Type 2 Diabetes Mellitus
Conditions
Brief summary
The purpose of this study is to evaluate the safety, tolerability, and efficacy of LX4211 versus a placebo control in subjects with type 2 diabetes mellitus.
Interventions
A low dose of LX4211; daily oral intake for 28 days
A high dose of LX4211; daily oral intake for 28 days
Matching placebo dosing with daily oral intake for 28 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and females (non-childbearing potential), aged 18-65 years * Diagnosis of Type 2 diabetes mellitus for at least 6 months prior to screening * Fasting plasma glucose ≤ 240 mg/dL prior to metformin washout * Body mass index \< 42 kg/m\^2 * HbA1c value of 7 to 11% * C-peptide ≥ 1.0 ng/mL * Ability to provide written informed consent
Exclusion criteria
* History of Type 1 diabetes mellitus, diabetic ketoacidosis, hyperosmolar nonketotic syndrome, incontinence, or nocturia * Use of any blood glucose lowering agent other than metformin * Prior exposure to insulin, thiazide, or loop diuretics within 4 weeks prior to screening * Laboratory or electrocardiogram abnormalities deemed significant by the Sponsor or the Investigator * Positive test result for glutamic acid decarboxylase (GAD) antibody * Surgery within 6 months of screening * Exposure to any investigational agent or participation in any investigational trial within 30 days prior to Day 1 * Hypersensitivity to an SGLT2 inhibitor * History of drug or alcohol abuse within the last 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion | Baseline to Day 28 | To assess 24-hour urinary glucose excretion, urine was collected over a 24-hour period and evaluated for glucose concentration. |
Secondary
| Measure | Time frame |
|---|---|
| Change From Baseline at Day 29 in Fasting Plasma Glucose | Baseline to Day 29 |
| Change From Baseline at Day 28 in Plasma HbA1c | Baseline to Day 28 |
| Change From Baseline at Day 28 in Plasma Fructosamine Level | Baseline to Day 28 |
| Change From Baseline at Day 28 in Mean Arterial Pressure | Baseline to Day 28 |
| Change From Baseline at Day 28 in Triglycerides | Baseline to Day 28 |
Countries
United States
Participant flow
Recruitment details
This was a single-center trial in the United States, with 1 investigator participating.
Pre-assignment details
There was a 14-day washout period and a 5-day diet stabilization period prior to randomization.
Participants by arm
| Arm | Count |
|---|---|
| Low Dose A low dose of LX4211; daily oral intake for 28 days | 12 |
| High Dose A high dose of LX4211; daily oral intake for 28 days | 12 |
| Placebo Matching placebo dosing with daily oral intake for 28 days | 12 |
| Total | 36 |
Baseline characteristics
| Characteristic | Low Dose | High Dose | Placebo | Total |
|---|---|---|---|---|
| Age Continuous | 52.7 years STANDARD_DEVIATION 6.07 | 52.3 years STANDARD_DEVIATION 8.4 | 54.5 years STANDARD_DEVIATION 7.23 | 53.2 years STANDARD_DEVIATION 7.15 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 8 Participants | 10 Participants | 11 Participants | 29 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 4 Participants | 2 Participants | 1 Participants | 7 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 2 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized Black or African American | 2 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized White or Caucasian | 10 Participants | 10 Participants | 12 Participants | 32 Participants |
| Region of Enrollment United States | 12 participants | 12 participants | 12 participants | 36 participants |
| Sex: Female, Male Female | 6 Participants | 4 Participants | 6 Participants | 16 Participants |
| Sex: Female, Male Male | 6 Participants | 8 Participants | 6 Participants | 20 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 9 / 12 | 8 / 12 | 8 / 12 |
| serious Total, serious adverse events | 0 / 12 | 0 / 12 | 0 / 12 |
Outcome results
Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion
To assess 24-hour urinary glucose excretion, urine was collected over a 24-hour period and evaluated for glucose concentration.
Time frame: Baseline to Day 28
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Low Dose | Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion | 35.729 grams |
| High Dose | Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion | 47.085 grams |
| Placebo | Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion | -0.965 grams |
Change From Baseline at Day 28 in Mean Arterial Pressure
Time frame: Baseline to Day 28
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Low Dose | Change From Baseline at Day 28 in Mean Arterial Pressure | Seated | -7.3 mm Hg |
| Low Dose | Change From Baseline at Day 28 in Mean Arterial Pressure | Standing | -8.6 mm Hg |
| Low Dose | Change From Baseline at Day 28 in Mean Arterial Pressure | Supine | -8.2 mm Hg |
| High Dose | Change From Baseline at Day 28 in Mean Arterial Pressure | Seated | -7.9 mm Hg |
| High Dose | Change From Baseline at Day 28 in Mean Arterial Pressure | Standing | -5.6 mm Hg |
| High Dose | Change From Baseline at Day 28 in Mean Arterial Pressure | Supine | -6.1 mm Hg |
| Placebo | Change From Baseline at Day 28 in Mean Arterial Pressure | Standing | -3.8 mm Hg |
| Placebo | Change From Baseline at Day 28 in Mean Arterial Pressure | Supine | -4.9 mm Hg |
| Placebo | Change From Baseline at Day 28 in Mean Arterial Pressure | Seated | -3.4 mm Hg |
Change From Baseline at Day 28 in Plasma Fructosamine Level
Time frame: Baseline to Day 28
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Low Dose | Change From Baseline at Day 28 in Plasma Fructosamine Level | -24.5 µmol/L |
| High Dose | Change From Baseline at Day 28 in Plasma Fructosamine Level | -24.9 µmol/L |
| Placebo | Change From Baseline at Day 28 in Plasma Fructosamine Level | 18.1 µmol/L |
Change From Baseline at Day 28 in Plasma HbA1c
Time frame: Baseline to Day 28
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Low Dose | Change From Baseline at Day 28 in Plasma HbA1c | -1.15 Percent |
| High Dose | Change From Baseline at Day 28 in Plasma HbA1c | -1.25 Percent |
| Placebo | Change From Baseline at Day 28 in Plasma HbA1c | -0.49 Percent |
Change From Baseline at Day 28 in Triglycerides
Time frame: Baseline to Day 28
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Low Dose | Change From Baseline at Day 28 in Triglycerides | -66.6 mg/dL |
| High Dose | Change From Baseline at Day 28 in Triglycerides | -62.8 mg/dL |
| Placebo | Change From Baseline at Day 28 in Triglycerides | -20.2 mg/dL |
Change From Baseline at Day 29 in Fasting Plasma Glucose
Time frame: Baseline to Day 29
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Low Dose | Change From Baseline at Day 29 in Fasting Plasma Glucose | -52.3 mg/dL |
| High Dose | Change From Baseline at Day 29 in Fasting Plasma Glucose | -67.8 mg/dL |
| Placebo | Change From Baseline at Day 29 in Fasting Plasma Glucose | -12.3 mg/dL |