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Study to Evaluate the Efficacy and Safety of KBP-042 in Patients With Type 2 Diabetes

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Daily injection of KBP/placebo for 12 weeks as add-on to metformin
Sponsored by
KeyBioscience AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus focused on measuring Type 2 Diabetes Mellitus, KBP-042

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female subjects, 18-75 years of age, both inclusive, at the time of the first screening visit. Women must be either using adequate, highly effective methods of contraception, be post-menopausal or be considered sterile due to tubal ligation or other surgical procedures at the time of randomization. Sexually active men with a female partner of childbearing potential must agree in the use of highly effective method of contraception by the female partner throughout the trial period.
  2. Subjects with type 2 diabetes mellitus diagnosis whose HbA1c levels are ≥7.0% and ≤10.0% (53 mmol/mol to 86 mmol/mol, respectively) at screening.
  3. Stable therapy (for at least 90 days prior to randomization) with metformin.
  4. Body mass index (BMI) ≥ 25.0 kg/m², and ≤ 45.0 kg/m².
  5. The subject is able to understand and comply with protocol requirements.
  6. The subject is able and willing to give written informed consent.

Exclusion Criteria:

  1. Investigator considering the subject inappropriate for inclusion in the study based on medical interview and/or physical examination.
  2. Past or present significant co-morbidity (other than type 2 diabetes mellitus) including, but not limited to: Active liver disease (other than asymptomatic non-alcoholic fatty liver disease), significant renal disease (including creatinine clearance < 45 ml/min by the Modification of Diet in Renal Disease (MDRD) method, congestive heart failure (NYHA class III or IV), myocardial infarction within the past 12 months, unstable angina pectoris.
  3. Prior treatment in clinical trials with dual amylin and calcitonin receptor agonists (DACRAs).
  4. Currently receiving medical treatment for obesity.
  5. History of bariatric surgery.
  6. Current alcohol abuse.
  7. Current medical non-metformin anti-diabetic therapy, including SGLT2-inhibitors, DPP4-inhibitors (dipeptidyl peptidase 4 inhibitors), GLP-1 (Glucagon-like peptide 1) analogues, insulin and sulfonylureas, for a period of 90 days prior to randomization.
  8. Use of thiazolidinediones (glitazones) lasting for more than one month within 90 days of randomization.
  9. Regular use of insulin or insulin analogues.
  10. History or presence of sensitivity or allergy to the study drug or drugs, to their components, or drugs of these classes or a history of drug or other allergy that contraindicates participation.
  11. History of sarcoma or other malignancy within the past five years, except adequately treated basal cell or squamous cell carcinoma of the skin, or resected cervical atypia or carcinoma in situ.
  12. Participation in a study trial with any investigational new drug (new chemical entity) within 90 days prior to the start of the study.
  13. Pregnant females as determined by positive serum or urine human chorionic gonadotropin (hCG) test at screening or prior to randomization or during the treatment phase of the trial.
  14. Breast-feeding women.
  15. Known positive test results for hepatitis C antibodies, hepatitis B surface antigen, and HIV at screening.
  16. ALT (alanine transaminase) or AST (aspartat transaminase) > 2.5 times the upper limit of normal at screening or other clinically significant liver function test abnormalities.
  17. Clinically significant ECG abnormalities, as judged by the investigator.

Sites / Locations

  • Vdoviak Miroslav MUDr. - Interní Ambulance
  • General University Hospital
  • Institute for Clinical and experimental Medicine
  • Interní a Diabetologická ambulance, Clintrial s.r.o
  • Endokrinologicky Ústav
  • Diabet2 s.r.o
  • Interní a Diabetologická ambulance
  • Diabetologická a Obezitologická ambulance
  • Bispebjerg Hospital, Endokrinologisk Afdeling
  • Bioclinica
  • Bioclinica
  • Aarhus University Hospital, Endocrinlogy Department
  • Sydvestjysk Sygehus
  • Bioclinica
  • Holbæk Sygehus
  • Rtl Sm Srl/Scr
  • Rtl Sm Srl
  • Centrum Badań Klinicznych PI-House sp. z o.o.
  • Specjalistyczna Praktyka Lekarska Piotr Kubalski
  • Medyczne Centrum Diabetologiczno Endokrynologiczno Metaboliczno
  • Prywatny Gabinet Lekarski M. Horodecki (budynek Medicus)
  • Centrum Medyczne Hygea
  • Centrum Medyczne AMED
  • Prywatny Gabinet Lekarski i Wizyty Lekarskie Jan Ruxer
  • S.C. Policlinica CCBR S.R.L.
  • Institutului Național de Diabet, Nutriție și Boli Metabolice "Prof.Dr. N.C. Paulescu"
  • S.C Nicodiab S.R.L.
  • S.C. Sfinx Medica S.R.L.
  • S.C. Mediab S.R.L.
  • S.C. Mediab S.R.L.
  • St. Pancras

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo

15µg KBP-042 QD

30µg KBP-042 QD

50µg KBP-042 QD

Arm Description

Placebo QD for 12 weeks as add-on to metformin

Up to 15µg KBP-042 QD for 12 weeks as add-on to metformin

Up to 30µg KBP-042 QD for 12 weeks as add-on to metformin

Up to 50µg KBP-042 QD for 12 weeks as add-on to metformin

Outcomes

Primary Outcome Measures

Change from baseline in blood HbA1c at 12 weeks versus placebo.

Secondary Outcome Measures

Change from baseline in body weight at 12 weeks versus placebo.
Change from baseline in fasting serum glucose at 12 weeks versus placebo
Change from baseline in fasting serum insulin at 12 weeks versus placebo
Change from baseline in fasting serum glucagon at 12 weeks versus placebo
Proportion of subjects reaching a level of HbA1c below 7.0% (53 mmol/mol) at 12 weeks versus placebo

Full Information

First Posted
July 24, 2017
Last Updated
September 10, 2018
Sponsor
KeyBioscience AG
Collaborators
Nordic Bioscience A/S
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1. Study Identification

Unique Protocol Identification Number
NCT03230786
Brief Title
Study to Evaluate the Efficacy and Safety of KBP-042 in Patients With Type 2 Diabetes
Official Title
A Double-blind, Placebo-controlled, Randomized Study to Evaluate the Efficacy and Safety of KBP-042 in Patients With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
August 23, 2017 (Actual)
Primary Completion Date
July 9, 2018 (Actual)
Study Completion Date
July 31, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
KeyBioscience AG
Collaborators
Nordic Bioscience A/S

4. Oversight

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

5. Study Description

Brief Summary
This is a multicentre, randomized, double-blind, placebo-controlled, parallel-group Phase II trial of twelve weeks of KBP-042 administered as daily s.c. injections in subjects with Type 2 Diabetes Mellitus with inadequate glycaemic control while treated with a stable dose of metformin. The trial is planned to be performed in Czech Republic, Denmark, Moldova, Poland, Romania and United Kingdom

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus
Keywords
Type 2 Diabetes Mellitus, KBP-042

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
255 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo QD for 12 weeks as add-on to metformin
Arm Title
15µg KBP-042 QD
Arm Type
Experimental
Arm Description
Up to 15µg KBP-042 QD for 12 weeks as add-on to metformin
Arm Title
30µg KBP-042 QD
Arm Type
Experimental
Arm Description
Up to 30µg KBP-042 QD for 12 weeks as add-on to metformin
Arm Title
50µg KBP-042 QD
Arm Type
Experimental
Arm Description
Up to 50µg KBP-042 QD for 12 weeks as add-on to metformin
Intervention Type
Drug
Intervention Name(s)
Daily injection of KBP/placebo for 12 weeks as add-on to metformin
Intervention Description
Daily subcutaneous injection
Primary Outcome Measure Information:
Title
Change from baseline in blood HbA1c at 12 weeks versus placebo.
Time Frame
At 12 weeks
Secondary Outcome Measure Information:
Title
Change from baseline in body weight at 12 weeks versus placebo.
Time Frame
At 12 weeks
Title
Change from baseline in fasting serum glucose at 12 weeks versus placebo
Time Frame
At 12 weeks
Title
Change from baseline in fasting serum insulin at 12 weeks versus placebo
Time Frame
At 12 weeks
Title
Change from baseline in fasting serum glucagon at 12 weeks versus placebo
Time Frame
At 12 weeks
Title
Proportion of subjects reaching a level of HbA1c below 7.0% (53 mmol/mol) at 12 weeks versus placebo
Time Frame
At 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: Male or female subjects, 18-75 years of age, both inclusive, at the time of the first screening visit. Women must be either using adequate, highly effective methods of contraception, be post-menopausal or be considered sterile due to tubal ligation or other surgical procedures at the time of randomization. Sexually active men with a female partner of childbearing potential must agree in the use of highly effective method of contraception by the female partner throughout the trial period. Subjects with type 2 diabetes mellitus diagnosis whose HbA1c levels are ≥7.0% and ≤10.0% (53 mmol/mol to 86 mmol/mol, respectively) at screening. Stable therapy (for at least 90 days prior to randomization) with metformin. Body mass index (BMI) ≥ 25.0 kg/m², and ≤ 45.0 kg/m². The subject is able to understand and comply with protocol requirements. The subject is able and willing to give written informed consent. Exclusion Criteria: Investigator considering the subject inappropriate for inclusion in the study based on medical interview and/or physical examination. Past or present significant co-morbidity (other than type 2 diabetes mellitus) including, but not limited to: Active liver disease (other than asymptomatic non-alcoholic fatty liver disease), significant renal disease (including creatinine clearance < 45 ml/min by the Modification of Diet in Renal Disease (MDRD) method, congestive heart failure (NYHA class III or IV), myocardial infarction within the past 12 months, unstable angina pectoris. Prior treatment in clinical trials with dual amylin and calcitonin receptor agonists (DACRAs). Currently receiving medical treatment for obesity. History of bariatric surgery. Current alcohol abuse. Current medical non-metformin anti-diabetic therapy, including SGLT2-inhibitors, DPP4-inhibitors (dipeptidyl peptidase 4 inhibitors), GLP-1 (Glucagon-like peptide 1) analogues, insulin and sulfonylureas, for a period of 90 days prior to randomization. Use of thiazolidinediones (glitazones) lasting for more than one month within 90 days of randomization. Regular use of insulin or insulin analogues. History or presence of sensitivity or allergy to the study drug or drugs, to their components, or drugs of these classes or a history of drug or other allergy that contraindicates participation. History of sarcoma or other malignancy within the past five years, except adequately treated basal cell or squamous cell carcinoma of the skin, or resected cervical atypia or carcinoma in situ. Participation in a study trial with any investigational new drug (new chemical entity) within 90 days prior to the start of the study. Pregnant females as determined by positive serum or urine human chorionic gonadotropin (hCG) test at screening or prior to randomization or during the treatment phase of the trial. Breast-feeding women. Known positive test results for hepatitis C antibodies, hepatitis B surface antigen, and HIV at screening. ALT (alanine transaminase) or AST (aspartat transaminase) > 2.5 times the upper limit of normal at screening or other clinically significant liver function test abnormalities. Clinically significant ECG abnormalities, as judged by the investigator.
Facility Information:
Facility Name
Vdoviak Miroslav MUDr. - Interní Ambulance
City
Karlovy Vary
ZIP/Postal Code
360 17
Country
Czechia
Facility Name
General University Hospital
City
Prague 2
ZIP/Postal Code
128 00
Country
Czechia
Facility Name
Institute for Clinical and experimental Medicine
City
Praha 4
ZIP/Postal Code
140 21
Country
Czechia
Facility Name
Interní a Diabetologická ambulance, Clintrial s.r.o
City
Praha
ZIP/Postal Code
100 00
Country
Czechia
Facility Name
Endokrinologicky Ústav
City
Praha
ZIP/Postal Code
113 94
Country
Czechia
Facility Name
Diabet2 s.r.o
City
Praha
Country
Czechia
Facility Name
Interní a Diabetologická ambulance
City
Uherské Hradiště
ZIP/Postal Code
68 601
Country
Czechia
Facility Name
Diabetologická a Obezitologická ambulance
City
České Budějovice
Country
Czechia
Facility Name
Bispebjerg Hospital, Endokrinologisk Afdeling
City
Bispebjerg
State/Province
Copenhagen NV
ZIP/Postal Code
2400
Country
Denmark
Facility Name
Bioclinica
City
Ballerup
State/Province
Copenhagen
ZIP/Postal Code
2750
Country
Denmark
Facility Name
Bioclinica
City
Aalborg
State/Province
Jutland
ZIP/Postal Code
9000
Country
Denmark
Facility Name
Aarhus University Hospital, Endocrinlogy Department
City
Aarhus
State/Province
Jutland
ZIP/Postal Code
8000
Country
Denmark
Facility Name
Sydvestjysk Sygehus
City
Esbjerg
State/Province
Jutland
ZIP/Postal Code
6700
Country
Denmark
Facility Name
Bioclinica
City
Vejle
State/Province
Jutland
ZIP/Postal Code
7100
Country
Denmark
Facility Name
Holbæk Sygehus
City
Holbæk
ZIP/Postal Code
4300
Country
Denmark
Facility Name
Rtl Sm Srl/Scr
City
Chisinau
ZIP/Postal Code
MD2025
Country
Moldova, Republic of
Facility Name
Rtl Sm Srl
City
Chisinau
ZIP/Postal Code
MD2025
Country
Moldova, Republic of
Facility Name
Centrum Badań Klinicznych PI-House sp. z o.o.
City
Gdańsk
ZIP/Postal Code
80-546
Country
Poland
Facility Name
Specjalistyczna Praktyka Lekarska Piotr Kubalski
City
Grudziądz
ZIP/Postal Code
86-302
Country
Poland
Facility Name
Medyczne Centrum Diabetologiczno Endokrynologiczno Metaboliczno
City
Kraków
ZIP/Postal Code
31-261
Country
Poland
Facility Name
Prywatny Gabinet Lekarski M. Horodecki (budynek Medicus)
City
Opole
ZIP/Postal Code
45-367
Country
Poland
Facility Name
Centrum Medyczne Hygea
City
Tychy
ZIP/Postal Code
43-100
Country
Poland
Facility Name
Centrum Medyczne AMED
City
Warsaw
ZIP/Postal Code
01-518
Country
Poland
Facility Name
Prywatny Gabinet Lekarski i Wizyty Lekarskie Jan Ruxer
City
Łódź
ZIP/Postal Code
90-074
Country
Poland
Facility Name
S.C. Policlinica CCBR S.R.L.
City
Bucharest
ZIP/Postal Code
030463
Country
Romania
Facility Name
Institutului Național de Diabet, Nutriție și Boli Metabolice "Prof.Dr. N.C. Paulescu"
City
Bucharest
Country
Romania
Facility Name
S.C Nicodiab S.R.L.
City
Bucharest
Country
Romania
Facility Name
S.C. Sfinx Medica S.R.L.
City
Constanţa
ZIP/Postal Code
900412
Country
Romania
Facility Name
S.C. Mediab S.R.L.
City
Targu Mures
Country
Romania
Facility Name
S.C. Mediab S.R.L.
City
Târgu-Mureş
Country
Romania
Facility Name
St. Pancras
City
London
ZIP/Postal Code
WC1X 8QD
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Not to be shared

Learn more about this trial

Study to Evaluate the Efficacy and Safety of KBP-042 in Patients With Type 2 Diabetes

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