Safety and Efficacy of Once-Daily KRP-104 in Type 2 Diabetics With Inadequate Glycemic Control on Metformin Alone
Synergy104
A 24-Week, Randomized, Double-Blind, Placebo-Controlled Study to Asses the Safety and Efficacy of Once-Daily KRP-104 in Patients With Type 2 Diabetes With Inadequate Glycemic Control on Metformin Alone.
1 other identifier
interventional
403
7 countries
45
Brief Summary
The purpose of this study is to assess the safety and effectiveness of KRP-104 on glycemic control in patients with type 2 diabetes inadequately controlled on metformin alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 type-2-diabetes
Started Oct 2009
45 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 12, 2009
CompletedFirst Posted
Study publicly available on registry
October 15, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2011
CompletedResults Posted
Study results publicly available
June 26, 2014
CompletedJune 26, 2014
June 1, 2014
1.3 years
October 12, 2009
August 14, 2013
June 23, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in HbA1c From Baseline (Week 0) to Week 24
Mean Change in HbA1c (%) from Baseline to Week 24 with LOCF, ITT population LS mean (SE)
Week 24
Secondary Outcomes (3)
Change in Body Weight
24 weeks
Percentage of Patients Achieving HbA1c Less Than 7%
24 weeks
Percentage of Patients Requiring Rescue Therapy for Elevated Glucose
24 weeks of treatment.
Study Arms (5)
Dose 1: KRP-104 40 mg
EXPERIMENTALTablet, once-daily for 24 weeks
Dose 2: KRP-104 80 mg
EXPERIMENTALTablet, once-daily for 24 weeks
Dose 3: KRP-104 100 mg
EXPERIMENTALTablet, once-daily for 24 weeks
Dose 4: KRP-104 20/120mg
EXPERIMENTALTablet, once-daily for 24 weeks (dose switch from 20 to 120 mg at week 12)
Placebo
PLACEBO COMPARATORTablet, once-daily for 24 weeks
Interventions
Eligibility Criteria
You may qualify if:
- Patients meeting the following criteria at the screening visit (Visit 1) will be eligible to participate in the trial:
- Signed written informed consent;
- Males and females 18 to 75 years of age, inclusive;
- Females of childbearing potential must agree to use 2 adequate forms of barrier method contraception (eg, latex condom AND intrauterine device or a diaphragm) to avoid pregnancy while in the study;
- On a stable dose (Greater than or equal to 10 weeks at the same dose) of metformin monotherapy (Less than or equal to 1500 mg/day or maximum tolerated dose), have an HbA1c greater than or equal to 7.0% and less than or equal to 10.5%; or
- On metformin (less than or equal to 1500 mg/day) and 1 other antidiabetic agent (excluding TZD, insulin, or incretin therapies \[DPP-4 inhibitors and GLP-1 analogues\]) and have an HbA1c greater than or equal to 6.8% and less than or equal to 10.0%; or
- Not on antidiabetic therapy (for at least 3 months prior to Visit 1) or have not been on a stable dose of metformin monotherapy for 10 weeks and have an HbA1c greater than or equal to 8.0% and less than or equal to 11.0%.
You may not qualify if:
- History of type 1 diabetes mellitus or history of diabetic ketoacidosis or persistent hypoglycemia;
- History or presence of alcoholism or drug abuse within the 2 years prior to dosing;
- Typical consumption of greater than or equal to 10 drinks of alcohol weekly;
- Presence of any of the following conditions:
- Significant renal impairment (glomerular filtration rate less than 60 mL/min);
- Diabetic gastroparesis;
- Active liver disease (other than asymptomatic nonalcoholic fatty liver disease), cirrhosis, or symptomatic gallbladder disease;
- Fasting plasma glucose/blood glucose greater than 240 mg/dL (13.3 mmol/L) at Visit 3 (Week -2) (1 laboratory retest permitted);
- Body mass index less than or equal to 20 kg/m2 and greater than or equal to 48 kg/m2;
- Systolic blood pressure \<100 mmHg or \>160 mmHg and diastolic blood pressure \<50 mmHg or \>100 mmHg at Visit 3 (Note: medication to control blood pressure is allowed and should be optimized and stabilized prior to Visit 3);
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>2 X the upper limit of normal (ULN) (1 laboratory retest permitted);
- Creatine phosphokinase (CPK) greater than 2 X the ULN (if not explained by muscular trauma or exercise) (1 laboratory retest permitted);
- Serum creatinine \>1.5 mg/dL for males (132.6 μmol/L) and 1.4 mg/dL for females (123.8 μmol/L);
- Fasting triglycerides (TG) \>600 mg/dL (6.78 mmol/L) at Visit 3 (Week -2) (Note: diet/exercise and lipid-lowering medication to control elevated TG is allowed; medications should be optimized and stabilized prior to Visit 3);
- Treatment with pioglitazone or rosiglitazone within the previous 10 weeks (Visit 1); treatment with incretin therapy (DPP-4 inhibitors or GLP-1 analogues) within the previous 4 weeks (Visit 1);
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ActivX Biosciences, Inc.lead
- Kyorin Pharmaceutical Co.,Ltdcollaborator
Study Sites (45)
Unknown Facility
Birmingham, Alabama, United States
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Phoenix, Arizona, United States
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Los Angeles, California, United States
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Valley Village, California, United States
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Honolulu, Hawaii, United States
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Winston-Salem, North Carolina, United States
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Cincinnati, Ohio, United States
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Delaware, Ohio, United States
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Marion, Ohio, United States
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Beaver, Pennsylvania, United States
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Jenkintown, Pennsylvania, United States
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Greer, South Carolina, United States
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Austin, Texas, United States
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Houston, Texas, United States
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San Antonio, Texas, United States
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Sandy City, Utah, United States
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West Jordan, Utah, United States
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Buenos Aires, Argentina
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Córdoba, Argentina
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Loma Hermos Buenos Aires, Argentina
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Chrudim III, Czechia
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Holešov, Czechia
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Mělník, Czechia
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Ostrava, Czechia
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Prague, Czechia
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Guatemala City, Guatemala
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Bialystok, Poland
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Gdansk, Poland
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Krakow, Poland
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Lodz, Poland
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Warsaw, Poland
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Wroclaw, Poland
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Arkhangelsk, Russia
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Kemerovo, Russia
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Moscow, Russia
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Novosibirsk, Russia
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Saint Petersburg, Russia
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Port Elizabeth, Eastern Cape, South Africa
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Bloemfontein, Free State, South Africa
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Johannesburg, Gauteng, South Africa
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Soweto, Gauteng, South Africa
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Durban, Kwazula-Natal, South Africa
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Cape Town, Western Cape, South Africa
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Paarl, Western Cape, South Africa
Unknown Facility
Somerset West, Western Cape, South Africa
Related Publications (1)
Plotkin DJ, Lewin A, Logan D, Kato T, Kozarich J, Wei X, Vest J, Orloff D. KRP-104, A Uniquely Prandial-Targeted DPP-4 Inhibitor. Abstract and Poster # 822, Presented at: European Association for the Study of Diabetes 38th Annual Meeting, Berlin Germany, October 1-5, 2012.
RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Diane Plotkin, Sr. Director Clinical Development
- Organization
- ActivX Biosciences
Study Officials
- STUDY DIRECTOR
Diane J Plotkin, PhD
ActivX Biosciences, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 12, 2009
First Posted
October 15, 2009
Study Start
October 1, 2009
Primary Completion
January 1, 2011
Study Completion
January 1, 2011
Last Updated
June 26, 2014
Results First Posted
June 26, 2014
Record last verified: 2014-06