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Phase 1 Multicenter, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Response of PE0139 Injection in Adult Subjects With Type 2 Diabetes Mellitus

Primary Purpose

Type 2 Diabetes Mellitus (T2DM)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PE0139 Injection
Placebo
Sponsored by
PhaseBio Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus (T2DM)

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Willing and able to sign a written informed consent and follow all study-related procedures;
  • Male and female subjects at least 18 years of age;
  • Male subjects and female subjects of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 30 days after their dose of study drug;
  • Body mass index ≤45 kg/m2;
  • Diagnosed with T2DM and who is currently taking a stable daily dose of a basal insulin (Lantus) plus at least one oral antihyperglycemic agent at a stable dose for 3 months prior to screening.

Exclusion Criteria:

  • Currently taking or have taken within 3 months prior to screening an approved or investigational GLP-1 analogue/agonist (e.g., Victoza®) or pramlintide;
  • Currently taking or have routinely taken, within 3 months prior to screening , a short-acting insulin;
  • Currently taking or have taken, within 3 months prior to screening, a long acting insulin other than Lantus®;
  • Known allergy to, or serious adverse effect caused by an approved, or investigational insulin product or any of its components;
  • Currently taking any of the following medications: thiazide or furosemide diuretics, beta-blockers, estrogens or other hormonal replacement therapy, or other chronic medications with known adverse effects on glucose tolerance levels unless the subject has been on stable doses of such agents for at least 2 months prior to screening and have no planned changes during the study period;
  • History of recurrent severe hypoglycemia (more than 2 episodes within the last 6 months prior to randomization or hypoglycemic unawareness;
  • Malignant disease defined as 1) any history of malignant melanoma or breast cancer and/or 2) history of other types of cancer within the last 5 years prior to screening;
  • Unstable cardiovascular disease defined as one or more of the following: History of stroke, transient ischemic attack, or myocardial infarction within 6 months prior to screening; History of or currently have New York Heart Association Class III-IV heart failure prior to screening; Uncontrolled/sustained hypertension; History or evidence of long QT syndrome or mean triplicate 12-lead electrocardiogram demonstrating QT interval;
  • Clinically significant renal and/or hepatic dysfunction;
  • Absolute requirement for corticosteroids or have received systemic steroids within 3 months prior to Randomization (V5, Day -1). Note: Use of inhaled or topical corticosteroids will be permitted;
  • Pregnant or lactating female subjects;
  • Known history of or active alcohol abuse or use of illicit drugs within 1 year prior to screening;
  • Positive screening for human immunodeficiency virus antibodies, hepatitis B surface antigen, or hepatitis C virus antibodies at V1;
  • Participating in any other study and have received any other investigational medication or device within 30 days prior to Visit 1.
  • Other medical or psychiatric condition which, in the opinion of the Investigator, would place the subject at increased risk.

Sites / Locations

  • Pinnacle Research Group, LLC
  • Palm Springs Research Institute
  • Rainier Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PE0139 Injection

Placebo

Arm Description

Single subcutaneous injection of PE0139, 40 mg/mL

Single subcutaneous injection of 0.9% Sodium Chloride (NaCl) (Placebo)

Outcomes

Primary Outcome Measures

Change in Vital Signs from baseline (Day 0 Pre-dose)
Safety will be evaluated by analyses of the change from baseline in vital signs.
Change in ECGs from baseline (Day -1)
Safety will be evaluated by analyses of the change from baseline in 12-lead ECG.
Change in Safety Labs from baseline (Pre-dose)
Safety will be evaluated by analyses of the safety laboratory parameters.
Incidence and severity of immunogenicity
Safety will be evaluated by the incidence and severity of immunogenicity.
Incidence and severity of adverse events including hypoglycemia
Safety will be evaluated by the incidence and severity of adverse events including hypoglycemia.

Secondary Outcome Measures

Pharmacokinetic Profile
Pharmacokinetic parameters include: Area under the concentration curve from time 0 to infinity (AUC(0-inf)), Area under the concentration curve to the final sample with a concentration greater than or equal to Limit of Quantitation (LOQ) (AUC(0-t)), Time to maximum concentration (Tmax), Maximum serum concentration (Cmax), Elimination rate constant (Lambda-z), Elimination half-life (t1/2), Clearance uncorrected for bioavailability (CL/F), Distribution uncorrected for bioavailability (Vz/F)
Pharmacodynamic Response
To assess the pharmacodynamic response (time action profile) of various single doses of PE0139. Assessments include Fasting plasma glucose (FPG), 4-point serial glucose monitoring and glucose assessed by continuous glucose monitoring (CGM).

Full Information

First Posted
March 28, 2013
Last Updated
October 13, 2014
Sponsor
PhaseBio Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01835730
Brief Title
Phase 1 Multicenter, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Response of PE0139 Injection in Adult Subjects With Type 2 Diabetes Mellitus
Official Title
Phase 1 Multicenter, Randomized, Double-Blind, Placebo Controlled, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Response of PE0139 Injection in Adult Subjects With Type 2 Diabetes Mellitus
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PhaseBio Pharmaceuticals Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a first-in-human randomized, double-blind (Investigator and subject), placebo controlled single ascending dose study that will enroll approximately 40 (6 active/2 placebo per dose group) adult male and female subjects with Type 2 Diabetes Mellitus (T2DM).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus (T2DM)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PE0139 Injection
Arm Type
Experimental
Arm Description
Single subcutaneous injection of PE0139, 40 mg/mL
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single subcutaneous injection of 0.9% Sodium Chloride (NaCl) (Placebo)
Intervention Type
Drug
Intervention Name(s)
PE0139 Injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Change in Vital Signs from baseline (Day 0 Pre-dose)
Description
Safety will be evaluated by analyses of the change from baseline in vital signs.
Time Frame
Vital signs Day 0, 1, 2, 3, 4, 5, 6, 7, 14 and 28
Title
Change in ECGs from baseline (Day -1)
Description
Safety will be evaluated by analyses of the change from baseline in 12-lead ECG.
Time Frame
ECG Days 2 and 28
Title
Change in Safety Labs from baseline (Pre-dose)
Description
Safety will be evaluated by analyses of the safety laboratory parameters.
Time Frame
Safety Labs Days 0, 7 and 28
Title
Incidence and severity of immunogenicity
Description
Safety will be evaluated by the incidence and severity of immunogenicity.
Time Frame
Immunogenicity Days 0, 7, 14 and 28
Title
Incidence and severity of adverse events including hypoglycemia
Description
Safety will be evaluated by the incidence and severity of adverse events including hypoglycemia.
Time Frame
As reported between Days -10 to 28
Secondary Outcome Measure Information:
Title
Pharmacokinetic Profile
Description
Pharmacokinetic parameters include: Area under the concentration curve from time 0 to infinity (AUC(0-inf)), Area under the concentration curve to the final sample with a concentration greater than or equal to Limit of Quantitation (LOQ) (AUC(0-t)), Time to maximum concentration (Tmax), Maximum serum concentration (Cmax), Elimination rate constant (Lambda-z), Elimination half-life (t1/2), Clearance uncorrected for bioavailability (CL/F), Distribution uncorrected for bioavailability (Vz/F)
Time Frame
Day 0, 1, 2, 3, 4, 5, 6, and 7
Title
Pharmacodynamic Response
Description
To assess the pharmacodynamic response (time action profile) of various single doses of PE0139. Assessments include Fasting plasma glucose (FPG), 4-point serial glucose monitoring and glucose assessed by continuous glucose monitoring (CGM).
Time Frame
FPG Day -10, -4, 0, 1, 2, 3, 4, 5, 6, 7, and 28; 4-pt Glucose and CGM - Day -10 to -7, -6, -5, and -4 to 7

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: Willing and able to sign a written informed consent and follow all study-related procedures; Male and female subjects at least 18 years of age; Male subjects and female subjects of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 30 days after their dose of study drug; Body mass index ≤45 kg/m2; Diagnosed with T2DM and who is currently taking a stable daily dose of a basal insulin (Lantus) plus at least one oral antihyperglycemic agent at a stable dose for 3 months prior to screening. Exclusion Criteria: Currently taking or have taken within 3 months prior to screening an approved or investigational GLP-1 analogue/agonist (e.g., Victoza®) or pramlintide; Currently taking or have routinely taken, within 3 months prior to screening , a short-acting insulin; Currently taking or have taken, within 3 months prior to screening, a long acting insulin other than Lantus®; Known allergy to, or serious adverse effect caused by an approved, or investigational insulin product or any of its components; Currently taking any of the following medications: thiazide or furosemide diuretics, beta-blockers, estrogens or other hormonal replacement therapy, or other chronic medications with known adverse effects on glucose tolerance levels unless the subject has been on stable doses of such agents for at least 2 months prior to screening and have no planned changes during the study period; History of recurrent severe hypoglycemia (more than 2 episodes within the last 6 months prior to randomization or hypoglycemic unawareness; Malignant disease defined as 1) any history of malignant melanoma or breast cancer and/or 2) history of other types of cancer within the last 5 years prior to screening; Unstable cardiovascular disease defined as one or more of the following: History of stroke, transient ischemic attack, or myocardial infarction within 6 months prior to screening; History of or currently have New York Heart Association Class III-IV heart failure prior to screening; Uncontrolled/sustained hypertension; History or evidence of long QT syndrome or mean triplicate 12-lead electrocardiogram demonstrating QT interval; Clinically significant renal and/or hepatic dysfunction; Absolute requirement for corticosteroids or have received systemic steroids within 3 months prior to Randomization (V5, Day -1). Note: Use of inhaled or topical corticosteroids will be permitted; Pregnant or lactating female subjects; Known history of or active alcohol abuse or use of illicit drugs within 1 year prior to screening; Positive screening for human immunodeficiency virus antibodies, hepatitis B surface antigen, or hepatitis C virus antibodies at V1; Participating in any other study and have received any other investigational medication or device within 30 days prior to Visit 1. Other medical or psychiatric condition which, in the opinion of the Investigator, would place the subject at increased risk.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ronald Brazg, MD
Organizational Affiliation
Rainier Clinical Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pinnacle Research Group, LLC
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Palm Springs Research Institute
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Rainier Clinical Research
City
Renton
State/Province
Washington
ZIP/Postal Code
98057
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Phase 1 Multicenter, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Response of PE0139 Injection in Adult Subjects With Type 2 Diabetes Mellitus

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