Diabetes Mellitus, Type 2
Conditions
Keywords
Efficacy, PPARpan, Type 2 Diabetes Mellitus, Phase IIb, Safety, Pharmacokinetics, GW677954, Pharmacodynamics, Tolerability, Dose-Ranging
Brief summary
This Phase 2 dose-ranging study will evaluate the efficacy, safety and tolerability of a range of doses of GW677954 compared with placebo over sixteen weeks of treatment in subjects with T2DM (Type 2 Diabetes Mellitus).
Detailed description
A Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group, Placebo-Controlled, Study To Evaluate Efficacy, Safety And Tolerability Of Oral GW677954 Capsules (2.5, 5, 10, 15 And 20 Mg Once A Day) As A Monotherapy (Diet and/or exercise treated) Or As An Add-On To Metformin For 16 Weeks Duration In Subjects With Type 2 Diabetes Mellitus
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with T2DM as defined by the criteria of the ADA and/or recognized by WHO Expert Committee on the Diagnosis and Classification of Diabetes Mellitus \[American Diabetes Association, 2004\], for at least 3 months preceding screening (see Section 15.3, Appendix 3:, Diagnosis and Classification of Diabetes Mellitus). * To be eligible for Randomization into the trial, a subject must satisfy all of the following glycemic criteria: * HbA1c level via central laboratory at the pre-screening visit * If HbA1c ≥ 8.0% but ≤ 10.0%: subject may proceed to Randomization; * If HbA1c ≥ 7.8% but \< 8.0%, subject not eligible to proceed, but may be retested once to establish eligibility (or lack thereof). If HbA1c level ≥ 8.0% upon retest, subject is eligible to proceed; otherwise they should be withdrawn. * If HbA1c \< 7.8%, subject not eligible to proceed (no retest allowed). * FPG level via central laboratory at the pre-screening visit must be \< 270 mg/dL (15.0 mmol/L). FPG may be retested within a week to confirm eligibility (or lack thereof). * Concurrent T2DM therapy: * Diet and/or exercise treated: Must not have taken antidiabetic medication for at least 2 months prior to the pre-screening visit, OR * Metformin monotherapy: Subjects entering the study on metformin must be on the same dose, formulation and regimen of metformin for at least 2 months prior to the pre-screening visit, AND * TZDs and insulin are excluded in the 3 months prior to the Screening visit for all subjects. * Males and females who are 18 to 70 years of age inclusive at the time of Screening. * If female, eligible to enter and participate in this study: * If of non-childbearing potential (i.e., physiologically incapable of becoming pregnant (tubal ligation), including any female who is post-menopausal \[\>1 year without menstrual period\]); or, * If of child-bearing potential, has a negative pregnancy test at Screening (serum), at Randomization (urine) and: * Has a male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject, or * Uses double-barrier methods of contraception; condoms with the use of caps (with spermicide) and IUDs are acceptable, or * Uses hormonal contraceptives (oral, depots, patches etc) with double- barrier methods of contraception as outlined above, or * Abstains from sexual intercourse, or * Is with a same sex partner and does not participate in bisexual activities where there is any risk of pregnancy. * Body Mass Index (BMI): ≥25 and ≤40 kg/m² and weigh at least 50 kg at Screening. * If subject is a smoker, must be able to abstain while in clinic at each visit. * Subject has given full written informed consent prior to any study related procedures are performed.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage change from Baseline (Day 1) in glycated hemoglobin (HbA1c) levels at Week 16 as a measure of improvement in glucose control | Week (W) 16 | Improvement in glucose control was measured by means of reduction in glycated hemoglobin (Hb) levels in blood. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline (Day 1) in fasting plasma glucose (FPG) at Weeks 1, 2, 4, 6, 8, 12 and 16 | W1, W2, W4, W6, W8, W12, and W16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in fasting fructosamine at Weeks 2 and 4 | Baseline (Day 1), W2, W4 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Percentage of participants achieving target HbA1c levels at Weeks 4, 8, 12, and 16 | Weeks 4, 8, 12, and 16 | Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. The ideal concentration of HbA1c was desired to be less than or equal to 7%. |
| Percentage of participants achieving a decrease in HbA1c of >= 0.7% from Baseline (Day 1) at Weeks 4, 8, 12 and 16 | Baseline (Day 1), Weeks 4, 8, 12, and 16 | Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. |
| Percentage of participants achieving target range of FPG at Weeks 1, 2, 4, 6, 8, 12 and 16 | Weeks 1,2, 4, 6, 8, 12, and 16 | The target range for FPG was \<=126 milligrams per deciliter (mg/dL) or 7.0 millimoles per liter (mmol/L) to \<=140 mg/dL or 7.8 mmol/L |
| Percentage of participants achieving a decrease from Baseline (Day 1) of >=30 mg/dL [1.66 mmol/L] in FPG at Weeks 1, 2, 4, 6, 8, 12 and 16 | Weeks 1, 2, 4, 6, 8, 12, and 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Ratio to the Baseline (percentage change) of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and free fatty acids (FFA) at Weeks 2, 4, 8, 12, and 16 | Baseline (Day 1), Weeks 2, 4, 8, 12, and 16 | This data analysis was based on log-transformed data. |
| Percentage change from Baseline (Day 1) in non-HDL-C based on log-transformed data at Week 16 | At Week 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Percentage change from Baseline (Day 1) in very low density lipoprotein-cholesterol (VLDL-C), apolipoprotein AI (Apo AI), AII, and B at Week 16. | At Week 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in Apo B/TC, TC/HDL-C, and LDL-C/Apo B ratio at Week 16 | At Week 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in hemoglobin at Week 16 | At Week 16 | This analysis was performed in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in hematocrit at Week 16 | Wekk 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in systolic and diastolic blood pressure (SBP and DBP) at Week 16 | At Week 16 | Systolic blood pressure )SBP) and diastolic blood pressure (DBP) were measured in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Percentage change from Baseline (Day 1) in fasting HbA1c levels at Weeks 4, 8 and 12 | Weeks 4, 8, and 12 | Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in body weight at Week 16 | Week 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in 12 lead electrocardiogram (ECG) measures including PR interval, QT interval, QTc interval and QRS duration at Week 16 | Week 16 | QT(c) interval calculations were done by Bazett's method (QTc\[B\]) as well as by Fridericia's correction (QTc\[F\]). Change from Baseline is the value at indicated time point minus the Baseline value. |
| Number of participants with clinical hematology, chemistry, urinalysis, exploratory cardiac parameters of potential clinical concern (PCC) along with serum pregnancy test over period | Upto 16 weeks | Participants were analyzed for any abnormality for laboratory parameters either higher or lower than the potential clinical concern range. |
| Number of participants with hypoglycemic events as a measure of ophthalmic assessment | Up to 16 weeks | Participants received a glucose log for reading for routine recording of glucometer readings. Glucose values were recorded on timely basis. |
| Number of participants with intensity of hypoglycemic events as a measure of ophthalmic assessment | Up to 16 weeks | Participants received a glucose log for reading for routine recording of glucometer readings. Glucose values were recorded on timely basis. |
| Number of participants with adverse events (AEs) and serious adverse events (SAEs) over period | Up to 16 weeks | Adverse event (AE) is an unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain time period after the study has ended. This change may or may not be caused by the intervention being studied. Serious adverse event (SAE) is an adverse event that results in death, is life-threatening, requires inpatient hospitalization or extends a current hospital stay, results in an ongoing or significant incapacity or interferes substantially with normal life functions, or causes a congenital anomaly or birth defect. Medical events that do not result in death, are not life-threatening, or do not require hospitalization may be considered serious adverse events if they put the participant in danger or require medical or surgical intervention to prevent one of the results listed above. |
| Change from Baseline (Day 1) in phosphocreatine kinase (Creatine kinase-MB) over period | Up to 16 weeks | CK-MB is a cardiac biomarker. |
| Number of participants with absolute Troponin-I (cTnI) levels over period | Up to 16 weeks | Troponin-I (cTnI) is a cardiac biomarker. |
| Change from Baseline (Day 1) in fasting insulin at Week 8 and 16 | Week 8 and 16 | Change from Baseline is the value at indicated time point minus the value at Baseline. |
| Change from Baseline (Day 1) in C-peptide at Week 8 and 16 | Week 8 and 16 | — |
| Change from Baseline (Day 1) in HOMA-S at Week 16 | Week 16 | — |
| Change from Baseline (Day 1) in QUICKI at Week 16 | Week 16 | — |
| Change from Baseline (Day 1) in heart rate at Week 16 | Week 16 | Heart rate was measured in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline. |
Countries
Argentina, Australia, Canada, Colombia, Costa Rica, Czechia, Ecuador, Latvia, Mexico, New Zealand, Peru, Russia, United States