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A 12-week Study To Evaluate PF-06291874 Once a Day in Adults With T2DM Inadequately Controlled On Metformin

2017年7月5日 更新者:Pfizer

A 12-week, Phase 2, Randomized, Double-blind, Placebo-controlled, Parallel Group Study To Evaluate The Efficacy And Safety Of Once Daily Pf-06291874 Administration In Adults With Type 2 Diabetes Mellitus Inadequately Controlled On Metformin

The purpose of this study is to determine whether PF-06291874 is effective in the treatment T2DM

研究概览

地位

完全的

详细说明

This will be a randomized, double blind, stratified, placebo controlled, parallel group study conducted in T2DM subjects receiving background metformin therapy. Subjects will complete screening procedures to determine eligibility, followed by an 8 week metformin stabilization period prior to randomization. In addition, subjects taking other OADs, in combination with metformin, will undergo a washout during this period, in which non metformin OAD medications will be temporarily discontinued for the duration of the trial. Following confirmation of study eligibility criteria at randomization, subjects will be stratified into 2 groups based on the use of concomitant statin therapy. Each stratum will be randomized across treatment groups, such that the number of subjects taking concomitant statin therapy and those not taking statin therapy will be approximately balanced across treatment groups.

研究类型

介入性

注册 (实际的)

206

阶段

  • 阶段2

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Ontario
      • Brampton、Ontario、加拿大、L6T 0G1
        • Aggarwal and Associates Limited
      • Thornhill、Ontario、加拿大、L4J 8L7
        • LMC Clinical Research Inc. (Thornhill)
      • Toronto、Ontario、加拿大、M4G 3E8
        • LMC Clinical Research Inc. (Bayview)
      • Toronto、Ontario、加拿大、M9W 4L6
        • Manna Research
    • Quebec
      • Lévis、Quebec、加拿大、G6W 0M6
        • Manna Research Inc.
      • Mirabel、Quebec、加拿大、J7J 2K8
        • Omnispec Clinical Research, Inc.
    • California
      • Anaheim、California、美国、92801
        • Anaheim Clinical Trials, LLC
      • Los Angeles、California、美国、90057
        • National Research Institute
      • Orange、California、美国、92868
        • NRC Research Institute
      • Roseville、California、美国、95661
        • Sierra Clinical Research
      • Spring Valley、California、美国、91978
        • Encompass Clinical Research
      • Upland、California、美国、91786
        • Empire Clinical Research
      • Walnut Creek、California、美国、94598
        • Diablo Clinical Research, Inc
    • Florida
      • Coral Gables、Florida、美国、33134
        • Clinical Research of South Florida
      • DeLand、Florida、美国、32720
        • Avail Clinical Research, LLC
      • Miami、Florida、美国、33135
        • Suncoast Research Group, LLC
      • South Miami、Florida、美国、33143
        • QPS-MRA, LLC (Miami research Associates)
      • West Palm Beach、Florida、美国、33409
        • Palm Beach Research Center
    • Georgia
      • Sandy Springs、Georgia、美国、30328
        • WR-Mount Vernon Clinical Research, LLC
    • Hawaii
      • Honolulu、Hawaii、美国、96814
        • East-West Medical Research Institute
    • Indiana
      • Indianapolis、Indiana、美国、46260
        • Midwest Institute for Clinical Research
    • Louisiana
      • Metairie、Louisiana、美国、70006
        • Crescent City Clinical Research Center, LLC
    • Missouri
      • Saint Louis、Missouri、美国、63141
        • St. Louis Clinical Trials, LC
    • Nevada
      • Las Vegas、Nevada、美国、89120
        • ALAS Science Clinical Research
    • New Jersey
      • Berlin、New Jersey、美国、08009
        • Comprehensive Clinical Research
      • Eatontown、New Jersey、美国、07724
        • Clinilabs Inc.
      • Marlton、New Jersey、美国、08053
        • Pharmaceutical Research Associates, Inc.
      • Trenton、New Jersey、美国、08611
        • TLB Research
    • North Carolina
      • Asheboro、North Carolina、美国、27203
        • Randolph Medical Associates
      • High Point、North Carolina、美国、27265
        • High Point Clinical Trials Center, LLC
    • North Dakota
      • Fargo、North Dakota、美国、58103
        • Lillestol Research, LLC
    • Ohio
      • Columbus、Ohio、美国、43213
        • Aventiv Research
    • Texas
      • Houston、Texas、美国、77081
        • Texas Center for Drug Development, Inc.
      • Houston、Texas、美国、77074
        • Juno Research, LLC
      • Katy、Texas、美国、77450
        • Juno Research, LLC
      • San Antonio、Texas、美国、78229
        • Clinical Trials of Texas, Inc.
      • Schertz、Texas、美国、78154
        • Northeast Clinical Research of San Antonio, LLC
    • Virginia
      • Richmond、Virginia、美国、23294
        • National Clinical Research - Richmond, Inc.

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 70年 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Males or non-childbearing potential females between the ages of 18 (or the minimum country specific age of consent if >18) and 70 years, inclusive, at the screening visit (V1) with the diagnosis of T2DM;Female subjects who are not of childbearing potential
  2. Subjects who have been on a stable dose of metformin either alone or in combination with one additional acceptable OAD
  3. HbA1c at the Screen Visit (V1), as assessed by study specific central laboratory, is 7-11% if on metformin monotherapy; is 6.5-9.5% if on dual combination therapy (metformin plus 1)

Exclusion Criteria:

  1. Diagnosis of type 1 diabetes mellitus or secondary forms of diabetes;
  2. Fasting plasma glucose levels >270 mg/dL (15.0 mmol/L) at the screening and run in visit, (as assessed by study specific central laboratory) confirmed by a single repeat, if deemed necessary
  3. History of myocardial infarction, unstable angina, arterial revascularization, stroke, New York Heart Association Functional Class III IV heart failure, or transient ischemic attack within 6 months of screening;
  4. Any medical condition possibly affecting study drug absorption (eg, gastrectomy or any area of intestinal resection, active inflammatory bowel disease or pancreatic insufficiency
  5. Subjects with a creatinine clearance <60 mL/min as determined by the Cockcroft Gault equation (listed below) using serum creatinine measured at screening, confirmed via a single repeat, if deemed necessary
  6. Subject with a positive result for hepatitis B surface antigen (HBsAg), hepatitis B core antibodies (HBc Ab) or hepatitis C virus (HCV) antibodies
  7. Screening seated systolic blood pressure >160 mm Hg and/or diastolic blood pressure >105 mm Hg after at least a 5 minute rest. Blood pressure determined as the mean of triplicate measurements collected with approximately 2 minutes of rest between measurements
  8. Screening supine 12 lead ECG demonstrating a corrected QT (QTc) >470 msec; or a QRS interval >120 msec. If QTc exceeds 470 msec or QRS exceeds 120 msec, the ECG may be repeated 2 more times with an interval of 2-4 minutes between each measurement and the mean of the 3 values used to determine the subject's eligibility
  9. Subjects with an arm circumference >52 cm measured at the midpoint of the length of the upper arm;
  10. History (within the last 6 months) of regular alcohol consumption exceeding 14 drinks per week for men and 7 drinks a week for women. (1 drink = 5 ounces of wine (150 mL) or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of hard liquor);
  11. Treatment with thiazolidinediones (TZDs), or subcutaneously administered anti diabetic agents (eg, insulin, exenatide, liraglutide, pramlintide) within 6 weeks prior to V1;
  12. Subjects with a known hypersensitivity or intolerance to a glucagon receptor antagonist, or known prior participation in a trial involving PF 06291874;

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
安慰剂比较:安慰剂
口服片剂
实验性的:PF-06291874, 30 mg
study drug to be given as an oral tablet at 30, 60 or 100 mg
实验性的:PF-06291874, 60 mg
study drug to be given as an oral tablet at 30, 60 or 100 mg
实验性的:PF-06291874, 100 mg
study drug to be given as an oral tablet at 30, 60 or 100 mg

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 Glycosylated Hemoglobin (HbA1c) (%) at Week 12 as Compared to Placebo
大体时间:Baseline, Week 12
HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Baseline was defined as the last pre-dose measurement prior to first double blind dosing for the study.
Baseline, Week 12

次要结果测量

结果测量
措施说明
大体时间
Change From Baseline in HbA1c (%) at Weeks 2, 4, and 8
大体时间:Baseline, Weeks 2, 4, 8
HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Baseline was defined as the last pre-dose measurement prior to first double blind dosing for the study. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2, 4, 8
Change From Baseline in Fasting Plasma Glucose at Weeks 2, 4, 8, and 12
大体时间:Baseline, Weeks 2,4,8 and 12
Fasting plasma glucose response changed from baseline at Weeks 2,4,8 and 12. Baseline was defined as the average of the measurements obtained during Day 14 visit window and Day 1 pre-dose measurement. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2,4,8 and 12
Percentage of Participants Achieving Glycosylated Hemoglobin (HbA1c) <7% as Well as <6.5% at Week 12.
大体时间:Week 12
HbA1c was a form of hemoglobin which was measured primarily to identify the average plasma glucose concentration over prolonged periods of time.
Week 12
Number of Participants With Laboratory Test Abnormalities
大体时间:Baseline up to 98 days
The total number of participants with laboratory test abnormalities (without regard to baseline abnormality) was assessed. Clinical laboratory tests included hematology, chemistry, urinalysis, and some other tests.
Baseline up to 98 days
Number of Participants With Change From Baseline and Absolute Values in 12-lead Electrocardiograms (ECGs) Meeting Categorical Summarization Criteria
大体时间:Baseline up to Day 98
ECG criteria of potential clinical concern were 1), time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval): >=140 milliseconds (msec); >=50% increase from baseline; 2), the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization (PR interval): >=300 msec; >=25 percent (%) increase when baseline >200 msec; or increase >=50% when baseline less than or equal to (<=)200 msec; 3), time from ECG Q wave to the end of the T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula (QTcF interval): absolute value >=450 - <480 msec, >=480-<500 msec, >=500 msec; increase from baseline >=30 - <60, >=60 msec.
Baseline up to Day 98
Number of Participants With Change From Baseline and Absolute Values in Vital Signs Meeting Categorical Summarization Criteria
大体时间:Baseline up to Day 98
Vital signs included seated supine systolic and diastolic blood pressure (BP) and pulse rate. Vital signs criteria of potential clinical concern were 1), BP: systolic (SBP) greater than or equal to (>=) 30 millimeters of mercury (mm Hg) change from baseline, systolic less than (<) 90 mm Hg; diastolic BP (DBP) >=20 mm Hg change from baseline, diastolic <50 mm Hg; 2), pulse rate <40 or greater than (>) 120 beats per minute (bpm).
Baseline up to Day 98
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Hypoglycemic Adverse Events (HAEs).
大体时间:Baseline up to Day 119
An adverse event (AE) was any untoward medical occurrence in a participant administered a study drug; the event need not necessarily have a causal relationship with the treatment. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reasons: death; life threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. An HAE was identified by characteristic symptoms or blood glucose levels. Any events occurring following start of treatment (defined as blinded therapy, including single blind placebo administration on Day 14) or increasing in severity were counted as treatment emergent AE.
Baseline up to Day 119
Percent Changes From Baseline for Fasting Low Density Lipoprotein-Cholesterol (LDL-C) at Weeks 2, 4, 8 and 12
大体时间:Baseline, Weeks 2, 4, 8 and 12
Fasting low density lipoprotein-cholesterol (LDL-C) percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2, 4, 8 and 12
Percent Changes From Baseline for Triglycerides at Weeks 2, 4, 8 and 12
大体时间:Baseline, Weeks 2, 4, 8 and 12
Triglycerides percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days. Triglycerides MMRM was not appropriate as the data were very skewed and not normally distributed, therefore per SAP non-parametric analysis were reported, presenting medians and CIs for medians, instead. If the data had many outliers even after the log transformation the following non parametric analysis was presented instead of the MMRM. An outlier was defined as any data point falling outside of 3.5 x standard deviations the median.
Baseline, Weeks 2, 4, 8 and 12
Percent Changes From Baseline for Total Cholesterol at Weeks 2, 4, 8 and 12
大体时间:Baseline, Weeks 2, 4, 8 and 12
Total cholesterol percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) on Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2, 4, 8 and 12
Percent Changes From Baseline for High Density Lipoprotein-Cholesterol (HDL-C) at Weeks 2, 4, 8 and 12
大体时间:Baseline, Weeks 2, 4, 8 and 12
High density lipoprotein-cholesterol (HDL-C) percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2, 4, 8 and 12
Percent Changes From Baseline for Non-High Density Lipoprotein (HDL) Cholesterol at Weeks 2, 4, 8 and 12
大体时间:Baseline, Weeks 2, 4, 8 and 12
Non-HDL-C percent change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) on Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2, 4, 8 and 12
Changes From Baseline in Body Weight at Weeks 2, 4, 8, and 12.
大体时间:Baseline, Weeks 2, 4, 8 and 12
The body weight change from baseline (defined as the mean of Day 14 and Day 1 pre-dose) at Weeks 2,4,8 and 12. n represented the available number of participants for analysis at post-baseline days.
Baseline, Weeks 2, 4, 8 and 12

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。

赞助

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

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10月1日

初级完成 (实际的)

2016年8月1日

研究完成 (实际的)

2016年8月1日

研究注册日期

首次提交

2015年9月17日

首先提交符合 QC 标准的

2015年9月17日

首次发布 (估计)

2015年9月18日

研究记录更新

最后更新发布 (实际的)

2017年8月7日

上次提交的符合 QC 标准的更新

2017年7月5日

最后验证

2017年7月1日

更多信息

与本研究相关的术语

其他研究编号

  • B4801010

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.

安慰剂的临床试验

3
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