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临床试验/EUCTR2018-003422-84-PL
EUCTR2018-003422-84-PL进行中(未招募)1 期

A Randomized, Phase 3, Open-Label Trial Comparing the Effect of LY3298176 versus Titrated Insulin Degludec on Glycemic Control in Patients with Type 2 Diabetes - SURPASS-3

Eli Lilly and Company0 个研究点目标入组 1,420 人开始时间: 2019年4月29日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
1,420

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • [1] Have been diagnosed with T2DM based on the World Health Organization classification or other locally applicable diagnostic standards
  • [2] Have HbA1c =7.0% (53 mmol/mol) to =10.5% (91 mmol/mol), as determined by the central laboratory at Visit 1
  • [3] Are insulin-naive (except for the use of insulin for treatment of gestational diabetes or short-term use [=14 days] for acute conditions)
  • [4] Are on stable diabetes treatment with metformin or metformin plus an SGLT-2i (metformin =1500 mg/day and no more than the maximum approved dose per country-specific label) for at least 3 months prior to Visit 1 and between Visit 1 and Visit 3
  • [5] Are of stable weight (±5%) =3 months prior to Visit 1 and agree to not initiate a diet and/or exercise program during the study with the intent of reducing body weight other than the lifestyle and dietary measures for diabetes treatment
  • [6] Have body mass index =25 kg/m2 at Visit 1
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 1120
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 300

排除标准

  • [10]Have type 1 diabetes mellitus (T1DM)
  • [11]Had chronic or acute pancreatitis any time prior to study entry (Visit 1)
  • [12]Have history of: proliferative diabetic retinopathy or diabetic maculopathy or nonproliferative diabetic retinopathy that requires acute treatment (a dilated fundoscopic examination performed by an ophthalmologist oroptometrist between Visit 2 and Visit 3 is required to confirm eligibility)
  • [13]Have a history of severe hypoglycemia and/or hypoglycemia unawareness within
  • the 6 months prior to Visit 1
  • [14]Have a history of ketoacidosis or hyperosmolar state/coma
  • [15]Have a known clinically significant gastric emptying abnormality (for example, severe diabetic gastroparesis or gastric outlet obstruction), have undergone or plan to have during the course of the study:a gastric bypass (bariatric) surgery or restrictive bariatric surgery (for example, Lap-Band®), or chronically take drugs that directly affect GI motility
  • [16]Have any of the following CV conditions within 2 months prior to Visit 1: acute myocardial infarction, or cerebrovascular accident (stroke) or hospitalization due to congestive heart failure (CHF)
  • [17]Have New York Heart Association Functional Classification III and IV CHF
  • [18]Have acute or chronic hepatitis, signs and symptoms of any other liver disease other than nonalcoholic fatty liver disease (NAFLD), or alanine aminotransferase
  • (ALT)level >3.0 times the upper limit of the reference range, as determined by the central laboratory at study entry; patients with NAFLD are eligible for participation in this trial only if their ALT level is =3.0 times the upper limit of normal (ULN) for the reference range
  • [19]Have an estimated glomerular filtration rate <45 mL/min/1.73 m2 (or lower than the country-specific threshold for using the protocol-required dose of metformin per local label), calculated by Chronic Kidney Disease-Epidemiology, as determined by central laboratory at Visit 1
  • [20]Have evidence of a significant, uncontrolled endocrine abnormality (for example, thyrotoxicosis or adrenal crises), in the opinion of the investigator
  • [21]Have family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2
  • [22]Have a serum calcitonin level of =35 ng/L, as determined by central laboratory at Visit 1
  • [23]Treatment with any glucose-lowering agent(s) other than stated in the inclusion criteria [4] in a period of 3 months prior to Visit 1 and between Visit 1 and Visit 3
  • [24]Have been treated with prescription drugs that promote weight loss (for example, Saxenda [liraglutide 3.0 mg], Xenical® [orlistat], Meridia® [sibutramine], Acutrim® [phenylpropanolamine], Sanorex® [mazindol], Apidex® [phentermine], BELVIQ® [lorcaserin], Qsymia™ phentermine/topiramate combination], Contrave® [naltrexone/bupropion], or similar other body weight loss medications including over-the-counter medications [for example, alli®]) within 3 months
  • prior to Visit 1 and/or between study entry (Visit 1) and randomization (Visit 3)
  • [25] Are receiving chronic (>2 weeks or 14 days) systemic glucocorticoid therapy (excluding topical, intraocular, intranasal, or inhaled preparations) or have received such therapy within 1 month of Visit 1 or between Visits 1 and 3

研究者

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