Assessing the Efficacy, Safety, and Tolerability of Met DR in Subjects With T2DM Over 12 Weeks
A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Assess the Efficacy, Safety, and Tolerability of Delayed-Release Metformin in Subjects With Type 2 Diabetes Mellitus
1 other identifier
interventional
240
0 countries
N/A
Brief Summary
This study compared the effect of delayed-release metformin (Met DR) to placebo and extended release metformin (Met XR) on glycemic control (fasting plasma glucose and HbA1c) and body weight, and assessed the safety and tolerability of a range of doses of Met DR when administered in subjects with type 2 diabetes mellitus (T2DM).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 type-2-diabetes-mellitus
Started Apr 2013
Shorter than P25 for phase_2 type-2-diabetes-mellitus
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
First Submitted
Initial submission to the registry
March 19, 2013
CompletedFirst Posted
Study publicly available on registry
March 27, 2013
CompletedStudy Start
First participant enrolled
April 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2013
CompletedResults Posted
Study results publicly available
September 21, 2015
CompletedMarch 15, 2017
February 1, 2017
5 months
March 19, 2013
August 21, 2015
February 6, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Fasting Plasma Glucose (mg/dL) at 4 Weeks
Baseline and 4 weeks after the first dose of study medication
Secondary Outcomes (2)
AUC4-12wk of Change in Fasting Plasma Glucose (mg/dL*Week) Concentrations From Baseline to 12 Weeks
Baseline and 4 to 12 weeks after the first dose of study medication
Change in HbA1c (%) at 12 Weeks
Baseline and 12 weeks after the first dose of study medication
Study Arms (6)
600 mg DR
EXPERIMENTAL600 mg delayed-release metformin once daily in the morning
800 mg DR
EXPERIMENTAL800 mg delayed-release metformin once daily in the morning
1000 mg DR
EXPERIMENTAL1000 mg delayed-release metformin once daily in the morning
1000 mg XR
ACTIVE COMPARATOR1000 mg extended-release metformin once daily in the evening
2000 mg XR
ACTIVE COMPARATOR2000 mg extended-release metformin once daily in the evening
Placebo
PLACEBO COMPARATORPlacebo once daily in the morning
Interventions
Eligibility Criteria
You may qualify if:
- Male or female with T2DM who was ≥18 and ≤65 years of age at Visit 1
- Had a body mass index (BMI) of 25.0 kg/m² to 45.0 kg/m², inclusive, at Visit 1
- Screening HbA1c 7.0 to 9.5% (inclusive) at Visit 1 if treated with diet and exercise alone, or 6.0 to 9.5% (inclusive) if on a stable dose of either metformin or DPP-4 inhibitor monotherapy for a minimum of 2 months at Visit 1, or a combination of these 2 agents only on a stable regimen for a minimum of 2 months at Visit 1
- Had serum creatinine concentration of \<1.5 mg/dL (male) or \<1.4 mg/dL (female) and an estimated glomerular filtration rate (eGFR) of ≥60 mL/min/1.73 m² based on the Modification of Diet in Renal Disease (MDRD) equation
- Had a fasting glucose concentration of \<280 mg/dL at Visit 1
- Had a stable body weight, i.e., not varying by \>5% for at least 6 months prior to Visit 1 as documented by the investigator
- Was male, or if female and met all of the following criteria:
- Not breastfeeding
- Negative pregnancy test result (human chorionic gonadotropin, beta subunit \[βhCG\]) at Visit 1 (not applicable to hysterectomized females)
- If of child bearing potential (including perimenopausal women who have had a menstrual period within 1 year), must have practiced and be willing to continue to practice appropriate birth control during the entire duration of the study
- Had a physical examination and ECG with no clinically significant abnormalities as judged by the investigator at Visit 1
- Had no clinically significant laboratory test values (clinical chemistry, hematology, urinalysis) other than those expected in subjects with diabetes as judged by the investigator at Visit 1
- Either was not treated with or had been on a stable treatment regimen with any of the following medications for a minimum of 2 months prior to Visit 1:
- Hormone replacement therapy (female subjects)
- Oral contraceptives (female subjects)
- +8 more criteria
You may not qualify if:
- Had a clinically significant medical condition that could potentially affect study participation and/or personal well-being, as judged by the investigator, including but not limited to the following conditions:
- Hepatic disease
- Renal disease
- Gastrointestinal disease
- Endocrine disorder except T2DM
- Cardiovascular disease
- Central nervous system diseases
- Psychiatric or neurological disorders
- Organ transplantation
- Chronic or acute infection (e.g., tuberculosis, human immunodeficiency virus, hepatitis B virus, or hepatitis C virus)
- Orthostatic hypotension, fainting spells or blackouts
- Allergy or hypersensitivity
- Clinically significant malignant disease (with the exception of basal and squamous cell carcinoma of the skin) within 5 years of Visit 1
- Had known hypersensitivity, intolerability, or allergies to metformin HCl or any component of study treatment
- Had a physical, psychological, or historical finding that, in the investigator's opinion, would make the subject unsuitable for the study
- +15 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Buse JB, DeFronzo RA, Rosenstock J, Kim T, Burns C, Skare S, Baron A, Fineman M. The Primary Glucose-Lowering Effect of Metformin Resides in the Gut, Not the Circulation: Results From Short-term Pharmacokinetic and 12-Week Dose-Ranging Studies. Diabetes Care. 2016 Feb;39(2):198-205. doi: 10.2337/dc15-0488. Epub 2015 Aug 18.
PMID: 26285584BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Senior Director, Development
- Organization
- Elcelyx Therapeutics, Inc
Study Officials
- PRINCIPAL INVESTIGATOR
Andrew Lewin
National Research Institute - Wilshire
- PRINCIPAL INVESTIGATOR
Rubin Saavedra
Alliance Against Diabetes / AAD Clinical Research
- PRINCIPAL INVESTIGATOR
Lydie Hazan
Axis Clinical Trials
- PRINCIPAL INVESTIGATOR
Robert Lipetz
Encompass Clinical Research
- PRINCIPAL INVESTIGATOR
Audrey Lacour
Juno Research, LLC - Houston
- PRINCIPAL INVESTIGATOR
Donald Hurley
Medical Research South, LLC
- PRINCIPAL INVESTIGATOR
Eli M Roth
Sterling Research Group, Ltd. - Auburn
- PRINCIPAL INVESTIGATOR
Robert Strzinek
Protenium Clinical Research, LLC
- PRINCIPAL INVESTIGATOR
Richard Marple
Castlerock Clinical Research Consultants, LLC
- PRINCIPAL INVESTIGATOR
Farah Sultan
Achieve Clinical Research, LLC
- PRINCIPAL INVESTIGATOR
Thomas Moretto
American Health Network - Indianapolis
- PRINCIPAL INVESTIGATOR
Azazuddin A Ahmed
Apex Medical Research - Illinois
- PRINCIPAL INVESTIGATOR
Cynthia Strout
Coastal Carolina Research Center
- PRINCIPAL INVESTIGATOR
John Pullman
Big Sky Clinical Research
- PRINCIPAL INVESTIGATOR
Gregory Collins
Charlotte Clinical Research
- PRINCIPAL INVESTIGATOR
David Hassman
Comprehensive Clinical Research
- PRINCIPAL INVESTIGATOR
Leonard Zemel
Creekside Endocrine Associates
- PRINCIPAL INVESTIGATOR
Diane Smith
CSRA Partners in Health, Inc.
- PRINCIPAL INVESTIGATOR
Julio Rosenstock
Dallas Diabetes and Endocrine Center
- PRINCIPAL INVESTIGATOR
David Johnson
Searcy Medical Center
- PRINCIPAL INVESTIGATOR
Stephen Ong
MD Medical Research
- PRINCIPAL INVESTIGATOR
Cynthia Huffman
Meridien Research - Tampa
- PRINCIPAL INVESTIGATOR
Ramon Vargas
New Orleans Center for Clinical Research
- PRINCIPAL INVESTIGATOR
Almena Free
Pinnacle Research Group
- PRINCIPAL INVESTIGATOR
Douglas Short
PMG Research of Raleigh, LLC
- PRINCIPAL INVESTIGATOR
Jonathan Wilson
PMG Research of Winston-Salem, LLC
- PRINCIPAL INVESTIGATOR
Alexander White
Progressive Medical Research
- PRINCIPAL INVESTIGATOR
Ronald Brazg
Rainier Clinical Research Center
- PRINCIPAL INVESTIGATOR
Matthew Davis
Rochester Clinical Research
- PRINCIPAL INVESTIGATOR
Charles Fogarty
Spartanburg Medical Research
- PRINCIPAL INVESTIGATOR
Ralph DeFronzo
The University of Texas Health Science Center at San Antonio
- PRINCIPAL INVESTIGATOR
Craig S Thompson
Craig S Thompson MD LLC
- PRINCIPAL INVESTIGATOR
Subodh Bhuchar
Pioneer Research Solutions Inc.
- PRINCIPAL INVESTIGATOR
Susan Greco
Jacksonville Center For Clinical Research
- PRINCIPAL INVESTIGATOR
Harold Bays
Louisville Metabolic and Atherosclerosis Research Center
- PRINCIPAL INVESTIGATOR
Barry Lubin
National Clinical Research - Norfolk, Inc.
- PRINCIPAL INVESTIGATOR
Mark Christiansen
Diablo Clinical Research, Inc.
- PRINCIPAL INVESTIGATOR
Andrea Lawless
Biofortis, Inc.
- PRINCIPAL INVESTIGATOR
Kathryn J Lucas
Diabetes and Endocrinology Consultants, P.C.
- PRINCIPAL INVESTIGATOR
Hugo Toro
Juno Research, LLC - Katy
- PRINCIPAL INVESTIGATOR
Eva M Heurich
Compass Research, LLC
- PRINCIPAL INVESTIGATOR
Chander Arora
RAS Health Ltd
- PRINCIPAL INVESTIGATOR
Patricia Buchanan
Willamette Valley Clinical Studies
- PRINCIPAL INVESTIGATOR
Thomas Blevins
Texas Diabetes & Endocrinology, P.A. - Austin
- PRINCIPAL INVESTIGATOR
Anna Chang
John Muir Physician Network Clinical Research Center
- PRINCIPAL INVESTIGATOR
John Hoekstra
National Clinical Research - Richmond, Inc.
- PRINCIPAL INVESTIGATOR
Lyle Myers
Kentucky Diabetes Endocrinology Center
- PRINCIPAL INVESTIGATOR
Stephanie Shaw
Texas Diabetes and Endocrinology, P.A. - Round Rock
- PRINCIPAL INVESTIGATOR
Purvi Mehra
eStudySite
- PRINCIPAL INVESTIGATOR
Traci Turner
Metabolic and Atherosclerosis Research Center
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
March 19, 2013
First Posted
March 27, 2013
Study Start
April 1, 2013
Primary Completion
September 1, 2013
Study Completion
September 1, 2013
Last Updated
March 15, 2017
Results First Posted
September 21, 2015
Record last verified: 2017-02