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Dose-finding of PB-119 Administered Subcutaneously Once Weekly Versus Placebo in Subjects With Type 2 Diabetes

Primary Purpose

Type 2 Diabetes Mellitus (T2DM)

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
PB-119 100 μg+ Glucophage®
PB-119 150 μg+ Glucophage®
PB-119 200 μg+ Glucophage®
PB-119 placebo + Glucophage®
Sponsored by
PegBio Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus (T2DM)

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 according to 2018 American Diabetes Association T2DM diagnostic criteria, have made lifestyle modifications (ie, diet and exercise) for at least 3 months prior to Screening, and have been taking metformin for at least 3 months before Screening with a stable dosage for at least 8 weeks (stable dosage is defined as metformin dosage ≥1500 mg/day or maximum tolerated dose).
  2. Males and/or females between the ages of ≥18 and ≤70 years at Screening
  3. HbA1c ≥7.5% and ≤11% at Screening and at Week -1, Visit 3.1;
  4. FPG ≥126 and ≤240 mg/dL (≥7.0 and ≤13.3 mmol/L) at Screening and at Week -1, Visit 3.1;
  5. Body mass index (BMI) ≥18.5 and ≤40.0 kg/m2 at Screening, with inclusion of patients with BMIs at the lower end of the range enrolled into the study to enable comparisons across BMI range;

Exclusion Criteria:

  1. Medical history or current diagnosis of:

    1. Type 1 diabetes mellitus, diabetes caused by pancreas injury or by other diseases (like acromegaly or Cushing syndrome);
    2. Diabetes acute complication, like ketoacidosis or hyperosmolar coma;
    3. Diagnosed proliferative retinopathy;
    4. 3 instances of severe hypoglycemia (events during which the patient required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions; episodes may be associated with sufficient neuroglycopenia to have induced seizure or coma) in the 6 months prior to Screening;
    5. Significant vascular disease;
  2. Current/ongoing diagnosis of any type of malignant tumor or evidence of recurrence in the 6 months prior to Screening (patients who have been stable for ≥6 months or those who have had basal or squamous cell skin cancers removed and have no evidence of recurrence will not be excluded). Patients with a medical history of any other type of cancer in the last 5 years prior to Screening will be excluded;
  3. Severe cardiovascular diseases occurring within 6 months prior to Screening (eg, congestive heart disease, myocardial infarction, acute coronary syndrome, apoplexy, transient ischemic attack);

Sites / Locations

  • Clinical Pharmacology of Miami

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

PB-119 100 μg

PB-119 150 μg

PB-119 200 μg

PB-119 Placebo

Arm Description

PB-119 100 μg subcutaneous (SC) once weekly (QW) + Metformin oral (p.o.) Glucophage® (stable dosage)

PB-119 150 μg SC QW + Metformin oral (p.o.) Glucophage® (stable dosage)

PB-119 200 μg SC QW + Metformin oral (p.o.) Glucophage® (stable dosage)

PB-119 Placebo SC QW + Metformin oral (p.o.) Glucophage® (stable dosage)

Outcomes

Primary Outcome Measures

The change from baseline value of HbA1c will be compared between treatments

Secondary Outcome Measures

The change from baseline value of Fasting Plasma Glucose at Weeks 2, 4, 8, and 12

Full Information

First Posted
May 25, 2018
Last Updated
January 21, 2020
Sponsor
PegBio Co., Ltd.
Collaborators
Covance
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1. Study Identification

Unique Protocol Identification Number
NCT03604419
Brief Title
Dose-finding of PB-119 Administered Subcutaneously Once Weekly Versus Placebo in Subjects With Type 2 Diabetes
Official Title
A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Dose Cohort Study to Evaluate the Efficacy and Safety of Twelve Once-weekly Subcutaneous Doses of PB-119 to Patients With Type 2 Diabetes Mellitus (T2DM) Not Well-controlled by Metformin Monotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
June 13, 2018 (Actual)
Primary Completion Date
July 23, 2019 (Actual)
Study Completion Date
July 23, 2019 (Actual)

3. Sponsor/Collaborators

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

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
A phase 2, multicenter study to evaluate the efficacy and safety of twelve once weekly subcutaneous doses of PB-119 to patients with type 2 diabetes mellitus (T2DM) not well-controlled by metformin mono therapy.
Detailed Description
This is a multicenter, randomized, double-blind, placebo-controlled, parallel dose cohort, multiple dose study to evaluate the efficacy, safety, and tolerability of different doses of PB-119 to patients with T2DM not well-controlled by metformin monotherapy. Patients will be assessed for eligibility over a 2 week screening period prior to a 4-week run-in period and a 12-week double-blind treatment period.A phase 2, multicenter, randomized, double-blind, placebo-controlled, parallel dose cohort study to evaluate the efficacy and safety of twelve once weekly subcutaneous doses of PB-119 to patients with type 2 diabetes mellitus (T2DM) not well-controlled by metformin monotherapy The eligible patients will be randomized to 1 of 3 dose cohorts (A, B, or C). Each patient will subsequently be randomized within the designated cohort to 1) active drug or placebo at a 3:1 active drug:placebo ratio and 2) exclusion from or inclusion in the pharmacokinetic (PK) blood sample collection subgroup at a 3:1 excluded:included ratio

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus (T2DM)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
214 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PB-119 100 μg
Arm Type
Experimental
Arm Description
PB-119 100 μg subcutaneous (SC) once weekly (QW) + Metformin oral (p.o.) Glucophage® (stable dosage)
Arm Title
PB-119 150 μg
Arm Type
Experimental
Arm Description
PB-119 150 μg SC QW + Metformin oral (p.o.) Glucophage® (stable dosage)
Arm Title
PB-119 200 μg
Arm Type
Experimental
Arm Description
PB-119 200 μg SC QW + Metformin oral (p.o.) Glucophage® (stable dosage)
Arm Title
PB-119 Placebo
Arm Type
Placebo Comparator
Arm Description
PB-119 Placebo SC QW + Metformin oral (p.o.) Glucophage® (stable dosage)
Intervention Type
Drug
Intervention Name(s)
PB-119 100 μg+ Glucophage®
Intervention Description
Each patient will subsequently be randomized within the designated cohort to active drug or placebo
Intervention Type
Drug
Intervention Name(s)
PB-119 150 μg+ Glucophage®
Intervention Description
Each patient will subsequently be randomized within the designated cohort to active drug or placebo
Intervention Type
Drug
Intervention Name(s)
PB-119 200 μg+ Glucophage®
Intervention Description
Each patient will subsequently be randomized within the designated cohort to active drug or placebo
Intervention Type
Drug
Intervention Name(s)
PB-119 placebo + Glucophage®
Intervention Description
Each patient will subsequently be randomized within the designated cohort to active drug or placebo
Primary Outcome Measure Information:
Title
The change from baseline value of HbA1c will be compared between treatments
Time Frame
From Baseline to end of treatment (up to Week 12)
Secondary Outcome Measure Information:
Title
The change from baseline value of Fasting Plasma Glucose at Weeks 2, 4, 8, and 12
Time Frame
From Baseline to end of treatment (up to Week 12)

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 according to 2018 American Diabetes Association T2DM diagnostic criteria, have made lifestyle modifications (ie, diet and exercise) for at least 3 months prior to Screening, and have been taking metformin for at least 3 months before Screening with a stable dosage for at least 8 weeks (stable dosage is defined as metformin dosage ≥1500 mg/day or maximum tolerated dose). Males and/or females between the ages of ≥18 and ≤70 years at Screening HbA1c ≥7.5% and ≤11% at Screening and at Week -1, Visit 3.1; FPG ≥126 and ≤240 mg/dL (≥7.0 and ≤13.3 mmol/L) at Screening and at Week -1, Visit 3.1; Body mass index (BMI) ≥18.5 and ≤40.0 kg/m2 at Screening, with inclusion of patients with BMIs at the lower end of the range enrolled into the study to enable comparisons across BMI range; Exclusion Criteria: Medical history or current diagnosis of: Type 1 diabetes mellitus, diabetes caused by pancreas injury or by other diseases (like acromegaly or Cushing syndrome); Diabetes acute complication, like ketoacidosis or hyperosmolar coma; Diagnosed proliferative retinopathy; 3 instances of severe hypoglycemia (events during which the patient required the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions; episodes may be associated with sufficient neuroglycopenia to have induced seizure or coma) in the 6 months prior to Screening; Significant vascular disease; Current/ongoing diagnosis of any type of malignant tumor or evidence of recurrence in the 6 months prior to Screening (patients who have been stable for ≥6 months or those who have had basal or squamous cell skin cancers removed and have no evidence of recurrence will not be excluded). Patients with a medical history of any other type of cancer in the last 5 years prior to Screening will be excluded; Severe cardiovascular diseases occurring within 6 months prior to Screening (eg, congestive heart disease, myocardial infarction, acute coronary syndrome, apoplexy, transient ischemic attack);
Facility Information:
Facility Name
Clinical Pharmacology of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
30957581
Citation
Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.
Results Reference
derived

Learn more about this trial

Dose-finding of PB-119 Administered Subcutaneously Once Weekly Versus Placebo in Subjects With Type 2 Diabetes

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