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Type II Diabetes MellitusPhase 1NCT03907202

A Clinical Study to Evaluate the Safety, Tolerability, PK, PD, and Efficacy of KBP-089 in Patients With T2DM

A Phase 1 study of Type II Diabetes Mellitus, run by KeyBioscience AG at 1 site in Germany.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

KeyBioscience is developing KBP-089, a dual activator of both the amylin and calcitonin receptors, for the treatment of type II diabetes mellitus, using a subcutaneous injectable mode of administration. Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
Type II Diabetes Mellitus
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
25 participants
Where
1 siteGermany
Study dates
17 Apr 2018to 3 Dec 2019
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 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Signed and dated informed consent obtained before any trial-related activities. (Trial-related activities are any procedures that would not have been performed during normal management of the patient).
  • Male or female patient with T2DM.
  • Age between 18 and 64 years, both inclusive.
  • Body Mass Index (BMI) >= 25.0 kg/m^2.
  • HbA1c >= 7 and <=9.5%.
  • Stable therapy with metformin ± treatment with a second oral anti-diabetes drug (OAD) belonging to the class of dipeptidyl-peptidase 4 (DPP-4) inhibitors or sulfonylureas for at least 2 months prior to inclusion into the trial or not treated with glucose-lowering medications. Patients who are receiving stable treatment with a second OAD will be asked to discontinue the DPP-4 inhibitor or a sulfonylurea for at least 14 days prior the Initial Inpatient Dosing Visit.
  • Considered generally healthy (apart from T2DM) upon completion of medical history, physical examination, vital signs, ECG and analysis of laboratory safety variables, as judged by the Investigator.

Who cannot join

  • Known or suspected hypersensitivity or allergy to paracetamol or related products.
  • Prior treatment with a dual amylin and calcitonin receptor agonist (DACRA) or salmon calcitonin.
  • Receipt of any medicinal product in clinical development within 30 days or 5 half-lives of the medicinal product (whichever is longer) before randomisation in this trial.
  • History of multiple and/or severe allergies to drugs or foods or a history of severe anaphylactic reaction.
  • Any history or presence of clinically relevant cardiovascular, pulmonary, respiratory, gastrointestinal, hepatic, renal, metabolic, endocrinological (with the exception of conditions associated with diabetes mellitus), haematological, dermatological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, gynaecologic (if female), or infectious disease, or signs of acute illness as judged by the Investigator.
  • Medically unable or unwilling to discontinue current anti-diabetic therapy with DPP-4 inhibitor or sulfonylurea for at least 14 days prior to admission to the research facility (Day -2) and remain off medication until the follow-up visit. Patients taking metformin therapy at entry will continue their metformin at the usual individual dose throughout the trial.
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  • Have had a significant change in weight, defined as a gain or loss of at least 5% body weight in the 3 months prior to screening.
  • A positive result in the alcohol and/or urine drug screen at the screening visit.
  • Positive to the screening test for Hepatitis Bs antigen (HBsAg) or Hepatitis C antibodies and/or a positive result to the test for human immunodeficiency virus (HIV)-1/2 antibodies or HIV-1 antigen.
  • Have had a blood transfusion or severe blood loss within the past 6 months or have known hemoglobinopathy, hemolytic anemia, sickle cell anemia, or have a hemoglobin value <11 g/dL (males) or <10 g/dL (females), or any other condition known to interfere with HbA1c methodology.
  • Blood donation or blood loss of more than 500 mL within the last 3 months or any blood donation within the last month prior to screening.
  • Females of childbearing potential.
  • Males with pregnant partners.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Profil Institut für Stoffwechselforschung GmbH

    Neuss, D-41460

Other trials in Germany

About this study

Official title: A Double-blind, Placebo-controlled, Randomised, Multiple-ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of KBP-089 in Patients With Type II Diabetes

KeyBioscience is developing KBP-089, a dual activator of both the amylin and calcitonin receptors, for the treatment of type II diabetes mellitus, using a subcutaneous injectable mode of administration.

This is a double-blind, placebo-controlled, randomised, multiple-ascending dose phase I trial to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of KBP-089 in patients with type 2 diabetes, who are on stable therapy with metformin.

Read more

Subjects will receive daily subcutaneous injections in the abdomen over a period of 28 days. The planned maximum doses of KBP-089 to be investigated in the trial are 20 µg in cohort 1, 60 µg in cohort 2, and 150 µg in cohort 3. For cohort 1, the dose is planned to be escalated every 7 ±1 days, and for cohort 2 and cohort 3, every 3 days. Doses may be modified according to individual tolerability, but the dose regimen will not exceed 28 days.

The IMP is administered by daily subcutaneous injections taken in the morning before breakfast.

The trial is performed in Germany and at least 36 patients will be enrolled in the trial. The trial will be randomised 1:1:1 between maximum doses of KBP-089 of 20 µg, 60 µg, 150 µg and placebo. Within each of the three cohorts, 12 patients will be randomised 3:1 to KBP-089 and placebo.

Being tested
Daily injection of KBP/placebo for up to 28 days
Keywords
Sub-cutaneous injection, Metformin, KBP-089, randomised, placebo-controlled, multiple-ascending dose
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.

  • Daily injection of KBP/placebo for up to 28 daysDrug

    Daily sub-cutaneous injection of KBP-089/Placebo into a lifted skin fold of the abdominal wall.The injection will be administered in the morning before breakfast.

Study groups in NCT03907202
Study groupRoleWhat they receive
KBP-089Active comparatorThree cohorts: * Cohort 1: starting dose 5 µg, maximum dose 20 µg, uptitration step 7 days, dose increment 5 µg * Cohort 2: starting dose 7.5 µg, maximum dose 60 µg, uptitration step 3 days, dose increment 7.5 µg * Cohort 3: starting dose 5 µg, maximum dose 120 µg, uptitration step 3 days, dose increment 5, 10, 15 and 20 µg
Receives: Drug: Daily injection of KBP/placebo for up to 28 days
PlaceboPlacebo comparatorFor all the cohorts, sentinel dosing for the first two patients will be performed 1:1 in a blinded manner.
Receives: Drug: Daily injection of KBP/placebo for up to 28 days

What is being measured

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

  1. Treatment Emergent Adverse Events (TEAEs).

    All TEAEs will be coded using MedDRA and summarized by treatment and dose.

    Measured: Day -1 to day 28

  2. Vital sign - Blood Pressure.

    Diastolic and systolic blood pressure (mmHg) are measured after at least 5 min rest in a supine position.

    Vital signs will be summarised by descriptive statistics by treatment, dose and timepoint.

    Measured: Day -1 to day 28

  3. Vital sign - Pulse (beats per min).

    measured after at least 5 min rest in a supine position. Vital signs will be summarised by descriptive statistics by treatment, dose and timepoint.

    Measured: Day -1 to day 28

  4. Vital sign - Body Temperature.

    Body temperature, tympanic (in Celcius). Vital signs will be summarised by descriptive statistics by treatment, dose and timepoint.

    Measured: Day -1 to day 28

  5. Vital sign - Respiratory frequency.

    Respiratory frequency measured as breaths per min. Vital signs will be summarised by descriptive statistics by treatment, dose and timepoint.

    Measured: Day -1 to day 28

  6. Electrocardiogram (ECG) - PQ interval.

    PQ interval (in msec) and any abnormality will be recorded and described in the CRF including the Investigator's assessment of clinical significance ('abnormal, not clinically significant' or 'abnormal, clinically significant').

    Measured: Day -1 to day 28

  7. Electrocardiogram (ECG) - QRS complex.

    QRS interval (in msec) and any abnormality will be recorded and described in the CRF including the Investigator's assessment of clinical significance ('abnormal, not clinically significant' or 'abnormal, clinically significant').

    Measured: Day -1 to day 28

  8. Electrocardiogram (ECG) - QT interval.

    QT interval (in msec) and any abnormality will be recorded and described in the CRF including the Investigator's assessment of clinical significance ('abnormal, not clinically significant' or 'abnormal, clinically significant').

    Measured: Day -1 to day 28

  9. Safety laboratory parameter - lipids.

    Standard Lipid assessments will be summarized by treatment (including dose) using descriptive statistics (number, mean, standard deviation, minimum, median and maximum).

    (Lipid parameters measured: Total cholesterol, High-density lipoprotein (HDL) cholesterol, Low-density lipoprotein (LDL) cholesterol, Triglycerides).

    Measured: Day -1 to day 28

  10. Safety laboratory parameter - haematology.

    Standard Biochemistry assessments will be summarized by treatment (including dose) using descriptive statistics (number, mean, standard deviation, minimum, median and maximum).

    (Haematology parameters measured: Haematocrit, Haemoglobin, Erythrocytes, Mean corpuscular volume (MCV), Mean corpuscular haemoglobin (MCH), Mean corpuscular haemoglobin concentration (MCHC), Thrombocytes (platelets), Leucocytes, Neutrophile granulocytes (total count and relative), Lymphocytes (total count and relative), Monocytes (total count and relative), Eosinophile granulocytes (total count and relative), Basophile granulocytes (total count and relative))

    Measured: Day -1 to day 28

  11. Safety laboratory parameter - coagulation.

    Standard coagulation assessments will be summarized by treatment (including dose) using descriptive statistics (number, mean, standard deviation, minimum, median and maximum).

    (coagulation parameters measured: International normalised ratio (INR), Activated partial thromboplastin time (APTT)

    Measured: Day -1 to day 28

  12. Safety laboratory parameter - urinalysis.

    Standard Biochemistry assessments will be summarized by treatment (including dose) using descriptive statistics (number, mean, standard deviation, minimum, median and maximum).

    (Urinalysis parameters measured: Protein, Glucose, Erythrocytes, Leucocytes, pH, Ketones)

    Measured: Day -1 to day 28

Secondary outcomes (12)
  1. Pharmacokinetic Evaluation - KBP-089 Area Under Curve.

    PK parameter (AUC 0-24) will be derived by non-compartmental analysis of the plasma concentration data for KBP-089

    Measured: Day -1 to day 28

  2. Pharmacokinetic Evaluation - KBP-089 Cmax.

    PK parameter (Cmax) will be derived by non-compartmental analysis of the plasma concentration data for KBP-089

    Measured: Day -1 to day 28

  3. Gastric emptying - Paracetamol Cmax.

    Gastric emptying is measured using paracetamol Cmax at baseline (Day -1), Day 1, and Day 28 for Cohorts 1 and 2 only

    Measured: Day -1 to day 28

  4. Gastric emptying - Paracetamol Tmax.

    Gastric emptying is measured using paracetamol Tmax at baseline (Day -1), Day 1, and Day 28 for Cohorts 1 and 2 only

    Measured: Day -1 to day 28

  5. Gastric emptying - Paracetamol Area Under Curve (AUC).

    Gastric emptying is measured using paracetamol AUC at baseline (Day -1), Day 1, and Day 28 for Cohorts 1 and 2 only

    Measured: Day -1 to day 28

  6. Fasting and postprandial glucose concentration.

    Fasting and postprandial glucose following OGTT at baseline (Days -1) and Day 28

    Measured: Day -1 to day 28

  7. Fasting and postprandial insulin concentration.

    Insulin following OGTT at baseline (Days -1) and Day 28

    Measured: Day -1 to day 28

  8. Fasting and postprandial C-peptide concentration.

    Fasting and postprandial C-peptide following OGTT at baseline (Days -1) and Day 28

    Measured: Day -1 to day 28

  9. Fasting and postprandial glucagon concentration.

    Fasting and postprandial glucagon following OGTT at baseline (Days -1) and Day 28

    Measured: Day -1 to day 28

  10. Body weight.

    Body weight at Day -1 (baseline) and Day 28 (in kg)

    Measured: Day -1 to day 28

  11. N-(1-deoxy)-fructosyl-haemoglobin (HbA1c).

    HbA1c at Day -1 (baseline) and Day 28 (in mmol/mol)

    Measured: Day -1 to day 28

  12. Fridericia's corrected QT interval (QTcF).

    Fridericia's corrected QT interval (QTcF) at Day 1 and Day 27 (in msec)

    Measured: Day 1 to day 27

Timeline

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

  1. First posted8 Apr 2019
  2. Study start17 Apr 2018
  3. Primary completion3 Dec 2019
  4. Study completion3 Dec 2019

Why it stopped: The trial was planned to be conducted in 4 cohorts but was terminated after completion of Cohort 2 for strategic reasons due to limited PD effects.

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
Model description
Randomised, patient-blind, investigator-blind, placebo-controlled, multiple ascending dose study. There will be 3 cohorts in which patients are randomised to receive either treatment with KBP-089 or placebo.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03907202
Sponsor's protocol ID
KBP089/CD/002
Status last verified
Sep 2020
First submitted
17 Apr 2018
Last updated
3 Sep 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study of Type II Diabetes Mellitus, run by KeyBioscience AG at 1 site in Germany.

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 7 inclusion and 13 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: stopped early, as of the sponsor's last update on 3 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 was stopped early (reason given: The trial was planned to be conducted in 4 cohorts but was terminated after completion of Cohort 2 for strategic reasons due to limited PD effects.). Results are not available in the source record.

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?

Treatment Emergent Adverse Events (TEAEs). (time frame: Day -1 to day 28). The study lists 12 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 3 Sep 2020.

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