HM-002-1005 - A Phase 1, Randomized, Double Blind, Placebo Controlled, Single Dose, Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study in Subjects With Type 2 Diabetes Mellitus
Overview
- Phase
- Phase 1
- Intervention
- HM-002-1005
- Conditions
- Diabetes Mellitus, Type II
- Sponsor
- Hua Medicine Limited
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Incidence of adverse events
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purposes of this study are to:
- Evaluate the safety and tolerability of the study drug.
- Measure how much of the study drug (HM-002-1005) and its breakdown product get into the bloodstream, and how long it takes the body to get rid of them.
- Measure the amount of glucose (blood sugar) and a substance called C-peptide in the bloodstream after receiving the study drug.
Researchers will compare the study drug to a placebo (a look-alike substance that contains no drug).
Participants will:
- Stay 5 days and 4 nights or 6 days and 5 nights at the research site, and have a follow-up phone call 7 days after leaving the research site.
- Take one (1) dose of the study drug or placebo
- Have blood taken to measure the amount of study drug and its breakdown product and the levels of glucose and C-peptide
- Have safety tests such as vital sign, ECGs, and glucose measurements
Investigators
Eligibility Criteria
Inclusion Criteria
- •Males or females, of any race, between 18 and 65 years of age, inclusive.
- •Body mass index between 18.5 and 38.0 kg/m2, inclusive.
- •Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
- •Type 2 diabetes mellitus, as determined by the American Diabetes Association (ADA) Standard Care Diagnostic Criteria 2023, and
- •are drug naïve, treated with diet and exercise, or
- •have been on a stable dose of ≤2000 mg metformin for ≥1 month, or
- •have been on a stable dose of antidiabetic medications (other than metformin) for ≥90 days.
- •Except for findings consistent with T2DM, in good health, determined from medical history, 12 lead electrocardiogram (ECG), vital signs measurements, clinical laboratory evaluations, and physical examinations at screening and/or check in, as assessed by the investigator (or designee).
- •Glycated hemoglobin between 6.5% and 9.5%, inclusive.
- •Fasting plasma glucose between 126 and 196 mg/dL (7 and 11 mmol/L, respectively), inclusive. Testing may be repeated once, at the discretion of the investigator (or designee).
Exclusion Criteria
- •Type 1 diabetes mellitus, maturity onset diabetes of the young, or diabetes mellitus caused by damage to the pancreas or any other condition (eg, acromegaly or Cushing's syndrome).
- •Diabetic neuropathy, retinopathy, or nephropathy.
- •Acute or chronic metabolic acidosis, including diabetic ketoacidosis.
- •History of severe hypoglycemia, defined as severe cognitive impairment requiring external assistance for recovery within 3 months prior to dosing; or recurrent hypoglycemia (Level 2), defined as ≥2 episodes within 3 months prior to dosing; or ADA Level 3 hypoglycemia within 6 months prior to dosing.
- •Hypoglycemia unawareness or asymptomatic hypoglycemia.
- •Clinically significant history of liver disease (eg, hepatitis and cirrhosis) within 1 year prior to screening.
- •Clinically significant history of renal disease. Mild to moderate chronic kidney disease is permitted.
- •Clinically significant history of cardiovascular disease, particularly coronary artery disease, arrhythmias, atrial tachycardia, or congestive heart disease within 1 year prior to screening. Managed hypertension is permitted.
- •Clinically significant history of any central nervous system disease, including transient ischemic attack, stroke, seizure disorder, depression, or behavioral disturbances within 1 year prior to screening.
- •Clinically significant gastric emptying abnormality (eg, severe diabetic gastroparesis or gastric outlet obstruction) or have had gastric bypass surgery.
Arms & Interventions
HM-002-1005 61.5 mg or matching placebo
Single dose of 61.5 mg HM-002-1005 or matching placebo
Intervention: HM-002-1005
HM-002-1005 123 mg or matching placebo
Single dose of 123 mg HM-002-1005 or matching placebo
Intervention: HM-002-1005
HM-002-1005 184.5 or 246 mg, or matching placebo
Single dose of 184.5 or 246 mg HM-002-1005 or matching placebo
Intervention: HM-002-1005
HM-002-1005 369 mg or matching placebo
Single dose of 369 mg HM-002-1005 or matching placebo
Intervention: HM-002-1005
Outcomes
Primary Outcomes
Incidence of adverse events
Time Frame: 11 Days
incidence and severity of adverse events from Day1 to Day 11
Area under the plasma concentration versus time curve (AUC)
Time Frame: 72 hour
area under the concentration-time curve from time 0 to 72 hours postdose of HM-002-1005 in plasma
maximum observed concentration (Cmax)
Time Frame: 72 hours
Cmax of HM-002-1005 in plasma
apparent terminal elimination half life (t1/2)
Time Frame: 72 hours
t1/2 of HM-002-1005 in plasma
time of the maximum observed concentration (Tmax)
Time Frame: 72 hours
Tmax of HM-002-1005 in plasma
Secondary Outcomes
- glucose concentration following single oral dose of HM-002-1005(24 hours)