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IMPROVE-DiCE: Study to Evaluate Effect of IMB-1018972 on Cardiac Energetics in T2DM & Obesity (Pt 1) With HFpEF (Pt 2)

A Pharmacodynamic Study to Evaluate the Effects of IMB-1018972 on Myocardial Energetics, Metabolism, and Function in Patients With Type 2 Diabetes.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04826159
Enrollment
49
Registered
2021-04-01
Start date
2021-04-21
Completion date
2024-08-06
Last updated
2025-06-29

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

Conditions

Diabetic Cardiomyopathies, HFpEF - Heart Failure With Preserved Ejection Fraction, Type 2 Diabetes

Brief summary

The purpose of this study is to assess the activity of IMB-1018972 on cardiac energetic reserve at rest and during stress and to assess safety and tolerability

Interventions

Modified release tablet for oral administration

Sponsors

University of Oxford
CollaboratorOTHER
Imbria Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of type 2 diabetes * Elevated HbA1c * Elevated BMI * Preserved left ventricular ejection fraction * Diagnosis of HFpEF (Stage 2 only)

Exclusion criteria

* Uncontrolled hypertension * Contraindication to magnetic resonance scanning * More than mild to moderate valvular heart disease * Atrial fibrillation * History of sustained ventricular tachycardia or cardiac arrest * Inability to exercise (Stage 2 only) * Clinically significant concurrent condition which could prevent the patient from performing any of the protocol-specified assessments, represent a safety concern if the patient participates in the trial or could confound trial assessments of safety or tolerability

Design outcomes

Primary

MeasureTime frame
Change in cardiac PCr/ATP ratio at rest (Stage 1 and Stage 2) measured by 31P-MRS at baseline and at EOT with 200 mg BID of IMB-1018972.Baseline, End of Treatment (up to 16 weeks)
Change in cardiac PCr/ATP ratio with dobutamine stress (Stage 1 only) measured by 31P-MRS at baseline and at EOT with 200 mg BID of IMB-1018972Baseline, End of Treatment (up to 8 weeks)

Secondary

MeasureTime frame
Safety and tolerability of IMB-1018972 as measured by incidence and severity of treatment emergent AEs (including AEs leading to study drug discontinuation and AEs leading to death), as well as incidence of treatment emergent SAEsBaseline through End of Treatment (up to 16 weeks)

Countries

United Kingdom

Outcome results

None listed

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