Last updated: 11/07/2018 07:29:16
A phase 1 study to evaluate the effect of GSK256073, an HM74A receptor agonist, on glucose and NEFA levels in Type 2 diabetics
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Trial overview
Official title: A randomized, single blind, placebo-controlled, three period crossover, dose selection study to evaluate the effect of GSK256073, an HM74A receptor agonist, on glucose and NEFA 24 hour profile in type 2 diabetic patients.
Trial description: The aim of this study is to verify whether a significant decrease in glucose levels can be achieved with the HM74A agonist GSK256073 in type 2 diabetic patients. Several dose levels and a placebo will be evaluated in a three period crossover study with two active doses and one placebo dose per subject, in order to determine whether there is a dose that produces glucose lowering in the target population. In addition, this study will investigate the optimal dosing regimen for full manifestation of any metabolic effect of GSK256073 by comparing once a day versus twice a day regimens.
Primary purpose:
Treatment
Trial design:
Crossover Assignment
Masking:
Single (Participant)
Allocation:
Randomized
Primary outcomes:
Weighted mean AUC for glucose
Timeframe: 24 hours
Secondary outcomes:
Weighted mean AUC for NEFA, glycerol, triglycerides, insulin, and C-peptide
Timeframe: 24 hours
Interventions:
Enrollment:
39
Primary completion date:
Not applicable
Observational study model:
Not applicable
Time perspective:
Not applicable
Clinical publications:
Anne-charlotte Le Monnier De Gouville, Shawn P. Shearn, Robert L.Byerly, Feng F. Gao, Kelly M. Mahar, Antonella Napolitano, Gaelle J. Nachbaur, Robert L. Dobbins. GSK256073, A Selective Agonist of G-protein Coupled Receptor 109A (GPR109A) Reduces Serum Glucose in Subjects with Type 2 Diabetes Mellitus. Diabetes Obes Metab. 2013;ePub ahead of print lication:
Anne-charlotte Le Monnier De Gouville, Shawn P. Shearn, Robert L.Byerly, Feng F. Gao, Kelly M. Mahar, Antonella Napolitano, Gaelle J. Nachbaur, Robert L. Dobbins. GSK256073, A Selective Agonist of G-protein Coupled Receptor 109A (GPR109A) Reduces Serum Glucose in Subjects with Type 2 Diabetes Mellitus. Diabetes Obes Metab. 2013;15(11):1013-21
- Subjects with documented (not less than 6 months prior to screening) type 2 diabetes mellitus diagnosis with:
- HbA1c levels greater than 6.5 percent and less than or equal to 9.5 percent at screening,
- A subject will not eligible for inclusion in this study if any of the following criteria apply:
- Requiring insulin therapy or use of combination oral antidiabetic medications or use of monotherapy other than metformin within the 3 months prior to screening
Inclusion and exclusion criteria
Inclusion criteria:
- Subjects with documented (not less than 6 months prior to screening) type 2 diabetes mellitus diagnosis with:
- HbA1c levels greater than 6.5 percent and less than or equal to 9.5 percent at screening,
- On monotherapy with metformin at the time of screening, and at a todal daily dose greater than or equal to 1000 mg at the time of dosing,
- Fasting plasma glucose level less than 270 mg/dl at screening
- Male or female between 20 and 70 years of age inclusive, at the time of signing the informed consent
- Waist circumference above 102cm (40 inches) for men, and 88cm (35 inches) for women
- Fasting triglycerides between 150 mg/dl and 500 mg/dl, inclusive
- BMI within the range of 22-37 kg/meter squared, inclusive
Exclusion criteria:
- A subject will not eligible for inclusion in this study if any of the following criteria apply:
- Requiring insulin therapy or use of combination oral antidiabetic medications or use of monotherapy other than metformin within the 3 months prior to screening
- Past or present disease (other than type 2 diabetes mellitus) that in the opinion of the Investigator may affect the outcome of this study. These diseases include the following but are not limited to, cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, gastrointestinal disease and endocrine disease
- A positive pre-study Hepatitis B surface antigen, or positive Hepatitis C or HIV antibody result within 3 months of screening
- Renal impairment as defined by a calculated GFR less than 60 ml/min
- Any concurrent serious illness (e.g., severe COPD, history of malignancy other than skin cancer within 5 years of initial diagnosis or with evidence of recurrence) that may interfere with a subject completing the study
- Clinical laboratory values as defined per protocol
- ECG parameters as defined per protocol
- History of gout and/or hyperuricemia/uric acid kidney stone or treated with drugs for hyperuricemia: allopurinol and/or probenecid
- Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones)
- Use of the following blood pressure medications or other medications renally excreted via OAT is prohibited: Enalapril (at any dose), Losartan (at any dose), Captopril (at any dose)
- Pregnant females as determined by positive serum hCG test at screening or positive urine hCG test prior to dosing
- Lactating females
Trial location(s)
Location
GSK Investigational Site
San Antonio, Texas, United States, 78229
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Anniston, Alabama, United States, 36207
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Miami, Florida, United States, 33169
Status
Terminated/Withdrawn
Location
GSK Investigational Site
Miami Gardens, Florida, United States, 33169
Status
Terminated/Withdrawn
Study documents
Clinical study report
Available language(s): English
Scientific result summary
Available language(s): English
If you wish to request for full study report, please contact - [email protected]
Results overview
Refer to study documents
Recruitment status
Study complete
Actual primary completion date
Not applicable
Actual study completion date
2010-07-09
Plain language summaries
Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.
Additional information about the trial
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