12-Week Study of DS-8500a in Subjects With Type 2 Diabetes Mellitus on Metformin
A Randomized, Double-Blind, Placebo-Controlled With Active Comparator, 12-Week Study of DS-8500a in Subjects With Type 2 Diabetes Mellitus on Metformin
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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Quebec, Canada, G1W 4R4
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British Columbia
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Victoria, British Columbia, Canada, V8V 4A1
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Ontario
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Brampton, Ontario, Canada, L6T 0G1
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London, Ontario, Canada, N5W 6A2
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Newmarket, Ontario, Canada, L3Y 5GB
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Toronto, Ontario, Canada, M9W 4L6
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Toronto, Ontario, Canada, M9V 4B4
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Quebec
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Mirabel, Quebec, Canada, J7J 2K8
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Montreal, Quebec, Canada, H4N 2W2
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Sherbrooke, Quebec, Canada, J1H 1Z1
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Alabama
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Birmingham, Alabama, Stati Uniti, 35216
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Arizona
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Litchfield Park, Arizona, Stati Uniti, 85340
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Tempe, Arizona, Stati Uniti, 85282
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California
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Anaheim, California, Stati Uniti, 92801
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Chino, California, Stati Uniti, 91710
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Chula Vista, California, Stati Uniti, 91911
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Fresno, California, Stati Uniti, 93720
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Gold River, California, Stati Uniti, 95670
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Greenbrae, California, Stati Uniti, 94904
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San Diego, California, Stati Uniti, 92103
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Colorado
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Colorado Springs, Colorado, Stati Uniti, 80920
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Lakewood, Colorado, Stati Uniti, 80227
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Florida
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Hallandale Beach, Florida, Stati Uniti, 33009
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Miami, Florida, Stati Uniti, 33126
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Miami, Florida, Stati Uniti, 33135
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Pembroke Pines, Florida, Stati Uniti, 33026
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West Palm Beach, Florida, Stati Uniti, 33409
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Georgia
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Atlanta, Georgia, Stati Uniti, 30331
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Idaho
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Boise, Idaho, Stati Uniti, 83704
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Indiana
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Avon, Indiana, Stati Uniti, 46123
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Evansville, Indiana, Stati Uniti, 47725
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Franklin, Indiana, Stati Uniti, 46131
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Greenfield, Indiana, Stati Uniti, 46140
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Iowa
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Council Bluffs, Iowa, Stati Uniti, 51503
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Michigan
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Troy, Michigan, Stati Uniti, 48098
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Minnesota
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Edina, Minnesota, Stati Uniti, 55435
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Missouri
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Washington, Missouri, Stati Uniti, 63090
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Nebraska
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Omaha, Nebraska, Stati Uniti, 68114
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North Carolina
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Mooresville, North Carolina, Stati Uniti, 28117
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Morgantown, North Carolina, Stati Uniti, 28655
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Winston-Salem, North Carolina, Stati Uniti, 27103
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Ohio
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Columbus, Ohio, Stati Uniti, 43213
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Oregon
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Medford, Oregon, Stati Uniti, 97504
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South Carolina
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Charleston, South Carolina, Stati Uniti, 29425
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Charleston, South Carolina, Stati Uniti, 29407
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Greer, South Carolina, Stati Uniti, 29651
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Mount Pleasant, South Carolina, Stati Uniti, 29464
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Spartanburg, South Carolina, Stati Uniti, 29303
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Texas
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Austin, Texas, Stati Uniti, 78705
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Dallas, Texas, Stati Uniti, 75231
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Houston, Texas, Stati Uniti, 77036
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Plano, Texas, Stati Uniti, 75024
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San Antonio, Texas, Stati Uniti, 78229
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San Antonio, Texas, Stati Uniti, 78228
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Utah
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Salt Lake City, Utah, Stati Uniti, 84121
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Salt Lake City, Utah, Stati Uniti, 84102
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South Jordan, Utah, Stati Uniti, 84095
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Virginia
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Burke, Virginia, Stati Uniti, 22015
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- Able to provide written informed consent and adhere to the study visit schedule and treatment
- Diagnosed with Type 2 diabetes mellitus as defined in the American Diabetes Association Standards of Medical Care in Diabetes 2015
- Male or female ≥ 18 and ≤ 70 years of age
- Screening fasting C-peptide > 0.5 ng/mL
- Women of child bearing potential (WOCBP) must be willing to use double-barrier contraception for the entire study
- WOCBP must have a negative pregnancy test (human chorionic gonadotropin, beta subunit [βhCG]) before entering the Lead-in Period
- Body mass index ≥ 25 kg/m2 and ≤ 45 kg/m2 at the Screening Visit
- On stable (≥ 8 weeks) metformin monotherapy ≥ 1000 mg/day
- Screening HbA1c ≥ 7.0% and ≤ 10%
- Taking ≥ 80% and ≤ 120% of both dispensed DS-8500a placebo tablets and sitagliptin placebo capsules during the Lead-in Period
Exclusion Criteria:
- History of type 1 diabetes and/or history of ketoacidosis
- History of insulin use for > 2 weeks within 2 months prior to the Screening Visit
- Two or more readings of fasting Self-monitoring of Blood Glucose (SMBG) > 240 mg/dL or worsening symptoms of hyperglycemia with one SMBG level of > 240 mg/dL during the second week of Lead-in Period, confirmed by laboratory measurement
- Screening hemoglobin <12 g/dL for males and <11 g/dL for females
- Blood donation within 2 months prior to the Screening Visit or plans to donate blood or blood products during the study
- Subjects after bariatric surgery or any gastric bypass
- Screening thyroid stimulating hormone (TSH) levels not within normal range (based on reference laboratory values )
- Screening Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) > 2.0 x upper limit of normal (ULN), and/or total bilirubin > 1.5 x ULN. If a subject has total bilirubin > 1.5 ULN, unconjugated and conjugated bilirubin fractions should be analyzed and only subjects documented to have Gilbert's syndrome may be enrolled
- Screening Serum creatinine ≥ 1.5 mg/dL for males and ≥ 1.4 mg/dL for females, or creatinine clearance (CrCl) < 50 mL/min for both males and females
- Screening Creatine kinase (CK) > 3.0 × ULN
- History of unstable angina, myocardial infarction, cerebrovascular accident, transient ischemic attack, peripheral arterial event or any revascularization procedure during the 6 months prior to the Screening Visit or planned vascular procedures or surgery during study period
- History of congestive heart failure (CHF)
Exclusionary concomitant medications:
a. Eight weeks prior to screening and throughout the duration of the study:
- Any diabetes medication other than metformin; any prescription or over the counter medication for weight-loss.
- Systemic corticosteroids (including nasal and inhaled), with the exception of use of topical and ophthalmic corticosteroids.
- Rosuvastatin > 20 mg daily. b. During treatment periods, additional medications will be prohibited based on potential drug-drug interaction (DDI) (see Section 5.6)
- Subjects with anticipated interruption in metformin or study drug use during the course of the clinical trial (e.g., due to an imaging procedure involving iodinated contrast media)
- Subjects in whom treatment with sitagliptin 100 mg is contraindicated ( e.g., known hypersensitivity or intolerance to sitagliptin) or may not be medically advisable (e.g., history of pancreatitis)
- Abuse of or dependence on prescription medications, illicit drugs, or alcohol within the last 1 year
- Any history of a malignancy other than basal cell carcinoma within the past 5 years
- Pregnancy or breast-feeding, or intent to become pregnant during the study period
- Known (or evidence of) infection with human immunodeficiency virus
- Any condition, laboratory abnormality, or concomitant therapy which, in the opinion of the Investigator, might pose a risk to the subject or make participation not in the subject's best interest
- Subject is currently enrolled in or has not yet completed at least 30 days since ending another investigational device or drug study or is receiving other investigational agents
- A direct or familial relationship with the Sponsor, Investigator, or site personnel affiliated with the study
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Quadruplicare
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: DS-8500a 25mg
One DS-8500a 25 mg tablet, 2 placebo tablets, and one placebo capsule in a once-daily oral dose
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DS-8500a 25mg tablet for oral administration
Altri nomi:
Placebo matching DS-8500a tablet for oral administration
Altri nomi:
Placebo matching sitagliptin over-capsule for oral administration
Altri nomi:
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Sperimentale: DS-8500a 50 mg
Two DS-8500a 25 mg tablets, 1 placebo tablet, and one placebo capsule in a once-daily oral dose
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DS-8500a 25mg tablet for oral administration
Altri nomi:
Placebo matching DS-8500a tablet for oral administration
Altri nomi:
Placebo matching sitagliptin over-capsule for oral administration
Altri nomi:
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Sperimentale: DS-8500a 75 mg
Three DS-8500a 25 mg tablets and one placebo capsule in a once-daily oral dose
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DS-8500a 25mg tablet for oral administration
Altri nomi:
Placebo matching sitagliptin over-capsule for oral administration
Altri nomi:
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Comparatore placebo: Placebo
Three placebo tablets and one placebo capsule in a once-daily oral dose
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Placebo matching DS-8500a tablet for oral administration
Altri nomi:
Placebo matching sitagliptin over-capsule for oral administration
Altri nomi:
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Comparatore attivo: Sitagliptin 100 mg
Three placebo tablets and one sitagliptin 100 mg over-capsule in a once-daily oral dose
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Placebo matching DS-8500a tablet for oral administration
Altri nomi:
Two sitagliptin 50 mg tablets, over-encapsulated to provide a once-daily dose of 100 mg, for oral administration
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 12
Lasso di tempo: Baseline, Week 12
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Glycated hemoglobin is a form of hemoglobin that is measured primarily to identify the three-month average glucose concentration in the blood.
Target HbA1c for Type 2 diabetics was less than 7% at the time of this trial.
Negative scores show improvement from baseline.
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Baseline, Week 12
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change From Baseline in Total Cholesterol (TC) at Week 12
Lasso di tempo: Baseline, Week 12
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Total cholesterol is a measure of the total amount of cholesterol in the blood, including low-density lipoprotein cholesterol (LDL-C) - the "bad" cholesterol, high-density lipoprotein cholesterol (HDL-C) - the "good" cholesterol, and triglycerides.
The equation to calculate total cholesterol is: LDL + HDL + (triglycerides/5) = total cholesterol.
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Baseline, Week 12
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Change From Baseline in LDL-C at Week 12
Lasso di tempo: Baseline, Week 12
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LDL-C is known as the "bad" cholesterol, so a lower score (negative change) means improvement.
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Baseline, Week 12
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Change From Baseline in HDL-C at Week 12
Lasso di tempo: Baseline, Week 12
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HDL-C is known as the "good" cholesterol, so a higher score (positive change) means improvement.
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Baseline, Week 12
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Change From Baseline in Non-HDL-C at Week 12
Lasso di tempo: Baseline, Week 12
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Non-HDL-C is the measure of "bad" cholesterol in the blood, including triglycerides and LDL-C, so a negative change means improvement.
The equation for Non-HDL-C = LDL-C + (triglycerides/5).
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Baseline, Week 12
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Change From Baseline in Triglycerides at Week 12
Lasso di tempo: Baseline, Week 12
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Triglycerides are a type of fat found in the blood.
The body uses them for energy.
Some triglycerides are needed for good health.
But high triglycerides might raise the risk of heart disease.
Since Type 2 diabetics tend to have high triglycerides, a negative change means improvement.
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Baseline, Week 12
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Change From Baseline in Area-Under-the Curve 0-3 Hours (AUC0-3h) of Plasma Glucose (PG) in Response to the Mixed Meal Tolerance Test (MMTT) at Week 4
Lasso di tempo: Baseline, Week 4
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The MMTT requires a participant to drink a "mixed meal," such as Boost or Ensure, that contains protein, carbohydrates, and fat.
The goal of the test is to find out how much insulin the pancreas makes in response to food by measuring the level of glucose in the blood.
The lower the level of glucose in the blood during the first three hours after the test (AUC0-3h), the more insulin the body has made in response to the test.
This would mean a negative change shows improvement.
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Baseline, Week 4
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Change From Baseline in AUC0-3h of PG in Response to the MMTT at Week 12
Lasso di tempo: Baseline, Week 12
|
The MMTT requires a participant to drink a "mixed meal," such as Boost or Ensure, that contains protein, carbohydrates, and fat.
The goal of the test is to find out how much insulin the pancreas makes in response to food by measuring the level of glucose in the blood.
The lower the level of glucose in the blood during the first three hours after the test (AUC0-3h), the more insulin the body has made in response to the test.
This would mean a negative change shows improvement.
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Baseline, Week 12
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Change From Baseline in Maximum Concentration (Cmax) of PG in Response to MMTT at Week 4
Lasso di tempo: Baseline, Week 4
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Cmax measures the highest amount of glucose in the blood, so a negative change means improvement.
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Baseline, Week 4
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Change From Baseline in Cmax of PG in Response to MMTT at Week 12
Lasso di tempo: Baseline, Week 12
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Cmax measures the highest amount of glucose in the blood, so a negative change means improvement.
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Baseline, Week 12
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 2
Lasso di tempo: Baseline, Week 2
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Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes.
People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.
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Baseline, Week 2
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 4
Lasso di tempo: Baseline, Week 4
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Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes.
People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.
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Baseline, Week 4
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 8
Lasso di tempo: Baseline, Week 8
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Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes.
People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.
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Baseline, Week 8
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12
Lasso di tempo: Baseline, Week 12
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Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes.
People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.
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Baseline, Week 12
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Count of Participants With HbA1c Less Than 7.0% at Week 12
Lasso di tempo: Week 12
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HbA1C less than 7% is the success goal for many Type 2 diabetics.
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Week 12
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Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Disturbi del metabolismo del glucosio
- Malattie metaboliche
- Malattie del sistema endocrino
- Diabete mellito
- Diabete mellito, tipo 2
- Agenti ipoglicemizzanti
- Effetti fisiologici delle droghe
- Meccanismi molecolari dell'azione farmacologica
- Inibitori enzimatici
- Ormoni
- Ormoni, sostituti ormonali e antagonisti ormonali
- Inibitori della proteasi
- Incretine
- Inibitori della dipeptidil-peptidasi IV
- Sitagliptin fosfato
- Firuglipel
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- DS8500-A-U202
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Periodo di condivisione IPD
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- Protocollo di studio
- Piano di analisi statistica (SAP)
- Relazione sullo studio clinico (CSR)
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