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A Study of the Pharmacokinetics, Pharmacodynamics, and Safety of Rongliflozin in Type 2 Diabetic Subjects With Renal Impairment

Primary Purpose

Type 2 Diabetes

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
pyroglutamate rongliflozin capsules
Sponsored by
Sunshine Lake Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Type 2 diabetes patients.
  • The subject is willing to take effective contraceptive measures without a pregnancy plan within 4 weeks after signing the informed consent form to taking the test drug.
  • When screening, 19.0 kg/m2 < or = body mass index (BMI) < or = 35.0 kg/m2.
  • No hypoglycemic drugs have been used in the 4 weeks before the baseline period, or stable doses of hypoglycemic drugs are being used.
  • No medications for other comorbidities or stable medication regimens within 4 weeks before the baseline period.
  • In the screening period, 6.5% < or = glycosylated hemoglobin < or =11.0%, and fasting blood glucose < or = 13.9 mmol/L.
  • Glomerular filtration rate (eGFR) > or = 90 mL/min/1.73m2 estimated according to the modified dietary trial for kidney disease (MDRD) formula (only applicable to patients with type 2 diabetes with normal renal function).
  • Accompanied by mild or moderate renal impairment, the eGFR calculated according to the MDRD formula meets the following criteria: mild renal impairment: 60~89 mL/min/1.73m2, moderate renal impairment: 30~59 mL/min/ 1.73m2 (only for patients with type 2 diabetes with impaired renal function).
  • Accompanied by mild or moderate renal impairment, accompanied by stable disease in the first 3 months of the baseline period (only applicable to patients with type 2 diabetes with renal impairment).

Exclusion Criteria:

  • Known allergy to sodium-glucose cotransporter 2 (SGLT2) inhibitor drugs or related excipients.
  • In the 3 months before screening, those who smoked more than 5 cigarettes per day on average or who could not give up smoking from signing informed consent to leaving the group.
  • Have a history of alcoholism.
  • Ingested any food or drink containing caffeine, xanthine, alcohol, grapefruit within 48 hours before taking the test drug.
  • Those who donate blood or lose a lot of blood (>400 mL) within 3 months before taking the test drug, or have a history of blood transfusion within 1 month before screening, or plan to donate blood within 1 month after the end of the trial.
  • Those who have taken the trial drug or such drugs within 1 month before taking the trial drug, or participated in the clinical trial of any drug or medical device within 3 months before screening.
  • Those who have a positive urine drug screen or have a history of drug abuse or drug use in the past 5 years.
  • The subject is breastfeeding or the serum pregnancy test result is positive.
  • Subjects had undergone surgery within 1 month before screening, or major surgery was planned during the study period.
  • Have severe mental illness or language barrier, unwilling or unable to fully understand and cooperate.
  • History or evidence of other diseases, such as history of repeated urinary tract infections, poorly controlled high blood pressure, type I diabetes, urinary incontinence, etc.
  • Abnormal laboratory tests, such as a) Alanine transaminase (ALT)/Aspartate aminotransferase (AST)>2.0×UNL and/or total bilirubin>1.5×UNL; b) hemoglobin <100 g/L; c) hepatitis B surface antigen positive, hepatitis C antibody positive, HIV antibody positive , Syphilis antibody positive.
  • The researcher believes that the subject has any situation that may interfere with the interpretation of the pharmacokinetics, efficacy and safety data of this study.
  • Subjects considered by the researcher to be unsuitable to participate in this trial.

Sites / Locations

  • Ping FengRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

Group A and C (normal kidney function)

Group B (mild renal impairment)

Group D (moderate renal impairment)

Arm Description

Each subject will receive a single dose of rongliflozin on Day 1

Each subject will receive a single dose of rongliflozin on Day 1

Each subject will receive a single dose of rongliflozin on Day 1

Outcomes

Primary Outcome Measures

Plasma concentrations of rongliflozin
Plasma concentrations of rongliflizin following the administration of a single dose of rongliflozin, the pharmacokinetic parameters for rongliflozin will be measured in varying degrees of kidney function.

Secondary Outcome Measures

Change from baseline in 24-hour urine glucose excretion in varying degrees of kidney function
Change from baseline in 24-hour urine glucose excretion following the administration of a single dose of rongliflozin will be used to evaluate the pharmacodynamics of rongliflozin (ie, how the drug affects the body) in varying degrees of kidney function.

Full Information

First Posted
May 10, 2022
Last Updated
May 10, 2022
Sponsor
Sunshine Lake Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05374343
Brief Title
A Study of the Pharmacokinetics, Pharmacodynamics, and Safety of Rongliflozin in Type 2 Diabetic Subjects With Renal Impairment
Official Title
A Phase I Study of the Pharmacokinetics/Pharmacodynamics and Safety of Rongliflozin in Chinese Subjects With Type 2 Diabetes With Normal Renal Function and Mild to Moderate Renal Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
May 5, 2022 (Actual)
Primary Completion Date
November 15, 2023 (Anticipated)
Study Completion Date
February 13, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Lake Pharma 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
To evaluate the pharmacokinetic characteristics of pyroglutamate rongliflozin capsules in type 2 diabetic subjects with normal renal function and mild to moderate renal impairment.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
32 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group A and C (normal kidney function)
Arm Type
Active Comparator
Arm Description
Each subject will receive a single dose of rongliflozin on Day 1
Arm Title
Group B (mild renal impairment)
Arm Type
Experimental
Arm Description
Each subject will receive a single dose of rongliflozin on Day 1
Arm Title
Group D (moderate renal impairment)
Arm Type
Experimental
Arm Description
Each subject will receive a single dose of rongliflozin on Day 1
Intervention Type
Drug
Intervention Name(s)
pyroglutamate rongliflozin capsules
Intervention Description
Subjects will receive one 50mg capsule orally (by mouth) on Day 1
Primary Outcome Measure Information:
Title
Plasma concentrations of rongliflozin
Description
Plasma concentrations of rongliflizin following the administration of a single dose of rongliflozin, the pharmacokinetic parameters for rongliflozin will be measured in varying degrees of kidney function.
Time Frame
0 hour(pre-dose) to 96 hours after administration
Secondary Outcome Measure Information:
Title
Change from baseline in 24-hour urine glucose excretion in varying degrees of kidney function
Description
Change from baseline in 24-hour urine glucose excretion following the administration of a single dose of rongliflozin will be used to evaluate the pharmacodynamics of rongliflozin (ie, how the drug affects the body) in varying degrees of kidney function.
Time Frame
Day -1 (Baseline) to Day 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type 2 diabetes patients. The subject is willing to take effective contraceptive measures without a pregnancy plan within 4 weeks after signing the informed consent form to taking the test drug. When screening, 19.0 kg/m2 < or = body mass index (BMI) < or = 35.0 kg/m2. No hypoglycemic drugs have been used in the 4 weeks before the baseline period, or stable doses of hypoglycemic drugs are being used. No medications for other comorbidities or stable medication regimens within 4 weeks before the baseline period. In the screening period, 6.5% < or = glycosylated hemoglobin < or =11.0%, and fasting blood glucose < or = 13.9 mmol/L. Glomerular filtration rate (eGFR) > or = 90 mL/min/1.73m2 estimated according to the modified dietary trial for kidney disease (MDRD) formula (only applicable to patients with type 2 diabetes with normal renal function). Accompanied by mild or moderate renal impairment, the eGFR calculated according to the MDRD formula meets the following criteria: mild renal impairment: 60~89 mL/min/1.73m2, moderate renal impairment: 30~59 mL/min/ 1.73m2 (only for patients with type 2 diabetes with impaired renal function). Accompanied by mild or moderate renal impairment, accompanied by stable disease in the first 3 months of the baseline period (only applicable to patients with type 2 diabetes with renal impairment). Exclusion Criteria: Known allergy to sodium-glucose cotransporter 2 (SGLT2) inhibitor drugs or related excipients. In the 3 months before screening, those who smoked more than 5 cigarettes per day on average or who could not give up smoking from signing informed consent to leaving the group. Have a history of alcoholism. Ingested any food or drink containing caffeine, xanthine, alcohol, grapefruit within 48 hours before taking the test drug. Those who donate blood or lose a lot of blood (>400 mL) within 3 months before taking the test drug, or have a history of blood transfusion within 1 month before screening, or plan to donate blood within 1 month after the end of the trial. Those who have taken the trial drug or such drugs within 1 month before taking the trial drug, or participated in the clinical trial of any drug or medical device within 3 months before screening. Those who have a positive urine drug screen or have a history of drug abuse or drug use in the past 5 years. The subject is breastfeeding or the serum pregnancy test result is positive. Subjects had undergone surgery within 1 month before screening, or major surgery was planned during the study period. Have severe mental illness or language barrier, unwilling or unable to fully understand and cooperate. History or evidence of other diseases, such as history of repeated urinary tract infections, poorly controlled high blood pressure, type I diabetes, urinary incontinence, etc. Abnormal laboratory tests, such as a) Alanine transaminase (ALT)/Aspartate aminotransferase (AST)>2.0×UNL and/or total bilirubin>1.5×UNL; b) hemoglobin <100 g/L; c) hepatitis B surface antigen positive, hepatitis C antibody positive, HIV antibody positive , Syphilis antibody positive. The researcher believes that the subject has any situation that may interfere with the interpretation of the pharmacokinetics, efficacy and safety data of this study. Subjects considered by the researcher to be unsuitable to participate in this trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ping Feng, Doctor
Phone
15388216625
Email
617130961@qq.com
First Name & Middle Initial & Last Name or Official Title & Degree
Zhenmei An, Master
Phone
18980601658
Email
848948343@qq.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ping Feng, Doctor
Organizational Affiliation
West China Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Zhenmei An, Master
Organizational Affiliation
West China Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ping Feng
City
Chendu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ping Feng, Doctor
Phone
15388216625
Email
617130961@qq.com
First Name & Middle Initial & Last Name & Degree
Zhenmei An, Master
Phone
18980601658
Email
848948343@qq.com

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of the Pharmacokinetics, Pharmacodynamics, and Safety of Rongliflozin in Type 2 Diabetic Subjects With Renal Impairment

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