Safety and Efficacy of S-707106 in Subjects With Type 2 Diabetes Mellitus and Inadequate Glycemic Control With Metformin Therapy
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Purpose
The purpose of this study is to evaluate the safety and efficacy of S-707106 co-administered with metformin in subjects with type 2 diabetes mellitus.
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes Mellitus |
Drug: S-707106 dose 1 Drug: S-707106 dose 2 Drug: S-707106 dose 3 Drug: Placebo |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Phase 2, Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study of S-707106 in Subjects With Type 2 Diabetes Mellitus and Inadequate Glycemic Control With Metformin Therapy |
- Change from Baseline to Week 12 in Hemoglobin A1c (HbA1c) [ Time Frame: Baseline and at 12 weeks ] [ Designated as safety issue: No ]Hemoglobin A1c
- Serial pharmacokinetic (PK) assessments [ Time Frame: 5 days ] [ Designated as safety issue: No ]Serial pharmacokinetic sampling at Visit 6 prior to dosing, at Visit 7 prior to dosing and at 0.5, 1, 2, 3, 4, 6, 8 and 24 hours after dosing, at Visit 8, at Visit 9, and Early Termination Visit
- Sparse pharmacokinetic assessments [ Time Frame: 5 days ] [ Designated as safety issue: No ]Sparse pharmacokinetic sampling at Visit 6 and Visit 7 prior to dosing, at Visit 6 or Visit 7 one additional post-dose sample, at Visit 8, at Visit 9, and Early Termination Visit
- Percent of subjects with Hemoglobin A1c < 7.0% at Week 12 [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]Hemoglobin A1c
- Change from Baseline at Week 12 in: Fasting plasma glucose, 1,5-Anhydroglucitol, Fructosamine, Glycoalbumin, C-peptide, Beta-cell function and insulin resistance indices using Homeostatic Model Assessment, and Postprandial glucose test [ Time Frame: Baseline and at 12 weeks ] [ Designated as safety issue: No ]Fasting plasma glucose, 1,5-Anhydroglucitol, Fructosamine, Glycoalbumin, C-peptide, Beta-cell function and insulin resistance indices using Homeostatic Model Assessment, and Postprandial glucose test
- Safety assessments [ Time Frame: 5-6 months ] [ Designated as safety issue: Yes ]Safety will be assessed by monitoring of treatment-emergent adverse events, serious adverse events, treatment-emergent adverse events leading to study drug discontinuation, clinical laboratory evaluations, vital signs, 12-lead electrocardiograms (ECGs), adrenal axis hormones, and treatment-emergent adverse events of hypoglycemia, hyperglycemia, confirmed hypoglycemia or hyperglycemia
| Enrollment: | 218 |
| Study Start Date: | October 2010 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: S-707106 dose 1 plus metformin
S-707106 tablets concurrently with their usual metformin dose for 12 weeks
|
Drug: S-707106 dose 1
One S-707106 dose 1 tablet and 3 Placebo A tablets matching S-707106 dose 1- and dose 2 tablets and metformin
|
|
Experimental: S-707106 dose 2 plus metformin
S-707106 tablets concurrently with their usual metformin dose for 12 weeks
|
Drug: S-707106 dose 2
One S-707106 dose 2 tablet and 3 Placebo A tablets matching S-707106 dose 1- and dose 2 tablets and metformin
|
|
Experimental: S-707106 dose 3 plus metformin
S-707106 tablets concurrently with their usual metformin dose for 12 weeks
|
Drug: S-707106 dose 3
Four S-707106 dose 2 tablets and metformin
|
|
Placebo Comparator: Placebo plus metformin
Placebo tablets concurrently with their usual metformin dose for 12 weeks
|
Drug: Placebo
Four Placebo A tablets matching S-707106 dose 1- and dose 2 tablets and metformin
|
Detailed Description:
Based on the unmet clinical need for more safe and effective type 2 diabetes mellitus therapies, together with the nonclinical efficacy and safety profile of S-707106, Shionogi USA, Inc. is initiating studies to further assess the efficacy, clinical pharmacology and safety profile of S-707106 in preparation for full clinical development as a novel treatment for type 2 diabetes mellitus. It is anticipated that S-707106 will provide clinicians and patients with a new therapeutic option to treat type 2 diabetes mellitus with potential advantages over existing therapy.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Main Inclusion Criteria:
- Subjects with type 2 diabetes mellitus receiving a stable dose of metformin for the past 3 months (with no other medication for glycemic control) and who are clinically stable as determined by medical history
- Body mass index (BMI) ≥25.0 and <45.0 (kg/m2) using http://www.bmicalculator.org/ as the BMI calculator
- No clinically significant abnormal laboratory tests as determined by the investigator except Hemoglobin A1c level ≥7.5% and ≤11.0% and C peptide level >1.0 ng/mL
Main Exclusion Criteria:
- Type 1 diabetes mellitus or gestational diabetes mellitus within last 6 months
- Use of any medication for glycemic control other than metformin during the past 3 months or thiazolidinediones within the past year
- Congestive heart failure as defined by New York Heart Association class III or IV
- Fasting glucose >270 mg/dL
- Creatinine clearance is <60 mL/minute
- History of myocardial infarction within the past 3 months, history of clinically significant cardiac arrhythmia, clinically significant hypotension or hypertension, or clinically significant abnormal electrocardiogram as determined by the investigator
Contacts and Locations| United States, Texas | |
| Juno Research, LLC | |
| Houston, Texas, United States, 77074 | |
| Study Director: | Shionogi Clinical Trials Administrator Clinical Support Help Line | Shionogi |
More Information
No publications provided
| Responsible Party: | Shionogi Inc. ( Shionogi ) |
| ClinicalTrials.gov Identifier: | NCT01240759 History of Changes |
| Other Study ID Numbers: | 1010N0921 |
| Study First Received: | November 11, 2010 |
| Last Updated: | April 9, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Shionogi Inc.:
|
Type 2 Diabetes Mellitus Metformin |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Metformin Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013