A SINGLE CENTER, DOUBLE-BLIND, PLACEBO-CONTROLLED, RANDOMIZED, CROSSOVER, PHASE II STUDY TO ASSESS THE EFFECT OF ALEGLITAZAR ON CARDIAC ENERGETICS AND FUNCTION IN PATIENTS WITH UNCOMPLICATED TYPE 2 DIABETES MELLITUS AND NO HISTORY OF CORONARY ARTERY DISEASE WHO ARE DRUG-NAÏVE OR TREATED WITH STABLE METFORMIN MONOTHERAPY
Overview
- Phase
- Phase 2
- Intervention
- placebo
- Conditions
- Diabetes Mellitus Type 2
- Sponsor
- Hoffmann-La Roche
- Enrollment
- 18
- Primary Endpoint
- Cardiac energetics: Change in PCr/ATP ratio using phosphorus magnetic resonance spectroscopy (MRS)
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
A single center, double-blind, placebo-controlled, randomized, crossover, phase II study to assess the effect of aleglitazar on cardiac energetics and function in patients with uncomplicated type 2 diabetes mellitus and no history of coronary artery disease who are drug-naïve or treated with stable metformin. Eligible patients will receive either 150 mcg aleglitazar or placebo orally daily for 6 weeks. After a washout period of 6 weeks, patients will cross over to the treatment not yet received.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patients, 40 to 70 years of age (inclusive) at screening
- •Patients with Type 2 diabetes mellitus diagnosed at least 12 weeks before screening and either drug-naïve or treated with stable metformin monotherapy for at least 12 weeks prior to screening
- •HbA1c \>/= 7 % and \</= 9% at screening
- •Absence of history of coronary artery disease
Exclusion Criteria
- •Diagnosis or history of Type 1 diabetes mellitus, diabetes resulting from pancreatic injury, or secondary forms of diabetes
- •Current treatment with fibrates, thiazolidinediones, or insulin
- •Prior intolerance to thiazolidinediones and/or fibrates
- •Clinically significant liver disease or impaired liver function
- •Know chronic diabetic complications (i.e. retinopathy, neuropathy, nephropathy)
- •Symptomatic congestive heart failure classified as NYHA class II-IV
- •Diagnosed and/or treated malignancy within the past 5 years, except for treated basal cell skin cancer, in situ carcinoma of the cervix, or in situ prostate cancer
- •Contraindications to MRI, or inability to tolerate MRI scanning
Arms & Interventions
Placebo
Intervention: placebo
Aleglitazar
Intervention: aleglitazar
Outcomes
Primary Outcomes
Cardiac energetics: Change in PCr/ATP ratio using phosphorus magnetic resonance spectroscopy (MRS)
Time Frame: from baseline to Week 6
Secondary Outcomes
- Change in cardiac/hepatic triglyceride content assessed my MRS(from baseline to Week 6)
- Change in left ventricular diastolic function measured by mitral inflow, tissue Doppler Imaging and magnetic resonance imaging (MRI)(from baseline to Week 6)