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A Pilot study to evaluate the Efficacy of GFT505 (80mg) orally administered once daily for 8 weeks on insulin sensitivity and hepatic glucose production using a glucose clamp technique and Safety in patients with insulin resistance and abdominal obesity.A Multicentre, Randomised, Single Blind, Placebo-Controlled, cross over study.

Phase 1
Conditions
Patients with insulin resistance and abdominal obesity
MedDRA version: 12.1Level: LLTClassification code 10036481Term: Pre-diabetes
MedDRA version: 12.1Level: LLTClassification code 10059179Term: Abdominal obesity
MedDRA version: 12.1Level: LLTClassification code 10022489Term: Insulin resistance
Registration Number
EUCTR2010-023219-32-FR
Lead Sponsor
GENFIT
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Male
Target Recruitment
0
Inclusion Criteria

1. Provide written informed consent prior to enrolment.
2. Male.
3. Aged from 18 to 75 years.
4. Waist circumference =94cm.
5. BMI = 45kg/m2
6. HOMA-IR > 3
7. Patients with diet and physical exercise stable within 3 months prior to screening.
8. Non-hypertensive or patient taking antihypertensive medication (except non-permitted medication) maintained at a stable dose for 2 months at least prior to screening (and the stable dose can be maintained throughout the study).
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1. Blood Pressure > 160 / 95 mmHg.
2. Known Heart Failure (Grade I to IV of NYHA classification).
3. Patients who had an acute cardiovascular episode within 6 months prior to the start of the trial, or with a history of coronary angioplasty, stroke, TIA (Transient Ischemic Attack)], Coronary Heart Disease (Angina pectoris, history of myocardial infarction, revascularisation procedures)
4. Diabetes mellitus type 1 or 2.
5. Historical of bariatric surgery
6. Evidence of any other unstable or untreated clinically significant immunological, neoplastic, endocrine, haematological, gastrointestinal, hepatic, neurological or psychiatric abnormalities or medical disease.
7. Patients who have serious or unstable medical or psychological conditions which, in the opinion of the Investigator, would lead the patient to be non-compliant or uncooperative during the study or would compromise the patient's safety or successful participation in the study
8. Known intolerance or contra-indication to the list of excipients of GFT505 (Gelatin, Lactose monohydrate, Titanium dioxide, Red Iron Oxide, Magnesium Stearate).
9. Known alcohol and/or any other drug abuse or dependence. Alcohol consumption of more than 3 alcoholic beverages per day is considered abusive. One alcoholic beverage is defined as 30 mL distilled spirits, 120 mL wine, or 330 mL beer.
10. Patients who smoke more than 10 cigarettes per day
11. Patients who have donated blood or blood products within the previous month prior to screening or who plan to donate blood or blood products at any time during the trial and in the 3 months following the end of the study.
12. Patient not covered by Health Insurance System and/or not in compliance with the recommendations of National Law in force.
13. Patient who cannot be contacted in case of emergency.
14. Any medication that may interfere with study medication absorption, distribution, metabolism or excretion or could lead to induction or inhibition of microsomial enzymes within 3 months prior to the screening day.
15. Patient who has taken any non-permitted medication.
16. Patient treated with a lipid-decreasing medication (apart from statins and ezetimibe) - Note that : Patients using statins (except fluvastatin) and/or ezetimibe before the inclusion may participate if the dose is constant and stable at least for 3 months prior screening and remains constant during the study.
17. Currently taking other investigational drugs or who have taken part in a clinical trial within the previous month prior to screening.
18. A fasting plasma triglycerides concentration>400mg/dL or a plasma LDL-c concentration>220mg/dL
19. Uncontrolled hypothyroidism defined as TSH > 2X the upper limit of normal (ULN). Thyroid dysfunction controlled for at least 6 months prior to screening is permitted.
20. Significant renal disease, including nephritic syndrome, chronic renal failure (defined as creatinine clearance < 60 mL/mn according to MDRD formula and/or serum creatinine >180 µmol/L).
21. Active liver disease or hepatic dysfunction as defined by elevations in liver enzymes: [alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyltransferase (GGT)>3X the upper limit of normal (ULN).
22. Unexplained serum creatine phosphokinase (CPK) > 2X the upper limit of normal (ULN). Patients with a reason for CPK elevation may continue in screening and have the measurement repeated prior to randomisation; a repeat CPK > 2X ULN is exclusionary.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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