A Phase 2a Study Evaluating the Safety, Tolerability, and Efficacy of TLC-3595 in Subjects With Insulin Resistance
Overview
- Phase
- Phase 2
- Intervention
- TLC-3595 Dose 1
- Conditions
- Insulin Resistance
- Sponsor
- OrsoBio, Inc
- Enrollment
- 76
- Locations
- 2
- Primary Endpoint
- Change in insulin sensitivity
- Status
- Active, Not Recruiting
- Last Updated
- last year
Overview
Brief Summary
This Phase 2a study is designed to evaluate the safety, tolerability, effectiveness, and pharmacokinetics (PK) of TLC-3595 in subjects with insulin resistance.
Detailed Description
This is a multicenter, double-blind, randomized study. Participants will be randomized to one of three treatment arms, to receive one of the two doses of TLC-3595 (or matching placebo).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or female between 18-70 years of age, inclusive, at Screening
- •BMI ≥ 28 kg/m2 at Screening
- •Diagnosis of insulin resistance based on HOMA-IR \> 2.84 at Screening or a confirmed diagnosis of type 2 diabetes mellitus
- •Screening laboratory evaluations (hematology, chemistry, and urinalysis) must fall within the protocol-defined ranges
- •A 12-lead electrocardiogram (ECG) at Screening that is normal or with abnormalities that are considered not clinically significant by the investigator
- •Female subjects of childbearing potential must have a negative serum pregnancy test at Screening and a negative urine pregnancy test on Day 1 prior to first dose of study drug
- •Male and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
Exclusion Criteria
- •HbA1c \> 10% at Screening
- •Weight loss \> 5% weight during the 90 days prior to Screening
- •Pregnant or lactating subjects.
- •Current alcohol abuse that is judged by the investigator to potentially interfere with the subject's compliance or safety
- •Current substance abuse that is judged by the investigator to potentially interfere with the subject's compliance or safety
- •A positive test result for human immunodeficiency virus (HIV-1) antibody, hepatitis B (HBV) surface antigen, or hepatitis C (HCV) antibody
- •Unstable cardiovascular disease as defined by any of the following: unstable angina within 6 months prior to Screening; myocardial infarction, coronary artery bypass graft surgery, or coronary angioplasty within 6 months prior to Screening; transient ischemic attack or cerebrovascular accident within 6 months prior to Screening; obstructive valvular heart disease or hypertrophic cardiomyopathy; congestive heart failure (NYHA Class ≥ 2); implanted defibrillator or pacemaker
- •Medical history of liver disease, including but not limited to, alcoholic liver disease, autoimmune disorders (e.g., primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis), drug-induced hepatotoxicity, Wilson disease, clinically significant iron overload, or alpha-1-antitrypsin deficiency. A history of nonalcoholic fatty liver disease (NAFLD), including hepatic steatosis or nonalcoholic steatohepatitis (NASH) is permitted.
- •History of intestinal resection or malabsorptive condition that may limit the absorption of study drug
- •Presence of severe peptic ulcer, gastroesophageal reflux disease, or other gastric acid hypersecretory conditions at Screening, in the opinion of the investigator
Arms & Interventions
TLC-3595 Dose 1
Oral dose of TLC-3595 Dose 1
Intervention: TLC-3595 Dose 1
TLC-3595 Dose 2
Oral dose of TLC-3595 Dose 2
Intervention: TLC-3595 Dose 2
Placebo
Oral dose of placebo-to-match
Intervention: Placebo
Outcomes
Primary Outcomes
Change in insulin sensitivity
Time Frame: Through study completion, up to Day 84 of the study
Oral glucose tolerance test will be used to measure insulin sensitivity.
Incidence of TLC-3595 treatment-emergent adverse events
Time Frame: Through study completion, up to Day 84 of the study
Adverse events (AEs) - severity of the AEs will be graded using the Common Terminology Criteria for AE (CTCAE) (v5.0). The relationship between AEs and the study drug will be indicated as related or not related.