This is a randomized, placebo-controlled, double-blind, dose escalation study to evaluate safety, tolerability, PK and PD of single and repeated SC doses of REMD-477 in Type 2 diabetic subjects. The study will be conducted at multiple sites in the United States and will enroll approximately 102 subjects with Type 2 diabetes who are either treatment-naïve, controlled with diet and exercise or treated with oral antidiabetic medications.
The study will consist of three parts: Part A - Dose Escalation, Part B - Adaptive Dose Cohort, and Part C - REMD-477 in Combination with Metformin. Part A includes 5 cohorts that will be enrolled and dosed sequentially at escalating doses. Each cohort will consist of 12 subjects randomized in a 3:1 (active: placebo) fashion. Part B includes a single dose cohort that will enroll 12 subjects (9 on active treatment and 3 on placebo) with dose level and frequency determined by a Dose Level Review Meeting (DLRM)Committee. Part C includes 2 cohorts of T2DM patients currently treated with metformin alone, and each cohort will consist of 15 subjects (10 on active treatment and 3 on placebo).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
75
Unnamed facility
Miami, Florida, United States
Unnamed facility
San Antonio, Texas, United States
Unnamed facility
Renton, Washington, United States
Number of treatment emergent adverse events per subject, including changes in vital signs, physical and neurological examinations, laboratory safety tests and ECGs
Time frame: 141 Days
Pharmacokinetic (PK) profile (parameters including maximum observed concentration (Cmax), area under the curve (AUC) serum-concentration, clearance, and half-life (t1/2) after single and repeated SC doses.
Time frame: 141 Days
Changes in fasting glucose and insulin levels following single and repeated SC doses of REMD-477.
Time frame: 141 Days
Changes in glucose and insulin AUC following a Mixed Meal Tolerance Test.
Time frame: Day 29, Day 57 and Day 85
Incidence of REMD-477 neutralizing and non-neutralizing antibodies
Time frame: 141 Days
Incidence of elevated alanine transaminase (ALT) or aspartate transaminase (AST) values >3x the upper limit of normal with concomitant >2x increases in alkaline phosphatase (ALP) and/or >2x total bilirubin.
Time frame: 141 Days
Incidence and severity of elevated amylase and lipase values at >2.5x ULN after study treatment
Time frame: 141 Days
Geometric mean ratio to baseline over time of AST, ALT, ALP and total bilirubin.
Time frame: 141
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