Diabetes Mellitus Type 2
Conditions
Brief summary
A single center, double-blind, placebo-controlled, randomized, crossover, phase II study to assess the effect of aleglitazar on cardiac energetics and function in patients with uncomplicated type 2 diabetes mellitus and no history of coronary artery disease who are drug-naïve or treated with stable metformin. Eligible patients will receive either 150 mcg aleglitazar or placebo orally daily for 6 weeks. After a washout period of 6 weeks, patients will cross over to the treatment not yet received.
Interventions
150 mcg orally daily, 6 weeks
orally daily, 6 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients, 40 to 70 years of age (inclusive) at screening * Patients with Type 2 diabetes mellitus diagnosed at least 12 weeks before screening and either drug-naïve or treated with stable metformin monotherapy for at least 12 weeks prior to screening * HbA1c \>/= 7 % and \</= 9% at screening * Absence of history of coronary artery disease
Exclusion criteria
* Diagnosis or history of Type 1 diabetes mellitus, diabetes resulting from pancreatic injury, or secondary forms of diabetes * Current treatment with fibrates, thiazolidinediones, or insulin * Prior intolerance to thiazolidinediones and/or fibrates * Clinically significant liver disease or impaired liver function * Know chronic diabetic complications (i.e. retinopathy, neuropathy, nephropathy) * Symptomatic congestive heart failure classified as NYHA class II-IV * Diagnosed and/or treated malignancy within the past 5 years, except for treated basal cell skin cancer, in situ carcinoma of the cervix, or in situ prostate cancer * Contraindications to MRI, or inability to tolerate MRI scanning
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac energetics: Change in PCr/ATP ratio using phosphorus magnetic resonance spectroscopy (MRS) | from baseline to Week 6 |
Secondary
| Measure | Time frame |
|---|---|
| Change in left ventricular diastolic function measured by mitral inflow, tissue Doppler Imaging and magnetic resonance imaging (MRI) | from baseline to Week 6 |
| Change in cardiac/hepatic triglyceride content assessed my MRS | from baseline to Week 6 |
Countries
United Kingdom