A Safety and Efficacy Study of Relamorelin in Diabetic Gastroparesis Study 04
Gastroparesis, Diabetes Mellitus
About this trial
This is an interventional treatment trial for Gastroparesis focused on measuring diabetic gastroparesis, vomiting
Eligibility Criteria
Inclusion Criteria:
Two different groups of participants may enter into the study:
Rollover Participants
Participants who were not randomization-eligible at the end of the Run-in Period of lead-in studies RLM-MD-01 (NCT03285308) or RLM-MD-02 (NCT03426345) are eligible to be randomized in the study if all of the following criteria apply:
•In the lead-in studies, participants must have met all screening visit and Run-in Period criteria for randomization into the Treatment Period (including compliance with dosing, entry of diary data into the Diabetic Gastroparesis Symptom Severity Diary (DGSSD)) except that:
- They had zero vomiting episodes and an average daily Diabetic Gastroparesis Symptom Severity Score (DGSSS) of ≥12 at the end of the lead-in study Run-in Period, as reported using the electronic hand-held device; OR
- They had vomiting episodes and an average daily DGSSS of ≥12 but <16 at the end of the lead-in study Run-in Period, as reported using the electronic hand-held device
De Novo Participants
- Type 1 Diabetes Mellitus (T1DM) or Type 2 Diabetes Mellitus (T2DM) of at least 5 years' duration, with controlled and stable blood glucose levels and hemoglobin A1c (HBA1c) ≤11%
- DG defined as at least a 3-month history prior to Screening of symptoms (one of which must be nausea) on an ongoing basis that are suggestive of gastroparesis (GP) (e.g., nausea, abdominal pain, postprandial fullness, bloating, vomiting, and early satiety)
- Compliance with the entry of data into the hand-held electronic device during the Run-in Period
- Compliance with administration of subcutaneous (SC) twice daily injections during the Run-in Period
- The average of the daily DGSSS from the 2-week, Run-in Period must be ≥12
Exclusion Criteria:
Both Rollover and De Novo Participants
•Participants with a known allergy or hypersensitivity to the study treatments and their excipients (i.e., mannitol or phenol)
Rollover Participants
•Participants will be excluded from this study if any of the lead-in study exclusion criteria apply at the Screening Visit and at the end of the Run-in Period for randomization into the Treatment Period of studies RLM-MD-01 and RLM-MD-02, except as specified in the inclusion criteria
De Novo Participants
- History of anorexia nervosa, binge-eating, bulimia, or other eating disorder within 5 years of the Screening Visit
- History of intestinal malabsorption or pancreatic exocrine insufficiency
- History of belching disorders, other nausea and vomiting disorders
- Gastric or duodenal ulcer within 3 months of Screening
- History of malignancy in the 3 years prior to Screening, except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer
- Currently receiving parenteral feeding or presence of a nasogastric or other enteral tube for feeding or decompression
- Use of metoclopramide, domperidone, prucalopride, macrolide antibiotics (e.g., erythromycin, clarithromycin, azithromycin), or other drugs considered to be GI promotility agents for at least 10 days prior to the start of the Run-in Period
- Currently taking opiates, or expecting to use opiates during the course of the clinical study
- Treatment with glucagon-like peptide-1 (GLP-1) agonist for at least 6 weeks prior to the start of the Run-in Period
- History of pyloric injection of botulinum toxin within 6 months of screening
- History of gastric surgery such as fundoplication, gastrectomy, gastric pacemaker placement, vagotomy, or bariatric procedure (a history of diagnostic endoscopy is not exclusionary)
- Randomization in any previous study in which relamorelin was a treatment
- Allergic to, or intolerant of egg, wheat, milk, or algae, as these are components of the gastric emptying breath test (GEBT) study meal
Sites / Locations
- Pinnacle Research Group
- North Alabama Research Center, LLC
- Simon Williamson Clinic
- Digestive Health Specialist of the South East
- G & L Research, LLC
- Avant Research Associates
- Alabama Medical Group, PC
- Phoenix Clinical LLC.
- Del Sol Research Management, LLC
- Del Sol Research Management, LLC
- Synexus Clinical Research US, Inc.
- Preferred Research Partners, Inc.
- Applied Research Center of Arkansas
- Arkansas Gastroenterology
- Unity Health - Searcy Medical Center
- Hope Clinical Research
- GW Research Inc
- Kindred Medical Institute for Clinical Trials, LLC
- Aurora Care Clinic, LLC
- TriWest Research Associates
- Diagnamics Inc.
- VVCRD Research
- University of California San Diego
- Om Research LLC
- Torrance Clinical Research Institute, Inc.
- Angel City Research Inc.
- Stanford Hospital
- Optimal Research California
- Medical Associates Research Group, Inc
- Syrentis Clinical Research
- Upland Clinical Research
- Synexus Clinical Research US, Inc.
- New Hope Research Development
- Peak Gastroenterology Associates
- Synexus
- Gastroenterology Associates of Fairfield County, P.C.
- Medical Research Center of Connecticut, LLC
- Innovative Research of West FL, Inc.
- Clinical Research of West Florida
- ALL Medical Research, LLC
- Top Medical Research
- Palmetto Research, LLC
- Vida Clinical Trials
- Nature Coast Clinical Research
- Savin Medical Group LLC
- APF Research LLC
- AMPM Research Clinic
- Advanced Medical Research Institute
- Florida Research Center, Inc.
- American Research Institute, Inc
- Gastroenterology Group of Naples
- Sensible Healthcare
- Synexus
- Atlanta Diabetes Associates
- River Birch Research Alliance, LLC
- Gwinnett Research Institute, LLC
- Summit Clinical Research, LLC.
- iResearch Atlanta LLC
- Infinite Clinical Trials
- Clinical Research Consultants of Atlanta
- Rocky Mountain Diabetes and Osteoporosis Center, PA
- North Shore University Health System
- Southwest Gastroenterology
- MediSphere Medical Research Center, LLC
- Synexus Clinical Research US, Inc.
- American Research, LLC
- University of Iowa Hospitals and Clinics
- University of Kansas Medical Center
- Health Science Research Center
- WestGlen Gastrointestinal Consultants
- Cotton-O'Neil Clinical Research Center - Digestive Health
- Kansas Medical Clinic
- Professional Research Network of Kansas, LLC
- Via Christi Clinic, PA
- St. Elizabeth Healthcare â€" Clinical Research Institute
- University of Louisville
- WK Physicians Network
- Avant Research Associates LLC
- Cronola LLC
- Clinical Trials of SWLA, LLC
- Tandem Clinical Research
- Clinical Trials of America, Inc.
- Metropolitan Gastroenterology Group PC, Chevy Chase Clinical Research
- Gastro Center of Maryland
- Frederick Gastroenterology Associates, PA an Elligo Health Research Site
- Woodholme Gastroenterology Associates, P.A.
- Meritus Center for Clinical Research
- Meridian Clinical Research, LLC
- Clinical Research Institute of Michigan
- Vida Clinical Studies
- Aa Mrc, Llc
- National Clinical, LLC
- Gastroenterology Associates of Western Michigan, West Michigan Clinical Research Center
- MNGI Digestive Health
- Synexus Clinical Research US, Inc.
- Synexus Clinical Research US, Inc
- Montana Medical Research
- Diabetes and Endocrine Associates, P.C.
- Heartland Clinical Research, Inc
- Excel Clinical Research
- Clinical Research of South Nevada - CROSN
- Advanced Biomedical Research of America
- Digestive Disease Specialists
- Palm Research Center
- Garden State Endocrinology LLC
- Synexus Clinical Research US, Inc.
- AGA Clinical Research Associates, LLC
- Lovelace Scientific Resources, Inc.
- CHEAR Center LLC
- Long Island Gastrointestinal Research Group LLP
- United Health Services Hospitals, Inc.
- Asheville Gastroenterology Associates
- University of North Carolina at Chapel Hill
- Carolinas Healthcare-Charlotte
- Carolina Digestive Health Associates, PA
- Cumberland Research Associates, LLC
- Triad Clinical Trials
- Vidant Multispeciality Clinic - Kinston
- Diabetes and Endocrinology Consultants, PC
- PMG Research Salisbury
- PMG Research of Wilmington, LLC
- Trial Management Associates, LLC
- PMG Research of Winston-Salem, LLC
- The Center for Clinical Research
- Synexus Clinical Research US, Inc.
- Dayton Gastroenterology,Inc.
- Diabetes & Endocrinology Associates of Stark County, Inc.
- Synexus Clinical Research US - Cincinnati
- Synexus Clinical Research US, Inc
- Endocrinology Research Associates, Inc.
- The Ohio State University, Wexner Medical Center
- Aventiv Research, Inc.
- Hometown Urgent Care and Research
- CIC America Clinical Inquest Center Ltd.
- Hometown Urgent Care and Research
- Premier Clinical Research d.b.a. STAT Research
- Family Practice Center of Wadsworth, Inc.
- Centennial Health-Synexus
- Digestive Disease Specialists Inc
- Memorial Clinical Research
- Options Health Research, LLC
- Northwest Gastroenterology Clinic, LLC
- Family Medical Associates, Research Department
- Allegheny Endocrinology Associates
- Preferred Primary Care Physicians, Inc.
- Guthrie Clinical Research
- Frontier Clinical Research, LLC
- Frontier Clinical Research, LLC
- Preferred Primary Care Physicians
- Synexus Clinical Research US, Inc.
- Synexus Clinical Research US, Inc
- Clinical Trials of South Carolina
- Carolina Medical Research
- Gastroenterology Associates, PA
- Synexus Clinical Research
- Health Concepts
- Clinsearch
- Gastroenterology Centers of the Midsouth
- East Tennessee Research Institute
- Quality Medical Research
- Texas Clinical Research Institute, LLC
- DiscoveResearch, Inc.
- ClinRx Research, LLC
- Baylor College of Medicine Medical Center
- Biopharma Informatic Inc., Research Center
- Houston Endoscopy and Research Center, Inc.
- Rodriguez Clinical Trials
- Amir Hassan, MD, PA
- Sante Clinical Research
- Pinnacle Clinical Research
- Clinical Trials of Texas, Inc.
- Sagact Pllc.
- Synexus Clinical Research US, Inc.
- Synexus Clinical Research US, Inc.
- Synexus Clinical Research US, Inc.
- Advanced Research Institute, Inc.
- Advanced Clinical Research
- Verity Research Inc.
- Blue Ridge Medical Research
- Manassas Clinical Research Centre
- VA Medical Center McGuire VAMC
- Washington Gastroenterology PLLC
- West Virginia University
- Consultorios Asociados de Endocrinologia e Investigación Cl
- Hospital Sirio Libanes
- Centro de Investigaciones Medicas Mar del Plata SRL
- CIPREC
- Instituto de Investigaciones Clinicas de Rosario
- Instituto Medico Catamarca-I.ME.C
- Clinica Mayo de Urgencias Medicas Cruz Blanca SRL
- CIDIM - Centro Integral de Diagnóstico por Imágenes Marchegian
- Centro Universitario de Investigacion en Farmacologia Clinic
- Instituto Privado de Investigaciones Clinicas de Cordoba
- Nepean Hospital
- Royal Adelaide Hospital - Central Adelaide Local Health Network Incorporated
- Royal Melbourne Hospital
- Ordination
- VIVIT Institute, am LKH Feldkirch
- Privatklinik wehlre-Diakonissen
- Oö. Gesundheits- und Spitals-AG/LKH Steyr
- Universitair Ziekenhuis Antwerpen, Gastro-Enterologie,
- UZ Brussel
- AZ Sint Lucas Brugge
- Hospital Universitário Walter Cantídio
- Centro de Pesquisa Clinica do Brasil
- Hospital Universitário João de Barros Barreto - UFPA
- Núcleo de Pesquisa Clínica do Rio Grande do Sul
- Instituto Catarinense de Endocrinologia e Diabetes (ICED)
- Scentryphar Pesquisa Clínica Ltda
- Instituto de Pesquisa Clinica em Campinas
- Instituto de Estudos e Pesquisas Clinicas do Ceara IEP/CE - Oncology
- IPEC-Instituto de Pesquisa Clinica
- CPQuali Pesquisa Clinica Ltda
- MHAT Yuliya Vrevska Byala
- UMHAT - Kaspela- EOOD
- Medical Center Asklepion - Humane Medicine Research EOOD
- Alexandrovska University Hospital
- University of Calgary
- Central Alberta Research Centre
- Vancouver General Hospital
- Patient research centre
- South Shore Medical Arts
- The Ottawa Hospital
- Toronto Digestive Disease Associates, Inc.
- Recherche GCP Research
- Centro Cardiovascular Colombiano Clínica Santa María
- Rodrigo Botero S.A.S.
- Centro Cardiovascular y de Diabetes
- Fundación del Caribe para la InvestigacionBiomédica-Fundación BIOS
- Asociación Colombiana de Diabetes
- Healthy Medical Center
- Endocare Ltda.
- Medplus Centro de Recuperacion Integral S.A.S.
- Centro de Investigaciones Clínicas IPS CARDIOMET Pereira
- IPS Centro Medico Julian Coronel S.A
- Centro Medico Imbanaco de Cali S.A.
- Steno Diabetes Center Copenhagen
- Gastroenheden, Hvidovre hospital
- Klinische Forschung Karlsruhe GmbH
- Studienzentrum Schwittay
- Klinische Forschung Dresden GmbH
- Clinical Research Hamburg
- Israelitisches Krankenhaus
- KRH Klinikum Siloah
- Markhot Ferenc Oktatokorhaz es Rendelointezet
- Hetenyi Geza Hospital
- Zala Megyei Szent Rafael Korhaz
- Strázsahegy Gyógyszertár Medicina
- Szegedi TudomanyegyetemSzent-Gyorgyi Albert Klinikai Kozpont és Altalanos Orvostudomanyi Kar Belgyogyaszati Klinika
- Kumudini Devi Diabetes Research Center; Ramdevrao Hospital
- King George Hospital
- Dr. Jivraj Mehta Smarak Health Foundation Bakeri Medical Research Centre - Gasterentrology
- Zydus Hospital
- Lifecare Clinic and Research Centre - Internal Med/Diabetology
- Diacon Hospital and research Center - Diabetology
- Victoria Hospital Bangalore Medical College and Research Institute
- Rajalakshmi Hospital
- Bhatia Hospital
- B. J. Government Medical College and Sassoon General Hospitals
- Universal Hospital
- Noble Hospital
- S R Kalla (SRK) Memorial Gastro & General Hospital
- Marudhar Hospital
- Eternal Hospital - Diabetology
- SMS Hospital
- M.V. Hospital for Diabetes & Diabetes Research Centre
- Kovai Diabetes Speciality Centre
- Arthur Asirvatham Hospital
- M V Hospital & Research Centre
- Sir Ganga Ram Hospital (SGRH)
- Vinaya Hospital & Research Centre
- Bnei-Zion MC
- Chonbuk National University Hospital
- Sanggye Paik Hospital, Inje University College of Medicine
- Asan Medical Center
- Kraslava Hospital
- Polana-D
- Pauls Stradins Clinical University Hospital, Endokrinologijas nodala
- Digestive Diseases Centre GASTRO
- Hospital Sultanah Bahiyah
- Clinical Investigation Centre
- Clinical Trial Unit, School of Medical Sciences, Health Campus, Hospital Universiti Sains Malaysia
- Hospital Taiping
- Mentrials Sa de Cv
- Clinicos Asociados BOCM SC
- Centro Especializado en Diabetes, Obesidad y Prevencion de E - Endocrinology
- Centro de Atención e Investigación en Factores de Riesgo Car
- Unidad de Investigacion Clinica Cardiometabolica de Occidente
- Consultorio particular
- Unidad de Investigación Clínica en Medicina S.C/
- Centro de Desarrollo Biomédico S.C.P
- Centro de Investigacion Cardiometabolica de Aguascalientes SA de CV
- Hospital Cardiologica Aguascalientes
- Dioderm Instituto de Investigacion
- CIADEN (Centro de Investigación y Atención de Diabetes, Endocrinología y Nutrición)
- Sociedad de Metabolismo y Corazon S.C.
- West Visayas State University Medical Center
- Cardinal Santos Medical Center
- Manila Doctors Hospital, Ermita
- San Juan De Dios Educational Foundation, Inc.
- Ospital ng Makati
- Perpetual Succor Hospital
- St. Luke's Medical Center
- Specjalistyczny Gabinet Neurologiczny Marta Banach
- CenterMed Krakow Ltd
- Centrum Medyczne Lukamed
- Saint-Petersburg City Pokrovskaya Hospital
- GUZ Saratov City Clinical Hospital 9
- Scientific Institute of Clinical and Experimental Lymphology
- Rostov on Don
- National University Hospital
- Changi General Hospital
- Singapore General Hospital
- FARMOVS
- Wits Clinical Research
- Synexus Stanza Clinical Research Centre
- Watermeyer Clinical Research Site
- Synexus Helderberg Clinical Research Centre
- Hospital Universitario Principe de Asturias
- Phramongkutklao Hospital
- Faculty of Medicine, Siriraj Hospital, Mahidol University
- Maharaj Nakorn Chiang Mai Hospital
- State Institution Ukrainian State Research Institute of Medical and Social Problems of Disability of the Ministry of Health of Ukraine
- Municipal Institution, City Hospital #7, polyclinic department, c. Zaporizhzhia
- Chernivtsi Regional Clinical Hospital
- Regional Municipal noncommercial Enterprise "Chernivtsi Regional Endocrinology Center", Polyclinic department, Higher State Educational Establishment of Ukraine "Bukovinian State Medical University", Department of Clinical Immunology, Allergology and Endo
- Ivano-Frankivsk National Medical University
- Ivano-Frankivsk Central City Clinical Hospital
- Municipal nonprofit entity of Kharkiv municipal council
- Clinical Endocrinology of SI "V.Danilevsky Institute for endocrine pathology problems National Academy of Medical sciences of Ukraine"
- Communal Institution Kherson City Clinical Hospital
- Kyiv Railway Clinical Hospital No-2 of Branch of Healthcare Center of the PJSC Ukrainian Railway , Endocrynology Department
- Polyclinic of medical services and rehabilitation department of State Joint-Stock Holding Company Artem, day-patient unit
- Odessa Railway Clinical Hospital of Branch of HC JSC Ukrzaliznytsia, Odessa National Medical University
- Poltava Regional Clinical Hospital
- Private Small-Scale Enterprise Medical Centre Pulse
- Vinnytsia Regional Clinical highly specialized Endocrinology Centre
- Municipal Institution 6th City Clinical Hospital, Dept of Gastroenterology
- Biomedical Research Centre
- MAC Clinical Research Manchester
- Royal Oldham Hospital
- MAC Clinical Research
- MAC Research, Exchange House
- University Hospitals of North Midlands
- MAC Clinical Research, Monarch House
- MAC Research
- MAC Clinical Research, Kaman Court
- Mid Essex Hospital Services NHS Trust Broomfield Hospital
- MAC Clinical Research, GAC House
Arms of the Study
Arm 1
Arm 2
Placebo Comparator
Experimental
Placebo
Relamorelin 10 μg
Placebo injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.
Relamorelin 10 micrograms (μg) injected subcutaneously twice daily for up to 52 weeks. De novo (New) participants, who did not participate in the previous relamorelin studies, began the study with a 2-week placebo run-in.