Diabetes Mellitus Type 2
Conditions
Brief summary
This randomized, double-blind, placebo-controlled, parallel-group study will evaluate the effect of aleglitazar on renal function, the renin-angiotensin system and the pharmacokinetics of lisinopril in patients with type 2 diabetes mellitus treated with lisinopril. Patients on a stable dose of lisinopril (20 mg daily orally) for 2 weeks will be randomized to receive either aleglitazar (150 mcg orally daily) or placebo in addition to lisinopril for 4 weeks.
Interventions
150 mcg orally daily, 4 weeks (Day 15 to Day 43)
20 mg orally daily, 6 weeks (Day 1 to Day 43)
aleglitazar matching placebo orally daily, 4 weeks (Day 15 to Day 43)
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult male and female patients, 18 to 65 years of age, inclusive * Diabetes mellitus Type 2, diagnosed at least 3 months before screening * Treated with stable dose of metformin for at least 4 weeks prior to screening * Treated with stable dose of Angiotensin-converting enzyme inhibitor (ACEI) for at least 4 weeks prior to screening * Body mass index (BMI) 18 to 38 kg/m2, inclusive
Exclusion criteria
* Positive for HIV-1, HIV-2, hepatitis B or hepatitis C infection * Pregnant or lactating females * Type 1 diabetes or secondary from of diabetes * History or evidence of proliferative diabetic retinopathy or clinically significant neuropathy * Clinically significant hepatic disease * Clinically significant renal impairment * History or evidence of clinically significant cardio-vascular disease or disorder * Acute infection or current malignancy requiring treatment except for excised basal cell carcinoma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glomerular filtration rate (mGFR), measured as iohexol clearance | 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Effective renal plasma flow rate (ERPF), measured as Para-amino hippuric acid (PAH) clearance (PAH plasma concentrations) | 4 weeks |
| Electrolyte blood/urine concentrations | 4 weeks |
| Renin-angiotensin system: plasma renin/aldosterone levels) | 4 weeks |
| Anti-diuretic hormone (ADH) blood levels | 4 weeks |
| Estimated glomerular filtration rate, using modification of diet in renal disease formula (eGFR[MDRD]) | 4 weeks |
| Effect of multiple doses of aleglitazar on lisinopril steady-state pharmacokinetics (area under the concentration - time curve [AUC]) | 4 weeks |
| Steady-state pharmacokinetics (AUC) of aleglitazar in co-administration with lisinopril | 4 weeks |
| High density lipoprotein-cholesterol (HDL-C) blood levels | 4 weeks |
| Safety: Incidence of adverse events | up to 18 weeks |
Countries
United States