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Type 2 Diabetes MellitusPhase 2NCT02647320

12-Week Study of DS-8500a in Subjects With Type 2 Diabetes Mellitus on Metformin

A Phase 2 study testing Sitagliptin 100 mg and DS-8500a 25mg in people with Type 2 Diabetes Mellitus, run by Daiichi Sankyo at 58 sites in 2 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

The hypothesis of this Phase 2, 12-week study, is that DS-8500a will improve glycemic control relative to placebo, based on changes in HbA1c, with acceptable safety and tolerability, in patients with Type 2 Diabetes Mellitus (T2DM) who are treated with metformin. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Type 2 Diabetes Mellitus
What is being tested?
Sitagliptin 100 mg and DS-8500a 25mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
298 participants
Where
58 sitesin 2 countries
Study dates
Jan 2016to 31 Jan 2017
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

  • Able to provide written informed consent and adhere to the study visit schedule and treatment
  • Diagnosed with Type 2 diabetes mellitus as defined in the American Diabetes Association Standards of Medical Care in Diabetes 2015
  • Male or female ≥ 18 and ≤ 70 years of age
  • Screening fasting C-peptide > 0.5 ng/mL
  • Women of child bearing potential (WOCBP) must be willing to use double-barrier contraception for the entire study
  • WOCBP must have a negative pregnancy test (human chorionic gonadotropin, beta subunit [βhCG]) before entering the Lead-in Period
Show all 10Show fewer
  • Body mass index ≥ 25 kg/m2 and ≤ 45 kg/m2 at the Screening Visit
  • On stable (≥ 8 weeks) metformin monotherapy ≥ 1000 mg/day
  • Screening HbA1c ≥ 7.0% and ≤ 10%
  • Taking ≥ 80% and ≤ 120% of both dispensed DS-8500a placebo tablets and sitagliptin placebo capsules during the Lead-in Period

Who cannot join

  • History of type 1 diabetes and/or history of ketoacidosis
  • History of insulin use for > 2 weeks within 2 months prior to the Screening Visit
  • Two or more readings of fasting Self-monitoring of Blood Glucose (SMBG) > 240 mg/dL or worsening symptoms of hyperglycemia with one SMBG level of > 240 mg/dL during the second week of Lead-in Period, confirmed by laboratory measurement
  • Screening hemoglobin <12 g/dL for males and <11 g/dL for females
  • Blood donation within 2 months prior to the Screening Visit or plans to donate blood or blood products during the study
  • Subjects after bariatric surgery or any gastric bypass
Show all 26Show fewer
  • Screening thyroid stimulating hormone (TSH) levels not within normal range (based on reference laboratory values )
  • Screening Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) > 2.0 x upper limit of normal (ULN), and/or total bilirubin > 1.5 x ULN. If a subject has total bilirubin > 1.5 ULN, unconjugated and conjugated bilirubin fractions should be analyzed and only subjects documented to have Gilbert's syndrome may be enrolled
  • Screening Serum creatinine ≥ 1.5 mg/dL for males and ≥ 1.4 mg/dL for females, or creatinine clearance (CrCl) < 50 mL/min for both males and females
  • Screening Creatine kinase (CK) > 3.0 × ULN
  • History of unstable angina, myocardial infarction, cerebrovascular accident, transient ischemic attack, peripheral arterial event or any revascularization procedure during the 6 months prior to the Screening Visit or planned vascular procedures or surgery during study period
  • History of congestive heart failure (CHF)
  • Exclusionary concomitant medications:
  • Eight weeks prior to screening and throughout the duration of the study:
  • Any diabetes medication other than metformin; any prescription or over the counter medication for weight-loss.
  • Systemic corticosteroids (including nasal and inhaled), with the exception of use of topical and ophthalmic corticosteroids.
  • Rosuvastatin > 20 mg daily. b. During treatment periods, additional medications will be prohibited based on potential drug-drug interaction (DDI) (see Section 5.6)
  • Subjects with anticipated interruption in metformin or study drug use during the course of the clinical trial (e.g., due to an imaging procedure involving iodinated contrast media)
  • Subjects in whom treatment with sitagliptin 100 mg is contraindicated ( e.g., known hypersensitivity or intolerance to sitagliptin) or may not be medically advisable (e.g., history of pancreatitis)
  • Abuse of or dependence on prescription medications, illicit drugs, or alcohol within the last 1 year
  • Any history of a malignancy other than basal cell carcinoma within the past 5 years
  • Pregnancy or breast-feeding, or intent to become pregnant during the study period
  • Known (or evidence of) infection with human immunodeficiency virus
  • Any condition, laboratory abnormality, or concomitant therapy which, in the opinion of the Investigator, might pose a risk to the subject or make participation not in the subject's best interest
  • Subject is currently enrolled in or has not yet completed at least 30 days since ending another investigational device or drug study or is receiving other investigational agents
  • A direct or familial relationship with the Sponsor, Investigator, or site personnel affiliated with the study

Trial locations and contacts

58 sites in 2 countries.

58 sites in 2 countries

United States48 sites
  • Study site

    Anaheim, California, 92801

  • Study site

    Atlanta, Georgia, 30331

  • Study site

    Austin, Texas, 78705

  • Study site

    Avon, Indiana, 46123

  • Study site

    Birmingham, Alabama, 35216

  • Study site

    Boise, Idaho, 83704

  • Study site

    Burke, Virginia, 22015

  • Study site

    Charleston, South Carolina, 29407

  • Study site

    Charleston, South Carolina, 29425

  • Study site

    Chino, California, 91710

  • Study site

    Chula Vista, California, 91911

  • Study site

    Colorado Springs, Colorado, 80920

  • Study site

    Columbus, Ohio, 43213

  • Study site

    Council Bluffs, Iowa, 51503

  • Study site

    Dallas, Texas, 75231

  • Study site

    Edina, Minnesota, 55435

  • Study site

    Evansville, Indiana, 47725

  • Study site

    Franklin, Indiana, 46131

  • Study site

    Fresno, California, 93720

  • Study site

    Gold River, California, 95670

  • Study site

    Greenbrae, California, 94904

  • Study site

    Greenfield, Indiana, 46140

  • Study site

    Greer, South Carolina, 29651

  • Study site

    Hallandale, Florida, 33009

  • Study site

    Houston, Texas, 77036

  • Study site

    Lakewood, Colorado, 80227

  • Study site

    Litchfield Park, Arizona, 85340

  • Study site

    Medford, Oregon, 97504

  • Study site

    Miami, Florida, 33126

  • Study site

    Miami, Florida, 33135

  • Study site

    Mooresville, North Carolina, 28117

  • Study site

    Morgantown, North Carolina, 28655

  • Study site

    Mt. Pleasant, South Carolina, 29464

  • Study site

    Omaha, Nebraska, 68114

  • Study site

    Pembroke Pines, Florida, 33026

  • Study site

    Plano, Texas, 75024

  • Study site

    Salt Lake City, Utah, 84102

  • Study site

    Salt Lake City, Utah, 84121

  • Study site

    San Antonio, Texas, 78228

  • Study site

    San Antonio, Texas, 78229

  • Study site

    San Diego, California, 92103

  • Study site

    South Jordan, Utah, 84095

  • Study site

    Spartanburg, South Carolina, 29303

  • Study site

    Tempe, Arizona, 85282

  • Study site

    Troy, Michigan, 48098

  • Study site

    Washington, Missouri, 63090

  • Study site

    West Palm Beach, Florida, 33409

  • Study site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada10 sites
  • Study site

    Brampton, Ontario, L6T 0G1

  • Study site

    London, Ontario, N5W 6A2

  • Study site

    Mirabel, Quebec, J7J 2K8

  • Study site

    Montreal, Quebec, H4N 2W2

  • Study site

    Newmarket, Ontario, L3Y 5GB

  • Study site

    Québec, Quebec, G1W 4R4

  • Study site

    Sherbrooke, Quebec, J1H 1Z1

  • Study site

    Toronto, Ontario, M9V 4B4

  • Study site

    Toronto, Ontario, M9W 4L6

  • Study site

    Victoria, British Columbia, V8V 4A1

Other trials in Canada

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled With Active Comparator, 12-Week Study of DS-8500a in Subjects With Type 2 Diabetes Mellitus on Metformin

The hypothesis of this Phase 2, 12-week study, is that DS-8500a will improve glycemic control relative to placebo, based on changes in HbA1c, with acceptable safety and tolerability, in patients with Type 2 Diabetes Mellitus (T2DM) who are treated with metformin.

Being tested
Sitagliptin 100 mg, DS-8500a 25mg, Placebo Tablet, Placebo Capsule
Keywords
type 2 diabetes mellitus, interventional, double blind, phase 2
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.

  • Sitagliptin 100 mgDrug

    Also called Januvia

    Two sitagliptin 50 mg tablets, over-encapsulated to provide a once-daily dose of 100 mg, for oral administration

  • DS-8500a 25mgDrug

    Also called Investigational product

    DS-8500a 25mg tablet for oral administration

  • Placebo TabletDrug

    Also called Placebo

    Placebo matching DS-8500a tablet for oral administration

  • Placebo CapsuleDrug

    Also called Placebo

    Placebo matching sitagliptin over-capsule for oral administration

Study groups in NCT02647320
Study groupRoleWhat they receive
DS-8500a 25mgExperimentalOne DS-8500a 25 mg tablet, 2 placebo tablets, and one placebo capsule in a once-daily oral dose
Receives: Drug: DS-8500a 25mg; Drug: Placebo Tablet; Drug: Placebo Capsule
DS-8500a 50 mgExperimentalTwo DS-8500a 25 mg tablets, 1 placebo tablet, and one placebo capsule in a once-daily oral dose
Receives: Drug: DS-8500a 25mg; Drug: Placebo Tablet; Drug: Placebo Capsule
DS-8500a 75 mgExperimentalThree DS-8500a 25 mg tablets and one placebo capsule in a once-daily oral dose
Receives: Drug: DS-8500a 25mg; Drug: Placebo Capsule
PlaceboPlacebo comparatorThree placebo tablets and one placebo capsule in a once-daily oral dose
Receives: Drug: Placebo Tablet; Drug: Placebo Capsule
Sitagliptin 100 mgActive comparatorThree placebo tablets and one sitagliptin 100 mg over-capsule in a once-daily oral dose
Receives: Drug: Sitagliptin 100 mg; Drug: Placebo Tablet

What is being measured

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

  1. Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 12

    Glycated hemoglobin is a form of hemoglobin that is measured primarily to identify the three-month average glucose concentration in the blood. Target HbA1c for Type 2 diabetics was less than 7% at the time of this trial. Negative scores show improvement from baseline.

    Measured: Baseline, Week 12

Secondary outcomes (14)
  1. Change From Baseline in Total Cholesterol (TC) at Week 12

    Total cholesterol is a measure of the total amount of cholesterol in the blood, including low-density lipoprotein cholesterol (LDL-C) - the "bad" cholesterol, high-density lipoprotein cholesterol (HDL-C) - the "good" cholesterol, and triglycerides. The equation to calculate total cholesterol is: LDL + HDL + (triglycerides/5) = total cholesterol.

    Measured: Baseline, Week 12

  2. Change From Baseline in LDL-C at Week 12

    LDL-C is known as the "bad" cholesterol, so a lower score (negative change) means improvement.

    Measured: Baseline, Week 12

  3. Change From Baseline in HDL-C at Week 12

    HDL-C is known as the "good" cholesterol, so a higher score (positive change) means improvement.

    Measured: Baseline, Week 12

  4. Change From Baseline in Non-HDL-C at Week 12

    Non-HDL-C is the measure of "bad" cholesterol in the blood, including triglycerides and LDL-C, so a negative change means improvement. The equation for Non-HDL-C = LDL-C + (triglycerides/5).

    Measured: Baseline, Week 12

  5. Change From Baseline in Triglycerides at Week 12

    Triglycerides are a type of fat found in the blood. The body uses them for energy. Some triglycerides are needed for good health. But high triglycerides might raise the risk of heart disease. Since Type 2 diabetics tend to have high triglycerides, a negative change means improvement.

    Measured: Baseline, Week 12

  6. Change From Baseline in Area-Under-the Curve 0-3 Hours (AUC0-3h) of Plasma Glucose (PG) in Response to the Mixed Meal Tolerance Test (MMTT) at Week 4

    The MMTT requires a participant to drink a "mixed meal," such as Boost or Ensure, that contains protein, carbohydrates, and fat. The goal of the test is to find out how much insulin the pancreas makes in response to food by measuring the level of glucose in the blood. The lower the level of glucose in the blood during the first three hours after the test (AUC0-3h), the more insulin the body has made in response to the test. This would mean a negative change shows improvement.

    Measured: Baseline, Week 4

  7. Change From Baseline in AUC0-3h of PG in Response to the MMTT at Week 12

    The MMTT requires a participant to drink a "mixed meal," such as Boost or Ensure, that contains protein, carbohydrates, and fat. The goal of the test is to find out how much insulin the pancreas makes in response to food by measuring the level of glucose in the blood. The lower the level of glucose in the blood during the first three hours after the test (AUC0-3h), the more insulin the body has made in response to the test. This would mean a negative change shows improvement.

    Measured: Baseline, Week 12

  8. Change From Baseline in Maximum Concentration (Cmax) of PG in Response to MMTT at Week 4

    Cmax measures the highest amount of glucose in the blood, so a negative change means improvement.

    Measured: Baseline, Week 4

  9. Change From Baseline in Cmax of PG in Response to MMTT at Week 12

    Cmax measures the highest amount of glucose in the blood, so a negative change means improvement.

    Measured: Baseline, Week 12

  10. Change From Baseline in Fasting Plasma Glucose (FPG) at Week 2

    Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes. People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.

    Measured: Baseline, Week 2

  11. Change From Baseline in Fasting Plasma Glucose (FPG) at Week 4

    Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes. People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.

    Measured: Baseline, Week 4

  12. Change From Baseline in Fasting Plasma Glucose (FPG) at Week 8

    Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes. People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.

    Measured: Baseline, Week 8

  13. Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12

    Normal fasting plasma glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter (mg/dL) for people who do not have diabetes. People with Type 2 diabetes typically have FPG that is too high, so a negative change from baseline means improvement.

    Measured: Baseline, Week 12

  14. Count of Participants With HbA1c Less Than 7.0% at Week 12

    HbA1C less than 7% is the success goal for many Type 2 diabetics.

    Measured: Week 12

Timeline

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

  1. First posted6 Jan 2016 (estimated)
  2. Study startJan 2016
  3. Primary completion31 Jan 2017
  4. Study completion31 Jan 2017

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
298 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02647320
Sponsor's protocol ID
DS8500-A-U202
Status last verified
May 2018
First submitted
4 Jan 2016
Last updated
25 Feb 2019
Data monitoring committee
No
Individual data sharing
Yes: De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sitagliptin 100 mg and DS-8500a 25mg in people with Type 2 Diabetes Mellitus, run by Daiichi Sankyo at 58 sites in 2 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 10 inclusion and 26 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 25 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United States, Canada. 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?

Yes. Results are posted in the registry (first posted 1 May 2018). 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 From Baseline in Glycated Hemoglobin (HbA1c) at Week 12 (time frame: Baseline, Week 12). 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 25 Feb 2019.

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