4 Weeks Treatment of Type II Diabetic Patients With BI 44847
Primary Purpose
Diabetes Mellitus, Type 2
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BI 44847
placebo for BI 44847
Sponsored by

About this trial
This is an interventional treatment trial for Diabetes Mellitus, Type 2
Eligibility Criteria
Inclusion Criteria:
- Male and postmenopausal or hysterectomised female patients with proven diagnosis of type 2 diabetes mellitus treated with diet and exercise only or with one or 2 oral hypoglycaemic agent other than glitazones. In case of 2 oral hypoglycaemic agents, at least one of these may be taken at no more than 50% of its maximum dose;
- Age = > 21 and Age = <70 years (female hysterectomised and male patients);
- Age = >55 and Age = <70 years (female postmenopausal patients);
- BMI = >18.5 and BMI = <40 kg/m2 (Body Mass Index);
- Signed and dated written informed consent prior to admission to the study in accordance with GCP and the local legislation.
Exclusion Criteria:
- Treatment with insulin, glitazones, or more than one oral hypoglycaemic agent (except if 2 agents and at least one of them not taken at more than 50% of maximum dose);
- Fasted blood glucose > 240 mg/dl on two consecutive days during wash-out; HbA1c > 8.5 % at screening;
- Clinically relevant concomitant diseases other than type 2 diabetes, hyperlipidaemia and medically treated hypertension;
- History of relevant allergy/hypersensitivity;
- Marked baseline prolongation of QT/QTc interval;
- History of additional risk factors for TdP;
- Any laboratory value outside the reference range and the clinical relevance is not acceptable in the opinion of the investigator, or the value is more than 3 times higher than the upper limit of the reference range;
- Concomitant medication except for acetylsalicylic acid, statins, antihypertensives (diuretics not allowed), beta-blockers for BPH and occasional use of paracetamol (doses of no more than 1000 mg; no more than 2000 mg per day; no more than 2 days per week);
- Change of drug dosing of allowed co-medication < the last 6 weeks; Intake of any medication < 5 half-lives of the respective drug prior to first administration of study medication or during the trial, except allowed co-medication;
- Use of drugs which might reasonably influence the results of the trial or that prolong the QT/QTc interval (based on the knowledge at the time of patient inclusion) < 10 days prior to first administration of study medication or during the trial;
- Use of grapefruit (or its juice) < 10 days prior to first administration of study medication or during the trial;
- Participation in another trial with an investigational drug < two months prior to first administration of study medication or during the trial; Smoker;
- Inability to refrain from smoking on specified trial days; Alcohol abuse;
- Drug abuse;
- Blood donation;
- Excessive physical activity;
- Male patients not using adequate contraception;
- Women of childbearing potential, positive pregnancy test or lactating
Sites / Locations
- 1224.4.49002 Boehringer Ingelheim Investigational Site
- 1224.4.49003 Boehringer Ingelheim Investigational Site
- 1224.4.49001 Boehringer Ingelheim Investigational Site
- 1224.4.31001 Boehringer Ingelheim Investigational Site
Outcomes
Primary Outcome Measures
Weight and waist circumference - change from baseline
Frequency of patients with maximal increase from baseline QTcF and QTcB interval
Frequency of patients with possible clinically significant abnormalities
Micturition total frequency - change from baseline
Global tolerability - number of patients by category
Secondary Outcome Measures
Cmax (maximum concentration of the analyte in plasma)
Tmax (time from dosing to maximum concentration)
t1/2 (terminal half-life of the analyte in plasma)
λz (terminal rate constant in plasma)
C12,1 (concentration of analyte in plasma at 12 hours post-drug administration after administration of the first dose)
AUC0-tz (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point within the first dosing interval)
AUC0-12 (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 12 h after administration of the first dose)
Ae0-12 (amount of analyte that is eliminated in urine over the time interval 0 h to 12 h)
fe0-12 (fraction of analyte excreted unchanged in urine from time points 0 h to 12 h)
CLR (renal clearance of the analyte in plasma after extravascular administration - based on 0 - 12 hour data)
CL/F (apparent clearance of the analyte in the plasma after extravascular administration)
Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)
Cmax,ss (maximum concentration of the analyte in plasma at steady state over a uniform dosing interval)
Cmin,ss (minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval)
Cpre,N (predose concentration of the analyte in plasma at steady state immediately before administration of the next dose N)
Cpre,ss (predose concentration of the analyte in plasma at steady state immediately before administration of the last dose)
C12,ss (concentration of analyte in plasma at 12 hours post-drug administration at steady state)
tmax,ss (time from dosing to maximum concentration at steady state)
tmin,ss (time from dosing to minimum concentration during a dosing interval)
AUC0-tz,ss (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point within the last dosing interval)
AUC0-12,ss (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 12 h at steady-state)
MRTpo,ss (mean residence time of the analyte in the body after 56 administrations (b.i.d.) at steady state)
CL/F,ss (apparent clearance of the analyte in the plasma after extravascular administration at steady state)
Vz/F,ss (apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state)
Ae0-12,ss (amount of analyte that is eliminated in urine at steady state over the time interval 0 to 12 h)
fe0-12,ss (fraction of analyte excreted unchanged in urine at steady state over the time interval 0 to 12 h)
CLR,ss (renal clearance of the analyte at steady state - based on 0 - 12 hour data)
RA,Cmax based on Cmax
RA,AUC based on AUCτ
Predose concentrations of the analyte in plasma
Change from baseline in UGE, AE0-24
Change from baseline in weighted MDG, AUEC0-24
Epre-corrected AUEC0-5 following OGTT
Cavg (average concentration)
PTF (peak trough fluctuation).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00558909
Brief Title
4 Weeks Treatment of Type II Diabetic Patients With BI 44847
Official Title
Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of 4 Weeks Treatment With Three Selected Oral Doses of BI 44847 as Tablet in Female and Male Patients With Type 2 Diabetes.
Study Type
Interventional
2. Study Status
Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
June 2007 (undefined)
Primary Completion Date
November 2007 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Boehringer Ingelheim
4. Oversight
5. Study Description
Brief Summary
The primary objective of the current study is to investigate the safety and tolerability of BI 44847 in male and female patients with type 2 diabetes following oral administration of repeated doses of 100 mg b.i.d, 400 mg b.i.d. and 800 mg b.i.d. over 28 days.
A secondary objective is the exploration of the pharmacokinetics and pharmacodynamics of BI 44847 after multiple dosing, including assessment of steady state.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Type 2
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
BI 44847
Intervention Type
Drug
Intervention Name(s)
placebo for BI 44847
Primary Outcome Measure Information:
Title
Weight and waist circumference - change from baseline
Time Frame
Day 28 (Hour = 647:30)
Title
Frequency of patients with maximal increase from baseline QTcF and QTcB interval
Time Frame
4 weeks
Title
Frequency of patients with possible clinically significant abnormalities
Time Frame
4 weeks
Title
Micturition total frequency - change from baseline
Time Frame
Day 28
Title
Global tolerability - number of patients by category
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Cmax (maximum concentration of the analyte in plasma)
Time Frame
Day 1
Title
Tmax (time from dosing to maximum concentration)
Time Frame
Day 1
Title
t1/2 (terminal half-life of the analyte in plasma)
Time Frame
Day 1
Title
λz (terminal rate constant in plasma)
Time Frame
Day 1
Title
C12,1 (concentration of analyte in plasma at 12 hours post-drug administration after administration of the first dose)
Time Frame
Day 1
Title
AUC0-tz (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point within the first dosing interval)
Time Frame
Day 1
Title
AUC0-12 (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 12 h after administration of the first dose)
Time Frame
Day 1
Title
Ae0-12 (amount of analyte that is eliminated in urine over the time interval 0 h to 12 h)
Time Frame
Day 1
Title
fe0-12 (fraction of analyte excreted unchanged in urine from time points 0 h to 12 h)
Time Frame
Day 1
Title
CLR (renal clearance of the analyte in plasma after extravascular administration - based on 0 - 12 hour data)
Time Frame
Day 1
Title
CL/F (apparent clearance of the analyte in the plasma after extravascular administration)
Time Frame
Day 1
Title
Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)
Time Frame
Day 1
Title
Cmax,ss (maximum concentration of the analyte in plasma at steady state over a uniform dosing interval)
Time Frame
Day 28
Title
Cmin,ss (minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval)
Time Frame
Day 28
Title
Cpre,N (predose concentration of the analyte in plasma at steady state immediately before administration of the next dose N)
Time Frame
Day 28
Title
Cpre,ss (predose concentration of the analyte in plasma at steady state immediately before administration of the last dose)
Time Frame
Day 28
Title
C12,ss (concentration of analyte in plasma at 12 hours post-drug administration at steady state)
Time Frame
Day 28
Title
tmax,ss (time from dosing to maximum concentration at steady state)
Time Frame
Day 28
Title
tmin,ss (time from dosing to minimum concentration during a dosing interval)
Time Frame
Day 28
Title
AUC0-tz,ss (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point within the last dosing interval)
Time Frame
Day 28
Title
AUC0-12,ss (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 12 h at steady-state)
Time Frame
Day 28
Title
MRTpo,ss (mean residence time of the analyte in the body after 56 administrations (b.i.d.) at steady state)
Time Frame
Day 28
Title
CL/F,ss (apparent clearance of the analyte in the plasma after extravascular administration at steady state)
Time Frame
Day 28
Title
Vz/F,ss (apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state)
Time Frame
Day 28
Title
Ae0-12,ss (amount of analyte that is eliminated in urine at steady state over the time interval 0 to 12 h)
Time Frame
Day 28
Title
fe0-12,ss (fraction of analyte excreted unchanged in urine at steady state over the time interval 0 to 12 h)
Time Frame
Day 28
Title
CLR,ss (renal clearance of the analyte at steady state - based on 0 - 12 hour data)
Time Frame
Day 28
Title
RA,Cmax based on Cmax
Time Frame
following 55 doses (bid)
Title
RA,AUC based on AUCτ
Time Frame
following 55 doses (bid)
Title
Predose concentrations of the analyte in plasma
Time Frame
5 minutes before drug administration on days 2,3,4,7,14,21,26,27,28 and 29
Title
Change from baseline in UGE, AE0-24
Time Frame
Day 27
Title
Change from baseline in weighted MDG, AUEC0-24
Time Frame
Day 27
Title
Epre-corrected AUEC0-5 following OGTT
Time Frame
Day 28
Title
Cavg (average concentration)
Time Frame
day 28
Title
PTF (peak trough fluctuation).
Time Frame
day 28
10. Eligibility
Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and postmenopausal or hysterectomised female patients with proven diagnosis of type 2 diabetes mellitus treated with diet and exercise only or with one or 2 oral hypoglycaemic agent other than glitazones. In case of 2 oral hypoglycaemic agents, at least one of these may be taken at no more than 50% of its maximum dose;
Age = > 21 and Age = <70 years (female hysterectomised and male patients);
Age = >55 and Age = <70 years (female postmenopausal patients);
BMI = >18.5 and BMI = <40 kg/m2 (Body Mass Index);
Signed and dated written informed consent prior to admission to the study in accordance with GCP and the local legislation.
Exclusion Criteria:
Treatment with insulin, glitazones, or more than one oral hypoglycaemic agent (except if 2 agents and at least one of them not taken at more than 50% of maximum dose);
Fasted blood glucose > 240 mg/dl on two consecutive days during wash-out; HbA1c > 8.5 % at screening;
Clinically relevant concomitant diseases other than type 2 diabetes, hyperlipidaemia and medically treated hypertension;
History of relevant allergy/hypersensitivity;
Marked baseline prolongation of QT/QTc interval;
History of additional risk factors for TdP;
Any laboratory value outside the reference range and the clinical relevance is not acceptable in the opinion of the investigator, or the value is more than 3 times higher than the upper limit of the reference range;
Concomitant medication except for acetylsalicylic acid, statins, antihypertensives (diuretics not allowed), beta-blockers for BPH and occasional use of paracetamol (doses of no more than 1000 mg; no more than 2000 mg per day; no more than 2 days per week);
Change of drug dosing of allowed co-medication < the last 6 weeks; Intake of any medication < 5 half-lives of the respective drug prior to first administration of study medication or during the trial, except allowed co-medication;
Use of drugs which might reasonably influence the results of the trial or that prolong the QT/QTc interval (based on the knowledge at the time of patient inclusion) < 10 days prior to first administration of study medication or during the trial;
Use of grapefruit (or its juice) < 10 days prior to first administration of study medication or during the trial;
Participation in another trial with an investigational drug < two months prior to first administration of study medication or during the trial; Smoker;
Inability to refrain from smoking on specified trial days; Alcohol abuse;
Drug abuse;
Blood donation;
Excessive physical activity;
Male patients not using adequate contraception;
Women of childbearing potential, positive pregnancy test or lactating
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Boehringer Ingelheim
Organizational Affiliation
Boehringer Ingelheim
Official's Role
Study Chair
Facility Information:
Facility Name
1224.4.49002 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1224.4.49003 Boehringer Ingelheim Investigational Site
City
Mainz
Country
Germany
Facility Name
1224.4.49001 Boehringer Ingelheim Investigational Site
City
Neuss
Country
Germany
Facility Name
1224.4.31001 Boehringer Ingelheim Investigational Site
City
Zuidlaren
Country
Netherlands
12. IPD Sharing Statement
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4 Weeks Treatment of Type II Diabetic Patients With BI 44847
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