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

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