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BI 1356 BS in Japanese Patients With Type 2 Diabetes Mellitus

Primary Purpose

Diabetes Mellitus, Type 2

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Low dose of BI 1356 BS
Medium dose of BI 1356 BS
High dose of BI 1356 BS
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2

Eligibility Criteria

21 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Japanese patients with a diagnosis of type 2 diabetes mellitus treated with diet and/or exercise only or with one or two oral hypoglycaemic agents except glitazones
  • Glycosylated haemoglobin A1 (HbA1c)

    • <= 8.5% at screening for patients treated with diet and/or exercise and/or one oral hypoglycaemic agent or
    • <= 8.0% at screening for patients treated with two oral hypoglycaemic agents
  • Age ≥21 and ≤ 70 years
  • BMI ≥ 17.6 and ≤ 35 kg/m2

Exclusion Criteria:

  • Any finding of the medical examination including blood pressure, pulse rate and electrocardiogram (ECG) deviating from normal and of not acceptable clinical relevance
  • Clinically relevant concomitant diseases like renal insufficiency, cardiac insufficiency (NYHA II-IV), known cardiovascular diseases including hypertension (>150/95 mmHg), stroke, and transient ischemic attack (TIA).
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders, except for type 2 diabetes mellitus, hyperlipidaemia and medically treated hypertension
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or relevant neurological disorders except polyneuropathy
  • Chronic or relevant acute infections (e.g., human immunodeficiency virus (HIV), hepatitis)
  • History of relevant allergy/hypersensitivity (including allergy to drug or its excipients)
  • Intake of drugs with a long half-life (>24 hours) within at least one month or less than 10 half-lives of the respective drug before drug administration except anti-hypertensives, acetylsalicylic acid, and statins
  • Use of drugs decreasing blood glucose within 10 days before drug administration
  • Participation in another trial with an investigational drug within two months before drug administration
  • Alcohol abuse
  • Drug abuse
  • Blood donation (100 mL or more within four weeks before drug administration)
  • Excessive physical activities (within one week before drug administration or during the trial)
  • Any laboratory value outside the reference range and the clinical relevance is not acceptable (or the value is more than three times higher than the upper limit of the normal range, e.g., liver enzymes such as aspartate aminotransferase (AST(serum glutamate oxaloacetate transaminase/ SGOT)), alanine transaminase (ALT(serum glutamate pyruvate transaminase/ SGPT)), alkaline phosphatase (γALP), and lactate dehydrogenase (LDH)
  • Fasted blood glucose >240 mg/dL (=13.3 mmol/L) on two consecutive days during washout
  • Serum creatinine above 1.3 mg/dL at screening
  • Pregnancy or child-bearing potential patients and breast-feeding patients
  • Not willing to use adequate contraception (condom use plus another form of contraception, e.g., spermicide, oral contraceptive taken by female partner, sterilisation, intrauterine device) during the whole study period from the time of the first intake of study drug until one month after the last intake

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Low dose of BI 1356 BS

    Medium dose of BI 1356 BS

    High dose of BI 1356 BS

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Global assessment of tolerability by the investigator on a 4-point scale (good, satisfactory, not satisfactory and bad)
    Number of patients with adverse events
    Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate)
    Number of patients with clinically relevant changes in clinical laboratory tests (haematology, clinical chemistry, and urinalysis)

    Secondary Outcome Measures

    Maximum measured concentration of the analyte in plasma (Cmax) at different time points
    Time from last dosing to the maximum concentration of the analyte in plasma (tmax) at different time points
    Area under the concentration time curve of the analyte in plasma (AUC) at different time points
    Amount of the analyte that is eliminated in urine (Ae) at different time points
    Fraction of parent drug eliminated in urine (fe) at different time points
    Renal clearance of the analyte (CLR) at different time points
    Minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval τ (Cmin,ss)
    Average concentration of the analyte in plasma at steady state (Cavg)
    Terminal half-life of the analyte in plasma at steady state (t1/2,ss)
    Terminal rate constant in plasma at steady state (λz,ss)
    Mean residence time of the analyte in the body at steady state after oral administration (MRTpo,ss)
    Apparent clearance of the analyte in plasma at steady state after extravascular multiple dose administration (CL/F,ss)
    Apparent volume of distribution during the terminal phase λz at steady state following extravascular administration (Vz/F,ss)
    Predose concentration of the analyte in plasma (Cpre) at different time points immediately before administration of the Nth dose
    Calculation of accumulation ratio of the analyte in plasma based on Cmax (RA,Cmax)
    Calculation of accumulation ratio of the analyte in plasma based on AUCτ (RA,AUCτ)
    Minimum dipeptidyl peptidase IV (DPP-IV) activity (Emin) at different time points
    Time to reach minimum DPP-IV activity (tmin) at different time points
    DPP-IV activity at different time points

    Full Information

    First Posted
    July 4, 2014
    Last Updated
    December 27, 2017
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02183324
    Brief Title
    BI 1356 BS in Japanese Patients With Type 2 Diabetes Mellitus
    Official Title
    A Randomised, Double-blind, Placebo-controlled, Multiple Dose Phase II Study of BI 1356 BS (0.5 mg, 2.5 mg, and 10 mg in Tablet q.d. Administered Orally for 28 Days) to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics in Japanese Patients With Type 2 Diabetes Mellitus
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2007 (undefined)
    Primary Completion Date
    June 2007 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    Study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of BI 1356 BS (0.5 mg, 2.5 mg, and 10 mg) administered orally once daily for 28 days in Japanese 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
    Diabetes Mellitus, Type 2

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    72 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Low dose of BI 1356 BS
    Arm Type
    Experimental
    Arm Title
    Medium dose of BI 1356 BS
    Arm Type
    Experimental
    Arm Title
    High dose of BI 1356 BS
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Low dose of BI 1356 BS
    Intervention Type
    Drug
    Intervention Name(s)
    Medium dose of BI 1356 BS
    Intervention Type
    Drug
    Intervention Name(s)
    High dose of BI 1356 BS
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    Global assessment of tolerability by the investigator on a 4-point scale (good, satisfactory, not satisfactory and bad)
    Time Frame
    Day 43
    Title
    Number of patients with adverse events
    Time Frame
    Up to day 50
    Title
    Number of patients with clinically relevant changes in vital signs (blood pressure, pulse rate)
    Time Frame
    Up to day 50
    Title
    Number of patients with clinically relevant changes in clinical laboratory tests (haematology, clinical chemistry, and urinalysis)
    Time Frame
    Up to day 50
    Secondary Outcome Measure Information:
    Title
    Maximum measured concentration of the analyte in plasma (Cmax) at different time points
    Time Frame
    Up to day 43
    Title
    Time from last dosing to the maximum concentration of the analyte in plasma (tmax) at different time points
    Time Frame
    Up to day 43
    Title
    Area under the concentration time curve of the analyte in plasma (AUC) at different time points
    Time Frame
    Up to day 43
    Title
    Amount of the analyte that is eliminated in urine (Ae) at different time points
    Time Frame
    Up to day 43
    Title
    Fraction of parent drug eliminated in urine (fe) at different time points
    Time Frame
    Up to day 43
    Title
    Renal clearance of the analyte (CLR) at different time points
    Time Frame
    Up to day 43
    Title
    Minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval τ (Cmin,ss)
    Time Frame
    After the last dose on day 28 up to day 43
    Title
    Average concentration of the analyte in plasma at steady state (Cavg)
    Time Frame
    After the last dose on day 28 up to day 43
    Title
    Terminal half-life of the analyte in plasma at steady state (t1/2,ss)
    Time Frame
    After the last dose on day 28 up to day 43
    Title
    Terminal rate constant in plasma at steady state (λz,ss)
    Time Frame
    After last dose on day 28 up to day 43
    Title
    Mean residence time of the analyte in the body at steady state after oral administration (MRTpo,ss)
    Time Frame
    After last dose on day 28 up to day 43
    Title
    Apparent clearance of the analyte in plasma at steady state after extravascular multiple dose administration (CL/F,ss)
    Time Frame
    After last dose on day 28 up to day 43
    Title
    Apparent volume of distribution during the terminal phase λz at steady state following extravascular administration (Vz/F,ss)
    Time Frame
    After last dose on day 28 up to day 43
    Title
    Predose concentration of the analyte in plasma (Cpre) at different time points immediately before administration of the Nth dose
    Time Frame
    Up to day 28
    Title
    Calculation of accumulation ratio of the analyte in plasma based on Cmax (RA,Cmax)
    Time Frame
    Up to day 43
    Title
    Calculation of accumulation ratio of the analyte in plasma based on AUCτ (RA,AUCτ)
    Time Frame
    Up to day 43
    Title
    Minimum dipeptidyl peptidase IV (DPP-IV) activity (Emin) at different time points
    Time Frame
    Up to day 43
    Title
    Time to reach minimum DPP-IV activity (tmin) at different time points
    Time Frame
    Up to day 43
    Title
    DPP-IV activity at different time points
    Time Frame
    Up to day 43

    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: Japanese patients with a diagnosis of type 2 diabetes mellitus treated with diet and/or exercise only or with one or two oral hypoglycaemic agents except glitazones Glycosylated haemoglobin A1 (HbA1c) <= 8.5% at screening for patients treated with diet and/or exercise and/or one oral hypoglycaemic agent or <= 8.0% at screening for patients treated with two oral hypoglycaemic agents Age ≥21 and ≤ 70 years BMI ≥ 17.6 and ≤ 35 kg/m2 Exclusion Criteria: Any finding of the medical examination including blood pressure, pulse rate and electrocardiogram (ECG) deviating from normal and of not acceptable clinical relevance Clinically relevant concomitant diseases like renal insufficiency, cardiac insufficiency (NYHA II-IV), known cardiovascular diseases including hypertension (>150/95 mmHg), stroke, and transient ischemic attack (TIA). Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders, except for type 2 diabetes mellitus, hyperlipidaemia and medically treated hypertension Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or relevant neurological disorders except polyneuropathy Chronic or relevant acute infections (e.g., human immunodeficiency virus (HIV), hepatitis) History of relevant allergy/hypersensitivity (including allergy to drug or its excipients) Intake of drugs with a long half-life (>24 hours) within at least one month or less than 10 half-lives of the respective drug before drug administration except anti-hypertensives, acetylsalicylic acid, and statins Use of drugs decreasing blood glucose within 10 days before drug administration Participation in another trial with an investigational drug within two months before drug administration Alcohol abuse Drug abuse Blood donation (100 mL or more within four weeks before drug administration) Excessive physical activities (within one week before drug administration or during the trial) Any laboratory value outside the reference range and the clinical relevance is not acceptable (or the value is more than three times higher than the upper limit of the normal range, e.g., liver enzymes such as aspartate aminotransferase (AST(serum glutamate oxaloacetate transaminase/ SGOT)), alanine transaminase (ALT(serum glutamate pyruvate transaminase/ SGPT)), alkaline phosphatase (γALP), and lactate dehydrogenase (LDH) Fasted blood glucose >240 mg/dL (=13.3 mmol/L) on two consecutive days during washout Serum creatinine above 1.3 mg/dL at screening Pregnancy or child-bearing potential patients and breast-feeding patients Not willing to use adequate contraception (condom use plus another form of contraception, e.g., spermicide, oral contraceptive taken by female partner, sterilisation, intrauterine device) during the whole study period from the time of the first intake of study drug until one month after the last intake

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/1218/1218.12_U08-3213-01.pdf
    Description
    Related Info
    URL
    https://www.ncbi.nlm.nih.gov/pubmed/24393553
    Description
    Related Info

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    BI 1356 BS in Japanese Patients With Type 2 Diabetes Mellitus

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