3283K1-1008-US: Study Evaluating Safety, Tolerability, And Action Of OAP-189 In Subjects With Type 2 Diabetes On Metformin

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00970593
Collaborator
(none)
92
2
2
22.7
46
2

Study Details

Study Description

Brief Summary

This is a study to evaluate the safety, tolerability, and activity of OAP-189 in subjects with type 2 diabetes who are taking metformin for their diabetes.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
92 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A RANDOMIZED, PARALLEL-GROUP, OPEN-LABEL, PLACEBO CONTROLLED STUDY OF THE EFFECT OF OAP-189 ON THE PHARMACOKINETICS AND PHARMACODYNAMICS OF METFORMIN IN DIABETIC SUBJECTS.
Actual Study Start Date :
Sep 2, 2009
Actual Primary Completion Date :
Jul 25, 2011
Actual Study Completion Date :
Jul 25, 2011

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: OAP-189

Drug: OAP-189
Group 1: OAP-189 BID (0.2 mg BID) x 7 days Group 2: OAP-189 (0.4 mg BID) x 7 days Group 3: OAP-189 QD (0.9 mg x 7 days followed by 1.2 mg x 7 days; MR formulation) Group 4: OAP-189 QD (1.2 mg x 7 days followed by 1.6 mg x 7 days; MR formulation) Group 5: OAP-189 QD (1.2 mg x 7 days followed by 1.6 mg x 7 days; different MR formulation) Group 6: OAP-189 QD (1.2 mg x 7 days followed by 1.6 mg x 7 days; different MR formulation)

Placebo Comparator: 2

Drug: placebo comparator
Group 1 & 2: PBO x 7 days BID Group 3: PBO QD x 14 days Group 4: PBO QD x 14 days Group 5: PBO QD x 14 days Group 6: PBO QD x 14 days

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With Clinically Significant Physical Examination Abnormalities [Baseline up to 17 days after last dose of study drug (Day 31)]

    Physical examination included examination of skin, head, eyes, ears, nose, throat (HEENT), heart, lungs, abdomen, extremities, neurological function, back and lymph nodes. Clinically significant physical examination abnormalities were considered as adverse events based on investigator's discretion.

  2. Number of Participants With Clinically Significant Vital Signs Abnormalities [Baseline up to 17 days after last dose of study drug (Day 31)]

    Criteria for clinically significant vital sign abnormalities: sitting systolic blood pressure (SBP) of (greater than equal to) >=160 millimeter of mercury (mmHg), (less than equal to) <=90 mmHg, >=20 mmHg increase and decrease from baseline; sitting diastolic blood pressure (DBP) of >=100 mmHg, <=50 mmHg, >=15 mmHg increase and decrease from baseline; heart rate of >=120 beats per minute (bpm), <=45 bpm, (greater than) >15 bpm increase and decrease from baseline, orthostatic SBP: decrease of >=20 mm Hg from sitting value, orthostatic DBP: decrease of >=20 mm Hg from sitting value, orthostatic heart rate: increase of >=30 bpm from sitting value, oral temperature of (less than) <35 or >38.3 degree celsius, respiratory rate of <10 or >25 breaths per minute, weight: maximum increase or decrease of >=7 percent (%) from baseline.

  3. Number of Participants With Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities [Baseline up to 17 days after last dose of study drug (Day 31)]

    Criteria for clinically significant ECG abnormalities: PR interval >=220 millisecond (msec) or a change of >=20 msec from baseline values, QRS interval >=120 msec, QTc interval >450 msec (in males) and >470 msec (in females).

  4. Number of Participants With Clinically Significant Laboratory Abnormalities [Baseline up to 17 days after last dose of study drug (Day 31)]

    Hematocrit, haemoglobin: decrease of >=0.05 L/L and >=20 g/L from baseline respectively, WBC count:<3*10^9 /L, neutrophils: <1.5*10^9 /L, platelet count: <100*10^9 /L, eosinophil: <0.5*10^9 /L; prothrombin time, partial thromboplastin time >1.5*upper limit of normal (ULN); sodium:>5 mmol/L above ULN or below lower limit of normal(LLN), potassium >0.5 mmol/L above ULN or below LLN, creatinine >1.36*ULN, blood urea nitrogen >1.5*ULN, glucose (fasting) >0.83 mmol/L above ULN or below LLN, glucose (non-fasting) >5 mmol/L above ULN or >0.56 below LLN, calcium, magnesium: Change of >=0.25 and >=0.21 mmol/L from baseline respectively, phosphorus >0.162 mmol/L above ULN or below LLN, total protein, albumin, uric acid: change of >=20g/L, >=10 g/L, >0.119 mmol/L from baseline respectively, creatinine kinase >3*ULN, total cholesterol >7.77 mmol/L, triglycerides >3.39 mmol/L: AST, ALT, total bilirubin >2*ULN, alkaline phosphatase >1.5*ULN, alpha-glumatyl transferase, lactate dehydrogenase >3*ULN.

  5. Number of Participants With Injection Site Reactions [Baseline up to 17 days after last dose of study drug (Day 31)]

    Injection site reactions included irritation, erythema, pain, hematoma, inflammation.

  6. Number of Participants With Clinically Significant Fasting Glucose Level Abnormalities [Baseline up to 17 days after last dose of study drug (Day 31)]

    Criteria: Blood glucose levels >15 milligram per deciliter (mg/dL) above ULN or >15 mg/dL below LLN.

  7. Number of Participants With Hypoglycaemia [Baseline up to 17 days after last dose of study drug (Day 31)]

    Hypoglycaemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually <=50 mg/dL.

  8. Number of Participants With Drug-Induced Liver Injury [Baseline up to 17 days after last dose of study drug (Day 31)]

    Criteria for drug induced liver injury: Levels of aspartate transaminase (AST) or alanine transaminase (ALT) should be >= 3 times ULN concurrent with a total bilirubin of >=2 times ULN with no evidence of hemolysis and an alkaline phosphatase should be <=2 times ULN.

  9. Change From Baseline in Predose Fasting Glucose Levels at Day 8 [Baseline, Day 8]

    Fasting glucose levels were determined before administration of OAP-189 using a glucometer.

  10. Change From Baseline in Predose Fasting Glucose Levels at Day 15 [Baseline, Day 15]

    Fasting glucose levels were determined before administration of OAP-189 using a glucometer.

Other Outcome Measures

  1. Plasma Concentration Versus Time Summary of Metformin Following Single Dose of OAP-189 [Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6 hours post-dose on Day 14]

    Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =2 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

  2. Plasma Concentration Versus Time Summary of Metformin Following Multiple Dose of OAP-189 [Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24 hours post-dose on Day 7]

    Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =2 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

  3. Plasma Concentration Versus Time Summary of Single Dose of OAP-189 [Pre-dose (2 hours before dosing), 2, 4, 6 hours post-dose on Day 7; Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24, 48, 72 hours post-dose on Day 14]

    Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ = 0.500 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

  4. Plasma Concentration Versus Time Summary of Multiple Dose of OAP-189 [Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24 hours post-dose on Day 7]

    Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =0.500 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects must have been diagnosed with type 2 diabetes, with HbA1c level >=7.0% and <=11.0% and a fasting glucose level <=280 mg/dL.

  • Men or women of nonchildbearing potential (WONCBP), aged 18 to 65 years inclusive on study day 1.

  • Body mass index in the range of 27 to 40kg/m² (inclusive) and body weight >=50 kg.

  • Subjects must be otherwise generally healthy, but may be enrolled with a stable chronic illness, if it is well controlled and does not interfere with the primary objective of the study.

  • Subjects must currently be treated for diabetes with metformin alone at a total daily dose of >=1gm (administered QD or BID) and that dose must have been stable for at least 4 weeks before study day 1.

  • Nonsmoker.

Exclusion Criteria:
  • Any significant disease with the exception of diabetes mellitus.

  • Any surgical or medical condition that may interfere with the absorption, distribution, metabolism, or excretion of the investigational product.

  • Acute disease state (eg, nausea, vomiting, fever, or diarrhea) within 7 days before study day 1.

  • Any clinically important problems in physical examination results, vitals sign measurements, ECGs, or clinical laboratory test results.

  • Positive serologic findings for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen (HBsAg), and/or hepatitis C virus (HCV) antibodies.

  • Positive findings of urine drug screen

  • Use of any investigational or non-permitted prescription drug within 30 days before investigational product administration.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Profil Institute for Clincal Research Chula Vista California United States 91911
2 Cetero Research - Miami Miami Gardens Florida United States 33169

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00970593
Other Study ID Numbers:
  • 3283K1-1008
  • B2201004
First Posted:
Sep 2, 2009
Last Update Posted:
Nov 2, 2020
Last Verified:
Oct 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail All participants received the background metformin immediate release tablets, during the 4 weeks run-in period. Compliant participants were then randomized to study treatments for a maximum period of 31 days.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 milligram (mg), immediate release (IR) infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, modified release (MR) infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Period Title: Overall Study
STARTED 11 15 13 12 20 5 16
COMPLETED 10 14 7 12 20 5 14
NOT COMPLETED 1 1 6 0 0 0 2

Baseline Characteristics

Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR Total
Arm/Group Description Participants received OAP-189 0.2 milligram (mg), immediate release (IR) infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, modified release (MR) infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Total of all reporting groups
Overall Participants 11 15 13 12 20 5 16 92
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
55.00
(8.65)
53.60
(6.33)
52.69
(3.12)
54.92
(6.69)
51.50
(9.64)
53.80
(9.34)
54.75
(6.83)
53.57
(7.33)
Sex: Female, Male (Count of Participants)
Female
3
27.3%
4
26.7%
3
23.1%
4
33.3%
4
20%
2
40%
6
37.5%
26
28.3%
Male
8
72.7%
11
73.3%
10
76.9%
8
66.7%
16
80%
3
60%
10
62.5%
66
71.7%

Outcome Measures

1. Primary Outcome
Title Number of Participants With Clinically Significant Physical Examination Abnormalities
Description Physical examination included examination of skin, head, eyes, ears, nose, throat (HEENT), heart, lungs, abdomen, extremities, neurological function, back and lymph nodes. Clinically significant physical examination abnormalities were considered as adverse events based on investigator's discretion.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Number [participants]
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
2. Primary Outcome
Title Number of Participants With Clinically Significant Vital Signs Abnormalities
Description Criteria for clinically significant vital sign abnormalities: sitting systolic blood pressure (SBP) of (greater than equal to) >=160 millimeter of mercury (mmHg), (less than equal to) <=90 mmHg, >=20 mmHg increase and decrease from baseline; sitting diastolic blood pressure (DBP) of >=100 mmHg, <=50 mmHg, >=15 mmHg increase and decrease from baseline; heart rate of >=120 beats per minute (bpm), <=45 bpm, (greater than) >15 bpm increase and decrease from baseline, orthostatic SBP: decrease of >=20 mm Hg from sitting value, orthostatic DBP: decrease of >=20 mm Hg from sitting value, orthostatic heart rate: increase of >=30 bpm from sitting value, oral temperature of (less than) <35 or >38.3 degree celsius, respiratory rate of <10 or >25 breaths per minute, weight: maximum increase or decrease of >=7 percent (%) from baseline.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Number [participants]
1
9.1%
2
13.3%
1
7.7%
2
16.7%
4
20%
0
0%
1
6.3%
3. Primary Outcome
Title Number of Participants With Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities
Description Criteria for clinically significant ECG abnormalities: PR interval >=220 millisecond (msec) or a change of >=20 msec from baseline values, QRS interval >=120 msec, QTc interval >450 msec (in males) and >470 msec (in females).
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication. Here, 'N' (Number of Participants analyzed) signifies those participants who were evaluable for this measure.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 8 12 20 5 14
Number [participants]
0
0%
0
0%
2
15.4%
4
33.3%
4
20%
0
0%
7
43.8%
4. Primary Outcome
Title Number of Participants With Clinically Significant Laboratory Abnormalities
Description Hematocrit, haemoglobin: decrease of >=0.05 L/L and >=20 g/L from baseline respectively, WBC count:<3*10^9 /L, neutrophils: <1.5*10^9 /L, platelet count: <100*10^9 /L, eosinophil: <0.5*10^9 /L; prothrombin time, partial thromboplastin time >1.5*upper limit of normal (ULN); sodium:>5 mmol/L above ULN or below lower limit of normal(LLN), potassium >0.5 mmol/L above ULN or below LLN, creatinine >1.36*ULN, blood urea nitrogen >1.5*ULN, glucose (fasting) >0.83 mmol/L above ULN or below LLN, glucose (non-fasting) >5 mmol/L above ULN or >0.56 below LLN, calcium, magnesium: Change of >=0.25 and >=0.21 mmol/L from baseline respectively, phosphorus >0.162 mmol/L above ULN or below LLN, total protein, albumin, uric acid: change of >=20g/L, >=10 g/L, >0.119 mmol/L from baseline respectively, creatinine kinase >3*ULN, total cholesterol >7.77 mmol/L, triglycerides >3.39 mmol/L: AST, ALT, total bilirubin >2*ULN, alkaline phosphatase >1.5*ULN, alpha-glumatyl transferase, lactate dehydrogenase >3*ULN.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Number [participants]
10
90.9%
15
100%
13
100%
9
75%
19
95%
5
100%
15
93.8%
5. Primary Outcome
Title Number of Participants With Injection Site Reactions
Description Injection site reactions included irritation, erythema, pain, hematoma, inflammation.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Irritation
0
0%
0
0%
0
0%
0
0%
1
5%
0
0%
1
6.3%
Erythema
0
0%
0
0%
0
0%
0
0%
1
5%
0
0%
1
6.3%
Pain
0
0%
0
0%
0
0%
2
16.7%
1
5%
0
0%
0
0%
Hematoma
0
0%
0
0%
0
0%
0
0%
3
15%
0
0%
1
6.3%
Inflammation
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
6.3%
6. Primary Outcome
Title Number of Participants With Clinically Significant Fasting Glucose Level Abnormalities
Description Criteria: Blood glucose levels >15 milligram per deciliter (mg/dL) above ULN or >15 mg/dL below LLN.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Number [participants]
10
90.9%
15
100%
13
100%
9
75%
19
95%
5
100%
15
93.8%
7. Primary Outcome
Title Number of Participants With Hypoglycaemia
Description Hypoglycaemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually <=50 mg/dL.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Number [participants]
0
0%
0
0%
0
0%
2
16.7%
1
5%
0
0%
0
0%
8. Primary Outcome
Title Number of Participants With Drug-Induced Liver Injury
Description Criteria for drug induced liver injury: Levels of aspartate transaminase (AST) or alanine transaminase (ALT) should be >= 3 times ULN concurrent with a total bilirubin of >=2 times ULN with no evidence of hemolysis and an alkaline phosphatase should be <=2 times ULN.
Time Frame Baseline up to 17 days after last dose of study drug (Day 31)

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 11 15 13 12 20 5 16
Number [participants]
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
9. Primary Outcome
Title Change From Baseline in Predose Fasting Glucose Levels at Day 8
Description Fasting glucose levels were determined before administration of OAP-189 using a glucometer.
Time Frame Baseline, Day 8

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication. Here, 'n' signifies those participants who were evaluable at specified time points. This outcome measure was not to be analyzed in participants of OAP-189 0.2, 0.4 mg IR and Placebo IR as pre-specified in the protocol.
Arm/Group Title OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo MR
Arm/Group Description Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 13 12 20 16
Baseline
10.02
(2.373)
10.06
(2.583)
9.27
(2.148)
9.01
(1.769)
Change at Day 8
-1.37
(2.222)
-2.75
(1.663)
-2.47
(1.400)
-0.25
(1.166)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OAP-189 0.2 mg IR, OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Comments The Mixed model used fixed effects of treatment, study day and treatment by study day interaction.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -0.75
Confidence Interval (2-Sided) 95%
-1.79 to 0.29
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.526
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OAP-189 0.4 mg IR, OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Comments The Mixed model used fixed effects of treatment, study day and treatment by study day interaction.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -1.90
Confidence Interval (2-Sided) 95%
-2.98 to -0.83
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.543
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg, OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Comments The Mixed model used fixed effects of treatment, study day and treatment by study day interaction.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -2.15
Confidence Interval (2-Sided) 95%
-3.06 to -1.24
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.458
Estimation Comments
10. Primary Outcome
Title Change From Baseline in Predose Fasting Glucose Levels at Day 15
Description Fasting glucose levels were determined before administration of OAP-189 using a glucometer.
Time Frame Baseline, Day 15

Outcome Measure Data

Analysis Population Description
Safety population included all randomly assigned participants who received at least 1 dose of study medication. Here, 'N' signifies those participants who were evaluable for this measure. This outcome measure was not to be analyzed in participants of OAP-189 0.2, 0.4 mg IR and Placebo IR as pre-specified in protocol.
Arm/Group Title OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo MR
Arm/Group Description Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 7 12 20 14
Mean (Standard Deviation) [millimole per liter]
-2.62
(0.998)
-3.87
(1.783)
-3.49
(1.643)
-0.33
(1.273)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OAP-189 0.2 mg IR, OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Comments The Mixed model used fixed effects of treatment, study day and treatment by study day interaction.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter LS Mean difference
Estimated Value -2.37
Confidence Interval (2-Sided) 95%
-3.52 to -1.22
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.580
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OAP-189 0.4 mg IR, OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Comments The Mixed model used fixed effects of treatment, study day and treatment by study day interaction.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -3.18
Confidence Interval (2-Sided) 95%
-4.16 to -2.20
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.495
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg, OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Comments The Mixed model used fixed effects of treatment, study day and treatment by study day interaction.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter LS mean difference
Estimated Value -3.14
Confidence Interval (2-Sided) 95%
-4.01 to -2.28
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.437
Estimation Comments
11. Other Pre-specified Outcome
Title Plasma Concentration Versus Time Summary of Metformin Following Single Dose of OAP-189
Description Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =2 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Time Frame Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6 hours post-dose on Day 14

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) analysis set. Here, 'N' (Number of Participants analyzed) signifies those participants who were evaluable for this measure. This outcome measure was not to be analyzed in participants of OAP-189 0.2, 0.4 mg IR, Placebo IR, OAP-189 MR (0.25:1 Z/P ratio) 1.2 mg followed by 1.6 mg and Placebo MR as pre-specified in protocol.
Arm/Group Title OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Arm/Group Description Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 7 12
Pre-dose
318.7
(140.36)
455.6
(246.43)
1 hour post dose
899.1
(344.02)
990.9
(453.01)
2 hour post dose
885.4
(364.20)
1112
(652.61)
3 hour post dose
881.4
(357.83)
1063
(613.86)
4 hour post dose
912.3
(381.22)
943.7
(474.35)
6 hour post dose
869.7
(215.27)
804.8
(349.20)
12. Other Pre-specified Outcome
Title Plasma Concentration Versus Time Summary of Metformin Following Multiple Dose of OAP-189
Description Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =2 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Time Frame Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24 hours post-dose on Day 7

Outcome Measure Data

Analysis Population Description
PK analysis set. Here, 'N' = participants evaluable for this measure. This outcome was not to be analyzed in participants of Placebo IR, OAP-189 MR (0.05:1 Z/P ratio) 0.9 mg followed by 1.2 mg, OAP-189 MR (0.1:1 Z/P ratio) 1.2 mg followed by 1.6 mg, OAP-189 MR (0.25:1 Z/P ratio) 1.2 mg followed by 1.6 mg and Placebo MR as pre-specified in protocol.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 10 14
Pre-dose
544.7
(334.72)
558.9
(386.19)
1 hour post dose
998.8
(360.42)
1276
(858.80)
2 hour post dose
980.7
(336.37)
1084
(582.26)
3 hour post dose
995.8
(342.21)
985.5
(424.50)
4 hour post dose
938.3
(355.38)
974.7
(504.81)
6 hour post dose
804.6
(343.23)
854.0
(415.21)
8 hour post dose
617.0
(265.18)
735.4
(350.03)
10 hour post dose
462.4
(194.50)
658.1
(457.83)
12 hour post dose
987.2
(442.22)
1029
(477.30)
14 hour post dose
972.6
(415.05)
976.4
(497.10)
16 hour post dose
889.7
(465.26)
906.1
(418.88)
24 hour post dose
455.1
(488.53)
503.5
(334.27)
13. Other Pre-specified Outcome
Title Plasma Concentration Versus Time Summary of Single Dose of OAP-189
Description Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ = 0.500 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Time Frame Pre-dose (2 hours before dosing), 2, 4, 6 hours post-dose on Day 7; Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24, 48, 72 hours post-dose on Day 14

Outcome Measure Data

Analysis Population Description
PK analysis set. Here, 'n' signifies those participants who were evaluable at specified time points. This outcome measure was not to be analyzed in participants of OAP-189 0.2, 0.4 mg IR, Placebo IR and MR as pre-specified in protocol.
Arm/Group Title OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Arm/Group Description Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 13 12 20
Day 7: Pre-dose
2.173
(0.55480)
3.253
(1.2371)
2.313
(1.0927)
Day 7: 2 hour post dose
8.065
(2.8023)
11.56
(8.9549)
5.380
(3.2235)
Day 7: 4 hour post dose
10.40
(4.8907)
14.21
(10.429)
6.113
(2.8196)
Day 7: 6 hour post dose
9.173
(4.4176)
11.71
(6.7732)
5.249
(2.7225)
Day 14: Pre-dose
3.350
(0.85499)
4.550
(2.0888)
3.404
(1.6691)
Day 14: 1 hour post dose
6.740
(3.4367)
18.46
(34.903)
7.686
(5.0265)
Day 14: 2 hour post dose
9.747
(4.8634)
19.53
(23.410)
8.492
(4.0211)
Day 14: 3 hour post dose
11.23
(4.4618)
19.79
(17.035)
8.969
(3.6809)
Day 14: 4 hour post dose
11.70
(4.4452)
17.88
(12.785)
8.911
(3.5977)
Day 14: 6 hour post dose
9.611
(3.7471)
14.97
(10.234)
7.353
(3.2211)
Day 14: 8 hour post dose
8.094
(3.3158)
12.83
(7.6125)
6.326
(2.7418)
Day 14: 10 hour post dose (
6.991
(2.6902)
10.13
(5.8597)
5.845
(2.1174)
Day 14: 12 hour post dose
5.431
(2.0067)
7.939
(4.6575)
5.152
(2.3713)
Day 14: 14 hour post dose
4.341
(1.5433)
6.708
(3.4394)
4.604
(1.7001)
Day 14: 16 hour post dose
4.160
(0.93113)
5.993
(3.0649)
4.612
(1.8386)
Day 14: 24 hour post dose
2.910
(0.70512)
3.911
(1.7983)
3.688
(1.2721)
Day 14: 48 hour post dose
1.285
(0.29853)
1.781
(1.1929)
1.968
(1.1127)
Day 14: 72 hour post dose
0.4900
(0.43025)
1.070
(1.5187)
0.8378
(0.72049)
14. Other Pre-specified Outcome
Title Plasma Concentration Versus Time Summary of Multiple Dose of OAP-189
Description Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =0.500 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Time Frame Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24 hours post-dose on Day 7

Outcome Measure Data

Analysis Population Description
PK analysis set. Here, 'N' = participants evaluable for this measure. This outcome was not to be analyzed in participants of Placebo IR, OAP-189 MR (0.05:1 Z/P ratio) 0.9 mg followed by 1.2 mg, OAP-189 MR (0.1:1 Z/P ratio) 1.2 mg followed by 1.6 mg, OAP-189 MR (0.25:1 Z/P ratio) 1.2 mg followed by 1.6 mg and Placebo MR as pre-specified in protocol.
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
Measure Participants 10 14
Pre-dose
1.667
(1.4404)
3.548
(1.9612)
1 hour post dose
2.727
(1.4936)
4.920
(1.7474)
2 hour post dose
4.454
(2.9789)
7.824
(2.9187)
3 hour post dose
5.614
(3.0258)
10.09
(3.9267)
4 hour post dose
6.080
(3.0045)
11.79
(5.0857)
6 hour post dose
5.206
(2.0969)
9.204
(4.3138)
8 hour post dose
4.064
(1.6576)
6.889
(2.7902)
10 hour post dose
2.743
(1.0067)
5.076
(2.0844)
12 hour post dose
5.315
(2.0278)
9.376
(3.7875)
14 hour post dose
6.976
(2.7327)
11.61
(6.2016)
16 hour post dose
6.157
(1.8865)
10.87
(4.9706)
24 hour post dose
1.315
(0.87065)
2.591
(1.3243)

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Arm/Group Description Participants received OAP-189 0.2 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.4 mg, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 0.9 mg, MR infusion (with 0.05:1 zinc to peptide [Z/P] ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.2 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.1:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received OAP-189 1.2 mg, MR infusion (with 0.25:1 Z/P ratio) subcutaneously once daily from Day 1 to Day 7 followed by OAP-189 1.6 mg, MR infusion subcutaneously once daily from Day 8 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, IR infusion subcutaneously twice daily from Day 1 to Day 7 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization). Participants received placebo matched to OAP-189, MR infusion subcutaneously once daily from Day 1 to Day 14 along with background metformin 850 mg immediate release tablets or as per standard clinical practice (based on the dose prior to randomization).
All Cause Mortality
OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Other (Not Including Serious) Adverse Events
OAP-189 0.2 mg IR OAP-189 0.4 mg IR OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg Placebo IR Placebo MR
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 6/11 (54.5%) 11/15 (73.3%) 13/13 (100%) 10/12 (83.3%) 16/20 (80%) 1/5 (20%) 11/16 (68.8%)
Blood and lymphatic system disorders
Anaemia 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 1/16 (6.3%)
Ear and labyrinth disorders
Ear pain 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Tinnitus 0/11 (0%) 0/15 (0%) 2/13 (15.4%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Eye disorders
Vision blurred 0/11 (0%) 1/15 (6.7%) 0/13 (0%) 1/12 (8.3%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Gastrointestinal disorders
Abdominal discomfort 0/11 (0%) 0/15 (0%) 2/13 (15.4%) 3/12 (25%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Abdominal distension 0/11 (0%) 2/15 (13.3%) 4/13 (30.8%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Abdominal pain 0/11 (0%) 1/15 (6.7%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Abdominal pain upper 1/11 (9.1%) 1/15 (6.7%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Constipation 0/11 (0%) 2/15 (13.3%) 3/13 (23.1%) 3/12 (25%) 0/20 (0%) 0/5 (0%) 2/16 (12.5%)
Diarrhoea 1/11 (9.1%) 2/15 (13.3%) 3/13 (23.1%) 2/12 (16.7%) 2/20 (10%) 0/5 (0%) 0/16 (0%)
Dry mouth 0/11 (0%) 1/15 (6.7%) 2/13 (15.4%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 1/16 (6.3%)
Dyspepsia 0/11 (0%) 1/15 (6.7%) 5/13 (38.5%) 0/12 (0%) 2/20 (10%) 0/5 (0%) 0/16 (0%)
Eructation 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Flatulence 0/11 (0%) 2/15 (13.3%) 3/13 (23.1%) 2/12 (16.7%) 0/20 (0%) 0/5 (0%) 2/16 (12.5%)
Hyperchlorhydria 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Lip dry 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 1/16 (6.3%)
Nausea 3/11 (27.3%) 8/15 (53.3%) 9/13 (69.2%) 6/12 (50%) 8/20 (40%) 0/5 (0%) 2/16 (12.5%)
Vomiting 1/11 (9.1%) 8/15 (53.3%) 2/13 (15.4%) 5/12 (41.7%) 4/20 (20%) 0/5 (0%) 2/16 (12.5%)
Vomiting projectile 0/11 (0%) 1/15 (6.7%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
General disorders
Application site irritation 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 1/16 (6.3%)
Asthenia 1/11 (9.1%) 2/15 (13.3%) 0/13 (0%) 2/12 (16.7%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Chills 0/11 (0%) 1/15 (6.7%) 1/13 (7.7%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Fatigue 0/11 (0%) 0/15 (0%) 1/13 (7.7%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Inflammation 1/11 (9.1%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Infusion site inflammation 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 1/16 (6.3%)
Injection site erythema 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 1/16 (6.3%)
Injection site haematoma 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 3/20 (15%) 0/5 (0%) 1/16 (6.3%)
Injection site pain 0/11 (0%) 0/15 (0%) 0/13 (0%) 2/12 (16.7%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Injection site reaction 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 2/20 (10%) 0/5 (0%) 0/16 (0%)
Non-cardiac chest pain 0/11 (0%) 1/15 (6.7%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Pain 1/11 (9.1%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Sluggishness 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Infections and infestations
Otitis externa 0/11 (0%) 0/15 (0%) 1/13 (7.7%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Injury, poisoning and procedural complications
Contusion 0/11 (0%) 0/15 (0%) 1/13 (7.7%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 1/16 (6.3%)
Metabolism and nutrition disorders
Decreased appetite 0/11 (0%) 3/15 (20%) 3/13 (23.1%) 4/12 (33.3%) 2/20 (10%) 0/5 (0%) 0/16 (0%)
Hypoglycaemia 0/11 (0%) 0/15 (0%) 0/13 (0%) 2/12 (16.7%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Polydipsia 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Musculoskeletal and connective tissue disorders
Back pain 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 1/5 (20%) 0/16 (0%)
Muscle spasms 0/11 (0%) 0/15 (0%) 2/13 (15.4%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Neck pain 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 1/16 (6.3%)
Pain in extremity 0/11 (0%) 0/15 (0%) 1/13 (7.7%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Nervous system disorders
Dizziness 1/11 (9.1%) 5/15 (33.3%) 2/13 (15.4%) 2/12 (16.7%) 2/20 (10%) 0/5 (0%) 1/16 (6.3%)
Dysgeusia 0/11 (0%) 0/15 (0%) 1/13 (7.7%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Headache 0/11 (0%) 3/15 (20%) 2/13 (15.4%) 5/12 (41.7%) 4/20 (20%) 0/5 (0%) 1/16 (6.3%)
Lethargy 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Somnolence 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Tremor 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Psychiatric disorders
Anxiety 0/11 (0%) 1/15 (6.7%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Insomnia 0/11 (0%) 0/15 (0%) 1/13 (7.7%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Respiratory, thoracic and mediastinal disorders
Nasal congestion 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 0/20 (0%) 0/5 (0%) 1/16 (6.3%)
Oropharyngeal pain 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 3/16 (18.8%)
Skin and subcutaneous tissue disorders
Dermatitis 1/11 (9.1%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 1/16 (6.3%)
Ecchymosis 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 3/20 (15%) 0/5 (0%) 0/16 (0%)
Erythema 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 2/20 (10%) 0/5 (0%) 0/16 (0%)
Rash 0/11 (0%) 0/15 (0%) 3/13 (23.1%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)
Skin fissures 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Skin irritation 0/11 (0%) 0/15 (0%) 0/13 (0%) 1/12 (8.3%) 0/20 (0%) 0/5 (0%) 0/16 (0%)
Umbilical erythema 0/11 (0%) 0/15 (0%) 0/13 (0%) 0/12 (0%) 1/20 (5%) 0/5 (0%) 0/16 (0%)

Limitations/Caveats

Data for fasting Insulin level abnormalities and capillary glucose level abnormalities was not reported due to change in planned analysis.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00970593
Other Study ID Numbers:
  • 3283K1-1008
  • B2201004
First Posted:
Sep 2, 2009
Last Update Posted:
Nov 2, 2020
Last Verified:
Oct 1, 2020