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Phase 2a Study to Evaluate the Safety and Efficacy of PH100 Tablet in T2DM Patients With Recent Cardiovascular (PH100_IIa)

Primary Purpose

Type 2 Diabetes Mellitus With Circulatory Complciation

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Ecklonia cava Phlorotannin
Sponsored by
Bota Bio Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Type 2 Diabetes Mellitus With Circulatory Complciation focused on measuring T2DM with Recent Cardiovascular Complications

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age >= 19 years old
  2. Subjects who have been treated for cardiovascular complications (stent insertion due to angina pectoris, myocardial infarction, cerebral ischemia, peripheral vascular disease) within 4 weeks prior to baseline
  3. T2DM patients who diagnosed with type 2 diabetes prior to or above cardiovascular complications and have been taking oral hypoglycemic agents and/or receiving insulin treatment before the above complication occurred
  4. Subjects taking a stable dose of statins and are anticipated to have no change in dose during the duration of the study
  5. The following is confirmed through screening:

    • AST/ALT ≤ 2.5 X ULN
    • Creatinine ≤ 1.5 X ULN
    • Hemoglobin ≥ 10 g/dL
    • 6.5% ≤ HbA1c ≤ 11%
  6. Women of child-bearing potential who have negative pregnancy testing results and have agreed to use appropriate measures of contraception* during the duration of the study (*appropriate contraception is defined as women of child-bearing potential, excluding women in whom more than 52 weeks have passed since their last period, using the following methods: surgical sterilization, intrauterine device, condoms, barrier contraceptives, absolute abstinence)
  7. Subjects who have signed the informed consent form (or whose legal representative has signed) and who are deemed to be able to follow the requirements of the study

Exclusion Criteria:

  1. T2DM patients, secondary DM patients, Gestational DM patients
  2. Subjects who have a history of secondary hypertension or have a disease history of suspicious secondary hypertension. This includes but is not restricted to: aortic coarctation, primary hyperaldosteronism, renal artery stenosis, Cushing's disease, pheochromocytoma, polycystic kidney disease, etc.
  3. Subjects taking anti-inflammatory agents including corticosteroids/NSAIDs (However, maximum 100mg of aspirin per day is allowed)
  4. Subjects with chronic liver/renal disease or malignancy
  5. Supplements containing kajime or kajime derivatives (e.g. Seapolynol, Fibroboost, Fibronol, Seanol Longevity Plus, Circulate, Alginol, PC Eckonia Cava, Seanol, Seanol-F, Seanol-EX, Seanol-TX, Venusen, Memories with Seanol-P, Astaxanthol, Brilliant Vision with Seanol-P, Gly-Control, Gyne-Andro-Plex, Lipid Balance, Seanol with Broccoraphanin, Marine D3, Botabio everyone, Botabio power, Botabio red, Botabio premium, Botabio Eplus) and related medications, or subjects who have a history of hypersensitivity to high iodine containing products (seaweed, shellfish, etc.)
  6. Pregnant, breast-feeding subjects or subjects who have plans for pregnancy
  7. Subjects who have taken supplements containing kajime or kajime derivatives within 4 weeks of baseline (e.g., Seapolynol, Fibroboost, Fibronol, Seanol Longevity Plus, Circulate, Alginol, PC Eckonia Cava, Seanol, Seanol-F, Seanol- EX, Seanol-TX, Venusen, Memories with Seanol-P, Astaxanthol, Brilliant Vision with Seanol-P, Gly-Control, Gyne-Andro-Plex, Lipid Balance, Seanol with Broccoraphanin, Marine D3, Botabio everyone, Botabio power, Botabio red, Botabio premium, Botabio Eplus)
  8. Subjects who have participated in another clinical trial within 4 weeks of baseline and have taken other clinical trial medications
  9. Subjects who have received treatment for or who test positive for HBsAg, HCV antibody, or HIV at baseline
  10. Subjects who have an acute inflammatory disease other than cardiovascular complications within 4 weeks of baseline
  11. Subjects who have gastrointestinal diseases that may affect the absorption, distribution, metabolism, and excretion of drugs (e.g. Crohn's disease) and subjects who have a history of gastrointestinal surgery (with the exception of appendectomy and hernia repair), or subjects with active gastritis, gastrointestinal/rectal bleeding, active inflammatory bowel disease within the past 12 months
  12. Subjects with autoimmune disease (e.g. rheumatoid arthritis) or who require chronic anti-inflammatory treatment
  13. Subjects with a history of drug or alcohol abuse
  14. Subjects who are judged not to be appropriate for participation in the study or who have a medical condition that may have an influence on the study results

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Low Dose PH100: 800mg/day

    High Dose PH100: 1600mg/day

    Placebo

    Arm Description

    PH100 (Ecklonia cava Phlorotannin) 200mg/tablet PH100 2 tablets (400mg) and Placebo 2 tablets BID during 12wks

    - PH100 4 tablets (800mg) BID during 12wks

    Placebo 200mg/tablet Placebo 4 tablets BID during 12wks

    Outcomes

    Primary Outcome Measures

    hs-CRP (high-sensitivity C-reactive protein)
    Change in hs-CRP level compared to baseline after 12 weeks of investigational product administration

    Secondary Outcome Measures

    hs-CRP
    Change in hs-CRP level compared to baseline after 4 weeks, 8 weeks of investigational product administration
    hs-CRP: monthly rate of change
    Change in hs-CRP level monthly
    Interleukin-6 (IL-6)
    Change in IL-6 [Inflammatory Marker]
    Tumor Necrosis Factor-α (TNF- α)
    Change in TNF- α [Inflammatory Marker]
    Malondialdehyde (MDA)
    Change in MDA [Biomarkers of oxidative stress]
    Oxidized Low Density Lipoprotein (Oxidized LDL)
    Change in Oxidized LDL [Biomarkers of oxidative stress]
    Glutathione Peroxidase (GPX)
    Change in GPX [Biomarkers of oxidative stress]
    Superoxide Dismutase (SOD)
    Change in SOD [Biomarkers of oxidative stress]
    Total AntiOxidants (TAS)
    Change in TAS [Biomarkers of oxidative stress]
    HbA1c
    Change in HbA1c level compared to Visit1(screening) after 12 weeks of investigational product administration
    Adiponectin
    Change in Adiponectin level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    Free Fatty Acid
    Change in Free Fatty Acid level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    High Density Lipoprotein-cholesterol (HDL-C)
    Change in HDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Low Density Lipoprotein-cholesterol (LDL-C)
    Change in LDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Triglyceride (TG)
    Change in TG level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Total Cholesterol (TC)
    Change in TC level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Homocysteine
    Change in Homocysteine level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    Fibrinogen
    Change in Fibrinogen level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    MACE (Major Adverse Cardiovascular Events)
    Incidence rate of MACE (Major Adverse Cardiovascular Events) during investigational product administration
    Left Ventricular Ejection Fraction
    Change in LVEFF compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration by Echocardiogram
    Blood Pressure (Systolic Blood Pressure, Diastolic Blood Pressure)
    Change in SiSBP, SiDBP
    BMI
    Change in BMI
    Waist-hip ratio
    Change in Waist-hip ratio
    AE (Adverse Events)
    [Safety and Tolerability] Incidence of AEs during investigational product administration
    Pulse
    [Safety and Tolerability] Check the Vital Sign (pulse) every visit schedule
    Body Temperature
    [Safety and Tolerability] Check the Vital Sign (body temperature) every visit schedule

    Full Information

    First Posted
    October 21, 2019
    Last Updated
    November 4, 2019
    Sponsor
    Bota Bio Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04141241
    Brief Title
    Phase 2a Study to Evaluate the Safety and Efficacy of PH100 Tablet in T2DM Patients With Recent Cardiovascular
    Acronym
    PH100_IIa
    Official Title
    Multi-center, Randomized, Double-blinded, Placebo-controlled, Parallel-design, 12-week, Therapeutic Exploratory, Phase 2a Study to Evaluate the Safety and Efficacy of PH100 Tablet in T2DM Patients With Recent Cardiovascular Complications
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    March 4, 2016 (Actual)
    Primary Completion Date
    May 4, 2018 (Actual)
    Study Completion Date
    May 4, 2018 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bota Bio Co., Ltd.

    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 Multi-center, Randomized, Double-blinded, Placebo-controlled, Parallel-design, 12-Week, Therapeutic exploratory, Phase IIa Study which will patients with type 2 diabetes mellitus and recent cardiovascular complications.
    Detailed Description
    After a screening, 114 patients will be stratified randomized in a 1:1:1 ratio to the 3 arms (PH100 800mg/day, PH100 1600mg/day, Placebo) to evaluate the safety and efficacy of PH100. Subjects will visit the centers on Week 4, 8 and 12 during the entire 12-week treatment period.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type 2 Diabetes Mellitus With Circulatory Complciation
    Keywords
    T2DM with Recent Cardiovascular Complications

    7. Study Design

    Primary Purpose
    Supportive Care
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    82 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Low Dose PH100: 800mg/day
    Arm Type
    Experimental
    Arm Description
    PH100 (Ecklonia cava Phlorotannin) 200mg/tablet PH100 2 tablets (400mg) and Placebo 2 tablets BID during 12wks
    Arm Title
    High Dose PH100: 1600mg/day
    Arm Type
    Experimental
    Arm Description
    - PH100 4 tablets (800mg) BID during 12wks
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo 200mg/tablet Placebo 4 tablets BID during 12wks
    Intervention Type
    Drug
    Intervention Name(s)
    Ecklonia cava Phlorotannin
    Other Intervention Name(s)
    PH100
    Intervention Description
    Drugs that have been administered prior to participation in this study that are not expected to affect the results of this study will be accepted at the investigator's discretion.
    Primary Outcome Measure Information:
    Title
    hs-CRP (high-sensitivity C-reactive protein)
    Description
    Change in hs-CRP level compared to baseline after 12 weeks of investigational product administration
    Time Frame
    Visit 2(Baseline Visit) vs Visit 5(week 12)
    Secondary Outcome Measure Information:
    Title
    hs-CRP
    Description
    Change in hs-CRP level compared to baseline after 4 weeks, 8 weeks of investigational product administration
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8)
    Title
    hs-CRP: monthly rate of change
    Description
    Change in hs-CRP level monthly
    Time Frame
    Between Visit 2(Baseline Visit) and Visit 3(week 4), Between Visit 3(week 4) and Visit 4(week 8), Between Visit 4(week 8) and Visit 5(week 12)
    Title
    Interleukin-6 (IL-6)
    Description
    Change in IL-6 [Inflammatory Marker]
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    Tumor Necrosis Factor-α (TNF- α)
    Description
    Change in TNF- α [Inflammatory Marker]
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    Malondialdehyde (MDA)
    Description
    Change in MDA [Biomarkers of oxidative stress]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Oxidized Low Density Lipoprotein (Oxidized LDL)
    Description
    Change in Oxidized LDL [Biomarkers of oxidative stress]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Glutathione Peroxidase (GPX)
    Description
    Change in GPX [Biomarkers of oxidative stress]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Superoxide Dismutase (SOD)
    Description
    Change in SOD [Biomarkers of oxidative stress]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Total AntiOxidants (TAS)
    Description
    Change in TAS [Biomarkers of oxidative stress]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    HbA1c
    Description
    Change in HbA1c level compared to Visit1(screening) after 12 weeks of investigational product administration
    Time Frame
    Visit1(screening), Visit 5(week 12)
    Title
    Adiponectin
    Description
    Change in Adiponectin level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Free Fatty Acid
    Description
    Change in Free Fatty Acid level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    High Density Lipoprotein-cholesterol (HDL-C)
    Description
    Change in HDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Low Density Lipoprotein-cholesterol (LDL-C)
    Description
    Change in LDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Triglyceride (TG)
    Description
    Change in TG level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Total Cholesterol (TC)
    Description
    Change in TC level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile]
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Homocysteine
    Description
    Change in Homocysteine level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Fibrinogen
    Description
    Change in Fibrinogen level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    MACE (Major Adverse Cardiovascular Events)
    Description
    Incidence rate of MACE (Major Adverse Cardiovascular Events) during investigational product administration
    Time Frame
    Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    Left Ventricular Ejection Fraction
    Description
    Change in LVEFF compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration by Echocardiogram
    Time Frame
    Visit 2(Baseline Visit), Visit 5(week 12)
    Title
    Blood Pressure (Systolic Blood Pressure, Diastolic Blood Pressure)
    Description
    Change in SiSBP, SiDBP
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    BMI
    Description
    Change in BMI
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    Waist-hip ratio
    Description
    Change in Waist-hip ratio
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    AE (Adverse Events)
    Description
    [Safety and Tolerability] Incidence of AEs during investigational product administration
    Time Frame
    Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    Pulse
    Description
    [Safety and Tolerability] Check the Vital Sign (pulse) every visit schedule
    Time Frame
    Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)
    Title
    Body Temperature
    Description
    [Safety and Tolerability] Check the Vital Sign (body temperature) every visit schedule
    Time Frame
    Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age >= 19 years old Subjects who have been treated for cardiovascular complications (stent insertion due to angina pectoris, myocardial infarction, cerebral ischemia, peripheral vascular disease) within 4 weeks prior to baseline T2DM patients who diagnosed with type 2 diabetes prior to or above cardiovascular complications and have been taking oral hypoglycemic agents and/or receiving insulin treatment before the above complication occurred Subjects taking a stable dose of statins and are anticipated to have no change in dose during the duration of the study The following is confirmed through screening: AST/ALT ≤ 2.5 X ULN Creatinine ≤ 1.5 X ULN Hemoglobin ≥ 10 g/dL 6.5% ≤ HbA1c ≤ 11% Women of child-bearing potential who have negative pregnancy testing results and have agreed to use appropriate measures of contraception* during the duration of the study (*appropriate contraception is defined as women of child-bearing potential, excluding women in whom more than 52 weeks have passed since their last period, using the following methods: surgical sterilization, intrauterine device, condoms, barrier contraceptives, absolute abstinence) Subjects who have signed the informed consent form (or whose legal representative has signed) and who are deemed to be able to follow the requirements of the study Exclusion Criteria: T2DM patients, secondary DM patients, Gestational DM patients Subjects who have a history of secondary hypertension or have a disease history of suspicious secondary hypertension. This includes but is not restricted to: aortic coarctation, primary hyperaldosteronism, renal artery stenosis, Cushing's disease, pheochromocytoma, polycystic kidney disease, etc. Subjects taking anti-inflammatory agents including corticosteroids/NSAIDs (However, maximum 100mg of aspirin per day is allowed) Subjects with chronic liver/renal disease or malignancy Supplements containing kajime or kajime derivatives (e.g. Seapolynol, Fibroboost, Fibronol, Seanol Longevity Plus, Circulate, Alginol, PC Eckonia Cava, Seanol, Seanol-F, Seanol-EX, Seanol-TX, Venusen, Memories with Seanol-P, Astaxanthol, Brilliant Vision with Seanol-P, Gly-Control, Gyne-Andro-Plex, Lipid Balance, Seanol with Broccoraphanin, Marine D3, Botabio everyone, Botabio power, Botabio red, Botabio premium, Botabio Eplus) and related medications, or subjects who have a history of hypersensitivity to high iodine containing products (seaweed, shellfish, etc.) Pregnant, breast-feeding subjects or subjects who have plans for pregnancy Subjects who have taken supplements containing kajime or kajime derivatives within 4 weeks of baseline (e.g., Seapolynol, Fibroboost, Fibronol, Seanol Longevity Plus, Circulate, Alginol, PC Eckonia Cava, Seanol, Seanol-F, Seanol- EX, Seanol-TX, Venusen, Memories with Seanol-P, Astaxanthol, Brilliant Vision with Seanol-P, Gly-Control, Gyne-Andro-Plex, Lipid Balance, Seanol with Broccoraphanin, Marine D3, Botabio everyone, Botabio power, Botabio red, Botabio premium, Botabio Eplus) Subjects who have participated in another clinical trial within 4 weeks of baseline and have taken other clinical trial medications Subjects who have received treatment for or who test positive for HBsAg, HCV antibody, or HIV at baseline Subjects who have an acute inflammatory disease other than cardiovascular complications within 4 weeks of baseline Subjects who have gastrointestinal diseases that may affect the absorption, distribution, metabolism, and excretion of drugs (e.g. Crohn's disease) and subjects who have a history of gastrointestinal surgery (with the exception of appendectomy and hernia repair), or subjects with active gastritis, gastrointestinal/rectal bleeding, active inflammatory bowel disease within the past 12 months Subjects with autoimmune disease (e.g. rheumatoid arthritis) or who require chronic anti-inflammatory treatment Subjects with a history of drug or alcohol abuse Subjects who are judged not to be appropriate for participation in the study or who have a medical condition that may have an influence on the study results

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Phase 2a Study to Evaluate the Safety and Efficacy of PH100 Tablet in T2DM Patients With Recent Cardiovascular

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