Type 2 Diabetes MellitusPhase 2NCT02435277
An Extension Protocol to Evaluate Dose Comparisons of Leucine-Metformin Combinations in Type 2 Diabetic Patients
A Phase 2 study testing Low Metformin, Mid Metformin and High Metformin in people with Type 2 Diabetes Mellitus, run by NuSirt Biopharma at 9 sites in United States.
Trial summary
Study NS-0100-01E is an extension of Study NS-01-0100 designed to assess safety and longer term effect (i.e., additional 8 weeks) of various fixed-dose leucine and metformin combinations (NS-0100) versus standard metformin monotherapy on glycemic control in subjects with type 2 diabetes using HbA1c as the primary… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Low Metformin, Mid Metformin and High Metformin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 9 sitesUnited States
- Study dates
- Oct 2014to Jan 2016
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has completed Study NS-0100-01, including all procedures required at Study Termination (Day 28/Visit 7) without major protocol deviations
- Is male, or female and, if female, meets all of the following criteria:
- Not breastfeeding
- Post-menopausal or negative pregnancy test result (human chorionic gonadotropin, beta subunit [β-hCG]) at Screening (Visit 1) (not required for hysterectomized females)
- If of childbearing potential (including perimenopausal women who have had a menstrual period within one year) and sexually active, must practice and be willing to continue to practice appropriate birth control (defined as a method which results in a low failure rate, i.e., less than 1% per year, when used consistently and correctly, such as double barrier methods [male condom with spermicide, with or without cervical cap or diaphragm], implants, injectables, oral contraceptives [must have been using for at least the last 3 months], some intrauterine contraceptive devices, tubal ligation, or a vasectomized partner) during the entire duration of the study.
- Is able to read, understand, and sign the informed consent forms (ICF) and if applicable, an authorization to use and disclose protected health information form (consistent with health insurance portability and accountability act of 1996 [HIPAA] legislation), communicate with the investigator, and understand and comply with protocol requirements.
Who cannot join
- Subjects who meet any of the following criteria will be excluded from the study.
- Is undesirable as a study participant as judged by the investigator (e.g., exhibited poor compliance during Study NS-0100-01)
- Is expected to require treatment, or if currently on a stable dose, changes to their regimen of the following medications:
- Lipid-lowering agents
- Anti-hypertensive medications
- Thyroid replacement therapy
Show all 10Show fewer
- Non-steroidal anti-inflammatory agents
- Is expected to require or undergo treatment with any of the following medications:
- Antidiabetes medications (with the exception of study medication [i.e., metformin])
- Oral or parenteral steroids.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
United States9 sites
River Birch Research Alliance
Blue Ridge, Georgia, 3051313
Medical Research South
Charleston, South Carolina, 29407
Catalina Research Institute
Chino, California, 91710
Streling Research Group
Cincinnati, Ohio, 45219
Meharry Medical College
Nashville, Tennessee, 37208
Vanderbilt University Medical Center, Diabetes, Endocrinology, and Metabolism
Nashville, Tennessee, 37232
Palm Beach Research
Palm Beach, Florida, 33409
Meridian Research
Savannah, Georgia, 31406
Meridien Research
Tampa, Florida, 33606
About this study
Official title: An Extension of Protocol NS-0100-01 to Evaluate the Safety and Effect of Various Fixed-Dose Leucine and Metformin Combinations (NS-0100) Versus Standard Metformin Mono-therapy on Glycemic Control in Subjects With Type 2 Diabetes
Study NS-0100-01E is an extension of Study NS-01-0100 designed to assess safety and longer term effect (i.e., additional 8 weeks) of various fixed-dose leucine and metformin combinations (NS-0100) versus standard metformin monotherapy on glycemic control in subjects with type 2 diabetes using HbA1c as the primary endpoint.
Read the detailed description
This is a randomized, 8-week, extension of Study NS-0100-01, to evaluate the effect of various fixed-dose (FDC) combinations of leucine and metformin compared to standard metformin monotherapy on glycemic control.
Subjects meeting all inclusion criteria and no exclusion criteria for the extension study, including completion of the 4-week treatment period of Study NS-0100-01 [Day 28/Visit 7]), will be eligible to enroll into the extension. During participation in the extension, subjects will continue to receive their assigned treatment based upon the randomization that occurred on Day 1 (Visit 4) of Study NS-0100-0. The study will include a total of 3 visits: Visit 1E (Day 28/Visit 7 of Study NS-0100-01), Visit 2E (Day 56/Week 8), and Visit 3E (Day 84/Week 12). Key assessments at Visit 2E and Visit 3E include HbA1c, fasting plasma glucose, and plasma insulin. In addition, 3-hour standardized meal tests will be performed on Day 28 (as part of the Study Termination [Visit 7] procedures of Study NS-0100-01 prior to enrolling into the extension) and at Study Termination for the extension (Visit 3E [Day 84/Week 12]).
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Low Metformin, Mid Metformin, High Metformin, Metformin
- Keywords
- Diabetes
- 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.
Low MetforminDrug
Also called Metformin, L-Leucince, Leucine
1100 mg L Leucine in combination with 125 mg of Metformin BID
Mid MetforminDrug
Also called Metformin, Leucine, L-Leucine
1100 mg L Leucine in combination with 250mg Metformin BID
High MetforminDrug
Also called Metformin, Leucine, L-Leucine
1100 mg of L Leucine in combination with 500 mg Metformin BID
MetforminDrug
Also called Metformin, Leucine, L-Leucine
500 mg Metformin BID until day 14 with dose escalation at day 14 to 850 mg Metformin BID
| Study group | Role | What they receive |
|---|---|---|
| Low Metformin | Experimental | 3 capsules BID with each capsule containing 366.7 mg L-Leucine and 41.7 mg of metformin Receives: Drug: Low Metformin |
| Mid Metformin | Experimental | 3 capsules BID with each capsule containing 366.7 mg L-Leucine and 83.3 mg of metformin Receives: Drug: Mid Metformin |
| High Metformin | Experimental | 3 capsules BID with each capsule containing 366.7 mg L-Leucine and 166.7 mg of metformin Receives: Drug: High Metformin |
| Metformin Monotherapy | Active comparator | 3 Capsules BID each containing 283.3 mg of metformin BID (1,700 mg/Day) at Day 14. Receives: Drug: Metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c Levels in Patient Receiving the Various Doses of Leucine and Metformin Combinations
Change in HbA1c from Baseline (Day 1/Visit 1) of Study NS-0100-01 to Week 12 (Day 84/Visit 3E) in subjects receiving various fixed-dose combinations of leucine and metformin compared to standard metformin monotherapy.
Measured: Baseline and 12 weeks
Secondary outcomes (1)
Change in Fasting Plasma Glucose
Change in fasting plasma glucose from Baseline (Day 1/Visit 1) of Study NS-0100-01 to Week 12 (Day 84/Visit 3E). Based on the pre-specified mixed model inferential statistical analysis, there was an apparent dose-dependent relationship for the mean decrease from baseline in fasting plasma glucose for the fixed dose leucine amd metformin combination treatments A, B and C.
Measured: Baseline and 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2015 (estimated)
- Study startOct 2014
- Primary completionSep 2015
- Study completionJan 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- NuSirt Biopharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Orville Kolterman, MD, Study chair, Pharmapace
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02435277
- Sponsor's protocol ID
- NS-0100-01E
- Status last verified
- Dec 2017
- First submitted
- 13 Apr 2015
- Last updated
- 17 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Extension of Protocol NS-0100-01 to Evaluate the Safety and Effect of Various Fixed-Dose Leucine and Metformin Combinations (NS-0100) Versus Standard Metformin Mono-therapy on Glycemic Control in Subjects With Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT02435277
- Acronym / sponsor ID
- NS-0100-01E
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Diabetes
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- NuSirt BiopharmaIndustry (pharma, biotech, devices)
- Study start
- Oct 2014
- Primary completion
- Sep 2015 (actual)
- Study completion
- Jan 2016 (actual)
- First posted
- 6 May 2015 (estimated)
- Results
- Posted 18 Dec 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study NS-0100-01E is an extension of Study NS-01-0100 designed to assess safety and longer term effect (i.e., additional 8 weeks) of various fixed-dose leucine and metformin combinations (NS-0100) versus standard metformin monotherapy on glycemic control in subjects with type 2 diabetes using HbA1c as the primary endpoint.
Detailed description
This is a randomized, 8-week, extension of Study NS-0100-01, to evaluate the effect of various fixed-dose (FDC) combinations of leucine and metformin compared to standard metformin monotherapy on glycemic control.
Subjects meeting all inclusion criteria and no exclusion criteria for the extension study, including completion of the 4-week treatment period of Study NS-0100-01 [Day 28/Visit 7]), will be eligible to enroll into the extension. During participation in the extension, subjects will continue to receive their assigned treatment based upon the randomization that occurred on Day 1 (Visit 4) of Study NS-0100-0. The study will include a total of 3 visits: Visit 1E (Day 28/Visit 7 of Study NS-0100-01), Visit 2E (Day 56/Week 8), and Visit 3E (Day 84/Week 12). Key assessments at Visit 2E and Visit 3E include HbA1c, fasting plasma glucose, and plasma insulin. In addition, 3-hour standardized meal tests will be performed on Day 28 (as part of the Study Termination [Visit 7] procedures of Study NS-0100-01 prior to enrolling into the extension) and at Study Termination for the extension (Visit 3E [Day 84/Week 12]).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Low Metformin | Experimental | Drug: Low Metformin3 capsules BID with each capsule containing 366.7 mg L-Leucine and 41.7 mg of metformin |
| Mid Metformin | Experimental | Drug: Mid Metformin3 capsules BID with each capsule containing 366.7 mg L-Leucine and 83.3 mg of metformin |
| High Metformin | Experimental | Drug: High Metformin3 capsules BID with each capsule containing 366.7 mg L-Leucine and 166.7 mg of metformin |
| Metformin Monotherapy | Active comparator | Drug: Metformin3 Capsules BID each containing 283.3 mg of metformin BID (1,700 mg/Day) at Day 14. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Has completed Study NS-0100-01, including all procedures required at Study Termination (Day 28/Visit 7) without major protocol deviations
- Is male, or female and, if female, meets all of the following criteria:
- Is able to read, understand, and sign the informed consent forms (ICF) and if applicable, an authorization to use and disclose protected health information form (consistent with health insurance portability and accountability act of 1996 [HIPAA] legislation), communicate with the investigator, and understand and comply with protocol requirements.
Key exclusion criteria (10 listed)
- Subjects who meet any of the following criteria will be excluded from the study.
- Is undesirable as a study participant as judged by the investigator (e.g., exhibited poor compliance during Study NS-0100-01)
- Is expected to require treatment, or if currently on a stable dose, changes to their regimen of the following medications:
- Is expected to require or undergo treatment with any of the following medications:
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 |
|---|---|---|
| Low MetforminAlso: Metformin, L-Leucince, Leucine1100 mg L Leucine in combination with 125 mg of Metformin BID | Drug | Low Metformin |
| Mid MetforminAlso: Metformin, Leucine, L-Leucine1100 mg L Leucine in combination with 250mg Metformin BID | Drug | Mid Metformin |
| High MetforminAlso: Metformin, Leucine, L-Leucine1100 mg of L Leucine in combination with 500 mg Metformin BID | Drug | High Metformin |
| MetforminAlso: Metformin, Leucine, L-Leucine500 mg Metformin BID until day 14 with dose escalation at day 14 to 850 mg Metformin BID | Drug | Metformin Monotherapy |
Primary outcome
Change in HbA1c Levels in Patient Receiving the Various Doses of Leucine and Metformin Combinations
Time frame: Baseline and 12 weeks
Change in HbA1c from Baseline (Day 1/Visit 1) of Study NS-0100-01 to Week 12 (Day 84/Visit 3E) in subjects receiving various fixed-dose combinations of leucine and metformin compared to standard metformin monotherapy.
1 secondary outcome
Change in Fasting Plasma Glucose
Time frame: Baseline and 12 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
Orville Kolterman, MD study chair
Pharmapace
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Low Metformin, Mid Metformin and High Metformin in people with Type 2 Diabetes Mellitus, run by NuSirt Biopharma at 9 sites in United States.
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 6 inclusion and 10 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 17 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in United States. 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 18 Dec 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?
Change in HbA1c Levels in Patient Receiving the Various Doses of Leucine and Metformin Combinations (time frame: Baseline and 12 weeks). 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 17 Jan 2018.