Type 2 Diabetes Mellitus (T2DM)
Conditions
Brief summary
A randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of 24 once-weekly subcutaneous doses of PB-119 in Drug-naïve T2DM Subjects.
Detailed description
The study included a maximum 2-week screening period, a 4-week single-blind introduction period, a 24-week double-blind treatment period, a 28-week open extension treatment period, and a 4-week safety follow-up period. At the end of the single-blind entry period, eligible subjects were randomly assigned to two different administration groups in a 1:1 ratio and received a 24-week double-blind treatment. All subjects who completed the double-blind treatment entered the open extension treatment phase.Open extension treatment with subcutaneous injection of 150μg PB-119 once a week for 28 weeks. Safety follow-up was conducted 4 weeks after the end of treatment/completion of early exit visit in the open extension period.
Interventions
PB-119 is an investigational pegylated human glucagon-like peptide-1 (GLP-1) receptor agonist. The dosing regimen is 150μg once every week as subcutaneous administration. Patients in PB-119 group will be administered the active drugs for 52 weeks (24+28).
PB-119 matched placebo will be used once every week as subcutaneous administration to placebo group for 24 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, aged 18\ 75 years old; * Confirmed T2DM patients meet the diagnostic criteria for type 2 diabetes published by WHO1999; * 18.5 kg/m2 \< BMI \< 40.0 kg/m2 at screening; * 7.5% ≤ HbA1c ≤ 11.0% at screening; * 7.0% ≤ HbA1c ≤ 10.5% when the random; * 18.5 kg/m2 \< BMI \< 40.0 kg/m2 during screening and before randomization
Exclusion criteria
* T1DM; * Continuous use of insulin for more than 14 days within 1 year before screening or before randomization; * Treatment with any dipeptidylpeptidase 4 (DPP-4) inhibitor or glucose-dependent insulin-stimulating peptide (GIP) or/and glucagon-like peptide-1 (GLP-1) receptor agonist prior to screening or randomized prior treatment; * Screening for any of the following heart diseases within the first 6 months or before randomization; * Patients whose hypertension was not effectively controlled during screening or before randomization (after resting ≥5 minutes, systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥100mmHg); * Serum amylase or lipase \>3×ULN or those with previous diagnosis of acute/chronic pancreatitis were screened or randomly screened; * Screening for severe trauma or infection that may affect glycemic control within the first month or before randomization; * A history or family history of medullary thyroid carcinoma (MTC) or multiple endocrine adenomatosis type 2 (MEN2); * Known to be allergic or intolerant to the study drug or metformin; * Female subjects during pregnancy or lactation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in HbA1c | week 1, week 25 | Change in HbA1c from baseline(week 1) to week 25 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| HbA1c Below 7.0% | week 1, week 25 | Percentage of participants with HbA1c below 7.0% was evaluated at week 25. |
| Change in Body Weight (kg) | week 1, week 25 | Change from baseline (week 1) in body weight was evaluated at week 25 |
| Change in Fasting Plasma Glucose (FPG) | week 1, week 25 | Change from baseline (week 1) in FPG was evaluated at week 25 |
| Change in Body Mass Index | week 1, week 25 | Change from baseline (week 1) in body mass index (BMI) was evaluated at week 25. |
Countries
China