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Diabetes Mellitus, Type 2Phase 2PRECISENCT02370537

A Study to Investigate How Common Pancreatic Exocrine Insufficiency (PEI) is in Patients With Type 2 Diabetes and Also to Investigate the Uptake of a Single Dose of EPANOVA® or OMACOR® in Patients With Different Degrees of PEI

A Phase 2 study testing Epanova® (omega-3 carboxylic acids) and Omacor® (omega-3-acid ethyl esters) in people with Diabetes Mellitus, Type 2 and Exocrine Pancreatic Insufficiency, run by AstraZeneca at 22 sites in 6 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

This study is a 2-part open-label, randomized, crossover, multicenter, non-therapeutic Phase II study to investigate the presence of pancreatic exocrine insufficiency (PEI) in patients with Type 2 diabetes mellitus (T2DM), and to investigate the pharmacokinetics (PK) of EPANOVA® (omega-3 carboxylic acids) and… Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Epanova® (omega-3 carboxylic acids) and Omacor® (omega-3-acid ethyl esters)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
490 participants
Where
22 sitesin 6 countries
Study dates
Mar 2015to Nov 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Male or female aged ≥18 years and ≤70 years, with suitable veins for cannulation or repeated venipuncture.
  • Clinically diagnosed Type 2 diabetics (American Diabetes Association guidelines;), on oral antibiotic drug use ≥3 months and HbA1c value ≥6.5% and ≤9.0% at Visit 1.
  • Have a body mass index ≥18 kg/m2 and ≤40 kg/m2 and weigh at least 50 kg.

Who cannot join

  • Intolerance to Omega-3 fatty acids, ethyl esters or fish.
  • On insulin therapy or treated with injectable Glucagon-like peptide-1 (GLP-1).
  • Treated with bile acid sequestrants.
  • Serum levels of TGs >10 mmol/L at any time during the study.

Trial locations and contacts

22 sites in 6 countries.

22 sites in 6 countries

Sweden6 sites
  • Research Site

    Gothenburg

  • Research Site

    Linköping

  • Research Site

    Lund

  • Research Site

    Malmö

  • Research Site

    Stockholm

  • Research Site

    Uppsala

Other trials in Sweden

Poland4 sites
  • Research Site

    Bialystok

  • Research Site

    Puławy

  • Research Site

    Staszów

  • Research Site

    Zamość

Other trials in Poland

Denmark3 sites
  • Research Site

    Aarhus

  • Research Site

    Frederiksberg

  • Research Site

    København NV

Other trials in Denmark

Hungary3 sites
  • Research Site

    Balatonfüred

  • Research Site

    Budapest

  • Research Site

    Létavértes

Other trials in Hungary

Latvia3 sites
  • Research Site

    Daugavpils

  • Research Site

    Jēkabpils

  • Research Site

    Riga

Other trials in Latvia

Slovakia3 sites
  • Research Site

    Bardejov

  • Research Site

    Bratislava

  • Research Site

    Ľubochňa

Other trials in Slovakia

About this study

Official title: A Two-part, Open-label, Randomised, Crossover, Multicentre, Phase II Study to Investigate the Presence of Pancreatic Exocrine Insufficiency (PEI) in Patients With Type 2 Diabetes Mellitus, and to Investigate the Pharmacokinetics of EPANOVA® and OMACOR® Following a Single Oral Dose in Patients With Different Degrees of PEI

This study is a 2-part open-label, randomized, crossover, multicenter, non-therapeutic Phase II study to investigate the presence of pancreatic exocrine insufficiency (PEI) in patients with Type 2 diabetes mellitus (T2DM), and to investigate the pharmacokinetics (PK) of EPANOVA® (omega-3 carboxylic acids) and omega-3-acid ethyl esters (OMACOR®, Abbott Healthcare Products Ltd) following a single oral dose in patients with different degrees of PEI.

Being tested
Epanova® (omega-3 carboxylic acids), Omacor® (omega-3-acid ethyl esters)
Keywords
omega-3 carboxylic acid
Medical subject headings
Diabetes Mellitus, Type 2, Exocrine Pancreatic Insufficiency

What participants receive

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

  • Epanova® (omega-3 carboxylic acids)Drug

    Also called omega-3 carboxylic acids

    4 g (administered orally as 4 x 1 g capsules)

  • Omacor® (omega-3-acid ethyl esters)Drug

    Also called omega-3-acid ethyl esters

    4 g (administered orally as 4 x 1 g capsules)

Study groups in NCT02370537
Study groupRoleWhat they receive
Sequence ABExperimentalA single dose of EPANOVA® 4 g (administered as 4 x 1 g capsules) at Visit 4, followed by 10 to 14 days washout, followed by a single dose of OMACOR® 4 g (administered as 4 x 1 g capsules) at Visit 7.
Receives: Drug: Epanova® (omega-3 carboxylic acids); Drug: Omacor® (omega-3-acid ethyl esters)
Sequence BAExperimentalA single dose of OMACOR® 4 g (administered as 4 x 1 g capsules) at Visit 4, followed by 10 to 14 days washout, followed by a single dose of EPANOVA® 4 g (administered as 4 x 1 g capsules) at Visit 7.
Receives: Drug: Epanova® (omega-3 carboxylic acids); Drug: Omacor® (omega-3-acid ethyl esters)

What is being measured

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

  1. Part A: Serum TG Level.

    For Part A, the distribution of serum TG levels by the degree of pancreatic exocrine insufficiency (PEI) was assessed in patients with Type 2 Diabetes Mellitus (T2DM).

    Measured: 7 days after enrollment.

  2. Part B: Baseline Corrected Area Under the Plasma Concentration Time Curve From Time Zero to Last Measurable Concentration (AUC[0-last]) for Total Eicosapentaenoic Acid (EPA) Following Administration of EPANOVA® and OMACOR®.

    Baseline corrected AUC(0-last) was measured for total EPA following administration of single oral doses of EPANOVA® 4 g (A) and OMACOR® 4 g (B) (2-way crossover design) to patients with T2DM and different degrees of PEI.

    Measured: Blood samples for analysis were taken at 1, 0.5, and 0.05 hours pre-dose, to be used as baseline, and at 1, 2, 3, 4, 5, 6, 7, 8, 10, 24 and 48 hours post-dose.

  3. Part B: Baseline Corrected AUC(0-last) for Total Docosahexaenoic Acid (DHA) Following Administration of EPANOVA® and OMACOR®.

    Baseline corrected AUC(0-last) was measured for total DHA following administration of single oral doses of EPANOVA® 4 g (A) and OMACOR® 4 g (B) (2-way crossover design) to patients with T2DM and different degrees of PEI.

    Measured: Blood samples for analysis were taken at 1, 0.5, and 0.05 hours pre-dose, to be used as baseline, and at 1, 2, 3, 4, 5, 6, 7, 8, 10, 24 and 48 hours post-dose.

  4. Part B: Baseline Corrected AUC(0-last) for Total EPA+DHA Following Administration of EPANOVA® and OMACOR®.

    Baseline corrected AUC(0-last) was measured for the sum of EPA and DHA (total EPA+DHA) following administration of single oral doses of EPANOVA® 4 g (A) and OMACOR® 4 g (B) (2-way crossover design) to patients with T2DM and different degrees of PEI.

    Measured: Blood samples for analysis were taken at 1, 0.5, and 0.05 hours pre-dose, to be used as baseline, and at 1, 2, 3, 4, 5, 6, 7, 8, 10, 24 and 48 hours post-dose.

  5. Part B: Baseline Corrected Maximum Plasma Drug Concentration (Cmax) for Total EPA Following Administration of EPANOVA® and OMACOR®.

    Baseline corrected Cmax was measured for total EPA following administration of single oral doses of EPANOVA® 4 g (A) and OMACOR® 4 g (B) (2-way crossover design) to patients with T2DM and different degrees of PEI.

    Measured: Blood samples for analysis were taken at 1, 0.5, and 0.05 hours pre-dose, to be used as baseline, and at 1, 2, 3, 4, 5, 6, 7, 8, 10, 24 and 48 hours post-dose.

  6. Part B: Baseline Corrected Cmax for Total DHA Following Administration of EPANOVA® and OMACOR®.

    Baseline corrected Cmax was measured for total DHA following administration of single oral doses of EPANOVA® 4 g (A) and OMACOR® 4 g (B) (2-way crossover design) to patients with T2DM and different degrees of PEI.

    Measured: Blood samples for analysis were taken at 1, 0.5, and 0.05 hours pre-dose, to be used as baseline, and at 1, 2, 3, 4, 5, 6, 7, 8, 10, 24 and 48 hours post-dose.

  7. Part B: Baseline Corrected Cmax for Total EPA+DHA Following Administration of EPANOVA® and OMACOR®.

    Baseline corrected Cmax was measured for the sum of EPA and DHA (total EPA+DHA) following administration of single oral doses of EPANOVA® 4 g (A) and OMACOR® 4 g (B) (2-way crossover design) to patients with T2DM and different degrees of PEI.

    Measured: Blood samples for analysis were taken at 1, 0.5, and 0.05 hours pre-dose, to be used as baseline, and at 1, 2, 3, 4, 5, 6, 7, 8, 10, 24 and 48 hours post-dose.

Timeline

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

  1. First posted25 Feb 2015 (estimated)
  2. Study startMar 2015
  3. Primary completionNov 2015
  4. Study completionNov 2015

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
Crossover
Masking
None (open label)
Enrolment
490 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02370537
Sponsor's protocol ID
D5881C00006
Other IDs
2014-003511-11, 2014
Acronym
PRECISE
Status last verified
Nov 2016
First submitted
24 Feb 2015
Last updated
20 Jan 2017
Data monitoring committee
No

Publications

  • Lindkvist B, Nilsson C, Kvarnstrom M, Oscarsson J. Importance of pancreatic exocrine dysfunction in patients with type 2 diabetes: A randomized crossover study. Pancreatology. 2018 Jul;18(5):550-558. doi: 10.1016/j.pan.2018.05.483. Epub 2018 May 19.

    PubMed 29802077

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Epanova® (omega-3 carboxylic acids) and Omacor® (omega-3-acid ethyl esters) in people with Diabetes Mellitus, Type 2 and Exocrine Pancreatic Insufficiency, run by AstraZeneca at 22 sites in 6 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 3 inclusion and 4 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 20 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Sweden, Poland, Denmark, Hungary, Latvia and 1 more country. 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?

Yes. Results are posted in the registry (first posted 20 Jan 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Part A: Serum TG Level. (time frame: 7 days after enrollment.). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02370537, which also lists 1 linked publication.

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 20 Jan 2017.

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