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Diabetes Mellitus, Type 2Phase 1NCT02183415

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BI 1356 BS as Tablet in Patients With Type 2 Diabetes

A Phase 1 study testing BI 1356 BS, low dose, BI 1356 BS, medium dose and BI 1356 BS, high dose in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim.

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

Study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of BI 1356 BS during 4 week treatment duration Read more about this study

Who is it for?
Ages 21 to 70 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
BI 1356 BS, low dose, BI 1356 BS, medium dose and BI 1356 BS, high dose
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
77 participants
Where
No sites listed yet
Study dates
Aug 2005to Jan 2006
Phase
Phase 1
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 21 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female postmenopausal patients with proven diagnose of type 2 diabetes mellitus treated with diet and exercise only or with one (or two) oral hypoglycaemic agents besides glitazones
  • Glycosylated haemoglobin A1 (HbA1c)
  • ≤ 8.5 % at screening for patients treated with diet and exercise and/or one oral hypoglycaemic agent or
  • ≤ 8.0 % at screening for patients treated with two oral hypoglycaemic agents
  • Male patients: Age ≥21 and Age ≤70 years
  • Female patients: Age ≥60 and Age ≤70 years
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  • BMI ≥18.5 and BMI ≤35 kg/m2 (Body Mass Index)
  • Caucasian ethnicity
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice and the local legislation

Who cannot join

  • Any finding of the medical examination (including Blood Pressure, Pulse Rate and Electrocardiogram) deviating from normal and of not acceptable clinical relevance
  • Clinically relevant concomitant diseases like renal insufficiency, cardiac insufficiency NYHA (New York Heart Association) II-IV, known cardiovascular diseases including hypertension > 150/95mmHg, stroke and TIA (transient ischemic attack)
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders besides type 2 diabetes, hyperlipidaemia and medically treated hypertension
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or relevant neurological disorders besides polyneuropathy
  • Chronic or relevant acute infections (e.g. HIV, Hepatitis)
  • History of relevant allergy/hypersensitivity (including allergy to drug or its excipients)
Show all 23Show fewer
  • Intake of drugs with a long half-life (> 24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial except allowed co-medication
  • Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to administration or during the trial
  • Participation in another trial with an investigational drug within two months prior to administration or during the trial
  • Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
  • Inability to refrain from smoking on trial days
  • Alcohol abuse (more than 40 g/day = 5 units/day)
  • Drug abuse
  • Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
  • Excessive physical activities (within one week prior to administration or during the trial)
  • Any laboratory value outside the reference range and the clinical relevance is not acceptable (or the value is more than three times higher than the upper limit of the normal range e.g. liver enzymes)
  • Change of drug dosing of allowed co-medication (anti-hypertensive agents, acetylic salicylic acid and statins) within the last 3 months
  • Fasted blood glucose > 240 mg/dl (=13.3 mmol/L) on two consecutive days during washout
  • Serum creatinine above upper limit of normal at screening
  • Male Patients:
  • Not willing to use adequate contraception (condom use plus another form of contraception e.g. spermicide, oral contraceptive taken by female partner, sterilisation, intrauterine device) during the whole study period from the time of the first intake of study drug until one month after the last intake
  • Female patients:
  • Positive pregnancy test

About this study

Official title: Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Oral Doses (2.5, 5, and 10 mg q.d. for 28 Days) of BI 1356 BS as Tablet in Patients With Type 2 Diabetes (Randomised, Double-blind, Placebo-controlled Within the Dose Groups)

Study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of BI 1356 BS during 4 week treatment duration

Being tested
BI 1356 BS, low dose, BI 1356 BS, medium dose, BI 1356 BS, high dose, Placebo
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.

  • BI 1356 BS, low doseDrug

  • BI 1356 BS, medium doseDrug

  • BI 1356 BS, high doseDrug

  • PlaceboDrug

Study groups in NCT02183415
Study groupRoleWhat they receive
BI 1356 BS, low doseExperimentalNot described
Receives: Drug: BI 1356 BS, low dose
BI 1356 BS, medium doseExperimentalNot described
Receives: Drug: BI 1356 BS, medium dose
BI 1356 BS, high doseExperimentalNot described
Receives: Drug: BI 1356 BS, high dose
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Assessment of tolerability by investigator on a 4-point scale

    Measured: Day 50

  2. Incidence of adverse events

    Measured: up to 50 days

  3. Number of patients with abnormal changes in clinical laboratory parameters

    Measured: Baseline, up to day 50

Secondary outcomes (19)
  1. Cmax (maximum concentration of the analyte in plasma)

    Measured: before and up to 43 days after first study drug administration

  2. tmax (time from dosing to maximum concentration)

    Measured: before and up to 43 days after first study drug administration

  3. AUC (area under the concentration-time curve of the analyte in plasma) for several time points

    Measured: before and up to 43 days after first study drug administration

  4. Cmax,ss (maximum concentration of the analyte in plasma at steady state over a uniform dosing interval)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  5. Cmin,ss (minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  6. Cpre,N (predose concentration of the analyte in plasma at steady state immediately before administration of the next dose N)

    Measured: pre-dose on day 28

  7. tmax,ss (time from dosing to maximum concentration at steady state)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  8. AUCτ,ss (area under the concentration time curve of the analyte in plasma at steady state over a uniform dosing interval)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  9. λz,ss (terminal rate constant in plasma at steady state)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  10. t1/2,ss (terminal half-life of the analyte in plasma at steady state)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  11. MRTpo,ss (mean residence time of the analyte in the body after 12 administrations at steady state)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  12. CL/F,ss (apparent clearance of the analyte in the plasma after extravascular administration at steady state)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  13. Vz/F,ss (apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  14. PTF (peak trough fluctuation)

    Measured: before and 0:30 h, 1 h, 1:30 h, 2 h, 3 h, 4 h, 6 h, 8 h, and 12 hours after last study drug administration

  15. Accumulation ratio (RA) based on Cmax

    Measured: up to 28 days

  16. RA,AUC based on AUCτ

    Measured: up to 28 days

  17. Dipeptidyl-Peptidase IV (DPP-IV) activity for several time points

    Measured: up to day 43

  18. Change in fasting plasma glucose (AUEC0-3) after MTT (meal tolerance test )

    Measured: days -1, 1 and 29

  19. Plasma glucose levels

    Measured: up to day 43

Timeline

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

  1. First posted8 Jul 2014 (estimated)
  2. Study startAug 2005
  3. Primary completionJan 2006

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
77 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02183415
Sponsor's protocol ID
1218.3
Status last verified
Jul 2014
First submitted
4 Jul 2014
Last updated
8 Jul 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 1356 BS, low dose, BI 1356 BS, medium dose and BI 1356 BS, high dose in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim.

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 9 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 8 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Assessment of tolerability by investigator on a 4-point scale (time frame: Day 50). The study lists 3 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 8 Jul 2014.

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