The purpose of this study is to provide an initial assessment of the safety, tolerability and efficacy of ISIS 113715 in combination with sulfonylurea in type 2 diabetes subjects.
Diabetes is a significant and growing world-wide medical burden. Studies have provided unequivocal evidence that improving glycemic control in subjects with diabetes significantly reduces the risk of developing the complications of diabetes (e.g., retinopathy, nephropathy, and neuropathy). Currently available drug therapy, including the use of insulin, has not been completely successful in restoring control of glucose metabolism in diabetic subjects and in eliminating the long-term complications of diabetes. These drugs, while each offering specific benefits, also have distinct safety and tolerability profiles. Thus, there remains a need for agents with novel mechanism(s) of action. ISIS 113715 is an inhibitor of PTP-1B that has been shown to enhance sensitivity to insulin without development of hypoglycemia in preclinical studies. Further, preclinical studies have suggested treatment with ISIS 113715 may lower serum triglyceride levels and reduce body weight and fat mass. Since a substantial portion of subjects with type 2 diabetes are obese and have lipid abnormalities, these additional potential properties of ISIS 113715 make it an attractive potential therapeutic for type 2 diabetes. The aim of this Phase 2A study is to provide an initial assessment of the safety, tolerability, pharmacokinetics, pharmacology, and efficacy of ISIS 113715 in combination with a second-generation sulfonylurea in type 2 diabetes subjects not achieving sufficient glycemic control with SU alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
88
doses of 100 and 200 mg per week
Change and % change from baseline HbA1c
Time frame: 13 weeks
Change and % change from baseline fasting glucose (serum and plasma)
Time frame: 13 weeks
Change and % change from baseline seven point glucose profile
Time frame: 13 weeks
Change and % change from baseline mean fasting and insulin c-peptide
Time frame: 13 weeks
Change and % change from baseline fasting proinsulin
Time frame: 13 weeks
Change and % change from baseline proinsulin / insulin ration
Time frame: 13 weeks
Change and % change from baseline lipid and lipoprotein values: TC, LDL, HDL, TG, VLDL, apoB-100
Time frame: 13 weeks
Change and % change from baseline Adiponectin
Time frame: 13 weeks
Adverse Events
Time frame: 13 weeks
Clinical laboratory tests
Time frame: 13 weeks
12 lead ECG
Time frame: 13 weeks
vital signs assessments, weight change, physical exams
Time frame: 13 weeks
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Wołomin, Poland
Arad Emergency Clinical County Hospital, Clinic of Diabetes, Nutrition and Metabolic Diseases
Arad, Romania
Cardiology Private PRactice "Dr. Calin Pop"
Baia Mare, Romania
Private Practice SC "Diabol" SRL
Brasov, Romania
...and 29 more locations
concomitant medications
Time frame: 13 weeks