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Diabetes MellitusPhase 2NCT00653185

Efficacy of SYR-472 in Subjects With Type 2 Diabetes Mellitus

A Phase 2 study testing SYR-472 in people with Diabetes Mellitus, run by Takeda at 87 sites in 12 countries.

Completed

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

Official record
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Trial summary

The purpose of this study is to determine the efficacy, safety and tolerability of SYR-472, once daily (QD), in subjects with Type 2 Diabetes Mellitus. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Diabetes Mellitus
What is being tested?
SYR-472
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
369 participants
Where
87 sitesin 12 countries
Study dates
May 2007to Mar 2008
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has a historical diagnosis of type 2 diabetes mellitus.
  • Has undergone less than 7 days of any antidiabetic therapy except lifestyle modification (diet/exercise) within 8 weeks prior to Screening; or has received metformin monotherapy for at least 8 weeks prior to Screening and maintained a stable daily dose of metformin for at least 12 weeks prior to randomization.
  • The subject receiving metformin monotherapy at randomization must have been at least 75% compliant with his or her regimen during the Run-in/Stabilization Period as determined by subject diary and investigator assessment.
  • Has received no treatment with antidiabetic agents other than metformin within the 8 weeks prior to Screening.
  • Has a glycosylated hemoglobin concentration between 7.0% and 10.0%, inclusive, at Screening and at the Week -1 Visit.
  • The subject's fasting C-peptide concentration is greater than or equal to 0.8 ng/mL.
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  • Has a fasting plasma glucose concentration less than 275 mg/dL.
  • If regularly uses other non-excluded medications, must be on a stable dose for at least the 4 weeks prior to Screening.
  • Has a systolic blood pressure reading less than 160 mm Hg and a diastolic pressure reading less than 100 mm Hg.
  • Has a hemoglobin value greater than or equal to 12 g/dL for men and greater than or equal to 10 g/dL for women.
  • Has an alanine aminotransferase level is less than or equal to 3 times the upper limit of normal.
  • Males have a serum creatinine value less than 1.5 mg/dL; females have a serum creatinine value less than 1.4 mg/dL.
  • Has a urine albumin/creatinine ratio less than 1000 μg/mg.
  • Has a thyroid-stimulating hormone level less than or equal to the upper limit of the normal range and is clinically euthyroid.
  • Females must be not be pregnant or lactating, and must agree to use adequate contraception throughout the duration of the study.
  • Is able and willing to monitor his or her own blood glucose concentrations with a home glucose monitor.
  • Has no major illness or debility that in the investigator's opinion prohibits the subject from completing the study.

Who cannot join

  • Is being concurrently treated with antidiabetic therapy other than metformin and lifestyle intervention.
  • Has a history of cancer, other than squamous cell or basal cell carcinoma of the skin that has not been in full remission for at least 5 years prior to Screening.
  • Has a history of laser treatment for proliferative diabetic retinopathy within the 6 months prior to Screening.
  • Has a history of treated diabetic gastric paresis.
  • Has New York Heart Association class III or IV heart failure regardless of therapy.
  • Has a history of coronary angioplasty, underwent coronary stent placement or coronary bypass surgery, or suffered a myocardial infarction, or stroke within the 6 months prior to Screening.
Show all 14Show fewer
  • Has a history of any hemoglobinopathy that may affect determination of glycosylated hemoglobin.
  • Has a history of infection with human immunodeficiency virus.
  • Has a history of a psychiatric disorder that in the investigator's opinion will affect the subject's ability to participate in the study.
  • Has ingested or received systemically injected glucocorticoids within the 3 months prior to randomization. Inhaled corticosteroids are allowed.
  • Has used prescription or over-the-counter weight-loss drugs within the 3 months prior to randomization.
  • Has received any investigational drug within the 30 days prior to Screening or has received an investigational antidiabetic drug within the 3 months prior to Screening.
  • Has received previous treatment in an investigational study of SYR-472.
  • Has a known hypersensitivity to any compound related to SYR-472.

Trial locations and contacts

87 sites in 12 countries.

87 sites in 12 countries

United States51 sites
  • Study site

    Altoona, Pennsylvania

  • Study site

    Ann Arbor, Michigan

  • Study site

    Arlington, Texas

  • Study site

    Bensalem, Ohio

  • Study site

    Birmingham, Alabama

  • Study site

    Brooklyn, New York

  • Study site

    Central Point, Oregon

  • Study site

    Charlotte, North Carolina

  • Study site

    Clearwater, Florida

  • Study site

    Clemson, South Carolina

  • Study site

    Cleveland, Tennessee

  • Study site

    Columbia, South Carolina

  • Study site

    Dawsonville, Georgia

  • Study site

    Dayton, Ohio

  • Study site

    Elkhart, Indiana

  • Study site

    Fargo, North Dakota

  • Study site

    Fort Worth, Texas

  • Study site

    Fountain Valley, California

  • Study site

    Gainesville, Georgia

  • Study site

    Great Falls, Montana

  • Study site

    Greer, South Carolina

  • Study site

    Hampton, Virginia

  • Study site

    Indianapolis, Indiana

  • Study site

    Kettering, Ohio

  • Study site

    Kingsport, Tennessee

  • Study site

    Las Vegas, Nevada

  • Study site

    Los Angeles, California

  • Study site

    Mobile, Alabama

  • Study site

    Montgomery, Alabama

  • Study site

    Naperville, Illinois

  • Study site

    National City, California

  • Study site

    North Miami Beach, Florida

  • Study site

    North Richland Hills, Texas

  • Study site

    Ocoee, Florida

  • Study site

    Orlando, Florida

  • Study site

    Pell City, Alabama

  • Study site

    Pismo Beach, California

  • Study site

    Plantation, Florida

  • Study site

    Providence, Rhode Island

  • Study site

    Rapid City, South Dakota

  • Study site

    Richmond, Virginia

  • Study site

    San Antonio, Texas

  • Study site

    Scottsbluff, Nebraska

  • Study site

    Shelby, North Carolina

  • Study site

    Sierra Vista, Arizona

  • Study site

    Slidell, Louisiana

  • Study site

    Sparta, North Carolina

  • Study site

    Spring, Texas

  • Study site

    Sugarland, Texas

  • Study site

    Tallassee, Alabama

  • Study site

    Taunton, Massachusetts

Other trials in United States

Romania9 sites
  • Study site

    Alba Iulia

  • Study site

    Baia Mare

  • Study site

    Bihor

  • Study site

    Brasov

  • Study site

    Bucharest

  • Study site

    Constanța

  • Study site

    Ploieşti

  • Study site

    Satu Mare

  • Study site

    Targoviste

Other trials in Romania

Russia6 sites
  • Study site

    Kemerovo

  • Study site

    Moscow

  • Study site

    Saint Petersburg

  • Study site

    Ufa

  • Study site

    Volgograd

  • Study site

    Yaroslavl

Other trials in Russia

Lithuania4 sites
  • Study site

    Kaunas

  • Study site

    Kėdainiai

  • Study site

    Klaipėda

  • Study site

    Vilnius

Other trials in Lithuania

Latvia3 sites
  • Study site

    Riga

  • Study site

    Sigulda

  • Study site

    Valmiera

Other trials in Latvia

Slovakia3 sites
  • Study site

    Banská Bystrica

  • Study site

    Bratislava

  • Study site

    Prešov

Other trials in Slovakia

Chile2 sites
  • Study site

    Santiago

  • Study site

    Temuco

Other trials in Chile

Czechia2 sites
  • Study site

    Ostrava

  • Study site

    Prague

Other trials in Czechia

Guatemala2 sites
  • Study site

    Guatemala City

  • Study site

    Quetzaltenango

Other trials in Guatemala

Hungary2 sites
  • Study site

    Eger

  • Study site

    Szentes

Other trials in Hungary

Ukraine2 sites
  • Study site

    Kharkiv

  • Study site

    Vinnytsia

Other trials in Ukraine

Puerto Rico1 site
  • Study site

    Ponce

Other trials in Puerto Rico

About this study

Official title: A Phase 2, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group, Multicenter Study to Evaluate Weekly Treatment With SYR-472 in Subjects With Type 2 Diabetes

The purpose of this study is to determine the efficacy, safety and tolerability of SYR-472, once daily (QD), in subjects with Type 2 Diabetes Mellitus.

Read the detailed description

Type 2 diabetes mellitus is a complex metabolic disorder characterized by abnormal insulin secretion and glucose homeostasis, resulting from impaired pancreatic beta-cell function and insulin resistance in target tissues. The worldwide prevalence of type 2 diabetes mellitus is reaching epidemic proportions, and the total number of cases is expected to reach 221 million by 2010. The high incidence of the disease and its associated complications places a significant burden on healthcare systems.

The primary risk factor for the development of type 2 diabetes mellitus is obesity and its associated insulin resistance. Insulin resistance is characterized by an impaired response to the physiologic effects of insulin and leads to decreased cellular glucose uptake, increased hepatic gluconeogenesis, and a compensatory increase in insulin secretion that contributes to beta-cell exhaustion. Therefore in the insulin-resistant state, blood glucose and insulin levels are increased. The relationship between improved glycemic control in patients with type 2 diabetes mellitus and the delay or prevention of comorbidities has been reported in the Diabetes Control and Complications Trial and the United Kingdom Prospective Diabetes Study. Therefore, reduction of persistent hyperglycemia is the highest priority in treating this disease.

Diet and exercise are important and effective measures for maintaining glycemic control in individuals with insulin resistance, impaired glucose tolerance, and type 2 diabetes mellitus, particularly in the early stages of disease progression. In cases where diet and exercise alone fail to adequately maintain glycemic control, oral antidiabetic drugs are typically used. Combination oral therapy and eventually insulin are usually required to maintain lower blood glucose levels but can result in adverse effects including hypoglycemia and weight gain. Therefore, novel safe and effective antidiabetic therapies are needed.

Dipeptidyl peptidase-4 is a ubiquitous aminopeptidase that is widely expressed in many tissues; it is thought to be primarily responsible for the in vivo degradation of at least two gut-derived incretin hormones, namely glucagon-like peptide-1 and glucose-dependent insulinotropic peptide, which are both released in response to nutrient ingestion. Glucagon-like peptide-1 has been demonstrated to augment glucose-dependent insulin secretion; suppress glucagon release and hepatic gluconeogenesis; inhibit gastric emptying, and reduce appetite and food intake. Glucagon-like peptide-1 and glucose-dependent insulinotropic peptide also have been shown to promote insulin biosynthesis and stimulate beta cell proliferation and survival. Orally available inhibitors of dipeptidyl peptidase-4 activity have been developed that increase intact postprandial glucagon-like peptide-1 levels after oral administration.

SYR-472 is a selective inhibitor of dipeptidyl peptidase-4 in development to improve glycemic control in patients with type 2 diabetes mellitus. The aim of this study is to evaluate SYR-472 in subjects with type 2 diabetes mellitus who have not previously achieved adequate glycemic control with lifestyle modification (diet/exercise) or metformin antidiabetic monotherapy. Study participation is anticipated to be up to 14 weeks.

Being tested
SYR-472, Placebo
Keywords
Glucose Metabolism Disorder, Dysmetabolic Syndrome, Type II Diabetes, Diabetes Mellitus, Lipoatrophic, Dyslipidemia, Hyperglycemia
Medical subject headings
Diabetes Mellitus, Glucose Metabolism Disorders, Diabetes Mellitus, Type 2, Diabetes Mellitus, Lipoatrophic, Dyslipidemias, Hyperglycemia

What participants receive

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

  • SYR-472Drug

    SYR-472 25 mg, tablets, orally, once daily and lifestyle modification and/or metformin for up to 12 weeks.

  • SYR-472Drug

    SYR-472 50 mg, tablets, orally, once daily and lifestyle modification and/or metformin for up to 12 weeks.

  • SYR-472Drug

    SYR-472 100 mg, tablets, orally, once daily and lifestyle modification and/or metformin for up to 12 weeks.

  • SYR-472Drug

    SYR-472 200 mg, tablets, orally, once daily and lifestyle modification and/or metformin for up to 12 weeks.

  • PlaceboDrug

    SYR-472 placebo-matching tablets, orally, once daily and lifestyle modification and/or metformin for up to 12 weeks.

Study groups in NCT00653185
Study groupRoleWhat they receive
SYR-472 25 mg QDExperimental(with lifestyle modification and/or metformin therapy)
Receives: Drug: SYR-472
SYR-472 50 mg QDExperimental(with lifestyle modification and/or metformin therapy)
Receives: Drug: SYR-472
SYR-472 100 mg QDExperimental(with lifestyle modification and/or metformin therapy)
Receives: Drug: SYR-472
SYR-472 200 mg QDExperimental(with lifestyle modification and/or metformin therapy)
Receives: Drug: SYR-472
Placebo QDPlacebo comparator(with lifestyle modification and/or metformin therapy)
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in glycosylated hemoglobin

    Measured: Weeks 12 or Final Visit.

Secondary outcomes (14)
  1. Change from baseline in glycosylated hemoglobin

    Measured: Weeks 4, 8, and 12 or Final Visit.

  2. Change from baseline in fasting plasma glucose

    Measured: Weeks 1, 2, 4, 8, and 12 or Final Visit.

  3. 1,5-Anhydroglucitol

    Measured: Weeks 2, 4, 8, and 12 or Final Visit.

  4. Change in Proinsulin

    Measured: Weeks 4, 8, and 12 or Final Visit.

  5. Change in Proinsulin/insulin ratio

    Measured: Weeks 4, 8, and 12 or Final Visit.

  6. Change in baseline C-peptide

    Measured: Weeks 4, 8, and 12 or Final Visit.

  7. Change from baseline in insulin

    Measured: Weeks 4, 8, and 12 or Final Visit.

  8. Change in Homeostasis model assessment of beta cell function

    Measured: Weeks 4, 8, and 12 or Final Visit.

  9. Change in Homeostasis model assessment of insulin resistance

    Measured: Weeks 4, 8, and 12 or Final Visit

  10. Incidence of rescue

    Measured: Weeks 1, 2, 4, 8, and 12 or Final Visit.

  11. Clinical response endpoint incidence of glycosylated hemoglobin less than or equal to 6.5%

    Measured: Week 12 or Final Visit

  12. Clinical response endpoint incidence of glycosylated hemoglobin less than or equal to 7.0%

    Measured: Week 12 or Final Visit

  13. Change from baseline in Fasting lipids (triglycerides, total cholesterol, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol)

    Measured: Weeks 4, 8, and 12 or Final Visit

  14. Body weight

    Measured: Weeks 4, 8, and 12 or Final Visit.

Timeline

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

  1. First posted4 Apr 2008 (estimated)
  2. Study startMay 2007
  3. Primary completionMar 2008
  4. Study completionMar 2008

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
369 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00653185
Sponsor's protocol ID
01-06-TL-SYR-472-007
Other IDs
U1111-1183-0302
Status last verified
Jun 2016
First submitted
1 Apr 2008
Last updated
22 Jun 2016
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SYR-472 in people with Diabetes Mellitus, run by Takeda at 87 sites in 12 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 17 inclusion and 14 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 22 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 87 sites in United States, Romania, Russia, Lithuania, Latvia and 7 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. 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 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?

Change from baseline in glycosylated hemoglobin (time frame: Weeks 12 or Final Visit.). 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 22 Jun 2016.

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