Diabetes Mellitus Type 2
Conditions
Brief summary
This multicenter, randomized, double-blind, placebo-controlled study will assess the efficacy, safety and tolerability of aleglitazar compared with placebo when added to a sulfonylurea monotherapy or sulfonylurea plus metformin combination therapy in patients with type 2 diabetes mellitus who are inadequately controlled with sulfonylurea alone or sulfonylurea plus metformin therapy. Patients will be randomized to receive oral doses of 150 mcg aleglitazar once daily or placebo. The anticipated time on study treatment is 26 weeks.
Interventions
150 mcg orally once a day for 26 weeks
oral doses once a day for 26 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients, \>/=18 years of age * Diagnosis of diabetes mellitus, type 2 * Patients treated with stable sulfonylurea monotherapy or sulfonylurea plus metformin combination therapy for at least 12 weeks prior to screening * HbA1c \>/=7% and \</=9.5% at screening or within 4 weeks prior to screening and at pre-randomization visit * Fasting plasma glucose \</=240 mg/dL at pre-randomization visit * Agreement to maintain diet and exercise habits during the study
Exclusion criteria
* Patients with Type 1 diabetes mellitus, secondary diabetes, diabetes resulting from pancreatic injury, or acute metabolic diabetic complications within the past 6 months * Any previous treatment with thiazolidinedione or a dual PPAR agonist * Any body weight lowering or lipoprotein-modifying therapy within 12 weeks prior to screening (except stable dose of statin) * Any anti-hyperglycemic medication other than sulfonylurea alone or in combination with metformin within 12 weeks prior to screening * Symptomatic congestive heart failure classified as New York Heart Association class II-IV at screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in hemoglobin HbA1c | From baseline to week 26 |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in fasting plasma glucose | From baseline to week 26 |
| Responder rate as defined of hemoglobin HbAc1 <7.0% (<6.5%) | From baseline to week 26 |
| Change in lipid profile | From baseline to week 26 |
| Change from baseline in markers of insulin sensitivity and cardiovascular risk | From baseline to week 26 |
| Safety: incidence of adverse events | 30 weeks (26 weeks treatment and 4 weeks follow-up) |
| Change from baseline in homeostatic index of insulin sensitivity (HOMA-IS) | From baseline to week 26 |
Countries
Argentina, Colombia, Guatemala, Mexico, United States