline 4 weeks apart
To compare the efficacy and biomarker changes between placebo and active groups

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Change from baseline in fasting plasma glucose and weighted mean glucose AUC (0-4hrs) post-Mixed Meal Test (MMT)
Periodo de tiempo: Up to 85 days after the first does
To evaluate the efficacy of two repeat intravenous dose administrations of GSK1070806 in subjects with T2DM
Up to 85 days after the first does

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Safety and tolerability parameters include: adverse events, clinical laboratory tests, electrocardiograms (ECGs), and vital signs
Periodo de tiempo: Up to 210 days after the first dose
To evaluate the safety and tolerability of two repeat intravenous dose administrations of GSK1070806 in obese subjects with T2DM
Up to 210 days after the first dose
Change from baseline in % HbA1c, fasting blood insulin, and C-peptide levels; change from baseline in weighted mean insulin, and C-peptide levels [AUC (0-4hrs)] post-MMT and derived measures of insulin sensitive
Periodo de tiempo: Up to 85 days after the first dose
To evaluate the effect of two repeat intravenous dose administrations of GSK1070806 on additional markers of efficacy, in obese subjects with T2DM
Up to 85 days after the first dose
AUC(0-τ)
Periodo de tiempo: Up to 210 days after the first dose
To evaluate the plasma PK of repeat intravenous doses of GSK1070806 in obese subjects with T2DM
Up to 210 days after the first dose
Serum levels of free IL-18 and drug bound IL 18
Periodo de tiempo: Up to 210 days after the first dose
To investigate the effect of repeat intravenous doses of GSK1070806 on free and drug bound IL 18 levels (if measurable) in obese subjects with T2DM.
Up to 210 days after the first dose
Change from baseline in serum and/or plasma levels of biomarkers of inflammation (e.g. hs-CRP, and IL-6) and metabolic disease (e.g. adiponectin, fructosamine, total cholesterol, high-density lipoprotein (HDL)/low-density lipoprotein (LDL), triglycerides
Periodo de tiempo: Up to 85 days after the first dose
To explore the pharmacodynamic (PD) effect of repeat intravenous doses of GSK1070806 on biomarkers of inflammation and metabolic disease
Up to 85 days after the first dose
Change from baseline in waist circumference and BMI
Periodo de tiempo: Up to 85 days after the first dose
To investigate the effect of repeat intravenous doses of GSK1070806 on body composition in obese subjects with T2DM
Up to 85 days after the first dose
Cmax
Periodo de tiempo: Up to 210 days after the first dose
To evaluate the plasma PK of repeat intravenous doses of GSK1070806 in obese subjects with T2DM
Up to 210 days after the first dose
Tmax
Periodo de tiempo: Up to 210 days after the first dose
To evaluate the plasma PK of repeat intravenous doses of GSK1070806 in obese subjects with T2DM
Up to 210 days after the first dose
after the second dose λz
Periodo de tiempo: Up to 210 days after the first dose
To evaluate the plasma PK of repeat intravenous doses of GSK1070806 in obese subjects with T2DM
Up to 210 days after the first dose
t1/2
Periodo de tiempo: Up to 210 days after the first dose
To evaluate the plasma PK of repeat intravenous doses of GSK1070806 in obese subjects with T2DM
Up to 210 days after the first dose

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de agosto de 2012

Finalización primaria (Actual)

1 de septiembre de 2013

Finalización del estudio (Actual)

1 de enero de 2014

Fechas de registro del estudio

Enviado por primera vez

12 de julio de 2012

Primero enviado que cumplió con los criterios de control de calidad

19 de julio de 2012

Publicado por primera vez (Estimar)

24 de julio de 2012

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

21 de noviembre de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

18 de noviembre de 2016

Última verificación

1 de noviembre de 2016

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • 116378

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Descripción del plan IPD

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Datos del estudio/Documentos

  1. Especificación del conjunto de datos
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  2. Formulario de informe de caso anotado
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  3. Protocolo de estudio
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  4. Plan de Análisis Estadístico
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  5. Conjunto de datos de participantes individuales
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  6. Formulario de consentimiento informado
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register
  7. Informe de estudio clínico
    Identificador de información: 116378
    Comentarios de información: For additional information about this study please refer to the GSK Clinical Study Register

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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