Type 2 Diabetes Mellitus
Conditions
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
Oral tablet administered twice daily during 4 months
administered twice daily during 4 months
Sponsors
Study design
Eligibility
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
| Measure | Time frame |
|---|---|
| Change in Haemoglobin A1c (HbA1c) | from baseline to 4 months |
Secondary
| Measure | Time 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 Triglycerides | from 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
| Arm | Count |
|---|---|
| High Dose 200 mg (daily dose) | 55 |
| Middle Dose 140 mg (daily dose) | 58 |
| Low Dose 80 mg (daily dose) | 56 |
| Placebo Placebo | 55 |
| Total | 224 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 1 | 1 | 0 | 0 |
| Overall Study | Other | 4 | 3 | 2 | 3 |
| Overall Study | Protocol Violation | 0 | 0 | 0 | 1 |
| Overall Study | Study-specific withdrawal criteria | 1 | 1 | 2 | 0 |
| Overall Study | Withdrawal by Subject | 3 | 1 | 1 | 1 |
Baseline characteristics
| Characteristic | High Dose | Middle Dose | Low Dose | Placebo | Total |
|---|---|---|---|---|---|
| Age Continuous | 57 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 Participants | 8 Participants | 8 Participants | 9 Participants | 32 Participants |
| Sex: Female, Male Male | 48 Participants | 50 Participants | 48 Participants | 46 Participants | 192 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 | 16 / 55 | 19 / 58 | 16 / 56 | 16 / 55 |
| serious Total, serious adverse events | 0 / 22 | 0 / 23 | 0 / 28 | 0 / 23 |
Outcome results
Change in Haemoglobin A1c (HbA1c)
Time frame: from baseline to 4 months
Population: The analysis population was prior to rescue treatment (FAS)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm 1 - High Dose | Change in Haemoglobin A1c (HbA1c) | 0.0 Percentage | Standard Deviation 1.2 |
| Arm 2 - Middle Dose | Change in Haemoglobin A1c (HbA1c) | -0.3 Percentage | Standard Deviation 1.3 |
| Arm 3 - Low Dose | Change in Haemoglobin A1c (HbA1c) | 0.1 Percentage | Standard Deviation 1.2 |
| Arm 4 - Placebo Dose | Change in Haemoglobin A1c (HbA1c) | 0.2 Percentage | Standard Deviation 0.7 |
Change in Fasting Plasma Glucose (FPG)
Time frame: from baseline to 4 months
Population: The analysis population was prior to rescue treatment (FAS)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm 1 - High Dose | Change in Fasting Plasma Glucose (FPG) | 9 mg/dL | Standard Deviation 42 |
| Arm 2 - Middle Dose | Change in Fasting Plasma Glucose (FPG) | 6 mg/dL | Standard Deviation 45 |
| Arm 3 - Low Dose | Change in Fasting Plasma Glucose (FPG) | 1 mg/dL | Standard Deviation 36 |
| Arm 4 - Placebo Dose | Change in Fasting Plasma Glucose (FPG) | 16 mg/dL | Standard Deviation 28 |
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)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm 1 - High Dose | Change in High-sensitivity C-reactive Protein (Hs-CRP) | 0.058 mg/dL | Standard Deviation 0.138 |
| Arm 2 - Middle Dose | Change in High-sensitivity C-reactive Protein (Hs-CRP) | 0.021 mg/dL | Standard Deviation 0.117 |
| Arm 3 - Low Dose | Change in High-sensitivity C-reactive Protein (Hs-CRP) | 0.033 mg/dL | Standard Deviation 0.125 |
| Arm 4 - Placebo Dose | Change in High-sensitivity C-reactive Protein (Hs-CRP) | -0.007 mg/dL | Standard Deviation 0.115 |
Number of Responders in Terms of HbA1C ≤ 6.5%
Time frame: at 4th month
Population: The analysis population was prior to rescue treatment (FAS)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm 1 - High Dose | Number of Responders in Terms of HbA1C ≤ 6.5% | 2 Participants |
| Arm 2 - Middle Dose | Number of Responders in Terms of HbA1C ≤ 6.5% | 8 Participants |
| Arm 3 - Low Dose | Number of Responders in Terms of HbA1C ≤ 6.5% | 2 Participants |
| Arm 4 - Placebo Dose | Number of Responders in Terms of HbA1C ≤ 6.5% | 0 Participants |
Number of Responders in Terms of HbA1C ≤ 7%
Time frame: at 4th month
Population: The analysis population was prior to rescue treatment (FAS)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Arm 1 - High Dose | Number of Responders in Terms of HbA1C ≤ 7% | 7 Participants |
| Arm 2 - Middle Dose | Number of Responders in Terms of HbA1C ≤ 7% | 16 Participants |
| Arm 3 - Low Dose | Number of Responders in Terms of HbA1C ≤ 7% | 7 Participants |
| Arm 4 - Placebo Dose | Number of Responders in Terms of HbA1C ≤ 7% | 1 Participants |
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)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm 1 - High Dose | Percentage Change in High-density Lipoprotein Cholesterol (HDL-C) | 8.8 Percentage | Standard Deviation 18 |
| Arm 2 - Middle Dose | Percentage Change in High-density Lipoprotein Cholesterol (HDL-C) | 8.7 Percentage | Standard Deviation 12.9 |
| Arm 3 - Low Dose | Percentage Change in High-density Lipoprotein Cholesterol (HDL-C) | 11.6 Percentage | Standard Deviation 12.7 |
| Arm 4 - Placebo Dose | Percentage Change in High-density Lipoprotein Cholesterol (HDL-C) | 8.5 Percentage | Standard Deviation 12.5 |
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)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm 1 - High Dose | Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) | 8.9 Percentage | Standard Deviation 19.9 |
| Arm 2 - Middle Dose | Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) | 7.7 Percentage | Standard Deviation 18.8 |
| Arm 3 - Low Dose | Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) | 4.0 Percentage | Standard Deviation 15.6 |
| Arm 4 - Placebo Dose | Percentage Change in Low-density Lipoprotein Cholesterol (LDL-C) | 5.8 Percentage | Standard Deviation 18.4 |
Percentage Change in Triglycerides
Time frame: from baseline to 4 months
Population: The analysis population was prior to rescue treatment (FAS)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm 1 - High Dose | Percentage Change in Triglycerides | 10.8 Percentage | Standard Deviation 44 |
| Arm 2 - Middle Dose | Percentage Change in Triglycerides | 25.0 Percentage | Standard Deviation 58.5 |
| Arm 3 - Low Dose | Percentage Change in Triglycerides | 6.7 Percentage | Standard Deviation 29.4 |
| Arm 4 - Placebo Dose | Percentage Change in Triglycerides | 18.1 Percentage | Standard Deviation 46.8 |