Efficacy and Safety of Efpeglenatide Versus Placebo in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Diet and Exercise (AMPLITUDE-M)
Primary Purpose
Type 2 Diabetes Mellitus
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
efpeglenatide (SAR439977)
placebo
Sponsored by

About this trial
This is an interventional treatment trial for Type 2 Diabetes Mellitus
Eligibility Criteria
Inclusion criteria:
- Participants must be at least 18 years of age at the time of signing the informed consent.
- Participants with T2DM, and treated with diet and exercise.
- Hemoglobin A1c between 7.0% and 10.0% (inclusive) measured by the central laboratory at Screening.
Exclusion criteria:
- Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to) gastroparesis, unstable and not controlled gastroesophageal reflux disease within 6 months prior to Screening or history of surgery affecting gastric emptying.
- History of pancreatitis (unless pancreatitis was related to gallstone and cholecystectomy has been performed) and pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, and pancreatectomy.
- Personal or family history of Medullary Thyroidian Cancer (MTC) or genetic conditions that predisposes to MTC (eg multiple endocrine neoplasia syndromes).
- Retinopathy or maculopathy with one of the following treatments, either recent (within 3 months of screening) or planned: intravitreal injections or laser or vitrectomy surgery.
- Body weight change of ≥5 kg within the last 3 months prior to Screening.
- Systolic blood pressure >180 mmHg and/or diastolic blood pressure >100 mmHg at Randomization.
- End-stage renal disease as defined by estimated glomerular filtration rate (eGFR , by Modification of Diet in Renal Disease [MDRD]) of <15 mL/min/1.73 m2.
- Laboratory findings at the Screening Visit:
- Alanine aminotransferase (ALT ) or aspartate aminotransferase (AST ) >3 times the upper limit of the normal (ULN ) or total bilirubin >1.5 times the ULN (except in case of documented Gilbert's syndrome).
- Amylase and/or lipase: >3 times the ULN laboratory range.
- Calcitonin ≥5.9 pmol/L (20 pg/mL).
- Gastric surgery or other gastric procedures intended for weight loss within 2 years prior to Screening, or planned during study period.
- History of drug or alcohol abuse within 6 months prior to the time of Screening.
- Pregnant (demonstrated by serum pregnancy test at Screening) or breast-feeding women.
- Women of childbearing potential not willing to use highly effective method(s) of birth control during the study period and for at least 5 weeks after the last dose of study intervention.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Sites / Locations
- Investigational Site Number 8400004
- Investigational Site Number 8400005
- Investigational Site Number 8400003
- Investigational Site Number 8400007
- Investigational Site Number 8400011
- Investigational Site Number 8400009
- Investigational Site Number 8400029
- Investigational Site Number 8400024
- Investigational Site Number 8400026
- Investigational Site Number 8400010
- Investigational Site Number 8400006
- Investigational Site Number 8400032
- Investigational Site Number 8400025
- Investigational Site Number 8400034
- Investigational Site Number 8400033
- Investigational Site Number 8400018
- Investigational Site Number 8400062
- Investigational Site Number 8400021
- Investigational Site Number 8400001
- Investigational Site Number 8400028
- Investigational Site Number 8400031
- Investigational Site Number 8400013
- Investigational Site Number 8400008
- Investigational Site Number 8400017
- Investigational Site Number 8400030
- Investigational Site Number 8400015
- Investigational Site Number 8400019
- Investigational Site Number 8400020
- Investigational Site Number 8400016
- Investigational Site Number 8400027
- Investigational Site Number 8400023
- Investigational Site Number 8400002
- Investigational Site Number 2760005
- Investigational Site Number 2760003
- Investigational Site Number 2760001
- Investigational Site Number 6160005
- Investigational Site Number 6160004
- Investigational Site Number 6160007
- Investigational Site Number 6160002
- Investigational Site Number 6160006
- Investigational Site Number 6160003
- Investigational Site Number 6160001
- Investigational Site Number 8040003
- Investigational Site Number 8040001
- Investigational Site Number 8040002
- Investigational Site Number 8040004
- Investigational Site Number 8260005
- Investigational Site Number 8260004
- Investigational Site Number 8260007
- Investigational Site Number 8260008
- Investigational Site Number 8260001
- Investigational Site Number 8260003
- Investigational Site Number 8260006
- Investigational Site Number 8260002
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
Efpeglenatide 2mg
Efpeglenatide 4 mg
Efpeglenatide 6 mg
Placebo
Arm Description
Efpeglenatide low dose (Prefilled syringe) administered once weekly for 56 weeks
Efpeglenatide middle dose (Prefilled syringe) administered once weekly for 56 weeks (including titration period)
Efpeglenatide high dose (Prefilled syringe) administered once weekly for 56 weeks (including titration period)
Matching placebo (Prefilled syringe) administered once weekly for 56 weeks
Outcomes
Primary Outcome Measures
Change in Glycated Hemoglobin (HbA1c) (%)
Change from Baseline to Week 30 in HbA1c
Secondary Outcome Measures
Change in HbA1c (%)
Change from Baseline to Week 56 in HbA1c
Change in Fasting Plasma Glucose (FPG)
Change from Baseline to Week 30 in FPG
HbA1c <7%
Number of participants with HbA1c <7.0% at Week 30
Change in Body Weight at Week 30
Change from Baseline to Week 30 in body weight
Change in Body Weight at Week 56
Change from Baseline to Week 56 in body weight
Hypoglycemic Participants
Number of participants with at least 1 hypoglycemic event during treatment period
Hypoglycemic Events
Number of hypoglycemic events
Treatment Emergent Adverse Events (TEAEs)
Number of participants with TEAEs
Full Information
NCT ID
NCT03353350
First Posted
November 21, 2017
Last Updated
January 11, 2022
Sponsor
Hanmi Pharmaceutical Company Limited
Collaborators
Sanofi
1. Study Identification
Unique Protocol Identification Number
NCT03353350
Brief Title
Efficacy and Safety of Efpeglenatide Versus Placebo in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Diet and Exercise
Acronym
AMPLITUDE-M
Official Title
A 56-week, Multicenter, Double-blind, Placebo-controlled, Randomized Study to Evaluate the Efficacy and Safety of Efpeglenatide Once Weekly in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Diet and Exercise
Study Type
Interventional
2. Study Status
Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
December 5, 2017 (Actual)
Primary Completion Date
January 29, 2020 (Actual)
Study Completion Date
September 7, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hanmi Pharmaceutical Company Limited
Collaborators
Sanofi
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Primary Objective:
To demonstrate the superiority of once weekly injection of efpeglenatide in comparison to placebo in glycated hemoglobin (HbA1c) change in participants with T2DM (Type 2 Diabetes Mellitus) inadequately controlled with diet and exercise.
Secondary Objectives:
To demonstrate the superiority of once-weekly injection of efpeglenatide in comparison to placebo on glycemic control
To demonstrate the superiority of once-weekly injection of efpeglenatide in comparison to placebo on body weight
To evaluate the safety of once-weekly injection of efpeglenatide
Detailed Description
Study duration per participant is approximately 65 weeks, including a 3-week screening period, 30 weeks core treatment period, 26 weeks extension treatment period, and 6 weeks safety follow up.
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 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
406 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Efpeglenatide 2mg
Arm Type
Experimental
Arm Description
Efpeglenatide low dose (Prefilled syringe) administered once weekly for 56 weeks
Arm Title
Efpeglenatide 4 mg
Arm Type
Experimental
Arm Description
Efpeglenatide middle dose (Prefilled syringe) administered once weekly for 56 weeks (including titration period)
Arm Title
Efpeglenatide 6 mg
Arm Type
Experimental
Arm Description
Efpeglenatide high dose (Prefilled syringe) administered once weekly for 56 weeks (including titration period)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo (Prefilled syringe) administered once weekly for 56 weeks
Intervention Type
Drug
Intervention Name(s)
efpeglenatide (SAR439977)
Intervention Description
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
Primary Outcome Measure Information:
Title
Change in Glycated Hemoglobin (HbA1c) (%)
Description
Change from Baseline to Week 30 in HbA1c
Time Frame
Baseline to Week 30
Secondary Outcome Measure Information:
Title
Change in HbA1c (%)
Description
Change from Baseline to Week 56 in HbA1c
Time Frame
Baseline to Week 56
Title
Change in Fasting Plasma Glucose (FPG)
Description
Change from Baseline to Week 30 in FPG
Time Frame
Baseline to Week 30
Title
HbA1c <7%
Description
Number of participants with HbA1c <7.0% at Week 30
Time Frame
Week 30
Title
Change in Body Weight at Week 30
Description
Change from Baseline to Week 30 in body weight
Time Frame
Baseline to Week 30
Title
Change in Body Weight at Week 56
Description
Change from Baseline to Week 56 in body weight
Time Frame
Baseline to Week 56
Title
Hypoglycemic Participants
Description
Number of participants with at least 1 hypoglycemic event during treatment period
Time Frame
Baseline to Week 56
Title
Hypoglycemic Events
Description
Number of hypoglycemic events
Time Frame
Baseline to Week 56
Title
Treatment Emergent Adverse Events (TEAEs)
Description
Number of participants with TEAEs
Time Frame
Baseline to Week 56
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria:
Participants must be at least 18 years of age at the time of signing the informed consent.
Participants with T2DM, and treated with diet and exercise.
Hemoglobin A1c between 7.0% and 10.0% (inclusive) measured by the central laboratory at Screening.
Exclusion criteria:
Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to) gastroparesis, unstable and not controlled gastroesophageal reflux disease within 6 months prior to Screening or history of surgery affecting gastric emptying.
History of pancreatitis (unless pancreatitis was related to gallstone and cholecystectomy has been performed) and pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, and pancreatectomy.
Personal or family history of Medullary Thyroidian Cancer (MTC) or genetic conditions that predisposes to MTC (eg multiple endocrine neoplasia syndromes).
Retinopathy or maculopathy with one of the following treatments, either recent (within 3 months of screening) or planned: intravitreal injections or laser or vitrectomy surgery.
Body weight change of ≥5 kg within the last 3 months prior to Screening.
Systolic blood pressure >180 mmHg and/or diastolic blood pressure >100 mmHg at Randomization.
End-stage renal disease as defined by estimated glomerular filtration rate (eGFR , by Modification of Diet in Renal Disease [MDRD]) of <15 mL/min/1.73 m2.
Laboratory findings at the Screening Visit:
Alanine aminotransferase (ALT ) or aspartate aminotransferase (AST ) >3 times the upper limit of the normal (ULN ) or total bilirubin >1.5 times the ULN (except in case of documented Gilbert's syndrome).
Amylase and/or lipase: >3 times the ULN laboratory range.
Calcitonin ≥5.9 pmol/L (20 pg/mL).
Gastric surgery or other gastric procedures intended for weight loss within 2 years prior to Screening, or planned during study period.
History of drug or alcohol abuse within 6 months prior to the time of Screening.
Pregnant (demonstrated by serum pregnancy test at Screening) or breast-feeding women.
Women of childbearing potential not willing to use highly effective method(s) of birth control during the study period and for at least 5 weeks after the last dose of study intervention.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 8400004
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Investigational Site Number 8400005
City
Glendale
State/Province
Arizona
ZIP/Postal Code
85306
Country
United States
Facility Name
Investigational Site Number 8400003
City
Canoga Park
State/Province
California
ZIP/Postal Code
91303
Country
United States
Facility Name
Investigational Site Number 8400007
City
Chula Vista
State/Province
California
ZIP/Postal Code
91911
Country
United States
Facility Name
Investigational Site Number 8400011
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Investigational Site Number 8400009
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Investigational Site Number 8400029
City
Pomona
State/Province
California
ZIP/Postal Code
91767
Country
United States
Facility Name
Investigational Site Number 8400024
City
Tarzana
State/Province
California
ZIP/Postal Code
91356
Country
United States
Facility Name
Investigational Site Number 8400026
City
Van Nuys
State/Province
California
ZIP/Postal Code
91405
Country
United States
Facility Name
Investigational Site Number 8400010
City
DeLand
State/Province
Florida
ZIP/Postal Code
32720
Country
United States
Facility Name
Investigational Site Number 8400006
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Investigational Site Number 8400032
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Investigational Site Number 8400025
City
Lawrenceville
State/Province
Georgia
ZIP/Postal Code
30044
Country
United States
Facility Name
Investigational Site Number 8400034
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
Investigational Site Number 8400033
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64128
Country
United States
Facility Name
Investigational Site Number 8400018
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68503
Country
United States
Facility Name
Investigational Site Number 8400062
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89106
Country
United States
Facility Name
Investigational Site Number 8400021
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
Facility Name
Investigational Site Number 8400001
City
Bridgeton
State/Province
New Jersey
ZIP/Postal Code
08302
Country
United States
Facility Name
Investigational Site Number 8400028
City
Burlington
State/Province
North Carolina
ZIP/Postal Code
27215
Country
United States
Facility Name
Investigational Site Number 8400031
City
Wilmington
State/Province
North Carolina
ZIP/Postal Code
28401
Country
United States
Facility Name
Investigational Site Number 8400013
City
Maumee
State/Province
Ohio
ZIP/Postal Code
43537
Country
United States
Facility Name
Investigational Site Number 8400008
City
Hatboro
State/Province
Pennsylvania
ZIP/Postal Code
19040
Country
United States
Facility Name
Investigational Site Number 8400017
City
Carrollton
State/Province
Texas
ZIP/Postal Code
75010
Country
United States
Facility Name
Investigational Site Number 8400030
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Investigational Site Number 8400015
City
Houston
State/Province
Texas
ZIP/Postal Code
77074
Country
United States
Facility Name
Investigational Site Number 8400019
City
Plano
State/Province
Texas
ZIP/Postal Code
75024
Country
United States
Facility Name
Investigational Site Number 8400020
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78218
Country
United States
Facility Name
Investigational Site Number 8400016
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Investigational Site Number 8400027
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Investigational Site Number 8400023
City
Schertz
State/Province
Texas
ZIP/Postal Code
78154
Country
United States
Facility Name
Investigational Site Number 8400002
City
Holladay
State/Province
Utah
ZIP/Postal Code
84117-7054
Country
United States
Facility Name
Investigational Site Number 2760005
City
Berlin
ZIP/Postal Code
12627
Country
Germany
Facility Name
Investigational Site Number 2760003
City
Frankfurt Am Main
ZIP/Postal Code
60313
Country
Germany
Facility Name
Investigational Site Number 2760001
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Facility Name
Investigational Site Number 6160005
City
Gdansk
ZIP/Postal Code
80-382
Country
Poland
Facility Name
Investigational Site Number 6160004
City
Gdynia
ZIP/Postal Code
81-537
Country
Poland
Facility Name
Investigational Site Number 6160007
City
Katowice
ZIP/Postal Code
40-040
Country
Poland
Facility Name
Investigational Site Number 6160002
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Investigational Site Number 6160006
City
Poznan
ZIP/Postal Code
60-702
Country
Poland
Facility Name
Investigational Site Number 6160003
City
Warszawa
ZIP/Postal Code
01-192
Country
Poland
Facility Name
Investigational Site Number 6160001
City
Wroclaw
ZIP/Postal Code
50-381
Country
Poland
Facility Name
Investigational Site Number 8040003
City
Kyiv
ZIP/Postal Code
02002
Country
Ukraine
Facility Name
Investigational Site Number 8040001
City
Kyiv
ZIP/Postal Code
03037
Country
Ukraine
Facility Name
Investigational Site Number 8040002
City
Kyiv
ZIP/Postal Code
03049
Country
Ukraine
Facility Name
Investigational Site Number 8040004
City
Vinnitsa
ZIP/Postal Code
21009
Country
Ukraine
Facility Name
Investigational Site Number 8260005
City
Birmingham
ZIP/Postal Code
B15 2SQ
Country
United Kingdom
Facility Name
Investigational Site Number 8260004
City
Cardiff
ZIP/Postal Code
CF15 9SS
Country
United Kingdom
Facility Name
Investigational Site Number 8260007
City
Chorley
ZIP/Postal Code
PR7 7NA
Country
United Kingdom
Facility Name
Investigational Site Number 8260008
City
Glasgow
ZIP/Postal Code
G20 0SP
Country
United Kingdom
Facility Name
Investigational Site Number 8260001
City
Hexham
ZIP/Postal Code
NE46 1QJ
Country
United Kingdom
Facility Name
Investigational Site Number 8260003
City
Liverpool
ZIP/Postal Code
L22 0LG
Country
United Kingdom
Facility Name
Investigational Site Number 8260006
City
Manchester
ZIP/Postal Code
M15 6SX
Country
United Kingdom
Facility Name
Investigational Site Number 8260002
City
Reading
ZIP/Postal Code
RG2 0TG
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
35671039
Citation
Frias JP, Choi J, Rosenstock J, Popescu L, Niemoeller E, Muehlen-Bartmer I, Baek S. Efficacy and Safety of Once-Weekly Efpeglenatide Monotherapy Versus Placebo in Type 2 Diabetes: The AMPLITUDE-M Randomized Controlled Trial. Diabetes Care. 2022 Jul 7;45(7):1592-1600. doi: 10.2337/dc21-2656.
Results Reference
derived
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Efficacy and Safety of Efpeglenatide Versus Placebo in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Diet and Exercise
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