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A Phase III Study of SP2086 in Combination With Metformin in Patients With Type 2 Diabetes

22. oktober 2013 oppdatert av: Jiangsu HengRui Medicine Co., Ltd.

A Multicenter Randomized, Double-blind, Placebo Controlled ,Parallel Group ,Phase III Study to Access the Efficacy and Safety of SP2086 in Combination Therapy With Metformin in Patients With Type 2 Diabetes Patients

SP2086 is a new dipeptidy1 peptidase(DPP)-4 inhibitors. This study aims to evaluate the efficacy and safety of SP2086 in combination therapy with Metformin in patients with Type 2 Diabetes Mellitus in Metformin monotherapy Who Have Inadequate Glycemic Control

Studieoversikt

Studietype

Intervensjonell

Registrering (Forventet)

360

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Beijing, Kina
        • Rekruttering
        • Chinese PLA General Hospital

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 80 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Patients diagnosed with type 2 diabetes mellitus
  • subject on metformin monotherapy with stable dose ≥1500mg/d for ≥8 weeks
  • 7.5% ≤HbA1C ≤11.0% at screening,7.0% ≤HbA1C ≤10.5% after run-in
  • Body Mass Index: ≥19 and ≤35 kg/m2

Exclusion Criteria:

  1. <80% or >120% compliance with placebo treatment during the run-in period
  2. Patients used the following drugs or therapies prior to randomization:

1) Somatropin therapy within 6 months prior to randomization 2) History of drug or alcohol abuse within 6 months prior to randomization 3) Participate in clinical trials of any drugs or medical devices within 3 months prior to randomization 4) Receive corticosteroids long-term (more than 7 consecutive days) oral, non-gastrointestinal administration or intra-articular administration within 2 months prior to randomization 5) Weight control drugs administration or Surgeries resulting in weight instability within 2 months prior to randomization 6) In investigator's opinion, patients used any drugs that interfere with assessment of the investigational product, or produce vital organs toxicity 4. Patients with history of the following diseases or proof prior to randomization:

  1. Type 1 diabetes, single gene mutation diabetes, diabetes caused by pancreatic damage and secondary diabetes, such as caused by Cushing's syndrome or acromegaly
  2. a history of hypertension, and after antihypertensive treatment, systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg
  3. a history of acute and chronic pancreatitis or pancreatic injury that may lead to high risk of pancreatitis
  4. serious haematological diseases or other diseases leading to hemolyze and Red Blood Cell unstable (malaria、haemolytic anaemia eg. )
  5. other endocrine diseases, for example hyperthyroidism、hypothyroidism、hypercortisolism、multiple endocrine neoplasia and so on
  6. Any organ system tumors except the local skin basal cell carcinoma that have been treated or not been treated within 5 years prior to randomization, regardless of whether there is evidence of local recurrence or metastasis ; a history or family history of medullary carcinoma of thyroid ; a history of multiple endocrine neoplasia
  7. Decompensated heart failure (NYHA class III and IV), unstable angina, stroke or transient ischemic attack, myocardial infarction, persistence and clinical significance arrhythmia, coronary artery bypass grafting or percutaneous coronary intervention within 6 months prior to randomization
  8. Acute metabolic complications (ketoacidosis, lactic acidosis or hyperosmolar coma), unstable proliferative retinopathy or macular degeneration within 6 months prior to randomization
  9. Severe trauma or acute infection that may affect blood glucose control within 4 weeks prior to randomization
  10. Severe chronic gastrointestinal disease or therapy that may affect drug absorption, such as gastrointestinal surgery
  11. With a history of mental/emotional disorder that would interfere with the subject's participation in the study.

5. Patients with any laboratory parameters meet the following criteria prior to randomization:

  1. Aspartate Aminotransferase or alanine aminotransferase ≥ 2.0× upper normal limit(UNL) , and/or total bilirubin ≥ 2.0 × UNL also review confirmed within 3 days;
  2. Triglyceride>5.64mmol/L(500mg/dl);
  3. serum creatinine to exceed the normal range
  4. thyroid stimulating hormone to exceed the normal range, and have clinical significance
  5. blood amylase o exceed the normal range, and have clinical significance
  6. In investigator's opinion, any significant laboratory abnormalities of clinical significance value that interfere with assessment of this study.

6. At Screening patients not installed pacemaker with II or III degree atrioventricular block, long QT syndrome or QT corrected > 500 ms 7. Patients who received blood transfusions or blood donation≥ 400 mL or severe blood loss at least 400 mL within 8 weeks prior to randomization

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: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Placebo komparator: Placebo/metformin
  • Run in period :placebo and metformin 500 mg t.i.d for 6 weeks
  • Phase A : Placebo and metformin 500 mg t.i.d for 24 weeks
  • Phase B : SP2086 50 mg b.i.d and metformin 500 mg t.i.d for 28 weeks
Eksperimentell: SP2086 (50mg b.i.d)/Metformin
  • Run-in period: placebo and Metformin 500 mg t.i.d for 6weeks
  • Phase A:SP2086 50 mg b.i.d and Metformin 500 mg t.i.d for 24 weeks
  • Phase B:SP2086 50 mg b.i.d and Metformin 500 mg t.i.d for 28 weeks
Eksperimentell: SP2086 (50mg q.d.)/Metformin
  • Run-in period: placebo and Metformin 500 mg t.i.d for 6 weeks
  • Phase A:SP2086 50 mg q.d and Metformin 500 mg t.i.d for 24 weeks
  • Phase B:SP2086 50 mg q.d and Metformin 500 mg t.i.d for 28 weeks

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Endring fra baseline i HbA1c (hemoglobin A1C) ved uke 24
Tidsramme: baseline, uke 24
A1C måles i prosent. Dermed reflekterer denne endringen fra baseline uke 24 A1C prosent minus uke 0 A1C prosent
baseline, uke 24

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Endring fra baseline i 2-timers glukose etter måltid (2-t PMG) i uke 24
Tidsramme: Uke 0-24
Endring fra baseline ved uke 24 er definert som uke 24 2-t PMG minus uke 0 2-t PMG
Uke 0-24
Endring fra baseline i lipid ved uke 4, 8, 12, 24, 38, 52
Tidsramme: Uke 4, 8, 12, 24, 38, 52
Uke 4, 8, 12, 24, 38, 52
Endring fra baseline i kroppsvekt ved uke 4,8,12, 24, 38, 52
Tidsramme: Uke 4, 8, 12, 24, 38, 52
Uke 4, 8, 12, 24, 38, 52
Percentage of Participants Achieving Less Than (<) 6.5% or <7% HbA1c Levels
Tidsramme: week24, 52
week24, 52
Change From Baseline in fasting plasma glucose (FPG) at Week 24,52
Tidsramme: Weeks 0-24-52
Change from baseline at Week 24,52 is defined as Week 24 ,52 FPG minus Week 0 FPG
Weeks 0-24-52
Change From Baseline in HbA1c at Week 52
Tidsramme: week 52
A1C is measured as a percent. Thus, this change from baseline reflects the Week 52 HbA1c percent minus the Week 0 HbA1c percent
week 52

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. april 2013

Primær fullføring (Forventet)

1. januar 2014

Studiet fullført (Forventet)

1. januar 2015

Datoer for studieregistrering

Først innsendt

18. oktober 2013

Først innsendt som oppfylte QC-kriteriene

22. oktober 2013

Først lagt ut (Anslag)

25. oktober 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

25. oktober 2013

Siste oppdatering sendt inn som oppfylte QC-kriteriene

22. oktober 2013

Sist bekreftet

1. oktober 2013

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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