Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction
Primary Purpose
Renal Insufficiency
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Met DR
Met XR
Placebo
Sponsored by
About this trial
This is an interventional basic science trial for Renal Insufficiency
Eligibility Criteria
Inclusion Criteria:
- 18 to 80 (inclusive) years old at Visit 1 (Screening)
Male, or female and met all of the following criteria:
- Not breastfeeding
- Negative pregnancy test result at Visit 1 (Screening) (not applicable to postmenopausal or surgically sterile females)
- Surgically sterile, postmenopausal, or if of childbearing potential, practiced and was willing to continue to practice appropriate birth control during the entire duration of the study
- Body weight of ≥45 kg
- Body mass index (BMI) of 18.0 to 40.0 kg/m² (inclusive) at Visit 1 (Screening)
- Had type 2 diabetes mellitus and an HbA1c ≤10.0%
- Had a physical examination with no clinically significant abnormalities as judged by the investigator
- Estimated glomerular filtration rate (eGFR) ≥15 mL/min/1.73 m² based on the Modification of Diet in Renal Disease (MDRD) equation
- Ability to understand and willingness to adhere to protocol requirements
Exclusion Criteria:
- Had End Stage Renal Disease requiring dialysis or severe renal dysfunction with eGFR <15 mL/min/1.73 m²
- Was on dialysis or had been on dialysis within 12 months of Visit 1 (Screening)
- Had received or planned to receive any iodinated contrast dye within 1 week prior to Visit 1 (Screening) or after study medication administration
- Was taking or had taken within 1 week of Visit 1 cationic drugs that are eliminated by renal tubular secretion (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin)
Had a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions:
- Hepatic disease
- Gastrointestinal disease
- Endocrine disorder (type 2 diabetes mellitus was allowed)
- Cardiovascular disease
- Central nervous system diseases
- Psychiatric or neurological disorders
- Organ transplantation
- Chronic or acute infection
- Orthostatic hypotension, fainting spells or blackouts
- Allergy or hypersensitivity
- Had any chronic disease requiring medication that had been adjusted in the past 14 days (subjects could take acute intermittent over-the-counter medications such as Tylenol, if needed)
- Had major surgery of any kind within 6 months of Visit 1 (Screening)
- Had a clinically significant finding of an electrocardiogram (ECG) as assessed by the investigator at Visit 1 (Screening)
- Had clinical laboratory test (clinical chemistry, hematology, or urinalysis) abnormalities, other than those related to diabetes or renal disease and other stable diseases, judged by the investigator to be clinically significant at Visit 1 (Screening)
- Had a hemoglobin result <8 g/dL or a level indicating severe anemia of renal origin
- Had a physical, psychological, or historical finding that, in the investigator's opinion, would make the subject unsuitable for the study
- Had received Byetta® or short-acting insulin within 3 days of Visit 1 (Screening)
- Had received metformin within 4 weeks of Visit 1 (Screening)
- Had any drug treatment that affects gastrointestinal motility or gastric pH (prescription or over-the-counter), including any antacids or medications such as Rolaids or Pepcid, within 2 days of Visit 2
- Abused drugs or alcohol or had a history of abuse that in the investigator's opinion would cause the individual to be noncompliant with study procedures
- Smoked more than 10 cigarettes, 3 cigars, or 3 pipes per day
- Had donated blood within 2 months of Visit 1 (Screening) or was planning to donate blood during the study
- Had received any investigational drug within one month (or seven half-lives of the investigational drug, whichever was greater) of Visit 1 (Screening)
- Had known allergies or hypersensitivity to any component of study treatment
- Was employed by Elcelyx Therapeutics, Inc (that is an employee, temporary contract worker, or designee of the company)
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
Met DR
Met XR
Placebo
Arm Description
One dose of 1000 mg metformin delayed-release
One dose of 1000 mg metformin extended-release
One dose of Placebo
Outcomes
Primary Outcome Measures
AUC (0-t) of Plasma Metformin
AUC (0-t) = Area under the curve from the time of dosing (0 h) to the time of the last quantifiable concentration following dose administration
Cmax of Plasma Metformin
Cmax = Maximum concentration from the time of dosing (0 h) to the time of the last quantifiable metformin concentration following dose administration
Correlation of Placebo-adjusted Change From Pre-dose Value in Lactate Versus Metformin Concentration
To determine the exposure-response relationship of metformin and plasma lactate concentrations
Secondary Outcome Measures
Full Information
NCT ID
NCT01658514
First Posted
August 1, 2012
Last Updated
November 25, 2015
Sponsor
Elcelyx Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01658514
Brief Title
Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction
Official Title
A Randomized, Crossover Study Assessing the Single Dose Pharmacokinetics of Delayed-Release Metformin in Subjects With Renal Dysfunction
Study Type
Interventional
2. Study Status
Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
June 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Elcelyx Therapeutics, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study evaluated how a single dose of delayed-release metformin (Met DR) behaves in subjects with normal kidney function, mild kidney dysfunction, moderate kidney dysfunction, or severe kidney dysfunction. The safety and tolerability of Met DR was also examined. In addition, this study compared the behavior of a single dose of Met DR with that of extended-release metformin (Met XR) and placebo in subjects with the varying levels of kidney function described above.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Insufficiency
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
39 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Met DR
Arm Type
Experimental
Arm Description
One dose of 1000 mg metformin delayed-release
Arm Title
Met XR
Arm Type
Active Comparator
Arm Description
One dose of 1000 mg metformin extended-release
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
One dose of Placebo
Intervention Type
Drug
Intervention Name(s)
Met DR
Intervention Description
metformin delayed-release tablets
Intervention Type
Drug
Intervention Name(s)
Met XR
Intervention Description
metformin extended-release tablets
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
AUC (0-t) of Plasma Metformin
Description
AUC (0-t) = Area under the curve from the time of dosing (0 h) to the time of the last quantifiable concentration following dose administration
Time Frame
from the time of dosing (0 h) to 72 hours postdose
Title
Cmax of Plasma Metformin
Description
Cmax = Maximum concentration from the time of dosing (0 h) to the time of the last quantifiable metformin concentration following dose administration
Time Frame
from the time of dosing (0 h) to 72 hours postdose
Title
Correlation of Placebo-adjusted Change From Pre-dose Value in Lactate Versus Metformin Concentration
Description
To determine the exposure-response relationship of metformin and plasma lactate concentrations
Time Frame
from the time of dosing (0 h) to 24 hours postdose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
18 to 80 (inclusive) years old at Visit 1 (Screening)
Male, or female and met all of the following criteria:
Not breastfeeding
Negative pregnancy test result at Visit 1 (Screening) (not applicable to postmenopausal or surgically sterile females)
Surgically sterile, postmenopausal, or if of childbearing potential, practiced and was willing to continue to practice appropriate birth control during the entire duration of the study
Body weight of ≥45 kg
Body mass index (BMI) of 18.0 to 40.0 kg/m² (inclusive) at Visit 1 (Screening)
Had type 2 diabetes mellitus and an HbA1c ≤10.0%
Had a physical examination with no clinically significant abnormalities as judged by the investigator
Estimated glomerular filtration rate (eGFR) ≥15 mL/min/1.73 m² based on the Modification of Diet in Renal Disease (MDRD) equation
Ability to understand and willingness to adhere to protocol requirements
Exclusion Criteria:
Had End Stage Renal Disease requiring dialysis or severe renal dysfunction with eGFR <15 mL/min/1.73 m²
Was on dialysis or had been on dialysis within 12 months of Visit 1 (Screening)
Had received or planned to receive any iodinated contrast dye within 1 week prior to Visit 1 (Screening) or after study medication administration
Was taking or had taken within 1 week of Visit 1 cationic drugs that are eliminated by renal tubular secretion (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin)
Had a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions:
Hepatic disease
Gastrointestinal disease
Endocrine disorder (type 2 diabetes mellitus was allowed)
Cardiovascular disease
Central nervous system diseases
Psychiatric or neurological disorders
Organ transplantation
Chronic or acute infection
Orthostatic hypotension, fainting spells or blackouts
Allergy or hypersensitivity
Had any chronic disease requiring medication that had been adjusted in the past 14 days (subjects could take acute intermittent over-the-counter medications such as Tylenol, if needed)
Had major surgery of any kind within 6 months of Visit 1 (Screening)
Had a clinically significant finding of an electrocardiogram (ECG) as assessed by the investigator at Visit 1 (Screening)
Had clinical laboratory test (clinical chemistry, hematology, or urinalysis) abnormalities, other than those related to diabetes or renal disease and other stable diseases, judged by the investigator to be clinically significant at Visit 1 (Screening)
Had a hemoglobin result <8 g/dL or a level indicating severe anemia of renal origin
Had a physical, psychological, or historical finding that, in the investigator's opinion, would make the subject unsuitable for the study
Had received Byetta® or short-acting insulin within 3 days of Visit 1 (Screening)
Had received metformin within 4 weeks of Visit 1 (Screening)
Had any drug treatment that affects gastrointestinal motility or gastric pH (prescription or over-the-counter), including any antacids or medications such as Rolaids or Pepcid, within 2 days of Visit 2
Abused drugs or alcohol or had a history of abuse that in the investigator's opinion would cause the individual to be noncompliant with study procedures
Smoked more than 10 cigarettes, 3 cigars, or 3 pipes per day
Had donated blood within 2 months of Visit 1 (Screening) or was planning to donate blood during the study
Had received any investigational drug within one month (or seven half-lives of the investigational drug, whichever was greater) of Visit 1 (Screening)
Had known allergies or hypersensitivity to any component of study treatment
Was employed by Elcelyx Therapeutics, Inc (that is an employee, temporary contract worker, or designee of the company)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
George Canas, MD
Organizational Affiliation
Prism Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Kenneth Lasseter, MD
Organizational Affiliation
Clinical Pharmacology of Miami, Inc
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Alexander White, MD
Organizational Affiliation
Progressive Medical Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Harold Bays, MD
Organizational Affiliation
Louisville Metabolic and Atherosclerosis Research Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Craig Curtis, MD
Organizational Affiliation
Compass Research
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Prabir Roy-Chaudhury
Organizational Affiliation
Cincinnati Veterans Affairs Medical Center Department of Internal Medicine
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sunder Mudaliar
Organizational Affiliation
San Diego Veterans Healthcare System
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Nelson Kopyt
Organizational Affiliation
Northeast Clinical Research Center
Official's Role
Principal Investigator
12. IPD Sharing Statement
Citations:
Citation
Bakris GL, Mudaliar, S, Kim T, Burns C, Skare S, Baron A, Fineman M. Effects of New Metformin Formulation in Stage 3 and 4 CKD: A Pilot Study. J Am Soc Nephrol. 2014; 25:549A.
Results Reference
result
PubMed Identifier
26773926
Citation
DeFronzo R, Fleming GA, Chen K, Bicsak TA. Metformin-associated lactic acidosis: Current perspectives on causes and risk. Metabolism. 2016 Feb;65(2):20-9. doi: 10.1016/j.metabol.2015.10.014. Epub 2015 Oct 9.
Results Reference
result
Learn more about this trial
Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction
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