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Efficacy of Amlexanox vs. Placebo in Type 2 Diabetic Patients

This study has been completed.
Information provided by (Responsible Party):
Elif Oral, University of Michigan Identifier:
First received: October 29, 2013
Last updated: February 3, 2017
Last verified: February 2017
This study involves research about an investigational medicine called Amlexanox. The reason for this study is to find out how Amlexanox can improve type 2 diabetes, insulin resistance, obesity and non-alcoholic fatty liver disease (NAFLD). In this study, Amlexanox is considered to be investigational (not approved by the Food and Drug Administration [FDA]) for type 2 diabetes, insulin resistance, obesity and non-alcoholic fatty liver disease (NAFLD). This is a placebo controlled study. There is a 50-50 chance that the patient may either receive the study drug, Amlexanox, or a placebo (sugar pill). Neither the patient or the study doctors will know if the patient is receiving the study drug or placebo.

Condition Intervention Phase
Diabetes Mellitus Type 2
Non-alcoholic Fatty Liver Disease
Drug: Amlexanox
Drug: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Participant, Investigator
Primary Purpose: Treatment
Official Title: Clinical Protocol to Investigate the Efficacy of Amlexanox vs. Placebo for Treatment of Glucose and Lipid Abnormalities in Obese Type 2 Diabetics

Resource links provided by NLM:

Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • HbA1c [ Time Frame: 12 weeks ]
    improvement in HbA1c

  • hepatic steatosis by MRI [ Time Frame: 12 weeks ]
    improvement in hepatic steatosis by MRI

Secondary Outcome Measures:
  • Weight [ Time Frame: 12 week ]
    weight decrease

Enrollment: 42
Study Start Date: January 2014
Study Completion Date: October 2016
Primary Completion Date: May 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Placebo
Placebo tablet (TID) 2 weeks Placebo tablets (2 x TID) 10 weeks
Drug: Placebo
Experimental: Amlexanox
Solfa tablets (Amlexanox 25mg) TID for 2 weeks Solfa tablets (Amlexanox 25mg x 2) TID for 10 weeks
Drug: Amlexanox
Other Name: Solfa tablets

  Show Detailed Description


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • ≥ 18 years old at baseline.
  • Is male, female not of childbearing potential, or meets all the following criteria if female of childbearing potential (including perimenopausal women who have had a menstrual period within one year):

    • Not breastfeeding.
    • Negative pregnancy test result (human chorionic gonadotropin, beta subunit [βhCG]) at baseline (not applicable to hysterectomized females).
    • Must practice and be willing to continue to practice appropriate birth control (defined as a method which results in a low failure rate when use consistently and correctly, such as implants, injectables, oral contraceptives, some intrauterine contraceptive devices, sexual abstinence, tubal ligation, or a vasectomized partner) during the entire duration of study period.
  • Has physician-confirmed diabetes mellitus with a clear diagnosis or per ADA criteria with fasting glucose>126 mg/dL or HbA1c >6.4% or 2 hour GTT >200 mg/dL.
  • BMI ≥27 and <45 kg/m2.
  • On no medications or only on first line oral medications (such as Metformin and/or DPP IV inhibitors) for treatment of Type 2 diabetes mellitus with a stable regimen for >12 weeks.
  • Alcohol consumption of less than 40 grams/week.
  • A liver US confirming presence of fatty infiltration of the liver.
  • Is able to read, understand and sign the U of M IRBMED approved informed consent form (ICF), communicate with study physician and study team, understand and comply with protocol requirements.

Exclusion Criteria:

  • On insulin, or other injectables for treatment of Type 2 diabetes.
  • Unable to conduct home based glucose monitoring.
  • HbA1c <6.5% and >10.0% (set to achieve uniformity in the study population).
  • Presence of advanced liver disease (as evidenced by abnormal synthetic function, abnormal PT or albumin).
  • Evidence of other etiologies of viral hepatitis.
  • Presence of hematologic, bone marrow and/or other abnormalities.
  • Presence of hemoglobinopathy or other hematological abnormalities that will interfere with accurate measurement of HbA1c.
  • Presence of HIV infection.
  • Inability to give informed consent.
  • Presence of ESRD, any type of active cancer, or >class 2 congestive heart failure ((New York Heart Association Functional Classification System), based on medical history and physical examination.
  • Active chronic infection such as known chronic osteomyelitis or tb, etc. (may be transient).
  • Creatinine >1.5 mg/dL.
  • Proliferative diabetic retinopathy, nonproliferative retinopathy is allowed.
  • Unable to ambulate.
  • Clinically relevant CAD: history of stent, CABG or cardiologist confirmed angina.
  • Any other condition in the opinion of the investigators that may impede successful data collection.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01975935

United States, Michigan
University of Michigan
Ann Arbor, Michigan, United States, 48109
Sponsors and Collaborators
University of Michigan
  More Information

Responsible Party: Elif Oral, Associate Professor, Internal Medicine, University of Michigan Identifier: NCT01975935     History of Changes
Other Study ID Numbers: HUM00079381
Study First Received: October 29, 2013
Last Updated: February 3, 2017

Keywords provided by University of Michigan:
diabetes mellitus type 2
non-alcoholic fatt liver disease

Additional relevant MeSH terms:
Diabetes Mellitus
Liver Diseases
Fatty Liver
Non-alcoholic Fatty Liver Disease
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Digestive System Diseases
Anti-Allergic Agents processed this record on April 25, 2017