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

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
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
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
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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