A Study of The Effect of Aleglitazar on Insulin Sensitivity in Patients With Type 2 Diabetes Mellitus Who Are Inadequately Controlled With Metformin
A Single Centre, Randomized, Double-Blind, Placebo-Controlled, Phase II Study to Assess the Efficacy of Aleglitazar on Insulin Sensitivity in Patients With Type 2 Diabetes Mellitus (T2D) Who Are Inadequately Controlled With Metformin Monotherapy
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
-
-
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Neuss, Tyskland, 41460
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-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Adult patients, 30 to 70 years of age inclusive at screening
- Type 2 diabetes mellitus patients treated with stable metformin therapy for at least 12 weeks prior to screening; metformin dose should not exceed the maximum dose specified in the label
- HbA1c >/= 6.5% and </= 9% at screening and baseline
- Fasting plasma glucose </= 13.3 mmol/L (</= 240 mg/dl) at screening and baseline
- Body mass index (BMI) >/= 25 at screening; BMI >/= 27 for subjects with HbA1c < 7%
- Stable weight +/- 5% for at least 12 weeks prior to screening
Exclusion Criteria:
- Women who are pregnant, intending to become pregnant during the study period, currently lactating women, or women of child-bearing potential not using highly effective, medically approved birth control methods
- Diagnosis or history of type 1 diabetes mellitus, diabetes resulting from pancreatic injury, or secondary forms of diabetes
- Acute metabolic diabetic complications such as ketoacidosis or hyperosmolar coma within the past 6 months
- Any previous treatment with a thiazolidinedione or with a dual peroxisome proliferator activated receptor (PPAR) agonist
- Any body weight lowering or lipoprotein-modifying therapy (e.g. fibrates) within 12 weeks prior to screening with the exception of stable (>/= 1 month) statin therapy
- History of bariatric surgery or currently undergoing evaluation for bariatric surgery
- Prior intolerance to fibrate
- Treatment with any anti-diabetic medication other than metformin in the last 12 weeks prior to screening and/or herbal/over-the-counter preparations that may affect glycemic control within 12 weeks prior to screening
- Clinically apparent liver disease
- Positive for hepatitis B, hepatitis C or HIV infection
- Clinical evidence of anemia
- Symptomatic congestive heart failure (New York Heart Association Class II-IV) at screening
- Myocardial infarction, acute coronary syndrome, or transient ischemic attack/stroke within 6 months prior to screening
- Known macular edema at screening or prior to screening visit
- Uncontrolled hypertension despite stable (for at least 4 weeks) anti-hypertensive treatment
- Diagnosed and/or treated malignancy (except for treated cases of basal cell skin cancer, in situ carcinoma of the cervix or in situ prostate cancer) within the past 5 years
- Chronic oral or parenteral corticosteroid treatment (> 2 weeks) within 3 months prior to screening
- History of active substance abuse (including alcohol) within the past 2 years or positive test result for drugs of abuse or alcohol prior to first dosing
- Presence of any absolute or relative contraindication for the conduct of magnetic resonance imaging (MRI) investigation
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Placebo komparator: Placebo
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patients will continue on their existing dose and regimen of metformin (but not more than the maximum dose specified in the label)
orally daily, 16 weeks
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|
Eksperimentell: Aleglitazar
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150 mcg orally daily, 16 weeks
patients will continue on their existing dose and regimen of metformin (but not more than the maximum dose specified in the label)
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Change in whole-body insulin sensitivity as assessed by M-value (Insulin-stimulated glucose disposal rate)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in hepatic insulin sensitivity (basal index of hepatic insulin resistance)
Tidsramme: from baseline to Week 16
|
from baseline to Week 16
|
|
Change in parameters of beta cell function (first and second phase insulin secretion)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in HbA1c
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in lipid profile
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in mean 24h blood pressure
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in hepatic fat content measured by magnetic resonance spectroscopy (MRI)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
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Change in fat content/distribution in the abdominal region measured by MRI
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in total body fat content measured by air displacement phlethysmography
Tidsramme: from baseline to Week 16
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from baseline to Week 16
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Change in homeostatic indexes of insulin sensitivity assessed by Homeostasis Model Assessment for Insulin Sensitivity (HOMA-IS)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
|
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Change in markers of cardiovascular risk (high sensitivity C-reactive protein, adiponectin, free fatty acid)
Tidsramme: from baseline to Week 16
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from baseline to Week 16
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Safety: Incidence of adverse events
Tidsramme: 22 weeks
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22 weeks
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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- WC28038
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