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Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BI 1356 BS in Patients With Type 2 Diabetes

Primary Purpose

Diabetes Mellitus, Type 2

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
BI 1356 BS - single rising dose
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 - 65 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

Male patients with proven diagnose of type 2 diabetes mellitus treated with diet and exercise only or with one (or two) oral hypoglycaemic agents besides glitazones

  • Glycosylated haemoglobin A1 (HbA1c)

    • ≤ 8.5 % at screening for patients treated with diet and exercise and/or one oral hypoglycaemic agent or
    • ≤ 8.0 % at screening for patients treated with two oral hypoglycaemic agents
  • Age ≥21 and Age ≤65 years
  • BMI ≥18.5 and BMI ≤35 kg/m2 (Body Mass Index)
  • Caucasian ethnicity
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice GCP and the local legislation

Exclusion Criteria:

  • Any finding of the medical examination (including Blood Pressure (BP), Pulse Rate (PR) and Electrocardiogram (ECG)) deviating from normal and of not acceptable clinical relevance
  • Clinically relevant concomitant diseases like renal insufficiency, cardiac insufficiency New York Heart Association (NYHA) II-IV, known cardiovascular diseases including hypertension > 160/110 mmHg, stroke and Transient ischaemic attack (TIA)
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders besides type 2 diabetes, hyperlipidaemia and medically treated hypertension
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or relevant neurological disorders besides 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 prior to administration or during the trial except allowed co-medication
  • Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to administration or during the trial
  • Participation in another trial with an investigational drug within two months prior to administration or during the trial
  • Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
  • Inability to refrain from smoking on trial days
  • Alcohol abuse (more than 60 g/day)
  • Drug abuse
  • Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
  • Excessive physical activities (within one week prior to administration or during the trial)
  • Any laboratory value outside the reference range that is of not acceptable clinical relevance
  • Change of drug dosing of allowed co-medication (anti-hypertensive agents, acetylic salicylic acid and statins) within the last 3 months
  • Any ECG value outside of the reference range and of clinical relevance including, but not limited to QRS interval > 120 ms or QTcB > 450 ms or QT >500 ms
  • Fasted blood glucose > 240 mg/dl (=13.3 mmol/L) on two consecutive days during washout
  • Serum creatinine above upper limit of normal at screening

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    BI 1356 BS - single rising dose

    Placebo

    Arm Description

    Outcomes

    Primary Outcome Measures

    Number of patients with adverse events
    Number of patients with abnormal findings in physical examination
    Number of patients with abnormal changes in Vital signs (blood pressure (BP), pulse rate (PR))
    Number of patients with abnormal changes in 12-lead ECG (electrocardiogram)
    Number of patients with abnormal changes in laboratory parameters
    Assessment of tolerability by investigator on a 4-point scale

    Secondary Outcome Measures

    Cmax (maximum concentration of the analyte in plasma)
    tmax (time from dosing to maximum concentration)
    AUC (area under the concentration-time curve of the analyte in plasma)
    Ae (amount of analyte that is eliminated in urine)
    fe (fraction of analyte excreted in urine)
    CLR (renal clearance of the analyte in plasma)
    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)
    λz,ss (terminal rate constant in plasma at steady state)
    t1/2,ss (terminal half-life of the analyte in plasma at steady state)
    MRTpo,ss (mean residence time of the analyte in the body after 12 administrations 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)
    Changes in PTF (peak trough fluctuation)
    RA,Cmax based on Cmax
    RA,AUC based on AUCτ
    Changes in Dipeptidyl-Peptidase IV (DPP-IV) activity in plasma
    Change in plasma glucose levels

    Full Information

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

    Unique Protocol Identification Number
    NCT02183350
    Brief Title
    Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BI 1356 BS in Patients With Type 2 Diabetes
    Official Title
    Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Rising Oral Doses (1, 2.5, 5, 10 and 25 mg q.d. for 12 Days) of BI 1356 BS as Powder in the Bottle (PIB) in Patients With Type 2 Diabetes (Randomised, Double-blind, Placebo-controlled Within the Dose Groups).
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    April 2005 (undefined)
    Primary Completion Date
    August 2005 (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
    The primary objective of the current study was to investigate the safety and tolerability of BI 1356 BS following administration of multiple rising oral doses of 1 mg, 2.5 mg, 5 mg, and 10 mg over 12 days in male patients with type 2 diabetes.

    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
    Interventional Study Model
    Single Group Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    47 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    BI 1356 BS - single rising dose
    Arm Type
    Experimental
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    BI 1356 BS - single rising dose
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    Number of patients with adverse events
    Time Frame
    up to 28 days
    Title
    Number of patients with abnormal findings in physical examination
    Time Frame
    up to 28 days
    Title
    Number of patients with abnormal changes in Vital signs (blood pressure (BP), pulse rate (PR))
    Time Frame
    up to 28 days
    Title
    Number of patients with abnormal changes in 12-lead ECG (electrocardiogram)
    Time Frame
    up to 28 days
    Title
    Number of patients with abnormal changes in laboratory parameters
    Time Frame
    up to 28 days
    Title
    Assessment of tolerability by investigator on a 4-point scale
    Time Frame
    up to 28 days
    Secondary Outcome Measure Information:
    Title
    Cmax (maximum concentration of the analyte in plasma)
    Time Frame
    predose, up to 456 h
    Title
    tmax (time from dosing to maximum concentration)
    Time Frame
    predose, up to 456 h
    Title
    AUC (area under the concentration-time curve of the analyte in plasma)
    Time Frame
    predose, up to 456 h
    Title
    Ae (amount of analyte that is eliminated in urine)
    Time Frame
    predose, up to 456 h
    Title
    fe (fraction of analyte excreted in urine)
    Time Frame
    up to 288 h
    Title
    CLR (renal clearance of the analyte in plasma)
    Time Frame
    up to 288 h
    Title
    Cmin,ss (minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval)
    Time Frame
    predose, up to 456 h
    Title
    Cpre,N (predose concentration of the analyte in plasma at steady state immediately before administration of the next dose N)
    Time Frame
    predose, up to 456 h
    Title
    λz,ss (terminal rate constant in plasma at steady state)
    Time Frame
    predose, up to 456 h
    Title
    t1/2,ss (terminal half-life of the analyte in plasma at steady state)
    Time Frame
    predose, up to 456 h
    Title
    MRTpo,ss (mean residence time of the analyte in the body after 12 administrations at steady state)
    Time Frame
    predose, up to 456 h
    Title
    CL/F,ss (apparent clearance of the analyte in the plasma after extravascular administration at steady state)
    Time Frame
    predose, up to 456 h
    Title
    Vz/F,ss (apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state)
    Time Frame
    predose, up to 456 h
    Title
    Changes in PTF (peak trough fluctuation)
    Time Frame
    up to 28 days
    Title
    RA,Cmax based on Cmax
    Time Frame
    predose, up to 456 h
    Title
    RA,AUC based on AUCτ
    Time Frame
    predose, up to 456 h
    Title
    Changes in Dipeptidyl-Peptidase IV (DPP-IV) activity in plasma
    Time Frame
    predose, up to 456 h
    Title
    Change in plasma glucose levels
    Time Frame
    up to 13 days

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    21 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male patients with proven diagnose of type 2 diabetes mellitus treated with diet and exercise only or with one (or two) oral hypoglycaemic agents besides glitazones Glycosylated haemoglobin A1 (HbA1c) ≤ 8.5 % at screening for patients treated with diet and exercise and/or one oral hypoglycaemic agent or ≤ 8.0 % at screening for patients treated with two oral hypoglycaemic agents Age ≥21 and Age ≤65 years BMI ≥18.5 and BMI ≤35 kg/m2 (Body Mass Index) Caucasian ethnicity Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice GCP and the local legislation Exclusion Criteria: Any finding of the medical examination (including Blood Pressure (BP), Pulse Rate (PR) and Electrocardiogram (ECG)) deviating from normal and of not acceptable clinical relevance Clinically relevant concomitant diseases like renal insufficiency, cardiac insufficiency New York Heart Association (NYHA) II-IV, known cardiovascular diseases including hypertension > 160/110 mmHg, stroke and Transient ischaemic attack (TIA) Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders besides type 2 diabetes, hyperlipidaemia and medically treated hypertension Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or relevant neurological disorders besides 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 prior to administration or during the trial except allowed co-medication Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to administration or during the trial Participation in another trial with an investigational drug within two months prior to administration or during the trial Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day) Inability to refrain from smoking on trial days Alcohol abuse (more than 60 g/day) Drug abuse Blood donation (more than 100 mL within four weeks prior to administration or during the trial) Excessive physical activities (within one week prior to administration or during the trial) Any laboratory value outside the reference range that is of not acceptable clinical relevance Change of drug dosing of allowed co-medication (anti-hypertensive agents, acetylic salicylic acid and statins) within the last 3 months Any ECG value outside of the reference range and of clinical relevance including, but not limited to QRS interval > 120 ms or QTcB > 450 ms or QT >500 ms Fasted blood glucose > 240 mg/dl (=13.3 mmol/L) on two consecutive days during washout Serum creatinine above upper limit of normal at screening

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/1218/1218.2_U06-1139.pdf
    Description
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    Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BI 1356 BS in Patients With Type 2 Diabetes

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