MedPath

Study of Chiglitazar Compare With Sitagliptin in Type 2 Diabetes Patients

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
Registration Number
NCT02173457
Lead Sponsor
Chipscreen Biosciences, Ltd.
Brief Summary

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

Detailed Description

The efficacy and safety will be compared between Chiglitazar and Sitagliptin after treatment of 24 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
740
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 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. Had or is having pancreatic diseases;
  11. Heart failure (NYHA classification Stage III or IV), or left ventricular hypertrophy indicated by ECG;
  12. Hepatic diseases such as hepatocirrhosis, active hepatitis,aspartate aminotransferase or alanine aminotransferase > 2.5 fold of the upper limit of the normal range;
  13. Kidney diseases or serum creatinine exceed the normal range: male > 133 μmol/L or female >108 μmol/L;
  14. Had malignancy in the past 5 years, not including basal cell carcinoma;
  15. Had or is currently receiving treatment that can alter blood glucose metabolism, including but not limited to diuretic,hormone (corticotropin or steroids),beta blockers;
  16. Have the diseases that can alter blood glucose metabolism, including but not limited to active hepatitis, hyperthyroidism,or adrenal tumors;
  17. Edema with unknown reason;
  18. Alcohol or drug addiction;
  19. Had participated other drugs' clinical trials in the 3 months before screening;
  20. Pregnant or lactic women; or women of childbearing age who are not able to or is not willing to conduct contraception;
  21. 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 2ChiglitazarPatients administrate Chiglitazar 48mg once daily for 24 weeks
Arm 1ChiglitazarPatients administrate Chiglitazar 32mg once daily for 24 weeks
Arm 3SitagliptinPatients administrate Sitagliptin 100mg once daily for 24 weeks
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
Percentage of patients that attained target HbA1c <7.0%24 weeks

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

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

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

Change in fasting plasma insulin from baseline12 and 24 weeks

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

Percentage of patients who discontinue the trial due to hyperglycemia24 weeks

The percentage of patients who discontinue the trial due to hyperglycemia during the 24 weeks of treatment

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 baseline12 weeks

The change of HbA1c at week 12 from baseline

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

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

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

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

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 fasting plasma glucose from baseline12 and 24 weeks

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

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

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

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

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

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

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

Change in triglyceride from baseline12 and 24 weeks

The change of triglyceride at week 12 and 24 from baseline

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

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

Change in blood pressure from baseline24 weeks

The change of blood pressure at week 24 from baseline

Trial Locations

Locations (37)

The Second Artillery General Hospital of Chinese People's Liberation Army

🇨🇳

Beijing, Beijing, China

The First People's Hospital of Yueyang

🇨🇳

Yueyang, Hunan, China

The Affiliated Hospital of Inner Mongolia

🇨🇳

Hohhot, Inner Mongolia, China

Huai'an First People's Hospital

🇨🇳

Huai'an, Jiangsu, China

Gulou Hospital Affiliated to Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

The First Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Siping Central People's Hospital

🇨🇳

Siping, Jilin, China

Shanghai First People's Hospital

🇨🇳

Shanghai, Shanghai, China

The Central Hospital of Minhang District of Shanghai

🇨🇳

Shanghai, Shanghai, China

Shanghai 6th People's Hospital

🇨🇳

Shanghai, Shanghai, China

Shanghai 5th People's Hospital

🇨🇳

Shanghai, Shanghai, China

Sichuan Provincial People's Hospital

🇨🇳

Chengdu, Sichuan, China

Anhui Provincial Hospital

🇨🇳

Hefei, Anhui, China

The First Hospital Affiliated to Anhui Medical University

🇨🇳

Hefei, Anhui, China

Fuwai Hospital

🇨🇳

Beijing, Beijing, China

The General Hospital of the Chinese People's Armed Police Forces

🇨🇳

Beijing, Beijing, China

Beijing Tiantan Hospital

🇨🇳

Beijing, Beijing, China

Beijing Tongren Hospital Affiliated to Capital Medical Universtiy

🇨🇳

Beijing, Beijing, China

The Third Hospital Affiliated to Guangzhou Medical College

🇨🇳

Guangzhou, Guangdong, China

The Second Affiliated Hospital of Shantou University Medical College

🇨🇳

Shantou, Guangdong, China

Shenzhen Second People's Hospital

🇨🇳

Shenzhen, Guangdong, China

Beijing University Shenzhen Hospital

🇨🇳

Shenzhen, Guangdong, China

Zhongshan People's Hospital

🇨🇳

Zhongshan, Guangdong, China

The First Affiliated Hospital of Guangxi Medical University (The Eastern Hospital)

🇨🇳

Nanning, Guangxi, China

The First Affiliated Hospital of Guangxi Medical University (The Western Hospital)

🇨🇳

Nanning, Guangxi, China

The Second Hospital of Heibei Medical University

🇨🇳

Shijiazhuang, Hebei, China

The First Hospital Affiliated to Nanhua University

🇨🇳

Hengyang, Hunan, China

Tongji Hospital Affiliated to Tongji Medical College of HUST

🇨🇳

Wuhan, Hubei, China

The Affiliated Hospital of Jiangsu University

🇨🇳

Zhenjiang, Jiangsu, China

The First Affiliated Hospital of Dalian Medical University

🇨🇳

Dalian, Liaoning, China

The Second Hospital Affiliated to Nanjing Medical University

🇨🇳

Nanjing, Jiangsu, China

Nanjing First Hospital

🇨🇳

Nanjing, Jiangsu, China

The Qingpu Branch of Zhongshan Hospital Affiliate to Fudan University

🇨🇳

Shanghai, Shanghai, China

Shanghai Changzheng Hospital

🇨🇳

Shanghai, Shanghai, China

The First Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Tongji Hospital Affiliated to Tongji University

🇨🇳

Shanghai, Shanghai, China

The First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shanxi, China

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