Type 2 Diabetes Mellitus
Conditions
Keywords
Type 2 Diabetes Mellitus, Adult, Developmental Phase II
Brief summary
The objective of the study is to evaluate change in insulin secretory capacity in patients with type 2 diabetes mellitus as determined by hyperglycemic clamp after a 28-day oral administration of DS-8500a at 75 mg in a placebo-controlled, 2 × 2 crossover study. In addition, safety of this regimen will be examined in this study.
Interventions
tablets
tablets
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged ≥ 20 years at the time of informed consent * Japanese patients with type 2 diabetes * Patients who have HbA1c ≥ 7.0% and \< 9.0%
Exclusion criteria
* Patients with type 1 diabetes mellitus or with a history of diabetic coma, precoma, or ketoacidosis * Patients receiving or requiring treatment with insulin * Patients with a body mass index (BMI) of \< 18.5 kg/m2 or ≥ 35.0 kg/m2 * Patients with clinically evident renal impairment (estimated glomerular filtration rate \[eGFR\] of \< 45 mL/min per 1.73 m2) or clinically significant renal disease * Patients with fasting plasma glucose ≥ 240 mg/dL
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| First-phase and Second-phase secretion Insulin | Baseline to Day 28 (Period 1 and 2) | First-phase and Second-phase secretion Insulin Baseline to Day 28 (Period 1 and 2) |
| First-phase and Second-phase secretion C-peptide | Baseline to Day 28 (Period 1 and 2) | First-phase and Second-phase secretion (C-peptide) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disposition Index | Baseline to Day 28 (Period 1 and 2) | Disposition Index:Product of M value and First-phase secretion |
| M value | Baseline to Day 28 (Period 1 and 2) | M value:Mean of Glucose Infusion Rate from 90 to 120 min |
| plasma concentration of DS-8500a | Day 28 (Period 1 and 2) | — |
| Number and severity of Adverse Events | Day 28 (Period 1 and 2) | — |
| M/I value | Baseline to Day 28 (Period 1 and 2) | M/I value:M value / steady-state Insulin |
Countries
Japan