Safety and Efficacy Study of EGT0001442 in Subjects With Type 2 Diabetes Mellitus

Sponsor
Theracos (Industry)
Overall Status
Completed
CT.gov ID
NCT01029704
Collaborator
(none)
151
12
2
7
12.6
1.8

Study Details

Study Description

Brief Summary

The purpose of this study was to assess the effect of EGT0001442 on fasting plasma glucose after 28 days of treatment in subjects with type 2 diabetes.

The study also assessed the pharmacokinetics, safety and tolerability of EGT0001442, the effect on weight and HbA1c as well as the effect EGT0001442 has on the amount of glucose produced in the body by the urine.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

This was a phase 2 study to evaluate the efficacy of

EGT0001442. The study included two segments:

Segment 1 was a single center, open labeled, ascending dose study in 4 groups of 5 diabetic subjects per group who received 5, 10, 20, or 50 mg of EGT0001442 capsules orally once daily for 28 days. The subjects were in clinic for the first 3 days for safety and PK evaluation.

Segment 2 was a multi-center, double-blind, placebo-controlled parallel group study. One hundred and thirty one subjects in 5 parallel groups of approximately 25 diabetic subjects per group were randomly assigned to receive oral EGT0001442 at 5, 10, 20, or 50 mg/day or placebo once daily for 28 days in an outpatient setting.

Study Design

Study Type:
Interventional
Actual Enrollment :
151 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase II, Four-week, Multi-center, Double-blind, Placebo-controlled Parallel Group Study to Evaluate the Safety and Efficacy of EGT0001442 in Subjects With Type 2 Diabetes Mellitus With an Ascending Dose Safety and Pharmacokinetic Evaluation Period
Actual Study Start Date :
Dec 1, 2009
Actual Primary Completion Date :
Jul 1, 2010
Actual Study Completion Date :
Jul 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: EGT0001442

Drug: EGT0001442
Segment 1 is a single center, open labeled, ascending dose study in diabetic subjects who will receive 5, 10, 20, or 50 mg of EGT0001442 capsules orally once daily for 28 days. Segment 2 is a multi-center, double-blind, placebo-controlled parallel group study. Diabetic subjects will be randomly assigned to receive oral EGT0001442 at 5, 10, 20, or 50 mg/day for 28 days.
Other Names:
  • Human SGLT2 inhibitor
  • Placebo Comparator: Placebo

    Drug: Placebo capsules to match EGT0001442
    Segment 1: Not applicable. Segment 2: Diabetic subjects will be randomly assigned to receive oral placebo once daily for 28 days.
    Other Names:
  • Human SGLT2 inhibitor
  • Outcome Measures

    Primary Outcome Measures

    1. Changes in Fasting Plasma Glucose (FPG) From Baseline at Week 4 for Segment 2 of the Study [Baseline; Day -2 and Day 1. End of Treatment: Day 27 and Day 29]

      Fasting glucose levels were measured at four time points; At day -2, day 1, day 27 and day 29 (24-h after the last dose). Baseline is defined as the mean of FPG values on day -2 and day 1. End of treatment is defined as the mean of FPG values on day 27 and day 29. Changes in the FPG during the study period was calculated by subtracting the Baseline FPG from End of Treatment FPG.

    2. Pharmacokinetics of EGT0001442 (Cmax) at 4 Dose Levels at Week 4 [Pre-dose to 48 h post-dose]

      Blood samples were collected during Segment 1 at pre-dose and at 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12 and 24 h (day 2), and 48 h (day 3) post dose for the determination of EGT0001442. Plasma concentrations of EGT0001442 were measured using a validated HPLC/MS-MS method and PK parameters were calculated by standard noncompartmental methods.

    3. Pharmacokinetics of EGT0001442 (AUC 0-t and 0-24) at 4 Dose Levels at Week 4 [Pre-dose to 48 h post-dose]

      Blood samples were collected during Segment 1 at pre-dose and at 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12 and 24 h (day 2), and 48 h (day 3) post dose for the determination of EGT0001442. Plasma concentrations of EGT0001442 were measured using a validated HPLC/MS-MS method and PK parameters were calculated by standard noncompartmental methods.

    Secondary Outcome Measures

    1. Change in the Body Weight From Baseline at Week 4 [Baseline and Day 29]

      Changes in the body weight during the study period was calculated by subtracting body weight on day 1 from body weight at the end of treatment on day 29.

    2. Changes in Hemoglobin A1c (HbA1c) From Baseline at Week 4 [Baseline and Day 29]

      HbA1c levels were measured at two time points; on day 1 and day 29 (end of treatment). Changes in the HbA1c level during the study period was calculated by subtracting HbA1c level on day 1 from HbA1c level at the end of treatment (day 29)

    3. Change in Urinary Glucose Excretion From Baseline to Day 1 and Day 28 [Baseline, Day 1 and Day 28]

      Urinary glucose levels were measured at three time points; on Day 0 (baseline), Day 1 and Day 28 (end of treatment). Changes in the urinary glucose level during the study period was calculated by reducing the baseline urinary glucose level (Day 1) from urinary glucose level at end of treatment (Day 28) (i.e urinary glucose level on Day 28 minus urinary glucose level on Day 1).

    4. Change in FPG Following Cessation of Treatment [Days 27/29 to Days 41/43]

      The mean change in FPG following cessation of treatment was obtained by calculating the difference between FPG values obtained on End of treatment (average of FPG values on days 27 and 29) and on Post Treatment (average of FPG values on days 41 and 43).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 70 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female between the ages of 18 and 70 years diagnosed with type 2 diabetes.

    • Body mass index (BMI) between 18 kg/m2 and 37 kg/m2 (inclusive).

    • HbA1c levels between 6.5 and 9.5 (inclusive) where the upper limit of normal for the HbA1c assay is 6.4% or HbA1c levels between 6.2 and 9.5% (inclusive) where the upper limit of normal for the HbA1c assay is 6.1%.

    • Fasting plasma glucose levels between 126 and 270 mg/dL (7 - 15 mmol/L, inclusive) while on diabetic medications.

    • Treatment naïve subjects with HbA1c between 6.5 and 9.5 and fasting plasma glucose between 126 and 270 mg/dL (7 - 15 mmol/L).

    • If taking drugs for diabetes, must be medically able and willing to discontinue diabetic medications for the duration of the study.

    • Female subjects must be surgically sterilized or postmenopausal.

    Exclusion Criteria:
    • Type 1 diabetes or diabetes treated with insulin injection.

    • Insulin therapy or oral antidiabetic medication other than metformin, sitagliptin, saxagliptin, a sulfonylurea or combination of these.

    • Sitting blood pressure above 150/95 mmHg on two evaluations at least 10 minutes apart at screening.

    • Positive results on screen for drugs of abuse.

    • Previous treatment with an investigational drug within 30 days or 7 half-lives, whichever is longer.

    • Previous treatment with EGT0001474 or EGT0001442.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Research Site #10 Birmingham Alabama United States
    2 Research Site #04 National City California United States
    3 Research Site #12 Denver Colorado United States
    4 Research Site #07 Miami Florida United States
    5 Research Site #08 Miami Florida United States
    6 Research Site #06 Reading Pennsylvania United States
    7 Research Site #11 DeSoto Texas United States
    8 Research Site #01 San Antonio Texas United States
    9 Research Site #15 San Antonio Texas United States
    10 Research Site #03 Brampton Ontario Canada
    11 Research Site #13 London Ontario Canada
    12 Research Site #02 Mississauga Ontario Canada

    Sponsors and Collaborators

    • Theracos

    Investigators

    • Study Chair: Mason W Freeman, M.D., Massachusetts General Hospital

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Theracos
    ClinicalTrials.gov Identifier:
    NCT01029704
    Other Study ID Numbers:
    • THR-1442-C-402
    First Posted:
    Dec 10, 2009
    Last Update Posted:
    Jun 16, 2021
    Last Verified:
    Jun 1, 2021

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg Segment 2 (Double-blind): Placebo Segment 2 (Double-blind): EGT0001442 5mg Segment 2 (Double-blind): EGT0001442 10mg Segment 2 (Double-blind): EGT0001442 20mg Segment 2 (Double-blind): EGT0001442 50mg
    Arm/Group Description Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days Received placebo once daily for 28 days Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days
    Period Title: Overall Study
    STARTED 5 5 5 5 28 24 23 28 26
    COMPLETED 5 5 5 5 23 20 19 22 25
    NOT COMPLETED 0 0 0 0 5 4 4 6 1

    Baseline Characteristics

    Arm/Group Title Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg Segment 2 (Double-blind): Placebo Segment 2 (Double-blind): EGT0001442 5mg Segment 2 (Double-blind): EGT0001442 10mg Segment 2 (Double-blind): EGT0001442 20mg Segment 2 (Double-blind): EGT0001442 50mg Total
    Arm/Group Description Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days Received placebo once daily for 28 days Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days Total of all reporting groups
    Overall Participants 5 5 5 5 28 24 23 28 26 149
    Age (years) [Mean (Standard Deviation) ]
    Segment 1
    62.2
    (7.9)
    49.4
    (14.2)
    51.4
    (11.7)
    53.2
    (5.8)
    54.1
    (10.8)
    Segment 2
    58.7
    (7.3)
    57.8
    (6.9)
    54.9
    (9)
    59
    (7.1)
    54.7
    (6.7)
    57.1
    (7.5)
    Sex: Female, Male (Count of Participants)
    Female
    1
    20%
    1
    20%
    3
    60%
    1
    20%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    6
    4%
    Male
    4
    80%
    4
    80%
    2
    40%
    4
    80%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    14
    9.4%
    Female
    11
    220%
    9
    180%
    12
    240%
    12
    240%
    18
    64.3%
    62
    258.3%
    Male
    17
    340%
    15
    300%
    11
    220%
    16
    320%
    8
    28.6%
    67
    279.2%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    4
    80%
    4
    80%
    3
    60%
    4
    80%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    15
    10.1%
    Not Hispanic or Latino
    1
    20%
    1
    20%
    2
    40%
    1
    20%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    5
    3.4%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Hispanic or Latino
    20
    400%
    16
    320%
    15
    300%
    19
    380%
    19
    67.9%
    89
    370.8%
    Not Hispanic or Latino
    8
    160%
    8
    160%
    8
    160%
    9
    180%
    7
    25%
    40
    166.7%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    1
    20%
    1
    20%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    2
    1.3%
    White
    5
    100%
    5
    100%
    4
    80%
    4
    80%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    18
    12.1%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    5
    100%
    2
    40%
    3
    60%
    4
    80%
    1
    3.6%
    15
    62.5%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    2
    40%
    2
    40%
    1
    20%
    1
    20%
    0
    0%
    6
    25%
    White
    21
    420%
    20
    400%
    19
    380%
    22
    440%
    24
    85.7%
    106
    441.7%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    1
    20%
    1
    3.6%
    2
    8.3%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Height (cm) [Mean (Standard Deviation) ]
    Segment 1
    172.04
    (11.49)
    167.34
    (11.42)
    163.74
    (9.10)
    172.80
    (9.00)
    168.98
    (10.20)
    Segment 2
    167.76
    (11.09)
    170.15
    (9.32)
    167.50
    (9.83)
    166.71
    (9.60)
    164.92
    (10.98)
    167.36
    (10.19)
    Weight (kg) [Mean (Standard Deviation) ]
    Segment 1
    91.04
    (14.48)
    83.72
    (9.86)
    92.18
    (16.65)
    87.22
    (12.81)
    88.54
    (13.01)
    Segment 2
    84.34
    (15.83)
    86.75
    (13.53)
    81.40
    (15.03)
    81.03
    (12.17)
    84.18
    (17.61)
    83.51
    (14.86)
    BMI (kg/m2) [Mean (Standard Deviation) ]
    Segment 1
    30.58
    (1.85)
    30.00
    (3.39)
    34.18
    (3.58)
    29.14
    (2.94)
    30.98
    (3.40)
    Segment 2
    29.77
    (3.03)
    29.96
    (3.98)
    28.91
    (4.02)
    29.10
    (3.30)
    30.75
    (4.47)
    29.70
    (3.77)

    Outcome Measures

    1. Primary Outcome
    Title Changes in Fasting Plasma Glucose (FPG) From Baseline at Week 4 for Segment 2 of the Study
    Description Fasting glucose levels were measured at four time points; At day -2, day 1, day 27 and day 29 (24-h after the last dose). Baseline is defined as the mean of FPG values on day -2 and day 1. End of treatment is defined as the mean of FPG values on day 27 and day 29. Changes in the FPG during the study period was calculated by subtracting the Baseline FPG from End of Treatment FPG.
    Time Frame Baseline; Day -2 and Day 1. End of Treatment: Day 27 and Day 29

    Outcome Measure Data

    Analysis Population Description
    Subjects participated in Segment 2 of the study were included in the analysis.
    Arm/Group Title Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    Arm/Group Description Received no drug (EGT0001442) during 28 days Received 5mg of EGT0001442 per day for 28 days Received 10mg of EGT0001442 per day for 28 days Received 20mg of EGT0001442 per day for 28 days Received 50mg of EGT0001442 per day for 28 days
    Measure Participants 28 24 23 28 26
    Least Squares Mean (Standard Error) [mg/dL]
    -12.595
    (7.025)
    -29.518
    (7.767)
    -30.429
    (8.386)
    -32.586
    (7.305)
    -44.605
    (7.299)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 5mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0989
    Comments P-values are from two-sided test at 5% level
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -16.923
    Confidence Interval (2-Sided) 95%
    -37.076 to 3.230
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 10mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0964
    Comments P-values are from two-sided test at 5% level
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -17.834
    Confidence Interval (2-Sided) 95%
    -38.909 to 3.242
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 20mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0465
    Comments P-values are from two-sided test at 5% level
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -19.991
    Confidence Interval (2-Sided) 95%
    -39.670 to -0.312
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 50mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0015
    Comments P-values are from two-sided test at 5% level
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -32.010
    Confidence Interval (2-Sided) 95%
    -51.487 to -12.533
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Primary Outcome
    Title Pharmacokinetics of EGT0001442 (Cmax) at 4 Dose Levels at Week 4
    Description Blood samples were collected during Segment 1 at pre-dose and at 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12 and 24 h (day 2), and 48 h (day 3) post dose for the determination of EGT0001442. Plasma concentrations of EGT0001442 were measured using a validated HPLC/MS-MS method and PK parameters were calculated by standard noncompartmental methods.
    Time Frame Pre-dose to 48 h post-dose

    Outcome Measure Data

    Analysis Population Description
    20 subjects in Segment 1 of the study were included in the analysis. The PK study was not included in Segment 2.
    Arm/Group Title Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg
    Arm/Group Description Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days
    Measure Participants 5 5 5 5
    Mean (Standard Deviation) [ng/mL]
    40.42
    (15.21)
    83.38
    (30.93)
    164.20
    (40.21)
    541.20
    (192.20)
    3. Secondary Outcome
    Title Change in the Body Weight From Baseline at Week 4
    Description Changes in the body weight during the study period was calculated by subtracting body weight on day 1 from body weight at the end of treatment on day 29.
    Time Frame Baseline and Day 29

    Outcome Measure Data

    Analysis Population Description
    Subjects participated in Segment 2 of the study were included in the analysis.
    Arm/Group Title Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    Arm/Group Description Received no drug (EGT0001442) during 28 days Received 5mg of EGT0001442 per day for 28 days Received 10mg of EGT0001442 per day for 28 days Received 20mg of EGT0001442 per day for 28 days Received 50mg of EGT0001442 per day for 28 days
    Measure Participants 28 24 23 28 26
    Least Squares Mean (Standard Error) [Kg]
    0.258
    (0.304)
    -1.176
    (0.345)
    -0.779
    (0.346)
    -1.796
    (0.324)
    -0.914
    (0.315)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 5mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0025
    Comments P-values are from a two-sided test.
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -1.434
    Confidence Interval (2-Sided) 95%
    -2.349 to -0.520
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 10mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0269
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -1.037
    Confidence Interval (2-Sided) 95%
    -1.952 to -0.122
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 20mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.0001
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -2.054
    Confidence Interval (2-Sided) 95%
    -2.938 to -1.170
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 50mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0090
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -1.172
    Confidence Interval (2-Sided) 95%
    -2.044 to -0.301
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    4. Secondary Outcome
    Title Changes in Hemoglobin A1c (HbA1c) From Baseline at Week 4
    Description HbA1c levels were measured at two time points; on day 1 and day 29 (end of treatment). Changes in the HbA1c level during the study period was calculated by subtracting HbA1c level on day 1 from HbA1c level at the end of treatment (day 29)
    Time Frame Baseline and Day 29

    Outcome Measure Data

    Analysis Population Description
    Subjects participated in Segment 2 of the study were included in the analysis.
    Arm/Group Title Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    Arm/Group Description Received no drug (EGT0001442) during 28 days Received 5mg of EGT0001442 per day for 28 days Received 10mg of EGT0001442 per day for 28 days Received 20mg of EGT0001442 per day for 28 days Received 50mg of EGT0001442 per day for 28 days
    Measure Participants 28 24 23 28 26
    Geometric Least Squares Mean (Standard Error) [percentage of HbA1c]
    0.178
    (0.107)
    -0.176
    (0.122)
    0.022
    (0.123)
    0.173
    (0.115)
    -0.167
    (0.112)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 5mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0281
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -0.353
    Confidence Interval (2-Sided) 95%
    -0.668 to -0.039
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 10mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3215
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -0.155
    Confidence Interval (2-Sided) 95%
    -0.464 to 0.154
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 20mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.9776
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -0.004
    Confidence Interval (2-Sided) 95%
    -0.304 to 0.295
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 50mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0242
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value -0.344
    Confidence Interval (2-Sided) 95%
    -0.642 to -0.046
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Change in Urinary Glucose Excretion From Baseline to Day 1 and Day 28
    Description Urinary glucose levels were measured at three time points; on Day 0 (baseline), Day 1 and Day 28 (end of treatment). Changes in the urinary glucose level during the study period was calculated by reducing the baseline urinary glucose level (Day 1) from urinary glucose level at end of treatment (Day 28) (i.e urinary glucose level on Day 28 minus urinary glucose level on Day 1).
    Time Frame Baseline, Day 1 and Day 28

    Outcome Measure Data

    Analysis Population Description
    Only number of subjects with data available in the specific treatment group is included
    Arm/Group Title Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    Arm/Group Description Received no drug (EGT0001442) during 28 days Received 5mg of EGT0001442 per day for 28 days Received 10mg of EGT0001442 per day for 28 days Received 20mg of EGT0001442 per day for 28 days Received 50mg of EGT0001442 per day for 28 days
    Measure Participants 28 23 22 28 26
    Change in 24 h UGE from baseline to Day 1
    -3.55
    (13.05)
    26.21
    (11.08)
    24.17
    (16.89)
    25.13
    (12.72)
    29.61
    (20.00)
    Change in 24 h UGE from baseline to Day 28
    -0.20
    (14.98)
    22.57
    (16.56)
    18.71
    (20.46)
    21.01
    (16.43)
    26.80
    (19.36)
    6. Secondary Outcome
    Title Change in FPG Following Cessation of Treatment
    Description The mean change in FPG following cessation of treatment was obtained by calculating the difference between FPG values obtained on End of treatment (average of FPG values on days 27 and 29) and on Post Treatment (average of FPG values on days 41 and 43).
    Time Frame Days 27/29 to Days 41/43

    Outcome Measure Data

    Analysis Population Description
    Subjects participated in Segment 2 of the study and had fasting plasma glucose (FPG) values at the end of treatment (mean FPG value on days 27 and 29) and at post-treatment (mean FPG values on days 41 and 43) are included in the analysis.
    Arm/Group Title Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    Arm/Group Description Received no drug (EGT0001442) during 28 days Received 5mg of EGT0001442 per day for 28 days Received 10mg of EGT0001442 per day for 28 days Received 20mg of EGT0001442 per day for 28 days Received 50mg of EGT0001442 per day for 28 days
    Measure Participants 26 21 19 21 25
    Least Squares Mean (Standard Error) [mg/dL]
    0.058
    (8.256)
    17.746
    (8.896)
    17.148
    (10.421)
    24.437
    (7.989)
    20.807
    (8.021)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 5mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1613
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value 17.688
    Confidence Interval (2-Sided) 95%
    -7.210 to 42.587
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 10mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2079
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value 17.091
    Confidence Interval (2-Sided) 95%
    -9.696 to 43.877
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 20mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0410
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value 24.379
    Confidence Interval (2-Sided) 95%
    1.028 to 47.731
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo, EGT0001442 50mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0862
    Comments P-values are from a two-sided test
    Method ANCOVA
    Comments Analysis is based on ANCOVA with change from baseline as dependent variable and treatment as fixed effect and baseline and center as covariate.
    Method of Estimation Estimation Parameter Difference of LS Means
    Estimated Value 20.749
    Confidence Interval (2-Sided) 95%
    -3.019 to 44.518
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    7. Primary Outcome
    Title Pharmacokinetics of EGT0001442 (AUC 0-t and 0-24) at 4 Dose Levels at Week 4
    Description Blood samples were collected during Segment 1 at pre-dose and at 30 minutes and 1, 2, 3, 4, 6, 8, 10, 12 and 24 h (day 2), and 48 h (day 3) post dose for the determination of EGT0001442. Plasma concentrations of EGT0001442 were measured using a validated HPLC/MS-MS method and PK parameters were calculated by standard noncompartmental methods.
    Time Frame Pre-dose to 48 h post-dose

    Outcome Measure Data

    Analysis Population Description
    20 subjects in Segment 1 of the study were included in the analysis. The PK study was not included in Segment 2. AUC0-24 values for two participants in 5 mg arm were not calculated.
    Arm/Group Title Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg
    Arm/Group Description Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days
    Measure Participants 5 5 5 5
    AUC0-t
    334.02
    (51.80)
    681.88
    (74.66)
    1312.36
    (487.28)
    3308.88
    (785.59)
    AUC0-24
    328.85
    (56.07)
    548.15
    (70.41)
    1076.39
    (373.15)
    2755.68
    (586.08)

    Adverse Events

    Time Frame Adverse event data was collected from Day -7 (Visit 3; Washout monitor) to Day 43 (Visit 14; Termination)
    Adverse Event Reporting Description
    Arm/Group Title Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    Arm/Group Description Received 5mg of EGT0001442 once daily for 28 days Received 10mg of EGT0001442 once daily for 28 days Received 20mg of EGT0001442 once daily for 28 days Received 50mg of EGT0001442 once daily for 28 days Received no drug (EGT0001442) during 28 days Received 5mg of EGT0001442 per day for 28 days Received 10mg of EGT0001442 per day for 28 days Received 20mg of EGT0001442 per day for 28 days Received 50mg of EGT0001442 per day for 28 days
    All Cause Mortality
    Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    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 Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Serious Adverse Events
    Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    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 Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 1/24 (4.2%) 1/23 (4.3%) 0/28 (0%) 0/26 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Breast cancer 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 1/23 (4.3%) 0/28 (0%) 0/26 (0%)
    Vascular disorders
    Thrombophlebitis superficial 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 1/24 (4.2%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Other (Not Including Serious) Adverse Events
    Segment 1 (Dose Escalation): EGT0001442 5mg Segment 1 (Dose Escalation): EGT0001442 10mg Segment 1 (Dose Escalation): EGT0001442 20mg Segment 1 (Dose Escalation): EGT0001442 50mg Placebo EGT0001442 5mg EGT0001442 10mg EGT0001442 20mg EGT0001442 50mg
    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 Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/5 (60%) 3/5 (60%) 3/5 (60%) 2/5 (40%) 4/28 (14.3%) 3/24 (12.5%) 6/23 (26.1%) 6/28 (21.4%) 6/26 (23.1%)
    Blood and lymphatic system disorders
    Leucopenia 0/5 (0%) 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Gastrointestinal disorders
    Abdominal pain upper 1/5 (20%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Constipation 0/5 (0%) 1/5 (20%) 0/5 (0%) 1/5 (20%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Dyspepsia 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Nausea 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    General disorders
    Fatigue 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 2/28 (7.1%) 0/24 (0%) 1/23 (4.3%) 0/28 (0%) 1/26 (3.8%)
    Infections and infestations
    Balanitis candida 1/5 (20%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 1/26 (3.8%)
    Urinary tract infection 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 2/23 (8.7%) 0/28 (0%) 0/26 (0%)
    Injury, poisoning and procedural complications
    Contusion 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Scratch 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Metabolism and nutrition disorders
    Hypomagnesaemia 0/5 (0%) 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Nervous system disorders
    Dizziness 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Headache 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/5 (0%) 1/28 (3.6%) 3/24 (12.5%) 1/23 (4.3%) 4/28 (14.3%) 3/26 (11.5%)
    Renal and urinary disorders
    Pollakiuria 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 2/23 (8.7%) 1/28 (3.6%) 1/26 (3.8%)
    Polyuria 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 1/28 (3.6%) 0/24 (0%) 0/23 (0%) 2/28 (7.1%) 0/26 (0%)
    Reproductive system and breast disorders
    Vulvovaginal pain 1/5 (20%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Vulvovaginal pruritus 1/5 (20%) 0/5 (0%) 0/5 (0%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Respiratory, thoracic and mediastinal disorders
    Cough 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Nasal discomfort 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/5 (0%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 0/26 (0%)
    Oropharyngeal pain 0/5 (0%) 0/5 (0%) 0/5 (0%) 1/5 (20%) 0/28 (0%) 0/24 (0%) 0/23 (0%) 0/28 (0%) 2/26 (7.7%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The Investigator does not have the right to publish trial results.

    Results Point of Contact

    Name/Title Albert Collinson
    Organization Theracos, Inc.
    Phone (508) 630-2129
    Email acollinson@theracos.com
    Responsible Party:
    Theracos
    ClinicalTrials.gov Identifier:
    NCT01029704
    Other Study ID Numbers:
    • THR-1442-C-402
    First Posted:
    Dec 10, 2009
    Last Update Posted:
    Jun 16, 2021
    Last Verified:
    Jun 1, 2021