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Dose-finding Study of LIK066 Compared With Placebo or Sitagliptin to Evaluate Change in HbA1c in Patients With Diabetes

2 avril 2014 mis à jour par: 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.

Aperçu de l'étude

Type d'étude

Interventionnel

Phase

  • Phase 2

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. Confirmed diagnosis of T2DM by standard criteria
  2. Drug-naïve patients, defined as patients not having received any anti-diabetic medication previously,
  3. 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
  4. 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)
  5. HbA1c ≥ 7 to ≤ 10.5% at Visit 1 for drug-naïve/currently untreated patients
  6. HbA1c ≥ 7 to ≤ 9.5% at Visit 1 for patients treated with OAD monotherapy
  7. HbA1c ≥ 7 to ≤ 10.5% at Visit 199 for ALL patients
  8. Age: ≥18 and ≤ 75 years old at Visit 1
  9. BMI ≥22 to ≤45 kg/m2 at Visit 1

Exclusion Criteria:

  1. 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
  2. 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
  3. History of acute metabolic complications, CV disease, type 1 diabetes mellitus, hepatic disorders, pancreatitis, chronic diarrhea
  4. 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
  5. ECG abnormalities including AV block, long QT syndrome or QTc>450 msec for men and >470 msec for women
  6. History of malignancy
  7. Women of child-bearing potential not using effective methods of contraception Other protocol-defined inclusion/exclusion criteria may apply

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: LIK066 2.5 mg
Patients receive 2.5 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Expérimental: LIK066 5 mg
Patients receive 5 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Expérimental: LIK066 10 mg
Patients receive 10 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Expérimental: LIK066 25 mg
Patients receive 25 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Expérimental: LIK066 50 mg
Patients receive 50 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Expérimental: LIK066 100 mg
Patients receive 100 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Expérimental: LIK066 150 mg
Patients receive 150 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Comparateur actif: Sitagliptin 100 mg
Patients receive 100 mg sitagliptin once daily for 12 weeks
Active comparator treatment dose
Comparateur placebo: Placebo
Patients receive placebo for 12 weeks
Placebo comparator dose

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change from baseline in glycated hemoglobin (HbA1c) after 12 weeks
Délai: baseline, 12 weeks
Change from baseline in HbA1c after 12 weeks of treatment in each of the LIK066 doses and placebo
baseline, 12 weeks

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change from baseline in Fasting Plasma Glucose
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

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

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 novembre 2015

Achèvement primaire (Anticipé)

1 novembre 2016

Achèvement de l'étude (Anticipé)

1 novembre 2016

Dates d'inscription aux études

Première soumission

1 avril 2013

Première soumission répondant aux critères de contrôle qualité

1 avril 2013

Première publication (Estimation)

4 avril 2013

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

3 avril 2014

Dernière mise à jour soumise répondant aux critères de contrôle qualité

2 avril 2014

Dernière vérification

1 avril 2014

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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