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Study of KD026 in Combination With Metformin in Subjects With Type 2 Diabetes Mellitus

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
KD026
Placebo
Metformin
Sponsored by
Kadmon Corporation, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have type 2 diabetes, with finger stick HbA1c ≥ 7.0% and ≤ 11.0% at screening visit, and HbA1c via venipuncture ≥ 7.0% and ≤ 11.0 % at the Qualification visit
  • Have been on metformin for at least 12 weeks prior to screening visit and the metformin dose is not expected to change during the 4-week run-in period
  • Have a BMI of ≥ 27 kg/m2 and ≤ 45 kg/m2
  • Men, post-menopausal women (defined as not having a menstrual period for at least 1 year), surgically sterile women (for at least 1 year), or women of childbearing potential with a negative pregnancy test within the last 24 hours
  • Women of childbearing potential and men whose partners are of childbearing potential must agree to use two forms of accepted methods of contraception during the course of the study and for 1 month after their last dose of study drug. Effective birth control includes (a) IUD plus one barrier method; (b) on stable doses of hormonal contraception for at least 3 months (eg, oral, injectable, implant, transdermal) plus one barrier method; (c) 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gels that contain a chemical to kill sperm); or (d) a vasectomized partner

Exclusion Criteria:

  • Have type 1 diabetes
  • Taking antidiabetic medications other than or in addition to metformin
  • Have fasting plasma glucose > 270 mg/dL at screening visit
  • Have a serum creatinine ≥1.7 mg/dL or glomerular filtration rate <60 mL/min at screening visit
  • Have a history of diabetic retinopathy
  • Uncontrolled high blood pressure
  • Have a history of chronic liver disease and/or alanine transaminase (ALT) or aspartate transaminase (AST) >2.0 × the upper limit of normal (ULN) at screening visit.
  • Have a history of a malignant cancer (other than basal cell, localized cervical, or squamous cell carcinoma of the skin that has been removed)
  • Have a history or presence of gastrointestinal (GI) disease or major gastrointestinal surgery that, in the opinion of the investigator, could interfere with drug absorption
  • Currently using any of prohibited medications that cannot be stopped
  • Abuse alcohol (defined as an average weekly intake of greater than 21 units or an average daily intake of greater than 3 units [1 unit is equivalent to a half pint of beer, 1 serving of hard liquor, or one glass of wine]
  • History or presence of drug abuse according to Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) criteria within the 2 years prior to screening visit
  • Have a 12-lead ECG at screening visit that, in the opinion of the investigator, have abnormalities that may compromise safety in this study, including a QTc(F) interval (QT interval data corrected using Fridericia's formula) of > 450 msec
  • Have a clinically significant abnormal laboratory result including thyroid-stimulating hormone (TSH) >1.5 × ULN at screening visit
  • Have a positive test for hepatitis B surface antigen (HBsAg), hepatitis C antibody/virus (HCV) or human immunodeficiency virus (HIV) antibodies at screening visit or a documented history of a positive result
  • Pregnant or lactating woman
  • Previously received KD026 (formerly named SLx-4090)
  • Participated in a trial with any investigational drug within 4 weeks prior to screening visit

Sites / Locations

  • Achieve Clinical Research, LLC
  • Axis Clinical Trials
  • National Research Institute
  • Infosphere Clinical Research, Inc
  • Clinical Research of South Florida
  • Med Research of Florida, LLC
  • High Point Clinical Trials Center
  • Coastal Carolina Research Center
  • Clinical Trial Network
  • Clinical Research Associates of Tidewater

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Placebo Comparator

Placebo Comparator

Arm Label

Cohort 1 100 mg KD026 BID

Cohort 2 150 mg KD026 BID

Cohort 3 200 mg KD026 BID

Cohort 4 100 mg KD026 TID

Cohort 1 Placebo

Cohort 2 Placebo

Cohort 3 Placebo

Cohort 4 Placebo

Arm Description

100 mg KD026 twice a day (BID) in combination with Metformin for 12 weeks

150 mg KD026 BID in combination with Metformin for 12 weeks

200 mg KD026 BID in combination with Metformin for 12 weeks

100 mg KD026 three times a day (TID) in combination with Metformin for 12 weeks

Matched Placebo Dose BID in combination with Metformin for 12 weeks

Matched Placebo Dose BID in combination with Metformin for 12 weeks

Matched Placebo Dose BID in combination with Metformin for 12 weeks

Matched Placebo Dose TID in combination with Metformin for 12 weeks

Outcomes

Primary Outcome Measures

Number of Subjects Experiencing Adverse Events as a Measure of Safety, Tolerability, and Efficacy
To assess the safety, tolerability, and efficacy (as measured by a 0.5%-1.5% decrease of HbA1c) of different dosages and dosing regimens of a combination of KD026 and metformin compared to placebo and metformin when administered for 3 months to subjects with type 2 diabetes mellitus

Secondary Outcome Measures

Changes in Fasting Plasma Glucose (FPG)
To assess changes in fasting plasma glucose from baseline to Week 12
Changes in Insulin
To assess changes in insulin from baseline to Week 12
Changes in HOMA-IR
To assess changes in Homeostasis Model Assessment - Insulin Resistance (HOMA-IR) from baseline to Week 12
Changes in Body Weight
To assess changes in body weight
Changes in AUC
To assess the 6-hour time curve (AUC) for post prandial triglycerides and glucose.
Changes in Lipids
To assess changes in total cholesterol, LDL-C, HDL-C, non-HDL-C, VLDL-C, and triglyceride levels
Changes in Blood Pressure
To assess changes, if any, in baseline blood pressure associated with metabolic syndrome
Changes in Waist Circumference
To assess changes, if any, in baseline waist circumference associated with metabolic syndrome
Changes in Body Mass Index (BMI)
To assess changes, if any, in baseline measures of BMI associated with metabolic syndrome
Changes in Plasma Levels of KD026
To assess plasma levels of KD026 in all subjects
Changes in Serum Levels of Non-Esterified Free Fatty Acids
To assess the change in serum levels of non-esterified free fatty acids from baseline to Week 12

Full Information

First Posted
April 28, 2015
Last Updated
April 13, 2016
Sponsor
Kadmon Corporation, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02434744
Brief Title
Study of KD026 in Combination With Metformin in Subjects With Type 2 Diabetes Mellitus
Official Title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of KD026 in Combination With Metformin in Subjects With Type 2 Diabetes Mellitus
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kadmon Corporation, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will compare the safety, tolerability and efficacy of the combination of KD026 and metformin compared to placebo and metformin on improving glycemic control in 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
Type 2 Diabetes Mellitus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
121 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 100 mg KD026 BID
Arm Type
Experimental
Arm Description
100 mg KD026 twice a day (BID) in combination with Metformin for 12 weeks
Arm Title
Cohort 2 150 mg KD026 BID
Arm Type
Experimental
Arm Description
150 mg KD026 BID in combination with Metformin for 12 weeks
Arm Title
Cohort 3 200 mg KD026 BID
Arm Type
Experimental
Arm Description
200 mg KD026 BID in combination with Metformin for 12 weeks
Arm Title
Cohort 4 100 mg KD026 TID
Arm Type
Experimental
Arm Description
100 mg KD026 three times a day (TID) in combination with Metformin for 12 weeks
Arm Title
Cohort 1 Placebo
Arm Type
Placebo Comparator
Arm Description
Matched Placebo Dose BID in combination with Metformin for 12 weeks
Arm Title
Cohort 2 Placebo
Arm Type
Placebo Comparator
Arm Description
Matched Placebo Dose BID in combination with Metformin for 12 weeks
Arm Title
Cohort 3 Placebo
Arm Type
Placebo Comparator
Arm Description
Matched Placebo Dose BID in combination with Metformin for 12 weeks
Arm Title
Cohort 4 Placebo
Arm Type
Placebo Comparator
Arm Description
Matched Placebo Dose TID in combination with Metformin for 12 weeks
Intervention Type
Drug
Intervention Name(s)
KD026
Other Intervention Name(s)
SLx-4090
Intervention Description
Dosed in combination
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Dosed in combination
Intervention Type
Drug
Intervention Name(s)
Metformin
Intervention Description
Drug prescribed by each subject's prescribing physician
Primary Outcome Measure Information:
Title
Number of Subjects Experiencing Adverse Events as a Measure of Safety, Tolerability, and Efficacy
Description
To assess the safety, tolerability, and efficacy (as measured by a 0.5%-1.5% decrease of HbA1c) of different dosages and dosing regimens of a combination of KD026 and metformin compared to placebo and metformin when administered for 3 months to subjects with type 2 diabetes mellitus
Time Frame
12 Weeks
Secondary Outcome Measure Information:
Title
Changes in Fasting Plasma Glucose (FPG)
Description
To assess changes in fasting plasma glucose from baseline to Week 12
Time Frame
12 Weeks
Title
Changes in Insulin
Description
To assess changes in insulin from baseline to Week 12
Time Frame
12 Weeks
Title
Changes in HOMA-IR
Description
To assess changes in Homeostasis Model Assessment - Insulin Resistance (HOMA-IR) from baseline to Week 12
Time Frame
12 Weeks
Title
Changes in Body Weight
Description
To assess changes in body weight
Time Frame
12 Weeks
Title
Changes in AUC
Description
To assess the 6-hour time curve (AUC) for post prandial triglycerides and glucose.
Time Frame
12 Weeks
Title
Changes in Lipids
Description
To assess changes in total cholesterol, LDL-C, HDL-C, non-HDL-C, VLDL-C, and triglyceride levels
Time Frame
12 Weeks
Title
Changes in Blood Pressure
Description
To assess changes, if any, in baseline blood pressure associated with metabolic syndrome
Time Frame
12 Weeks
Title
Changes in Waist Circumference
Description
To assess changes, if any, in baseline waist circumference associated with metabolic syndrome
Time Frame
12 Weeks
Title
Changes in Body Mass Index (BMI)
Description
To assess changes, if any, in baseline measures of BMI associated with metabolic syndrome
Time Frame
12 Weeks
Title
Changes in Plasma Levels of KD026
Description
To assess plasma levels of KD026 in all subjects
Time Frame
12 Weeks
Title
Changes in Serum Levels of Non-Esterified Free Fatty Acids
Description
To assess the change in serum levels of non-esterified free fatty acids from baseline to Week 12
Time Frame
12 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have type 2 diabetes, with finger stick HbA1c ≥ 7.0% and ≤ 11.0% at screening visit, and HbA1c via venipuncture ≥ 7.0% and ≤ 11.0 % at the Qualification visit Have been on metformin for at least 12 weeks prior to screening visit and the metformin dose is not expected to change during the 4-week run-in period Have a BMI of ≥ 27 kg/m2 and ≤ 45 kg/m2 Men, post-menopausal women (defined as not having a menstrual period for at least 1 year), surgically sterile women (for at least 1 year), or women of childbearing potential with a negative pregnancy test within the last 24 hours Women of childbearing potential and men whose partners are of childbearing potential must agree to use two forms of accepted methods of contraception during the course of the study and for 1 month after their last dose of study drug. Effective birth control includes (a) IUD plus one barrier method; (b) on stable doses of hormonal contraception for at least 3 months (eg, oral, injectable, implant, transdermal) plus one barrier method; (c) 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gels that contain a chemical to kill sperm); or (d) a vasectomized partner Exclusion Criteria: Have type 1 diabetes Taking antidiabetic medications other than or in addition to metformin Have fasting plasma glucose > 270 mg/dL at screening visit Have a serum creatinine ≥1.7 mg/dL or glomerular filtration rate <60 mL/min at screening visit Have a history of diabetic retinopathy Uncontrolled high blood pressure Have a history of chronic liver disease and/or alanine transaminase (ALT) or aspartate transaminase (AST) >2.0 × the upper limit of normal (ULN) at screening visit. Have a history of a malignant cancer (other than basal cell, localized cervical, or squamous cell carcinoma of the skin that has been removed) Have a history or presence of gastrointestinal (GI) disease or major gastrointestinal surgery that, in the opinion of the investigator, could interfere with drug absorption Currently using any of prohibited medications that cannot be stopped Abuse alcohol (defined as an average weekly intake of greater than 21 units or an average daily intake of greater than 3 units [1 unit is equivalent to a half pint of beer, 1 serving of hard liquor, or one glass of wine] History or presence of drug abuse according to Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) criteria within the 2 years prior to screening visit Have a 12-lead ECG at screening visit that, in the opinion of the investigator, have abnormalities that may compromise safety in this study, including a QTc(F) interval (QT interval data corrected using Fridericia's formula) of > 450 msec Have a clinically significant abnormal laboratory result including thyroid-stimulating hormone (TSH) >1.5 × ULN at screening visit Have a positive test for hepatitis B surface antigen (HBsAg), hepatitis C antibody/virus (HCV) or human immunodeficiency virus (HIV) antibodies at screening visit or a documented history of a positive result Pregnant or lactating woman Previously received KD026 (formerly named SLx-4090) Participated in a trial with any investigational drug within 4 weeks prior to screening visit
Facility Information:
Facility Name
Achieve Clinical Research, LLC
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35216
Country
United States
Facility Name
Axis Clinical Trials
City
Los Angeles
State/Province
California
ZIP/Postal Code
90036
Country
United States
Facility Name
National Research Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Infosphere Clinical Research, Inc
City
West Hills
State/Province
California
ZIP/Postal Code
91307
Country
United States
Facility Name
Clinical Research of South Florida
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
Med Research of Florida, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33186
Country
United States
Facility Name
High Point Clinical Trials Center
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27265
Country
United States
Facility Name
Coastal Carolina Research Center
City
Mt. Pleasant
State/Province
South Carolina
ZIP/Postal Code
29464
Country
United States
Facility Name
Clinical Trial Network
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
Facility Name
Clinical Research Associates of Tidewater
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of KD026 in Combination With Metformin in Subjects With Type 2 Diabetes Mellitus

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