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Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction

Primary Purpose

Renal Insufficiency

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Met DR
Met XR
Placebo
Sponsored by
Elcelyx Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Renal Insufficiency

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. 18 to 80 (inclusive) years old at Visit 1 (Screening)
  2. Male, or female and met all of the following criteria:

    • Not breastfeeding
    • Negative pregnancy test result at Visit 1 (Screening) (not applicable to postmenopausal or surgically sterile females)
    • Surgically sterile, postmenopausal, or if of childbearing potential, practiced and was willing to continue to practice appropriate birth control during the entire duration of the study
    • Body weight of ≥45 kg
  3. Body mass index (BMI) of 18.0 to 40.0 kg/m² (inclusive) at Visit 1 (Screening)
  4. Had type 2 diabetes mellitus and an HbA1c ≤10.0%
  5. Had a physical examination with no clinically significant abnormalities as judged by the investigator
  6. Estimated glomerular filtration rate (eGFR) ≥15 mL/min/1.73 m² based on the Modification of Diet in Renal Disease (MDRD) equation
  7. Ability to understand and willingness to adhere to protocol requirements

Exclusion Criteria:

  1. Had End Stage Renal Disease requiring dialysis or severe renal dysfunction with eGFR <15 mL/min/1.73 m²
  2. Was on dialysis or had been on dialysis within 12 months of Visit 1 (Screening)
  3. Had received or planned to receive any iodinated contrast dye within 1 week prior to Visit 1 (Screening) or after study medication administration
  4. Was taking or had taken within 1 week of Visit 1 cationic drugs that are eliminated by renal tubular secretion (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin)
  5. Had a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions:

    • Hepatic disease
    • Gastrointestinal disease
    • Endocrine disorder (type 2 diabetes mellitus was allowed)
    • Cardiovascular disease
    • Central nervous system diseases
    • Psychiatric or neurological disorders
    • Organ transplantation
    • Chronic or acute infection
    • Orthostatic hypotension, fainting spells or blackouts
    • Allergy or hypersensitivity
  6. Had any chronic disease requiring medication that had been adjusted in the past 14 days (subjects could take acute intermittent over-the-counter medications such as Tylenol, if needed)
  7. Had major surgery of any kind within 6 months of Visit 1 (Screening)
  8. Had a clinically significant finding of an electrocardiogram (ECG) as assessed by the investigator at Visit 1 (Screening)
  9. Had clinical laboratory test (clinical chemistry, hematology, or urinalysis) abnormalities, other than those related to diabetes or renal disease and other stable diseases, judged by the investigator to be clinically significant at Visit 1 (Screening)
  10. Had a hemoglobin result <8 g/dL or a level indicating severe anemia of renal origin
  11. Had a physical, psychological, or historical finding that, in the investigator's opinion, would make the subject unsuitable for the study
  12. Had received Byetta® or short-acting insulin within 3 days of Visit 1 (Screening)
  13. Had received metformin within 4 weeks of Visit 1 (Screening)
  14. Had any drug treatment that affects gastrointestinal motility or gastric pH (prescription or over-the-counter), including any antacids or medications such as Rolaids or Pepcid, within 2 days of Visit 2
  15. Abused drugs or alcohol or had a history of abuse that in the investigator's opinion would cause the individual to be noncompliant with study procedures
  16. Smoked more than 10 cigarettes, 3 cigars, or 3 pipes per day
  17. Had donated blood within 2 months of Visit 1 (Screening) or was planning to donate blood during the study
  18. Had received any investigational drug within one month (or seven half-lives of the investigational drug, whichever was greater) of Visit 1 (Screening)
  19. Had known allergies or hypersensitivity to any component of study treatment
  20. Was employed by Elcelyx Therapeutics, Inc (that is an employee, temporary contract worker, or designee of the company)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Active Comparator

    Placebo Comparator

    Arm Label

    Met DR

    Met XR

    Placebo

    Arm Description

    One dose of 1000 mg metformin delayed-release

    One dose of 1000 mg metformin extended-release

    One dose of Placebo

    Outcomes

    Primary Outcome Measures

    AUC (0-t) of Plasma Metformin
    AUC (0-t) = Area under the curve from the time of dosing (0 h) to the time of the last quantifiable concentration following dose administration
    Cmax of Plasma Metformin
    Cmax = Maximum concentration from the time of dosing (0 h) to the time of the last quantifiable metformin concentration following dose administration
    Correlation of Placebo-adjusted Change From Pre-dose Value in Lactate Versus Metformin Concentration
    To determine the exposure-response relationship of metformin and plasma lactate concentrations

    Secondary Outcome Measures

    Full Information

    First Posted
    August 1, 2012
    Last Updated
    November 25, 2015
    Sponsor
    Elcelyx Therapeutics, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01658514
    Brief Title
    Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction
    Official Title
    A Randomized, Crossover Study Assessing the Single Dose Pharmacokinetics of Delayed-Release Metformin in Subjects With Renal Dysfunction
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2014 (undefined)
    Primary Completion Date
    June 2014 (Actual)
    Study Completion Date
    June 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Elcelyx Therapeutics, Inc.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study evaluated how a single dose of delayed-release metformin (Met DR) behaves in subjects with normal kidney function, mild kidney dysfunction, moderate kidney dysfunction, or severe kidney dysfunction. The safety and tolerability of Met DR was also examined. In addition, this study compared the behavior of a single dose of Met DR with that of extended-release metformin (Met XR) and placebo in subjects with the varying levels of kidney function described above.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Renal Insufficiency

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Phase 2
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    39 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Met DR
    Arm Type
    Experimental
    Arm Description
    One dose of 1000 mg metformin delayed-release
    Arm Title
    Met XR
    Arm Type
    Active Comparator
    Arm Description
    One dose of 1000 mg metformin extended-release
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    One dose of Placebo
    Intervention Type
    Drug
    Intervention Name(s)
    Met DR
    Intervention Description
    metformin delayed-release tablets
    Intervention Type
    Drug
    Intervention Name(s)
    Met XR
    Intervention Description
    metformin extended-release tablets
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    AUC (0-t) of Plasma Metformin
    Description
    AUC (0-t) = Area under the curve from the time of dosing (0 h) to the time of the last quantifiable concentration following dose administration
    Time Frame
    from the time of dosing (0 h) to 72 hours postdose
    Title
    Cmax of Plasma Metformin
    Description
    Cmax = Maximum concentration from the time of dosing (0 h) to the time of the last quantifiable metformin concentration following dose administration
    Time Frame
    from the time of dosing (0 h) to 72 hours postdose
    Title
    Correlation of Placebo-adjusted Change From Pre-dose Value in Lactate Versus Metformin Concentration
    Description
    To determine the exposure-response relationship of metformin and plasma lactate concentrations
    Time Frame
    from the time of dosing (0 h) to 24 hours postdose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: 18 to 80 (inclusive) years old at Visit 1 (Screening) Male, or female and met all of the following criteria: Not breastfeeding Negative pregnancy test result at Visit 1 (Screening) (not applicable to postmenopausal or surgically sterile females) Surgically sterile, postmenopausal, or if of childbearing potential, practiced and was willing to continue to practice appropriate birth control during the entire duration of the study Body weight of ≥45 kg Body mass index (BMI) of 18.0 to 40.0 kg/m² (inclusive) at Visit 1 (Screening) Had type 2 diabetes mellitus and an HbA1c ≤10.0% Had a physical examination with no clinically significant abnormalities as judged by the investigator Estimated glomerular filtration rate (eGFR) ≥15 mL/min/1.73 m² based on the Modification of Diet in Renal Disease (MDRD) equation Ability to understand and willingness to adhere to protocol requirements Exclusion Criteria: Had End Stage Renal Disease requiring dialysis or severe renal dysfunction with eGFR <15 mL/min/1.73 m² Was on dialysis or had been on dialysis within 12 months of Visit 1 (Screening) Had received or planned to receive any iodinated contrast dye within 1 week prior to Visit 1 (Screening) or after study medication administration Was taking or had taken within 1 week of Visit 1 cationic drugs that are eliminated by renal tubular secretion (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, and vancomycin) Had a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions: Hepatic disease Gastrointestinal disease Endocrine disorder (type 2 diabetes mellitus was allowed) Cardiovascular disease Central nervous system diseases Psychiatric or neurological disorders Organ transplantation Chronic or acute infection Orthostatic hypotension, fainting spells or blackouts Allergy or hypersensitivity Had any chronic disease requiring medication that had been adjusted in the past 14 days (subjects could take acute intermittent over-the-counter medications such as Tylenol, if needed) Had major surgery of any kind within 6 months of Visit 1 (Screening) Had a clinically significant finding of an electrocardiogram (ECG) as assessed by the investigator at Visit 1 (Screening) Had clinical laboratory test (clinical chemistry, hematology, or urinalysis) abnormalities, other than those related to diabetes or renal disease and other stable diseases, judged by the investigator to be clinically significant at Visit 1 (Screening) Had a hemoglobin result <8 g/dL or a level indicating severe anemia of renal origin Had a physical, psychological, or historical finding that, in the investigator's opinion, would make the subject unsuitable for the study Had received Byetta® or short-acting insulin within 3 days of Visit 1 (Screening) Had received metformin within 4 weeks of Visit 1 (Screening) Had any drug treatment that affects gastrointestinal motility or gastric pH (prescription or over-the-counter), including any antacids or medications such as Rolaids or Pepcid, within 2 days of Visit 2 Abused drugs or alcohol or had a history of abuse that in the investigator's opinion would cause the individual to be noncompliant with study procedures Smoked more than 10 cigarettes, 3 cigars, or 3 pipes per day Had donated blood within 2 months of Visit 1 (Screening) or was planning to donate blood during the study Had received any investigational drug within one month (or seven half-lives of the investigational drug, whichever was greater) of Visit 1 (Screening) Had known allergies or hypersensitivity to any component of study treatment Was employed by Elcelyx Therapeutics, Inc (that is an employee, temporary contract worker, or designee of the company)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    George Canas, MD
    Organizational Affiliation
    Prism Research
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Kenneth Lasseter, MD
    Organizational Affiliation
    Clinical Pharmacology of Miami, Inc
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Alexander White, MD
    Organizational Affiliation
    Progressive Medical Research
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Harold Bays, MD
    Organizational Affiliation
    Louisville Metabolic and Atherosclerosis Research Center
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Craig Curtis, MD
    Organizational Affiliation
    Compass Research
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Prabir Roy-Chaudhury
    Organizational Affiliation
    Cincinnati Veterans Affairs Medical Center Department of Internal Medicine
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sunder Mudaliar
    Organizational Affiliation
    San Diego Veterans Healthcare System
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Nelson Kopyt
    Organizational Affiliation
    Northeast Clinical Research Center
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    Citation
    Bakris GL, Mudaliar, S, Kim T, Burns C, Skare S, Baron A, Fineman M. Effects of New Metformin Formulation in Stage 3 and 4 CKD: A Pilot Study. J Am Soc Nephrol. 2014; 25:549A.
    Results Reference
    result
    PubMed Identifier
    26773926
    Citation
    DeFronzo R, Fleming GA, Chen K, Bicsak TA. Metformin-associated lactic acidosis: Current perspectives on causes and risk. Metabolism. 2016 Feb;65(2):20-9. doi: 10.1016/j.metabol.2015.10.014. Epub 2015 Oct 9.
    Results Reference
    result

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    Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction

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