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A Phase 2 Study of DS-8500a in Japanese Subjects With Type 2 Diabetes Mellitus (T2DM)

Not Applicable
Completed
Conditions
Type2 Diabetes Mellitus
Interventions
Registration Number
NCT02628392
Lead Sponsor
Daiichi Sankyo Co., Ltd.
Brief Summary

The objectives of the study is to evaluate the efficacy, safety, and dose of DS-8500a compared with placebo in patients with type 2 diabetes mellitus.

Detailed Description

The objectives of the study is to evaluate the efficacy, safety, and dose of DS-8500a compared with placebo in patients with type 2 diabetes mellitus after a 12-week oral administration of DS-8500a at 25, 50, or 75 mg in a double-blind, parallel-group comparison study. In addition, the clinical positioning of DS-8500a relative to an existing drug will be investigated using sitagliptin as a comparator.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
368
Inclusion Criteria
  • Patients aged ≥ 20 years at the time of informed consent
  • Japanese patients with type 2 diabetes
  • Patients who have HbA1c ≥ 7.0% and < 10.0%
Exclusion Criteria
  • Patients with type 1 diabetes mellitus or with a history of diabetic coma, precoma, or ketoacidosis
  • Patients receiving or requiring treatment with insulin
  • Patients with a body mass index (BMI) of < 18.5 kg/m2 or ≥ 35.0 kg/m2
  • Patients with clinically evident renal impairment (estimated glomerular filtration rate [eGFR] of < 45 mL/min per 1.73 m2) or clinically significant renal disease
  • Patients with fasting plasma glucose ≥ 240 mg/dL

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DS-8500a 25 mg QDDS-8500aDS-8500a 25 mg tablet once daily (QD), orally, for up to 12 weeks, and matching sitagliptin placebo capsule
DS-8500a 25 mg QDplaceboDS-8500a 25 mg tablet once daily (QD), orally, for up to 12 weeks, and matching sitagliptin placebo capsule
DS-8500a 50 mg QDplaceboDS-8500a 50 mg QD tablet, orally, once daily for up to 12 weeks, and matching sitagliptin placebo capsule
DS-8500a 75 mg QDDS-8500aDS-8500a 75 mg QD tablet, orally, once daily for up to 12 weeks, and matching sitagliptin placebo capsule
DS-8500a 75 mg QDplaceboDS-8500a 75 mg QD tablet, orally, once daily for up to 12 weeks, and matching sitagliptin placebo capsule
placeboplaceboplacebo tablet and placebo capsule, orally, once daily for up to 12 weeks to match DS-8500a and sitagliptin, respectively.
SitagliptinSitagliptincapsule, orally, once daily for up to 12 weeks and matching DS-8500 placebo tablet
Sitagliptinplacebocapsule, orally, once daily for up to 12 weeks and matching DS-8500 placebo tablet
DS-8500a 50 mg QDDS-8500aDS-8500a 50 mg QD tablet, orally, once daily for up to 12 weeks, and matching sitagliptin placebo capsule
Primary Outcome Measures
NameTimeMethod
change in HbA1cbaseline (Day -1) to Week 12

HbA1c = glycated hemoglobin

Secondary Outcome Measures
NameTimeMethod
change in serum insulinbaseline (Day -1) to Week 12
change in AUC 0-3h proinsulinbaseline (Day -1) to Week 12
change in AUC 0-3h C-peptidebaseline (Day -1) to Week 12
change in PYYbaseline (Day -1) to Week 12
change in AUC 0-3h PYYbaseline (Day -1) to Week 12
change in total GLP-1baseline (Day -1) to Week 12
change in AUC 0-3h total GLP-1baseline (Day -1) to Week 12
change in active GLP-1baseline (Day -1) to Week 12
change in AUC 0-3h active GLP-1baseline (Day -1) to Week 12
change in C-peptidebaseline (Day -1) to Week 12
change in total cholesterolbaseline (Day -1) to Week 12
change in HDL cholesterolbaseline (Day -1) to Week 12
change in LDL cholesterolbaseline (Day -1) to Week 12
change in triglyceridebaseline (Day -1) to Week 12
change in total AUC 0-3h GLP-1baseline (Day -1) to Week 4
change in plasma glucosebaseline (Day -1) to Week 12
change in AUC 0-3h serum insulinbaseline (Day -1) to Week 12
change in proinsulinbaseline (Day -1) to Week 12
change in HbA1cbaseline (Day -1) to Week 8
proportion of subjects with HbA1c <7.0baseline (Day -1) to Week 12

proportion of subjects who achieve HbA1c \<7.0

change in AUC derived from plasma glucosebaseline (Day -1) to Week 12

pharmacodynamics profile consists of AUC, Cmax, Tmax

change in total GIPbaseline (Day -1) to Week 12
change in AUC 0-3h total GIPbaseline (Day -1) to Week 12
change in glucagonbaseline (Day -1) to Week 12
change in AUC 0-3h glucagonbaseline (Day -1) to Week 12
change in 1,5 AGbaseline (Day -1) to Week 12
change in AUC 0-3h 1,5 AGbaseline (Day -1) to Week 12

Trial Locations

Locations (1)

Heishinkai Medical Group Incorporated OCROM Clinic

🇯🇵

Suita-shi, Osaka, Japan

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