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Study to Evaluate Safety, Tolerability, Pharmacokinetics & Pharmacodynamics of JTT-662 in Subjects With Type 2 Diabetes

Single-blind, Randomized, Placebo-controlled, Multiple Dose Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of JTT-662 Administered for 28 Days in Subjects With Type 2 Diabetes Mellitus on Metformin Monotherapy

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04465877
Enrollment
37
Registered
2020-07-10
Start date
2020-06-15
Completion date
2021-02-17
Last updated
2023-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes Mellitus, Type 2

Keywords

JTT-662, Diabetes, Safety, Tolerability, Pharmacokinetics, Pharmacodynamics

Brief summary

This study will evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of JTT-662 administered once daily for 28 days in subjects with Type 2 diabetes mellitus (T2DM) who are receiving metformin monotherapy

Interventions

DRUGJTT-662

Active drug tablets containing JTT-662

DRUGPlacebo

Placebo tablets matching in appearance to the active drug tablets

Sponsors

Akros Pharma Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of T2DM for at least 12 weeks prior to the Screening Visit * Currently treated with a stable oral dose of metformin monotherapy for at least 12 weeks prior to the Screening Visit and until Day -3 * Have a glycosylated hemoglobin (HbA1c) value of between 6.5% and 10.0% at the Screening Visit * Have a fasting plasma glucose (FPG) value of no more than 280 mg/dL at the Screening Visit and on Day -3 * Body Mass Index (BMI) of 25 to 40 kg/m2 (inclusive)

Exclusion criteria

* Known medical history or presence of Type 1 diabetes mellitus, Maturity Onset Diabetes of the Young or secondary forms of diabetes * Known medical history or presence of diabetic complications * Have taken anti-diabetic medications (other than metformin) or medications that act mainly in the gastrointestinal tract (e.g., orlistat, acarbose) within 12 weeks prior to the Screening Visit or from the Screening Visit to Day -3 * Have uncontrolled hypertension (systolic blood pressure of at least 160 mmHg or diastolic blood pressure of at least 95 mmHg) at the Screening Visit * Have impaired renal function (estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73 m2)

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With Treatment-emergent Adverse Events6 Weeks (from Day -1 to the follow-up visit on Day 42)Treatment-emergent adverse event is defined as any adverse event (untoward medical experience occurring to a subject whether or not it is related to the study drug) with an onset date/time at/after the placebo dosing on Day -1.
Number of Stools and Type of Stools Based on Bristol Stool Chart7 Weeks (from Day -6 to the follow-up visit on Day 42)Number of occurrences for each stool type was reported based on their type assessed from Bristol Stool Chart. The Bristol Stool Chart was used to assess the stool shape using a 7-point scale. Where, Type 1 = separate hard lumps, like nuts (hard to pass), Type 2 = sausage-shaped but lumpy, Type 3 = like a sausage but with cracks on the surface, Type 4 = like a sausage or snake, smooth and soft, Type 5 = soft blobs with clear-cut edges (passed easily), Type 6 = fluffy pieces with ragged edges, a mushy stool, Type 7 = watery, no solid pieces; entirely liquid. A score of 1 or 2 indicates constipation while a score of 6 or 7 indicates diarrhea.
Trough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 2828 DaysTrough plasma concentration is the measured concentration at the end of a dosing interval at steady state (taken directly before next administration). Blood samples were collected at specific timepoints to measure trough plasma concentrations of JTT-662 in the subjects randomized to JTT-662 treatment groups.
Change From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Days 1, 14 and 28Change from baseline in the AUEC0-4 (area under the observed effect-time curve from the start of breakfast until the 4 hour time point) for PPG were calculated using the corresponding Day -1 value as baseline and compared to the placebo values. Negative values represent greater reduction in PPG from baseline values compared to placebo.

Countries

United States

Participant flow

Recruitment details

Written informed consent was obtained prior to performing any study-related procedures. A copy of the informed consent was provided to each subject enrolled in this study. To qualify for the study, subjects were required to satisfy defined criteria.

Pre-assignment details

Following informed consent signing, screening procedures to confirm eligibility were performed. All subjects received a single dose of placebo on Day -1 (Placebo Run-in Period) followed by JTT-662 or placebo once-daily (QD) for 28 consecutive days (Day 1 through Day 28).

Participants by arm

ArmCount
JTT-662 5 mg
JTT-662 5 mg orally once daily from Day 1 to Day 28, after a single dose of placebo on Day -1
9
JTT-662 10 mg
JTT-662 10 mg orally once daily from Day 1 to Day 28, after a single dose of placebo on Day -1
9
JTT-662 20 mg
JTT-662 20 mg orally once daily from Day 1 to Day 28, after a single dose of placebo on Day -1
10
Placebo
Placebo orally once daily from Day -1 to Day 28
9
Total37

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyNoncompliant with study requirements0010

Baseline characteristics

CharacteristicPlaceboJTT-662 5 mgJTT-662 10 mgJTT-662 20 mgTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants1 Participants1 Participants0 Participants2 Participants
Age, Categorical
Between 18 and 65 years
9 Participants8 Participants8 Participants10 Participants35 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants9 Participants9 Participants10 Participants37 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants0 Participants0 Participants2 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
8 Participants9 Participants9 Participants8 Participants34 Participants
Sex: Female, Male
Female
2 Participants4 Participants6 Participants4 Participants16 Participants
Sex: Female, Male
Male
7 Participants5 Participants3 Participants6 Participants21 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 90 / 90 / 100 / 90 / 37
other
Total, other adverse events
4 / 97 / 910 / 106 / 93 / 37
serious
Total, serious adverse events
0 / 90 / 90 / 100 / 90 / 37

Outcome results

Primary

Change From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28

Change from baseline in the AUEC0-4 (area under the observed effect-time curve from the start of breakfast until the 4 hour time point) for PPG were calculated using the corresponding Day -1 value as baseline and compared to the placebo values. Negative values represent greater reduction in PPG from baseline values compared to placebo.

Time frame: Days 1, 14 and 28

Population: PD Population consists of subjects who were randomly assigned to treatment, received at least one dose of JTT-662 or placebo starting on Day 1 and had evaluable PD data. For the JTT-662 20 mg group, number of participants analyzed on Day 28 is 9 since 1 subject did not complete the study.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
JTT-662 5 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 1-0.34 mg*hr/dL
JTT-662 5 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 28-61.17 mg*hr/dL
JTT-662 5 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 14-31.22 mg*hr/dL
JTT-662 10 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 1-98.24 mg*hr/dL
JTT-662 10 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 28-230.87 mg*hr/dL
JTT-662 10 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 14-169.40 mg*hr/dL
JTT-662 20 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 14-253.57 mg*hr/dL
JTT-662 20 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 1-88.19 mg*hr/dL
JTT-662 20 mgChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 28-250.64 mg*hr/dL
PlaceboChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 11.78 mg*hr/dL
PlaceboChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 28-1.83 mg*hr/dL
PlaceboChange From Baseline in AUEC0-4 for Plasma Postprandial Glucose (PPG) Compared to Placebo on Days 1, 14 and 28Day 14-31.55 mg*hr/dL
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 5 mg and placebo on Day 1p-value: 0.95695% CI: [-79.67, 75.42]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 5 mg and placebo on Day 14p-value: 0.99595% CI: [-105.41, 106.07]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 5 mg and placebo on Day 28p-value: 0.36695% CI: [-191.15, 72.45]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 10 mg and placebo on Day 1p-value: 0.01695% CI: [-179.96, -20.08]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 10 mg and placebo on Day 14p-value: 0.01495% CI: [-245.28, -30.43]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 10 mg and placebo on Day 28p-value: 0.00195% CI: [-362.17, -95.91]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 20 mg and placebo on Day 1p-value: 0.02595% CI: [-167.62, -12.33]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 20 mg and placebo on Day 14p-value: <0.00195% CI: [-326.54, -117.51]Mixed Models Analysis
Comparison: Difference between change from baseline in PPG (AUEC0-4) value for JTT-662 20 mg and placebo on Day 28p-value: <0.00195% CI: [-379.35, -118.28]Mixed Models Analysis
Primary

Number of Stools and Type of Stools Based on Bristol Stool Chart

Number of occurrences for each stool type was reported based on their type assessed from Bristol Stool Chart. The Bristol Stool Chart was used to assess the stool shape using a 7-point scale. Where, Type 1 = separate hard lumps, like nuts (hard to pass), Type 2 = sausage-shaped but lumpy, Type 3 = like a sausage but with cracks on the surface, Type 4 = like a sausage or snake, smooth and soft, Type 5 = soft blobs with clear-cut edges (passed easily), Type 6 = fluffy pieces with ragged edges, a mushy stool, Type 7 = watery, no solid pieces; entirely liquid. A score of 1 or 2 indicates constipation while a score of 6 or 7 indicates diarrhea.

Time frame: 7 Weeks (from Day -6 to the follow-up visit on Day 42)

Population: Safety Population consists of subjects who were randomly assigned to treatment and who received at least one dose of study drug.

ArmMeasureGroupValue (NUMBER)
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 4226 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 341 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 231 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 742 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 673 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 563 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 115 Number of stools
JTT-662 5 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartTotal Number of Stools491 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 7130 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartTotal Number of Stools550 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 13 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 212 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 321 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 4173 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 5117 Number of stools
JTT-662 10 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 694 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 6242 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 19 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 4119 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 7310 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 5106 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartTotal Number of Stools815 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 211 Number of stools
JTT-662 20 mgNumber of Stools and Type of Stools Based on Bristol Stool ChartType 318 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 14 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 3102 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 597 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 625 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartTotal Number of Stools599 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 4329 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 725 Number of stools
PlaceboNumber of Stools and Type of Stools Based on Bristol Stool ChartType 217 Number of stools
Primary

Number of Subjects With Treatment-emergent Adverse Events

Treatment-emergent adverse event is defined as any adverse event (untoward medical experience occurring to a subject whether or not it is related to the study drug) with an onset date/time at/after the placebo dosing on Day -1.

Time frame: 6 Weeks (from Day -1 to the follow-up visit on Day 42)

Population: Safety Population consists of subjects who were randomly assigned to treatment and who received at least one dose of study drug.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
JTT-662 5 mgNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with TEAEs4 Participants
JTT-662 5 mgNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with no TEAEs5 Participants
JTT-662 10 mgNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with TEAEs7 Participants
JTT-662 10 mgNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with no TEAEs2 Participants
JTT-662 20 mgNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with TEAEs10 Participants
JTT-662 20 mgNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with no TEAEs0 Participants
PlaceboNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with no TEAEs3 Participants
PlaceboNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with TEAEs6 Participants
Placebo Run-inNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with TEAEs3 Participants
Placebo Run-inNumber of Subjects With Treatment-emergent Adverse EventsNumber of subjects with no TEAEs34 Participants
Primary

Trough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28

Trough plasma concentration is the measured concentration at the end of a dosing interval at steady state (taken directly before next administration). Blood samples were collected at specific timepoints to measure trough plasma concentrations of JTT-662 in the subjects randomized to JTT-662 treatment groups.

Time frame: 28 Days

Population: PK Population consists of subjects randomized to JTT-662 treatment groups who received at least one dose of JTT-662 and had available PK data. The number of subjects on Days 21 and 28 is only 27 since 1 subject in the JTT-662 20 mg group discontinued the study on Day 19.

ArmMeasureGroupValue (MEAN)Dispersion
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 28292 ng/mLStandard Deviation 103
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 7209 ng/mLStandard Deviation 61.5
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 21281 ng/mLStandard Deviation 100
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 160.2 ng/mLStandard Deviation 14.4
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 10235 ng/mLStandard Deviation 64.3
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 14257 ng/mLStandard Deviation 97.3
JTT-662 5 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 15266 ng/mLStandard Deviation 83.7
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 1124 ng/mLStandard Deviation 36
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 15689 ng/mLStandard Deviation 209
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 14703 ng/mLStandard Deviation 224
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 10629 ng/mLStandard Deviation 181
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 21787 ng/mLStandard Deviation 237
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 28786 ng/mLStandard Deviation 326
JTT-662 10 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 7518 ng/mLStandard Deviation 155
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 281190 ng/mLStandard Deviation 583
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 1231 ng/mLStandard Deviation 61.9
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 7845 ng/mLStandard Deviation 359
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 10959 ng/mLStandard Deviation 449
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 141130 ng/mLStandard Deviation 502
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 151140 ng/mLStandard Deviation 475
JTT-662 20 mgTrough Concentrations of JTT-662 in Plasma on Days 1, 7, 10, 14, 15, 21 and 28Day 211180 ng/mLStandard Deviation 665

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026