Dose-finding Study of LIK066 Compared With Placebo or Sitagliptin to Evaluate Change in HbA1c in Patients With Diabetes
2014年4月2日 更新者: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.
研究概览
研究类型
介入性
阶段
- 阶段2
参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 75年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Confirmed diagnosis of T2DM by standard criteria
- Drug-naïve patients, defined as patients not having received any anti-diabetic medication previously,
- 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
- 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)
- HbA1c ≥ 7 to ≤ 10.5% at Visit 1 for drug-naïve/currently untreated patients
- HbA1c ≥ 7 to ≤ 9.5% at Visit 1 for patients treated with OAD monotherapy
- HbA1c ≥ 7 to ≤ 10.5% at Visit 199 for ALL patients
- Age: ≥18 and ≤ 75 years old at Visit 1
- BMI ≥22 to ≤45 kg/m2 at Visit 1
Exclusion Criteria:
- 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
- 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
- History of acute metabolic complications, CV disease, type 1 diabetes mellitus, hepatic disorders, pancreatitis, chronic diarrhea
- 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
- ECG abnormalities including AV block, long QT syndrome or QTc>450 msec for men and >470 msec for women
- History of malignancy
- Women of child-bearing potential not using effective methods of contraception Other protocol-defined inclusion/exclusion criteria may apply
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:LIK066 2.5 mg
Patients receive 2.5 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
实验性的:LIK066 5 mg
Patients receive 5 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
实验性的:LIK066 10 mg
Patients receive 10 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
实验性的:LIK066 25 mg
Patients receive 25 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
实验性的:LIK066 50 mg
Patients receive 50 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
实验性的:LIK066 100 mg
Patients receive 100 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
实验性的:LIK066 150 mg
Patients receive 150 mg of LIK066 once daily for 12 weeks
|
Experimental treatment doses
|
|
有源比较器:Sitagliptin 100 mg
Patients receive 100 mg sitagliptin once daily for 12 weeks
|
Active comparator treatment dose
|
|
安慰剂比较:Placebo
Patients receive placebo for 12 weeks
|
Placebo comparator dose
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change from baseline in glycated hemoglobin (HbA1c) after 12 weeks
大体时间:baseline, 12 weeks
|
Change from baseline in HbA1c after 12 weeks of treatment in each of the LIK066 doses and placebo
|
baseline, 12 weeks
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change from baseline in Fasting Plasma Glucose
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2015年11月1日
初级完成 (预期的)
2016年11月1日
研究完成 (预期的)
2016年11月1日
研究注册日期
首次提交
2013年4月1日
首先提交符合 QC 标准的
2013年4月1日
首次发布 (估计)
2013年4月4日
研究记录更新
最后更新发布 (估计)
2014年4月3日
上次提交的符合 QC 标准的更新
2014年4月2日
最后验证
2014年4月1日
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- CLIK066A2202
- 2012-005793-63 (EudraCT编号)
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.