Diabetes Mellitus Type 2
Conditions
Brief summary
This 6 arm study will evaluate the efficacy, safety and pharmacokinetics of 5 doses of RO4998452 compared to placebo in patients with type 2 diabetes mellitus. Patients will be randomized to one of 6 groups to receive RO4998452 at doses of 2.5mg, 5mg, 10mg, 20mg or 40mg po daily, or placebo daily. Patients pre-treated with stable metformin will continue to take their usual dose of metformin throughout the study.The anticipated time on study treatment is \<=3 months
Interventions
po daily for 12 weeks
2.5mg po daily for 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, 18-75 years of age; * type 2 diabetes, diagnosed for \>=3 months; * either treated with diet, exercise and stable metformin, or with diet and exercise alone.
Exclusion criteria
* type 1 diabetes mellitus; * currently or within 2 months prior to screening treated with an oral or injectable anti-diabetic agent except stable doses of metformin; * currently or within 6 months prior to screening treated with any PPARgamma agonist; * uncontrolled hypertension; * significant pre-diagnosed diabetic complications requiring treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absolute Change in HbA1c | Baseline, Week 4, Week 8 and Week 12 |
Secondary
| Measure | Time frame |
|---|---|
| Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Baseline and Week 12 |
| Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline and 12 weeks |
| Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline and Week 12 |
| Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline and Week 12 |
| Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline and Week 12 |
| Change From Baseline in Body Weight (kg) | Baseline and Week 12 |
| Percentage of Participants Treated to Target HbA1c < 7% | Baseline up to 12 weeks |
| Percentage of Participants Treated to Target HbA1c < 6.5% | Baseline up to 12 weeks |
| Percentage of Participants With at Least One Adverse Event | Baseline up to 12 weeks |
| Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline and Week 12 |
Countries
Australia, Brazil, Canada, Germany, Hong Kong, Japan, Latvia, Mexico, Romania, Russia, Spain, United States
Participant flow
Recruitment details
Screening period: Week 6 to 5 prior to randomization
Pre-assignment details
As soon as the results of the screening tests were available, eligible patients could start the 4-week placebo run-in period (visit week -4). A diet and exercise plan was discussed based on the recommendations of the investigator. This plan was not to be changed during the study
Participants by arm
| Arm | Count |
|---|---|
| Placebo During the single-blind run-in period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast.
During the 12-week double-blind treatment period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast, except on the days of the meal tolerance test. | 66 |
| RO4998452 2.5 mg During the single-blind run-in period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast. During the 12-week double-blind treatment period, two capsules were taken in the morning approximately 15 minutes prior to breakfast, except on the days of the meal tolerance test. The two capsules combined contained 2.5 mg of RO4998452. | 66 |
| RO4998452 5mg During the single-blind run-in period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast. During the 12-week double-blind treatment period, two capsules were taken in the morning approximately 15 minutes prior to breakfast, except on the days of the meal tolerance test. The two capsules combined contained 5 mg of RO4998452. | 65 |
| RO4998452 10mg During the single-blind run-in period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast. During the 12-week double-blind treatment period, two capsules were taken in the morning approximately 15 minutes prior to breakfast, except on the days of the meal tolerance test. The two capsules combined contained 10 mg of RO4998452. | 66 |
| RO4998452 20mg During the single-blind run-in period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast. During the 12-week double-blind treatment period, two capsules were taken in the morning approximately 15 minutes prior to breakfast, except on the days of the meal tolerance test. The two capsules combined contained 20 mg of RO4998452. | 64 |
| RO4998452 40mg During the single-blind run-in period, two placebo capsules were taken in the morning approximately 15 minutes prior to breakfast. During the 12-week double-blind treatment period, two capsules were taken in the morning approximately 15 minutes prior to breakfast, except on the days of the meal tolerance test. The two capsules combined contained 40 mg of RO4998452. | 67 |
| Total | 394 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 |
|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 2 | 1 | 0 | 2 | 1 | 1 |
| Overall Study | Failure to return | 3 | 3 | 0 | 2 | 0 | 0 |
| Overall Study | Other | 1 | 0 | 0 | 0 | 2 | 0 |
| Overall Study | Refused treatment | 3 | 2 | 0 | 0 | 1 | 4 |
Baseline characteristics
| Characteristic | Placebo | Total | RO4998452 40mg | RO4998452 20mg | RO4998452 10mg | RO4998452 5mg | RO4998452 2.5 mg |
|---|---|---|---|---|---|---|---|
| Age, Continuous | 53.9 Years STANDARD_DEVIATION 11.12 | 55.1 Years STANDARD_DEVIATION 10.34 | 57.5 Years STANDARD_DEVIATION 9.31 | 56.3 Years STANDARD_DEVIATION 9.79 | 54.5 Years STANDARD_DEVIATION 10.7 | 54.8 Years STANDARD_DEVIATION 10.53 | 53.3 Years STANDARD_DEVIATION 10.86 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 42 Participants | 253 Participants | 39 Participants | 45 Participants | 40 Participants | 41 Participants | 46 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 24 Participants | 141 Participants | 28 Participants | 19 Participants | 26 Participants | 24 Participants | 20 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Ex-Japan | 54 Participants | 323 Participants | 54 Participants | 53 Participants | 54 Participants | 53 Participants | 55 Participants |
| Race/Ethnicity, Customized Japan | 12 Participants | 71 Participants | 13 Participants | 11 Participants | 12 Participants | 12 Participants | 11 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 18 Participants | 93 Participants | 19 Participants | 13 Participants | 15 Participants | 14 Participants | 14 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants | 6 Participants | 0 Participants | 2 Participants | 2 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 5 Participants | 42 Participants | 9 Participants | 4 Participants | 9 Participants | 9 Participants | 6 Participants |
| Race (NIH/OMB) White | 42 Participants | 253 Participants | 39 Participants | 45 Participants | 40 Participants | 41 Participants | 46 Participants |
| Sex: Female, Male Female | 30 Participants | 185 Participants | 36 Participants | 21 Participants | 32 Participants | 34 Participants | 32 Participants |
| Sex: Female, Male Male | 36 Participants | 209 Participants | 31 Participants | 43 Participants | 34 Participants | 31 Participants | 34 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 25 / 66 | 24 / 66 | 30 / 65 | 25 / 66 | 23 / 64 | 31 / 67 |
| serious Total, serious adverse events | 1 / 66 | 2 / 66 | 0 / 65 | 0 / 66 | 0 / 64 | 1 / 67 |
Outcome results
Absolute Change in HbA1c
Time frame: Baseline, Week 4, Week 8 and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Absolute Change in HbA1c | Baseline | 7.872 Percentage |
| Placebo | Absolute Change in HbA1c | Week 4 | -0.238 Percentage |
| Placebo | Absolute Change in HbA1c | Week 8 | -0.280 Percentage |
| Placebo | Absolute Change in HbA1c | Week 12 | -0.269 Percentage |
| RO4998452 2.5 mg | Absolute Change in HbA1c | Baseline | 7.939 Percentage |
| RO4998452 2.5 mg | Absolute Change in HbA1c | Week 8 | -0.468 Percentage |
| RO4998452 2.5 mg | Absolute Change in HbA1c | Week 4 | -0.394 Percentage |
| RO4998452 2.5 mg | Absolute Change in HbA1c | Week 12 | -0.440 Percentage |
| RO4998452 5mg | Absolute Change in HbA1c | Week 4 | -0.460 Percentage |
| RO4998452 5mg | Absolute Change in HbA1c | Baseline | 8.006 Percentage |
| RO4998452 5mg | Absolute Change in HbA1c | Week 12 | -0.617 Percentage |
| RO4998452 5mg | Absolute Change in HbA1c | Week 8 | -0.611 Percentage |
| RO4998452 10mg | Absolute Change in HbA1c | Week 4 | -0.539 Percentage |
| RO4998452 10mg | Absolute Change in HbA1c | Baseline | 7.998 Percentage |
| RO4998452 10mg | Absolute Change in HbA1c | Week 12 | -0.694 Percentage |
| RO4998452 10mg | Absolute Change in HbA1c | Week 8 | -0.694 Percentage |
| RO4998452 20mg | Absolute Change in HbA1c | Week 12 | -0.768 Percentage |
| RO4998452 20mg | Absolute Change in HbA1c | Baseline | 7.919 Percentage |
| RO4998452 20mg | Absolute Change in HbA1c | Week 8 | -0.768 Percentage |
| RO4998452 20mg | Absolute Change in HbA1c | Week 4 | -0.516 Percentage |
| RO4998452 40mg | Absolute Change in HbA1c | Week 4 | -0.564 Percentage |
| RO4998452 40mg | Absolute Change in HbA1c | Baseline | 7.933 Percentage |
| RO4998452 40mg | Absolute Change in HbA1c | Week 8 | -0.832 Percentage |
| RO4998452 40mg | Absolute Change in HbA1c | Week 12 | -0.832 Percentage |
Change From Baseline in Body Weight (kg)
Time frame: Baseline and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Body Weight (kg) | Baseline | 83.965 kg |
| Placebo | Change From Baseline in Body Weight (kg) | Last Visit: Absolute Change from Baseline | -0.741 kg |
| RO4998452 2.5 mg | Change From Baseline in Body Weight (kg) | Baseline | 85.455 kg |
| RO4998452 2.5 mg | Change From Baseline in Body Weight (kg) | Last Visit: Absolute Change from Baseline | -1.564 kg |
| RO4998452 5mg | Change From Baseline in Body Weight (kg) | Baseline | 82.149 kg |
| RO4998452 5mg | Change From Baseline in Body Weight (kg) | Last Visit: Absolute Change from Baseline | -1.853 kg |
| RO4998452 10mg | Change From Baseline in Body Weight (kg) | Baseline | 83.411 kg |
| RO4998452 10mg | Change From Baseline in Body Weight (kg) | Last Visit: Absolute Change from Baseline | -2.235 kg |
| RO4998452 20mg | Change From Baseline in Body Weight (kg) | Baseline | 84.914 kg |
| RO4998452 20mg | Change From Baseline in Body Weight (kg) | Last Visit: Absolute Change from Baseline | -2.551 kg |
| RO4998452 40mg | Change From Baseline in Body Weight (kg) | Baseline | 81.568 kg |
| RO4998452 40mg | Change From Baseline in Body Weight (kg) | Last Visit: Absolute Change from Baseline | -2.824 kg |
Change From Baseline in Fasting Plasma Glucose (mmol/L)
Time frame: Baseline and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline | 8.738 mmol/L |
| Placebo | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Last Visit: Change from Baseline | -0.502 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline | 8.917 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Last Visit: Change from Baseline | -0.021 mmol/L |
| RO4998452 5mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline | 8.695 mmol/L |
| RO4998452 5mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Last Visit: Change from Baseline | -0.641 mmol/L |
| RO4998452 10mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline | 8.824 mmol/L |
| RO4998452 10mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Last Visit: Change from Baseline | -1.042 mmol/L |
| RO4998452 20mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline | 8.741 mmol/L |
| RO4998452 20mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Last Visit: Change from Baseline | -0.935 mmol/L |
| RO4998452 40mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Baseline | 8.992 mmol/L |
| RO4998452 40mg | Change From Baseline in Fasting Plasma Glucose (mmol/L) | Last Visit: Change from Baseline | -1.422 mmol/L |
Change From Baseline in Fructosamine Concentration (μmol/L)
Time frame: Baseline and 12 weeks
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Fructosamine Concentration (μmol/L) | Last Visit: Absolute Change from Baseline | -0.368 μmol/L |
| Placebo | Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline | 293.292 μmol/L |
| RO4998452 2.5 mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline | 294.891 μmol/L |
| RO4998452 2.5 mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Last Visit: Absolute Change from Baseline | -11.202 μmol/L |
| RO4998452 5mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline | 292.600 μmol/L |
| RO4998452 5mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Last Visit: Absolute Change from Baseline | -12.992 μmol/L |
| RO4998452 10mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Last Visit: Absolute Change from Baseline | -16.712 μmol/L |
| RO4998452 10mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline | 290.970 μmol/L |
| RO4998452 20mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline | 292.672 μmol/L |
| RO4998452 20mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Last Visit: Absolute Change from Baseline | -18.758 μmol/L |
| RO4998452 40mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Last Visit: Absolute Change from Baseline | -20.619 μmol/L |
| RO4998452 40mg | Change From Baseline in Fructosamine Concentration (μmol/L) | Baseline | 305.015 μmol/L |
Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L)
Time frame: Baseline and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline | 11.663 mmol/L |
| Placebo | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -0.655 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline | 11.661 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -1.692 mmol/L |
| RO4998452 5mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline | 11.689 mmol/L |
| RO4998452 5mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -2.146 mmol/L |
| RO4998452 10mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline | 11.432 mmol/L |
| RO4998452 10mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -2.347 mmol/L |
| RO4998452 20mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline | 11.643 mmol/L |
| RO4998452 20mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -2.443 mmol/L |
| RO4998452 40mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Baseline | 12.032 mmol/L |
| RO4998452 40mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -2.884 mmol/L |
Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L)
Time frame: Baseline and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline | 201.243 mmol/L |
| Placebo | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -8.909 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline | 202.269 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -46.108 mmol/L |
| RO4998452 5mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline | 207.255 mmol/L |
| RO4998452 5mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -39.409 mmol/L |
| RO4998452 10mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline | 223.964 mmol/L |
| RO4998452 10mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -68.881 mmol/L |
| RO4998452 20mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline | 219.396 mmol/L |
| RO4998452 20mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -67.373 mmol/L |
| RO4998452 40mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Baseline | 189.286 mmol/L |
| RO4998452 40mg | Change From Baseline in Meal Tolerance Test: 0-3h Mean Insulin Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -58.053 mmol/L |
Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L)
Time frame: Baseline and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline | 6.607 mmol/L |
| Placebo | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Last Visit: Absolute Change from Baseline | -1.282 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline | 8.472 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Last Visit: Absolute Change from Baseline | 43.369 mmol/L |
| RO4998452 5mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline | 6.841 mmol/L |
| RO4998452 5mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Last Visit: Absolute Change from Baseline | 52.396 mmol/L |
| RO4998452 10mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline | 11.659 mmol/L |
| RO4998452 10mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Last Visit: Absolute Change from Baseline | 68.634 mmol/L |
| RO4998452 20mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline | 14.039 mmol/L |
| RO4998452 20mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Last Visit: Absolute Change from Baseline | 62.610 mmol/L |
| RO4998452 40mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Baseline | 10.395 mmol/L |
| RO4998452 40mg | Change From Baseline in Meal Tolerance Test: 0-3h Urinary Glucose Excretion (mmol/L) | Last Visit: Absolute Change from Baseline | 59.294 mmol/L |
Change From Baseline in Mean Daily Glucose Concentration (mmol/L)
Time frame: Baseline and Week 12
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Change from Baseline | 9.655 mmol/L |
| Placebo | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -0.278 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Change from Baseline | 9.546 mmol/L |
| RO4998452 2.5 mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -0.556 mmol/L |
| RO4998452 5mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Change from Baseline | 9.750 mmol/L |
| RO4998452 5mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -0.800 mmol/L |
| RO4998452 10mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Change from Baseline | 9.843 mmol/L |
| RO4998452 10mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -1.055 mmol/L |
| RO4998452 20mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Change from Baseline | 9.614 mmol/L |
| RO4998452 20mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -0.882 mmol/L |
| RO4998452 40mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Change from Baseline | 9.648 mmol/L |
| RO4998452 40mg | Change From Baseline in Mean Daily Glucose Concentration (mmol/L) | Last Visit: Absolute Change from Baseline | -1.298 mmol/L |
Percentage of Participants Treated to Target HbA1c < 6.5%
Time frame: Baseline up to 12 weeks
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Treated to Target HbA1c < 6.5% | 3.1 Percentage |
| RO4998452 2.5 mg | Percentage of Participants Treated to Target HbA1c < 6.5% | 6.3 Percentage |
| RO4998452 5mg | Percentage of Participants Treated to Target HbA1c < 6.5% | 9.2 Percentage |
| RO4998452 10mg | Percentage of Participants Treated to Target HbA1c < 6.5% | 6.1 Percentage |
| RO4998452 20mg | Percentage of Participants Treated to Target HbA1c < 6.5% | 10.9 Percentage |
| RO4998452 40mg | Percentage of Participants Treated to Target HbA1c < 6.5% | 16.7 Percentage |
Percentage of Participants Treated to Target HbA1c < 7%
Time frame: Baseline up to 12 weeks
Population: Full analysis set included all patients who were randomized, received at least one dose of study medication, and had an evaluable baseline and at least one evaluable post baseline measurement of HbA1c. If patient's HbA1c value at baseline visit was missing, latest screening HbA1c value was used as baseline. If patient received an incorrect dose of study medication at any time during study, patient was analyzed according to dose patient was randomized to, not dose patient received.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants Treated to Target HbA1c < 7% | 13.8 Percentage |
| RO4998452 2.5 mg | Percentage of Participants Treated to Target HbA1c < 7% | 17.2 Percentage |
| RO4998452 5mg | Percentage of Participants Treated to Target HbA1c < 7% | 23.1 Percentage |
| RO4998452 10mg | Percentage of Participants Treated to Target HbA1c < 7% | 24.2 Percentage |
| RO4998452 20mg | Percentage of Participants Treated to Target HbA1c < 7% | 34.4 Percentage |
| RO4998452 40mg | Percentage of Participants Treated to Target HbA1c < 7% | 40.9 Percentage |
Percentage of Participants With at Least One Adverse Event
Time frame: Baseline up to 12 weeks
Population: The safety population consisted of all patients randomized and received at least one dose of double-blind study medication (DBSM). If patient received incorrect dose of DBSM throughout study, patient was analyzed according to dose actually received. If patient received an incorrect dose of DBSM for only a portion of study, patient was analyzed according to dose patient was randomized to.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Percentage of Participants With at Least One Adverse Event | 37.9 Percentage |
| RO4998452 2.5 mg | Percentage of Participants With at Least One Adverse Event | 36.4 Percentage |
| RO4998452 5mg | Percentage of Participants With at Least One Adverse Event | 46.2 Percentage |
| RO4998452 10mg | Percentage of Participants With at Least One Adverse Event | 37.9 Percentage |
| RO4998452 20mg | Percentage of Participants With at Least One Adverse Event | 35.9 Percentage |
| RO4998452 40mg | Percentage of Participants With at Least One Adverse Event | 46.3 Percentage |