跳至主要内容
临床试验/NCT01054300
NCT01054300已完成1 期

A Phase 1, Randomized, Double-Blind, Placebo-Controlled, 2-Period, Cross-Over Single Day Evaluation Of The Pharmacokinetic-Pharmacodynamic Effect Of Once And Twice Daily Oral Administration Of PF-04971729 In Patients With Type 2 Diabetes Mellitus

Merck Sharp & Dohme LLC0 个研究点目标入组 52 人开始时间: 2010年2月17日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
52
主要终点
Fasting C-peptide

研究概览

简要总结

This is a Phase 1 randomized, double-blind, sponsor open, 4 arm, 2 way cross-over study using 2 cohorts. The objective of the study is to evaluate the pharmacodynamics (PD) effects and the pharmacokinetic (PK) of single day dosing of 2 mg and 4 mg doses of ertugliflozin (Ertu, PF-04971729/MK-8835) each administered once vs twice daily (morning [AM] and evening [PM]) in adults with type 2 diabetes.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Other
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants with type 2 diabetes mellitus, either treatment-naïve or on up to 2 acceptable oral anti-diabetes drugs for at least 8-weeks prior to study.

排除标准

  • Participants with type 1 diabetes mellitus, participants with stroke, unstable angina, heart attack in last 6-months, uncontrolled blood pressure.

研究组 & 干预措施

Cohort 1: Ertu 2 mg/Placebo (Pbo)→Ertu 1 mg/Ertu 1 mg

Experimental

Period 1: Ertu 2 mg in the AM and Pbo in the PM for 1 day. Period 2: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 2 mg single dose (Drug)

Cohort 1: Ertu 2 mg/Placebo (Pbo)→Ertu 1 mg/Ertu 1 mg

Experimental

Period 1: Ertu 2 mg in the AM and Pbo in the PM for 1 day. Period 2: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 2 mg split into twice daily (Drug)

Cohort 1: Ertu 2 mg/Placebo (Pbo)→Ertu 1 mg/Ertu 1 mg

Experimental

Period 1: Ertu 2 mg in the AM and Pbo in the PM for 1 day. Period 2: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Placebo (Drug)

Cohort 1: Ertu 1 mg/Ertu 1 mg→Ertu 2 mg/Pbo

Experimental

Period 1: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day. Period 2: Ertu 2 mg in the AM and Pbo in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 2 mg single dose (Drug)

Cohort 1: Ertu 1 mg/Ertu 1 mg→Ertu 2 mg/Pbo

Experimental

Period 1: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day. Period 2: Ertu 2 mg in the AM and Pbo in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 2 mg split into twice daily (Drug)

Cohort 1: Ertu 1 mg/Ertu 1 mg→Ertu 2 mg/Pbo

Experimental

Period 1: Ertu 1 mg in the AM and Ertu 1 mg in the PM for 1 day. Period 2: Ertu 2 mg in the AM and Pbo in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Placebo (Drug)

Cohort 2: Ertu 4 mg/Pbo→Ertu 2 mg/Ertu 2 mg

Experimental

Period 1: Ertu 4 mg in the AM and Pbo in the PM for 1 day. Period 2: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 4 mg single dose (Drug)

Cohort 2: Ertu 4 mg/Pbo→Ertu 2 mg/Ertu 2 mg

Experimental

Period 1: Ertu 4 mg in the AM and Pbo in the PM for 1 day. Period 2: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 4 mg split into twice daily (Drug)

Cohort 2: Ertu 4 mg/Pbo→Ertu 2 mg/Ertu 2 mg

Experimental

Period 1: Ertu 4 mg in the AM and Pbo in the PM for 1 day. Period 2: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Placebo (Drug)

Cohort 2: Ertu 2 mg/Ertu 2 mg→Ertu 4 mg/Pbo

Experimental

Period 1: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day. Period 2: Ertu 4 mg in the AM and Pbo in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 4 mg single dose (Drug)

Cohort 2: Ertu 2 mg/Ertu 2 mg→Ertu 4 mg/Pbo

Experimental

Period 1: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day. Period 2: Ertu 4 mg in the AM and Pbo in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Ertugliflozin 4 mg split into twice daily (Drug)

Cohort 2: Ertu 2 mg/Ertu 2 mg→Ertu 4 mg/Pbo

Experimental

Period 1: Ertu 2 mg in the AM and Ertu 2 mg in the PM for 1 day. Period 2: Ertu 4 mg in the AM and Pbo in the PM for 1 day. There was a >= 7 day washout period between Period 1 and Period 2.

干预措施: Placebo (Drug)

结局指标

主要结局

Fasting C-peptide

时间窗: Up to 24 hours (0 and 24 hours)

The fasting c-peptide was analyzed by cohort using a mixed-effects model with sequence, period, and treatment as fixed effects and participant within sequence as a random effect.

Number of Participants Experiencing an Adverse Event

时间窗: Up to 16 days

An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device. The table below includes all data collected since the first dose of study drug.

Number of Participants Discontinuing Study Drug Due to an Adverse Event

时间窗: Up to 8 days (Day 1 in each dosing period)

An adverse event is any untoward medical occurrence in a clinical investigation participant administered a product or medical device. The table below includes all data collected since the first dose of study drug. Data include participants discontinued due to adverse events, participants with dose reduced or temporary discontinuation due to adverse events.

Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin

时间窗: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose

Pharmacokinetic (PK) parameter of AUClast for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Maximum Plasma Concentration (Cmax) of Ertugliflozin

时间窗: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose

PK parameter of Cmax for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Time Taken to Reach the Maximum Observed Plasma Concentration (Tmax) of Ertugliflozin

时间窗: 0 predose, 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 18, 24 hours postdose

PK parameter of Tmax for study drug. Actual sample collection times (relative to the AM dose) were used for the pharmacokinetic analysis.

Cumulative Urinary Glucose Excretion Over 0 to 24 Hours

时间窗: 0 to 24 hours after the morning dose

Urine for analysis of glucose was collected at prespecified intervals. Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose). The average amount of urinary glucose excreted from 0 to 24 hours after the morning dose is presented in the table below.

Urinary Glucose Excretion by Time Period

时间窗: At 0-4 hrs, 4-8 hrs, 8-12 hrs, and 12-24 hrs after the AM dose (up to 24 hours)

Urine for analysis of glucose was collected at prespecified intervals. Each participant emptied his/her bladder just before dosing, and the collection started after the morning dose (collection times: 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours after the morning dose). The average amount of urinary glucose excreted during the pre-specified time frame is presented in the table below.

24-hour Weighted Mean Plasma Glucose

时间窗: Up to 24 hours

Blood was collected during each treatment period at pre-dose (fasted) on Day 1 (Hour 0) and post-dose (fed) on Day 1 at 0.5, 1, 2, 3, 4, 5, 5.5, 6, 7, 8, 10, 12, 12.5, 13, 14, 15, 16, 18, and 24 hours.

Weighted Mean Postprandial Plasma Glucose

时间窗: At 0-5 hours, 5-12 hrs, and 12-18 hrs after the morning dose (up to 18 hours)

The weighted mean postprandial glucose over the specified intervals were analyzed by cohort.

Fasting Plasma Glucose

时间窗: Up to 24 hours

Blood samples were to be collected following a fast from all food and drink (except water) for at least 8 hours. Fasting Plasma Glucose was collected as part of the assessment of weighted mean 24-hour plasma glucose. As such, it was not specified as an endpoint in the Statistical Analysis Plan and was not analyzed or summarized separately.

次要结局

未报告次要终点

研究者

申办方类型
Industry
责任方
Sponsor

相似试验