Diabetes Mellitus Type 2
Conditions
Keywords
Diabetes Mellitus Type 2
Brief summary
The purpose of this study is to determine the safety, tolerability and pharmacokinetics (how much of the drug gets into the blood and how long it takes the body to get rid of it) of single doses of EGT0001474 given to patients with Type 2 diabetes. The study will also evaluate how EGT0001474 affects the amount of glucose produced by the body in the urine.
Detailed description
EGT0001474 is a compound that may inhibit the effect of other compounds in the body known as sugar transporters. The use of EGT0001474 may enhance the elimination of glucose from the blood by increasing the amount of urine produced. This would help prevent an abnormal decrease in blood sugar (hypoglycemia) both during fasting and after meals without increasing insulin secretion (which may result in weight gain or an abnormal increase in blood sugar known as Type 2 diabetes).
Interventions
Cohort 1: single dose of 25 mg EGT0001474 given as an oral capsule; Cohort 2: single dose of 75 mg EGT0001474 given as 3 oral capsules; Cohort 3: single dose of 150 mg EGT0001474 given as 6 oral capsules.
Placebo capsules to match EGT0001474
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or females between the ages of 18 to 70 diagnosed with Type 2 diabetes. * Body mass Index (BMI) between 18 kg/m2 and 37 kg/m2. * HbA1c levels between 6.5 and 9.0 (inclusive) where the upper limit of normal for the HbA1c assay is 6.4% or 6.2-9.0% (inclusive) where the upper limit of normal for the HbA1c assay is 6.1% and fasting plasma glucose between 110 and 240 mg/dL (inclusive) while on diabetic medications. * If taking drugs for diabetes, must be medically able and willing to discontinue diabetes medications for the duration of the study. * Female subjects must be surgically sterilized or postmenopausal. * Non-smoker for at least 3 months. * Negative alcohol screen.
Exclusion criteria
* Type 1 diabetes. * Use of insulin therapy or oral antidiabetic medication other than metformin, sitagliptin or a sulfonylurea. * Sitting blood pressure above 150/95 mmHg on 2 evaluations at least 10 minutes apart at screening. * Treatment with an investigational drug within 30 days or 7 half-lives, whichever is longer. * Previous treatment with EGT0001474. * Vaccination within 30 days prior to the first dose of study medication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety and Tolerability of EGT0001474 | 25 days | Safety and tolerability were measured in terms of the number of mild, moderate and severe adverse events experienced by any participants. |
| AUC 0-t | 3 days | Area under the plasma concentration-time curve from time 0 to time t |
| AUC0-24 | 3 days | Area under the plasma concentration-time curve from time 0 to hour 24 |
| AUC Inf | 3 days | Area under the plasma concentration-time curve from time 0 to infinity |
| Cmax | 3 days | Maximum plasma concentration |
| Tmax | 3 days | Time of maximum plasma concentration |
| λz | 3 days | Terminal phase rate constant |
| t1/2 | 3 days | Apparent terminal half life |
| CL/F | 3 days | The apparent rate of oral clearance of EGT0001474.Oral clearance was defined as rate of drug removal from the body after oral administration. |
| Vz/F | 3 days | Apparent volume of distribution |
Countries
United States
Participant flow
Recruitment details
The first subject was enrolled on 12 Jun 2009; the last subject was completed on 28 Jul 2009. Subjects participated at a CRO in San Antonio, TX.
Pre-assignment details
For 3 weeks after enrollment and prior to assignment to treatment and receiving drug, subjects were screened (informed consent, medical history, vital signs, electrocardiogram, laboratory test results, and screening for drugs of abuse and alcohol use) and began a 14 day washout period (counseling, review of medications and adverse events).
Participants by arm
| Arm | Count |
|---|---|
| Placebo Received 1, 3, or 6 placebo capsules once daily. | 6 |
| EGT0001474 25 mg Received one 25 mg capsule once daily. | 6 |
| EGT0001474 75 mg Received three 25mg capsules once daily. | 6 |
| EGT0001474 150mg Received six 25 mg capsules once daily. | 6 |
| Total | 24 |
Baseline characteristics
| Characteristic | Placebo | EGT0001474 25 mg | EGT0001474 75 mg | EGT0001474 150mg | Total |
|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 6 Participants | 6 Participants | 6 Participants | 6 Participants | 24 Participants |
| Sex: Female, Male Female | 2 Participants | 3 Participants | 4 Participants | 3 Participants | 12 Participants |
| Sex: Female, Male Male | 4 Participants | 3 Participants | 2 Participants | 3 Participants | 12 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 2 / 6 | 0 / 6 | 4 / 6 | 2 / 6 |
| serious Total, serious adverse events | 0 / 6 | 0 / 6 | 0 / 6 | 0 / 6 |
Outcome results
AUC0-24
Area under the plasma concentration-time curve from time 0 to hour 24
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | AUC0-24 | NA ng*hr/mL | — |
| EGT0001474 25 mg | AUC0-24 | 987.3 ng*hr/mL | Standard Deviation 368.21 |
| EGT0001474 75 mg | AUC0-24 | 2990.63 ng*hr/mL | Standard Deviation 461.18 |
| EGT0001474 150mg | AUC0-24 | 5584.72 ng*hr/mL | Standard Deviation 1516.64 |
AUC 0-t
Area under the plasma concentration-time curve from time 0 to time t
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | AUC 0-t | NA ng*hr/mL | — |
| EGT0001474 25 mg | AUC 0-t | 1103.89 ng*hr/mL | Standard Deviation 470.31 |
| EGT0001474 75 mg | AUC 0-t | 3370.29 ng*hr/mL | Standard Deviation 499.36 |
| EGT0001474 150mg | AUC 0-t | 6177.8 ng*hr/mL | Standard Deviation 1691.04 |
AUC Inf
Area under the plasma concentration-time curve from time 0 to infinity
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | AUC Inf | NA ng*hr/mL | — |
| EGT0001474 25 mg | AUC Inf | 1165.59 ng*hr/mL | Standard Deviation 479.88 |
| EGT0001474 75 mg | AUC Inf | 3532.02 ng*hr/mL | Standard Deviation 524.74 |
| EGT0001474 150mg | AUC Inf | 6399.55 ng*hr/mL | Standard Deviation 1736.38 |
CL/F
The apparent rate of oral clearance of EGT0001474.Oral clearance was defined as rate of drug removal from the body after oral administration.
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | CL/F | NA mL/hr | — |
| EGT0001474 25 mg | CL/F | 24479.26 mL/hr | Standard Deviation 9146.52 |
| EGT0001474 75 mg | CL/F | 21616.42 mL/hr | Standard Deviation 3112.38 |
| EGT0001474 150mg | CL/F | 24996.33 mL/hr | Standard Deviation 7009.45 |
Cmax
Maximum plasma concentration
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Cmax | NA ng/mL | — |
| EGT0001474 25 mg | Cmax | 157.23 ng/mL | Standard Deviation 76.25 |
| EGT0001474 75 mg | Cmax | 518.67 ng/mL | Standard Deviation 176.36 |
| EGT0001474 150mg | Cmax | 1014 ng/mL | Standard Deviation 372.63 |
Safety and Tolerability of EGT0001474
Safety and tolerability were measured in terms of the number of mild, moderate and severe adverse events experienced by any participants.
Time frame: 25 days
Population: All patients who took study medication were included in the analysis.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Safety and Tolerability of EGT0001474 | Mild adverse events | 5 Events |
| Placebo | Safety and Tolerability of EGT0001474 | Serious adverse events | 0 Events |
| Placebo | Safety and Tolerability of EGT0001474 | Moderate adverse events | 0 Events |
| EGT0001474 25 mg | Safety and Tolerability of EGT0001474 | Mild adverse events | 0 Events |
| EGT0001474 25 mg | Safety and Tolerability of EGT0001474 | Serious adverse events | 0 Events |
| EGT0001474 25 mg | Safety and Tolerability of EGT0001474 | Moderate adverse events | 0 Events |
| EGT0001474 75 mg | Safety and Tolerability of EGT0001474 | Moderate adverse events | 0 Events |
| EGT0001474 75 mg | Safety and Tolerability of EGT0001474 | Mild adverse events | 9 Events |
| EGT0001474 75 mg | Safety and Tolerability of EGT0001474 | Serious adverse events | 0 Events |
| EGT0001474 150mg | Safety and Tolerability of EGT0001474 | Mild adverse events | 3 Events |
| EGT0001474 150mg | Safety and Tolerability of EGT0001474 | Serious adverse events | 0 Events |
| EGT0001474 150mg | Safety and Tolerability of EGT0001474 | Moderate adverse events | 1 Events |
t1/2
Apparent terminal half life
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | t1/2 | NA hour | — |
| EGT0001474 25 mg | t1/2 | 10.1 hour | Standard Deviation 3.21 |
| EGT0001474 75 mg | t1/2 | 12.18 hour | Standard Deviation 3.88 |
| EGT0001474 150mg | t1/2 | 12.15 hour | Standard Deviation 3.94 |
Tmax
Time of maximum plasma concentration
Time frame: 3 days
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Placebo | Tmax | NA hour |
| EGT0001474 25 mg | Tmax | 3 hour |
| EGT0001474 75 mg | Tmax | 2 hour |
| EGT0001474 150mg | Tmax | 2 hour |
Vz/F
Apparent volume of distribution
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Vz/F | NA mL | — |
| EGT0001474 25 mg | Vz/F | 348376.12 mL | Standard Deviation 15666.55 |
| EGT0001474 75 mg | Vz/F | 382783.75 mL | Standard Deviation 138953.19 |
| EGT0001474 150mg | Vz/F | 435944.78 mL | Standard Deviation 179821.44 |
λz
Terminal phase rate constant
Time frame: 3 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | λz | NA 1/hour | — |
| EGT0001474 25 mg | λz | 0.0741 1/hour | Standard Deviation 0.0215 |
| EGT0001474 75 mg | λz | 0.0613 1/hour | Standard Deviation 0.0168 |
| EGT0001474 150mg | λz | 0.0622 1/hour | Standard Deviation 0.0195 |