MedPath

Study of Chiglitazar Compare With Placebo in Type 2 Diabetes Patients

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
Drug: Placebo
Registration Number
NCT02121717
Lead Sponsor
Chipscreen Biosciences, Ltd.
Brief Summary

The purpose of this study is to evaluate the efficacy and safety of Chiglitazar, compare with placebo.

Detailed Description

The efficacy and safety will be compared between Chiglitazar and placebo after treatment of 24 weeks. The long term efficacy and safety of Chiglitazar will be evaluated after 52 weeks treatment.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
535
Inclusion Criteria
  1. Meet the WHO Diagnostic Criteria for Type 2 Diabetes (published on 1999);
  2. HbA1c≥ 7.5% and ≤ 10.0% after control of diet and exercises;
  3. Male and female,age between 18 and 70 years;
  4. BMI between 18.5-35kg/m2;
  5. Willing to be assigned to any treatment arm and sign inform consent.
Exclusion Criteria
  1. Type 1 diabetes;
  2. Treated by oral or injective antidiabetic drug before screening, including insulin and herb;
  3. Fasting plasma glucose > 13.3 mmol/L (240 mg/dL);
  4. Resistant hypertension [blood pressure above the goal despite adherence to at least 3 optimally dosed antihypertensive medications (including diuretic) of different classes,or blood pressure is controlled to below the goal by at least 4 different classes of drugs];
  5. Plasma triglyceride > 500 mg/dL (5.65 mmol/L);
  6. Is treating by fibrates;
  7. History of diabetic ketoacidosis,diabetic hyperglycemic hyperosmolar syndrome,lactic acidosis, diabetic hypoglycemia; or is currently combined with retinopathy, diabetic nephropathy and diabetic neuropathy;
  8. Had transient ischemic attack,cerebrovascular accident or unstable angina in the past 6 months;
  9. History of myocardial infarction or had conducted coronary angioplasty or coronary artery bypass graft surgery;
  10. Heart failure (NYHA classification Stage III or IV), or left ventricular hypertrophy indicated by ECG;
  11. Hepatic diseases such as hepatocirrhosis, active hepatitis,aspartate aminotransferase or alanine aminotransferase > 2.5 fold of the upper limit of the normal range;
  12. Kidney diseases or serum creatinine exceed the normal range: male > 133 μmol/L or female >108 μmol/L;
  13. Had malignancy in the past 5 years, not including basal cell carcinoma;
  14. Had or is currently receiving treatment that can alter blood glucose metabolism, including but not limited to diuretic,hormone (corticotropin or steroids),beta blockers;
  15. Have the diseases that can alter blood glucose metabolism, including but not limited to active hepatitis, hyperthyroidism,or adrenal tumors;
  16. Edema with unknown reason;
  17. Alcohol or drug addiction;
  18. Had participated other drugs' clinical trials in the 3 months before screening;
  19. Pregnant or lactic women; or women of childbearing age who are not able to or is not willing to conduct contraception;
  20. Any condition that make investigator consider the subject is not suitable to participate the trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 1ChiglitazarPatients administrate Chiglitazar 32mg once daily for 52 weeks
Arm 2ChiglitazarPatients administrate Chiglitazar 48mg once daily for 52 weeks
Arm 3ChiglitazarPatients administrate placebo for 24 weeks.From week 25 to 52, patients are randomly switched to Arm 1 and Arm 2, and receive the treatment accordingly.
Arm 3PlaceboPatients administrate placebo for 24 weeks.From week 25 to 52, patients are randomly switched to Arm 1 and Arm 2, and receive the treatment accordingly.
Primary Outcome Measures
NameTimeMethod
Change in HbA1c from baseline after 24 weeks of treatment24 weeks

The change of HbA1c at week 24 from baseline

Secondary Outcome Measures
NameTimeMethod
Change in HbA1c from baseline for patients with a baseline HbA1c >=8.5%24 weeks

The change of HbA1c at week 24 from baseline for patients with a HbA1c \>=8.5% at baseline

Change in HbA1c from baseline in patients with a baseline HbA1c < 8.5%24 weeks

The change of HbA1c at week 24 from baseline for patients with a HbA1c \< 8.5% at baseline

Change in HbA1c from baseline52 weeks

The change of HbA1c at week 52 from baseline

Percentage of patients that attained target HbA1c <7.0%24 weeks

Percentage of patients whose HbA1c at week 24 are \< 7.0%

Percentage of patients whose HbA1c lowered by at least 0.5%24 weeks

Percentage of patients whose change of HbA1c at week 24 from baseline are \>= 0.5%

Change in fasting plasma glucose from baseline12,24 and 52 weeks

The change of fasting plasma glucose at week 12 and 24 from baseline

Change in 2-h postprandial glucose (2hPPG) from baseline12, 24 and 52 weeks

The change of 2-h postprandial glucose (2hPPG) at week 12, 24 and 52 from baseline

Change in total cholesterol (TC) from baseline12, 24 and 52 weeks

The change of total cholesterol (TC) at week 12, 24 and 52 from baseline

Change in triglyceride from baseline12,24 and 52 weeks

The change of triglyceride at week 12, 24 and 52 from baseline

Change in high density lipoprotein cholesterol (HDL-C)from baseline12, 24 and 52 weeks

The change of high density lipoprotein cholesterol (HDL-C) at week week 12, 24 and 52 from baseline

Change in low density proprotein cholesterol (LDL-C) from baseline12, 24 and 52 weeks

The change of low density lipoprotein cholesterol (LDL-C) at week 12, 24 and 52 from baseline

Change in free fatty acid (FFA) from baseline12, 24 and 52 weeks

The change of free fatty acid (FFA) at week 12, 24 and 52 from baseline

Change in fasting plasma insulin from baseline12, 24 and 52 weeks

The change of fasting plasma insulin at week 12, 24 and 52 from baseline

Insulin sensitivity assessed by the homeostatic model assessment (HOMA) at 12,24 and 52 weeks, compared with that of baseline12, 24 and 52 weeks

The change of insulin sensitivity at week 12, 24 and 52 from baseline

Change in blood pressure from baseline24 weeks

The change of blood pressure at week 24 from baseline

Percentage of patients who use rescue therapy52 weeks

The percentage of patients who use rescue therapy during the 52 weeks of treatment

Trial Locations

Locations (26)

Peking University Shougang Hospital

🇨🇳

Beijing, Beijing, China

China Meitan General Hospital

🇨🇳

Beijing, Beijing, China

The First Affiliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

Tangshan Gongren Hospital

🇨🇳

Tangshan, Hebei, China

Cangzhou's Central Hospital

🇨🇳

Cangzhou, Hebei, China

Zhongnan Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Chenzhou First People's Hospital

🇨🇳

Chenzhou, Hunan, China

Zhongshan Hospital Fudan University

🇨🇳

Shanghai, Shanghai, China

Huaxi Hopsital of Sichuan University

🇨🇳

Chengdu, Sichuan, China

The First Affiliated Hospital of Ha'erbin Medical University

🇨🇳

Ha'erbin, Heilongjiang, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

The Affiliated Hospital of Qingdao Medical University

🇨🇳

Qingdao, Shandong, China

The Affiliated Hospital of Xuzhou Medical College

🇨🇳

Xuzhou, Jiangsu, China

The Central Hospital of Yangpu District of Shanghai

🇨🇳

Shanghai, Shanghai, China

The Third Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

The General Hospital of Tianjin Medical University

🇨🇳

Tianjin, Tianjin, China

The people's Hospital of Jiangsu Province

🇨🇳

Nanjing, Jiangsu, China

Baogang Hospital of Inner Mongilia

🇨🇳

Baotou, Inner Mongolia, China

The First Affiliated Hospital of The 4th Military Medical University

🇨🇳

Xi'an, Shanxi, China

Chongqing Three Gorges Central Hospital

🇨🇳

Chongqing, Chongqing, China

The Second Affiliated Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

Harrison International Peace Hospital

🇨🇳

Hengshui, Hebei, China

The Second Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Xin Hua Hospital Affiliated to Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, Shanghai, China

Peking University People's Hospital

🇨🇳

Beijing, Beijing, China

The 306th Hospital of PLA

🇨🇳

Beijing, Beijing, China

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