Diabetes Mellitus, Type 2Phase 2NCT00196989
Study In People With Type 2 Diabetes
A Phase 2 study testing Pioglitazone and GW677954 in people with Diabetes Mellitus, Type 2, run by GlaxoSmithKline at 143 sites in 13 countries.
Trial summary
This Phase 2 dose-ranging study will evaluate the efficacy, safety and tolerability of a range of doses of GW677954 compared with placebo over sixteen weeks of treatment in subjects with T2DM (Type 2 Diabetes Mellitus). Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Pioglitazone and GW677954
- How many people
- 448 participants
- Where
- 143 sitesin 13 countries
- Study dates
- Sep 2005to Apr 2007
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with T2DM as defined by the criteria of the ADA and/or recognized by WHO Expert Committee on the Diagnosis and Classification of Diabetes Mellitus [American Diabetes Association, 2004], for at least 3 months preceding screening (see Section 15.3, Appendix 3:, "Diagnosis and Classification of Diabetes Mellitus").
- To be eligible for Randomization into the trial, a subject must satisfy all of the following glycemic criteria:
- HbA1c level via central laboratory at the pre-screening visit
- If HbA1c ≥ 8.0% but ≤ 10.0%: subject may proceed to Randomization;
- If HbA1c ≥ 7.8% but < 8.0%, subject not eligible to proceed, but may be retested once to establish eligibility (or lack thereof). If HbA1c level ≥ 8.0% upon retest, subject is eligible to proceed; otherwise they should be withdrawn.
- If HbA1c < 7.8%, subject not eligible to proceed (no retest allowed).
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- FPG level via central laboratory at the pre-screening visit must be < 270 mg/dL (15.0 mmol/L). FPG may be retested within a week to confirm eligibility (or lack thereof).
- Concurrent T2DM therapy:
- Diet and/or exercise treated: Must not have taken antidiabetic medication for at least 2 months prior to the pre-screening visit, OR
- Metformin monotherapy: Subjects entering the study on metformin must be on the same dose, formulation and regimen of metformin for at least 2 months prior to the pre-screening visit, AND
- TZDs and insulin are excluded in the 3 months prior to the Screening visit for all subjects.
- Males and females who are 18 to 70 years of age inclusive at the time of Screening.
- If female, eligible to enter and participate in this study:
- If of non-childbearing potential (i.e., physiologically incapable of becoming pregnant (tubal ligation), including any female who is post-menopausal [>1 year without menstrual period]); or,
- If of child-bearing potential, has a negative pregnancy test at Screening (serum), at Randomization (urine) and:
- Has a male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject, or
- Uses double-barrier methods of contraception; condoms with the use of caps (with spermicide) and IUDs are acceptable, or
- Uses hormonal contraceptives (oral, depots, patches etc) with double- barrier methods of contraception as outlined above, or
- Abstains from sexual intercourse, or
- Is with a same sex partner and does not participate in bisexual activities where there is any risk of pregnancy.
- Body Mass Index (BMI): ≥25 and ≤40 kg/m² and weigh at least 50 kg at Screening.
- If subject is a smoker, must be able to abstain while in clinic at each visit.
- Subject has given full written informed consent prior to any study related procedures are performed.
Who cannot join
- Metabolic Disease including:
- Diagnosis of Type 1 diabetes mellitus
- Uncorrected thyroid dysfunction. (NOTE: subjects with hypothyroidism on a stable dose of thyroid replacement therapy for at least 1 month prior to Screening, and who have a screening thyroid stimulating hormone (TSH) within the upper limit of normal may participate).
- Significant weight gain or loss (defined as > 5% of total body weight) within the 3 months prior to Screening.
- Previous use of insulin for treatment of hyperglycemia within 3 months of Screening.
- History of recent clinically significant cardiovascular disease including:
Show all 55Show fewer
- History or ECG evidence of prior myocardial infarction within 6 months prior to Screening.
- Current unstable angina or history of unstable angina in past 6 months.
- Coronary revascularization including percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass graft (CABG) surgery that is either planned or occurred in the 6 months prior to Screening.
- Clinically significant arrhythmia or valvular heart disease.
- Congestive heart failure (CHF) with New York Heart Association (NYHA) Class II-IV symptoms (see Section 15.4, Appendix 4).
- Blood pressure > 160/100 mmHg or resting heart rate > 100 bpm. Note: subjects using antihypertensives [e.g., beta blockers, angiotensin converting enzyme (ACE) inhibitors, angiotensin II antagonists, calcium channel blockers and diuretics] must be on stable doses during the 30 days prior to Screening and during the trial.
- Has a QTc interval (Bazett's) > 440 msec in males and > 450 msec in females at Screening.
- Clinically significant ECG abnormalities which, in the opinion of the Investigator, may affect the interpretation of safety data, or which otherwise, contraindicates participation in a clinical trial with a new chemical entity.
- History of chronic pancreatitis.
- Familial hypercholesterolemia.
- TGs ≥800 mg/dL (8.96 mmol/L) at Screening.
- Serum creatinine at screening > 1.4 mg/dL (124 µmol/L) for women, or > 1.5 mg/dL (133 µmol/L) for men.
- Clinically significant anemia defined by hemoglobin concentrations <12.0 g/dL or < 120.0 g/L for males and < 11.0 g/dL or < 110.0 g/L for females.
- History of significant co-morbid diseases (e.g., cholelithiasis, gastrointestinal disease, etc.) that would preclude participation in the study.
- Documented history of hepato-biliary disease including a history of, or positive laboratory results for hepatitis (hepatitis B surface antigen and/or hepatitis C antibody) at Screening, and/or clinically significant hepatic enzyme elevation including:
- •Any one of the following enzymes greater than 2.5 times the upper limit of normal (ULN) value at Screening:
- Alanine aminotransferase (ALT)
- Aspartate aminotransferase (AST)
- Alkaline phosphatase (ALP)
- Total or direct bilirubin > 1.5 times the ULN at Screening, unless consistent with presumed or diagnosed Gilbert's disease.
- History of metabolic acidosis, rhabdomyolysis, myalgia, myositis or myopathy after taking statins or fibrates.
- Any subject who has withdrawn therapy due to AEs after taking a PPARγ or a PPARα/γ dual agonist, either marketed (e.g., troglitazone, rosiglitazone or pioglitazone) or under current or previous clinical investigation.
- Signs or symptoms of myositis at Screening (or upon 1 repeat test), and/or creatinine phosphokinase (CPK)≥3.0 times ULN
- Is currently taking or has taken any of the following medications in the 3 months prior to the pre-screening visit:
- Anti-obesity agents (including fat absorption blocking agents)
- St. John's Wort
- Warfarin and other oral anticoagulants (excluding aspirin and non-steroidal anti-inflammatory drugs)
- Digoxin
- Oral or injectable corticosteroids (inhaled and intranasal steroids are acceptable)
- Use of antidiabetic agents (other than metformin) in the 2 months prior to the pre-screening visit.
- Use of TZDs in the 3 months prior to the pre-screening visit.
- Methotrexate, cyclosporine or monoclonal antibodies (e.g., alemtuzumab, gemtuzumab ozogamicin, rituximab, trastuzumab, ibritumomab, tiuxetan) for rheumatoid arthritis or psoriasis.
- Atypical antipsychotic medications [e.g., aripiprazole (Abilify), risperidone (Risperdal), clozapine (Clozaril), olanzapine (Zyprexa), quetiapine (Seroquel), and ziprasidone (Geodon)].
- Antiretroviral drugs
- Use of lipid lowering agents within 3 months prior to the pre-screening visit. This includes statins, fibrates, ezetimibe (Zetia), niacin and bile acid sequestrants.
- Monoamine oxidase inhibitors
- History of cancer except for the following:
- Basal cell carcinoma or superficial squamous cell carcinoma treated by local excision.
- Cervical cancer in situ treated definitively more than 6 months prior to screening.
- Women who are lactating, pregnant, or planning to become pregnant.
- Known immediate or delayed hypersensitivity reaction or idiosyncrasy to any drug chemically related to the study drug.
- Known allergy to any of the capsule excipients, or history of drug or other allergy, which, in the opinion of the responsible study physician, contradicts participation. Hypersensitivity to metformin or any of its components (for subjects entering on metformin).
- Has a history of substance and/or alcohol abuse within the past year as determined by the Investigator at screening or during treatment:
- Unwilling to refrain from the use of illicit drugs and adhere to other protocol-stated restrictions while participating in the study.
- History of alcohol abuse defined as an average weekly intake of greater than 21 units or an average daily intake of greater than 3 units (males) or defined as an average weekly intake of greater than 14 units or an average daily intake of greater than 2 units (females). One unit is equivalent to a half-pint of beer or 1 measure of spirits or 1 glass of wine.
- Received treatment with a new molecular entity (investigational drug) during the previous 4 months or participated in any other trial during the previous 3 months, or has participated in a previous study with GW677954. A new molecular entity is defined as any compound not in Phase 3. (The washout is from last dose of investigational product in the previous study until the first dose of investigational product.)
- Likely to be non-compliant, in the investigator's opinion, with respect to the protocol and related scheduled visits.
- Subject has any concomitant medical condition which in the opinion of the investigator makes them unsuitable to participate in the study.
- Subject is either an immediate family member of a participating investigator, study coordinator, employee of an investigator; or is a member of the staff conducting the study.
Trial locations and contacts
143 sites in 13 countries.
143 sites in 13 countries
United States69 sites
GSK Investigational Site
Albuquerque, New Mexico, 87102
GSK Investigational Site
Alhambra, California, 91801
GSK Investigational Site
Artesia, California, 90701
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Birmingham, Alabama, 35205
GSK Investigational Site
Chandler, Arizona, 85224
GSK Investigational Site
Cite, Tennessee, 37604
GSK Investigational Site
Cleveland, Ohio, 44195
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Denver, Colorado, 80220
GSK Investigational Site
Duluth, Georgia, 30097
GSK Investigational Site
East Providence, Rhode Island, 02914
GSK Investigational Site
Edmonds, Washington, 98026
GSK Investigational Site
Everett, Washington, 98208
GSK Investigational Site
Franklin, Ohio, 45005
GSK Investigational Site
Greensboro, North Carolina, 27401
GSK Investigational Site
Greer, South Carolina, 29651
GSK Investigational Site
Henderson, Nevada, 89014
GSK Investigational Site
Henderson, Nevada, 89015
GSK Investigational Site
Hollywood, Florida, 33021
GSK Investigational Site
Hollywood, Florida, 33023
GSK Investigational Site
Honolulu, Hawaii, 96813
GSK Investigational Site
Huntington Beach, California, 92648
GSK Investigational Site
Indianapolis, Indiana, 46260
GSK Investigational Site
Inglewood, California, 90301
GSK Investigational Site
Irvine, California, 92618
GSK Investigational Site
Kingsport, Tennessee, 37660
GSK Investigational Site
La Jolla, California, 92037
GSK Investigational Site
Largo, Florida, 33773
GSK Investigational Site
Las Vegas, Nevada, 89106
GSK Investigational Site
Las Vegas, Nevada, 89119
GSK Investigational Site
Las Vegas, Nevada, 89128
GSK Investigational Site
Long Beach, California, 90806
GSK Investigational Site
Los Angeles, California, 90057
GSK Investigational Site
Los Angeles, California, 90095
GSK Investigational Site
Miami, Florida, 33156
GSK Investigational Site
Monroe, Washington, 98272
GSK Investigational Site
New York, New York, 10024
GSK Investigational Site
New York, New York, 10032
GSK Investigational Site
Northport, Alabama, 35476
GSK Investigational Site
Northridge, California, 91325
GSK Investigational Site
Norwalk, California, 90650
GSK Investigational Site
Norwich, Connecticut, 06360
GSK Investigational Site
Pahrump, Nevada, 89048
GSK Investigational Site
Pasadena, California, 91105
GSK Investigational Site
Philadelphia, Pennsylvania, 19107
GSK Investigational Site
Phoenix, Arizona, 85006
GSK Investigational Site
Phoenix, Arizona, 85032
GSK Investigational Site
Sacramento, California, 95825
GSK Investigational Site
Saint Cloud, Florida, 34769
GSK Investigational Site
Salt Lake City, Utah, 84109
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Diego, California, 92128
GSK Investigational Site
San Diego, California, 92177
GSK Investigational Site
Santa Fe, New Mexico, 87505
GSK Investigational Site
Santa Monica, California, 90404
GSK Investigational Site
Sarasota, Florida, 34239
GSK Investigational Site
Simpsonville, South Carolina, 29681
GSK Investigational Site
Springfield, Illinois, 62701
GSK Investigational Site
St Louis, Missouri, 63110
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Tustin, California, 92780
GSK Investigational Site
Tyler, Texas, 75708
GSK Investigational Site
Virginia Beach, Virginia, 23451
GSK Investigational Site
Vista, California, 92084
GSK Investigational Site
Wauwatosa, Wisconsin, 53226
GSK Investigational Site
West Hills, California, 91307
GSK Investigational Site
West Jordan, Utah, 84084
GSK Investigational Site
West Yarmouth, Massachusetts, 02673
Canada25 sites
GSK Investigational Site
Bonaventure, Quebec, G0C 1E0
GSK Investigational Site
Brampton, Ontario, L6T 3J1
GSK Investigational Site
Granby, Quebec, J2G 8Z9
GSK Investigational Site
Greater Sudbury, Ontario, P3A 1Y8
GSK Investigational Site
Halifax, Nova Scotia, B3K 5R3
GSK Investigational Site
Langley, British Columbia, V3A 4H9
GSK Investigational Site
Laval, Quebec, H7T 2P5
GSK Investigational Site
London, Ontario, N5W 6A2
GSK Investigational Site
Longueuil, Quebec, J4N 1L6
GSK Investigational Site
Mississauga, Ontario, L5A 1N1
GSK Investigational Site
Montreal, Quebec, H4N 2W2
GSK Investigational Site
Ottawa, Ontario, K1H 1A2
GSK Investigational Site
Québec, Quebec, G1W 4R4
GSK Investigational Site
Saint-Marc-des-Carrieres, Quebec, G0A 4B0
GSK Investigational Site
Sainte-Foy, Quebec, G1V 1V6
GSK Investigational Site
Sainte-Foy, Quebec, G1V 4G2
GSK Investigational Site
Sainte-Foy, Quebec, G1V 4G5
GSK Investigational Site
Sherbrooke, Quebec, J1G 5K2
GSK Investigational Site
Smiths Falls, Ontario, K7A 4W8
GSK Investigational Site
St. John's, Newfoundland and Labrador, A1E 2C2
GSK Investigational Site
Thornhill, Ontario, L4J 8L7
GSK Investigational Site
Toronto, Ontario, M4R 2G4
GSK Investigational Site
Toronto, Ontario, M9W 4L6
GSK Investigational Site
Waterloo, Ontario, N2J 1C4
GSK Investigational Site
Winnipeg, Manitoba, R3E 3P4
Australia8 sites
GSK Investigational Site
Adelaide, South Australia, 5000
GSK Investigational Site
Box Hill, Victoria, 3128
GSK Investigational Site
Carina Heights, Queensland, 4152
GSK Investigational Site
Keswick, South Australia, 5035
GSK Investigational Site
Miranda, New South Wales, 2228
GSK Investigational Site
Port Lincoln, South Australia, 5606
GSK Investigational Site
Ringwood East, Victoria, 3135
GSK Investigational Site
Spring Hill, Queensland, 4000
Czechia7 sites
GSK Investigational Site
České Budějovice, 370 87
GSK Investigational Site
Cheb, 350 02
GSK Investigational Site
Olomouc, 779 00
GSK Investigational Site
Prague, 10000
GSK Investigational Site
Prague, 128 08
GSK Investigational Site
Prague, 15030
GSK Investigational Site
Prague, 158 00
Mexico6 sites
GSK Investigational Site
Cuernavaca, Morelos, 62420
GSK Investigational Site
Durango, Durango, 3400
GSK Investigational Site
Mexico City, 11650
GSK Investigational Site
Monterrey, Nuevo León, 64570
GSK Investigational Site
Pachuca, Hidalgo, 42039
GSK Investigational Site
Tijuana, Baja California Norte, 22320
Russia6 sites
GSK Investigational Site
Moscow, 117 036
GSK Investigational Site
Perm, 614600
GSK Investigational Site
Samara, 443067
GSK Investigational Site
Tyumen, 625023
GSK Investigational Site
Ufa, 450000
GSK Investigational Site
Yaroslavl, 150062
Argentina5 sites
GSK Investigational Site
Buenos Aires, Buenos Aires, 1425
GSK Investigational Site
Capital Federal, Buenos Aires, 1181
GSK Investigational Site
Capital Federal, Buenos Aires, C1221ACI
GSK Investigational Site
Córdoba, Córdoba Province, 5000
GSK Investigational Site
San Juan, 5400
Latvia5 sites
GSK Investigational Site
Cēsis, LV4100
GSK Investigational Site
Daugavpils, LV5417
GSK Investigational Site
Riga, LV 1002
GSK Investigational Site
Riga, LV1024
GSK Investigational Site
Tukums, LV 3100
New Zealand5 sites
GSK Investigational Site
Auckland, 1309
GSK Investigational Site
Auckland, 1311
GSK Investigational Site
Christchurch, 8001
GSK Investigational Site
Rotorua, 3201
GSK Investigational Site
Tauranga, 3001
Peru4 sites
GSK Investigational Site
Lima, Lima Province, Lima 14
GSK Investigational Site
Lima, Lima Province, Lima 27
GSK Investigational Site
Lima, Lima 1
GSK Investigational Site
San Isidro, Lima region, Lima 27
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Ranging Study of Oral GW677954 as a Monotherapy for 12 Weeks Duration in Patients With Type 2 Diabetes Mellitus
This Phase 2 dose-ranging study will evaluate the efficacy, safety and tolerability of a range of doses of GW677954 compared with placebo over sixteen weeks of treatment in subjects with T2DM (Type 2 Diabetes Mellitus).
Read the detailed description
A Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group, Placebo-Controlled, Study To Evaluate Efficacy, Safety And Tolerability Of Oral GW677954 Capsules (2.5, 5, 10, 15 And 20 Mg Once A Day) As A Monotherapy (Diet and/or exercise treated) Or As An Add-On To Metformin For 16 Weeks Duration In Subjects With Type 2 Diabetes Mellitus
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Pioglitazone, GW677954
- Keywords
- Efficacy, PPARpan, Type 2 Diabetes Mellitus, Phase IIb, Safety, Pharmacokinetics, GW677954, Pharmacodynamics, Tolerability, Dose-Ranging
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PioglitazoneDrug
GW677954Drug
Also called Pioglitazone
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage change from Baseline (Day 1) in glycated hemoglobin (HbA1c) levels at Week 16 as a measure of improvement in glucose control
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (Hb) levels in blood.
Measured: Week (W) 16
Secondary outcomes (27)
Percentage change from Baseline (Day 1) in fasting HbA1c levels at Weeks 4, 8 and 12
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Weeks 4, 8, and 12
Change from Baseline (Day 1) in fasting plasma glucose (FPG) at Weeks 1, 2, 4, 6, 8, 12 and 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: W1, W2, W4, W6, W8, W12, and W16
Change from Baseline (Day 1) in fasting fructosamine at Weeks 2 and 4
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Baseline (Day 1), W2, W4
Percentage of participants achieving target HbA1c levels at Weeks 4, 8, 12, and 16
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. The ideal concentration of HbA1c was desired to be less than or equal to 7%.
Measured: Weeks 4, 8, 12, and 16
Percentage of participants achieving a decrease in HbA1c of >= 0.7% from Baseline (Day 1) at Weeks 4, 8, 12 and 16
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood.
Measured: Baseline (Day 1), Weeks 4, 8, 12, and 16
Percentage of participants achieving target range of FPG at Weeks 1, 2, 4, 6, 8, 12 and 16
The target range for FPG was <=126 milligrams per deciliter (mg/dL) or 7.0 millimoles per liter (mmol/L) to <=140 mg/dL or 7.8 mmol/L
Measured: Weeks 1,2, 4, 6, 8, 12, and 16
Percentage of participants achieving a decrease from Baseline (Day 1) of >=30 mg/dL [1.66 mmol/L] in FPG at Weeks 1, 2, 4, 6, 8, 12 and 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Weeks 1, 2, 4, 6, 8, 12, and 16
Ratio to the Baseline (percentage change) of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and free fatty acids (FFA) at Weeks 2, 4, 8, 12, and 16
This data analysis was based on log-transformed data.
Measured: Baseline (Day 1), Weeks 2, 4, 8, 12, and 16
Percentage change from Baseline (Day 1) in non-HDL-C based on log-transformed data at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: At Week 16
Percentage change from Baseline (Day 1) in very low density lipoprotein-cholesterol (VLDL-C), apolipoprotein AI (Apo AI), AII, and B at Week 16.
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: At Week 16
Change from Baseline (Day 1) in Apo B/TC, TC/HDL-C, and LDL-C/Apo B ratio at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: At Week 16
Change from Baseline (Day 1) in hemoglobin at Week 16
This analysis was performed in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: At Week 16
Change from Baseline (Day 1) in hematocrit at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Wekk 16
Change from Baseline (Day 1) in systolic and diastolic blood pressure (SBP and DBP) at Week 16
Systolic blood pressure )SBP) and diastolic blood pressure (DBP) were measured in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: At Week 16
Change from Baseline (Day 1) in heart rate at Week 16
Heart rate was measured in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Week 16
Change from Baseline (Day 1) in body weight at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Week 16
Change from Baseline (Day 1) in 12 lead electrocardiogram (ECG) measures including PR interval, QT interval, QTc interval and QRS duration at Week 16
QT(c) interval calculations were done by Bazett's method (QTc[B]) as well as by Fridericia's correction (QTc[F]). Change from Baseline is the value at indicated time point minus the Baseline value.
Measured: Week 16
Number of participants with clinical hematology, chemistry, urinalysis, exploratory cardiac parameters of potential clinical concern (PCC) along with serum pregnancy test over period
Participants were analyzed for any abnormality for laboratory parameters either higher or lower than the potential clinical concern range.
Measured: Upto 16 weeks
Number of participants with hypoglycemic events as a measure of ophthalmic assessment
Participants received a glucose log for reading for routine recording of glucometer readings. Glucose values were recorded on timely basis.
Measured: Up to 16 weeks
Number of participants with intensity of hypoglycemic events as a measure of ophthalmic assessment
Participants received a glucose log for reading for routine recording of glucometer readings. Glucose values were recorded on timely basis.
Measured: Up to 16 weeks
Number of participants with adverse events (AEs) and serious adverse events (SAEs) over period
Adverse event (AE) is an unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain time period after the study has ended. This change may or may not be caused by the intervention being studied. Serious adverse event (SAE) is an adverse event that results in death, is life-threatening, requires inpatient hospitalization or extends a current hospital stay, results in an ongoing or significant incapacity or interferes substantially with normal life functions, or causes a congenital anomaly or birth defect. Medical events that do not result in death, are not life-threatening, or do not require hospitalization may be considered serious adverse events if they put the participant in danger or require medical or surgical intervention to prevent one of the results listed above.
Measured: Up to 16 weeks
Change from Baseline (Day 1) in phosphocreatine kinase (Creatine kinase-MB) over period
CK-MB is a cardiac biomarker.
Measured: Up to 16 weeks
Number of participants with absolute Troponin-I (cTnI) levels over period
Troponin-I (cTnI) is a cardiac biomarker.
Measured: Up to 16 weeks
Change from Baseline (Day 1) in fasting insulin at Week 8 and 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Measured: Week 8 and 16
Change from Baseline (Day 1) in C-peptide at Week 8 and 16
Measured: Week 8 and 16
Change from Baseline (Day 1) in HOMA-S at Week 16
Measured: Week 16
Change from Baseline (Day 1) in QUICKI at Week 16
Measured: Week 16
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Sep 2005 (estimated)
- Study startSep 2005
- Primary completionApr 2007
- Study completionApr 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 448 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00196989
- Sponsor's protocol ID
- ADG20001
- Status last verified
- Mar 2017
- First submitted
- 13 Sep 2005
- Last updated
- 23 Mar 2017
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Study at a glance
From the registry record, last updated by the sponsor on 23 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Ranging Study of Oral GW677954 as a Monotherapy for 12 Weeks Duration in Patients With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT00196989
- Acronym / sponsor ID
- ADG20001
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- Efficacy, PPARpan, Type 2 Diabetes Mellitus, Phase IIb, Safety, Pharmacokinetics, GW677954, Pharmacodynamics
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 448 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Sep 2005
- Primary completion
- Apr 2007 (actual)
- Study completion
- Apr 2007 (actual)
- First posted
- 20 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This Phase 2 dose-ranging study will evaluate the efficacy, safety and tolerability of a range of doses of GW677954 compared with placebo over sixteen weeks of treatment in subjects with T2DM (Type 2 Diabetes Mellitus).
Detailed description
A Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group, Placebo-Controlled, Study To Evaluate Efficacy, Safety And Tolerability Of Oral GW677954 Capsules (2.5, 5, 10, 15 And 20 Mg Once A Day) As A Monotherapy (Diet and/or exercise treated) Or As An Add-On To Metformin For 16 Weeks Duration In Subjects With Type 2 Diabetes Mellitus
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (23 listed)
- Subjects with T2DM as defined by the criteria of the ADA and/or recognized by WHO Expert Committee on the Diagnosis and Classification of Diabetes Mellitus [American Diabetes Association, 2004], for at least 3 months preceding screening (see Section 15.3, Appendix 3:, "Diagnosis and Classification of Diabetes Mellitus").
- To be eligible for Randomization into the trial, a subject must satisfy all of the following glycemic criteria:
- Concurrent T2DM therapy:
- Males and females who are 18 to 70 years of age inclusive at the time of Screening.
- If female, eligible to enter and participate in this study:
Key exclusion criteria (55 listed)
- Metabolic Disease including:
- Previous use of insulin for treatment of hyperglycemia within 3 months of Screening.
- History of recent clinically significant cardiovascular disease including:
- History of chronic pancreatitis.
- Familial hypercholesterolemia.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pioglitazone | Drug | – |
| GW677954Also: Pioglitazone | Drug | – |
Primary outcome
Percentage change from Baseline (Day 1) in glycated hemoglobin (HbA1c) levels at Week 16 as a measure of improvement in glucose control
Time frame: Week (W) 16
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (Hb) levels in blood.
27 secondary outcomes
Percentage change from Baseline (Day 1) in fasting HbA1c levels at Weeks 4, 8 and 12
Time frame: Weeks 4, 8, and 12
Change from Baseline (Day 1) in fasting plasma glucose (FPG) at Weeks 1, 2, 4, 6, 8, 12 and 16
Time frame: W1, W2, W4, W6, W8, W12, and W16
Change from Baseline (Day 1) in fasting fructosamine at Weeks 2 and 4
Time frame: Baseline (Day 1), W2, W4
Percentage of participants achieving target HbA1c levels at Weeks 4, 8, 12, and 16
Time frame: Weeks 4, 8, 12, and 16
Percentage of participants achieving a decrease in HbA1c of >= 0.7% from Baseline (Day 1) at Weeks 4, 8, 12 and 16
Time frame: Baseline (Day 1), Weeks 4, 8, 12, and 16
Percentage of participants achieving target range of FPG at Weeks 1, 2, 4, 6, 8, 12 and 16
Time frame: Weeks 1,2, 4, 6, 8, 12, and 16
Percentage of participants achieving a decrease from Baseline (Day 1) of >=30 mg/dL [1.66 mmol/L] in FPG at Weeks 1, 2, 4, 6, 8, 12 and 16
Time frame: Weeks 1, 2, 4, 6, 8, 12, and 16
Ratio to the Baseline (percentage change) of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and free fatty acids (FFA) at Weeks 2, 4, 8, 12, and 16
Time frame: Baseline (Day 1), Weeks 2, 4, 8, 12, and 16
Percentage change from Baseline (Day 1) in non-HDL-C based on log-transformed data at Week 16
Time frame: At Week 16
Percentage change from Baseline (Day 1) in very low density lipoprotein-cholesterol (VLDL-C), apolipoprotein AI (Apo AI), AII, and B at Week 16.
Time frame: At Week 16
Change from Baseline (Day 1) in Apo B/TC, TC/HDL-C, and LDL-C/Apo B ratio at Week 16
Time frame: At Week 16
Change from Baseline (Day 1) in hemoglobin at Week 16
Time frame: At Week 16
Change from Baseline (Day 1) in hematocrit at Week 16
Time frame: Wekk 16
Change from Baseline (Day 1) in systolic and diastolic blood pressure (SBP and DBP) at Week 16
Time frame: At Week 16
Change from Baseline (Day 1) in heart rate at Week 16
Time frame: Week 16
Change from Baseline (Day 1) in body weight at Week 16
Time frame: Week 16
Change from Baseline (Day 1) in 12 lead electrocardiogram (ECG) measures including PR interval, QT interval, QTc interval and QRS duration at Week 16
Time frame: Week 16
Number of participants with clinical hematology, chemistry, urinalysis, exploratory cardiac parameters of potential clinical concern (PCC) along with serum pregnancy test over period
Time frame: Upto 16 weeks
Number of participants with hypoglycemic events as a measure of ophthalmic assessment
Time frame: Up to 16 weeks
Number of participants with intensity of hypoglycemic events as a measure of ophthalmic assessment
Time frame: Up to 16 weeks
Number of participants with adverse events (AEs) and serious adverse events (SAEs) over period
Time frame: Up to 16 weeks
Change from Baseline (Day 1) in phosphocreatine kinase (Creatine kinase-MB) over period
Time frame: Up to 16 weeks
Number of participants with absolute Troponin-I (cTnI) levels over period
Time frame: Up to 16 weeks
Change from Baseline (Day 1) in fasting insulin at Week 8 and 16
Time frame: Week 8 and 16
Change from Baseline (Day 1) in C-peptide at Week 8 and 16
Time frame: Week 8 and 16
Change from Baseline (Day 1) in HOMA-S at Week 16
Time frame: Week 16
Change from Baseline (Day 1) in QUICKI at Week 16
Time frame: Week 16
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Mar 2017.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
143 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Pioglitazone and GW677954 in people with Diabetes Mellitus, Type 2, run by GlaxoSmithKline at 143 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 23 inclusion and 55 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 143 sites in United States, Canada, Australia, Czechia, Mexico and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage change from Baseline (Day 1) in glycated hemoglobin (HbA1c) levels at Week 16 as a measure of improvement in glucose control (time frame: Week (W) 16). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2017.