The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of multiple ascending-doses of TAK-875 in subjects with type 2 diabetes mellitus.
TAK-875 is being developed as an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus. Nonclinical data suggest that TAK-875 stimulates insulin secretion only at elevated blood glucose levels, with the potential for low hypoglycemic side effects. The purpose of this phase 1, multiple ascending-dose study is to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of once daily oral doses of TAK-875 for 14 days in subjects with type 2 diabetes mellitus. Participants will be housed for a total of 8 consecutive overnight stays in the clinic, and will undergo oral glucose tolerance tests and standardized meal tests with multiple blood sampling throughout their clinic stay.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
QUADRUPLE
Enrollment
60
Randomized, multiple ascending-dose sequence over 14 consecutive days to include the following: TAK-875 25 mg tablets, orally TAK-875 50 mg tablets, orally TAK-875 100 mg tablets, orally TAK-875 200 mg tablets, orally TAK-875 400 mg tablets, orally TAK-875 placebo-matching tablets, orally.
TAK-875 maximum observed plasma concentration (Cmax)
Time frame: Day 14
TAK-875 time at which Cmax occurred (Tmax)
Time frame: Day 14
TAK-875 area under the plasma concentration-time curve from time 0 to time tau, where tau is the length of a dosing interval AUC(0-tau)
Time frame: Day 14
TAK-875 renal clearance (CLr)
Time frame: Day 14
TAK-875 metabolite (M-I) Cmax
Time frame: Day 14
TAK-875 M-I Tmax
Time frame: Day 14
TAK-875 M-I AUC(0-tau)
Time frame: Day 14
TAK-875 M-I renal clearance CLr
Time frame: Day 14
TAK-875 Cmax
Time frame: Day 1
TAK-875 Tmax
Time frame: Day 1
TAK-875 AUC(0-tau)
Time frame: Day 1
TAK-875 renal clearance CLr
Time frame: Day 1
M-I Tmax
Time frame: Day 1
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M-I Cmax
Time frame: Day 1
M-I AUC(0-tau)
Time frame: Day 1
M-I renal clearance CLr
Time frame: Day 1
TAK-875 and M-I Cmax ratio
Time frame: Day 1
TAK-875 and M-I Cmax ratio
Time frame: Day 14
TAK-875 and M-I AUC(0-tau) ratio
Time frame: Day 1
TAK-875 and M-I AUC(0-tau) ratio
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4-hour concentration values for plasma glucose
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4- hour concentration values for insulin
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4- hour concentration values for proinsulin
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4- hour concentration values for C-peptide
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4- hour concentration values for glucagon
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4- hour concentration values for total gastric inhibitory polypeptide (GIP)
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 4- hour concentration values for total glucagon-like peptide-1 (GLP-1)
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24-hour concentration values for plasma glucose
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24- hour concentration values for insulin
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24- hour concentration values for proinsulin
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24- hour concentration values for C-peptide
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24- hour concentration values for glucagon
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24- hour concentration values for total gastric inhibitory polypeptide (GIP)
Time frame: Day 14
Percent changes from baseline to Day 14 in mean 24- hour concentration values for total glucagon-like peptide-1 (GLP-1)
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4-hour concentration values for plasma glucose
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4- hour concentration values for insulin
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4- hour concentration values for proinsulin
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4- hour concentration values for C-peptide
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4- hour concentration values for glucagon
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4- hour concentration values for total gastric inhibitory polypeptide (GIP)
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 4- hour concentration values for total glucagon-like peptide-1 (GLP-1)
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24-hour concentration values for plasma glucose
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24- hour concentration values for insulin
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24- hour concentration values for proinsulin
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24- hour concentration values for C-peptide
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24- hour concentration values for glucagon
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24- hour concentration values for total gastric inhibitory polypeptide (GIP)
Time frame: Day 14
Absolute changes from baseline to Day 14 in mean 24- hour concentration values for total glucagon-like peptide-1 (GLP-1)
Time frame: Day 14
Percent change from baseline to 24-hours post Day 13 dose in homeostasis model assessment of ß-cell function
Time frame: Day 13
Percent change from baseline to 24-hours post Day 14 dose in homeostasis model assessment of ß-cell function
Time frame: Day 14
Absolute change from baseline to 24-hours post Day 13 dose in homeostasis model assessment of ß-cell function
Time frame: Day 13
Absolute change from baseline to 24-hours post Day 14 dose in homeostasis model assessment of ß-cell function
Time frame: Day 14
Percent change from baseline to Day 14 in insulinogenic index
Time frame: Day 14
Absolute change from baseline to Day 14 in insulinogenic index
Time frame: Day 14