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Type 2 DiabetesPhase 2/3NCT00353587

Safety and Efficacy Study of Metaglidasen in Type 2 Diabetes in Patients Suboptimally Controlled on Insulin

A Phase 2/3 study testing MBX-102 and Actos in people with Type 2 Diabetes, run by Gilead Sciences at 67 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a multicenter, randomized, double-blind, placebo- and active comparator-controlled phase 2/3 study of three dose levels of MBX-102 (200, 400, 600 mg) given orally to patients with type 2 diabetes receiving concomitant therapy with insulin. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Type 2 Diabetes
What is being tested?
MBX-102 and Actos
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
396 participants
Where
67 sitesin 4 countries
Study dates
May 2006to Nov 2007
Phase
Phase 2/3
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Type 2 diabetes (as described by the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus24) treated with insulin alone (a stable dose of long and/or intermediate-acting insulin or pre-mixed insulin e.g., "70/30") ≥ 30 units/day for at least 3 months, but poorly controlled on their existing therapy
  • Or, patients treated with insulin (as above) in combination with non-TZD hypoglycemic agents (e.g., a sulfonylurea, metformin, acrabose, or Byetta for at least 3 months, but poorly controlled on their existing therapy
  • Or, patients treated with fixed doses of short-acting insulin in combination with intermediate-acting insulin for at least 3 months, but poorly controlled on their existing therapy
  • Patients in last 2 categories must be willing to discontinue the use of OHA and/or short-acting insulin (or change to pre-mixed insulin) for at least 26 weeks.
  • Male or female, 18-75 years of age
  • Provide informed consent and agree to comply with study requirements
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  • Current monotherapy insulin dose regimen ≥ 30 units/day (stable for 8-week Run-in/stabilization Period); or patients who need insulin dose adjustment must have a stabilized dose ≥ 30 units/day. Patients must not have taken TZDs within 5 months of screening
  • All female patients must be surgically sterile, post-menopausal (at least 40 years of age with no history of menses for at least 2 years) or agree to use adequate contraception(s) that must include a barrier method (other methods may include oral contraceptives, double barrier methods, intra-uterine devices, or abstinence). Depo contraceptives are excluded
  • Female patients must not be pregnant or lactating
  • BMI 26-44 kg/m2
  • Hemoglobin A1c must be ≥7.5%, ≤11.5% at both Screening and Visit 4
  • Patients must have a FPG ≤ 220 mg/dl
  • Patients must have liver function tests ≤ 2X the upper limits of normal for AST, ALT, and bilirubin, and ≤ 2.5X the upper limits of normal for ALP and GGT
  • Patients must have serum creatinine ≤ 1.8 mg/dl for males and ≤ 1.5 mg/dl for females and BUN ≤ 40 mg/dl
  • Fecal occult blood test must be negative
  • All other clinical laboratory parameters must be within normal limits or considered not clinically significant for participation in this study, including: hematology, coagulation, other serum chemistry, and other urinalysis parameters
  • TSH must be ≤ 3x ULN and patient clinically euthyroid in opinion of investigator. If TSH is > ULN but ≤ 3x ULN, and patient is clinically euthyroid, FT4 should be drawn and must be WNL
  • Electrocardiogram (ECG) must be normal, or considered not clinically significant, for participation in this study
  • Patients must have a blood pressure ≤ 160/90 mm/hg including hypertensive patients controlled with medication

Who cannot join

  • Patients will be excluded from study participation if any of the following applies:
  • History of diabetes secondary to pancreatitis or pancreatectomy
  • Requirement for short-acting insulin during the study
  • Weight loss > 10 pounds in the three months prior to study
  • History of TZD use (Actos or Avandia) within 5 months of Screening Visit
  • History of TZD discontinuation due to side effect or lack of efficacy
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  • Prior history of endoscopically or radiographically documented peptic ulcer disease within last 5 years (unless patient had documented H. pylori infection with subsequent treatment and no recurrence)
  • Prior history of GI bleeding within last 5 years (except for hemorrhoids or perianal disease)
  • Known infection with the human immunodeficiency virus (HIV) or history of viral hepatitis type B or C
  • History of congestive heart failure within last 5 years (NYHA Class III-IV)
  • History of significant pulmonary disease, myocardial infarction, cerebrovascular accident, or nephrotic syndrome within last 1 year
  • Elevated creatine phosphokinase (> 2X the upper limits of normal)
  • Malignancy within the last 5 years (except resected basal cell carcinoma)
  • Ongoing active infection, as evidenced by symptoms such as temperature > 38.5° C and/or clinically significant elevation in WBC count (i.e., not asymptomatic colonization)
  • Change in treatment with lipid-lowering agent after screening visit
  • Current or expected requirement for anticoagulant therapy [except for low- dose (≤ 325 mg/d) aspirin]
  • Current or expected treatment with phenytoin
  • Current or anticipated treatment with non-steroidal anti-inflammatory drugs (i.e., naproxen, ibuprofen, Vioxx, Celebrex, indomethacin, etc.). However, patients may take aspirin < 325 mg/day for cardiovascular prophylaxis
  • Known hypersensitivity to NSAIDs
  • Treatment with any other investigational therapy within the 30 days prior to Screening Visit
  • History of illicit drug or alcohol abuse within last 1 year
  • Current or expected treatment with systemic corticosteroids (except topical, ophthalmic, intra-articular, or inhaled at a dose < 1600 μg/day)
  • Any other condition that compromises the ability of the patient to provide informed consent or to comply with the objectives and procedures of this protocol, as judged by the investigator.

Trial locations and contacts

67 sites in 4 countries.

67 sites in 4 countries

United States18 sites
  • Associated Pharmaceutical Research Center, Inc.

    Buena Park, California, 90620

  • Cedar-Crosse Research Center

    Chicago, Illinois, 60607

  • Optimed Research, LLC

    Columbus, Ohio, 43235

  • Dallas Diabetes & Endocrine Center

    Dallas, Texas, 75230

  • Radiant Research - Greer

    Greer, South Carolina, 29651

  • Clinical Investigation Specialists, Inc.

    Gurnee, Illinois, 60031

  • Mercury Pharma Services

    Houston, Texas, 77081

  • NEA Clinic

    Jonesboro, Arkansas, 72401

  • The Intermed Group

    Los Angeles, California, 90017

  • LAC/USC Medical Center

    Los Angeles, California, 90033

  • International Research Associates, LLC

    Miami, Florida, 33156

  • Diabetes Center of the Southwest

    Midland, Texas, 79705

  • Olive Branch Research

    Olive Branch, Mississippi, 38654

  • Suncoast Clinical Research, Inc.

    Palm Harbor, Florida, 34684

  • Andres Patron DO PA

    Pembroke Pines, Florida, 33026

  • McGuire VA Medical Center

    Richmond, Virginia, 23249

  • National Clinical Research

    Richmond, Virginia, 23294

  • Diabetes & Glandular Disease Research Associates, P.A.

    San Antonio, Texas, 78229

Other trials in United States

India18 sites
  • Sterling Hospital

    Ahmedabad

  • Kasturba Medical College Hospital

    Attavar, Mangalore, 575001

  • St. John's Medical College Hospital

    Bangalore, 560034

  • M.S. Ramaih Medical College & Hospital

    Bangalore, 560054

  • Diacon Hospital

    Bangalore

  • Sri Ramachandra Medical Centre

    Chennai, 600 116

  • Dr. V. Seshiah Diabetes Care & Research Institute

    Chennai

  • Bharti Research Institute of Diabetes & Endocrinology

    Karnāl, Haryana

  • Amrita Institute of Medical Sciences

    Kochi, Kerala, 682026

  • Apollo Gleneages/Dept. of Endocrinology

    Kolkata

  • Diabetes Care and Research Center

    Maharashtra, 411011

  • Kasturba Hospital

    Manipal, 576104

  • Chowpatty Medical Center

    Mumbai

  • Mediheights Healthcare Pvt. Ltd.

    Mumbai

  • Nizam's Institute of Medical Sciences

    Panjagutta, Hyderabad, Andhra Pradesh, 500082

  • KEM Hospital

    Pune, 411 011

  • Kerala Institute of Medical Sciences

    Trivandrum

  • Christian Medical College Hospital

    Vellore, 632004

Other trials in India

Argentina17 sites
  • Consultorio Integral de Atencion al Diabetico (CIAD)

    Buenos Aires, B1708IFF

  • CIMEL

    Buenos Aires, B1824KAJ

  • Centro de Atencion Integral en Diabetes, Endocrinologica y Metabolismo

    Buenos Aires, B6740CWC

  • Fundacion CIDEA

    Buenos Aires, C1121ABE

  • Sanatorio Municipal Dr. Julio Mendez

    Buenos Aires, C1405CNF

  • Instituto Medico Especializado

    Buenos Aires, C1405CWB

  • Hospital Thompson

    Buenos Aires, CP1650

  • Clinica Dleta Zarate

    Buenos Aires

  • Hospital Privado de Comunidad

    Buenos Aires

  • Consultorios Asociados de Endocrinologia

    Capital Federal

  • Instituto Latinoamericano de Investigaciones Clinicas

    Córdoba, X5000BNB

  • Sanatorio Parque

    Córdoba, X5000IKK

  • Fundacion Marcelino Rusculleda Batlle

    Córdoba

  • Instituto de Clinica Medica y Diabetes

    Mendoza, M5519XAC

  • Policlio Modelo de Cipoletti

    Rio Negro, R8324BSS

  • Hospital San Bernardo

    Salta, A4406CLA

  • CER San Juan Centro Polivalente de Asistencia e Investigacion Clinica

    San Juan Capital

Other trials in Argentina

Israel14 sites
  • Endocrinology Institute, Haemek Medical Center

    Afula

  • Barzilai Medical Center

    Ashkelon

  • Soroka Medical Center

    Beersheba, 84101

  • Rambam Medical Center

    Haifa, 31996

  • Linn Medical Center

    Haifa, 34780

  • Wolfson Medical Center

    Holon, 58100

  • Hadassah University Hospital

    Jerusalem, 91120

  • Clalit Health Services

    Jerusalem, 93106

  • Institution of Diabetes and Metabolism

    Nahariya, 22100

  • Endocrinology & Diabetes Institute

    Petah Tikva

  • Department of Endocrinology, Ziv Medical Center

    Safed, 13091

  • Zamenhoff Medical Center

    Tel Aviv, 64353

  • Institute of Metabolic Diseases

    Tel Aviv

  • Assaf Haroffe Medical Center

    Zrifin

Other trials in Israel

About this study

Official title: Phase 2/3, Randomized, Double-blind, Placebo- and Active Comparator-controlled, Parallel, Multicenter Study to Determine Safety and Efficacy of Metaglidasen in Treatment of Type 2 Diabetes Suboptimally Controlled on Insulin

This is a multicenter, randomized, double-blind, placebo- and active comparator-controlled phase 2/3 study of three dose levels of MBX-102 (200, 400, 600 mg) given orally to patients with type 2 diabetes receiving concomitant therapy with insulin. Eligible patients will be adults with type 2 diabetes who are taking intermediate- and/or long-acting insulin or pre-mixed (e.g., "70/30") insulin, or a combination of insulin and one or two non-TZD hypoglycemic agents including sulfonylurea, metformin, acrabose or Byetta, but who are poorly controlled on their existing therapy. Preference for enrollment will be given to patients on insulin monotherapy. Patients treated with a combination of insulin and other hypoglycemic agent(s) must be willing and able to discontinue and washout of the hypoglycemic agent(s) for the entire duration of the study (in toto, approximately 28 weeks). Patients who are taking fixed doses of a short-acting insulin (e.g., not a "sliding scale") in combination with intermediate-acting insulin may qualify for the study if both the patient and investigator are willing to either change to pre-mixed insulin (e.g., 70/30) or discontinue use of the short acting insulin for at least 26 weeks. Patients treated with a sliding scale of short-acting insulin will not be eligible for enrollment.

Read the detailed description

This is a multicenter, randomized, double-blind, placebo- and active comparator-controlled phase 2/3 study of three dose levels of MBX-102 (200, 400, 600 mg) given orally to patients with type 2 diabetes receiving concomitant therapy with insulin. Eligible patients will be adults with type 2 diabetes who are taking intermediate- and/or long-acting insulin or pre-mixed (e.g., "70/30") insulin, or a combination of insulin and one or two non-TZD hypoglycemic agents including sulfonylurea, metformin, acrabose or Byetta, but who are poorly controlled on their existing therapy. Preference for enrollment will be given to patients on insulin monotherapy. Patients treated with a combination of insulin and other hypoglycemic agent(s) must be willing and able to discontinue and washout of the hypoglycemic agent(s) for the entire duration of the study (in toto, approximately 28 weeks). Patients who are taking fixed doses of a short-acting insulin (e.g., not a "sliding scale") in combination with intermediate-acting insulin may qualify for the study if both the patient and investigator are willing to either change to pre-mixed insulin (e.g., 70/30) or discontinue use of the short acting insulin for at least 26 weeks. Patients treated with a sliding scale of short-acting insulin will not be eligible for enrollment.

Following any insulin dose adjustment during the first few weeks of the study, insulin dose and regimen should remain constant for the duration of the study.

No stand alone (e.g., other than pre-mixed) short- or ultrashort-acting insulin and/or sliding scale will be allowed for the entire duration of the study.

A minimum of 400 patients will be randomized in this study (approximately 80 to each of the five treatment arms). Additional patients may be enrolled as appropriate to replace screen failures and drop-outs during the initial period of the study.

Conditions
Type 2 Diabetes
Being tested
MBX-102, Placebo, Actos
Keywords
insulin sensitizer, type 2 diabetes, diabetes, glucose control
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MBX-102Drug

    MBX-102 200 mg once daily for 16 weeks

  • MBX-102Drug

    MBX-102 400 mg once daily for 16 weeks

  • MBX-102Drug

    MBX-102 600 mg once daily for 16 weeks

  • PlaceboDrug

    MBX-102 Placebo once daily for 16 weeks

  • ActosDrug

    Actos 30 mg once daily for 16 weeks

Study groups in NCT00353587
Study groupRoleWhat they receive
MBX-102 200 mgExperimentalMBX-102 200 mg once daily for 16 weeks
Receives: Drug: MBX-102
MBX-102 400 mgExperimentalMBX-102 400 mg once daily for 16 weeks
Receives: Drug: MBX-102
MBX-102 600 mgExperimentalMBX-102 600 mg once daily for 16 weeks
Receives: Drug: MBX-102
Sugar PillPlacebo comparatorPlacebo comparator once daily for 16 weeks
Receives: Drug: Placebo
ActosActive comparatorActos 30 mg once daily for 16 weeks
Receives: Drug: Actos

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluate effects of MBX-102 administered orally at doses of 200, 400 and 600 mg daily for 16 weeks, on glucose control, as measured by HbA1c

  2. Evaluate safety of MBX-102 with particular emphasis on endpoints of weight gain and edema

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jul 2006 (estimated)
  2. Study startMay 2006
  3. Primary completionNov 2007
  4. Study completionNov 2007

Resources

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
396 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00353587
Sponsor's protocol ID
M102-20509
Status last verified
Apr 2015
First submitted
14 Jul 2006
Last updated
1 May 2015
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing MBX-102 and Actos in people with Type 2 Diabetes, run by Gilead Sciences at 67 sites in 4 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 19 inclusion and 23 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 1 May 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in United States, India, Argentina, Israel. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined 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.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

Evaluate effects of MBX-102 administered orally at doses of 200, 400 and 600 mg daily for 16 weeks, on glucose control, as measured by HbA1c. The study lists 2 primary outcomes in all. 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 1 May 2015.

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