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A Phase 2 Study of Berberine Ursodeoxycholate (HTD1801) in Patients With Type 2 Diabetes Inadequately Controlled With Diet and Exercise

Phase 2
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Placebo
Registration Number
NCT06411275
Lead Sponsor
HighTide Biopharma Pty Ltd
Brief Summary

The goal of this clinical trial is to evaluate the efficacy and safety of berberine ursodeoxycholate (HTD1801) compared to placebo in patients with type 2 diabetes inadequately controlled with diet and exercise alone.

Detailed Description

This Phase 2 randomized, double-blind, placebo-controlled trial will evaluate the efficacy and safety of HTD1801 compared to placebo after 12-weeks of treatment.

To ensure stabilization of glycemic control, eligible patients will first participate in a 4-week single-blind run-in period where investigators will provide guidance on lifestyle modification, concomitant medications, and procedures for self-monitoring of blood glucose. Following this period, patient eligibility will be reassessed. Eligible patients will be randomized 1:1:1 to receive HTD1801 500 mg twice daily (BID), HTD1801 1000 mg BID, or placebo BID.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
113
Inclusion Criteria
  • Have been diagnosed with type 2 diabetes mellitus according to the 1999 World Health Organization (WHO) criteria
  • Have followed dietary and exercise interventions for at least 8 weeks prior to screening
  • Have HbA1c ≥7.5% to ≤11.0% (screening) and ≥7.0% to ≤10.5% (pre-randomization)
  • Have fasting plasma glucose <13.9 mmol/L (screening and pre-randomization)
  • Have a body mass index ≥18 kg/m^2 to ≤40 kg/m^2

Key

Exclusion Criteria
  • Have type 1 diabetes mellitus or specific type of diabetes mellitus (pancreatic injury-induced diabetes mellitus, diabetes mellitus caused by Cushing's syndrome or acromegaly, etc.)
  • Have had diabetic ketoacidosis or hyperglycemic hyperosmolar state within 6 months prior to screening
  • Have had 2 or more Grade 3 hypoglycemic events within 12 months prior to screening
  • Have unstable or treatment-requiring proliferative retinopathy or macular degeneration, severe diabetic neuropathy, diabetic foot, or intermittent claudication within 6 months prior to screening
  • Have been taking any weight loss medication or dietary supplement, have participated in a weight loss program, or have adhered to a special diet within 4 weeks prior to screening
  • Have continuously used insulin or an insulin analogue for more than 14 days within 12 months prior to screening
  • Have used 2 or more classes of hypoglycemic medications for more than 8 weeks within 12 months prior to screening
  • Have used any glucose-modifying medications within 8 weeks prior to screening
  • Have had weight gain or loss ≥5% from screening to randomization

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
HTD1801 500 mgHTD1801Administered orally twice daily (BID)
HTD1801 1000 mgHTD1801Administered orally BID
PlaceboPlaceboAdministered orally BID
Primary Outcome Measures
NameTimeMethod
Mean change in HbA1c12 Weeks

Mean change in HbA1c from baseline to Week 12

Secondary Outcome Measures
NameTimeMethod
Mean change in postprandial glucose12 Weeks

Mean change in postprandial glucose from baseline to Week 12

Proportion of patients achieving HbA1c <7.0%12 Weeks

Proportion of patients achieving HbA1c \<7.0% after 12 weeks of treatment

Proportion of patients achieving HbA1c <6.5%12 Weeks

Proportion of patients achieving HbA1c \<6.5% after 12 weeks of treatment

Mean change in fasting plasma glucose12 Weeks

Mean change in fasting plasma glucose from baseline to Week 12

Mean change in low-density lipoprotein cholesterol (LDL-C)12 Weeks

Mean change in LDL-C from baseline to Week 12

Trial Locations

Locations (14)

Liaocheng People's Hospital

🇨🇳

Liaocheng, China

Affiliated Hospital of Jiangsu University

🇨🇳

Zhenjiang, China

The First People's Hospital of Changde City

🇨🇳

Changde, China

Peking University People's Hospital

🇨🇳

Beijing, China

The Fourth Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, China

The Second Hospital of Jilin University

🇨🇳

Chang chun, China

Huizhou Municipal Central Hospital

🇨🇳

Huizhou, China

The First Affiliated Hospital of Henan University of Science and Technology

🇨🇳

Luoyang, China

Nanjing Jiangning Hospital

🇨🇳

Nanjing, China

The First Affiliated Hospital of Nanyang Medical College

🇨🇳

Nanyang, China

Yan'an University Affiliated Hospital

🇨🇳

Yanan, China

Jinan Central Hospital

🇨🇳

Jinan, China

Nanjing First Hospital

🇨🇳

Nanjing, China

Sir Run Run Hospital Nanjing Medical University

🇨🇳

Nanjing, China

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