Hyperinsulinemic Euglycemic Clamp Protocol
A Phase 2A, Double-blind, Placebo-controlled, Randomized Study to Evaluate the Safety and Efficacy of TRC150094 in Increasing Insulin Sensitivity in Male Patients With Increased Cardiometabolic Risk
2 other identifiers
interventional
40
1 country
1
Brief Summary
The purpose of the study is to determine the safety and efficacy of TRC150094 in male patients with cardiometabolic risk. Cardiometabolic risk which is the overall risk of cardiovascular disease (CVD) and diabetes resulting from the presence of hypertension, HDL cholesterol, insulin resistance, dysglycemia and visceral obesity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 29, 2011
CompletedFirst Posted
Study publicly available on registry
August 3, 2011
CompletedStudy Start
First participant enrolled
November 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2012
CompletedJuly 10, 2012
July 1, 2012
4 months
July 29, 2011
July 6, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
The safety of TRC150094 once daily dosing for 4 weeks in male patients with increased cardiometabolic risk will be determined.
Safety parameters will include haematology, safety biochemistry, vital signs, ECG and AE check.
1 month
The efficacy (in increasing insulin sensitivity) of TRC150094 once daily dosing for 4 weeks in male patients with increased cardiometabolic risk will be determined.
Efficacy assessment will include Insulin Sensitivity to be determined by: Rate of Glucose Disposal Suppression of Endogenous Glucose Production Suppression of rate of lipolysis
1 month
Secondary Outcomes (2)
The effect of TRC150094 on hepatic fat and metabolic parameters will be evaluated.
1 month
The ethnic differences for effect of TRC150094 on Insulin sensitivity parameters will be evaluated.
1 month
Study Arms (2)
Placebo
PLACEBO COMPARATORTRC150094
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Subjects will be considered eligible for entry in the study if they meet all of the following criteria.
- Adult male
- Age range 30-65 years at screening
- Caucasian or Indian ethnicity
- Waist circumference ≥ 102 cm for Caucasians and ≥ 90 cm for Indians at screening.
- Fasting Serum Insulin ≥ 10 mU/ml at screening
- Blood Pressure ≥ 130/85 mmHg at screening (or patients taking medication for hypertension)
- Stable weight during 3 months prior to the study (assessed through medical history of the patient)
- Drug naive diabetic patients\* or patients with impaired fasting glucose i.e \> 100 mg/dl or 5.5 mmol/l and \< 200 mg/dl or 11.0 mmol/l Diabetic patients who were taking metformin and have undergone washout for at least 4 weeks before Day 0 and are currently on life style modification as a treatment for diabetes will also be allowed in the study
- Willingness to give written informed consent (prior to any study-related procedures being performed) and ability to adhere to the study restrictions and assessments schedule.
- Diabetic patient is defined as a patient with a documented history of type II DM or a documented history of a fasting glucose \> 200mg/dl or 11.0 mmol/l or 2x fasting glucose \> 126 mg/dl or 6.9 mmol/l (2x =recorded twice).
You may not qualify if:
- Subjects will not be considered eligible for entry in the study if they meet one or more of the following criteria.
- Medical history, physical examination, vital signs, clinical laboratory tests, 12-lead ECG and Chest X ray (to exclude tuberculosis in India only) with any significant abnormalities, in the opinion of the investigator.
- Subjects with any known somatic illness, including neoplasm, endocrine disorder such as cushing's disease, PCOD and uncontrolled hypothyroidism, neurologic disorder, active infection, or recent surgical procedure within 3 months of the study initiation.
- Subject currently using medication, which can influence glucose or FFA metabolism such as fibrates, niacin, ACE inhibitors, PPAR agonists, omega 3 fatty acids.
- eGFR \< 60 mL/min/1.73m2 at screening as evaluated by Modification of Diet in Renal Disease (MDRD) method.
- History of angina, Myocardial Infarction (MI) or stroke since last 6 months.
- Hypertension with SBP/DBP ≥160/100 mmHg at screening.
- ALT or AST ≥ ULN\*3 at screening
- History or presence of malignancy.
- History of recreational drug use within the last 30 days, or regular consumption of greater than 2 units of alcohol/day.
- History of allergy to the test drug or any drug chemically similar to the drug under investigation.
- Seropositive for Hepatitis B, Hepatitis C or HIV.
- Subjects suffering from any psychiatric (acute or chronic) illness.
- Intake of any medication except those permitted in this study (see Section 6.6).
- Intake of any investigational drug in the period within 3 months prior to the first dose of study drug.
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Academic Medical Centre,
Amsterdam, Amsterdam, 1100 DD, Netherlands
Related Publications (3)
Zambad SP, Munshi S, Dubey A, Gupta R, Busiello RA, Lanni A, Goglia F, Gupta RC, Chauthaiwale V, Dutt C. TRC150094 attenuates progression of nontraditional cardiovascular risk factors associated with obesity and type 2 diabetes in obese ZSF1 rats. Diabetes Metab Syndr Obes. 2011 Jan 6;4:5-16. doi: 10.2147/DMSOTT.S15323.
PMID: 21448317BACKGROUNDCioffi F, Zambad SP, Chhipa L, Senese R, Busiello RA, Tuli D, Munshi S, Moreno M, Lombardi A, Gupta RC, Chauthaiwale V, Dutt C, de Lange P, Silvestri E, Lanni A, Goglia F. TRC150094, a novel functional analog of iodothyronines, reduces adiposity by increasing energy expenditure and fatty acid oxidation in rats receiving a high-fat diet. FASEB J. 2010 Sep;24(9):3451-61. doi: 10.1096/fj.10-157115. Epub 2010 May 7.
PMID: 20453112BACKGROUNDvan der Valk F, Hassing C, Visser M, Thakkar P, Mohanan A, Pathak K, Dutt C, Chauthaiwale V, Ackermans M, Nederveen A, Serlie M, Nieuwdorp M, Stroes E. The effect of a diiodothyronine mimetic on insulin sensitivity in male cardiometabolic patients: a double-blind randomized controlled trial. PLoS One. 2014 Feb 21;9(2):e86890. doi: 10.1371/journal.pone.0086890. eCollection 2014.
PMID: 24586256DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Erik Stroes, MD, PhD
Department of Vascular Medicine, AMC
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 29, 2011
First Posted
August 3, 2011
Study Start
November 1, 2011
Primary Completion
March 1, 2012
Last Updated
July 10, 2012
Record last verified: 2012-07