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Effect of BKR-013 on Average Daily Glucose Levels

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ClinicalTrials.gov Identifier: NCT03382015
Recruitment Status : Recruiting
First Posted : December 22, 2017
Last Update Posted : February 1, 2018
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Information provided by (Responsible Party):
BioKier Inc.

Brief Summary:
The purpose of this study is to evaluate the effect of BKR-013 on average daily glucose (ADG) levels in type 2 diabetes (T2D) subjects during 28 days of either placebo or active test product administration. Subjects will serve as their own controls in this crossover design, and ADG will be compared while a subject is on active test product versus while they received placebo test product.

Condition or disease Intervention/treatment
Type 2 Diabetes Mellitus Other: BKR-013 or Placebo

Detailed Description:

The study consists of a screening period followed by a 28-day treatment period, a 3 to 5 week washout period, and a second treatment period. All subjects receive both active test product and placebo, but the order in which they receive them (Part 1 or Part 2 of the study) is randomized in this single crossover study. Fourteen subjects will be randomized to ensure that 10 subjects complete both Part 1 and Part 2 of the study.

There are a total of 7 study visits including screening. In Part 1, Visits 2, 3 and 4 occur 2 weeks apart; in Part 2, Visits 5, 6 and 7 also occur 2 weeks apart. Visits 4 and 7 are overnight visits during which time hunger and satiety will be assessed and a Mixed Meal Tolerance Test (MMTT) will be performed after an overnight fast. The MMTT requires use of an indwelling IV catheter so that 11 blood draws can be more comfortably obtained over a period of 4 hours.

Subjects will be required to wear a glucose monitoring sensor during Part 1 and Part 2 of the study in order to obtain ADG levels.

Routine chemistry and hematology tests are done at 4 timepoints during the study. An ECG and physical exam is performed at screening.

A rapid HbA1c will only be tested at screening; if the value is between 6.5% and 10.5%, all other screening procedures will be performed; if the HbA1c value is not within the qualifying range, the subject will be considered a screen failure and no other screening procedures will be performed.

Subjects are required to keep a daily diary to document dosing (twice daily), medication changes and any adverse events.

Safety tests include chemistry/hematology, vital signs and adverse events.

Subjects with type 2 diabetes must be under the care of a healthcare professional to take part in this study. The test product BKR-013 is not designed to treat diabetes; it is being evaluated as a non-prescription medical food for nutritional use in managing glucose levels.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 14 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Supportive Care
Official Title: Randomized, Double-Blind, Placebo-Controlled, Two-Period Crossover Study to Evaluate the Effect of BKR-013 on Average Daily Glucose Levels in Type 2 Diabetes Patients
Actual Study Start Date : January 9, 2018
Estimated Primary Completion Date : July 31, 2018
Estimated Study Completion Date : August 31, 2018

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Group 1
Receives 28 days of active test product (BKR-013) in Part 1 of the study and receives 28 days of placebo in Part 2 of the study, following a washout period.
Other: BKR-013 or Placebo
Encapsulated L-glutamine
Placebo Comparator: Group 2
Receives 28 days of placebo in Part 1 of the study and receives 28 days of active test product (BKR-013) in Part 2 of the study, following a washout period.
Other: BKR-013 or Placebo
Encapsulated L-glutamine

Primary Outcome Measures :
  1. Average Daily Glucose Levels [ Time Frame: After 28 days of treatment in Part 1 and in Part 2 ]
    Intra-patient comparison of ADG in Part 1 vs Part 2

Secondary Outcome Measures :
  1. Glucose >180 mg/dL [ Time Frame: After 28 days of treatment in Part 1 and in Part 2 ]
    Percent of each 24-hour period that a subject's glucose is >180 mg/dL

  2. Triglycerides [ Time Frame: After 28 days of treatment in Part 1 and in Part 2 ]
    Differences in fasting triglycerides between active test product and placebo

Information from the National Library of Medicine

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, Learn About Clinical Studies.

Ages Eligible for Study:   18 Years to 70 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Males and females between the ages of 18 and 70 years at the time of screening, inclusive
  2. Diagnosed with T2D and under the care of a healthcare professional for its management
  3. HbA1c 6.5-10.5%, inclusive
  4. Has given written informed consent to participate in this study
  5. Agrees to comply with all study requirements, including maintaining current diet and exercise routine and current prescription medications for the duration of the study
  6. Willing to wear a Continuous Glucose Monitoring (CGM) sensor continuously for 28 days during each of the two test periods
  7. Willing to complete two 28-day test periods (separated by a wash-out period of 21 to 35 days) and participate in the study for a total duration of up to 18 weeks.

Exclusion Criteria:

  1. Type 1 diabetes
  2. History of bariatric or intestinal surgery
  3. Active gastrointestinal disease including but not limited to irritable bowel syndrome, inflammatory bowel disease (e.g., Crohn's disease and ulcerative colitis), diverticulitis, gastroparesis, or chronic/frequent diarrhea or chronic/frequent constipation
  4. Active and clinically significant hepatic, pancreatic disease, or renal disease as determined by the investigator
  5. History of significant heart disease, including congestive heart failure, prior MI, chronic atrial or ventricular fibrillation, coronary artery disease, cerebral vascular disease or other cardiovascular disease, that in the opinion of the investigator should exclude the subject from the study
  6. Severely uncontrolled hypertension at screening defined as a systolic blood pressure > 180 mmHg or a diastolic blood pressure > 110 mmHg on the average of two seated measurements after being at rest for at least 5 minutes
  7. Uncontrolled hyperthyroidism or hypothyroidism, or other significant thyroid disease
  8. Active significant infection as determined by the investigator
  9. Known allergy to L-glutamine or any of the components of the capsules
  10. Participation in a clinical trial and/or treatment with an investigational drug during the 30 days before screening, or within 5 half-lives of receipt of an investigational drug or twice the duration of the biological effect of any investigational drug (whichever is longer)
  11. Allergy or intolerance to Boost® High Protein drink
  12. Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan or high-frequency electrical heat (diathermy) treatment scheduled during either of the 4-week test periods that a subject is wearing CGM sensor.
  13. Pregnant, nursing, or trying to become pregnant
  14. Presence of pitting edema on physical exam
  15. High fiber diet
  16. In the investigator's judgment, the subject is not suitable for the study for any other reason or cannot commit to the requirements of the study.
  17. Subject is taking one or more of the excluded therapies.

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 ClinicalTrials.gov identifier (NCT number): NCT03382015

Contact: Katelyn Daigle, MA 225-763-2880 Katelyn.Daigle@pbrc.edu
Contact: Jennifer Arceneaux, RN 225-763-0919 Jennifer.Arceneaux@pbrc.edu

United States, Louisiana
Pennington Biomedical Research Center Recruiting
Baton Rouge, Louisiana, United States, 70808
Principal Investigator: Kishore Gadde, MD         
Sponsors and Collaborators
BioKier Inc.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Study Director: George R Szewczyk, PhD BioKier Inc.

Responsible Party: BioKier Inc.
ClinicalTrials.gov Identifier: NCT03382015     History of Changes
Other Study ID Numbers: CL-201
4R44DK107080-02 ( U.S. NIH Grant/Contract )
First Posted: December 22, 2017    Key Record Dates
Last Update Posted: February 1, 2018
Last Verified: January 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases