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Polyethylene Glycol Loxenatide Pharmacokinetics Study in Subjects With Normal and Insufficiency Renal Function

Primary Purpose

Type 2 Diabetes Mellitus

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
PEX168
Sponsored by
Jiangsu Hansoh Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

31 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Age 31-65 (both inclusive) years old, male or female;
  2. Weight: Male ≥50kg, female ≥45kg, 18≤BMI≤28;
  3. The Cockcroft-Gault (CG) formula to estimate creatinine clearance (CLCr), K / DOQI definition of chronic kidney disease (CKD) 2 patients: 60≤CLcr≤89 ml / min; chronic kidney disease (CKD) 3 patients: 30≤CLcr≤59 ml / min for renal insufficiency,Cockcroft-Gault (CG) formula to estimate creatinine clearance (CLCr) ≥90ml / min for normal subjects.
  4. In the 48 hours before the start of the test to the end of the trial period, agreed to get rid of tobacco, alcohol, caffeine, fruit juice subject;
  5. Understand the study procedures and methods, voluntarily participate in this experiment, and writing and signed informed consent.

Exclusion Criteria:

  1. Known or suspected of GLP-1 class of drug allergy or allergy;
  2. Before screening,received GLP-1 receptor agonists, GLP-1 analogs, DPP-IV inhibitors or any other similar structure of the drug treatment;
  3. In addition to the induced renal dysfunction disease itself, suffering from any other organ of acute illness and those with any influence of drugs in vivo study of chronic diseases;
  4. within 6 months prior to screening,having any surgery, including the impact of gastric emptying of gastrointestinal surgery;
  5. Screened within the previous three months to participate in blood donation and blood donation ≥400mL, or who participate in blood donation or blood transfusion within one month;
  6. Within 3 months before screening participated in any drug or medical device trials are (including placebo);
  7. Drinking, smoking addiction, drug abuse and drug abusers;
  8. In addition to judging laboratory abnormalities diagnosis of renal dysfunction caused by disease, there are other clinically significant laboratory abnormalities (Note: Patients with moderate to severe anemia (Hb <60g / L), severe hypertension ( SBP> 160mmHg and / or diastolic blood pressure> 100mmHg) patients, heart rate> 100bmp, ECG QTc> 450ms were required to exclude;
  9. ALT> 1.5 times the upper limit of normal and / or aspartate transaminase> 1.5 times the upper limit of normal and / or total bilirubin> 1.5 times the upper limit of normal;
  10. Fasting triglycerides> 5.64mmol / L (500mg / dl);
  11. Beyond the normal range of serum amylase, and the clinical significance is determined by the investigator;
  12. Pancreatitis, pancreatic cancer a history;
  13. Blood thyroid stimulating hormone (TSH) beyond the normal range and clinically significant judgment by the investigator;
  14. The pregnancy test was positive women of childbearing age, or pregnant women, breastfeeding women, and within six months there have been unwilling or unable to take family planning and effective contraception during the trial of male / female volunteers;
  15. The hepatitis B surface antigen, hepatitis C antibody, HIV antibody, syphilis antibody test positive;
  16. Researchers believe any situation that might lead to any subject can not be completed or to the subject of this study bring significant risk.

Sites / Locations

  • Third Xiangya Hospital, Central South UnivetyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Mild renal insufficiency

Moderate renal insufficiency

Normal renal function

Arm Description

PEX 168: 200µg,Subcutaneous,one time.

PEX 168: 200µg,Subcutaneous,one time.

PEX 168: 200µg,Subcutaneous,one time.

Outcomes

Primary Outcome Measures

Pharmacokinetic index
Prior to administration (within 60 minutes, recorded as 0h) and after administration 24h (Day 2), 48h (Day 3), 72h (day 4), 96h (day 5), 120h (day 6 ), 144h (day 7), 216h (day 10), 312h (day 14 ), 480h (day 21), 648h (day 28), 720h (day 31) collect blood 3 ml and test serum concentrations of PEX168.

Secondary Outcome Measures

Incidence of adverse events and serious adverse events

Full Information

First Posted
June 8, 2015
Last Updated
January 23, 2016
Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02467790
Brief Title
Polyethylene Glycol Loxenatide Pharmacokinetics Study in Subjects With Normal and Insufficiency Renal Function
Official Title
Kinetic Study of Human Pharmacokinetics in Normal Renal Function, and Renal Insufficiency Subject of Polyethylene Glycol Loxenatide (PEX168)(Open, Non-randomized, Parallel-group)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Unknown status
Study Start Date
February 2015 (undefined)
Primary Completion Date
March 2016 (Anticipated)
Study Completion Date
May 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To compare and analysis pharmacokinetics of PEX 168 in patients with renal insufficiency or normal renal function who were administrated subcutaneously single dose PEX168.To evaluate dose adjustment of PEX168 administered in patients with renal insufficiency and provide a scientific basis in patients with renal insufficiency of rational drug use.
Detailed Description
This is an open, non-randomized, parallel-group, single-dose study that evaluated the pharmacokinetics of PEX168 when single dose administered with PEX168 in patients with renal insufficiency and normal renal function subjects. The total duration of each subject's participation in the study was approximately 45 days, which included up to a 14-day Screening Period, a 31-day PK sample collecting Period. Center: This study was conducted at two sites in the Third Xiangya hospital of Center South University and Shanghai Changhai Hospital.All subjects receives a single 200μg doses of PEX168 injected subcutaneously on Day 1.

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 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Mild renal insufficiency
Arm Type
Experimental
Arm Description
PEX 168: 200µg,Subcutaneous,one time.
Arm Title
Moderate renal insufficiency
Arm Type
Experimental
Arm Description
PEX 168: 200µg,Subcutaneous,one time.
Arm Title
Normal renal function
Arm Type
Experimental
Arm Description
PEX 168: 200µg,Subcutaneous,one time.
Intervention Type
Drug
Intervention Name(s)
PEX168
Other Intervention Name(s)
Polyethylene Glycol Loxenatide
Intervention Description
PEX 168: 200µg,Subcutaneous,one time.
Primary Outcome Measure Information:
Title
Pharmacokinetic index
Description
Prior to administration (within 60 minutes, recorded as 0h) and after administration 24h (Day 2), 48h (Day 3), 72h (day 4), 96h (day 5), 120h (day 6 ), 144h (day 7), 216h (day 10), 312h (day 14 ), 480h (day 21), 648h (day 28), 720h (day 31) collect blood 3 ml and test serum concentrations of PEX168.
Time Frame
Baseline to Day31
Secondary Outcome Measure Information:
Title
Incidence of adverse events and serious adverse events
Time Frame
Baseline to Day31

10. Eligibility

Sex
All
Minimum Age & Unit of Time
31 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 31-65 (both inclusive) years old, male or female; Weight: Male ≥50kg, female ≥45kg, 18≤BMI≤28; The Cockcroft-Gault (CG) formula to estimate creatinine clearance (CLCr), K / DOQI definition of chronic kidney disease (CKD) 2 patients: 60≤CLcr≤89 ml / min; chronic kidney disease (CKD) 3 patients: 30≤CLcr≤59 ml / min for renal insufficiency,Cockcroft-Gault (CG) formula to estimate creatinine clearance (CLCr) ≥90ml / min for normal subjects. In the 48 hours before the start of the test to the end of the trial period, agreed to get rid of tobacco, alcohol, caffeine, fruit juice subject; Understand the study procedures and methods, voluntarily participate in this experiment, and writing and signed informed consent. Exclusion Criteria: Known or suspected of GLP-1 class of drug allergy or allergy; Before screening,received GLP-1 receptor agonists, GLP-1 analogs, DPP-IV inhibitors or any other similar structure of the drug treatment; In addition to the induced renal dysfunction disease itself, suffering from any other organ of acute illness and those with any influence of drugs in vivo study of chronic diseases; within 6 months prior to screening,having any surgery, including the impact of gastric emptying of gastrointestinal surgery; Screened within the previous three months to participate in blood donation and blood donation ≥400mL, or who participate in blood donation or blood transfusion within one month; Within 3 months before screening participated in any drug or medical device trials are (including placebo); Drinking, smoking addiction, drug abuse and drug abusers; In addition to judging laboratory abnormalities diagnosis of renal dysfunction caused by disease, there are other clinically significant laboratory abnormalities (Note: Patients with moderate to severe anemia (Hb <60g / L), severe hypertension ( SBP> 160mmHg and / or diastolic blood pressure> 100mmHg) patients, heart rate> 100bmp, ECG QTc> 450ms were required to exclude; ALT> 1.5 times the upper limit of normal and / or aspartate transaminase> 1.5 times the upper limit of normal and / or total bilirubin> 1.5 times the upper limit of normal; Fasting triglycerides> 5.64mmol / L (500mg / dl); Beyond the normal range of serum amylase, and the clinical significance is determined by the investigator; Pancreatitis, pancreatic cancer a history; Blood thyroid stimulating hormone (TSH) beyond the normal range and clinically significant judgment by the investigator; The pregnancy test was positive women of childbearing age, or pregnant women, breastfeeding women, and within six months there have been unwilling or unable to take family planning and effective contraception during the trial of male / female volunteers; The hepatitis B surface antigen, hepatitis C antibody, HIV antibody, syphilis antibody test positive; Researchers believe any situation that might lead to any subject can not be completed or to the subject of this study bring significant risk.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hao Zhang, MD
Phone
13975806919
Email
zhanghaoliaoqin@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Guoping Yang, MD
Phone
13974817168
Email
ygp9880@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Guoping Yang, MD
Organizational Affiliation
The Third Xiangya Hospital,Center South University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Third Xiangya Hospital, Central South Univety
City
Chang Sha
State/Province
Hunan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hao Zhang, MD
Phone
13975806919
Email
zhanghaoliaoqin@163.com
First Name & Middle Initial & Last Name & Degree
Guoping Yang, MD
Phone
13974817168
Email
ygp9880@163.com

12. IPD Sharing Statement

Citations:
PubMed Identifier
31396983
Citation
Wang J, Huang J, Li W, Tang S, Sun J, Zhang X, Liu J, Yi B, Liu J, Zhang X, Yang Q, Yang X, Yang S, Yang G, Zhang H. Polyethylene glycol loxenatide (PEX168) in subjects with renal impairment: A pharmacokinetic study. Br J Clin Pharmacol. 2019 Dec;85(12):2714-2720. doi: 10.1111/bcp.14091. Epub 2019 Dec 8.
Results Reference
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Polyethylene Glycol Loxenatide Pharmacokinetics Study in Subjects With Normal and Insufficiency Renal Function

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