A Study to Evaluate the Pharmacodynamic Effects of Single-Dose Co-Administration of LX4211 With Januvia® in Type 2 Diabetics
Primary Purpose
Type 2 Diabetes Mellitus
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LX4211
Januvia®
Sponsored by

About this trial
This is an interventional treatment trial for Type 2 Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria:
- Adults aged 18 to 65 years of age
- History of Type 2 Diabetes Mellitus for at least 3 months prior to Screening, with HgbA1c values of 6.5 to 10.5% and C-peptide ≥1.0 ng/mL
- Body mass index (BMI) ≤45 kg/sq m
- Willing and able to self-monitor blood glucose
- Able to provide written informed consent
Exclusion Criteria:
- History of Type 1 diabetes mellitus, diabetic ketoacidosis, hyperosmolar nonketotic syndrome, or diabetes resulting from pancreatic disorder or secondary diabetes
- Current use of any blood glucose lowering agent other than metformin
- History of renal disease or clinically significant abnormal kidney function tests at Screening or Day -2
- Presence of active hepatic disease or clinically significant abnormal liver function tests at Screening or Day -2
- History of myocardial infarction, severe/unstable angina, or coronary revascularization procedure within 6 months of Day -2
- History of clinically significant cardiac arrhythmias within 1 year of Day -2
- Congestive heart failure and/or New York Heart Association (NYHA) class III or IV symptoms of heart failure
- Subjects with uncontrolled Stage 3 hypertension
- History of 2 or more emergency room visits, doctor's visits, or hospitalizations due to hypoglycemia within 6 months of Day -2
- History of alcohol or drug abuse within 12 months of Screening
- History of bowel resection > 20 cm, any malabsorptive disorder, severe gastroparesis, and GI procedure for the purpose of weight loss that would slow gastric emptying
- History of HIV or hepatitis C
- Major surgery within 3 months of Day -2 or any planned surgery during the study
- History of any active infection within 2 weeks of Day -2
- History of pancreatitis
- History of any malignancy within the last 5 years which would affect the diagnosis or assessment of LX4211 or sitagliptin
- History of any serious adverse reaction or hypersensitivity to LX4211 or sitagliptin
- Presence of any clinically significant physical, laboratory, or ECG findings or any concurrent condition at Screening that may interfere with the study in the opinion of the investigator
- Triglycerides > 1000 mg/dL at Screening or Day -2
- Donation or loss of >400 mL of blood or blood product within 8 weeks prior to Day -2
- Use of any tobacco product for the duration of study participation
- Use of corticosteroids within 2 weeks of Day 1
- Use of digoxin or warfarin within 2 weeks prior to Screening
Sites / Locations
- Lexicon Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
Treatment A
Treatment C
Treatment B
Arm Description
Outcomes
Primary Outcome Measures
Change from baseline in gut hormones
Secondary Outcome Measures
Change from baseline in fasting plasma glucose
Change from baseline in postprandial glucose
Change from baseline in insulin
Change from baseline in peptide YY
Change from baseline in urinary glucose excretion
Full Information
NCT ID
NCT01441232
First Posted
September 23, 2011
Last Updated
January 26, 2012
Sponsor
Lexicon Pharmaceuticals
1. Study Identification
Unique Protocol Identification Number
NCT01441232
Brief Title
A Study to Evaluate the Pharmacodynamic Effects of Single-Dose Co-Administration of LX4211 With Januvia® in Type 2 Diabetics
Official Title
A Phase 1, Open-label, 3-period, 3-treatment, Single Dose Crossover Study to Evaluate the Pharmacodynamic Effects of LX4211 When Administered Concurrently With JANUVIA® (Sitagliptin) in Subjects With Type 2 Diabetes Mellitus
Study Type
Interventional
2. Study Status
Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lexicon Pharmaceuticals
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is intended to evaluate the pharmacodynamics, safety, and tolerability of LX4211 when administered concurrently with sitagliptin (Januvia®) in patients with Type 2 Diabetes Mellitus.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
18 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment A
Arm Type
Experimental
Arm Title
Treatment C
Arm Type
Experimental
Arm Title
Treatment B
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
LX4211
Intervention Description
400 mg of LX4211 administered as two 200 mg tablets
Intervention Type
Drug
Intervention Name(s)
Januvia®
Intervention Description
100 mg Januvia® (sitagliptin) administered as one 100 mg sitagliptin tablet
Primary Outcome Measure Information:
Title
Change from baseline in gut hormones
Time Frame
Days 1, 8, and 15
Secondary Outcome Measure Information:
Title
Change from baseline in fasting plasma glucose
Time Frame
Days 1, 8, and 15
Title
Change from baseline in postprandial glucose
Time Frame
Days 1, 8, and 15
Title
Change from baseline in insulin
Time Frame
Days 1, 8, and 15
Title
Change from baseline in peptide YY
Time Frame
Days 1, 8, and 15
Title
Change from baseline in urinary glucose excretion
Time Frame
Days 1, 8, and 15
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Adults aged 18 to 65 years of age
History of Type 2 Diabetes Mellitus for at least 3 months prior to Screening, with HgbA1c values of 6.5 to 10.5% and C-peptide ≥1.0 ng/mL
Body mass index (BMI) ≤45 kg/sq m
Willing and able to self-monitor blood glucose
Able to provide written informed consent
Exclusion Criteria:
History of Type 1 diabetes mellitus, diabetic ketoacidosis, hyperosmolar nonketotic syndrome, or diabetes resulting from pancreatic disorder or secondary diabetes
Current use of any blood glucose lowering agent other than metformin
History of renal disease or clinically significant abnormal kidney function tests at Screening or Day -2
Presence of active hepatic disease or clinically significant abnormal liver function tests at Screening or Day -2
History of myocardial infarction, severe/unstable angina, or coronary revascularization procedure within 6 months of Day -2
History of clinically significant cardiac arrhythmias within 1 year of Day -2
Congestive heart failure and/or New York Heart Association (NYHA) class III or IV symptoms of heart failure
Subjects with uncontrolled Stage 3 hypertension
History of 2 or more emergency room visits, doctor's visits, or hospitalizations due to hypoglycemia within 6 months of Day -2
History of alcohol or drug abuse within 12 months of Screening
History of bowel resection > 20 cm, any malabsorptive disorder, severe gastroparesis, and GI procedure for the purpose of weight loss that would slow gastric emptying
History of HIV or hepatitis C
Major surgery within 3 months of Day -2 or any planned surgery during the study
History of any active infection within 2 weeks of Day -2
History of pancreatitis
History of any malignancy within the last 5 years which would affect the diagnosis or assessment of LX4211 or sitagliptin
History of any serious adverse reaction or hypersensitivity to LX4211 or sitagliptin
Presence of any clinically significant physical, laboratory, or ECG findings or any concurrent condition at Screening that may interfere with the study in the opinion of the investigator
Triglycerides > 1000 mg/dL at Screening or Day -2
Donation or loss of >400 mL of blood or blood product within 8 weeks prior to Day -2
Use of any tobacco product for the duration of study participation
Use of corticosteroids within 2 weeks of Day 1
Use of digoxin or warfarin within 2 weeks prior to Screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ikenna Ogbaa, MD
Organizational Affiliation
Lexicon Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Lexicon Investigational Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78209
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
23433601
Citation
Zambrowicz B, Ding ZM, Ogbaa I, Frazier K, Banks P, Turnage A, Freiman J, Smith M, Ruff D, Sands A, Powell D. Effects of LX4211, a dual SGLT1/SGLT2 inhibitor, plus sitagliptin on postprandial active GLP-1 and glycemic control in type 2 diabetes. Clin Ther. 2013 Mar;35(3):273-285.e7. doi: 10.1016/j.clinthera.2013.01.010. Epub 2013 Feb 21.
Results Reference
derived
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A Study to Evaluate the Pharmacodynamic Effects of Single-Dose Co-Administration of LX4211 With Januvia® in Type 2 Diabetics
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