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Phase III Trial to Evaluate the Efficacy and Safety of LC15-0444 Compared With Sitagliptin Added to Ongoing Metformin Therapy in Patients With Type 2 Diabetes

17 mai 2012 mis à jour par: LG Life Sciences

A Multicenter, Multinational, Randomized, Active-controlled, Parallel Group, Double-blind, Phase III Trial to Evaluate the Efficacy and Safety of LC15-0444 Compared With Sitagliptin Added to Ongoing Metformin Therapy in Patients With Type 2 Diabetes Inadequately Controlled With Metformin Alone

Double-blind, randomized, multicenter, multinational (South Korea and India), parallel group study The study was divided into three parts: part 1 was a screening period started with an initial 2 weeks of exercise/diet program; part 2 was a double-blind treatment period during which eligible patients were randomized to Sitagliptin 100 mg qd (once daily), LC15-0444 25 mg bid (twice daily), or LC15-0444 50 mg qd groups and received the assigned treatment for 24 weeks; part 3 was for those patients who completed part 1 & 2 and consented to receive another 28 weeks of treatment with LC15-0444 50 mg qd.

Screening tests were performed on the patients who had given the written informed consent. After 2-week exercise/diet program according to the generally recognized guideline, eligible patients were assigned one of three treatment groups with 1:1:1 ratio. During the total of 24-week treatment period of part 2, each patient visited the study site at Week 6, 12, 18, and 24. Completing double-blind treatment for 24 weeks, each patient was asked to provide consent to participate in the part 3 of the study where all the patients were to receive LC15-0444 50 mg once daily. During 28-week treatment period of the part 3, each patient visited the study

Aperçu de l'étude

Type d'étude

Interventionnel

Inscription (Réel)

425

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 75 ans (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  1. Patients with Type 2 Diabetes Mellitus
  2. Adults between 18 and 75 years of age
  3. Patients with HbA1c between 7% and 11%
  4. Patients treated with metformin monotherapy for at least 12 weeks and treated with 1000 mg/day or higher dose of metformin for at least 4 weeks right before screening
  5. Patients who signed on the consent form after informed on the object, method, and risks of the clinical study

Exclusion Criteria:

  1. Patients with type 1 diabetes mellitus, gestational diabetes, or secondary diabetes
  2. Patients who were taking or needed to take any drugs which may affect the control of blood glucose significantly (ex. glucocorticoids)
  3. Patients who had experienced myocardial infarction, unstable angina or prior history of coronary artery bypass surgery within 6 months prior to screening, or patients with arrhythmia requiring treatment
  4. Patients with NYHA class II-IV congestive heart failure
  5. Patients with history of hepatic cirrhosis
  6. Patients with renal failure or whose creatinine clearance was less than 60 ml/min
  7. Patients with dysfunctional thyroid gland (with abnormal level of TSH)
  8. Patients with ALT, AST or CPK exceeding 2.5 times of the upper limit of the normal range
  9. Patients with BMI below 20 kg/m2 or exceeding 40 kg/m2
  10. Patients with history of asthma or major skin allergy
  11. Patients taking thyroid hormone, warfarin, dicoumarin or digoxin.
  12. Patients with history of hypersensitivity to metformin or biguanides.
  13. Patients with history of hypersensitivity to thiazolidinediones
  14. Patients who took sodium channel blockers in the last 6 weeks prior to Visit 1.
  15. Patients who were treated with insulin or glucagon-like peptide-1 (GLP-1) analogue or who took thiazolidinediones (Glitazone) in the last 6 months prior to Visit 1.
  16. Patients with other reasons who the investigator decided not to be eligible for the study

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Double

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: LC15-0444 25 mg bid
LC15-0444 25 mg bid(twice daily)added on Metformin therapy
Each patient was given 3 different bottles of study drugs that comprised of two morning bottles and one evening bottles. Each morning bottle contained LC15-0444 25 mg or 50 mg or Sitagliptin 100mg(depending on the randomized group) or its matching placebo while the evening bottle contained LC15-0444 25 mg or its matching placebo. Patient was instructed to take 1 tablet from each bottle at regular times in the morning and evening every day during the 24-week double-blind treatment period.
Expérimental: LC15-0444 50 mg qd
LC15-0444 50 mg qd(once daily) added on Metformin therapy
Each patient was given 3 different bottles of study drugs that comprised of two morning bottles and one evening bottles. Each morning bottle contained LC15-0444 25 mg or 50 mg or Sitagliptin 100mg(depending on the randomized group) or its matching placebo while the evening bottle contained LC15-0444 25 mg or its matching placebo. Patient was instructed to take 1 tablet from each bottle at regular times in the morning and evening every day during the 24-week double-blind treatment period.
Comparateur actif: Sitagliptin 100mg qd
Sitagliptin 100 mg qd (once daily) added on the Metformin therapy
Each patient was given 3 different bottles of study drugs that comprised of two morning bottles and one evening bottles. Each morning bottle contained LC15-0444 25 mg or 50 mg or Sitagliptin 100mg(depending on the randomized group) or its matching placebo while the evening bottle contained LC15-0444 25 mg or its matching placebo. Patient was instructed to take 1 tablet from each bottle at regular times in the morning and evening every day during the 24-week double-blind treatment period.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Délai
Changement d'HbAlc
Délai: de la ligne de base à la semaine 24
de la ligne de base à la semaine 24

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
HbA1c Responder Rate
Délai: at Week 24
responder rate of HbA1c <7%, <6.5% at week 24
at Week 24

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Les enquêteurs

  • Chercheur principal: Sun Woo Kim, MD, PhD, Kangbuk Samsung Hospital

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 décembre 2009

Achèvement primaire (Réel)

1 juin 2011

Achèvement de l'étude (Réel)

1 mai 2012

Dates d'inscription aux études

Première soumission

15 mai 2012

Première soumission répondant aux critères de contrôle qualité

17 mai 2012

Première publication (Estimation)

18 mai 2012

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

18 mai 2012

Dernière mise à jour soumise répondant aux critères de contrôle qualité

17 mai 2012

Dernière vérification

1 mai 2012

Plus d'information

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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