TC-6987 is a selective nicotinic α-7 receptor ligand (open channel stabilizer) that has demonstrated potent anti-inflammatory/antioxidant properties in animal models. Following the oral administration of a 1mg/kg dose of TC-6987 to diabetic mice (db/db mouse) for 7 weeks, numerous metabolic improvements were observed. Specifically, plasma glucose and triglyceride concentrations declined by approximately 30%; Hb1Ac was reduced by nearly 50%; and TNF-α declined more than 60% relative to control db/db mice Therefore, it appears that TC-6987 could prove beneficial in reducing elevated glucose concentrations in diabetic patients as well as in ameliorating organ damage associated with inflammation, oxidative stress and hyperglycemia.
This is a Phase II, multicenter, randomized, double-blind, parallel group, placebo-controlled study to assess the efficacy, safety, tolerability, and pharmacokinetic parameters of TC-6987 in subjects with type 2 diabetes mellitus (T2DM). The study is organized into three phases: (a) Screening phase consisting of a 1-week Screening (Week -5)and a 4-week Washout (Week -4 to Day 1); (b) 4-week, Double-Blind Treatment (Day 1 to Week 4) during which subjects are randomized to either TC-6987 (20 mg on Day 1 and 10 mg from Day 2 to Week 4) or placebo; and (c) 2-week Follow-Up (Week 6). Unscheduled visits will be allowed between visits from Washout through Follow-up to evaluate a subject's glycemic status or other safety issues, as required. Subjects will fast overnight for a minimum of 10 hrs and refrain from drinking alcohol 24 hrs prior to each visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
440
TC-6987-23 (TC-6987 HCl) as experimental treatment: 20 mg loading dose (2 capsules) on Day 1 and 10 mg (1 capsule) on Days 2 to 28 (dose expressed as free base). Each dose will be given once daily.
Matching placebo: Mode of administration: p.o. (microcrystalline cellulose in capsule) given once daily.
Clopton Clinic
Jonesboro, Arkansas, United States
NCA Medical Center
Mountain Home, Arkansas, United States
Associated Pharmaceutical Research Center
Buena Park, California, United States
Cedar Crosse Research Center
Chicago, Illinois, United States
Medex Healthcare Research, Inc
St Louis, Missouri, United States
Om Medical
Henderson, Nevada, United States
MEDEX Healthcare Research, Inc
New York, New York, United States
PMG Research of WS
Winston-Salem, North Carolina, United States
Rapid Medical Research, Inc.
Cleveland, Ohio, United States
Providence Health Partners - Center for Research
Dayton, Ohio, United States
...and 8 more locations
Changes in fasting plasma glucose (FPG)
The primary efficacy endpoint will be FPG values obtained at Week 4 compared to Day 1 (baseline). This change from baseline will be analyzed using MMRM techniques with an alpha of 0.10 (one-sided), to examine differences between the TC-6987 and placebo treatment cohorts. This change from baseline will be analyzed using the primary efficacy endpoints for the mITT analysis set. The efficacy analyses based on the Per Protocol (PP) analysis set will be considered secondary.
Time frame: Day 1 and Week 4
Change in FPG from Day 1 (Baseline) at each time point
Change in FPG from Day 1 (Baseline) compared to weeks 1 and 4
Time frame: Day 1, Week 1 and Week 4
Change in FPG and insulin from Day 1 (Baseline) at each time point
Change in FPG and insulin from Day 1 (Baseline) compared to weeks 1 and 4
Time frame: Day 1, Week 1 and Week 4
Change in AUC FPG from Day 1 (Baseline) and at Week 4
Change in AUC FPG from Day 1 (Baseline) compared to weeks 1 and 4
Time frame: Day 1 and Week 4
Change in AUC insulin from Day 1 (Baseline) at Week 4
Change in AUC insulin from Day 1 (Baseline) compared to week 4
Time frame: Day 1 and Week 4
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.