Effects of Once and Twice Daily Dosing Regimen of Ertugliflozin (PF-04971729, MK-8835) In Participants With Type 2 Diabetes (MK-8835-040)
8 de novembro de 2019 atualizado por: Merck Sharp & Dohme LLC
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, 2-Period, Cross-Over Single Day Evaluation Of The Pharmacokinetic-Pharmacodynamic Effect Of Once And Twice Daily Oral Administration Of PF-04971729 In Patients With Type 2 Diabetes Mellitus
This is a Phase 1 randomized, double-blind, sponsor open, 4 arm, 2 way cross-over study using 2 cohorts.
The objective of the study is to evaluate the pharmacodynamics (PD) effects and the pharmacokinetic (PK) of single day dosing of 2 mg and 4 mg doses of ertugliflozin (Ertu, PF-04971729/MK-8835) each administered once vs twice daily (morning [AM] and evening [PM]) in adults with type 2 diabetes.
Visão geral do estudo
Status
Concluído
Condições
Tipo de estudo
Intervencional
Inscrição (Real)
52
Estágio
- Fase 1
Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
18 anos a 65 anos (Adulto, Adulto mais velho)
Aceita Voluntários Saudáveis
Não
Gêneros Elegíveis para o Estudo
Tudo
Descrição
Inclusion Criteria:
- Participants with type 2 diabetes mellitus, either treatment-naïve or on up to 2 acceptable oral anti-diabetes drugs for at least 8-weeks prior to study.
Exclusion Criteria:
- Participants with type 1 diabetes mellitus, participants with stroke, unstable angina, heart attack in last 6-months, uncontrolled blood pressure.
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Outro
- Alocação: Randomizado
- Modelo Intervencional: Atribuição cruzada
- Mascaramento: Dobro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: Cohort 1: Ertu 2 mg/Placebo (Pbo)→Ertu 1 mg/Ertu 1 mg
Period 1: Ertu 2 mg in the AM and Pbo in the PM for 1 day.
Period 2: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day.
There was a >= 7 day washout period between Period 1 and Period 2.
|
Ertugliflozin 2 mg dose (two 1 mg strength tablets), administered as a single dose
Ertugliflozin 1 mg dose (1 mg strength tablet) administered twice daily x 1 day
Placebo to ertugliflozin administered as a single dose
|
|
Experimental: Cohort 1: Ertu 1 mg/Ertu 1 mg→Ertu 2 mg/Pbo
Period 1: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day.
Period 2: Ertu 2 mg in the AM and Pbo in the PM for 1 day.
There was a >= 7 day washout period between Period 1 and Period 2.
|
Ertugliflozin 2 mg dose (two 1 mg strength tablets), administered as a single dose
Ertugliflozin 1 mg dose (1 mg strength tablet) administered twice daily x 1 day
Placebo to ertugliflozin administered as a single dose
|
|
Experimental: Cohort 2: Ertu 4 mg/Pbo→Ertu 2 mg/Ertu 2 mg
Period 1: Ertu 4 mg in the AM and Pbo in the PM for 1 day.
Period 2: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day.
There was a >= 7 day washout period between Period 1 and Period 2.
|
Placebo to ertugliflozin administered as a single dose
Ertugliflozin 4 mg dose (four 1 mg strength tablets), administered as a single dose
Ertugliflozin 2 mg dose (two 1 mg strength tablets) administered twice daily x 1 day
|
|
Experimental: Cohort 2: Ertu 2 mg/Ertu 2 mg→Ertu 4 mg/Pbo
Period 1: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day.
Period 2: Ertu 4 mg in the AM and Pbo in the PM for 1 day.
There was a >= 7 day washout period between Period 1 and Period 2.
|
Placebo to ertugliflozin administered as a single dose
Ertugliflozin 4 mg dose (four 1 mg strength tablets), administered as a single dose
Ertugliflozin 2 mg dose (two 1 mg strength tablets) administered twice daily x 1 day
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Cumulative Urinary Glucose Excretion Over 0 to 24 Hours
Prazo: 0 to 24 hours after the morning dose
|
Urine for analysis of glucose was collected at prespecified intervals.
Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose).
The average amount of urinary glucose excreted from 0 to 24 hours after the morning dose is presented in the table below.
|
0 to 24 hours after the morning dose
|
|
Urinary Glucose Excretion by Time Period
Prazo: At 0-4 hrs, 4-8 hrs, 8-12 hrs, and 12-24 hrs after the AM dose (up to 24 hours)
|
Urine for analysis of glucose was collected at prespecified intervals.
Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose).
The average amount of urinary glucose excreted during the pre-specified time frame is presented in the table below.
|
At 0-4 hrs, 4-8 hrs, 8-12 hrs, and 12-24 hrs after the AM dose (up to 24 hours)
|
|
24-hour Weighted Mean Plasma Glucose
Prazo: Up to 24 hours
|
Blood was collected during each treatment period at pre-dose (fasted) on Day 1 (Hour 0) and post-dose (fed) on Day 1 at 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 12.5, 13, 14, 15, 16, 18, and 24 hours.
|
Up to 24 hours
|
|
Weighted Mean Postprandial Plasma Glucose
Prazo: At 0-5 hours, 5-12 hrs, and 12-18 hrs after the morning dose (up to 18 hours)
|
The weighted mean postprandial glucose over the specified intervals were analyzed by cohort.
|
At 0-5 hours, 5-12 hrs, and 12-18 hrs after the morning dose (up to 18 hours)
|
|
Fasting Plasma Glucose
Prazo: Up to 24 hours
|
Blood samples were to be collected following a fast from all food and drink (except water) for at least 8 hours.
Fasting Plasma Glucose was collected as part of the assessment of weighted mean 24-hour plasma glucose.
As such, it was not specified as an endpoint in the Statistical Analysis Plan and was not analyzed or summarized separately.
|
Up to 24 hours
|
|
Fasting C-peptide
Prazo: Up to 24 hours (0 and 24 hours)
|
The fasting c-peptide was analyzed by cohort using a mixed-effects model with sequence, period, and treatment as fixed effects and participant within sequence as a random effect.
|
Up to 24 hours (0 and 24 hours)
|
|
Number of Participants Experiencing an Adverse Event
Prazo: Up to 16 days
|
An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device.
The table below includes all data collected since the first dose of study drug.
|
Up to 16 days
|
|
Number of Participants Discontinuing Study Drug Due to an Adverse Event
Prazo: Up to 8 days (Day 1 in each dosing period)
|
An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device.
The table below includes all data collected since the first dose of study drug.
Data include participants discontinued due to adverse events, participants with dose reduced or temporary discontinuation due to adverse events.
|
Up to 8 days (Day 1 in each dosing period)
|
|
Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin
Prazo: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose
|
Pharmacokinetic (PK) parameter of AUClast for study drug.
Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.
|
0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose
|
|
Maximum Plasma Concentration (Cmax) of Ertugliflozin
Prazo: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose
|
PK parameter of Cmax for study drug.
Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.
|
0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose
|
|
Time Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin
Prazo: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose
|
PK parameter of Tmax for study drug.
Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.
|
0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose
|
Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Patrocinador
Colaboradores
Publicações e links úteis
A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.
Publicações Gerais
- Fediuk DJ, Sahasrabudhe V, Dawra VK, Zhou S, Sweeney K. Population Pharmacokinetic Analyses of Ertugliflozin in Select Ethnic Populations. Clin Pharmacol Drug Dev. 2021 Nov;10(11):1297-1306. doi: 10.1002/cpdd.970. Epub 2021 Jul 2.
- Dawra VK, Liang Y, Shi H, Bass A, Hickman A, Terra SG, Zhou S, Cutler D, Sahasrabudhe V. A PK/PD study comparing twice-daily to once-daily dosing regimens of ertugliflozin in healthy subjects . Int J Clin Pharmacol Ther. 2019 Apr;57(4):207-216. doi: 10.5414/CP203343.
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo (Real)
17 de fevereiro de 2010
Conclusão Primária (Real)
7 de abril de 2010
Conclusão do estudo (Real)
7 de abril de 2010
Datas de inscrição no estudo
Enviado pela primeira vez
20 de janeiro de 2010
Enviado pela primeira vez que atendeu aos critérios de CQ
20 de janeiro de 2010
Primeira postagem (Estimativa)
22 de janeiro de 2010
Atualizações de registro de estudo
Última Atualização Postada (Real)
21 de novembro de 2019
Última atualização enviada que atendeu aos critérios de controle de qualidade
8 de novembro de 2019
Última verificação
1 de novembro de 2019
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 8835-040
- B1521007 (Outro identificador: Pfizer Protocol Number)
- MK-8835-040 (Outro identificador: Merck Protocol Number)
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
SIM
Descrição do plano IPD
https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Sim
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Não
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .