Affects of Once-daily Oral Administration of TZP-102 on the Treatment of Symptoms Associated With Diabetic Gastroparesis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01452815
Recruitment Status : Completed
First Posted : October 17, 2011
Last Update Posted : April 25, 2013
Information provided by (Responsible Party):
Tranzyme, Inc.

Brief Summary:
The purpose of this study is to test the safety and effectiveness of two dosage levels (10mg and 20mg) of TZP-102 compared to placebo (capsule that looks like the study drug but contains no active drug), administered once-daily for 12 weeks, in diabetic subjects with symptoms associated with gastroparesis.

Condition or disease Intervention/treatment Phase
Gastroparesis Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Drug: Placebo Drug: 10mg TZP-102 Drug: 20mg TZP-102 Phase 2

Detailed Description:

Considered subjects will be screened to determine eligibility for entry into the study. The Screening Visit must take place at least 14 days, but not more than 21 days, before the planned date of study entry (randomization and administration of the first dose of study drug on Study Day 1). The baseline evaluation of gastric emptying must be scheduled at least 7 days (in the U.S.) and 10 days (in Europe) before the Day 1 Visit. Subjects will answer questions relating to their gastroparesis symptoms in an electronic diary (like a palm pilot) beginning on the first day of the screening period.

Eligible subjects will be randomized to receive placebo or one of two dosages of TZP-102 (10mg or 20mg) once daily for 12 weeks. After randomization and administration of the first dose of study drug on Study Day 1 (the Study Entry Visit), subsequent visits to the clinic will be scheduled every two weeks during the 12-week Treatment period and 4-week Follow-Up Period.

All visits will be conducted on an outpatient basis. Visits for a given subject throughout the study should be scheduled to start at approximately the same time, in the morning. Subjects will be instructed to take their daily dose of study drug each morning (when not attending a study visit), at least 30 minutes before breakfast. Subjects will be instructed to not take study drug on the morning of each treatment period visit and to bring study drug supplies with them to the clinic; study drug will be administered in the clinic after all scheduled assessments/procedures (after all pre-dose assessments at each of the Day 1 and Week 12 Visits) are completed.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 201 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Evaluation of the Efficacy and Safety of Once-Daily Administrations of TZP-102 for the Treatment of Symptoms Associated With Diabetic Gastroparesis
Study Start Date : September 2011
Actual Primary Completion Date : November 2012
Actual Study Completion Date : November 2012

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Placebo Comparator: 1
Drug: placebo
Drug: Placebo
Two #2 oval shaped,opaque-white, hard gelatin shell capsules containing inactive ingredients taken orally once daily for 12 weeks.

Experimental: 2
10mg TZP-102
Drug: 10mg TZP-102
One 10mg #2 oval shaped, opaque-white, hard gelatin shell capsule containing active ingredients and one placebo capsule each taken orally once daily for 12 Weeks

Experimental: 3
20mg TZP-102
Drug: 20mg TZP-102
Two 10mg #2 oval shaped, opaque-white, hard gelatin shell capsules containing active ingredients

Primary Outcome Measures :
  1. Change from baseline in symptoms associated with diabetic gastroparesis [ Time Frame: 12 Weeks ]

Secondary Outcome Measures :
  1. Change from baseline on health-related quality of life [ Time Frame: 12 Weeks ]
  2. Adverse Events (AEs) [ Time Frame: 12 Weeks ]
  3. Cardiovascular Parameters (blood pressure, heart rate, 12-Lead ECG) [ Time Frame: 12 Weeks ]
  4. Clinical Chemistry and Hematology Parameters [ Time Frame: 12 Weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 18 to 80 years of age, inclusive
  • Type 1 or type 2 diabetes mellitus
  • History of symptoms of gastroparesis for at least 3 months leading up to the Screening Visit
  • Gastric half-emptying time >82 minutes, demonstrated by the Gastric Emptying Breath Test performed at the Screening Visit OR documented delayed gastric emptying within the previous 24 months
  • Mild to moderate severity of gastroparesis symptoms during the screening period
  • Body Mass Index (BMI) < 45.0 at the Screening Visit
  • Glycosylated hemoglobin (HbA1c) level < 11.0% at the Screening Visit
  • Upper gastrointestinal obstruction ruled out by endoscopy or barium scan
  • Concomitant medications must be stable for at least 2 weeks leading up to the Baseline Visit and must be maintained during the study.
  • Females of child-bearing potential must have a negative serum pregnancy test and use (and agree to continue to use throughout the study) an acceptable form of contraception.

Exclusion Criteria:

  • Persistent daily vomiting
  • Gastrectomy, bariatric surgery, fundoplication or vagotomy/pyloroplasty
  • Has had or plans to have endoscopic pyloric injections of botulinum toxin within 6 months prior to the Screening Visit or during the study.
  • NG, PEG or PEJ feeding tube within 2 weeks prior to the Screening Visit
  • Required in-patient hospitalization for treatment of gastroparesis within 2 weeks prior to the Screening Visit
  • Required parenteral nutrition for treatment of gastroparesis within 2 months prior to the Screening Visit
  • Active gastric pacemaker within 3 months prior to the Screening Visit
  • Participated in an investigational study within 30 days prior to the Screening Visit
  • Chronic severe diarrhea
  • Diabetic ketoacidosis that required inpatient hospitalization within 30 days prior to the Screening Visit
  • History of any eating disorder within 2 years prior to the Screening Visit
  • Chronic obstructive pulmonary disease (COPD) or chronic asthma
  • Chronic smoker that is unable or unwilling to abstain from smoking during the two visits that the gastric emptying breath test will be performed
  • History of risk factors for Torsades de Pointes
  • Corrected QT interval calculated using Fredericia's formula >= 500 msec, recorded and confirmed on any of the three ECG assessments performed during the screening period
  • Bradycardia or hypotension assessed as clinically-significant by the investigator
  • Requires treatment with concomitant medication that is a substrate of Cytochrome P450 isoenzyme 3A4 and known to have a clinically recognized risk for Torsades de Pointes
  • History of acute myocardial infarction, unstable angina or a transient (cerebral) ischemic attack within 12 months prior to the Screening Visit
  • History of severe depression, psychiatric disorder or cognitive impairment
  • History of alcohol or drug abuse or dependency within 2 years prior to the Screening Visit
  • Taking opiates for abdominal pain
  • Known history of Hepatitis B or C or HIV infection
  • Requires dialysis or elevated creatinine at the Screening Visit
  • Abnormal liver function tests at the Screening Visit
  • Uncontrolled hypo- or hyperthyroidism
  • Adrenal insufficiency
  • Active malignancy other than basal cell or squamous cell carcinoma of the skin
  • Pregnant or breast-feeding
  • Allergies to components of the breath test meal or severe lactose intolerance
  • Any other medical condition or social circumstance that, in the investigator's opinion, makes it inappropriate for the patient to participate in this clinical trial

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01452815

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United States, Alabama
Tranzyme Investigational Site
Huntsville, Alabama, United States, 35801
United States, Arizona
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Tucson, Arizona, United States, 85710
United States, Arkansas
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Jonesboro, Arkansas, United States, 72401
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Little Rock, Arkansas, United States, 72117
United States, California
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Long Beach, California, United States, 90822
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Stanford, California, United States, 94305
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Ventura, California, United States, 93003
United States, Florida
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Hialeah, Florida, United States, 33016
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Inverness, Florida, United States, 34450
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Jacksonville, Florida, United States, 32256
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Miami, Florida, United States, 33144
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Miami, Florida, United States, 33183
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New Smyrna Beach, Florida, United States, 32168
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Port Orange, Florida, United States, 32127
United States, Illinois
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Oak Lawn, Illinois, United States, 60453
United States, Indiana
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Anderson, Indiana, United States, 46016
United States, Kansas
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Kansas City, Kansas, United States, 66160
United States, Louisiana
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Monroe, Louisiana, United States, 71201
United States, Massachusetts
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Boston, Massachusetts, United States, 02215
United States, Missouri
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Mexico, Missouri, United States, 65265
United States, North Carolina
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Fayetteville, North Carolina, United States, 28304
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Raleigh, North Carolina, United States, 27612
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Salisbury, North Carolina, United States, 28144
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Winston-Salem, North Carolina, United States, 27103
United States, Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
United States, Oregon
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Portland, Oregon, United States, 97210
United States, Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
United States, Tennessee
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Jackson, Tennessee, United States, 38305
United States, Texas
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El Paso, Texas, United States, 79905
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Houston, Texas, United States, 77034
United States, Washington
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Tacoma, Washington, United States, 98405
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Brugge, Belgium, 8310
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Bruxelles, Belgium, 1200
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Gent, Belgium, B-9000
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Aarhus, Denmark, 8000
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Gentofte, Denmark
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Odense, Denmark, 5000
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Porvoo, Finland, 06151
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Tampere, Finland
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Essen, Germany, 45136
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Mainz, Germany, 55116
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Stuttgart, Germany, 70191
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Bergen, Norway, 5021
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Bialystok, Poland
Tranzyme Investigational Site
Bydgoszcz, Poland, 85-094
Tranzyme Investigational Site
Kielce, Poland, 25-035
Tranzyme Investigational Site
Krakow, Poland
Tranzyme Investigational Site
Lodz, Poland
Tranzyme Investigational Site
Olsztyn, Poland
Tranzyme Investigational Site
Warszawa, Poland, 02-097
Tranzyme Investigational Site
Stockholm, Sweden
Tranzyme Investigational Site
Uppsala, Sweden
Sponsors and Collaborators
Tranzyme, Inc.
Study Director: Connie Cosentino Tranzyme Pharma

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Tranzyme, Inc. Identifier: NCT01452815     History of Changes
Other Study ID Numbers: TZP-102-CL-G003
First Posted: October 17, 2011    Key Record Dates
Last Update Posted: April 25, 2013
Last Verified: August 2012

Keywords provided by Tranzyme, Inc.:
diabetic gastroparesis
delayed gastric emptying
diabetes mellitus, Type 1
diabetes mellitus, Type 2

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Diabetes Mellitus, Type 1
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Autoimmune Diseases
Immune System Diseases
Stomach Diseases
Gastrointestinal Diseases
Digestive System Diseases
Neurologic Manifestations
Signs and Symptoms