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

2. april 2014 oppdatert av: 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.

Studieoversikt

Studietype

Intervensjonell

Fase

  • Fase 2

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 75 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: LIK066 2.5 mg
Patients receive 2.5 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Eksperimentell: LIK066 5 mg
Patients receive 5 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Eksperimentell: LIK066 10 mg
Patients receive 10 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Eksperimentell: LIK066 25 mg
Patients receive 25 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Eksperimentell: LIK066 50 mg
Patients receive 50 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Eksperimentell: LIK066 100 mg
Patients receive 100 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Eksperimentell: LIK066 150 mg
Patients receive 150 mg of LIK066 once daily for 12 weeks
Experimental treatment doses
Aktiv komparator: Sitagliptin 100 mg
Patients receive 100 mg sitagliptin once daily for 12 weeks
Active comparator treatment dose
Placebo komparator: Placebo
Patients receive placebo for 12 weeks
Placebo comparator dose

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change from baseline in glycated hemoglobin (HbA1c) after 12 weeks
Tidsramme: baseline, 12 weeks
Change from baseline in HbA1c after 12 weeks of treatment in each of the LIK066 doses and placebo
baseline, 12 weeks

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change from baseline in Fasting Plasma Glucose
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. november 2015

Primær fullføring (Forventet)

1. november 2016

Studiet fullført (Forventet)

1. november 2016

Datoer for studieregistrering

Først innsendt

1. april 2013

Først innsendt som oppfylte QC-kriteriene

1. april 2013

Først lagt ut (Anslag)

4. april 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

3. april 2014

Siste oppdatering sendt inn som oppfylte QC-kriteriene

2. april 2014

Sist bekreftet

1. april 2014

Mer informasjon

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