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The Assessment of Single-Dose Safety,Tolerability, Pharmacokinetics and Pharmacodynamic of Globalagliatin Hydrochloride

Primary Purpose

Hyperglycaemia (Diabetic), Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
globalagliatin hydrochloride
placebo
Sponsored by
Yabao Pharmaceutical Group
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperglycaemia (Diabetic) focused on measuring T2DM, Diabetes, GKA

Eligibility Criteria

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

Inclusion Criteria:

  • males and females between the ages of 18 and 65 years, inclusive, healthy subjects
  • A screening body mass index (BMI) of 18 to 26 kg/m2 inclusive, body weight above 50kg
  • FPG≥3.9mmol/L and <6.1 mmol/L
  • Have medical history, physical examination, laboratory tests and other relative test results within the normal range or with abnormalities deemed clinically insignificant by the investigator.
  • Have given written informed consent.
  • The subjects took effective contraceptive measures, and had no birth plan within 3 months.Female subjects should be non lactating, negative pregnancy test, or no fertility potential (Women who were 12 months of menopause or without uterus were found to have no potential for pregnancy )

Exclusion Criteria:

  • There is a serious history of systemic disease, or a family history (including cardiovascular system, digestive system, urinary system, etc.)
  • Have taken a special diet or exercise before 48 hours of drug administration or other factors are capable of significantly altering the absorption, or metabolism or elimination of drugs.
  • A significant abnormality in ALT,AST or other lab test results
  • Frontal chest X light result is clinical significantly abnormal.
  • Have known intolerance of or allergies to glucokinase activators, or related compounds.
  • Have known allergies to other compounds or biologic products.
  • Have a major surgery in the last 4 weeks before dosing.
  • To inoculate any live vaccine within 4 weeks before drug administration.
  • Have a history of drug abuse
  • Use any prescription drugs within 4 weeks prior to administration or use OTC or traditional Chinese medicine within 1 weeks before enrollment.
  • Regular drinkers within 6 months before or during the trial (Subjects who have an average weekly alcohol intake that exceeds 21 units per week (males) and 14 units per week (females) [1 unit = 360 mL of beer; or 150 mL of wine; or 45 mL of distilled spirits])
  • The amount of daily cigarette smoking was more than 5/day in last 3 months, or subjects unwilling to stop cigarette consumption during the trial.
  • Are enrolled in 4 or more clinical trials within last year, or participated any clinical trail within 3 months before enrollment ; plan to donate blood or blood donation of 450 mL or more in the last 3 months; or have blood transfusion 4 weeks before the trial.
  • An clinical significant abnormality in the 12-lead ECG at screening or baseline: QT interval> 450 ms
  • Subjects deemed unsuitable by the Investigator for low compliance or any other reason.
  • investigator and their immediate families.

Sites / Locations

  • The First Affiliated Hospital of Nanjing Medical University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Placebo Comparator

Placebo Comparator

Placebo Comparator

Placebo Comparator

Arm Label

SY-004 2mg

SY-004 20mg&placebo

SY-004 40mg&placebo

SY-004 80mg&placebo

SY-004 120mg&placebo

Arm Description

SY-004 (globalagliatin hydrochloride) 2mg by mouth, single dose

SY-004 (globalagliatin hydrochloride) 20mg or placebo by mouth, single dose

SY-004 (globalagliatin hydrochloride) 40mg or placebo by mouth, single dose

SY-004 (globalagliatin hydrochloride) 80mg or placebo by mouth, single dose

SY-004(globalagliatin hydrochloride) 120mg or placebo by mouth, single dose

Outcomes

Primary Outcome Measures

Safety and tolerability of single dose of SY-004
number of patients with adverse events and changes from baseline in vital signs, ECG and clinical labs (blood chemistry, hematology and urinalysis)

Secondary Outcome Measures

AUC of SY-004 following oral administration of single ascending dose
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
Cmax of SY-004 following oral administration of single ascending dose.
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
T1/2 of SY-004 following oral administration of single ascending dose
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
CL/F of SY-004 following oral administration of single ascending dose
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
glucose levels following single dose of SY-004
FPG AUC
insulin secretion following single dose of SY-004
insulin changes
C-peptide secretion following single dose of SY-004
C-peptide change

Full Information

First Posted
May 5, 2017
Last Updated
January 29, 2018
Sponsor
Yabao Pharmaceutical Group
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1. Study Identification

Unique Protocol Identification Number
NCT03171623
Brief Title
The Assessment of Single-Dose Safety,Tolerability, Pharmacokinetics and Pharmacodynamic of Globalagliatin Hydrochloride
Official Title
A Randomised,Double-blind,Placebo-controlled Study to Assessment of Single-Dose Safety,Tolerability, Pharmacokinetics and Pharmacodynamic of Globalagliatin Hydrochloride (SY-004) in Chinese Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
April 5, 2017 (Actual)
Primary Completion Date
September 25, 2017 (Actual)
Study Completion Date
January 9, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yabao Pharmaceutical Group

4. Oversight

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

5. Study Description

Brief Summary
This is a phase 1 randomized,double-blind,placebo-controlled study with single oral dose of globalagliatin hydrochloride (SY-004) administered to chinese healthy subjects to evaluated the safety, tolerability, pharmacokinetics and pharmacodynamics of globalagliatin hydrochloride (SY-004).
Detailed Description
Glucokinase is a characteristic hexokinase isoenzyme in hepatocytes that catalyzes the first step in glucose metabolism. In addition to its role in glucose metabolism, glucokinase is expressed in pancreatic islet beta cells where it acts as a "glucose sensor" for insulin release. Activation of glucokinase increases the glucose sensitivity of insulin secretion, effectively lowering the glucose threshold for insulin secretion. Because of its potential to enhance insulin secretion and affect hepatic glucose metabolism, is being investigated for use as a treatment for hyperglycaemia,glubalagliatin( the active ingredient in SY-004 capsule) is being investigated for use as a treatment for T2DM patients. This is a phase 1 randomized,double-blind,placebo-controlled study with single oral dose of SY-004 administered to chinese healthy subjects to evaluated the safety, tolerability, pharmacokinetics and pharmacodynamics of SY-004.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperglycaemia (Diabetic), Healthy Volunteers
Keywords
T2DM, Diabetes, GKA

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SY-004 2mg
Arm Type
Experimental
Arm Description
SY-004 (globalagliatin hydrochloride) 2mg by mouth, single dose
Arm Title
SY-004 20mg&placebo
Arm Type
Placebo Comparator
Arm Description
SY-004 (globalagliatin hydrochloride) 20mg or placebo by mouth, single dose
Arm Title
SY-004 40mg&placebo
Arm Type
Placebo Comparator
Arm Description
SY-004 (globalagliatin hydrochloride) 40mg or placebo by mouth, single dose
Arm Title
SY-004 80mg&placebo
Arm Type
Placebo Comparator
Arm Description
SY-004 (globalagliatin hydrochloride) 80mg or placebo by mouth, single dose
Arm Title
SY-004 120mg&placebo
Arm Type
Placebo Comparator
Arm Description
SY-004(globalagliatin hydrochloride) 120mg or placebo by mouth, single dose
Intervention Type
Drug
Intervention Name(s)
globalagliatin hydrochloride
Other Intervention Name(s)
SY-004 capsule
Intervention Description
orally administration, single dose
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
orally administration, single dose
Primary Outcome Measure Information:
Title
Safety and tolerability of single dose of SY-004
Description
number of patients with adverse events and changes from baseline in vital signs, ECG and clinical labs (blood chemistry, hematology and urinalysis)
Time Frame
14 day post-dose
Secondary Outcome Measure Information:
Title
AUC of SY-004 following oral administration of single ascending dose
Description
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
Time Frame
up to 168 hours post-dose
Title
Cmax of SY-004 following oral administration of single ascending dose.
Description
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
Time Frame
up to 168 hours post-dose
Title
T1/2 of SY-004 following oral administration of single ascending dose
Description
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
Time Frame
up to 168 hours post-dose
Title
CL/F of SY-004 following oral administration of single ascending dose
Description
to measure the study drug concentration in blood and urine samples to be collected after drug administration.
Time Frame
up to 168 hours post-dose
Title
glucose levels following single dose of SY-004
Description
FPG AUC
Time Frame
up to 48 hours post-dose
Title
insulin secretion following single dose of SY-004
Description
insulin changes
Time Frame
up to 11 hours post-dose
Title
C-peptide secretion following single dose of SY-004
Description
C-peptide change
Time Frame
up to 11 hour post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: males and females between the ages of 18 and 65 years, inclusive, healthy subjects A screening body mass index (BMI) of 18 to 26 kg/m2 inclusive, body weight above 50kg FPG≥3.9mmol/L and <6.1 mmol/L Have medical history, physical examination, laboratory tests and other relative test results within the normal range or with abnormalities deemed clinically insignificant by the investigator. Have given written informed consent. The subjects took effective contraceptive measures, and had no birth plan within 3 months.Female subjects should be non lactating, negative pregnancy test, or no fertility potential (Women who were 12 months of menopause or without uterus were found to have no potential for pregnancy ) Exclusion Criteria: There is a serious history of systemic disease, or a family history (including cardiovascular system, digestive system, urinary system, etc.) Have taken a special diet or exercise before 48 hours of drug administration or other factors are capable of significantly altering the absorption, or metabolism or elimination of drugs. A significant abnormality in ALT,AST or other lab test results Frontal chest X light result is clinical significantly abnormal. Have known intolerance of or allergies to glucokinase activators, or related compounds. Have known allergies to other compounds or biologic products. Have a major surgery in the last 4 weeks before dosing. To inoculate any live vaccine within 4 weeks before drug administration. Have a history of drug abuse Use any prescription drugs within 4 weeks prior to administration or use OTC or traditional Chinese medicine within 1 weeks before enrollment. Regular drinkers within 6 months before or during the trial (Subjects who have an average weekly alcohol intake that exceeds 21 units per week (males) and 14 units per week (females) [1 unit = 360 mL of beer; or 150 mL of wine; or 45 mL of distilled spirits]) The amount of daily cigarette smoking was more than 5/day in last 3 months, or subjects unwilling to stop cigarette consumption during the trial. Are enrolled in 4 or more clinical trials within last year, or participated any clinical trail within 3 months before enrollment ; plan to donate blood or blood donation of 450 mL or more in the last 3 months; or have blood transfusion 4 weeks before the trial. An clinical significant abnormality in the 12-lead ECG at screening or baseline: QT interval> 450 ms Subjects deemed unsuitable by the Investigator for low compliance or any other reason. investigator and their immediate families.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lei Yang
Organizational Affiliation
Yabao pharmaceutical Group Co.
Official's Role
Study Director
Facility Information:
Facility Name
The First Affiliated Hospital of Nanjing Medical University
City
Nanjing
State/Province
Jiangsu
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35093240
Citation
Zhao Y, Xie L, Zhang H, Zhou S, Liu Y, Chen J, Wang L, Wang L, Zhuo L, Wang Y, Ou N, Shao F. Tolerability, Safety, Pharmacokinetics, and Pharmacodynamics of SY-004, a Glucokinase Activator, in Healthy Chinese Adults: A Randomized, Phase Ia, Single-Ascending Dose Study. Clin Ther. 2022 Feb;44(2):269-281. doi: 10.1016/j.clinthera.2021.12.009. Epub 2022 Jan 29.
Results Reference
derived

Learn more about this trial

The Assessment of Single-Dose Safety,Tolerability, Pharmacokinetics and Pharmacodynamic of Globalagliatin Hydrochloride

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