이 페이지는 자동 번역되었으며 번역의 정확성을 보장하지 않습니다. 참조하십시오 영문판 원본 텍스트의 경우.

난치성 제2형 당뇨병에 대한 임상시험 (CAPTAIN-T2D) (CAPTAIN-T2D)

2026년 10월 5일 업데이트: Sparrow Pharmaceuticals

Clofutriben 및 위약에 대한 난치성 제2형 당뇨병 임상 2상 시험(CAPTAIN-T2D)

CAPTAIN-T2D will take place in two parts. Part 1 (Screening) will evaluate patients with type 2 diabetes and elevated cortisol risk factors for trial eligibility and the presence of elevated cortisol. Participants deemed eligible from Part 1 will be randomized to either clofutriben or placebo in the double-blind (participant and investigator), dose-ranging, interventional Part 2 (Treatment).

연구 개요

상태

모병

정황

개입 / 치료

상세 설명

CAPTAIN-T2D is a two-part, multicenter, randomized, double-blind, parallel group, placebo- controlled trial of the 11-hydroxysteroid dehydrogenase type 1 (HSD-1) inhibitor clofutriben. The primary objectives of this trial are to characterize the relationship of clofutriben dose to improved glycemic control, and to identify one or more doses suitable for Phase 3 evaluation, in patients with T2D and elevated cortisol.

The trial consists of two parts.

Part 1 (Screening) will last between approximately 5 to 9 weeks for most participants. The screening period duration allows for (sequentially) initial eligibility screen, dexamethasone suppression test, and further eligibility assessments.

During Part 2 (Treatment), participants will be randomized to placebo or one of four clofutriben doses. Part 2 will last 24 weeks with a follow-up phone call 4 weeks after the last dose of trial medication.

연구 유형

중재적

등록 (추정된)

1500

단계

  • 2 단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Arizona
      • Chandler, Arizona, 미국, 85225
        • 모병
        • Arizona Clinical Trials - Pecos
        • 연락하다:
      • Tucson, Arizona, 미국, 85711
    • California
      • Fountain Valley, California, 미국, 92708
        • 모병
        • Ark Clinical Research - Fountain Valley
        • 연락하다:
      • Huntington Park, California, 미국, 90255
      • La Mesa, California, 미국, 91942
      • Long Beach, California, 미국, 90815
      • Los Angeles, California, 미국, 90057
      • Los Angeles, California, 미국, 90015
        • 모병
        • Los Angeles Institute for Metabolic Research
        • 연락하다:
      • Northridge, California, 미국, 98433
      • San Diego, California, 미국, 92120
    • Florida
      • Edgewater, Florida, 미국, 32132
      • Fort Lauderdale, Florida, 미국, 33312
        • 모병
        • The Center for Diabetes and Endocrine Care
        • 연락하다:
      • Miami, Florida, 미국, 33173
      • New Port Richey, Florida, 미국, 34652
      • Port Charlotte, Florida, 미국, 33952
        • 모병
        • Innovative Research Institute
        • 연락하다:
      • Port Orange, Florida, 미국, 32127
      • Winter Park, Florida, 미국, 32789
    • Georgia
      • Atlanta, Georgia, 미국, 30303
        • 모병
        • Emory University School of Medicine
        • 연락하다:
      • Columbus, Georgia, 미국, 31904
    • Idaho
      • Boise, Idaho, 미국, 83709
    • Illinois
      • Chicago, Illinois, 미국, 60607
        • 모병
        • Chicago Clinical Research Institute
        • 연락하다:
          • Manognya Clinical Research Manager
          • 전화번호: 303 3127913241
          • 이메일: manognya@ccrii.us
    • Iowa
      • West Des Moines, Iowa, 미국, 50226
        • 모병
        • Iowa Diabetes and Endocrinology Research Center
        • 연락하다:
    • Kansas
      • Wichita, Kansas, 미국, 67226
        • 모병
        • Alliance for Multispecialty Research - Wichita East
        • 연락하다:
    • Kentucky
      • Edgewood, Kentucky, 미국, 41017
    • Louisiana
      • Lafayette, Louisiana, 미국, 70508
      • Metairie, Louisiana, 미국, 70006
        • 모병
        • NOLA Care Clinical Research
        • 연락하다:
      • New Orleans, Louisiana, 미국, 70112
        • 모병
        • Tulane University School of Medicine
        • 연락하다:
    • Maryland
      • Rockville, Maryland, 미국, 20854
    • Massachusetts
      • Springfield, Massachusetts, 미국, 011030
    • Michigan
      • Troy, Michigan, 미국, 48085
        • 모병
        • Oakland Medical Research Center
        • 연락하다:
    • Nebraska
      • Lincoln, Nebraska, 미국, 68510
      • Omaha, Nebraska, 미국, 68134
    • Nevada
      • Las Vegas, Nevada, 미국, 89148
      • Las Vegas, Nevada, 미국, 89108
    • New York
      • Albany, New York, 미국, 12203
        • 모병
        • Albany Medical College
        • 연락하다:
    • North Carolina
      • Chapel Hill, North Carolina, 미국, 27514
        • 모병
        • University of North Carolina at Chapel Hill
        • 연락하다:
      • Greenville, North Carolina, 미국, 27834
      • Morehead City, North Carolina, 미국, 28557
      • Wilmington, North Carolina, 미국, 28401
        • 모병
        • PMG Research of Wilmington, LLC
        • 연락하다:
    • Ohio
      • Cincinnati, Ohio, 미국, 45219
        • 모병
        • Velocity Clinical Research, Cincinnati, Mt. Auburn
        • 연락하다:
      • Cincinnati, Ohio, 미국, 45242
        • 모병
        • Velocity Clinical Research - Cincinnati, Blue Ash
        • 연락하다:
      • Columbus, Ohio, 미국, 43201
        • 모병
        • Endocrinology Associates, Inc
        • 연락하다:
      • Columbus, Ohio, 미국, 43215
        • 모병
        • Remington Davis, Inc
        • 연락하다:
    • Oregon
      • Eugene, Oregon, 미국, 97404
        • 모병
        • Willamette Valley Clinical Studies
        • 연락하다:
          • Patricia Manager
          • 전화번호: 541-461-0132
          • 이메일: drpatb@aol.com
    • Pennsylvania
      • West Chester, Pennsylvania, 미국, 19380
    • South Carolina
      • Anderson, South Carolina, 미국, 29621
      • Mt. Pleasant, South Carolina, 미국, 29464
    • Texas
      • Austin, Texas, 미국, 78759
      • Dallas, Texas, 미국, 75230
      • Houston, Texas, 미국, 77040
      • Lampasas, Texas, 미국, 76550
        • 모병
        • Radiance Clinical Research
        • 연락하다:
      • Lewisville, Texas, 미국, 75057
      • Mission, Texas, 미국, 78572
        • 모병
        • Texas Valley Clinical Research - Mission, TX
        • 연락하다:
      • Round Rock, Texas, 미국, 78681
        • 모병
        • Texas Diabetes & Endocrinology, P.A. - Round Rock
        • 연락하다:
      • San Antonio, Texas, 미국, 78229
        • 모병
        • Diabetes & Glandular Disease Clinic, P.A.
        • 연락하다:
      • San Antonio, Texas, 미국, 78251
        • 모병
        • Texas Valley Clinical Research - San Antonio TX
        • 연락하다:
      • Seabrook, Texas, 미국, 77586
      • Weslaco, Texas, 미국, 78596
        • 모병
        • Texas Valley Clinical Research, LLC
        • 연락하다:
    • Utah
      • West Jordan, Utah, 미국, 84088
        • 모병
        • Velocity Clinical Research, Salt Lake City
        • 연락하다:
    • Virginia
      • Suffolk, Virginia, 미국, 23435
      • Vienna, Virginia, 미국, 22182

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

  • From Screening 1

    • Age at least 18 years.

    • HbA1c ≥7.5% documented within 3 months prior to Screening 1. (The historical HbA1c value must have been obtained after at least 2 months on the current [as of Screening 1] regimen).

    • Treatment with stable and adequate doses of ≥2 injectable or oral ADMs. (An ADM will be deemed stable if the dose has been the same for at least 3 months prior to Screening 1 and without change between Screening 1 and Day 1) (An ADM dose will be deemed adequate if it is at or above the maximal labelled dose, or a sub-maximal, but not starting, dose if limited by tolerability (confer with MM if less than half-maximal dose).

    • Adequate total daily insulin is defined as at least 0.3 units/kg/day. Insulin dose will be deemed stable with adjustments of up to 20% total daily dose during the 3 months prior to Screening 1 or between Screening 1 and Day 1.

    • Use of insulin pumps or insulin brand changes (e.g., due to insurance change or shortage) are to be discussed with the MM.

    • At least one of the following

      • ≥3 stable and adequate ADMs;
      • diabetes complication (retinopathy, nephropathy, neuropathy, atherosclerotic heart disease);
      • hypertension requiring ≥2 adequately dosed AHMs;
      • adequately dosed basal or basal plus prandial insulin in addition to at least 1 other ADM; and
      • adequately dosed incretin agonist (a single or combination agent counts as one ADM) in addition to at least 1 other ADM;
      • evidence or history of osteoporosis or non-traumatic fracture (e.g., vertebral body compression);
      • or established diagnosis of a neoplastic (non-malignant) source of hypercortisolism and have failed, are ineligible for, or declined surgery.

At DST • Post-DST cortisol level >1.8 µg/dL and serum dexamethasone ≥140 ng/dL. Patients with an established diagnosis of neoplastic hypercortisolism do not require a DST.

At Screening 2

  • HbA1c ≥7.5% at Screening 2. At Day 1
  • No change in, or initiation of, medications for hypertension within 1 month prior to Day 1.

Exclusion Criteria:

  • New-onset diabetes (onset <1 year in the past).

  • Unwillingness to maintain with current glucose-lowering regimen during the trial.

  • Unwillingness to adjust, add, replace, or discontinue current or other glucose-lowering medications during the trial as directed by the investigator.

  • Unwillingness to comply with CGM or other trial procedures.

  • Investigator considers the patient will otherwise be unwilling or unable to complete the trial.

  • Night-shift worker or otherwise habitually awake from 23:00 to 07:00 h.

  • Evidence for significant hypoglycemia while on their current diabetic treatment regimen(This includes episodes of symptomatic Level 3 hypoglycemia requiring external assistance for recovery, or CGM-documented prolonged [>15 min] or repeated episodes of either Level 2 hypoglycemia leading to >1%, or Level 1 hypoglycemia leading to >4%, in "time below range" within 3 months prior to Screening 1 or between Screening 1 and Day 1).

  • Any of the following in medical history:

    • Type 1 diabetes mellitus (T1D), latent autoimmune diabetes in adults (LADA), or familial forms of maturity-onset diabetes of the young (MODY);
    • A hemoglobinopathy or other condition which may interfere with measurement of HbA1c (e.g., sickle cell disease HbSS or other variants HbEE thalassemia, hemolytic anemia, recent blood transfusion);
    • Hypersensitivity or severe reaction to dexamethasone;
    • Pheochromocytoma, or suspicion thereof;
    • Anorexia, or other eating disorder;
    • Glucocorticoid resistance;
    • Multiple sclerosis;
    • Significant hepatic impairment (e.g., Child-Pugh Class B or C);
    • Idiopathic thrombocytopenic purpura;
    • Untreated or inadequately controlled moderate-to-severe sleep apnea (apnea-hypopnea index ≥15). (Patients whose condition has been well controlled with Continuous Positive Airway Pressure (CPAP) use for at least 3 months prior to Screening 1 are not excluded. Patients with a STOP-BANG score 5-8 should be referred for a sleep study outside the trial and may rescreen if found not to have moderate-to-severe sleep apnea);
    • Current alcohol consumption >14 units/week or >4 units in a single day for males, or >7 units/week or >3 units in a single day for females. (Patients with a CAGE score 2-4 should be evaluated further outside the trial and may be rescreened if found not to have an alcohol [or other substance] use disorder);
    • Untreated or inadequately controlled major depressive disorder, generalized anxiety disorder, bipolar disorder, post-traumatic stress disorder, or schizophrenia.(Patients whose condition has been well controlled with stable medical therapy, or has been asymptomatic, for at least 3 months prior to Screening 1 are not excluded); or
    • Any other medical condition (including malignancy) that is likely to interfere with trial assessments or the patient's ability to complete the trial.
    • Any of the following in medication history:
    • Any of the excluded medications listed in Section 6.9;
    • Any investigational drug within 4 weeks or within less than five times the drug's half-life, whichever is longer, prior to Screening 1 or between Screening 1 and Day 1;
    • Woman of childbearing potential (WOCBP) not willing to adhere to highly effective contraception or strict abstinence for the duration of the trial and for 90 days post completion/discontinuation; and
    • Pregnancy (including a positive urine test) or current breast feeding.

From Screening 2

• Prior probability of undiagnosed endogenous Cushing syndrome based on either of:

  • wo morning serum cortisol values after dexamethasone suppression >5.0 mcg/dL together with plasma dexamethasone >140 ng/mL; or
  • a morning serum cortisol value after dexamethasone suppression >1.8 mcg/dL, together with plasma dexamethasone >140 ng/mL and any one of the following that is not attributable to an etiology other than endogenous Cushing's syndrome:
  • supraclavicular/dorsocervical fat accumulation;
  • irounding of the face (especially compared with prior photos);
  • skin changes (violaceous striae, skin thinning, or excessive bruising);
  • proximal muscle weakness on exam; or
  • history of deep vein thrombosis/pulmonary embolism.
  • Plans for, or medically unable to forego, treatment for endogenous Cushing syndrome or ACS within the next 8 months. (For clarity, patients with EnCS or ACS, not having such treatment plans, and medically able to forego treatment for 8 months may enroll if otherwise eligible).
  • Severe, poorly controlled hypertension (mean systolic BP >160 mmHg or mean diastolic BP >100 mmHg) at Screening 2 or between Screening 2 and Day 1, including by at-home monitoring. (Such patients will be eligible to rescreen for Part 2 when they restore BP <160/100 mmHg for 1 month on a new stable medication regimen).
  • Positive urine screen for recreational drugs (except tetrahydrocannabinol (THC)).
  • Glomerular filtration rate (GFR) (determined using Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]) <45 mL/min/1.73 m².
  • Poorly controlled hyperthyroidism/hypothyroidism (confirmed by TSH or Free thyroxine [fT4]).
  • Liver enzymes >3 × upper limit of normal (ULN) (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or bilirubin >1.5 × ULN.(excepting benign conditions such as Gilbert's)
  • Known hypersensitivity to clofutriben or to any of the product

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 다른
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 네 배로

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Dose 1

clofutriben .2 mg oral tablet daily

HSD-1 inhibitor

다른 이름들:
  • SPI-62
  • ASP3662
실험적: Dose 2

clofutriben 2mg oral tablet daily

HSD-1 inhibitor

다른 이름들:
  • SPI-62
  • ASP3662
실험적: Dose 3

clofutriben 6mg oral tablet daily

HSD-1 inhibitor

다른 이름들:
  • SPI-62
  • ASP3662
실험적: Dose 4

clofutriben 12 mg oral tablet daily

HSD-1 inhibitor

다른 이름들:
  • SPI-62
  • ASP3662
위약 비교기: placebo

placebo control oral tablet daily

Placebo

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Percentage of patients with both morning serum cortisol >1.8 mg/dL and morning plasma dexamethasone >=140 ng/dL (single composite endpoint) after a single dexamethasone 1 mg dose taken the prior night.
기간: 8-10 hours after the dexamethasone 1 mg dose.

To assess prevalence in the trial population of morning cortisol non-suppression by a single dexamethasone 1 mg dose.

8-10 hours after the dexamethasone 1 mg dose.
Glycated hemoglobin A1c (%) change from baseline to Week 24 by treatment.
기간: 24 weeks.

To assess glycated hemoglobin A1c (%) changes, compared to placebo, in patients who receive each of 4 daily clofutriben doses for 24 weeks.

24 weeks.

2차 결과 측정

결과 측정
측정값 설명
기간
Fasting plasma glucose (mmol/L) change from baseline to Week 24 by treatment.
기간: 24 weeks

To assess glucose (mmol/L) changes, compared to placebo, in patients who receive each of 4 daily clofutriben doses for 24 weeks.

24 weeks

기타 결과 측정

결과 측정
측정값 설명
기간
To evaluate the safety of clofutriben in participants with T2D and EC.
기간: From enrollment until end of trial 9 month

Frequency of TEAEs (treatment-emergent adverse even) by clofutriben dose

From enrollment until end of trial 9 month

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2025년 11월 29일

기본 완료 (추정된)

2027년 12월 31일

연구 완료 (추정된)

2028년 6월 30일

연구 등록 날짜

최초 제출

2025년 11월 30일

QC 기준을 충족하는 최초 제출

2025년 12월 18일

처음 게시됨 (실제)

2025년 12월 22일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 10월 6일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 10월 5일

마지막으로 확인됨

2026년 10월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • SPI-62-CL-2006

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

예

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .