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Effects of BKR-017 on Insulin Resistance in Type 2 Diabetes Patients

Primary Purpose

Type 2 Diabetes

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
BKR-017
Sponsored by
BioKier Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Type 2 Diabetes

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males and females between the ages of 18 and 70 years at the time of screening, inclusive
  2. Diagnosed with T2D and under the care of a healthcare professional for its management
  3. HbA1c 6.5-10.5%, inclusive
  4. HOMA-IR 2.7 and above
  5. Has given written informed consent to participate in this study
  6. Willing to complete 28-day test period, including two overnight stays
  7. Willing to maintain current diet and exercise routine and current prescription medications for the duration of the study

Exclusion Criteria:

  1. Type 1 diabetes
  2. History of bariatric or intestinal surgery
  3. Active gastrointestinal disease including but not limited to irritable bowel syndrome, inflammatory bowel disease (e.g., Crohn's disease and ulcerative colitis), diverticulitis, gastroparesis, or chronic/frequent diarrhea or chronic/frequent constipation
  4. Active and clinically significant hepatic, pancreatic disease, or renal disease as determined by the investigator
  5. History of significant heart disease, including congestive heart failure, prior MI, chronic atrial or ventricular fibrillation, coronary artery disease, cerebral vascular disease or other cardiovascular disease, that in the opinion of the investigator should exclude the subject from the study
  6. Severely uncontrolled hypertension at screening defined as a systolic blood pressure > 180 mmHg or a diastolic blood pressure > 110 mmHg on the average of two seated measurements after being at rest for at least 5 minutes
  7. Uncontrolled hyperthyroidism or hypothyroidism, or other significant thyroid disease
  8. Active significant infection as determined by the investigator
  9. Known allergy to butyrate or any of the components of the tablets
  10. Participation in a clinical trial and/or treatment with an investigational drug during the 30 days before screening, or within 5 half-lives of receipt of an investigational drug or twice the duration of the biological effect of any investigational drug (whichever is longer)
  11. Allergy or intolerance to Boost® High Protein drink
  12. Pregnant, nursing, or trying to become pregnant
  13. Presence of pitting edema on physical exam
  14. High fiber diet
  15. In the investigator's judgment, the subject is not suitable for the study for any other reason or cannot commit to the requirements of the study.
  16. Subject is taking one or more of the excluded therapies. See list of excluded therapies in section 4.4.

Sites / Locations

  • Pennington Biomedical Research Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Active BKR-017

Arm Description

Open label study. All patients will receive 28 days of active treatment.

Outcomes

Primary Outcome Measures

Insulin resistance (HOMA-IR)
Changes, Day 0 to Day 28 in patient's insulin resistance (HOMA-IR)

Secondary Outcome Measures

Fasting glucose
Changes in fasting glucose
Fasting insulin
Changes in fasting insulin
Fasting triglycerides
Changes in fasting triglycerides
Triglyceride, glucose, and insulin AUCs
Changes in triglyceride, glucose, and insulin AUCs

Full Information

First Posted
February 19, 2020
Last Updated
December 3, 2020
Sponsor
BioKier Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04279444
Brief Title
Effects of BKR-017 on Insulin Resistance in Type 2 Diabetes Patients
Official Title
Open-Label Study to Evaluate the Effect of BKR-017 on Insulin Resistance and Other Metabolic Parameters in Type 2 Diabetes Patients
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
June 16, 2020 (Actual)
Primary Completion Date
November 10, 2020 (Actual)
Study Completion Date
November 15, 2020 (Actual)

3. Sponsor/Collaborators

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

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
The purpose of this study is to evaluate the effect of BKR-017 on insulin resistance in type 2 diabetes (T2D) subjects during 28 days of active test product administration.
Detailed Description
The study consists of a screening period followed by a 28-day treatment period. All subjects will receive test product. There are a total of 4 study visits including screening. Visit 1 is the screening visit. Eligible subject must have an HbA1c between 6.5 -10.5% and with HOMA-IR ≥ 2.7 (calculated from fasting insulin and fasting glucose). Visits 2 and 4 are overnight visits during which time a Mixed Meal Tolerance (MMTT) will be performed after an overnight fast. The MMTT requires an indwelling IV catheter so that 11 blood draws can be more comfortably be obtained over a period of 4 hours. At Visit 3,subjects will be evaluated and test product will be replenished. Routine chemistry and hematology testing are done and two time periods during the study and a physical exam is performed at screening

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
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active BKR-017
Arm Type
Experimental
Arm Description
Open label study. All patients will receive 28 days of active treatment.
Intervention Type
Dietary Supplement
Intervention Name(s)
BKR-017
Intervention Description
BioKier, Inc. is developing colon-targeted, oral formulations of natural gut hormone secretagogues as non-prescription medical foods or supplements for nutritional use for improvement of insulin sensitivity.
Primary Outcome Measure Information:
Title
Insulin resistance (HOMA-IR)
Description
Changes, Day 0 to Day 28 in patient's insulin resistance (HOMA-IR)
Time Frame
28 days of active test product administration
Secondary Outcome Measure Information:
Title
Fasting glucose
Description
Changes in fasting glucose
Time Frame
Day 0 to Day 28
Title
Fasting insulin
Description
Changes in fasting insulin
Time Frame
Day 0 to Day 28
Title
Fasting triglycerides
Description
Changes in fasting triglycerides
Time Frame
Day 0 to Day 28
Title
Triglyceride, glucose, and insulin AUCs
Description
Changes in triglyceride, glucose, and insulin AUCs
Time Frame
4 hours in the MMTT

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females between the ages of 18 and 70 years at the time of screening, inclusive Diagnosed with T2D and under the care of a healthcare professional for its management HbA1c 6.5-10.5%, inclusive HOMA-IR 2.7 and above Has given written informed consent to participate in this study Willing to complete 28-day test period, including two overnight stays Willing to maintain current diet and exercise routine and current prescription medications for the duration of the study Exclusion Criteria: Type 1 diabetes History of bariatric or intestinal surgery Active gastrointestinal disease including but not limited to irritable bowel syndrome, inflammatory bowel disease (e.g., Crohn's disease and ulcerative colitis), diverticulitis, gastroparesis, or chronic/frequent diarrhea or chronic/frequent constipation Active and clinically significant hepatic, pancreatic disease, or renal disease as determined by the investigator History of significant heart disease, including congestive heart failure, prior MI, chronic atrial or ventricular fibrillation, coronary artery disease, cerebral vascular disease or other cardiovascular disease, that in the opinion of the investigator should exclude the subject from the study Severely uncontrolled hypertension at screening defined as a systolic blood pressure > 180 mmHg or a diastolic blood pressure > 110 mmHg on the average of two seated measurements after being at rest for at least 5 minutes Uncontrolled hyperthyroidism or hypothyroidism, or other significant thyroid disease Active significant infection as determined by the investigator Known allergy to butyrate or any of the components of the tablets Participation in a clinical trial and/or treatment with an investigational drug during the 30 days before screening, or within 5 half-lives of receipt of an investigational drug or twice the duration of the biological effect of any investigational drug (whichever is longer) Allergy or intolerance to Boost® High Protein drink Pregnant, nursing, or trying to become pregnant Presence of pitting edema on physical exam High fiber diet In the investigator's judgment, the subject is not suitable for the study for any other reason or cannot commit to the requirements of the study. Subject is taking one or more of the excluded therapies. See list of excluded therapies in section 4.4.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
George Szewczyk, PhD
Organizational Affiliation
BioKier Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Pennington Biomedical Research Center
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Effects of BKR-017 on Insulin Resistance in Type 2 Diabetes Patients

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