Safety and Efficacy of BGP-15 in Patients With Type 2 Diabetes Mellitus



Status:Completed
Conditions:Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:30 - 70
Updated:7/16/2013
Start Date:October 2010
End Date:November 2011
Contact:Julie B Tobin
Email:julie.tobin@integrium.com
Phone:+1 714 351 7804

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Randomized, Double-blind, Placebo-controlled, Parallel Group, Multiple Dose, Multicenter Study to Assess Safety & Efficacy of BGP-15 Administered Orally 1 or 2 Times Daily With Metformin & Sulfonylurea or Metformin in T2 Diabetic Patients


This is a safety and dose finding efficacy study to evaluate the effects of BGP-15 over the
dose range of 100 mg/day to 400 mg/day. Doses are applied once or twice a day for 13 weeks
as add-on therapy to the combination of metformin and sulfonylurea treatment or metformin
alone in patients with Type 2 Diabetes Mellitus.


This is a randomized, double-blind, placebo-controlled, parallel group, multiple dose,
multicenter study with 5 treatment arms and 1 placebo arm. Patients should be treated with
both metformin and SU or metformin alone. Patients will be randomized to 100,100 + 100, 200,
200 + 200, and 400 mg/day or placebo, as an add-on to their current treatment. The study
consists of 2 periods:

- A 14-day screening period for ascertaining the inclusion/exclusion criteria; and,

- A 13-week treatment period with different doses of BGP-15 or placebo as an add-on
therapy to metformin and SU treatment or metformin treatment alone.

Inclusion criteria

Patients meeting all of the following criteria will be eligible for enrollment:

1. Male and female patients with T2DM at time of diagnosis as defined by the American
Diabetes Association (ADA) criteria;

2. Age between 30 and 70 years (inclusive);

3. HbA1c ≥7.5% - ≤12.0% at Screening, Visit 1;

4. FPG ≤270 mg/dL (15.0 mmol/L);

5. Body mass index (BMI) >27 and ≤40 kg/m2;

6. Current treatment with either metformin alone or in combination with SU. The dose of
the current treatment must be stable for at least 8 weeks prior to randomization.
Patients being treated with metformin must be at their optimal or near-optimal dose
(≥1500 mg/day ± 500 mg/day for a range of 1000 to 2000 mg/day), and patients being
treated with SU must be receiving at least one half of the maximum approved SU dose;

7. Women may be enrolled if all three of the following criteria are met:

1. They have a negative serum pregnancy test at Screening;

2. They are not breast feeding; and,

3. They do not plan to become pregnant during the study AND if one of the following
three criteria is met:

i. They have had a hysterectomy or tubal ligation at least 6 months prior to signing
the informed consent form; ii. They have been postmenopausal for at least 1 year; or,
iii. They are of childbearing potential and will practice one of the following
methods of birth control throughout the study: injectable or implantable hormonal
contraception or intrauterine device; or two of the following methods of birth
control throughout the study: oral or patch contraception plus a barrier
contraceptive (eg, diaphragm plus spermicide, male or female condom plus spermicide,
or vasectomized male partner). Abstinence, partner's use of condoms, and vasectomy
are NOT acceptable methods of contraception;

8. Willingness to sign an informed consent document; and,

9. No conditions that hinder participation in the trial, as determined by the
Investigator and Sponsor.

Exclusion criteria

Patients meeting any of the following criteria will be ineligible for enrollment:

1. Treatment with peroxisome proliferator-activated receptor (PPAR) agonists (including
fibrates) within the last 3 months;

2. Treatment with dipeptidyl peptidase 4 (DPP-4) inhibitors, acarbose, or incretins
within the last 3 months;

3. Chronic use of insulin injections within the last 1 month;

4. Hypoglycemia requiring third party assistance within the last 3 months;

5. Impaired hepatic function measured as alanine aminotransferase (ALAT) >2X the upper
reference limit;

6. Impaired renal function measured as serum creatinine >150 umol/L (1.7 mg/dL);

7. Decompensated heart failure (New York Heart Association [NYHA] class III and IV);

8. Unstable angina pectoris or myocardial infarction within the last 12 months;

9. Clinically significant ECG abnormalities at screening including QTc interval
(Bazett's) ≥450 msec or AV block >1st degree;

10. Uncontrolled, treated or untreated hypertension (systolic blood pressure [BP] ≥160
mmHg and/or diastolic BP ≥100 mmHg);

11. Any condition that the Investigator and/or Sponsor feel would interfere with trial
participation or evaluation of the results eg, drug abuse or serious disease such as
acquired immunodeficiency syndrome/human immunodeficiency syndrome (AIDS/HIV)
antibodies, Hepatitis B, or Hepatitis C;

12. Pregnancy or breastfeeding, the intention to become pregnant, or judged to be using
inadequate contraceptive measures;

13. History of alcohol and/or drug dependence within the last 2 years;

14. Receipt of any investigational drug or medical device within 3 months prior to this
trial;

15. Fasting triglycerides >700 mg/dL at screening; or,

16. Diagnosis or treatment of cancer within the past 5 years except for excision of basal
cell or squamous cell skin lesions.
We found this trial at
19
sites
30 Pointe Circle
Greenville, South Carolina 29615
(864)255-3540
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Greenville, SC
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275 Alhambra Circle
Miami, Florida 33134
305-445-5637
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Miami, FL
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1907 Tradd Court
Wilmington, North Carolina 28401
910-799-5500
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Wilmington, NC
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Athens, Tennessee 37303
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Athens, TN
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Chicago, Illinois 60611
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Chicago, IL
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Decatur, Georgia 30033
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Decatur, GA
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Denver, Colorado 80209
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Denver, CO
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Greer, South Carolina 29651
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Greer, SC
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Houston, Texas 77074
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Houston, TX
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Hyattsville, Maryland 20782
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Hyattsville, MD
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Kansas City, Missouri 64114
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Kansas City, MO
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Las Vegas, Nevada 89101
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Las Vegas, NV
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Los Angeles, CA
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Paramount, California 90723
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Paramount, CA
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San Antonio, Texas 78229
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San Antonio, TX
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Taylors, South Carolina 29687
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Taylors, SC
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Tustin, California
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Tustin, CA
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West Palm Beach, Florida
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West Palm Beach, FL
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Winston-Salem, North Carolina 27103
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Winston-Salem, NC
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