Type 2 Diabetes
Conditions
Keywords
SP2086, Phase III, Monotherapy
Brief summary
SP2086 is a new dipeptidy1 peptidase(DPP)-4 inhibitors. This study aims to evaluate the efficacy and safety of SP2086 as monotherapy in patients with Type 2 Diabetes Mellitus in Metformin monotherapy Who Have Inadequate Glycemic Control treated with diet and exercise for 3 months
Interventions
* Run in period :oral tablets of Placebo twice daily for 2 weeks * Phase A : oral tablets of Placebo twice daily for 24 weeks * Phase B : SP2086 50 mg b.i.d or SP2086 100 mg q.d. for 28 weeks
* Run-in period: placebo twice daily for 2 weeks * Phase A:SP2086 50 mg b.i.d for 24 weeks * Phase B:SP2086 50 mg b.i.d for 28 weeks
* Run-in period:placebo twice daily for 2 weeks * Phase A: SP2086 100 mg q.d. for 24 weeks * Phase B: SP2086 100 mg q.d. for 28 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with type 2 diabetes mellitus * Patients have treated with diet/exercise at least 3 months * 7.5% ≤HbA1C ≤11.0% at screening,7.0% ≤HbA1C ≤10.5% after run-in
Exclusion criteria
* Patient has history of type 1 diabetes mellitus * Patient has history of ketoacidosis * Patient has history of severe unconscious hypoglycemosis * Patient has history of acute and chronic pancreatitis or pancreatic injury that may lead to high risk of pancreatitis * Patient has history of decompensated heart failure (NYHA class III and IV), unstable angina, stroke or transient ischemic attack, myocardial infarction, persistence and clinical * Patient has history of a history of hypertension, and after antihypertensive treatment, systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg * Patient has severe liver or kidney disease,alanine aminotransferase \>2×UNL, Aspartate Aminotransferase \>2×upper normal limit(UNL);total bilirubin \>2×UNL; creatinine\>1.5 mg/dL (Male,132.6μmol/L) ,\>1.4 mg/dL(Female,123.8μmol/L) * Patient has severe chronic gastrointestinal disease or therapy that may affect drug absorption, such as gastrointestinal surgery * Patient has severe haematological diseases or other diseases leading to hemolyze and red blood cell unstable (malaria、haemolytic anaemia eg. ) * Patient has other endocrine diseases, for example hyperthyroidism、hypothyroidism、hypercortisolism、multiple endocrine neoplasia and so on * Patient has history of malignancy * Patient has history of alcohol or drug abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in HbA1c (Hemoglobin A1C) at Week24 | baseline, week 24 | A1C is measured as a percent. Thus, this change from baseline reflects the Week 24 A1C percent minus the Week 0 A1C percent |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in 2-hour Post-meal Glucose (2-hr PMG) at Week 24 | Weeks 0-24 | Change from baseline at Week 24 is defined as Week 24 2-hr PMG minus Week 0 2-hr PMG |
| Percentage of Participants Achieving Less Than (<) 6.5% or <7% HbA1c Levels | week24 | — |
| Change From Baseline in A1C at Week 52 | week 52 | A1C is measured as a percent. Thus, this change from baseline reflects the Week 52 A1C percent minus the Week 0 A1C percent |
| Change From Baseline in fasting plasma glucose (FPG) at Week 24 | Weeks 0-24 | Change from baseline at Week 24 is defined as Week 24 FPG minus Week 0 FPG |
| Change From Baseline in lipid at Week 4、8、12、24、38、52 | Week 4、8、12、24、38、52 | — |
| Change From Baseline in Body Weight at Week 4,8,12、24、38、52 | Week 4、8、12、24、38、52 | — |
| Change From Baseline in FPG at Week 52 | week 52 | Change from baseline at Week 52 is defined as Week 104 FPG minus Week 0 FPG |
Countries
China