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Type II DiabetesPhase 1/2NCT01619332

Clinical Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of LEZ763

A Phase 1/2 study testing Sitagliptin and LEZ763 in people with Type II Diabetes, run by Novartis Pharmaceuticals at 6 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a three part study to assess the safety and efficacy of LEZ763 on normal healthy volunteers and patients with Type 2 Diabetes. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Type II Diabetes
What is being tested?
Sitagliptin and LEZ763
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
220 participants
Where
6 sitesUnited States
Study dates
Mar 2012to Sep 2013
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All subjects: (suggest this will reduce duplication)
  • Male or female aged 18-65 yr,
  • Subjects must weigh at least 50 kg to participate in the study. Body mass index (BMI) must be within the range of 18-37 kg/m2 (inclusive
  • Only postmenopausal females or female subjects who report surgical sterilization (women without child bearing potential) will be allowed in this study.
  • Subjects with stable conventional sleep-wake cycle
  • Normal Healthy Volunteers
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  • Healthy male or female subjects,
  • must be in good health (as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at Screening).
  • Type II Diabetic Patients
  • Type 2 diabetes diagnosed by American Diabetes Association criteria for at least 3 months prior to screening.
  • Patients either drug naïve or on stable dose of metformin (stable dose for at least 4 weeks prior to Screening). The metformin dose should remain constant during the course of the study.
  • HbA1c 6.5 to 9.5 % inclusive at screening

Who cannot join

  • All subjects:
  • Smokers (use of tobacco products in the previous 3 months).
  • Donation or loss of 400 mL or more of blood within 8 weeks prior to first dosing, or longer if required by local regulation.
  • Significant illness within two weeks prior to dosing.
  • Have (or have history of) drug or alcohol abuse within the 12 months prior to dosing or evidence of such abuse as indicated by the laboratory assays conducted during the screening or baseline evaluations
  • Normal Healthy Volunteers
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  • History of diabetes, or adrenal disorders.
  • Type II Diabetic Patients
  • Type 1 diabetes mellitus; positive anti-GAD antibodies; acquired or secondary forms of diabetes such as those resulting from pancreatic surgery/injury, cystic fibrosis related diabetes
  • Evidence of clinically significant diabetic complications (such nephropathy, retinopathy, neuropathy) Other protocol defined inclusion/exclusion criteria may apply

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Novartis Investigative Site

    Chula Vista, California, 91910

  • Novartis Investigative Site

    Cincinnati, Ohio, 45227

  • Novartis Investigative Site

    Knoxville, Tennessee, 37920

  • Novartis Investigative Site

    Miami, Florida, 33126

  • Novartis Investigative Site

    Orlando, Florida, 32809

  • Novartis Investigative Site

    San Antonio, Texas, 78209

Other trials in United States

About this study

Official title: A Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of LEZ763 Following Single and Multiple Ascending Doses in Healthy Subjects and Patients With Type 2 Diabetes

This study is a three part study to assess the safety and efficacy of LEZ763 on normal healthy volunteers and patients with Type 2 Diabetes.

Being tested
Placebo, Sitagliptin, LEZ763
Keywords
Healthy volunteers,, Diabetes, Glucose, Pharmacokinetics
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo will be given orally once daily for 28 days to patients assigned to placebo in a randomized and blinded manner

  • SitagliptinDrug

    Sitaglitpin will be given orally once daily for 28 days to patients assigned to this treatment in a randomized and blinded manner

  • LEZ763Drug

    LEZ763 will be given orally once daily for 28 days in a randomized and blinded manner

Study groups in NCT01619332
Study groupRoleWhat they receive
LEZ763ExperimentalPart I- Healthy volunteers enrolled into 6 single-ascending dose cohorts Part II- Healthy volunteers enrolled into 5 multiple-ascending dose cohorts. Part III- LEZ763 will be given orally once daily for 28 days in a randomized and blinded manner
Receives: Drug: LEZ763
PlaceboPlacebo comparatorPart I : Healthy volunteers enrolled in 6 single ascending dose cohorts to receive matching placebo of LEZ763. Part II: Healthy volunteers enrolled in 5 multiple ascending dose cohorts to receive matching placebo of LEZ763. Part III- Placebo will be given orally once daily for 28 days to patients assigned to placebo in a randomized and blinded manner
Receives: Drug: Placebo
SitagliptinActive comparatorSitaglitpin will be given orally once daily for 28 days to patients assigned to this treatment in a randomized and blinded manner
Receives: Drug: Sitagliptin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Patients with adverse events, serious adverse events and death

    An adverse event is the appearance or worsening of any undesirable sign, symptom, or medical condition occurring after starting the study drug even if the event is not considered to be related to study drug. Adverse events will also be determined on the basis of clinical laboratory assessments, electrocardiographic evaluations and vital signs determinations.

    Measured: Day 28

  2. Pharmacokinetics of LEZ763 (Part I): area under the plasma concentration-time curve from time zero to infinity (AUCinf)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single dose

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1; 24 and 36 hours Day 2; Day 3, Day 4

  3. Pharmacokinetics of LEZ763 (Part I): area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single dose

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1; 24 and 36 hours Day 2; Day 3, Day 4

  4. Pharmacokinetics of LEZ763 (Part I): Terminal elimination half-life (T1/2)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single dose

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1; 24 and 36 hours Day 2; Day 3, Day 4

  5. Pharmacokinetics of LEZ763 (Part I): Apparent systemic (or total body) clearance from plasma following extravascular administration (CL/F)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single dose

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1; 24 and 36 hours Day 2; Day 3, Day 4

  6. Pharmacokinetics of LEZ763 (Part I) : Observed maximum plasma concentration (Cmax) following drug administration

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single and multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1; 24 and 36 hours Day 2; Day 3, Day 4

  7. Pharmacokinetics of LEZ763 (Part I): time to reach the maximum concentration after drug administration (Tmax)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single dose

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1; 24 and 36 hours Day 2; Day 3, Day 4

  8. Pharmacokinetics of LEZ763 (Part II) : Observed maximum plasma concentration (Cmax) following drug administration

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 10

  9. Pharmacokinetics of LEZ763 (Part II): time to reach the maximum concentration after drug administration (Tmax)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 10

  10. Pharmacokinetics of LEZ763 (Part II): Accumulation ratio(Racc)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 27

  11. Pharmacokinetics of LEZ763 (Part III) : Observed maximum plasma concentration (Cmax) following drug administration

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 27

  12. Pharmacokinetics of LEZ763 (Part III): time to reach the maximum concentration after drug administration (Tmax)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 27

  13. Pharmacokinetics of LEZ763 (Part III): Area under the plasma concentration-time curve from time zero to the end of the dosing interval tau (AUCtau)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single and multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 27

  14. Pharmacokinetics of LEZ763 (Part III): Accumulation ratio(Racc)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after single and multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 4, 6, 8, 12 hours post-dose on Day 1 and Day 27

  15. Pharmacokinetics of LEZ763 and Sitagliptin (Part III): Observed maximum plasma concentration (Cmax) following drug administration

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 and 4 hours post-dose on Day 28

  16. Pharmacokinetics of LEZ763 and Sitagliptin (Part III): Area under the plasma concentration-time curve from time zero to the end of the dosing interval tau (AUCtau)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 and 4 hours post-dose on Day 28

  17. Pharmacokinetics of LEZ763 and Sitagliptin (Part III): Time to reach the maximum concentration after drug administration (Tmax)

    Blood will be collected at multiple timepoints and will be analyzed for LEZ736 concentrations after multiple doses

    Measured: pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 and 4 hours post-dose on Day 28

  18. Area under the effect curve (AUC0-4h) over the 4-hour post-dose period to measure glucose response following a standard mixed meal test

    Measured: 4 hour post-dose Day 27

Secondary outcomes (9)
  1. Area under the serum Glucagon-like-peptide 1 (GLP-1) curve (AUC0-24 hours)

    GLP-1 Biomarker measures will be evaluated at pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 and 4 hours post-dose

    Measured: Pre-dose, and 0.5, 0.66, 0.75, 1, 1.5, 2, 2.5, 3, 3.5 and 4 hours post-dose on Day -1, Day 1, Day 27, and Day 28

  2. 2-hour value of post-prandial glucose

    Measured: Day 1 of Part I, Day 1 and day 10 of Part II

  3. Change from baseline in Fasting C-peptide at Day 27 (Part III)

    Measured: Baseline, Day 27

  4. Change from baseline in Fasting Insulin at Day 27 (Part III)

    Measured: Baseline , Day 27

  5. Change from baseline in fasting plasma glucose at Day 27 (Part III)

    Measured: Baseline , Day 27

  6. Change From Baseline in peak glucose level following meal Test at Day 27 (Part III)

    Measured: Baseline , Day 27

  7. Peak effect (Emax) on postprandial GLP-1 (Part III)

    Measured: Baseline , Day 27

  8. Change from baseline in Peptide YY (PYY) (Part III)

    Measured: Baseline , Day 27

  9. Change from baseine in Gastric inhibit polypeptide (GIP) (Part III)

    Measured: Baseline , Day 27

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2012 (estimated)
  2. Study startMar 2012
  3. Primary completionSep 2013
  4. Study completionSep 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
220 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01619332
Sponsor's protocol ID
CLEZ763X2201
Status last verified
Mar 2016
First submitted
12 Jun 2012
Last updated
17 Dec 2020
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Sitagliptin and LEZ763 in people with Type II Diabetes, run by Novartis Pharmaceuticals at 6 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Patients with adverse events, serious adverse events and death (time frame: Day 28). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Dec 2020.

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