Type 2 Diabetes Mellitus
Conditions
Brief summary
The purpose of this study is to prove effect of glucose reduction that CKD-501 and metformin combination treatment group is non inferiority compare to pioglitazone and metformin combination.
Detailed description
The aim of this phase 3 study was to evaluate the efficacy and safety of CKD-501 and metformin combination for 24 weeks in type 2 diabetes mellitus. Furthermore, the extension study for additional 28weeks is designed to confirm long term safety of CKD-501 as an oral hypoglycemic agent.
Interventions
Pioglitazone 15mg, orally, 1 tablet or 2 tablet(if confirmed case) once a day for 24weeks with metformin.
CKD-501 0.5mg, orally, 1 tablet once a day for 24weeks or 52weeks(if extension study) with metformin.
Sponsors
Study design
Eligibility
Inclusion criteria
* Between 18 years and 80 years old(male or female) * Type Ⅱ diabetes mellitus * The patient who has been taking oral hypoglycemic agent since 2 months with HbA1c 7 to 10% at screening test * BMI between 21kg/㎡ and 40kg/㎡ * C-peptide level is over 1.0 ng/ml * Agreement with written informed consent
Exclusion criteria
* Type I diabetes or secondary diabetes * Continuous or non continuous treatment(over 7 days) insulin within 3 month prior to screening * Treatment with thiazolidinediones within 60 days or patient who have experience such as hypersensitivity reaction, serious adverse event or no effect by treatment with glitazones * Chronic(continuous over 7 days) oral or non oral corticosteroids treatment within 1 month prior to screening * Past history: lactic acidosis or metformin contraindication * Acute or chronic metabolic acidosis including diabetic ketoacidosis * History of proliferative diabetic retinopathy * Severe infection, severe injury patients (pre and post operation) * Oligotrophy,starvation, hyposthenia, pituitary insufficiency or capsular insufficiency * Drug abuse or history of alcoholism * History of myocardial infarction, heart failure, cerebral infarction, hematencephalon or unstable angina within 6 months * Fasting Plasma Glucose level is over 270 mg/dl * Triglyceride level is 500 mg/dl and over * Significant abnormal liver dysfunction: AST, ALT level over or equal to 2.5 times, Total bilirubin level over or equal 2 times as high as upper normal limit(UNL) * Significant abnormal renal dysfunction * Anemia * Abnormality of thyroid function(out of significant normal TSH range ) * Hepatitis B or C test is positive * Pregnant women or nursing mothers * Has a contraindication to treatment * Fertile women who not practice contraception with appropriate methods * Participated in other trial within 4 weeks * Participating in other trial at present * In investigator's judgment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in Glycosylated Hemoglobin (HbA1c) | Baseline, 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in glycemic parameters | Baseline, 24 weeks |
| Change from baseline in HbA1c target achievement rate (HbA1c < 7%) | Baseline, 24 weeks |
| Change from baseline in lipid parameters | Baseline, 24 weeks |
| Evaluate safety of CKD-501 from physical exam, vital sign, laboratory test, adverse events | Baseline, 24 weeks |
Countries
South Korea