T2DM (Type 2 Diabetes Mellitus)Phase 3HARMONYNCT06415773
Effects of Berberine Ursodeoxycholate (HTD1801) Versus Dapagliflozin in Patients With Type 2 Diabetes Inadequately Controlled With Metformin
A Phase 3 study testing HTD1801 and Dapagliflozin in people with T2DM (Type 2 Diabetes Mellitus), run by Shenzhen HighTide Biopharmaceutical Ltd. at 53 sites in China.
Trial summary
The goal of this clinical study is to evaluate the efficacy and safety of berberine ursodeoxycholate (HTD1801) compared to dapagliflozin in patients with type 2 diabetes inadequately controlled with metformin alone. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- T2DM (Type 2 Diabetes Mellitus)
- What is being tested?
- HTD1801 and Dapagliflozin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 367 participants
- Where
- 53 sitesChina
- Study dates
- 4 Jun 2024to 25 Jul 2025
- Phase
- Phase 3
- 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have been diagnosed with type 2 diabetes
- Have received a stable dose of metformin monotherapy for at least 8 weeks prior to screening
- If used any glucose-lowering drugs other than metformin within the 8 weeks prior to screening such use was ≤7 days and was discontinued at least 4 weeks prior to screening
- Have HbA1c ≥7.5% to ≤11.0% (screening) and HbA1c ≥7.0% to ≤10.5% (pre-randomization)
- Have fasting plasma glucose ≤13.9 mmol/L (screening and pre-randomization)
- Have a body mass index ≥19.0 kg/m^2 and ≤35.0 kg/m^2
Who cannot join
- Have type 1 diabetes
- Have had any acute diabetic complications within 12 months prior to screening
- Have had any Grade 3 hypoglycemic event within 12 months prior to screening
- Have had proliferative retinopathy or macular degeneration, severe diabetic neuropathy, or diabetic foot
- Have been taking any weight loss medication or dietary supplement, have participated in a weight loss program, or have adhered to a special diet within 12 weeks prior to screening
- Have used insulin or an insulin analogue for more than 14 days within 12 months prior to screening
Show all 9Show fewer
- Have used any hypoglycemic drug other than metformin during the 4-week run-in period prior to randomization
- Have had weight gain or loss ≥5% during the 4-week run-in period prior to randomization
- Have a history of refractory or recurrent urinary tract infections or genital infections
Trial locations and contacts
53 sites in 1 country.
53 sites in 1 country
China53 sites
Beijing Pinggu Hospital
Beijing
Peking University People's Hospital
Beijing
Binzhou Medical University Hospital
Binzhou
Jilin Province FAW General Hospital
Changchun
The Second Hospital of Jilin University
Changchun
The First People's Hospital of Changde City
Changde
The First Hospital of Changsha City
Changsha
The Fourth Hospital of Changsha
Changsha
The Second Xiangya Hospital of Central South University
Changsha
The Third Xiangya Hospital of Central South University
Changsha
Bishan Hospital of Chongqing
Chongqing
People's Hospital of Deyang City
Deyang
Handan First Hospital
Handan
The Fourth Hospital of Harbin Medical University
Harbin
The Second People's Hospital of Huai'an
Huai'an
Huanggang Central Hospital
Huanggang
Huangshi Central Hospital
Huangshi
Huizhou Municipal Central Hospital
Huizhou
Jincheng General Hospital
Jincheng
Hebei Petro China Central Hospital
Langfang
The Second People's Hospital of Lianyungang
Lianyungang
Liaocheng People's Hospital
Liaocheng
Luoyang Third People's Hospital
Luoyang
The First Affiliated Hospital of Henan University of Science & Technology (Jinghua)
Luoyang
The First Affiliated Hospital of Henan University of Science & Technology (Kaiyuan)
Luoyang
The First Affiliated Hospital of Nanchang University
Nanchang
The Second Affiliated Hospital of Nanchang University
Nanchang
Nanjing Drum Tower Hospital - The Affiliated Hospital of Nanjing University Medical School
Nanjing
The Second Affiliated Hospital of Nanjing Medical University
Nanjing
Affiliated Hospital of Nantong University
Nantong
The First Affiliated Hospital of Nanyang Medical College
Nanyang
Panjin Liaohe Oilfield GEM Flower Hospital
Panjin
Pingxiang People's Hospital
Pingxiang
The First Hospital of Qiqihar
Qiqihar
Sanmenxia Central Hospital
Sanmenxia
Huadong Hospital Affiliated to Fudan University
Shanghai
Shanghai Sixth People's Hospital
Shanghai
Shengjing Hospital of China Medical University
Shenyang
The People's Hospital of Liaoning Province
Shenyang
Wuhan Third Hospital
Wuhan
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an
The Central Hospital of Xiangtan
Xiangtan
The First People's Hospital of Xiangtan City
Xiangtan
Xianyang Hospital of Yan'an University
Xianyang
Xuzhou Cancer Hospital
Xuzhou
The Second People's Hospital of Yibin
Yibin
Yiyang Central Hospital
Yiyang
Yueyang People's Hospital
Yueyang
Shandong Guoxinyiyang Group Zaozhuang Central Hospital
Zaozhuang
The Second Affiliated Hospital of Zhengzhou University
Zhengzhou
Affiliated Hospital of Jiangsu University
Zhenjiang
Zhumadian Central Hospital
Zhumadian
About this study
Official title: A Phase 3, Multicenter, Randomized, Double-Blind, Active-Controlled (Dapagliflozin), Parallel Group Efficacy and Safety Study of HTD1801 in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin Alone
The goal of this clinical study is to evaluate the efficacy and safety of berberine ursodeoxycholate (HTD1801) compared to dapagliflozin in patients with type 2 diabetes inadequately controlled with metformin alone.
Read the detailed description
This Phase 3 randomized, double-blind, active-controlled, parallel-group study will evaluate the efficacy and safety of HTD1801 compared to dapagliflozin after 24 weeks of treatment. All patients will remain on a stable dose of metformin throughout the study.
To ensure stabilization of glycemic control, eligible patients will first participate in a 4-week single-blind run-in period where investigators will provide guidance on lifestyle modification, concomitant medications, and procedures for self-monitoring of blood glucose. Following this period, patient eligibility will be reassessed. Eligible patients will then be randomized 1:1 to receive HTD1801 1000 mg BID or dapagliflozin 10 mg QD.
- Conditions
- T2DM (Type 2 Diabetes Mellitus)
- Being tested
- HTD1801, Dapagliflozin
- 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.
HTD1801Drug
Also called Berberine Ursodeoxycholate
HTD1801 1000 mg BID administered orally BID as four capsules
DapagliflozinDrug
Dapagliflozin 10 mg tablet administered orally QD
| Study group | Role | What they receive |
|---|---|---|
| HTD1801 | Experimental | Administered orally twice daily (BID) Receives: Drug: HTD1801 |
| Dapagliflozin | Active comparator | Administered orally once daily (QD) Receives: Drug: Dapagliflozin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary Endpoint: Mean change in HbA1c
Mean change in HbA1c from baseline to Week 24
Measured: 24 Weeks
Secondary outcomes (6)
Mean Change in Fasting Plasma Glucose
Mean change in fasting plasma glucose from baseline to Week 24
Measured: 24 Weeks
Mean Change in 2-Hour Postprandial Glucose
Mean change in 2-hour postprandial glucose from baseline to Week 24
Measured: 24 Weeks
Proportion of Patients Achieving HbA1c <7.0%
Proportion of patients achieving HbA1c <7.0% after 24 weeks of treatment
Measured: 24 Weeks
Proportion of Patients Achieving HbA1c <6.5%
Proportion of patients achieving HbA1c <6.5% after 24 weeks of treatment
Measured: 24 Weeks
Mean Change in Insulin Sensitivity (HOMA-IR)
Mean change in homeostatic model assessment for insulin resistance (HOMA-IR) from baseline to Week 24
Measured: 24 Weeks
Mean Change in Low-Density Lipoprotein Cholesterol (LDL-C)
Mean change in LDL-C from baseline to Week 24
Measured: 24 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 May 2024
- Study start4 Jun 2024
- Primary completion13 Jun 2025
- Study completion25 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for T2DM (Type 2 Diabetes Mellitus)Studies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 367 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shenzhen HighTide Biopharmaceutical Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Kui Liu, MD, Study director, Shenzhen HighTide Biopharmaceutical Ltd.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06415773
- Sponsor's protocol ID
- HTD1801.PCT109
- Acronym
- HARMONY
- Status last verified
- Jul 2026
- First submitted
- 10 May 2024
- Last updated
- 3 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Randomized, Double-Blind, Active-Controlled (Dapagliflozin), Parallel Group Efficacy and Safety Study of HTD1801 in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin Alone
- ClinicalTrials.gov ID
- NCT06415773
- Acronym / sponsor ID
- HARMONY / HTD1801.PCT109
- Conditions
- T2DM (Type 2 Diabetes Mellitus)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 367 participants (actual)
- Lead sponsor
- Shenzhen HighTide Biopharmaceutical Ltd.Industry (pharma, biotech, devices)
- Study start
- 4 Jun 2024 (actual)
- Primary completion
- 13 Jun 2025 (actual)
- Study completion
- 25 Jul 2025 (actual)
- First posted
- 16 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical study is to evaluate the efficacy and safety of berberine ursodeoxycholate (HTD1801) compared to dapagliflozin in patients with type 2 diabetes inadequately controlled with metformin alone.
Detailed description
This Phase 3 randomized, double-blind, active-controlled, parallel-group study will evaluate the efficacy and safety of HTD1801 compared to dapagliflozin after 24 weeks of treatment. All patients will remain on a stable dose of metformin throughout the study.
To ensure stabilization of glycemic control, eligible patients will first participate in a 4-week single-blind run-in period where investigators will provide guidance on lifestyle modification, concomitant medications, and procedures for self-monitoring of blood glucose. Following this period, patient eligibility will be reassessed. Eligible patients will then be randomized 1:1 to receive HTD1801 1000 mg BID or dapagliflozin 10 mg QD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HTD1801 | Experimental | Drug: HTD1801Administered orally twice daily (BID) |
| Dapagliflozin | Active comparator | Drug: DapagliflozinAdministered orally once daily (QD) |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Have been diagnosed with type 2 diabetes
- Have received a stable dose of metformin monotherapy for at least 8 weeks prior to screening
- If used any glucose-lowering drugs other than metformin within the 8 weeks prior to screening such use was ≤7 days and was discontinued at least 4 weeks prior to screening
- Have HbA1c ≥7.5% to ≤11.0% (screening) and HbA1c ≥7.0% to ≤10.5% (pre-randomization)
- Have fasting plasma glucose ≤13.9 mmol/L (screening and pre-randomization)
Key exclusion criteria (9 listed)
- Have type 1 diabetes
- Have had any acute diabetic complications within 12 months prior to screening
- Have had any Grade 3 hypoglycemic event within 12 months prior to screening
- Have had proliferative retinopathy or macular degeneration, severe diabetic neuropathy, or diabetic foot
- Have been taking any weight loss medication or dietary supplement, have participated in a weight loss program, or have adhered to a special diet within 12 weeks prior to screening
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 |
|---|---|---|
| HTD1801Also: Berberine UrsodeoxycholateHTD1801 1000 mg BID administered orally BID as four capsules | Drug | HTD1801 |
| DapagliflozinDapagliflozin 10 mg tablet administered orally QD | Drug | Dapagliflozin |
Primary outcome
Primary Endpoint: Mean change in HbA1c
Time frame: 24 Weeks
Mean change in HbA1c from baseline to Week 24
6 secondary outcomes
Mean Change in Fasting Plasma Glucose
Time frame: 24 Weeks
Mean Change in 2-Hour Postprandial Glucose
Time frame: 24 Weeks
Proportion of Patients Achieving HbA1c <7.0%
Time frame: 24 Weeks
Proportion of Patients Achieving HbA1c <6.5%
Time frame: 24 Weeks
Mean Change in Insulin Sensitivity (HOMA-IR)
Time frame: 24 Weeks
Mean Change in Low-Density Lipoprotein Cholesterol (LDL-C)
Time frame: 24 Weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Aug 2026.
- 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.
Kui Liu, MD study director
Shenzhen HighTide Biopharmaceutical Ltd.
53 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing HTD1801 and Dapagliflozin in people with T2DM (Type 2 Diabetes Mellitus), run by Shenzhen HighTide Biopharmaceutical Ltd. at 53 sites in China.
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 9 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 3 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 53 sites in China. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
Primary Endpoint: Mean change in HbA1c (time frame: 24 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 3 Aug 2026.