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This is a multinational, multicentre, parallel group phase 3 clinical research to assess the effect of study drug Efpeglenatide on Cardiovascular outcome eg Myocardial infarction or heart attack, stroke, etc in patients with Type 2 diabetes

Phase 3
Conditions
Health Condition 1: null- Type 2 Diabetes Mellitus in CV risk patientsHealth Condition 2: E115- Type 2 diabetes mellitus with circulatory complications
Registration Number
CTRI/2018/07/015083
Lead Sponsor
Sanofi Synthelabo India Private Limited
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Other (Terminated)
Sex
Not specified
Target Recruitment
98
Inclusion Criteria

1 Participants with T2DM and HbA1c greater than 7 percent

2 Participants who meet at least one of the 8 CVD criteria OR male participants who are greater or equal to 50 years of age or female participants who are greater or equal to 55 years of age and have an eGFR greater or equal to 25 and less than 60 mL per min and have at least one of the 6 CV risk factors

3 Presence of Coronary Artery Disease

4 Presence of Cerebrovascular Disease

5 Presence of Peripheral Arterial Disease

6 coronary artery bypass graft

7 Body mass index greater or qual to 35 kg per m2 at Screening

8 Male or Female

a A male participant must agree to use contraception during the intervention period and for at least 5 weeks after the last dose of study intervention and refrain from donating sperm during this period.

b A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies.Not a WOCBP

OR

A WOCBP who agrees to follow the contraceptive guidance as per final protocol during the intervention period and for at least 5 weeks after the last dose of study intervention.

9 I 05.Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form ICF and in this protocol.

Exclusion Criteria

1 Clinically relevant history of GI disease associated with prolonged nausea and vomiting, including but not limited to gastroparesis, unstable and uncontrolled gastroesophageal reflux disease within 6 months prior to screening

2 History of pancreatitis unless pancreatitis was related to gallstone and cholecystectomy has been performed and pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, and pancreatectomy

3 Personal or family history of medullary thyroid cancer MTC or genetic conditions that predisposes to MTC eg, multiple endocrine neoplasia syndromes

4 Estimated glomerular filtration rate less than 25 mL per min per 1.73 m² by the 4 variable Modification of Diet in Renal Disease MDRD equation at Screening, based on central laboratory

5 Systolic BP greater than 180 mmHg and or DBP greater than 100 mmHg at randomization

6 Hospitalization for hypertensive emergency within 3 months prior to randomization

7 Planned coronary revascularization procedures, electrophysiologic device implantation, cardiac mechanical support implantation or other cardiac surgery

8 History of solid organ transplant

9 Hypersensitivity to any of the study treatments or any components thereof

10 No documented ophthalmologic exam with fundoscopy within 6 months prior to screening or within 3 months in patients with severe non proliferative diabetic retinopathy or proliferative diabetic retinopathy [PDR]/Diabetic Macular Edema

11 Retinopathy or maculopathy with one of the following treatments, either recent 3 months prior to randomization)or planned during the study: intravitreal injections or laser or vitrectomy surgery

12 Patients with short life expectancy making implementation of the protocol or interpretation of the study results difficult in the opinion of the investigator including severe anemia, congestive heart failure New York Heart Association NYHA III or IV, respiratory, hepatic, neurological, psychiatric, active malignant tumor or other major systemic disease

13 History of drug or alcohol abuse within 6 months prior to the time of screening

Prior/concomitant therapy

14 Treated with any GLP 1 RA product eg, exenatide, liraglutide, lixisenatide, albiglutide, dulaglutide, semaglutide within 3 months prior to screening

15 Use of any DPP4 inhibitor within 12 weeks prior to screening

16 Diabetic treatment has not been stable in the 12 weeks prior to screening, in the opinion of the investigator

17 Use of systemic glucocorticoids excluding topical application or inhaled forms for more than 10 consecutive days within 3 months prior to Screening Visit or for more than 10 consecutive days between Screening and randomization Prior or concurrent clinical study experience

18 Exposure to any investigational drugs in the last 4 weeks or 5 half-lives, whichever is longer, prior to screening

19 Current enrollment in any other clinical study involving an investigational study treatment

20 Participation in any previous efpeglenatide or HM11260C clinical trial within 3 months prior to screening

21 Participant is the Investigator or any Subinvestigator, research assistant, pharmacist, study coordinator, other staff or relative thereo

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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