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To Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes With Differing Baseline Diabetes Therapies

Primary Purpose

Type 2 Diabetes Mellitus, Impaired Glucose Tolerance

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Canakinumab 150 mg
Placebo to Canakinumab
Sponsored by
Novartis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus focused on measuring Type 2 Diabetes Mellitus, canakinumab, Pre diabetic, glucose intolerant, oral anti diabetic medication, insulin treatment, metabolic syndrome

Eligibility Criteria

18 Years - 74 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient must fulfill all criteria in one of the following groups:

    • Impaired Glucose Tolerance (IGT) as diagnosed per protocol and not on an anti-diabetic medicine during the study
    • Diagnosis of Type 2 diabetes in stable treatment with metformin
    • Diagnosis of Type 2 diabetes in stable treatment with metformin (at least 1000 mg/day) in combination with a sulfonylurea
    • Diagnosis of Type 2 diabetes in stable treatment with metformin (at least 1000 mg/day), sulfonylurea and thiazolidinedione combination therapy
    • Diagnosis of Type 2 diabetes in stable treatment with at least two insulin injections a day with or without metformin
  2. HbA1c between 6.5% and 8%, inclusive, at Screening; this criterion does not apply to the IGT group
  3. Age from 18-74 years, inclusive, and of either sex

Exclusion Criteria:

  1. Type 1 diabetes or diabetes that is a result of pancreatic injury or other secondary forms of diabetes
  2. History or current findings of active pulmonary disease (e.g. tuberculosis, fungal diseases) as defined in the protocol:
  3. Known presence or suspicion of active or recurrent bacterial, fungal or viral infection at the time of enrollment proven.

Sites / Locations

  • National Research Institute
  • Crest Clinical Trials
  • Encompass Clinical Research
  • Commonwealth Biomedical Research LLC
  • University of Nebraska Medical Center
  • VA Medical Center
  • Lillestol Research LLC
  • Preferred Primary Care Physicians
  • Dallas Diabetes and Endocrine Center
  • Texas Center for Drug Development P.A.
  • Utah Clinical Trials
  • Barwon Health - Geelong Hospital
  • Austin Health - Heidelberg Repatriation Hospital
  • Melbourne Health - Royal Melbourne Hospital
  • Lifestyle Metabolism Centre (Etobicoke)
  • LMC Endocrinology Centres (Markham) Ltd
  • LMC Endocrinology Centres (Thornhill) Ltd
  • Centre de recherche clinique de Laval
  • Hôpital Maisonneuve-Rosemont
  • Lihavuustutkimusyksikkö
  • Lääkärikeskus Mehiläinen Töölö
  • ODL Terveys Oy
  • Clintrial Berlin Praxis fuer medizinische Studien
  • Klinische Forschung Berlin-Buch Dr. Andrei Khariouzov
  • "Sana Krankenhaus Gerresheim
  • Gemeinschaftspraxis Dr. Ingo Zeissig
  • Praxis Dr. Thorsten Rau
  • Praxis Dr. med. Joerg Luedemann
  • Dr. Helmut Anderten Gemeinschaftspraxis Dres. Anderten und Krok
  • Praxis Dr. Julia Chevts
  • Pro Scientia Med
  • Praxis Dr. Winfried Keuthage
  • Praxis Dr. Uwe Boeckmann
  • Dr. Klaus Funke IkFE Studiencenter Potsdam GMBH I.G.
  • Praxis Dr. Gerhard Steinmaier
  • Praxis Dr. Reinhold U. Schneider
  • Visakha Diabetes & Endocrine Centre
  • Jnana Sanjeevini Medical Center
  • Bangalore Diabetes Hospital,
  • Health & Research Centre
  • Indrayani Speciality Hospital,
  • Sahyadri Hospital Bibewewadi Centre of Excellence for Diabetics
  • Diabetes Thyroid Hormone Research Institute Pvt .Ltd.
  • Madras Diabetes Research Foundation
  • Azienda Ospedaliera-Ospedali Riuniti di BergamoU
  • Az. Ospedaliera Universit. S.Martino-Universita degli Studi
  • Azienda Ospedaliera S. Paolo-Polo Universitario
  • Fondazione Centro San Raffaele del Monte Tabor-IRCCSUnità
  • Az. Ospedaliera Della Prov.di Pavia
  • A.O.Universitaria Senese, Universita degli Studi di Siena
  • S.C.D.U. Endocrinologia e Malattie del Metabolismo
  • Policlinico A.Gemelli - Univ.Cattolica del Sacro Cuore

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Canakinumab 150 mg + Metformin

Placebo + Metformin

Canakinumab 150 mg + Metforimin + Sulfonylurea

Placebo + Metforimin + Sulfonylurea

Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione

Placebo + Met + Sulfonyl + Thiazolidinedione

Canakinumab 150 mg + Insulin

Placebo + Insulin

Canakinumab 150 mg in patients with IGT

Placebo in patients with IGT

Arm Description

Eligible participants received a single subcutaneous injection Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening

Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening

Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening

Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening

Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.

Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.

Outcomes

Primary Outcome Measures

Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-2 Hours, From Baseline to 4 Weeks.
Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal.A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include patients from the IGT population

Secondary Outcome Measures

Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 2-4 Hours, From Baseline to 4 Weeks
Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-4 Hours, From Baseline to 4 Weeks.
Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose, insulin and C-peptide at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Mean Change in Fasting Plasma Glucose, From Baseline to 4 Weeks
Change in Fasting Glucose Level measured from plasma taken at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Mean Change in Fructosamine, From Baseline to 4 Weeks
Change in Fructosamine Level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Mean Change in Fasting Plasma Insulin, From Baseline to 4 Weeks
Change in Fasting Insulin level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Mean Change in Quantitative Insulin Sensitivity Check Index (QUICKI) Score, From Baseline to 4 Weeks
The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. The score is calculated by the equation: 1 /(log(fasting insulin µU/mL) + log(fasting glucose mg/dL)). In normal subjects the mean score ± SE is 0.366 ± 0.029. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Mean Change in Fasting Glucose Disposition Index(GDI)1 and Index 2, From Baseline to 4 Weeks
GDI 1 is the product of insulin sensitivity index (Si)during the 1st phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR).GDI 2 is the product of (Si)during the 2nd phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR). A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT group.
Mean Change in Absolute Glucose Level at 2 Hours, From Baseline to 4 Weeks
Change in glucose level measured after 2 hours of fasting. Blood sample was drawn at 0 minutes and at 240 minutes. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Mean Change in Insulin Area Under the Curve (AUC) 0-4 Hours, From Baseline to 4 Weeks
Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
Mean Change in C-peptide Area Under the Curve (AUC), 0-4 Hours, From Baseline to 4 Weeks
Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
Mean Change in Post-prandial Glucose Area Under the Curve (AUC)0-4 Hours, From Baseline to 4 Weeks
Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
Mean Change in Peak Plasma Glucose, From Baseline to 4 Weeks
Change in peak plasma glucose level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Mean Change in Peak Plasma Insulin, From Baseline to 4 Weeks
Change in mean peak plasma Insulin level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Mean Change in Peak Plasma C-peptide Level, From Baseline to 4 Weeks
Change in mean peak plasma C-peptide level measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Number of Participants Reporting Death, Serious Adverse Events (SAEs) and Adverse Events (AEs) Above 5% Frequency, From Baseline to 4 Weeks
An adverse event is any unwanted event, whether related to study drug or not occuring during the study period. A Serious Adverse Event (SAE) is an event resulting in death, requiring or prolonging hospitalization, a congenital anomaly or other important medical event. AEs and SAEs were recorded at each visit.

Full Information

First Posted
February 12, 2010
Last Updated
August 3, 2011
Sponsor
Novartis
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1. Study Identification

Unique Protocol Identification Number
NCT01068860
Brief Title
To Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes With Differing Baseline Diabetes Therapies
Official Title
A Multi-center, Double-blind, Placebo-controlled, Randomized Study to Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes Treated With Differing Baseline Diabetes Therapies
Study Type
Interventional

2. Study Status

Record Verification Date
August 2011
Overall Recruitment Status
Completed
Study Start Date
February 2010 (undefined)
Primary Completion Date
August 2010 (Actual)
Study Completion Date
August 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Novartis

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a 10-week, placebo-controlled, randomized study to investigate the effect of injectable IL-1B antagonist, Canakinumab , in participants with impaired glucose tolerance or Type 2 Diabetes Mellitus (T2DM) already treated on different background diabetes therapies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus, Impaired Glucose Tolerance
Keywords
Type 2 Diabetes Mellitus, canakinumab, Pre diabetic, glucose intolerant, oral anti diabetic medication, insulin treatment, metabolic syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
246 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Canakinumab 150 mg + Metformin
Arm Type
Experimental
Arm Description
Eligible participants received a single subcutaneous injection Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening
Arm Title
Placebo + Metformin
Arm Type
Placebo Comparator
Arm Description
Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening
Arm Title
Canakinumab 150 mg + Metforimin + Sulfonylurea
Arm Type
Experimental
Arm Description
Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.
Arm Title
Placebo + Metforimin + Sulfonylurea
Arm Type
Placebo Comparator
Arm Description
Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.
Arm Title
Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione
Arm Type
Experimental
Arm Description
Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.
Arm Title
Placebo + Met + Sulfonyl + Thiazolidinedione
Arm Type
Placebo Comparator
Arm Description
Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.
Arm Title
Canakinumab 150 mg + Insulin
Arm Type
Experimental
Arm Description
Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening
Arm Title
Placebo + Insulin
Arm Type
Placebo Comparator
Arm Description
Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening
Arm Title
Canakinumab 150 mg in patients with IGT
Arm Type
Experimental
Arm Description
Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
Arm Title
Placebo in patients with IGT
Arm Type
Placebo Comparator
Arm Description
Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
Intervention Type
Drug
Intervention Name(s)
Canakinumab 150 mg
Other Intervention Name(s)
ACZ885, Glucophage, Chlorpropramide, Diabinese, Acetohexamide, Dymelor, Tolazamise, Tolinase, Tolbutamise, Orinase, Glipizide, Glucotrol, Glimepiride, Amaryl, Glyburide, DiaBeta, Micronase, Glynase PresTab, Troglitazone, Rezulin, Insulin, Iletin, Novolin, Velosulin, Humalog, Humulin, Lente, Ultralente, NPH Iletin
Intervention Description
Single subcutaneous injection of Canakinumab 150 mg.
Intervention Type
Drug
Intervention Name(s)
Placebo to Canakinumab
Other Intervention Name(s)
ACZ885, Glucophage, Chlorpropramide, Diabinese, Acetohexamide, Dymelor, Tolazamise, Tolinase, Tolbutamise, Orinase, Glipizide, Glucotrol, Glimepiride, Amaryl, Glyburide, DiaBeta, Micronase, Glynase PresTab, Troglitazone, Rezulin, Insulin, Iletin, Novolin, Velosulin, Humalog, Humulin, Lente, Ultralente, NPH Iletin
Intervention Description
Single subcutaneous injection of Placebo to Canakinumab.
Primary Outcome Measure Information:
Title
Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-2 Hours, From Baseline to 4 Weeks.
Description
Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal.A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include patients from the IGT population
Time Frame
Baseline, 4 weeks
Secondary Outcome Measure Information:
Title
Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 2-4 Hours, From Baseline to 4 Weeks
Description
Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Time Frame
Baseline, 4 weeks
Title
Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-4 Hours, From Baseline to 4 Weeks.
Description
Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose, insulin and C-peptide at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Fasting Plasma Glucose, From Baseline to 4 Weeks
Description
Change in Fasting Glucose Level measured from plasma taken at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Time Frame
Baseline, 4 weeks
Title
Mean Change in Fructosamine, From Baseline to 4 Weeks
Description
Change in Fructosamine Level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Time Frame
Baseline, 4 weeks
Title
Mean Change in Fasting Plasma Insulin, From Baseline to 4 Weeks
Description
Change in Fasting Insulin level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
Time Frame
Baseline, 4 weeks
Title
Mean Change in Quantitative Insulin Sensitivity Check Index (QUICKI) Score, From Baseline to 4 Weeks
Description
The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. The score is calculated by the equation: 1 /(log(fasting insulin µU/mL) + log(fasting glucose mg/dL)). In normal subjects the mean score ± SE is 0.366 ± 0.029. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Fasting Glucose Disposition Index(GDI)1 and Index 2, From Baseline to 4 Weeks
Description
GDI 1 is the product of insulin sensitivity index (Si)during the 1st phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR).GDI 2 is the product of (Si)during the 2nd phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR). A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT group.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Absolute Glucose Level at 2 Hours, From Baseline to 4 Weeks
Description
Change in glucose level measured after 2 hours of fasting. Blood sample was drawn at 0 minutes and at 240 minutes. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Insulin Area Under the Curve (AUC) 0-4 Hours, From Baseline to 4 Weeks
Description
Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
Time Frame
Baseline, 4 weeks
Title
Mean Change in C-peptide Area Under the Curve (AUC), 0-4 Hours, From Baseline to 4 Weeks
Description
Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Post-prandial Glucose Area Under the Curve (AUC)0-4 Hours, From Baseline to 4 Weeks
Description
Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Peak Plasma Glucose, From Baseline to 4 Weeks
Description
Change in peak plasma glucose level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Peak Plasma Insulin, From Baseline to 4 Weeks
Description
Change in mean peak plasma Insulin level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Time Frame
Baseline, 4 weeks
Title
Mean Change in Peak Plasma C-peptide Level, From Baseline to 4 Weeks
Description
Change in mean peak plasma C-peptide level measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
Time Frame
Baseline, 4 weeks
Title
Number of Participants Reporting Death, Serious Adverse Events (SAEs) and Adverse Events (AEs) Above 5% Frequency, From Baseline to 4 Weeks
Description
An adverse event is any unwanted event, whether related to study drug or not occuring during the study period. A Serious Adverse Event (SAE) is an event resulting in death, requiring or prolonging hospitalization, a congenital anomaly or other important medical event. AEs and SAEs were recorded at each visit.
Time Frame
Baseline, 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient must fulfill all criteria in one of the following groups: Impaired Glucose Tolerance (IGT) as diagnosed per protocol and not on an anti-diabetic medicine during the study Diagnosis of Type 2 diabetes in stable treatment with metformin Diagnosis of Type 2 diabetes in stable treatment with metformin (at least 1000 mg/day) in combination with a sulfonylurea Diagnosis of Type 2 diabetes in stable treatment with metformin (at least 1000 mg/day), sulfonylurea and thiazolidinedione combination therapy Diagnosis of Type 2 diabetes in stable treatment with at least two insulin injections a day with or without metformin HbA1c between 6.5% and 8%, inclusive, at Screening; this criterion does not apply to the IGT group Age from 18-74 years, inclusive, and of either sex Exclusion Criteria: Type 1 diabetes or diabetes that is a result of pancreatic injury or other secondary forms of diabetes History or current findings of active pulmonary disease (e.g. tuberculosis, fungal diseases) as defined in the protocol: Known presence or suspicion of active or recurrent bacterial, fungal or viral infection at the time of enrollment proven.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals Corporation
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
National Research Institute
City
Los Angeles
State/Province
California
Country
United States
Facility Name
Crest Clinical Trials
City
Santa Ana
State/Province
California
Country
United States
Facility Name
Encompass Clinical Research
City
Spring Valley
State/Province
California
Country
United States
Facility Name
Commonwealth Biomedical Research LLC
City
Madisonville
State/Province
Kentucky
Country
United States
Facility Name
University of Nebraska Medical Center
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
VA Medical Center
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
Lillestol Research LLC
City
Fargo
State/Province
North Dakota
Country
United States
Facility Name
Preferred Primary Care Physicians
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
Dallas Diabetes and Endocrine Center
City
Dallas
State/Province
Texas
Country
United States
Facility Name
Texas Center for Drug Development P.A.
City
Houston
State/Province
Texas
Country
United States
Facility Name
Utah Clinical Trials
City
Salt Lake City
State/Province
Utah
Country
United States
Facility Name
Barwon Health - Geelong Hospital
City
Geelong
State/Province
Victoria
Country
Australia
Facility Name
Austin Health - Heidelberg Repatriation Hospital
City
Heidelberg Heights
State/Province
Victoria
Country
Australia
Facility Name
Melbourne Health - Royal Melbourne Hospital
City
Melbourne
State/Province
Victoria
Country
Australia
Facility Name
Lifestyle Metabolism Centre (Etobicoke)
City
Etobicoke
State/Province
Ontario
Country
Canada
Facility Name
LMC Endocrinology Centres (Markham) Ltd
City
Markham
State/Province
Ontario
Country
Canada
Facility Name
LMC Endocrinology Centres (Thornhill) Ltd
City
Thornhill
State/Province
Ontario
Country
Canada
Facility Name
Centre de recherche clinique de Laval
City
Laval
State/Province
Quebec
Country
Canada
Facility Name
Hôpital Maisonneuve-Rosemont
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
Lihavuustutkimusyksikkö
City
Helsinki
Country
Finland
Facility Name
Lääkärikeskus Mehiläinen Töölö
City
Helsinki
Country
Finland
Facility Name
ODL Terveys Oy
City
Oulu
Country
Finland
Facility Name
Clintrial Berlin Praxis fuer medizinische Studien
City
Berlin
Country
Germany
Facility Name
Klinische Forschung Berlin-Buch Dr. Andrei Khariouzov
City
Berlin
Country
Germany
Facility Name
"Sana Krankenhaus Gerresheim
City
Duesseldorf
Country
Germany
Facility Name
Gemeinschaftspraxis Dr. Ingo Zeissig
City
Duisburg
Country
Germany
Facility Name
Praxis Dr. Thorsten Rau
City
Essen
Country
Germany
Facility Name
Praxis Dr. med. Joerg Luedemann
City
Falkensee
Country
Germany
Facility Name
Dr. Helmut Anderten Gemeinschaftspraxis Dres. Anderten und Krok
City
Hildesheim
Country
Germany
Facility Name
Praxis Dr. Julia Chevts
City
Karlsruhe
Country
Germany
Facility Name
Pro Scientia Med
City
Luebeck
Country
Germany
Facility Name
Praxis Dr. Winfried Keuthage
City
Muenster
Country
Germany
Facility Name
Praxis Dr. Uwe Boeckmann
City
Neumuenster
Country
Germany
Facility Name
Dr. Klaus Funke IkFE Studiencenter Potsdam GMBH I.G.
City
Potsdam
Country
Germany
Facility Name
Praxis Dr. Gerhard Steinmaier
City
Viernheim
Country
Germany
Facility Name
Praxis Dr. Reinhold U. Schneider
City
Wetzlar-Naunheim
Country
Germany
Facility Name
Visakha Diabetes & Endocrine Centre
City
Visakhapatnam
State/Province
AP
Country
India
Facility Name
Jnana Sanjeevini Medical Center
City
Bangalore
State/Province
Kar
Country
India
Facility Name
Bangalore Diabetes Hospital,
City
Banglore
State/Province
KAR
Country
India
Facility Name
Health & Research Centre
City
Trivandrum
State/Province
Ker
Country
India
Facility Name
Indrayani Speciality Hospital,
City
Nagpur
State/Province
Maharastra
Country
India
Facility Name
Sahyadri Hospital Bibewewadi Centre of Excellence for Diabetics
City
Pune
State/Province
Mah
Country
India
Facility Name
Diabetes Thyroid Hormone Research Institute Pvt .Ltd.
City
Indore
State/Province
MP
Country
India
Facility Name
Madras Diabetes Research Foundation
City
Chennai
State/Province
TN
Country
India
Facility Name
Azienda Ospedaliera-Ospedali Riuniti di BergamoU
City
Bergamo
State/Province
BG
Country
Italy
Facility Name
Az. Ospedaliera Universit. S.Martino-Universita degli Studi
City
Genova
State/Province
GE
Country
Italy
Facility Name
Azienda Ospedaliera S. Paolo-Polo Universitario
City
Milano
State/Province
MI
Country
Italy
Facility Name
Fondazione Centro San Raffaele del Monte Tabor-IRCCSUnità
City
Milano
State/Province
Mi
Country
Italy
Facility Name
Az. Ospedaliera Della Prov.di Pavia
City
Casorate Primo
State/Province
PV
Country
Italy
Facility Name
A.O.Universitaria Senese, Universita degli Studi di Siena
City
Siena
State/Province
SI
Country
Italy
Facility Name
S.C.D.U. Endocrinologia e Malattie del Metabolismo
City
Torino
State/Province
To
Country
Italy
Facility Name
Policlinico A.Gemelli - Univ.Cattolica del Sacro Cuore
City
Roma
Country
Italy

12. IPD Sharing Statement

Learn more about this trial

To Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes With Differing Baseline Diabetes Therapies

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