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Japan Dose Regimen Study of AZD1656 in Japanese Type 2 Diabetes Mellitus Patients

A 4-month Treatment, Randomized, Double-blind, Placebo-Controlled, Multi-centre, Parallel-Group Phase 2 Study to Evaluate Efficacy, Safety and Tolerability of Different Dosing Regimens of AZD1656 as Monotherapy in Japanese Type 2 Diabetes Mellitus Patients

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01152385
Enrollment
224
Registered
2010-06-29
Start date
2010-05-31
Completion date
2011-05-31
Last updated
2012-08-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

Keywords

Type 2 diabetes mellitus, Japanese, phase 2, AZD1656, efficacy, dose regimen, pharmacokinetics

Brief summary

The purpose of this study is to compare the effect on glucose control of 3 different AZD1656 dosing regimens with placebo in Japanese type 2 diabetes mellitus (T2DM) patients, as evaluated by the change in HbA1c from baseline to the end of treatment at 4 months.

Interventions

DRUGAZD1656

Oral tablet administered twice daily during 4 months

DRUGPlacebo

administered twice daily during 4 months

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* women of non-childbearing potential. * Provision of informed consent prior to any study specific procedures * Naïve T2DM patients with HbA1c ≥ 7.5% but ≤ 10% or T2DM Patients treated with one or two oral anti-hyperglycaemic agent(s) with HbA1c ≥ 7.5% but ≤ 9.5% at enrolment visit (Visit1)

Exclusion criteria

* Clinically relevant medical history or concurrent disease such as cardiovascular disease, renal disease, hepatic disease and haematological disease. * The investigator(s) judged that the Subject should not participate in the study according to screening test or medical history. * Participation in another clinical trial and/or intake of another investigational drug within the last 30 days prior to enrolment visit

Design outcomes

Primary

MeasureTime frame
Change in Haemoglobin A1c (HbA1c)from baseline to 4 months

Secondary

MeasureTime frame
Number of Responders in Terms of HbA1C ≤ 7%at 4th month
Number of Responders in Terms of HbA1C ≤ 6.5%at 4th month
Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C)from baseline to 4 months
Change in Fasting Plasma Glucose (FPG)from baseline to 4 months
Percentage Change in Triglyceridesfrom baseline to 4 months
Change in High-sensitivity C-reactive Protein (Hs-CRP)from baseline to 4 months
Percentage Change in High-density Lipoprotein Cholesterol (HDL-C)from baseline to 4 months

Countries

Japan

Participant flow

Recruitment details

Enrollment: 224 Study Start Date: May 2010 Study Completion Date: May 2011 Primary Completion Date: May 2011 (Final data collection date for primary outcome measure)

Pre-assignment details

Wash-out period for patients treated with anti-diabetes treatment at enrolment.

Participants by arm

ArmCount
High Dose
200 mg (daily dose)
55
Middle Dose
140 mg (daily dose)
58
Low Dose
80 mg (daily dose)
56
Placebo
Placebo
55
Total224

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event1100
Overall StudyOther4323
Overall StudyProtocol Violation0001
Overall StudyStudy-specific withdrawal criteria1120
Overall StudyWithdrawal by Subject3111

Baseline characteristics

CharacteristicHigh DoseMiddle DoseLow DosePlaceboTotal
Age Continuous57 Years
STANDARD_DEVIATION 9
55 Years
STANDARD_DEVIATION 9
55 Years
STANDARD_DEVIATION 10
57 Years
STANDARD_DEVIATION 9
56 Years
STANDARD_DEVIATION 9
Sex: Female, Male
Female
7 Participants8 Participants8 Participants9 Participants32 Participants
Sex: Female, Male
Male
48 Participants50 Participants48 Participants46 Participants192 Participants

Adverse events

Event typeEG000
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
16 / 5519 / 5816 / 5616 / 55
serious
Total, serious adverse events
0 / 220 / 230 / 280 / 23

Outcome results

Primary

Change in Haemoglobin A1c (HbA1c)

Time frame: from baseline to 4 months

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (MEAN)Dispersion
Arm 1 - High DoseChange in Haemoglobin A1c (HbA1c)0.0 PercentageStandard Deviation 1.2
Arm 2 - Middle DoseChange in Haemoglobin A1c (HbA1c)-0.3 PercentageStandard Deviation 1.3
Arm 3 - Low DoseChange in Haemoglobin A1c (HbA1c)0.1 PercentageStandard Deviation 1.2
Arm 4 - Placebo DoseChange in Haemoglobin A1c (HbA1c)0.2 PercentageStandard Deviation 0.7
Secondary

Change in Fasting Plasma Glucose (FPG)

Time frame: from baseline to 4 months

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (MEAN)Dispersion
Arm 1 - High DoseChange in Fasting Plasma Glucose (FPG)9 mg/dLStandard Deviation 42
Arm 2 - Middle DoseChange in Fasting Plasma Glucose (FPG)6 mg/dLStandard Deviation 45
Arm 3 - Low DoseChange in Fasting Plasma Glucose (FPG)1 mg/dLStandard Deviation 36
Arm 4 - Placebo DoseChange in Fasting Plasma Glucose (FPG)16 mg/dLStandard Deviation 28
Secondary

Change in High-sensitivity C-reactive Protein (Hs-CRP)

Time frame: from baseline to 4 months

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (MEAN)Dispersion
Arm 1 - High DoseChange in High-sensitivity C-reactive Protein (Hs-CRP)0.058 mg/dLStandard Deviation 0.138
Arm 2 - Middle DoseChange in High-sensitivity C-reactive Protein (Hs-CRP)0.021 mg/dLStandard Deviation 0.117
Arm 3 - Low DoseChange in High-sensitivity C-reactive Protein (Hs-CRP)0.033 mg/dLStandard Deviation 0.125
Arm 4 - Placebo DoseChange in High-sensitivity C-reactive Protein (Hs-CRP)-0.007 mg/dLStandard Deviation 0.115
Secondary

Number of Responders in Terms of HbA1C ≤ 6.5%

Time frame: at 4th month

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (NUMBER)
Arm 1 - High DoseNumber of Responders in Terms of HbA1C ≤ 6.5%2 Participants
Arm 2 - Middle DoseNumber of Responders in Terms of HbA1C ≤ 6.5%8 Participants
Arm 3 - Low DoseNumber of Responders in Terms of HbA1C ≤ 6.5%2 Participants
Arm 4 - Placebo DoseNumber of Responders in Terms of HbA1C ≤ 6.5%0 Participants
Secondary

Number of Responders in Terms of HbA1C ≤ 7%

Time frame: at 4th month

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (NUMBER)
Arm 1 - High DoseNumber of Responders in Terms of HbA1C ≤ 7%7 Participants
Arm 2 - Middle DoseNumber of Responders in Terms of HbA1C ≤ 7%16 Participants
Arm 3 - Low DoseNumber of Responders in Terms of HbA1C ≤ 7%7 Participants
Arm 4 - Placebo DoseNumber of Responders in Terms of HbA1C ≤ 7%1 Participants
Secondary

Percentage Change in High-density Lipoprotein Cholesterol (HDL-C)

Time frame: from baseline to 4 months

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (MEAN)Dispersion
Arm 1 - High DosePercentage Change in High-density Lipoprotein Cholesterol (HDL-C)8.8 PercentageStandard Deviation 18
Arm 2 - Middle DosePercentage Change in High-density Lipoprotein Cholesterol (HDL-C)8.7 PercentageStandard Deviation 12.9
Arm 3 - Low DosePercentage Change in High-density Lipoprotein Cholesterol (HDL-C)11.6 PercentageStandard Deviation 12.7
Arm 4 - Placebo DosePercentage Change in High-density Lipoprotein Cholesterol (HDL-C)8.5 PercentageStandard Deviation 12.5
Secondary

Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C)

Time frame: from baseline to 4 months

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (MEAN)Dispersion
Arm 1 - High DosePercentage Change in Low-density Lipoprotein Cholesterol (LDL-C)8.9 PercentageStandard Deviation 19.9
Arm 2 - Middle DosePercentage Change in Low-density Lipoprotein Cholesterol (LDL-C)7.7 PercentageStandard Deviation 18.8
Arm 3 - Low DosePercentage Change in Low-density Lipoprotein Cholesterol (LDL-C)4.0 PercentageStandard Deviation 15.6
Arm 4 - Placebo DosePercentage Change in Low-density Lipoprotein Cholesterol (LDL-C)5.8 PercentageStandard Deviation 18.4
Secondary

Percentage Change in Triglycerides

Time frame: from baseline to 4 months

Population: The analysis population was prior to rescue treatment (FAS)

ArmMeasureValue (MEAN)Dispersion
Arm 1 - High DosePercentage Change in Triglycerides10.8 PercentageStandard Deviation 44
Arm 2 - Middle DosePercentage Change in Triglycerides25.0 PercentageStandard Deviation 58.5
Arm 3 - Low DosePercentage Change in Triglycerides6.7 PercentageStandard Deviation 29.4
Arm 4 - Placebo DosePercentage Change in Triglycerides18.1 PercentageStandard Deviation 46.8

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026