MedPath

Chiglitazar Added to Metformin for Type 2 Diabetes

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
Drug: Placebo
Drug: Chiglitazar 32mg
Drug: Chiglitazar 48mg
Registration Number
NCT04807348
Lead Sponsor
Chipscreen Biosciences, Ltd.
Brief Summary

The purpose of the trial is to evaluate the effect of Chiglitazar added to metformin to type 2 diabetes Inadequately controlled with metformin Monotherapy.

Detailed Description

This clinical trial is a multi-center, randomized, double-blind, placebo parallel control design, and uses superiority test to determine whether the experimental group is superior to the control group in terms of main efficacy endpoints.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
533
Inclusion Criteria
  1. ) Provide a signed and dated informed consent form;
  2. ) Men and women aged ≥ 18 years and ≤ 75 years;
  3. ) According to the World Health Organization ( the WHO ) 1999 criteria for the diagnosis of type 2 diabetes;
  4. ) After metformin stable dose monotherapy (≥1500 mg/day or maximum tolerated dose, but the maximum tolerated dose not < l000 mg/day) for at least 8 weeks;
  5. ) The local HbA1c value during the screening period: 7.5% ≤ HbA1c ≤ 11% ;
  6. ) The HbA1c value of the central laboratory before randomization: 7.0% ≤ HbA1c ≤ 10.5% ;
  7. ) BMI ≥ 18.5 kg/m2 and ≤ 35 kg/m 2 ;
  8. ) Fasting C- peptide ≥ 0.5 nmol/L ;
  9. ) Women of Childbearing Potential ( WOCBP ) should take reliable contraceptive measures at least 1 month before the screening, during the entire trial, and within 3 months after completing the trial; male subjects should take reliable contraceptive measures to avoid making their sexual partners to pregnant during the entire trial and within 3 months after the trial.
Exclusion Criteria
  1. ) Type 1 diabetes;
  2. ) Pregnancy or lactation;
  3. ) The New York Heart Association (NYHA ) defines congestive heart failure as grade III or IV ;
  4. ) Significant history of cardiovascular and cerebrovascular diseases within 6 months before screening, defined as myocardial infarction, coronary artery bypass graft or angioplasty, valvular disease or repair, unstable angina, transient brain Ischemic attack, or cerebrovascular accident;
  5. ) Suffered from malignant tumors (except cured basal cell carcinoma) within 5 years before screening;
  6. ) Edema of lower limbs or edema of the whole body;
  7. ) Moderate to severe renal insufficiency [ Calculated eGFR<60 ml/ ( min*1.73m2 ) using CKD - EPI formula ];
  8. ) urinary albumin-to-creatinine ratio of > 300 mg /g;
  9. ) Triglyceride> 5.6 mmol /L;
  10. ) Active liver disease and /or obvious liver function abnormalities, defined as AST>2.5 times the upper limit of normal value and/or ALT>2.5 times the upper limit of normal value and/or total bilirubin >1.5 times the normal value Upper limit
  11. ) Clinically significant arrhythmias in the electrocardiogram examination and treatment or intervention are required. The investigator judges that it is not suitable to participate in this clinical trial;
  12. ) Human immunodeficiency virus (HIV) antibody-positive; Treponema pallidum antibody positive; positive hepatitis B surface antigen and HBV DNA quantification values were higher than the upper; HCV antibodies and HCV RNA quantification values were higher than the upper ;
  13. ) History of illegal drug abuse within 12 months before screening ;
  14. ) Participated in other clinical trials within 90 days before screening ;
  15. ) Donated whole blood, plasma, or platelets within 3 months before screening.
  16. ) Before randomization, the investigator judged that the subjects had poor compliance with the study protocol or drug treatment, defined as the subjects taking less than 80% or more than 120% of the prescribed dose of chiglitazar/ placebo or metformin;
  17. ) The investigator judged that it is not suitable to participate in this clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
placebo+metforminPlaceboplacebo+metformin
placebo+metforminMetformin Hydrochlorideplacebo+metformin
Chiglitazar sodium 32mg QD+metforminChiglitazar 32mgChiglitazar 32mg qd+metformin
Chiglitazar sodium 48 mg QD+metforminMetformin HydrochlorideChiglitazar 48 mg qd+metformin
Chiglitazar sodium 48 mg QD+metforminChiglitazar 48mgChiglitazar 48 mg qd+metformin
Chiglitazar sodium 32mg QD+metforminMetformin HydrochlorideChiglitazar 32mg qd+metformin
Primary Outcome Measures
NameTimeMethod
percentage of HbA1c change from baseline24 weeks

central lab test

Secondary Outcome Measures
NameTimeMethod
Changes of HOMA-the IR value from baseline12 and 24 weeks

model calculated

Changes in blood fasting plasma glucose level from baseline12 and 24 weeks

central lab test

percentage of AEs28 weeks

safety

number of participants with lab abnormality24 weeks

number or rate of founds in lab tests

Changes of blood lipids level from baseline12 and 24 weeks

includeing TC, LDL-C, HDL-C, VLDL-C, non-HDL-C, TG, FFA, ApoA1, ApoB

Trial Locations

Locations (50)

The First Affiliated Hospital of Anhui Medical University

🇨🇳

Hefei, Anhui, China

Beijing Luhe Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Harrison International Peace Hospital

🇨🇳

Hengshui, Hebei, China

Shanghai Minhang District Central Hospital

🇨🇳

Shanghai, Shanghai, China

Hefei Second People's Hospital

🇨🇳

Hefei, Anhui, China

The Second Affiliated Hospital of Anhui Medical University

🇨🇳

Hefei, Anhui, China

Yijishan Hospital of Wannan Medical College

🇨🇳

Wuhu, Anhui, China

Beijing Chaoyang Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Beijing Friendship Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Beijing Tongren Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Beijing Tsinghua Chang Gung Memorial Hospital

🇨🇳

Beijing, Beijing, China

Beijing University First Hospital

🇨🇳

Beijing, Beijing, China

Chinese People's Liberation Army Rocket Army Characteristic Medical Center

🇨🇳

Beijing, Beijing, China

The Second Affiliated Hospital of Chongqing Medical University

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Chongqing, Chongqing, China

Three Gorges Hospital Affiliated to Chongqing University

🇨🇳

Wanzhou, Chongqing, China

Shenzhen People's Hospital

🇨🇳

Shenzhen, Guangdong, China

Xuanwu Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Union Shenzhen Hospital of Huazhong University of Science and Technology

🇨🇳

Shenzhen, Guangdong, China

Peking University People's Hospital

🇨🇳

Beijing, Beijing, China

The Second Hospital of Hebei Medical University

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Shijia Zhuang, Hebei, China

The Third Hospital of Hebei Medical University

🇨🇳

Shijia Zhuang, Hebei, China

Huaihe Hospital of Henan University

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Kaifeng, Henan, China

The First Affiliated Hospital of Henan University of Science and Technology

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Luoyang, Henan, China

The Third People's Hospital of Luoyang City

🇨🇳

Luoyang, Henan, China

Xinxiang Central Hospital

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Xinxiang, Henan, China

The First People's Hospital of Chenzhou City

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Chenzhou, Hunan, China

Yueyang Second People's Hospital

🇨🇳

Yueyang, Hunan, China

Zhuzhou Central Hospital

🇨🇳

Zhuzhou, Hunan, China

Inner Mongolia Baotou Steel Hospital

🇨🇳

Baotou, Inner Mongolia, China

The First People's Hospital of Huai'an

🇨🇳

Huaian, Jiangsu, China

Jiangsu Provincial People's Hospital

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Nanjing, Jiangsu, China

Nanjing First Hospital

🇨🇳

Nanjing, Jiangsu, China

The Second Affiliated Hospital of Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

Yifu Hospital Affiliated to Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

Affiliated Hospital of Xuzhou Medical University

🇨🇳

Xuzhou, Jiangsu, China

The First Hospital of Jilin University

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Harbin, Jilin, China

The Fourth Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, Jilin, China

The Second Hospital of Jilin University

🇨🇳

Harbin, Jilin, China

Panjin Liaoyou Baoshihua Hospital

🇨🇳

Panjin, Liaoning, China

Jinan Central Hospital

🇨🇳

Jinan, Shandong, China

Qilu Hospital of Shandong University

🇨🇳

Jinan, Shandong, China

Affiliated Hospital of Jining Medical College, Shandong Province

🇨🇳

Jining, Shandong, China

Qingdao University Hospital

🇨🇳

Qingdao, Shandong, China

Gongli Hospital, Pudong New Area, Shanghai

🇨🇳

Shanghai, Shanghai, China

Shanghai Pudong Hospital

🇨🇳

Shanghai, Shanghai, China

Shanghai Seventh People's Hospital

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Shanghai, Shanghai, China

Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine

🇨🇳

Shanghai, Shanghai, China

Central Hospital of Yuncheng City, Shanxi Province

🇨🇳

Yuncheng, Shanxi, China

Tangshan Workers' Hospital

🇨🇳

Tangshan, Tianjin, China

Huzhou Central Hospital

🇨🇳

Huzhou, Zhejiang, China

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