Effects of Berberine Ursodeoxycholate (HTD1801) Versus Dapagliflozin in Patients With Type 2 Diabetes Inadequately Controlled With Metformin

Registration Number
NCT06415773
Lead Sponsor
HighTide Biopharma Pty Ltd
Brief Summary

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

Detailed Description

This Phase 3 randomized, double-blind, active-controlled, parallel-group study will evaluate the efficacy and safety of HTD1801 compared to dapagliflozin after 24 weeks of treatment. All patients will remain on a stable dose of metformin throughout the study.
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Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
418
Inclusion Criteria
  • Have been diagnosed with type 2 diabetes
  • Have received a stable dose of metformin monotherapy for at least 8 weeks prior to screening
  • If used any glucose-lowering drugs other than metformin within the 8 weeks prior to screening such use was ≤7 days and was discontinued at least 4 weeks prior to screening
  • Have HbA1c ≥7.5% to ≤11.0% (screening) and HbA1c ≥7.0% to ≤10.5% (pre-randomization)
  • Have fasting plasma glucose ≤13.9 mmol/L (screening and pre-randomization)
  • Have a body mass index ≥19.0 kg/m^2 and ≤35.0 kg/m^2
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Exclusion Criteria
  • Have type 1 diabetes
  • Have had any acute diabetic complications within 12 months prior to screening
  • Have had any Grade 3 hypoglycemic event within 12 months prior to screening
  • Have had proliferative retinopathy or macular degeneration, severe diabetic neuropathy, or diabetic foot
  • 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 12 weeks prior to screening
  • Have used insulin or an insulin analogue for more than 14 days within 12 months prior to screening
  • Have used any hypoglycemic drug other than metformin during the 4-week run-in period prior to randomization
  • Have had weight gain or loss ≥5% during the 4-week run-in period prior to randomization
  • Have a history of refractory or recurrent urinary tract infections or genital infections
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
HTD1801HTD1801Administered orally twice daily (BID)
DapagliflozinDapagliflozinAdministered orally once daily (QD)
Primary Outcome Measures
NameTimeMethod
Primary Endpoint: Mean change in HbA1c24 Weeks

Mean change in HbA1c from baseline to Week 24

Secondary Outcome Measures
NameTimeMethod
Mean Change in Fasting Plasma Glucose24 Weeks

Mean change in fasting plasma glucose from baseline to Week 24

Mean Change in 2-Hour Postprandial Glucose24 Weeks

Mean change in 2-hour postprandial glucose from baseline to Week 24

Proportion of Patients Achieving HbA1c <7.0%24 Weeks

Proportion of patients achieving HbA1c \<7.0% after 24 weeks of treatment

Proportion of Patients Achieving HbA1c <6.5%24 Weeks

Proportion of patients achieving HbA1c \<6.5% after 24 weeks of treatment

Mean Change in Low-Density Lipoprotein Cholesterol (LDL-C)24 Weeks

Mean change in LDL-C from baseline to Week 24

Mean Change in Insulin Sensitivity (HOMA-IR)24 Weeks

Mean change in homeostatic model assessment for insulin resistance (HOMA-IR) from baseline to Week 24

Trial Locations

Locations (54)

Peking University People's Hospital

🇨🇳

Beijing, China

Binzhou Medical University Hospital

🇨🇳

Binzhou, China

The Second Norman Bethune Hospital of Jilin University

🇨🇳

Changchun, China

Beijing Pinggu Hospital

🇨🇳

Beijing, China

Deyang People's Hospital

🇨🇳

Deyang, China

Handan First Hospital

🇨🇳

Handan, China

The Fourth Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, China

Huai'an Second People's Hospital

🇨🇳

Huai'an, China

Huanggang Central Hospital

🇨🇳

Huanggang, China

Huangshi Central Hospital

🇨🇳

Huangshi, China

Huizhou Municipal Central Hospital

🇨🇳

Huizhou, China

Huzhou Central Hospital

🇨🇳

Huzhou, China

Jincheng General Hospital

🇨🇳

Jincheng, China

Hebei Petro China Center Hospital

🇨🇳

Langfang, China

Liaocheng People's Hospital

🇨🇳

Liaocheng, China

The Second People's Hospital of Lianyungang

🇨🇳

Lianyungang, China

Luoyang Third People's Hospital

🇨🇳

Luoyang, China

The First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, China

The Second Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, China

Affiliated Hospital of Nantong University

🇨🇳

Nantong, China

The First Affiliated Hospital of Nanyang Medical College

🇨🇳

Nanyang, China

Panjin Liaohe Oilfield Gem Flower Hospital

🇨🇳

Panjin, China

Sanmenxia Central Hospital

🇨🇳

Sanmenxia, China

The First Affiliated Hospital of Xi'an Jiaotong Univerity

🇨🇳

Xi'an, China

Huadong Hospital

🇨🇳

Shanghai, China

The Second Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, China

Xianyang Hospital of Yan'an University

🇨🇳

Xianyang, China

The First People's Hospital of Xiangtan City

🇨🇳

Xiangtan, China

Zhumadian Central Hospital

🇨🇳

Zhumadian, China

The First Affiliated Hospital of Henan University of Science and Technology (Kaiyuan)

🇨🇳

Luoyang, China

The First People's Hospital of Changde City

🇨🇳

Changde, China

Jilin Province FAW General Hospital

🇨🇳

Changchun, China

The First Hospital of Changsha

🇨🇳

Changsha, China

The Fourth Hospital of Changsha

🇨🇳

Changsha, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, China

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, China

Bishan Hospital of Chongqing

🇨🇳

Chongqing, China

The First Affiliated Hospital of Henan University of Science and Technology (Jinghua)

🇨🇳

Luoyang, China

Pingxiang People's Hospital

🇨🇳

Pingxiang, China

The First Hospital of Qiqihar

🇨🇳

Qiqihar, China

Shanghai Sixth People's Hospital

🇨🇳

Shanghai, China

Shengjing Hospital of China Medical University

🇨🇳

Shenyang, China

The People's Hospital of Liaoning Province

🇨🇳

Shenyang, China

Wuhan Third Hospital

🇨🇳

Wuhan, China

Xiangtan Central Hospital

🇨🇳

Xiangtan, China

Xuzhou Cancer Hospital

🇨🇳

Xuzhou, China

The Second People's Hospital of Yibin

🇨🇳

Yibin, China

Yiyang Central Hospital

🇨🇳

Yiyang, China

Yueyang People's Hospital

🇨🇳

Yueyang, China

Shandong Healthcare Group Zaozhuang Central Hospital

🇨🇳

Zaozhuang, China

The Second Affiliated Hospital of Zhengzhou

🇨🇳

Zhengzhou, China

Affiliated Hospital of Jiangsu University

🇨🇳

Zhenjiang, China

Nanjing Drum Tower Hospital - The Affiliated Hospital of Nanjing University Medical School

🇨🇳

Nanjing, China

The Second Affiliated Hospital of Nanjing Medical University

🇨🇳

Nanjing, China

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