AzTrials
AzTrials

Diabetes Mellitus, Type 2Phase 1NCT03646721

A Study to Evaluate the Safety, Tolerability, PK and PD of DA-1241 in Healthy Male Subjects and Subjects With T2DM

A Phase 1 study testing DA-1241 and Sitagliptin in people with Diabetes Mellitus, Type 2, run by Dong-A ST Co., Ltd. at 4 sites in United States.

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

This is a double-blind, placebo-controlled, multiple ascending dose study to evaluate the safety, tolerability, PK and PD of DA-1241 in healthy male subjects and subjects with T2DM Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
DA-1241 and Sitagliptin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
108 participants
Where
4 sitesUnited States
Study dates
29 Aug 2018to 7 May 2020
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 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy male subjects
  • Age ≥ 18 to ≤ 70 years of age.
  • Body mass index (BMI) ≥ 18.5 to ≤ 29.9 kg/m2.
  • Non-diabetic, fasting plasma glucose (FPG) of < 100 mg/dL (measured with YSI at site; one repeat test is allowed)
  • HbA1c < 5.7 %
  • Non-smoker smoker, defined as: Non-smoker for >12 months (ie, subject has not smoked or used any tobacco product for the 12 months prior to the start of the study) confirmed by a negative nicotine/cotinine test.
Show all 15Show fewer
  • Male subjects must be surgically sterile, or engaged with partners of non-childbearing potential, or if engaged with partners of childbearing potential, the subject and his partner must be willing to use contraceptive methods until 3 months after the last day of IP administration. Males must not donate sperms during the study and until 3 months after the last day of IP administration.
  • Upon review, agree to participate and sign informed consent
  • Male and female subjects with T2DM > 6 months.
  • Age ≥ 18 to ≤ 70 years of age.
  • Body mass index (BMI) ≤ 35 kg/m2.
  • On stable therapy with metformin monotherapy or metformin in combination with other oral antidiabetic drugs (OADs) ≥ 1 month. (OADs except metformin will be washed-out prior to the first dosing)
  • HbA1c ≥ 6.5 to ≤ 10%
  • Female and male subjects must agree to use highly effective methods of birth control until 120 days after the last day of IP administration, or must be surgically sterile or postmenopausal. Males must not donate sperm during the study and until 120 days after the last day of IP administration.
  • Upon review, agree to participate and sign informed consent.

Who cannot join

  • Resting blood pressure (BP) > 140/90 mmHg or < 90/60 mmHg. Subjects BP may be re-checked.
  • Participation in an investigational drug/device study within 30 days or 5 half-lives within the last dose of any study drug, whichever is longer.
  • History of any serious adverse reaction or hypersensitivity to any of the investigational product components or medicinal products with similar chemical structure.
  • Have significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders or abnormalities, or other major systemic disease that, according to the investigator, would unduly risk the subject's safety or may impact the conduct of the study.
  • History of or acute significant gastrointestinal disorder (eg, peptic ulcers, severe GERD), gastric surgery, including surgical treatment for obesity (eg, bariatric surgery, gastric banding), gastric bypass or antrectomy or small bowel resection >20cm or any disorder that would interfere with the swallowing, absorption, distribution, metabolism and excretion of the investigational product. Surgery for appendicitis is acceptable.
  • Subject shows evidence of significant active neuropsychiatric disease, including taking prescription medication for such diseases (including anti-depressant /anti-anxiety medication),
Show all 46Show fewer
  • Presence of clinically significant physical, laboratory, or ECG findings at Screening that, in the opinion of the Investigator, may interfere with any aspect of study conduct or interpretation of results, or may present a safety issue to that particular subject. (Laboratory results may be re-checked once on a separate day per Investigator discretion)
  • Long QT syndrome or family history of long QT syndrome or corrected QT interval (QTcF) > 450 ms at screening.
  • Liver function test results of AST and/or ALT ≥ 1.5 upper limit of normal (ULN).
  • Subject had a history of vaso-vagal syncope within 5 years.
  • History of any major surgery within 6 months.
  • History of any active infection, other than mild viral illness within 30 days prior to dosing.
  • Known history or positive test of hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), or human immunodeficiency virus type 1 (HIV-1) or 2 (HIV-2) antibody.
  • Subjects with a positive urine nicotine/cotinine dipstick test.
  • History of alcohol abuse as judged by the Investigator within approximately 1 year. Average weekly alcohol intake > 21 units/week or are unwilling to stop alcohol consumption from 24 hours prior to each dosing until discharged from the clinical research unit (CRU). Positive alcohol test at Screening. (One unit of alcohol equals about 250 mL of beer or lager, 100 mL of wine, or 35 mL of spirits).
  • History of illicit drug abuse, within approximately 1 year or evidence of current use as judged by the Investigator. Positive drug test, including marijuana, at Screening.
  • Donation or loss of > 500 mL of blood within 56 days.
  • Chronic use of over-the-counter or prescription medication within 7 or 14 days prior to dosing per Investigator's discretion (apart from vitamin/mineral supplements, occasional paracetamol, or birth control methods).
  • Unable to comply with the safety monitoring requirements of this clinical study or is considered by the investigator to be an unsuitable candidate for the study.
  • <Part 2>
  • A subject who has acute proliferative retinopathy or maculopathy, severe gastroparesis, and/or severe neuropathy, especially autonomic neuropathy, as judged by the Investigator.
  • Recurrent major hypoglycemia or hypoglycemic unawareness or recent ketoacidosis, as judged by the Investigator.
  • Persistent blood pressure (BP) systolic or diastolic > 160/90 mmHg or < 90/60 mmHg. Subjects BP may be re-checked per site SOP. Treatment with stable doses of antihypertensive medication for 2 months prior to screening are allowed.
  • Pregnant or lactating women.
  • Participation in an investigational drug/device study within 30 days or 5 half-lives within the last dose of any study drug, whichever is longer.
  • History of any serious adverse reaction or hypersensitivity to any of the investigational product components or medicinal products with similar chemical structure.
  • Current use of any prescribed or non-prescribed drugs (other than current treatment for diabetes mellitus or birth control methods) that are known to interfere with glucose or insulin metabolism, including but not limited to oral corticosteroids, GLP-1 receptor agonists, monoamine oxidase (MAO) inhibitors, growth hormone, non-selective β-blockers and lipid lowering medication. Lipid lowering medications will be washed-out prior to the first dosing if subjects take medication for primary prevention.
  • History of administration or current use of thiazolidinediones (TZDs).
  • Chronic use of acetaminophen, as acetaminophen is not allowed during the CGMS periods in the study.
  • Unable to tolerate tape adhesive in the area of sensor placement.
  • Subject has any unresolved adverse skin condition in the area of sensor placement (eg, psoriasis, rash, Staphylococcus infection).
  • History of or acute significant gastrointestinal disorder (eg, peptic ulcers, severe GERD), gastric surgery, gastric bypass or antrectomy or small bowel resection or any disorder that would interfere with the swallowing, absorption, distribution, metabolism and excretion of the investigational product. Surgery for appendicitis is acceptable.
  • History of renal disease or abnormal kidney function tests at Screening (eGFR < 60 mL/min/1.73m2 as estimated using the MDRD equation).
  • Clinically significant abnormal laboratory test, in particular, elevated liver enzymes (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels > 2 times the upper limit of normal (ULN)). (Laboratory results may be re-checked once on a separate day per Investigator discretion)
  • Any history of heart disease, defined as symptomatic heart failure (New York Heart Association class III or IV), myocardial infarction, coronary artery bypass graft surgery, or angioplasty, unstable angina requiring medication, transient ischemic attack, cerebral infarct, or cerebral hemorrhage.
  • History of any clinically or active significant gastrointestinal, cardiovascular, hematological, psychiatric, renal, hepatic, pancreatic or neurological abnormality that could interfere with the safety or results of this study as judged by the Investigator.
  • Subject shows evidence of significant active neuropsychiatric disease. Subjects that are stable and controlled by stable doses of selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), antipsychotics and lithium for ≥ 6 months prior to screening are allowed.
  • Presence of clinically significant physical or ECG findings (eg, QTcF > 450 msec for males, QTcF > 470 msec for females, left bundle branch block (LBBB)) at Screening that, in the opinion of the Investigator, may interfere with any aspect of study conduct or interpretation of results, or may present a safety issue to that particular subject.
  • History of any major surgery within 6 months.
  • History of any active infection, other than mild viral illness within 30 days prior to the first dosing.
  • Known history or positive test of hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), or human immunodeficiency virus type 1 (HIV-1) or 2 (HIV-2) antibody.
  • Smoking > 10 cigarettes per day or equivalent use of any tobacco product (eg, nicotine patch) within 6 months prior to Screening. Subjects must be able to refrain from smoking during each in-house period.
  • History of alcohol abuse as judged by the Investigator within approximately 1 year. Average weekly alcohol intake > 21 units/week (males) and > 14 units/week (females) or are unwilling to stop alcohol consumption from 24 hours prior to each check-in for in-house and outpatient visits and throughout the in-house periods until discharged from the clinical research unit (CRU) and are unwilling to limit alcohol consumption during outpatient periods. Positive alcohol test at Screening. (One unit of alcohol equals about 250 mL of beer or lager, 100 mL of wine, or 35 mL of spirits).
  • History of illicit drug abuse, within approximately 1 year or evidence of current use as judged by the Investigator. Positive drug test, including marijuana, at Screening.
  • Donation or loss of > 500 mL of blood within 56 days.
  • Unable to comply with the safety monitoring requirements of this clinical study or is considered by the investigator to be an unsuitable candidate for the study.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Clinical Site

    Chula Vista, California, 91911

  • High Point Clinical Trials Center

    High Point, North Carolina, 27265

  • Clinical Pharmacology of Miami

    Miami, Florida, 33014

  • Rainier Clinical Research Center

    Renton, Washington, 98057

Other trials in United States

About this study

Official title: A Phase 1b, Double-Blind, Placebo-Controlled, Multiple Ascending Dose (MAD) Study to Evaluate the Safety, Tolerability, PK and PD of DA-1241 in Healthy Male Subjects and Subjects With T2DM

This is a double-blind, placebo-controlled, multiple ascending dose study to evaluate the safety, tolerability, PK and PD of DA-1241 in healthy male subjects and subjects with T2DM

Being tested
DA-1241, Placebo, Sitagliptin
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.

  • DA-1241Drug

    [Part1] Administration once daily for 28 days; Dose strength for each cohort (Cohort 1, 2 and 3) is planned as 50mg, 100mg and 200mg, respectively.

    [Part2] Administration once daily for 56 days; Dose strength for each cohort (Cohort 4, 5 and 6) is planned as 25mg, 50mg and 100mg, respectively.

    (Dose escalation and dose level decisions for subsequent cohorts will be made via interim dose escalation review meetings.)

  • PlaceboDrug

    [Part1] Administration once daily for 28 days. [Part2] Administration once daily for 56 days.

  • SitagliptinDrug

    [Part2] Administration of Sitagliptin 100mg once daily for 56 days.

Study groups in NCT03646721
Study groupRoleWhat they receive
[Part1] DA-1241 : 6 subjects in each cohort(Cohort 1-3)ExperimentalSubjects will participate in 1 of 3 cohorts consisting of 8 subjects per cohort. Within cohorts, subjects will be randomized to a ratio of 6:2 (DA-1241 to matching placebo).
Receives: Drug: DA-1241
[Part1] Placebo : 2 subjects in each cohort(Cohort 1-3)Placebo comparatorSubjects will participate in 1 of 3 cohorts consisting of 8 subjects per cohort. Within cohorts, subjects will be randomized to a ratio of 6:2 (DA-1241 to matching placebo).
Receives: Drug: Placebo
[Part2] DA-1241 : 15 subjects in each cohort(Cohort 4-6)ExperimentalSubjects will participate in 1 of 3 cohorts consisting of 25 subjects per cohort. Within cohorts, subjects will be randomized to a ratio of 3:1:1 (DA-1241 to matching placebo and active comparator).
Receives: Drug: DA-1241
[Part2] Placebo : 5 subjects in each cohort(Cohort 4-6)Placebo comparatorSubjects will participate in 1 of 3 cohorts consisting of 25 subjects per cohort. Within cohorts, subjects will be randomized to a ratio of 3:1:1 (DA-1241 to matching placebo and active comparator).
Receives: Drug: Placebo
[Part2] Sitagliptin : 5 subjects in each cohort(Cohort 4-6)Active comparatorSubjects will participate in 1 of 3 cohorts consisting of 25 subjects per cohort. Within cohorts, subjects will be randomized to a ratio of 3:1:1 (DA-1241 to matching placebo and active comparator).
Receives: Drug: Sitagliptin

What is being measured

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

  1. 12-lead ECGs

    Change from baseline in QTcF (msec)

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  2. Blood pressure

    Change from baseline in blood pressure (mmHg)

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  3. Heart rate

    Change from baseline in heart rate (bpm)

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  4. Body temperature

    Change from baseline in oral body temperature (°C)

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  5. Respiratory rate

    Change from baseline in respiratory rate (bpm)

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  6. Physical examination

    Incidence and severity of clinical findings on physical examination

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  7. Clinical laboratory testing

    Incidence and severity of clinical laboratory abnormality

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

  8. Adverse event

    Incidence and severity of adverse event

    Measured: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively

Secondary outcomes (21)
  1. Maximum concentration of DA-1241 (Cmax)

    Measured: Through the treatment period; 24 hours

  2. Time of maximum plasma DA-1241 concentration (Tmax)

    Measured: Through the treatment period; 24 hours

  3. Area under the concentration-time curve (AUC)

    Measured: Through the treatment period; 9 days

  4. Apparent terminal elimination half-life (t½)

    Measured: Through the treatment period; 9 days

  5. Apparent total systemic clearance after oral administration (CL/F)

    Measured: Through the treatment period; 9 days

  6. Apparent volume of distribution (Vz/F)

    Measured: Through the treatment period; 9 days

  7. Accumulation ratio (Last dosing day AUCtau / First dosing day AUCtau)

    Measured: Through the treatment period; 9 days

  8. Amount of DA-1241 excreted unchanged in the urine in each collection interval(Ae)

    Measured: Through the treatment period; 7 days

  9. Cumulative amount of DA-1241 excreted unchanged in the urine (Cum Ae)

    Measured: Through the treatment period; 7 days

  10. Percentage fraction of DA-1241 excreted unchanged in the urine in each collection interval(Fe)

    Measured: Through the treatment period; 7 days

  11. Cumulative percentage fraction of DA-1241 excreted unchanged in the urine (Cum Fe)

    Measured: Through the treatment period; 7 days

  12. Renal clearance (CLR)

    Measured: Through the treatment period; 7 days

  13. Fasting Plasma Glucose (FPG)

    Measured: Through the treatment period; 62 days

  14. 2h-Postprandial glucose

    Measured: Through the treatment period; 56 days

  15. Area under the measurements versus (vs) time curve(AUE)

    Measured: Through the treatment period; 56 days

  16. Incremental AUEs after meal (iAUE)

    Measured: Through the treatment period; 56 days

  17. Weighted mean glucose (WMG)

    Measured: Through the treatment period; 56 days

  18. Incremental WMG (iWMG)

    Measured: Through the treatment period; 56 days

  19. Fasting Insulin

    Measured: Through the treatment period; 56 days

  20. Glycated albumin

    Measured: Through the treatment period; 56 days

  21. HbA1c

    Measured: Through the treatment period; 56 days

Timeline

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

  1. First posted24 Aug 2018
  2. Study start29 Aug 2018
  3. Primary completion7 May 2020
  4. Study completion7 May 2020

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
108 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03646721
Sponsor's protocol ID
DA1241_DM_Ib
Status last verified
Feb 2021
First submitted
21 Aug 2018
Last updated
11 Feb 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing DA-1241 and Sitagliptin in people with Diabetes Mellitus, Type 2, run by Dong-A ST Co., Ltd. at 4 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 15 inclusion and 46 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 11 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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. 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?

12-lead ECGs (time frame: Throughout study duration, i.e., about 10 weeks (Part1) and about 14-16 weeks (Part2), respectively). The study lists 8 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 11 Feb 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in