Type 2 Diabetes Mellitus
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy, safety, and tolerability of elecoglipron compared with placebo in adults with Type 2 Diabetes Mellitus (T2DM), treated with a background insulin and other background glucose-lowering medication(s)
Interventions
Placebo is administered orally once daily.
Elecoglipron is administered orally once daily.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with T2DM for at least 90 days prior to screening * Stable treatment with background insulin and other background glucose-lowering medication(s) * HbA1c value of ≥ 7% to ≤ 10.5% * Body mass index (BMI) of ≥ 23 kg/m2 at screening * Stable body weight (self-reported or documented) for 90 days prior to screening
Exclusion criteria
* T1DM, secondary forms of diabetes (including congenital forms), or history of ketoacidosis or hyperosmolar coma * Currently receiving or anticipated to receive, therapeutic intervention for diabetic retinopathy and/or macular edema * Have had more than one episode of severe hypoglycemia within 180 days prior to screening or has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms * Clinically significant condition affecting the upper GI tract or chronic use of any medication that affects gastric motility or gastric emptying * History of acute or chronic pancreatitis. * Severe congestive heart failure (NYHA IV) * History/family history of medullary thyroid cancer or multiple endocrine neoplasia type 2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Hemoglobin A1c (HbA1c) | Baseline to Week 40 | Summary statistics |
Secondary
| Measure | Time frame |
|---|---|
| Achieved HbA1c < 7% (53 mmol/mol) at Week 40 | Week 40 |
| Achieved HbA1c ≤ 6.5% (48 mmol/mol) at Week 40 | Week 40 |
| Percent change from baseline to Week 40 in body weight | Baseline to Week 40 |
| Change from baseline to Week 40 in body weight (kg) | Baseline to Week 40 |
| Change from baseline to Week 40 in Systolic blood pressure (SBP) | Baseline to Week 40 |
| Change from baseline to Week 40 in fasting plasma glucose (FPG) | Baseline to Week 40 |
| Achieved HbA1c < 7% (53 mmol/mol) at Week 40 without hypoglycemia (glucose < 54 mg/dL [3.0 mmol/L] or severe hypoglycemia) | Baseline to Week 40 |
| Change from baseline to Week 40 in daily mean 7-point self-monitoring blood glucose (SMBG) | Baseline to Week 40 |
| Change from baseline to Week 40 in diastolic blood pressure (DBP) | Baseline to Week 40 |
| Change from baseline to Week 40 in total daily insulin dose (IU) | Baseline to Week 40 |
| Discontinued insulin by Week 40 | Baseline to Week 40 |
Countries
Australia, Bulgaria, Canada, China, Czechia, Germany, India, Japan, Malaysia, Poland, South Korea, Thailand, United States