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An Exploratory Study of DS-8500a on Beta Cell Function Using Hyperglycemic Clamp

Not Applicable
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: placebo
Registration Number
NCT02669732
Lead Sponsor
Daiichi Sankyo Co., Ltd.
Brief Summary

The objective of the study is to evaluate change in insulin secretory capacity in patients with type 2 diabetes mellitus as determined by hyperglycemic clamp after a 28-day oral administration of DS-8500a at 75 mg in a placebo-controlled, 2 × 2 crossover study. In addition, safety of this regimen will be examined in this study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
21
Inclusion Criteria
  • Patients aged ≥ 20 years at the time of informed consent
  • Japanese patients with type 2 diabetes
  • Patients who have HbA1c ≥ 7.0% and < 9.0%
Exclusion Criteria
  • Patients with type 1 diabetes mellitus or with a history of diabetic coma, precoma, or ketoacidosis
  • Patients receiving or requiring treatment with insulin
  • Patients with a body mass index (BMI) of < 18.5 kg/m2 or ≥ 35.0 kg/m2
  • Patients with clinically evident renal impairment (estimated glomerular filtration rate [eGFR] of < 45 mL/min per 1.73 m2) or clinically significant renal disease
  • Patients with fasting plasma glucose ≥ 240 mg/dL

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
DS-8500a 75 mg once daily (QD)DS-8500atablets, orally, once daily for up to 28 days
Placeboplacebotablets, orally, once daily for up to 28 days
Primary Outcome Measures
NameTimeMethod
First-phase and Second-phase secretion InsulinBaseline to Day 28 (Period 1 and 2)

First-phase and Second-phase secretion Insulin Baseline to Day 28 (Period 1 and 2)

First-phase and Second-phase secretion C-peptideBaseline to Day 28 (Period 1 and 2)

First-phase and Second-phase secretion (C-peptide)

Secondary Outcome Measures
NameTimeMethod
Number and severity of Adverse EventsDay 28 (Period 1 and 2)
M/I valueBaseline to Day 28 (Period 1 and 2)

M/I value:M value / steady-state Insulin

plasma concentration of DS-8500aDay 28 (Period 1 and 2)
M valueBaseline to Day 28 (Period 1 and 2)

M value:Mean of Glucose Infusion Rate from 90 to 120 min

Disposition IndexBaseline to Day 28 (Period 1 and 2)

Disposition Index:Product of M value and First-phase secretion

Trial Locations

Locations (1)

SOUSEIKAI Hakata Clinic

🇯🇵

Hakata-ku, Fukuoka, Japan

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