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Efficacy and Safety of LID104 in the Treatment of Type II Diabetes Mellitus (DÁLIA)

Primary Purpose

Type 2 Diabetes Mellitus

Status
Not yet recruiting
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
LID104
Dapagliflozin
Linagliptin
Sponsored by
EMS
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

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

Inclusion Criteria: Ability to confirm voluntary participation and agree to all trial purposes by signing and dating the consent form; Diagnosis of type II diabetes mellitus, and who did not reach the therapeutic goal of HbA1c with previous dietary, physical exercise and monotherapy with the maximum tolerated dose of metformin at a stable dose in the last 3 months and which, in the Investigator's discretion, may benefit from the addition of the trial drugs. Participants with HbA1c ≥ 7.5% and ≤ 10.5% at the screening visit. Participants with body mass index ≤ 45 kg/m2 Exclusion Criteria: Any clinical observation or laboratory condition finding that is interpreted by the investigating physician as a risk to the participation of the research participant in the clinical trial or presence of uncontrolled chronic disease(s); History of alcohol and/or illicit drug use disorder in the last two years; Participants who are pregnant, nursing or planning to become pregnant, or female participants of childbearing potential who are not using reliable contraception; Participants with known allergy or hypersensitivity to the components of the drugs used during the clinical trial; Participants with a current medical history of cancer and/or treatment for cancer in the last five years; Participation in a clinical trial protocols in the last 12 months (CNS Resolution 251, of August 7, 1997, item III, subitem J), unless the investigator judges that there may be a direct benefit at the same; Type 1 Diabetes Mellitus; Fasting glucose above 300 mg/dL; Participants who have risk factors for severe volume depletion; Participants on dialysis; History of metabolic acidosis and/or using medications that may cause lactic acidosis; Participants who have had a cardiovascular event (acute myocardial infarction, acute coronary syndrome, recent onset of stable angina, stroke, unstable congestive heart failure requiring change in treatment), who underwent a revascularization procedure or vascular surgery in the six months prior to screening; Known heart failure, class III to IV (New York Heart Association); Moderate or severe renal insufficiency; Participant with altered liver function, defined by serum levels of aspartate aminotransferase, alanine aminotransferase or alkaline phosphatase above three times the upper limit of normal or bilirubin > 1.5 times the upper limit of normal; Participants who underwent bariatric surgery in the last two years and/or other gastrointestinal surgeries that may cause chronic malabsorption; Medical history of haemoglobinopathies, blood dyscrasia or any other hemolytic disorders; Known medical history of pancreatic diseases that may suggest insulin deficiency; Known uncontrolled hypothyroidism or hyperthyroidism or thyroid-stimulating hormone (TSH) dosage greater than 1.5 times the reference value; Known history of sepsis, hypotension, major surgery, trauma, severe metabolic, endocrine and electrolyte changes or uncontrolled seizures in the six months prior to trial screening, or any other condition that, in the judgment of the investigator, may favor clinically significant alterations in the levels of the enzyme creatine phosphokinase (CPK) or participants with CPK dosages greater than ten times the value considered for normality; Participants who started treatment with anti-obesity drugs less than three months ago or with a dose change in the last three months; Participants with current and prolonged treatment for more than fifteen days with systemic steroids at the time of informed consent or in the last three months prior to the screening visit; Participants on insulin therapy or using oral antidiabetics other than metformin; Participants using prohibited medications according to the study protocol.

Sites / Locations

  • Investigational site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

LID104

Dapagliflozin

Linagliptin

Arm Description

The patient must take 1 tablet of LID104 plus 1 tablet of placebo of dapagliflozin and 1 tablet of placebo of linagliptin once a day.

The patient must take 1 tablet of dapagliflozin plus 1 tablet of placebo of LID104 and 1 tablet of placebo of linagliptin once a day.

The patient must take 1 tablet of linagliptin plus 1 tablet of placebo of LID104 and 1 tablet of placebo of dapagliflozin once a day.

Outcomes

Primary Outcome Measures

Glycated hemoglobin (HbA1c)
Change from baseline in glycated hemoglobin

Secondary Outcome Measures

Fasting blood glucose
Change from baseline in fasting blood glucose
HbA1c reduction to < 7%
Proportion of participants with HbA1c reduction to < 7%
Treatment failure
Proportion of participants who were discontinued from the study because they needed medication other than the study medication for blood glucose control
Body weight
Change from baseline in body weight
Blood pressure
Change from baseline in blood pressure

Full Information

First Posted
May 23, 2023
Last Updated
May 23, 2023
Sponsor
EMS
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1. Study Identification

Unique Protocol Identification Number
NCT05886088
Brief Title
Efficacy and Safety of LID104 in the Treatment of Type II Diabetes Mellitus
Acronym
DÁLIA
Official Title
National, Multicenter, Randomized, Double-blind, Triple-dummy, Phase III Clinical Trial to Evaluate the Efficacy and Safety of LID104 in the Treatment of Type II Diabetes Mellitus
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
February 2024 (Anticipated)
Primary Completion Date
May 2026 (Anticipated)
Study Completion Date
January 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EMS

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of LID104 in the treatment of type 2 diabetes mellitus.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
597 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
LID104
Arm Type
Experimental
Arm Description
The patient must take 1 tablet of LID104 plus 1 tablet of placebo of dapagliflozin and 1 tablet of placebo of linagliptin once a day.
Arm Title
Dapagliflozin
Arm Type
Active Comparator
Arm Description
The patient must take 1 tablet of dapagliflozin plus 1 tablet of placebo of LID104 and 1 tablet of placebo of linagliptin once a day.
Arm Title
Linagliptin
Arm Type
Active Comparator
Arm Description
The patient must take 1 tablet of linagliptin plus 1 tablet of placebo of LID104 and 1 tablet of placebo of dapagliflozin once a day.
Intervention Type
Drug
Intervention Name(s)
LID104
Intervention Description
Experimental
Intervention Type
Drug
Intervention Name(s)
Dapagliflozin
Intervention Description
Active comparator
Intervention Type
Drug
Intervention Name(s)
Linagliptin
Intervention Description
Active comparator
Primary Outcome Measure Information:
Title
Glycated hemoglobin (HbA1c)
Description
Change from baseline in glycated hemoglobin
Time Frame
120 days
Secondary Outcome Measure Information:
Title
Fasting blood glucose
Description
Change from baseline in fasting blood glucose
Time Frame
120 days
Title
HbA1c reduction to < 7%
Description
Proportion of participants with HbA1c reduction to < 7%
Time Frame
120 days
Title
Treatment failure
Description
Proportion of participants who were discontinued from the study because they needed medication other than the study medication for blood glucose control
Time Frame
Up to 140 days
Title
Body weight
Description
Change from baseline in body weight
Time Frame
Up to 140 days
Title
Blood pressure
Description
Change from baseline in blood pressure
Time Frame
Up to 140 days

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: Ability to confirm voluntary participation and agree to all trial purposes by signing and dating the consent form; Diagnosis of type II diabetes mellitus, and who did not reach the therapeutic goal of HbA1c with previous dietary, physical exercise and monotherapy with the maximum tolerated dose of metformin at a stable dose in the last 3 months and which, in the Investigator's discretion, may benefit from the addition of the trial drugs. Participants with HbA1c ≥ 7.5% and ≤ 10.5% at the screening visit. Participants with body mass index ≤ 45 kg/m2 Exclusion Criteria: Any clinical observation or laboratory condition finding that is interpreted by the investigating physician as a risk to the participation of the research participant in the clinical trial or presence of uncontrolled chronic disease(s); History of alcohol and/or illicit drug use disorder in the last two years; Participants who are pregnant, nursing or planning to become pregnant, or female participants of childbearing potential who are not using reliable contraception; Participants with known allergy or hypersensitivity to the components of the drugs used during the clinical trial; Participants with a current medical history of cancer and/or treatment for cancer in the last five years; Participation in a clinical trial protocols in the last 12 months (CNS Resolution 251, of August 7, 1997, item III, subitem J), unless the investigator judges that there may be a direct benefit at the same; Type 1 Diabetes Mellitus; Fasting glucose above 300 mg/dL; Participants who have risk factors for severe volume depletion; Participants on dialysis; History of metabolic acidosis and/or using medications that may cause lactic acidosis; Participants who have had a cardiovascular event (acute myocardial infarction, acute coronary syndrome, recent onset of stable angina, stroke, unstable congestive heart failure requiring change in treatment), who underwent a revascularization procedure or vascular surgery in the six months prior to screening; Known heart failure, class III to IV (New York Heart Association); Moderate or severe renal insufficiency; Participant with altered liver function, defined by serum levels of aspartate aminotransferase, alanine aminotransferase or alkaline phosphatase above three times the upper limit of normal or bilirubin > 1.5 times the upper limit of normal; Participants who underwent bariatric surgery in the last two years and/or other gastrointestinal surgeries that may cause chronic malabsorption; Medical history of haemoglobinopathies, blood dyscrasia or any other hemolytic disorders; Known medical history of pancreatic diseases that may suggest insulin deficiency; Known uncontrolled hypothyroidism or hyperthyroidism or thyroid-stimulating hormone (TSH) dosage greater than 1.5 times the reference value; Known history of sepsis, hypotension, major surgery, trauma, severe metabolic, endocrine and electrolyte changes or uncontrolled seizures in the six months prior to trial screening, or any other condition that, in the judgment of the investigator, may favor clinically significant alterations in the levels of the enzyme creatine phosphokinase (CPK) or participants with CPK dosages greater than ten times the value considered for normality; Participants who started treatment with anti-obesity drugs less than three months ago or with a dose change in the last three months; Participants with current and prolonged treatment for more than fifteen days with systemic steroids at the time of informed consent or in the last three months prior to the screening visit; Participants on insulin therapy or using oral antidiabetics other than metformin; Participants using prohibited medications according to the study protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Alexandra F D Alves, MSc
Phone
1938878917
Ext
+55
Email
pesquisa.clinica@ncfarma.com.br
Facility Information:
Facility Name
Investigational site
City
Hortolândia
State/Province
SP
Country
Brazil
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alexandra F D Alves, MSc

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of LID104 in the Treatment of Type II Diabetes Mellitus

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