T2DM (Type 2 Diabetes Mellitus)
Conditions
Brief summary
This trial includes two parts: a food effect (FE) study and a multiple-dose pharmacokinetic (PK) study. The FE study is a randomized, open-label, two-period, two-sequence crossover study designed to evaluate the effect of a high-fat meal on the PK of a single oral dose of Chiglitazar/Metformin extended-release tablets in healthy adult Chinese participants. The multiple-dose PK study is an open-label study designed to evaluate the PK characteristics of Chiglitazar/Metformin extended-release tablets in healthy adult Chinese participants following multiple oral doses.
Interventions
DRUGChiglitazar/Metformin extended-release tablets under fasting conditions
a single dose of Chiglitazar/Metformin extended-release tablets under fasting conditions
DRUGChiglitazar/Metformin extended-release tablets after a high-fat meal
a single dose of Chiglitazar/Metformin extended-release tablets after a high-fat meal
DRUGmultiple-dose of Chiglitazar/Metformin extended-release tablets
a single dose on Day 1, once-daily consecutive doses from Day 4 to Day 10
Sponsors
Chipscreen Biosciences, Ltd.
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy male or female participants； * Age from 18 to 45 years, inclusive； * Body Mass Index (BMI) between 19.0 and 26.0 kg/m² (inclusive). Male participants must weigh at least 50.0 kg, and female participants must weigh at least 45.0 kg； * From the time of signing the informed consent form until 3 months after the last dose, participants must have no plans for pregnancy or sperm donation and must be willing to use effective contraceptive measures； * Voluntarily agrees to participate in the study and signs the informed consent form.
Exclusion criteria
* Any clinically significant abnormalities in laboratory tests or a history of clinically significant diseases, including but not limited to cardiovascular, cerebrovascular, hepatic, renal, respiratory, gastrointestinal, neurological, hematological, immune, oncological, psychiatric, or endocrine/metabolic disorders; * Known history of severe allergies (e.g., allergy to more than 3 allergens, allergies affecting the lower respiratory tract such as allergic asthma, allergies requiring glucocorticoid treatment) or a known history of allergy to any component of the investigational products; * Previous surgery that could affect drug absorption, distribution, metabolism, or excretion (e.g., subtotal gastrectomy), or a history of gastrointestinal, hepatic, or renal disease within the last 6 months that could affect drug absorption or metabolism; * Surgery within 3 months prior to screening or planned surgery during the study period; * Received any vaccination within 1 month prior to screening or plan to receive any vaccination during the study period; * History of infectious disease treated with significant use of antibiotics within 3 months before the first dose, or any infectious disease within 7 days before the first dose; * Presence of gastrointestinal symptoms (e.g., diarrhea, constipation, nausea, vomiting) within 7 days before the first dose, which the investigator deems unsuitable for study participation; * Use of any prescription drugs, over-the-counter drugs, or Chinese herbal medicines within 1 month before the first dose; or use of vitamin products within 2 weeks before enrollment; * History of drug or substance abuse, or a positive alcohol or urine drug screening test; * Intolerance to venipuncture, or a history of fainting in response to needles or blood; * Fasting blood glucose \> 6.1 mmol/L or \< 3.9 mmol/L at screening, and/or a history of hypoglycemia/syncope; * Participation in any interventional clinical trial within 3 months prior to screening; * Blood donation or significant blood loss (\> 200 mL) within 3 months prior to screening; * Pregnant or lactating women; * Weekly alcohol consumption of more than 14 units within 3 months prior to screening, consumption of alcohol within 48 hours before the first dose, or inability to abstain from alcohol during the study; * Smokes more than 5 cigarettes per day within 3 months prior to screening, has smoked within 48 hours before the first dose, or is unable to abstain from smoking during the study; * Excessive daily consumption of tea, coffee, and/or caffeinated beverages within 3 months prior to screening, or consumption of such beverages within 48 hours before the first dose; * Consumption of grapefruit or grapefruit-related citrus fruits (e.g., Seville oranges, pomelos), star fruit, papaya, pomegranate, or their products within 14 days before the first dose; * Glomerular Filtration Rate (GFR) \< 90 mL/min/1.73 m²; * Systolic blood pressure \< 90 mmHg or ≥ 140 mmHg, or diastolic blood pressure \< 50 mmHg or ≥ 90 mmHg at screening; * Inability to comply with the standardized diet (e.g., intolerance to the high-fat meal, lactose intolerance) or has difficulty swallowing; * Plans to or is required to engage in strenuous physical activity or exercise during the study period; * Any other condition that, in the opinion of the investigator, makes the participant unsuitable for inclusion in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FE Study: Maximum plasma concentration (Cmax) | Pre-dose and at multiple timepoints post-dose up to 72 hours |
| FE Study: Area Under the Plasma Concentration-Time Curve (AUC) | Pre-dose and at multiple timepoints post-dose up to 72 hours |
| FE Study: Time to Maximum Plasma Concentration（Tmax） | Pre-dose and at multiple timepoints post-dose up to 72 hours |
| FE Study: Elimination Half-life （t1/2） | Pre-dose and at multiple timepoints post-dose up to 72 hours |
| FE Study: Apparent Total Clearance （CL/F） | Pre-dose and at multiple timepoints post-dose up to 72 hours |
| FE Study: Apparent Volume of Distribution during the terminal phase （Vz/F） | Pre-dose and at multiple timepoints post-dose up to 72 hours |
| Multiple-dose PK study: Maximum plasma concentration (Cmax) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: Area Under the Plasma Concentration-Time Curve (AUC) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: Time to Maximum Plasma Concentration（Tmax） | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: steady-state peak concentration (Cmax,ss) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: steady-state time to peak concentration (Tmax,ss) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: under the plasma concentration-time curve at steady state (AUCss) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: trough concentration (Ctrough) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
| Multiple-dose PK Study: accumulation ratio (Rac) | predose to 72 hours after the last dose (7 consecutive days of dosing) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Adverse Events (AEs) | up to Day 16 | — |
| Change from baseline in hematology parameters: white blood cell count, neutrophil count, lymphocyte count, monocyte count, eosinophil count, basophil count, red blood cell count , hemoglobin, hematocrit, platelet count | up to Day 13 | Change from baseline in hematology parameters: white blood cell count (WBC), neutrophil count, lymphocyte count, monocyte count, eosinophil count, basophil count, red blood cell count (RBC), hemoglobin (Hb), hematocrit (HCT), platelet count (PLT) |
| Changes from baseline in serum chemistry parameters | up to Day 13 | Changes from baseline in serum chemistry parameters: fasting blood glucose (FBG), total protein, albumin, total bilirubin, direct bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), blood urea nitrogen (BUN) or urea, uric acid, creatinine, potassium (K⁺), sodium (Na⁺), chloride (Cl-), creatine kinase (CK) |
| Changes from baseline in urinalysis parameters: urine protein, urine ketones, urine glucose, urine pH, urine leukocytes, urine red blood cells | up to Day 13 | Changes from baseline in urinalysis parameters: urine protein, urine ketones, urine glucose, urine pH, urine leukocytes, urine red blood cells (RBCs) |
Outcome results
None listed