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A Study of Oral GLP1RA RGT001-075 in Adults With Type 2 Diabetes

Primary Purpose

Type 2 Diabetes Mellitus

Status
Active
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RGT001-075
Placebo
Sponsored by
Regor Pharmaceuticals Inc.
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:

  • Diagnosed with type 2 diabetes that has been treated with lifestyle modification and a stable dose of metformin ≥1000 mg/day (or maximum tolerated dose) for at least 3 months at the time of Screening
  • Screening HbA1c 7.0-10.5%
  • Male or female, age 18-75 years
  • Screening BMI 24.5 - 40 kg/m2
  • Either surgically sterile, abstinent, or willing to use a highly effective method of contraception for the entirety of the study, and not be pregnant or lactating if a woman of child-bearing potential

Exclusion Criteria:

  • Has received within the preceding 3 months prior to Screening, another approved or investigational oral or injectable antidiabetic medication (including, but not limited to sulfonylureas, dipeptidyl peptidase-4 inhibitor [DPP-4i], sodium-glucose cotransport 2 inhibitors, alphaglucosidase inhibitors, meglitinides, thiazolidinediones) or insulin in addition to metformin therapy
  • Has active GI disease including acute or chronic pancreatitis, severe gastroparesis or chronic malabsorption, inflammatory bowel disease, symptomatic gallbladder or biliary disease, known unstable liver disease, a diagnosis of fibrotic nonalcoholic steatohepatitis (NASH), Gilbert's syndrome, or obvious clinical signs or symptoms of liver disease including chronic active hepatitis B or C, or primary biliary cirrhosis, or elevated alanine aminotransferase (ALT) levels at Screening
  • Has any history of myocardial infarction (MI), unstable angina, coronary artery bypass graft, percutaneous coronary therapeutic intervention, transient ischemic attack, stroke, or decompensated congestive heart failure within previous 6 months prior to Screening
  • Has an estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m2
  • Has active proliferative diabetic retinopathy or macular edema
  • Has a known self or family history (first-degree relative) of multiple endocrine neoplasia type 2A or type 2B, thyroid C-cell hyperplasia, or medullary thyroid cancer
  • Has an active or untreated malignancy or has been in remission from a clinically significant malignancy (other than basal or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for <5 years prior to screening
  • Has evidence of human immunodeficiency virus (HIV) and/or positive HIV antibodies historically or at screening
  • Has had a significant change in weight, defined as a gain or loss of at least 5% body weight in the 3 months prior to screening
  • Has been treated or plan to be treated with drugs or devices or surgery that promote weight loss within 3 months prior to screening

Sites / Locations

  • Axon Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Dose Group A

Dose Group B

Dose Group C

Dose Group D

Dose Group E

Dose Group F

Placebo Group

Arm Description

Outcomes

Primary Outcome Measures

Change in HbA1c from baseline to end of treatment in the modified intent-to-treat population

Secondary Outcome Measures

Change in fasting plasma glucose from baseline to end of treatment in the modified intent-to-treat population
Change in mean body weight (absolute and %) from baseline to end of treatment in the modified intent-to-treat population
Change in body mass index from baseline to end of treatment in the modified intent-to-treat population
Change in waist circumference from baseline to end of treatment in the modified intent-to-treat population
Change in mean blood lipids including triglycerides (TG), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) from baseline to end of treatment in the modified intent-to-treat population
Percentages of patients achieving HbA1c <6.0%, <6.5%, and/or <7.0%
Percentages of patients achieving ≥5% and/or ≥10% greater body weight loss
Incidence of treatment-emergent adverse events (TEAE)s, serious adverse events (SAE)s, deaths, and adverse events (AE)s leading to study discontinuation
Vital signs - Systolic blood pressure (mmHg) absolute change from baseline
Vital signs - Diastolic blood pressure (mmHg) absolute change from baseline
Vital signs - Heart rate (beats/minute) absolute change from baseline
Vital signs - Body weight (kg) absolute and percent change from baseline
Safety clinical laboratories - complete blood count absolute change from baseline
Safety clinical laboratories - serum sodium absolute change from baseline
Safety clinical laboratories - serum potassium absolute change from baseline
Safety clinical laboratories - serum total bilirubin absolute change from baseline
Safety clinical laboratories - serum direct bilirubin absolute change from baseline
Safety clinical laboratories - serum alkaline phosphatase absolute change from baseline
Safety clinical laboratories - serum alanine aminotransferase absolute change from baseline
Safety clinical laboratories - serum aspartate aminotransferase absolute change from baseline
Safety clinical laboratories - serum blood urea nitrogen absolute change from baseline
Safety clinical laboratories - serum creatinine absolute change from baseline
Safety clinical laboratories - serum uric acid absolute change from baseline
Safety clinical laboratories - serum calcium absolute change from baseline
Safety clinical laboratories - serum lipase absolute change from baseline
Safety clinical laboratories - serum amylase absolute change from baseline
Safety clinical laboratories - eGFR (calculated) absolute change from baseline
Safety clinical laboratories - fasting serum glucose absolute change from baseline
Safety clinical laboratories - serum albumin absolute change from baseline
Safety clinical laboratories - serum total protein absolute change from baseline
Safety clinical laboratories - fasting serum total cholesterol absolute change from baseline
Safety clinical laboratories - fasting serum triglycerides absolute and percent change from baseline
Safety clinical laboratories - fasting serum HDL-C absolute and percent change from baseline
Safety clinical laboratories - fasting serum LDL-C absolute and percent change from baseline
Safety clinical laboratories - serum calcitonin absolute change from screening
ECG interval change from baseline absolute and categorical outliers >450ms
Proportion of patients who report AEs of Special Interest (AESI) including GI intolerability, hypoglycemia, drug hypersensitivity reactions, acute pancreatitis, thyroid C-cell hyperplasia and C-cell neoplasms, and cardiovascular (CV) events

Full Information

First Posted
February 24, 2022
Last Updated
May 17, 2022
Sponsor
Regor Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05297045
Brief Title
A Study of Oral GLP1RA RGT001-075 in Adults With Type 2 Diabetes
Official Title
A Phase 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Dose-Ranging Study of Oral RGT001-075 in Adult Patients With Uncontrollable Type 2 Diabetes Mellitus on Metformin Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 29, 2022 (Actual)
Primary Completion Date
March 30, 2023 (Anticipated)
Study Completion Date
March 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regor Pharmaceuticals Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a phase 2 study designed to evaluate the efficacy of daily (QD) oral RGT001-075 GLP1 receptor agonist relative to placebo after up to 16 weeks of double-blind treatment as determined by mean change from baseline in HbA1c in adult patients with Type 2 Diabetes Mellitus (T2DM) who have inadequate glycemic control with diet and exercise and stable metformin treatment.

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 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
420 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose Group A
Arm Type
Experimental
Arm Title
Dose Group B
Arm Type
Experimental
Arm Title
Dose Group C
Arm Type
Experimental
Arm Title
Dose Group D
Arm Type
Experimental
Arm Title
Dose Group E
Arm Type
Experimental
Arm Title
Dose Group F
Arm Type
Experimental
Arm Title
Placebo Group
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
RGT001-075
Intervention Description
Oral GLP1 Receptor Agonist
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo comparator
Primary Outcome Measure Information:
Title
Change in HbA1c from baseline to end of treatment in the modified intent-to-treat population
Time Frame
up to 16 weeks
Secondary Outcome Measure Information:
Title
Change in fasting plasma glucose from baseline to end of treatment in the modified intent-to-treat population
Time Frame
up to 16 weeks
Title
Change in mean body weight (absolute and %) from baseline to end of treatment in the modified intent-to-treat population
Time Frame
up to 16 weeks
Title
Change in body mass index from baseline to end of treatment in the modified intent-to-treat population
Time Frame
up to 16 weeks
Title
Change in waist circumference from baseline to end of treatment in the modified intent-to-treat population
Time Frame
up to 16 weeks
Title
Change in mean blood lipids including triglycerides (TG), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) from baseline to end of treatment in the modified intent-to-treat population
Time Frame
up to 16 weeks
Title
Percentages of patients achieving HbA1c <6.0%, <6.5%, and/or <7.0%
Time Frame
up to 16 weeks
Title
Percentages of patients achieving ≥5% and/or ≥10% greater body weight loss
Time Frame
up to 16 weeks
Title
Incidence of treatment-emergent adverse events (TEAE)s, serious adverse events (SAE)s, deaths, and adverse events (AE)s leading to study discontinuation
Time Frame
up to 16 weeks
Title
Vital signs - Systolic blood pressure (mmHg) absolute change from baseline
Time Frame
up to 16 weeks
Title
Vital signs - Diastolic blood pressure (mmHg) absolute change from baseline
Time Frame
up to 16 weeks
Title
Vital signs - Heart rate (beats/minute) absolute change from baseline
Time Frame
up to 16 weeks
Title
Vital signs - Body weight (kg) absolute and percent change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - complete blood count absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum sodium absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum potassium absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum total bilirubin absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum direct bilirubin absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum alkaline phosphatase absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum alanine aminotransferase absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum aspartate aminotransferase absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum blood urea nitrogen absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum creatinine absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum uric acid absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum calcium absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum lipase absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum amylase absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - eGFR (calculated) absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - fasting serum glucose absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum albumin absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum total protein absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - fasting serum total cholesterol absolute change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - fasting serum triglycerides absolute and percent change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - fasting serum HDL-C absolute and percent change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - fasting serum LDL-C absolute and percent change from baseline
Time Frame
up to 16 weeks
Title
Safety clinical laboratories - serum calcitonin absolute change from screening
Time Frame
up to 16 weeks
Title
ECG interval change from baseline absolute and categorical outliers >450ms
Time Frame
up to 16 weeks
Title
Proportion of patients who report AEs of Special Interest (AESI) including GI intolerability, hypoglycemia, drug hypersensitivity reactions, acute pancreatitis, thyroid C-cell hyperplasia and C-cell neoplasms, and cardiovascular (CV) events
Time Frame
up to 16 weeks

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: Diagnosed with type 2 diabetes that has been treated with lifestyle modification and a stable dose of metformin ≥1000 mg/day (or maximum tolerated dose) for at least 3 months at the time of Screening Screening HbA1c 7.0-10.5% Male or female, age 18-75 years Screening BMI 24.5 - 40 kg/m2 Either surgically sterile, abstinent, or willing to use a highly effective method of contraception for the entirety of the study, and not be pregnant or lactating if a woman of child-bearing potential Exclusion Criteria: Has received within the preceding 3 months prior to Screening, another approved or investigational oral or injectable antidiabetic medication (including, but not limited to sulfonylureas, dipeptidyl peptidase-4 inhibitor [DPP-4i], sodium-glucose cotransport 2 inhibitors, alphaglucosidase inhibitors, meglitinides, thiazolidinediones) or insulin in addition to metformin therapy Has active GI disease including acute or chronic pancreatitis, severe gastroparesis or chronic malabsorption, inflammatory bowel disease, symptomatic gallbladder or biliary disease, known unstable liver disease, a diagnosis of fibrotic nonalcoholic steatohepatitis (NASH), Gilbert's syndrome, or obvious clinical signs or symptoms of liver disease including chronic active hepatitis B or C, or primary biliary cirrhosis, or elevated alanine aminotransferase (ALT) levels at Screening Has any history of myocardial infarction (MI), unstable angina, coronary artery bypass graft, percutaneous coronary therapeutic intervention, transient ischemic attack, stroke, or decompensated congestive heart failure within previous 6 months prior to Screening Has an estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m2 Has active proliferative diabetic retinopathy or macular edema Has a known self or family history (first-degree relative) of multiple endocrine neoplasia type 2A or type 2B, thyroid C-cell hyperplasia, or medullary thyroid cancer Has an active or untreated malignancy or has been in remission from a clinically significant malignancy (other than basal or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for <5 years prior to screening Has evidence of human immunodeficiency virus (HIV) and/or positive HIV antibodies historically or at screening Has had a significant change in weight, defined as a gain or loss of at least 5% body weight in the 3 months prior to screening Has been treated or plan to be treated with drugs or devices or surgery that promote weight loss within 3 months prior to screening
Facility Information:
Facility Name
Axon Clinical Research
City
Doral
State/Province
Florida
ZIP/Postal Code
33166
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study of Oral GLP1RA RGT001-075 in Adults With Type 2 Diabetes

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