Type 2 Diabetes Mellitus
Conditions
Brief summary
A multiple dose study to assess the safety and pharmacokinetics of an investigational drug in patients with type 2 diabetes. The primary hypotheses of the study are that multiple daily MK-0941 in subjects with T2DM with or without adequate control on metformin will be sufficiently safe and well tolerated to permit continued clinical investigation.
Interventions
MK0941 10 mg, 20 mg, 30 mg, or 40 mg before each meal or before 2 meals each day, or 60 mg before 2 meals each day
Placebo 10 mg, 20 mg, 30 mg, or 40 mg before each meal or before 2 meals each day, or 60 mg before 2 meals each day
Sponsors
Study design
Eligibility
Inclusion criteria
* Nonsmoking Male or Female (of non-child bearing potential) * Diagnosis of Type 2 Diabetes and is being treated with diet and exercise alone or with less than 3 oral anti-hyperglycemic agents * Panel E only (MK0941 60 mg before 2 meals each day): diagnosis of Type 2 Diabetes and is on a dose of metformin of greater than or equal to 1500 mg for 8 weeks or more
Exclusion criteria
* Subject is on insulin or a peroxisome proliferator-activated receptor (PPAR) agonist * Subject is on 3 or more oral anti-diabetes medications * Subject has a history of type 1 diabetes * Subject has a diagnosis of glaucoma or is blind * Subject has had trauma to one or both eyes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Participants With Any Clinical Adverse Experience | Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal) |
| Participants Discontinued Because of Any Clinical Adverse Experience | Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal) |
Secondary
| Measure | Time frame |
|---|---|
| Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941 | Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day) |
| Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941 | Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day) |
| Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941 | Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day) |
| Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941 | Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day) |
| Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941 | Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day) |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| MK-0941 All participants receiving any dose of MK-0941 | 52 |
| Placebo All participants receiving any dose of placebo | 18 |
| Total | 70 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 1 | 0 |
| Overall Study | Other | 2 | 1 |
| Overall Study | Protocol Violation | 1 | 1 |
| Overall Study | Site terminated | 6 | 1 |
| Overall Study | Withdrawal by Subject | 2 | 0 |
Baseline characteristics
| Characteristic | MK-0941 | Placebo | Total |
|---|---|---|---|
| Age, Customized 29 to 70 years | 52 participants | 18 participants | 70 participants |
| Sex: Female, Male Female | 23 Participants | 10 Participants | 33 Participants |
| Sex: Female, Male Male | 29 Participants | 8 Participants | 37 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 27 / 52 | 11 / 18 |
| serious Total, serious adverse events | 0 / 52 | 0 / 18 |
Outcome results
Participants Discontinued Because of Any Clinical Adverse Experience
Time frame: Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| MK-0941 | Participants Discontinued Because of Any Clinical Adverse Experience | Hyperglycemia | 1 participants |
| MK-0941 | Participants Discontinued Because of Any Clinical Adverse Experience | All other adverse experiences | 0 participants |
| Placebo | Participants Discontinued Because of Any Clinical Adverse Experience | Hyperglycemia | 0 participants |
| Placebo | Participants Discontinued Because of Any Clinical Adverse Experience | All other adverse experiences | 0 participants |
Participants With Any Clinical Adverse Experience
Time frame: Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| MK-0941 | Participants With Any Clinical Adverse Experience | 51.9 percentage of of participants |
| Placebo | Participants With Any Clinical Adverse Experience | 61.1 percentage of of participants |
Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941
Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| MK-0941 | Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941 | 10.4 hours | Standard Deviation 5.2 |
| Placebo | Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941 | 11.4 hours | Standard Deviation 2.2 |
| Panel C: MK-0941 40 mg Day 7 | Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941 | 8.4 hours | Standard Deviation 6.3 |
| Panel D: MK-0941 40 mg Day 13 | Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941 | 10.1 hours | Standard Deviation 3.5 |
| Panel E: MK-0941 60 mg | Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941 | 11.4 hours | Standard Deviation 2.1 |
Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941
Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| MK-0941 | Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941 | 2343.29 nM-hr | Standard Deviation 253.73 |
| Placebo | Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941 | 3789.25 nM-hr | Standard Deviation 1002.05 |
| Panel C: MK-0941 40 mg Day 7 | Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941 | 8387.74 nM-hr | Standard Deviation 2102.17 |
| Panel D: MK-0941 40 mg Day 13 | Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941 | 7673.77 nM-hr | Standard Deviation 3616.45 |
| Panel E: MK-0941 60 mg | Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941 | 8692.07 nM-hr | Standard Deviation 2681.37 |
Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941
Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| MK-0941 | Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941 | 26.75 nM | Standard Deviation 6.43 |
| Placebo | Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941 | 42.99 nM | Standard Deviation 9.35 |
| Panel C: MK-0941 40 mg Day 7 | Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941 | 95.07 nM | Standard Deviation 34.95 |
| Panel D: MK-0941 40 mg Day 13 | Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941 | 76.89 nM | Standard Deviation 24.27 |
| Panel E: MK-0941 60 mg | Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941 | 149.30 nM | Standard Deviation 82.68 |
Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941
Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| MK-0941 | Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941 | 228.35 nM | Standard Deviation 88.54 |
| Placebo | Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941 | 364.96 nM | Standard Deviation 151.25 |
| Panel C: MK-0941 40 mg Day 7 | Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941 | 841.57 nM | Standard Deviation 348.34 |
| Panel D: MK-0941 40 mg Day 13 | Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941 | 648.49 nM | Standard Deviation 159.73 |
| Panel E: MK-0941 60 mg | Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941 | 1145.81 nM | Standard Deviation 330.56 |
Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941
Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| MK-0941 | Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941 | 1.5 hours | Full Range 6.43 |
| Placebo | Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941 | 1.0 hours | Full Range 9.35 |
| Panel C: MK-0941 40 mg Day 7 | Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941 | 1.0 hours | Full Range 34.95 |
| Panel D: MK-0941 40 mg Day 13 | Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941 | 1.0 hours | Full Range 24.27 |
| Panel E: MK-0941 60 mg | Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941 | 2.0 hours | Full Range 82.68 |