This Phase 2 dose-ranging study will evaluate the efficacy, safety and tolerability of a range of doses of GW677954 compared with placebo over sixteen weeks of treatment in subjects with T2DM (Type 2 Diabetes Mellitus).
A Multicenter, Randomized, Double-Blind, Double-Dummy, Parallel-Group, Placebo-Controlled, Study To Evaluate Efficacy, Safety And Tolerability Of Oral GW677954 Capsules (2.5, 5, 10, 15 And 20 Mg Once A Day) As A Monotherapy (Diet and/or exercise treated) Or As An Add-On To Metformin For 16 Weeks Duration In Subjects With Type 2 Diabetes Mellitus
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
448
Percentage change from Baseline (Day 1) in glycated hemoglobin (HbA1c) levels at Week 16 as a measure of improvement in glucose control
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (Hb) levels in blood.
Time frame: Week (W) 16
Percentage change from Baseline (Day 1) in fasting HbA1c levels at Weeks 4, 8 and 12
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Weeks 4, 8, and 12
Change from Baseline (Day 1) in fasting plasma glucose (FPG) at Weeks 1, 2, 4, 6, 8, 12 and 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: W1, W2, W4, W6, W8, W12, and W16
Change from Baseline (Day 1) in fasting fructosamine at Weeks 2 and 4
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Baseline (Day 1), W2, W4
Percentage of participants achieving target HbA1c levels at Weeks 4, 8, 12, and 16
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood. The ideal concentration of HbA1c was desired to be less than or equal to 7%.
Time frame: Weeks 4, 8, 12, and 16
Percentage of participants achieving a decrease in HbA1c of >= 0.7% from Baseline (Day 1) at Weeks 4, 8, 12 and 16
Improvement in glucose control was measured by means of reduction in glycated hemoglobin (HbA1c) levels in blood.
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GSK Investigational Site
Birmingham, Alabama, United States
GSK Investigational Site
Northport, Alabama, United States
GSK Investigational Site
Chandler, Arizona, United States
GSK Investigational Site
Phoenix, Arizona, United States
GSK Investigational Site
Phoenix, Arizona, United States
GSK Investigational Site
Alhambra, California, United States
GSK Investigational Site
Artesia, California, United States
GSK Investigational Site
Huntington Beach, California, United States
GSK Investigational Site
Inglewood, California, United States
GSK Investigational Site
Irvine, California, United States
...and 133 more locations
Time frame: Baseline (Day 1), Weeks 4, 8, 12, and 16
Percentage of participants achieving target range of FPG at Weeks 1, 2, 4, 6, 8, 12 and 16
The target range for FPG was \<=126 milligrams per deciliter (mg/dL) or 7.0 millimoles per liter (mmol/L) to \<=140 mg/dL or 7.8 mmol/L
Time frame: Weeks 1,2, 4, 6, 8, 12, and 16
Percentage of participants achieving a decrease from Baseline (Day 1) of >=30 mg/dL [1.66 mmol/L] in FPG at Weeks 1, 2, 4, 6, 8, 12 and 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Weeks 1, 2, 4, 6, 8, 12, and 16
Ratio to the Baseline (percentage change) of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and free fatty acids (FFA) at Weeks 2, 4, 8, 12, and 16
This data analysis was based on log-transformed data.
Time frame: Baseline (Day 1), Weeks 2, 4, 8, 12, and 16
Percentage change from Baseline (Day 1) in non-HDL-C based on log-transformed data at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: At Week 16
Percentage change from Baseline (Day 1) in very low density lipoprotein-cholesterol (VLDL-C), apolipoprotein AI (Apo AI), AII, and B at Week 16.
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: At Week 16
Change from Baseline (Day 1) in Apo B/TC, TC/HDL-C, and LDL-C/Apo B ratio at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: At Week 16
Change from Baseline (Day 1) in hemoglobin at Week 16
This analysis was performed in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: At Week 16
Change from Baseline (Day 1) in hematocrit at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Wekk 16
Change from Baseline (Day 1) in systolic and diastolic blood pressure (SBP and DBP) at Week 16
Systolic blood pressure )SBP) and diastolic blood pressure (DBP) were measured in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: At Week 16
Change from Baseline (Day 1) in heart rate at Week 16
Heart rate was measured in sitting position. Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Week 16
Change from Baseline (Day 1) in body weight at Week 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Week 16
Change from Baseline (Day 1) in 12 lead electrocardiogram (ECG) measures including PR interval, QT interval, QTc interval and QRS duration at Week 16
QT(c) interval calculations were done by Bazett's method (QTc\[B\]) as well as by Fridericia's correction (QTc\[F\]). Change from Baseline is the value at indicated time point minus the Baseline value.
Time frame: Week 16
Number of participants with clinical hematology, chemistry, urinalysis, exploratory cardiac parameters of potential clinical concern (PCC) along with serum pregnancy test over period
Participants were analyzed for any abnormality for laboratory parameters either higher or lower than the potential clinical concern range.
Time frame: Upto 16 weeks
Number of participants with hypoglycemic events as a measure of ophthalmic assessment
Participants received a glucose log for reading for routine recording of glucometer readings. Glucose values were recorded on timely basis.
Time frame: Up to 16 weeks
Number of participants with intensity of hypoglycemic events as a measure of ophthalmic assessment
Participants received a glucose log for reading for routine recording of glucometer readings. Glucose values were recorded on timely basis.
Time frame: Up to 16 weeks
Number of participants with adverse events (AEs) and serious adverse events (SAEs) over period
Adverse event (AE) is an unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain time period after the study has ended. This change may or may not be caused by the intervention being studied. Serious adverse event (SAE) is an adverse event that results in death, is life-threatening, requires inpatient hospitalization or extends a current hospital stay, results in an ongoing or significant incapacity or interferes substantially with normal life functions, or causes a congenital anomaly or birth defect. Medical events that do not result in death, are not life-threatening, or do not require hospitalization may be considered serious adverse events if they put the participant in danger or require medical or surgical intervention to prevent one of the results listed above.
Time frame: Up to 16 weeks
Change from Baseline (Day 1) in phosphocreatine kinase (Creatine kinase-MB) over period
CK-MB is a cardiac biomarker.
Time frame: Up to 16 weeks
Number of participants with absolute Troponin-I (cTnI) levels over period
Troponin-I (cTnI) is a cardiac biomarker.
Time frame: Up to 16 weeks
Change from Baseline (Day 1) in fasting insulin at Week 8 and 16
Change from Baseline is the value at indicated time point minus the value at Baseline.
Time frame: Week 8 and 16
Change from Baseline (Day 1) in C-peptide at Week 8 and 16
Time frame: Week 8 and 16
Change from Baseline (Day 1) in HOMA-S at Week 16
Time frame: Week 16
Change from Baseline (Day 1) in QUICKI at Week 16
Time frame: Week 16