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- Ensayo clínico NCT01824264
Dose-finding Study of LIK066 Compared With Placebo or Sitagliptin to Evaluate Change in HbA1c in Patients With Diabetes
2 de abril de 2014 actualizado por: Novartis Pharmaceuticals
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
The purpose of the study is to evaluate the efficacy, tolerability and short-term safety of LIK066 to support dose selection for phase 3.
Descripción general del estudio
Estado
Retirado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Fase
- Fase 2
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 75 años (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
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
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: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: LIK066 2.5 mg
Patients receive 2.5 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Experimental: LIK066 5 mg
Patients receive 5 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Experimental: LIK066 10 mg
Patients receive 10 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Experimental: LIK066 25 mg
Patients receive 25 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Experimental: LIK066 50 mg
Patients receive 50 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Experimental: LIK066 100 mg
Patients receive 100 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Experimental: LIK066 150 mg
Patients receive 150 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
Comparador activo: Sitagliptin 100 mg
Patients receive 100 mg sitagliptin once daily for 12 weeks
|
Active comparator treatment dose
|
|
Comparador de placebos: Placebo
Patients receive placebo for 12 weeks
|
Placebo comparator dose
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change from baseline in glycated hemoglobin (HbA1c) after 12 weeks
Periodo de tiempo: baseline, 12 weeks
|
Change from baseline in HbA1c after 12 weeks of treatment in each of the LIK066 doses and placebo
|
baseline, 12 weeks
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change from baseline in Fasting Plasma Glucose
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
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 noviembre de 2015
Finalización primaria (Anticipado)
1 de noviembre de 2016
Finalización del estudio (Anticipado)
1 de noviembre de 2016
Fechas de registro del estudio
Enviado por primera vez
1 de abril de 2013
Primero enviado que cumplió con los criterios de control de calidad
1 de abril de 2013
Publicado por primera vez (Estimar)
4 de abril de 2013
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
3 de abril de 2014
Última actualización enviada que cumplió con los criterios de control de calidad
2 de abril de 2014
Última verificación
1 de abril de 2014
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Trastornos del metabolismo de la glucosa
- Enfermedades metabólicas
- Enfermedades del sistema endocrino
- Diabetes mellitus
- Diabetes Mellitus, Tipo 2
- Agentes hipoglucemiantes
- Efectos fisiológicos de las drogas
- Mecanismos moleculares de acción farmacológica
- Inhibidores de enzimas
- Hormonas
- Hormonas, sustitutos hormonales y antagonistas hormonales
- Inhibidores de la proteasa
- Incretinas
- Inhibidores del transportador de sodio-glucosa 2
- Inhibidores de la dipeptidil-peptidasa IV
- Fosfato de sitagliptina
- Licogliflozina
Otros números de identificación del estudio
- CLIK066A2202
- 2012-005793-63 (Número EudraCT)
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. .