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MAD Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of PB-119 to Subjects With T2DM

Primary Purpose

Type2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PB-119 injection
PB-119 injection placebo
Sponsored by
PegBio Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type2 Diabetes Mellitus

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients in whom T2DM has been diagnosed for at least 3 months prior to screening and have not been taking any treatment but have made lifestyle modifications (i.e., diet and exercise) for at least 4 weeks or are taking metformin (with no change in the treatment including dose over the past 2 months).
  2. In good general health as determined by the investigator at screening evaluation
  3. Male and/or female subjects between the ages of 18 and 70 years, inclusive;
  4. Are capable of giving informed consent and complying with study procedures;
  5. Body Mass Index (BMI) of approximately 22 to 40 kg/m2;
  6. Fasting C-peptide test result must be >0.4 nmol/L;
  7. HbA1c ≥6.5 % and ≤12%;
  8. Female subjects must have a negative urine pregnancy test result prior to enrollment.
  9. Nonsmoker,
  10. Willing and able to adhere to study restrictions and to be confined at the clinical research center.

Exclusion Criteria:

  1. Subjects with a personal or family history of medullary thyroid carcinoma (MTC) or in subjects with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2);
  2. Screening fasting blood glucose ≤100 or ≥270 mg/dL
  3. Type 1 diabetes mellitus, or latent autoimmune diabetes in adults; diabetic neuropathy, retinopathy or nephropathy;
  4. Previous treatment with an approved or investigational GLP-1 mimetic;
  5. Patients treated with any investigational drugs within 6 weeks of screening;
  6. Subjects with pancreatitis;
  7. Clinically significant gastrointestinal disorder
  8. History or symptoms of clinically significant cardiovascular disease, particularly coronary artery disease, arrhythmias, atrial tachycardia,
  9. Uncontrolled hypertension at screening;
  10. History of clinically significant central nervous system disease including: transient ischemic attack, stroke, seizure disorder, depression,
  11. History of liver disease
  12. History of clinically significant renal disease
  13. Uncontrolled severe dyslipidemia;
  14. Positive blood screen for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibody;
  15. A hospital admission or major surgery within 30 days prior to screening;
  16. A history of prescription drug abuse, or illicit drug use within 6 months prior to screening;
  17. A history of alcohol abuse according to medical history within 6 months prior to screening;
  18. A positive screen for alcohol, or drugs of abuse;
  19. An unwillingness or inability to comply with food and beverage restrictions during study participation;
  20. Use of prescription or over-the-counter (OTC) medications, and herbal An
  21. Unwillingness of male participants to use appropriate contraceptive measures if engaging in sexual intercourse with a female partner of childbearing potential. Appropriate measures include use of a condom and spermicide and, for female partners, use of an intrauterine device (IUD), diaphragm with spermicide, oral contraceptives, injectable progesterone, progesterone subdermal implants, or a tubal ligation. Sexual intercourse with pregnant or lactating women is prohibited

Sites / Locations

  • Clinical Pharmacology of Miami, Inc.
  • Frontage Clinical Services. Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Arm Label

PB-119 injection placebo

PB-119 injection 25ug

PB-119 injection 50ug

PB-119 injection 100ug

PB-119 injection 200ug

Arm Description

totally 8 subjects will have PB-119 injection placebo once per weekly for 4 weeks.

totally 8 subjects will have PB-119 injection 25 ug once per weekly for 4 weeks

totally 8 subjects will have PB-119 injection 50 ug once per weekly for 4 weeks

totally 8 subjects will have PB-119 injection 100 ug once per weekly for 4 weeks

totally 8 subjects will have PB-119 injection 200 ug once per weekly for 4 weeks

Outcomes

Primary Outcome Measures

the number of AEs and the finding from the physical examination, the abnormal lab results
include monitoring of AEs, vital signs (blood pressure, pulse rate, respiratory)

Secondary Outcome Measures

PB-119 blood plasma concentration
to collect PB-119 blood plasma concentration of the subjects who use PB-119 intervention
PB-119 antibody
the number of subjects who are with positive antibody results
Insulin sensitivity (SI)
be estimated from glucose and insulin concentration
Beta-cell Responsivity Index
be estimated from serum glucose and c-peptide concentrations
Disposition Index
be calculated for each individual subject as the product of SI and Φtotal

Full Information

First Posted
March 2, 2017
Last Updated
April 18, 2018
Sponsor
PegBio Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03072407
Brief Title
MAD Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of PB-119 to Subjects With T2DM
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Sequential Parallel Group, MAD Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of PB-119 to Subjects With T2DM
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Completed
Study Start Date
November 24, 2015 (Actual)
Primary Completion Date
November 2, 2016 (Actual)
Study Completion Date
November 15, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PegBio Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a phase 1, randomized, double-blind, placebo-controlled, sequential parallel group, MAD study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of four once-weekly subcutaneous doses of PB-119 to subjects with T2DM.
Detailed Description
Dose levels of 25 µg, 50 µg, 100 µg and 200 µg with a dosing regimen of once weekly for 4 consecutive weeks will be evaluated

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type2 Diabetes Mellitus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
placebo-control , parallel
Masking
Participant
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PB-119 injection placebo
Arm Type
Placebo Comparator
Arm Description
totally 8 subjects will have PB-119 injection placebo once per weekly for 4 weeks.
Arm Title
PB-119 injection 25ug
Arm Type
Experimental
Arm Description
totally 8 subjects will have PB-119 injection 25 ug once per weekly for 4 weeks
Arm Title
PB-119 injection 50ug
Arm Type
Experimental
Arm Description
totally 8 subjects will have PB-119 injection 50 ug once per weekly for 4 weeks
Arm Title
PB-119 injection 100ug
Arm Type
Experimental
Arm Description
totally 8 subjects will have PB-119 injection 100 ug once per weekly for 4 weeks
Arm Title
PB-119 injection 200ug
Arm Type
Experimental
Arm Description
totally 8 subjects will have PB-119 injection 200 ug once per weekly for 4 weeks
Intervention Type
Biological
Intervention Name(s)
PB-119 injection
Intervention Type
Biological
Intervention Name(s)
PB-119 injection placebo
Primary Outcome Measure Information:
Title
the number of AEs and the finding from the physical examination, the abnormal lab results
Description
include monitoring of AEs, vital signs (blood pressure, pulse rate, respiratory)
Time Frame
accessed up to 4 weeks
Secondary Outcome Measure Information:
Title
PB-119 blood plasma concentration
Description
to collect PB-119 blood plasma concentration of the subjects who use PB-119 intervention
Time Frame
accessed up to 4 weeks
Title
PB-119 antibody
Description
the number of subjects who are with positive antibody results
Time Frame
accessed up to 4 weeks
Title
Insulin sensitivity (SI)
Description
be estimated from glucose and insulin concentration
Time Frame
accessed up to 4 weeks
Title
Beta-cell Responsivity Index
Description
be estimated from serum glucose and c-peptide concentrations
Time Frame
accessed up to 4 weeks
Title
Disposition Index
Description
be calculated for each individual subject as the product of SI and Φtotal
Time Frame
accessed up to 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients in whom T2DM has been diagnosed for at least 3 months prior to screening and have not been taking any treatment but have made lifestyle modifications (i.e., diet and exercise) for at least 4 weeks or are taking metformin (with no change in the treatment including dose over the past 2 months). In good general health as determined by the investigator at screening evaluation Male and/or female subjects between the ages of 18 and 70 years, inclusive; Are capable of giving informed consent and complying with study procedures; Body Mass Index (BMI) of approximately 22 to 40 kg/m2; Fasting C-peptide test result must be >0.4 nmol/L; HbA1c ≥6.5 % and ≤12%; Female subjects must have a negative urine pregnancy test result prior to enrollment. Nonsmoker, Willing and able to adhere to study restrictions and to be confined at the clinical research center. Exclusion Criteria: Subjects with a personal or family history of medullary thyroid carcinoma (MTC) or in subjects with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2); Screening fasting blood glucose ≤100 or ≥270 mg/dL Type 1 diabetes mellitus, or latent autoimmune diabetes in adults; diabetic neuropathy, retinopathy or nephropathy; Previous treatment with an approved or investigational GLP-1 mimetic; Patients treated with any investigational drugs within 6 weeks of screening; Subjects with pancreatitis; Clinically significant gastrointestinal disorder History or symptoms of clinically significant cardiovascular disease, particularly coronary artery disease, arrhythmias, atrial tachycardia, Uncontrolled hypertension at screening; History of clinically significant central nervous system disease including: transient ischemic attack, stroke, seizure disorder, depression, History of liver disease History of clinically significant renal disease Uncontrolled severe dyslipidemia; Positive blood screen for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibody; A hospital admission or major surgery within 30 days prior to screening; A history of prescription drug abuse, or illicit drug use within 6 months prior to screening; A history of alcohol abuse according to medical history within 6 months prior to screening; A positive screen for alcohol, or drugs of abuse; An unwillingness or inability to comply with food and beverage restrictions during study participation; Use of prescription or over-the-counter (OTC) medications, and herbal An Unwillingness of male participants to use appropriate contraceptive measures if engaging in sexual intercourse with a female partner of childbearing potential. Appropriate measures include use of a condom and spermicide and, for female partners, use of an intrauterine device (IUD), diaphragm with spermicide, oral contraceptives, injectable progesterone, progesterone subdermal implants, or a tubal ligation. Sexual intercourse with pregnant or lactating women is prohibited
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gregory Tracey, Dr.
Organizational Affiliation
Frontage Clinical Services, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Pharmacology of Miami, Inc.
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Frontage Clinical Services. Inc.
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

MAD Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of PB-119 to Subjects With T2DM

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