A 12-week Study To Evaluate PF-06291874 Once a Day in Adults With T2DM Inadequately Controlled On Metformin
2017年7月5日 更新者:Pfizer
A 12-week, Phase 2, Randomized, Double-blind, Placebo-controlled, Parallel Group Study To Evaluate The Efficacy And Safety Of Once Daily Pf-06291874 Administration In Adults With Type 2 Diabetes Mellitus Inadequately Controlled On Metformin
The purpose of this study is to determine whether PF-06291874 is effective in the treatment T2DM
調査の概要
詳細な説明
This will be a randomized, double blind, stratified, placebo controlled, parallel group study conducted in T2DM subjects receiving background metformin therapy.
Subjects will complete screening procedures to determine eligibility, followed by an 8 week metformin stabilization period prior to randomization.
In addition, subjects taking other OADs, in combination with metformin, will undergo a washout during this period, in which non metformin OAD medications will be temporarily discontinued for the duration of the trial.
Following confirmation of study eligibility criteria at randomization, subjects will be stratified into 2 groups based on the use of concomitant statin therapy.
Each stratum will be randomized across treatment groups, such that the number of subjects taking concomitant statin therapy and those not taking statin therapy will be approximately balanced across treatment groups.
研究の種類
介入
入学 (実際)
206
段階
- フェーズ2
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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California
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Anaheim、California、アメリカ、92801
- Anaheim Clinical Trials, LLC
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Los Angeles、California、アメリカ、90057
- National Research Institute
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Orange、California、アメリカ、92868
- NRC Research Institute
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Roseville、California、アメリカ、95661
- Sierra Clinical Research
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Spring Valley、California、アメリカ、91978
- Encompass Clinical Research
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Upland、California、アメリカ、91786
- Empire Clinical Research
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Walnut Creek、California、アメリカ、94598
- Diablo Clinical Research, Inc
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Florida
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Coral Gables、Florida、アメリカ、33134
- Clinical Research of South Florida
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DeLand、Florida、アメリカ、32720
- Avail Clinical Research, LLC
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Miami、Florida、アメリカ、33135
- Suncoast Research Group, LLC
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South Miami、Florida、アメリカ、33143
- QPS-MRA, LLC (Miami research Associates)
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West Palm Beach、Florida、アメリカ、33409
- Palm Beach Research Center
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Georgia
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Sandy Springs、Georgia、アメリカ、30328
- WR-Mount Vernon Clinical Research, LLC
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Hawaii
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Honolulu、Hawaii、アメリカ、96814
- East-West Medical Research Institute
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Indiana
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Indianapolis、Indiana、アメリカ、46260
- Midwest Institute for Clinical Research
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Louisiana
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Metairie、Louisiana、アメリカ、70006
- Crescent City Clinical Research Center, LLC
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Missouri
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Saint Louis、Missouri、アメリカ、63141
- St. Louis Clinical Trials, LC
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Nevada
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Las Vegas、Nevada、アメリカ、89120
- ALAS Science Clinical Research
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New Jersey
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Berlin、New Jersey、アメリカ、08009
- Comprehensive Clinical Research
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Eatontown、New Jersey、アメリカ、07724
- Clinilabs Inc.
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Marlton、New Jersey、アメリカ、08053
- Pharmaceutical Research Associates, Inc.
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Trenton、New Jersey、アメリカ、08611
- TLB Research
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North Carolina
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Asheboro、North Carolina、アメリカ、27203
- Randolph Medical Associates
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High Point、North Carolina、アメリカ、27265
- High Point Clinical Trials Center, LLC
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North Dakota
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Fargo、North Dakota、アメリカ、58103
- Lillestol Research, LLC
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Ohio
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Columbus、Ohio、アメリカ、43213
- Aventiv Research
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Texas
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Houston、Texas、アメリカ、77081
- Texas Center for Drug Development, Inc.
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Houston、Texas、アメリカ、77074
- Juno Research, LLC
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Katy、Texas、アメリカ、77450
- Juno Research, LLC
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San Antonio、Texas、アメリカ、78229
- Clinical Trials of Texas, Inc.
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Schertz、Texas、アメリカ、78154
- Northeast Clinical Research of San Antonio, LLC
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Virginia
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Richmond、Virginia、アメリカ、23294
- National Clinical Research - Richmond, Inc.
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Ontario
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Brampton、Ontario、カナダ、L6T 0G1
- Aggarwal and Associates Limited
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Thornhill、Ontario、カナダ、L4J 8L7
- LMC Clinical Research Inc. (Thornhill)
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Toronto、Ontario、カナダ、M4G 3E8
- LMC Clinical Research Inc. (Bayview)
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Toronto、Ontario、カナダ、M9W 4L6
- Manna Research
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Quebec
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Lévis、Quebec、カナダ、G6W 0M6
- Manna Research Inc.
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Mirabel、Quebec、カナダ、J7J 2K8
- Omnispec Clinical Research, Inc.
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年~70年 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Males or non-childbearing potential females between the ages of 18 (or the minimum country specific age of consent if >18) and 70 years, inclusive, at the screening visit (V1) with the diagnosis of T2DM;Female subjects who are not of childbearing potential
- Subjects who have been on a stable dose of metformin either alone or in combination with one additional acceptable OAD
- HbA1c at the Screen Visit (V1), as assessed by study specific central laboratory, is 7-11% if on metformin monotherapy; is 6.5-9.5% if on dual combination therapy (metformin plus 1)
Exclusion Criteria:
- Diagnosis of type 1 diabetes mellitus or secondary forms of diabetes;
- Fasting plasma glucose levels >270 mg/dL (15.0 mmol/L) at the screening and run in visit, (as assessed by study specific central laboratory) confirmed by a single repeat, if deemed necessary
- History of myocardial infarction, unstable angina, arterial revascularization, stroke, New York Heart Association Functional Class III IV heart failure, or transient ischemic attack within 6 months of screening;
- Any medical condition possibly affecting study drug absorption (eg, gastrectomy or any area of intestinal resection, active inflammatory bowel disease or pancreatic insufficiency
- Subjects with a creatinine clearance <60 mL/min as determined by the Cockcroft Gault equation (listed below) using serum creatinine measured at screening, confirmed via a single repeat, if deemed necessary
- Subject with a positive result for hepatitis B surface antigen (HBsAg), hepatitis B core antibodies (HBc Ab) or hepatitis C virus (HCV) antibodies
- Screening seated systolic blood pressure >160 mm Hg and/or diastolic blood pressure >105 mm Hg after at least a 5 minute rest. Blood pressure determined as the mean of triplicate measurements collected with approximately 2 minutes of rest between measurements
- Screening supine 12 lead ECG demonstrating a corrected QT (QTc) >470 msec; or a QRS interval >120 msec. If QTc exceeds 470 msec or QRS exceeds 120 msec, the ECG may be repeated 2 more times with an interval of 2-4 minutes between each measurement and the mean of the 3 values used to determine the subject's eligibility
- Subjects with an arm circumference >52 cm measured at the midpoint of the length of the upper arm;
- History (within the last 6 months) of regular alcohol consumption exceeding 14 drinks per week for men and 7 drinks a week for women. (1 drink = 5 ounces of wine (150 mL) or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of hard liquor);
- Treatment with thiazolidinediones (TZDs), or subcutaneously administered anti diabetic agents (eg, insulin, exenatide, liraglutide, pramlintide) within 6 weeks prior to V1;
- Subjects with a known hypersensitivity or intolerance to a glucagon receptor antagonist, or known prior participation in a trial involving PF 06291874;
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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プラセボコンパレーター:プラセボ
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経口錠剤
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実験的:PF-06291874, 30 mg
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study drug to be given as an oral tablet at 30, 60 or 100 mg
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実験的:PF-06291874, 60 mg
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study drug to be given as an oral tablet at 30, 60 or 100 mg
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実験的:PF-06291874, 100 mg
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study drug to be given as an oral tablet at 30, 60 or 100 mg
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin (HbA1c) (%) at Week 12 as Compared to Placebo
時間枠:Baseline, Week 12
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HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Baseline was defined as the last pre-dose measurement prior to first double blind dosing for the study.
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Baseline, Week 12
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change From Baseline in HbA1c (%) at Weeks 2, 4, and 8
時間枠:Baseline, Weeks 2, 4, 8
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HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Baseline was defined as the last pre-dose measurement prior to first double blind dosing for the study.
n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8
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Change From Baseline in Fasting Plasma Glucose at Weeks 2, 4, 8, and 12
時間枠:Baseline, Weeks 2,4,8 and 12
|
Fasting plasma glucose response changed from baseline at Weeks 2,4,8 and 12. Baseline was defined as the average of the measurements obtained during Day 14 visit window and Day 1 pre-dose measurement.
n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2,4,8 and 12
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Percentage of Participants Achieving Glycosylated Hemoglobin (HbA1c) <7% as Well as <6.5% at Week 12.
時間枠:Week 12
|
HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
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Week 12
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Number of Participants With Laboratory Test Abnormalities
時間枠:Baseline up to 98 days
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The total number of participants with laboratory test abnormalities (without regard to baseline abnormality) was assessed.
Clinical laboratory tests included hematology, chemistry, urinalysis, and some other tests.
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Baseline up to 98 days
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Number of Participants With Change From Baseline and Absolute Values in 12-lead Electrocardiograms (ECGs) Meeting Categorical Summarization Criteria
時間枠:Baseline up to Day 98
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ECG criteria of potential clinical concern were 1), time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval): >=140 milliseconds (msec); >=50% increase from baseline; 2), the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization (PR interval): >=300 msec; >=25 percent (%) increase when baseline >200 msec; or increase >=50% when baseline less than or equal to (<=)200 msec; 3), time from ECG Q wave to the end of the T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula (QTcF interval): absolute value >=450 - <480 msec, >=480-<500 msec, >=500 msec; increase from baseline >=30 - <60, >=60 msec.
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Baseline up to Day 98
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Number of Participants With Change From Baseline and Absolute Values in Vital Signs Meeting Categorical Summarization Criteria
時間枠:Baseline up to Day 98
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Vital signs included seated supine systolic and diastolic blood pressure (BP) and pulse rate.
Vital signs criteria of potential clinical concern were 1), BP: systolic (SBP) greater than or equal to (>=) 30 millimeters of mercury (mm Hg) change from baseline, systolic less than (<) 90 mm Hg; diastolic BP (DBP) >=20 mm Hg change from baseline, diastolic <50 mm Hg; 2), pulse rate <40 or greater than (>) 120 beats per minute (bpm).
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Baseline up to Day 98
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Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Hypoglycemic Adverse Events (HAEs).
時間枠:Baseline up to Day 119
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An adverse event (AE) was any untoward medical occurrence in a participant administered a study drug; the event need not necessarily have a causal relationship with the treatment.
An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reasons: death; life threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect.
An HAE was identified by characteristic symptoms or blood glucose levels.
Any events occurring following start of treatment (defined as blinded therapy, including single blind placebo administration on Day 14) or increasing in severity were counted as treatment emergent AE.
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Baseline up to Day 119
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Percent Changes From Baseline for Fasting Low Density Lipoprotein-Cholesterol (LDL-C) at Weeks 2, 4, 8 and 12
時間枠:Baseline, Weeks 2, 4, 8 and 12
|
Fasting low density lipoprotein-cholesterol (LDL-C) percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for Triglycerides at Weeks 2, 4, 8 and 12
時間枠:Baseline, Weeks 2, 4, 8 and 12
|
Triglycerides percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Triglycerides MMRM was not appropriate as the data were very skewed and not normally distributed, therefore per SAP non-parametric analysis were reported, presenting medians and CIs for medians, instead.
If the data had many outliers even after the log transformation the following non parametric analysis was presented instead of the MMRM.
An outlier was defined as any data point falling outside of 3.5 x standard deviations the median.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for Total Cholesterol at Weeks 2, 4, 8 and 12
時間枠:Baseline, Weeks 2, 4, 8 and 12
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Total cholesterol percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) on Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for High Density Lipoprotein-Cholesterol (HDL-C) at Weeks 2, 4, 8 and 12
時間枠:Baseline, Weeks 2, 4, 8 and 12
|
High density lipoprotein-cholesterol (HDL-C) percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Percent Changes From Baseline for Non-High Density Lipoprotein (HDL) Cholesterol at Weeks 2, 4, 8 and 12
時間枠:Baseline, Weeks 2, 4, 8 and 12
|
Non-HDL-C percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) on Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
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Baseline, Weeks 2, 4, 8 and 12
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Changes From Baseline in Body Weight at Weeks 2, 4, 8, and 12.
時間枠:Baseline, Weeks 2, 4, 8 and 12
|
The body weight change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
|
Baseline, Weeks 2, 4, 8 and 12
|
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ここでは、この調査に関係する人々や組織を見つけることができます。
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出版物と役立つリンク
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研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2015年10月1日
一次修了 (実際)
2016年8月1日
研究の完了 (実際)
2016年8月1日
試験登録日
最初に提出
2015年9月17日
QC基準を満たした最初の提出物
2015年9月17日
最初の投稿 (見積もり)
2015年9月18日
学習記録の更新
投稿された最後の更新 (実際)
2017年8月7日
QC基準を満たした最後の更新が送信されました
2017年7月5日
最終確認日
2017年7月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。