To Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes With Differing Baseline Diabetes Therapies

Sponsor
Novartis (Industry)
Overall Status
Completed
CT.gov ID
NCT01068860
Collaborator
(none)
246
52
10
5.9
4.7
0.8

Study Details

Study Description

Brief Summary

This was a 10-week, placebo-controlled, randomized study to investigate the effect of injectable IL-1B antagonist, Canakinumab , in participants with impaired glucose tolerance or Type 2 Diabetes Mellitus (T2DM) already treated on different background diabetes therapies.

Condition or Disease Intervention/Treatment Phase
  • Drug: Canakinumab 150 mg
  • Drug: Placebo to Canakinumab
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
246 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Multi-center, Double-blind, Placebo-controlled, Randomized Study to Compare the Effect of a Subcutaneous Canakinumab Administration to Placebo in Patients With Impaired Glucose Tolerance or Patients With Type 2 Diabetes Treated With Differing Baseline Diabetes Therapies
Study Start Date :
Feb 1, 2010
Actual Primary Completion Date :
Aug 1, 2010
Actual Study Completion Date :
Aug 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: Canakinumab 150 mg + Metformin

Eligible participants received a single subcutaneous injection Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening

Drug: Canakinumab 150 mg
Single subcutaneous injection of Canakinumab 150 mg.
Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Placebo Comparator: Placebo + Metformin

    Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening

    Drug: Placebo to Canakinumab
    Single subcutaneous injection of Placebo to Canakinumab.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Experimental: Canakinumab 150 mg + Metforimin + Sulfonylurea

    Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

    Drug: Canakinumab 150 mg
    Single subcutaneous injection of Canakinumab 150 mg.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Placebo Comparator: Placebo + Metforimin + Sulfonylurea

    Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

    Drug: Placebo to Canakinumab
    Single subcutaneous injection of Placebo to Canakinumab.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Experimental: Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione

    Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

    Drug: Canakinumab 150 mg
    Single subcutaneous injection of Canakinumab 150 mg.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Placebo Comparator: Placebo + Met + Sulfonyl + Thiazolidinedione

    Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening.

    Drug: Placebo to Canakinumab
    Single subcutaneous injection of Placebo to Canakinumab.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Experimental: Canakinumab 150 mg + Insulin

    Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening

    Drug: Canakinumab 150 mg
    Single subcutaneous injection of Canakinumab 150 mg.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Placebo Comparator: Placebo + Insulin

    Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening

    Drug: Placebo to Canakinumab
    Single subcutaneous injection of Placebo to Canakinumab.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Experimental: Canakinumab 150 mg in patients with IGT

    Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.

    Drug: Canakinumab 150 mg
    Single subcutaneous injection of Canakinumab 150 mg.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Placebo Comparator: Placebo in patients with IGT

    Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.

    Drug: Placebo to Canakinumab
    Single subcutaneous injection of Placebo to Canakinumab.
    Other Names:
  • ACZ885
  • Glucophage
  • Chlorpropramide
  • Diabinese
  • Acetohexamide
  • Dymelor
  • Tolazamise
  • Tolinase
  • Tolbutamise
  • Orinase
  • Glipizide
  • Glucotrol
  • Glimepiride
  • Amaryl
  • Glyburide
  • DiaBeta
  • Micronase
  • Glynase PresTab
  • Troglitazone
  • Rezulin
  • Insulin
  • Iletin
  • Novolin
  • Velosulin
  • Humalog
  • Humulin
  • Lente
  • Ultralente
  • NPH Iletin
  • Outcome Measures

    Primary Outcome Measures

    1. Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-2 Hours, From Baseline to 4 Weeks. [Baseline, 4 weeks]

      Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal.A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include patients from the IGT population

    Secondary Outcome Measures

    1. Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 2-4 Hours, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population

    2. Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-4 Hours, From Baseline to 4 Weeks. [Baseline, 4 weeks]

      Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose, insulin and C-peptide at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.

    3. Mean Change in Fasting Plasma Glucose, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in Fasting Glucose Level measured from plasma taken at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population

    4. Mean Change in Fructosamine, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in Fructosamine Level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population

    5. Mean Change in Fasting Plasma Insulin, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in Fasting Insulin level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population

    6. Mean Change in Quantitative Insulin Sensitivity Check Index (QUICKI) Score, From Baseline to 4 Weeks [Baseline, 4 weeks]

      The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. The score is calculated by the equation: 1 /(log(fasting insulin µU/mL) + log(fasting glucose mg/dL)). In normal subjects the mean score ± SE is 0.366 ± 0.029. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.

    7. Mean Change in Fasting Glucose Disposition Index(GDI)1 and Index 2, From Baseline to 4 Weeks [Baseline, 4 weeks]

      GDI 1 is the product of insulin sensitivity index (Si)during the 1st phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR).GDI 2 is the product of (Si)during the 2nd phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR). A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT group.

    8. Mean Change in Absolute Glucose Level at 2 Hours, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in glucose level measured after 2 hours of fasting. Blood sample was drawn at 0 minutes and at 240 minutes. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.

    9. Mean Change in Insulin Area Under the Curve (AUC) 0-4 Hours, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.

    10. Mean Change in C-peptide Area Under the Curve (AUC), 0-4 Hours, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.

    11. Mean Change in Post-prandial Glucose Area Under the Curve (AUC)0-4 Hours, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.

    12. Mean Change in Peak Plasma Glucose, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in peak plasma glucose level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.

    13. Mean Change in Peak Plasma Insulin, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in mean peak plasma Insulin level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.

    14. Mean Change in Peak Plasma C-peptide Level, From Baseline to 4 Weeks [Baseline, 4 weeks]

      Change in mean peak plasma C-peptide level measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.

    15. Number of Participants Reporting Death, Serious Adverse Events (SAEs) and Adverse Events (AEs) Above 5% Frequency, From Baseline to 4 Weeks [Baseline, 4 weeks]

      An adverse event is any unwanted event, whether related to study drug or not occuring during the study period. A Serious Adverse Event (SAE) is an event resulting in death, requiring or prolonging hospitalization, a congenital anomaly or other important medical event. AEs and SAEs were recorded at each visit.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 74 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Patient must fulfill all criteria in one of the following groups:
    • Impaired Glucose Tolerance (IGT) as diagnosed per protocol and not on an anti-diabetic medicine during the study

    • Diagnosis of Type 2 diabetes in stable treatment with metformin

    • Diagnosis of Type 2 diabetes in stable treatment with metformin (at least 1000 mg/day) in combination with a sulfonylurea

    • Diagnosis of Type 2 diabetes in stable treatment with metformin (at least 1000 mg/day), sulfonylurea and thiazolidinedione combination therapy

    • Diagnosis of Type 2 diabetes in stable treatment with at least two insulin injections a day with or without metformin

    1. HbA1c between 6.5% and 8%, inclusive, at Screening; this criterion does not apply to the IGT group

    2. Age from 18-74 years, inclusive, and of either sex

    Exclusion Criteria:
    1. Type 1 diabetes or diabetes that is a result of pancreatic injury or other secondary forms of diabetes

    2. History or current findings of active pulmonary disease (e.g. tuberculosis, fungal diseases) as defined in the protocol:

    3. Known presence or suspicion of active or recurrent bacterial, fungal or viral infection at the time of enrollment proven.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Research Institute Los Angeles California United States
    2 Crest Clinical Trials Santa Ana California United States
    3 Encompass Clinical Research Spring Valley California United States
    4 Commonwealth Biomedical Research LLC Madisonville Kentucky United States
    5 University of Nebraska Medical Center Omaha Nebraska United States
    6 VA Medical Center Omaha Nebraska United States
    7 Lillestol Research LLC Fargo North Dakota United States
    8 Preferred Primary Care Physicians Pittsburgh Pennsylvania United States
    9 Dallas Diabetes and Endocrine Center Dallas Texas United States
    10 Texas Center for Drug Development P.A. Houston Texas United States
    11 Utah Clinical Trials Salt Lake City Utah United States
    12 Barwon Health - Geelong Hospital Geelong Victoria Australia
    13 Austin Health - Heidelberg Repatriation Hospital Heidelberg Heights Victoria Australia
    14 Melbourne Health - Royal Melbourne Hospital Melbourne Victoria Australia
    15 Lifestyle Metabolism Centre (Etobicoke) Etobicoke Ontario Canada
    16 LMC Endocrinology Centres (Markham) Ltd Markham Ontario Canada
    17 LMC Endocrinology Centres (Thornhill) Ltd Thornhill Ontario Canada
    18 Centre de recherche clinique de Laval Laval Quebec Canada
    19 Hôpital Maisonneuve-Rosemont Montreal Quebec Canada
    20 Lihavuustutkimusyksikkö Helsinki Finland
    21 Lääkärikeskus Mehiläinen Töölö Helsinki Finland
    22 ODL Terveys Oy Oulu Finland
    23 Clintrial Berlin Praxis fuer medizinische Studien Berlin Germany
    24 Klinische Forschung Berlin-Buch Dr. Andrei Khariouzov Berlin Germany
    25 "Sana Krankenhaus Gerresheim Duesseldorf Germany
    26 Gemeinschaftspraxis Dr. Ingo Zeissig Duisburg Germany
    27 Praxis Dr. Thorsten Rau Essen Germany
    28 Praxis Dr. med. Joerg Luedemann Falkensee Germany
    29 Dr. Helmut Anderten Gemeinschaftspraxis Dres. Anderten und Krok Hildesheim Germany
    30 Praxis Dr. Julia Chevts Karlsruhe Germany
    31 Pro Scientia Med Luebeck Germany
    32 Praxis Dr. Winfried Keuthage Muenster Germany
    33 Praxis Dr. Uwe Boeckmann Neumuenster Germany
    34 Dr. Klaus Funke IkFE Studiencenter Potsdam GMBH I.G. Potsdam Germany
    35 Praxis Dr. Gerhard Steinmaier Viernheim Germany
    36 Praxis Dr. Reinhold U. Schneider Wetzlar-Naunheim Germany
    37 Visakha Diabetes & Endocrine Centre Visakhapatnam AP India
    38 Jnana Sanjeevini Medical Center Bangalore Kar India
    39 Bangalore Diabetes Hospital, Banglore KAR India
    40 Health & Research Centre Trivandrum Ker India
    41 Indrayani Speciality Hospital, Nagpur Maharastra India
    42 Sahyadri Hospital Bibewewadi Centre of Excellence for Diabetics Pune Mah India
    43 Diabetes Thyroid Hormone Research Institute Pvt .Ltd. Indore MP India
    44 Madras Diabetes Research Foundation Chennai TN India
    45 Azienda Ospedaliera-Ospedali Riuniti di BergamoU Bergamo BG Italy
    46 Az. Ospedaliera Universit. S.Martino-Universita degli Studi Genova GE Italy
    47 Azienda Ospedaliera S. Paolo-Polo Universitario Milano MI Italy
    48 Fondazione Centro San Raffaele del Monte Tabor-IRCCSUnità Milano Mi Italy
    49 Az. Ospedaliera Della Prov.di Pavia Casorate Primo PV Italy
    50 A.O.Universitaria Senese, Universita degli Studi di Siena Siena SI Italy
    51 S.C.D.U. Endocrinologia e Malattie del Metabolismo Torino To Italy
    52 Policlinico A.Gemelli - Univ.Cattolica del Sacro Cuore Roma Italy

    Sponsors and Collaborators

    • Novartis

    Investigators

    • Study Director: Novartis Pharmaceuticals Corporation, Novartis Pharmaceuticals

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT01068860
    Other Study ID Numbers:
    • CACZ885I2207
    First Posted:
    Feb 15, 2010
    Last Update Posted:
    Sep 5, 2011
    Last Verified:
    Aug 1, 2011

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Qualified patients entered a 4-week run-in period while taking current therapy thru the study. After the run-in, patients had the baseline meal challenge. Then patients were randomized. A 2nd meal challenge was performed after 4 wks. This ended the study except for a follow up phone call after approx.90 days to record serious adverse events (SAEs)
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Period Title: Overall Study
    STARTED 33 17 33 17 32 16 28 15 28 27
    COMPLETED 33 16 33 16 32 14 28 15 28 23
    NOT COMPLETED 0 1 0 1 0 2 0 0 0 4

    Baseline Characteristics

    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT Total
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Total of all reporting groups
    Overall Participants 33 17 33 17 32 16 28 15 28 27 246
    Age, Customized (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    55.9
    (10.50)
    56.5
    (9.30)
    60.0
    (8.17)
    59.4
    (8.02)
    59.1
    (10.63)
    57.2
    (9.39)
    58.6
    (10.11)
    57.0
    (13.86)
    52.8
    (10.90)
    57.6
    (10.07)
    57.4
    (10.16)
    Sex: Female, Male (Count of Participants)
    Female
    19
    57.6%
    3
    17.6%
    14
    42.4%
    10
    58.8%
    11
    34.4%
    5
    31.3%
    13
    46.4%
    10
    66.7%
    12
    42.9%
    16
    59.3%
    113
    45.9%
    Male
    14
    42.4%
    14
    82.4%
    19
    57.6%
    7
    41.2%
    21
    65.6%
    11
    68.8%
    15
    53.6%
    5
    33.3%
    16
    57.1%
    11
    40.7%
    133
    54.1%

    Outcome Measures

    1. Primary Outcome
    Title Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-2 Hours, From Baseline to 4 Weeks.
    Description Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal.A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include patients from the IGT population
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [pmol/min/m^2/mmol/L]
    -0.06
    (0.943)
    -0.23
    (1.334)
    0.04
    (0.958)
    0.45
    (1.378)
    -0.79
    (0.958)
    1.16
    (1.426)
    1.23
    (1.046)
    -0.49
    (1.378)
    -1.50
    (1.975)
    -1.93
    (1.737)
    2. Secondary Outcome
    Title Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 2-4 Hours, From Baseline to 4 Weeks
    Description Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge Blood samples were taken prior to and after meal for glucose and insulin at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 30 15 31 14 26 15 28 20
    Least Squares Mean (Standard Error) [pmol/min/m^2/mmol/L]
    0.21
    (2.000)
    -2.15
    (2.829)
    -2.98
    (2.066)
    2.02
    (2.921)
    0.15
    (2.032)
    1.19
    (3.024)
    -0.43
    (2.219)
    -0.51
    (2.921)
    -0.71
    (1.040)
    -1.00
    (1.518)
    3. Secondary Outcome
    Title Mean Change in Meal Stimulated Insulin Secretion Rate (ISR) Relative to Glucose 0-4 Hours, From Baseline to 4 Weeks.
    Description Change in Insulin Secretion Rate stimulated by Liquid mixed-meal challenge. Blood samples were taken prior to and after meal for glucose, insulin and C-peptide at sample times: -20, -10, -1 and 10, 20, 30, 60, 90, 120, 180, and 240 minutes relative to the start of the meal. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 33 16 31 15 32 14 26 15 28 21
    Least Squares Mean (Standard Error) [pmol/min/m^2/mmol/L]
    0.44
    (0.858)
    -0.99
    (1.232)
    -0.32
    (0.885)
    1.22
    (1.272)
    -0.63
    (0.871)
    1.24
    (1.317)
    0.53
    (0.966)
    -0.49
    (1.272)
    -1.38
    (1.356)
    -1.35
    (1.330)
    4. Secondary Outcome
    Title Mean Change in Fasting Plasma Glucose, From Baseline to 4 Weeks
    Description Change in Fasting Glucose Level measured from plasma taken at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 33 16 31 16 32 14 26 15 28 21
    Least Squares Mean (Standard Error) [mmol/L]
    -0.32
    (0.272)
    0.33
    (0.391)
    -0.20
    (0.281)
    -0.23
    (0.391)
    -0.33
    (0.276)
    -0.36
    (0.418)
    -0.26
    (0.307)
    -0.80
    (0.404)
    -0.06
    (0.107)
    0.10
    (0.094)
    5. Secondary Outcome
    Title Mean Change in Fructosamine, From Baseline to 4 Weeks
    Description Change in Fructosamine Level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 33 16 31 16 32 14 27 15 28 23
    Least Squares Mean (Standard Error) [mmol/L]
    -5.30
    (3.727)
    -0.75
    (5.353)
    -3.45
    (3.846)
    -7.50
    (5.353)
    -1.81
    (3.785)
    -3.07
    (5.722)
    -3.00
    (4.121)
    -19.73
    (5.528)
    -6.36
    (3.259)
    1.39
    (3813)
    6. Secondary Outcome
    Title Mean Change in Fasting Plasma Insulin, From Baseline to 4 Weeks
    Description Change in Fasting Insulin level taken from plasma, measured at Baseline and after 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 33 15 30 15 31 13 26 15 28 23
    Least Squares Mean (Standard Error) [pmol/L]
    -3.58
    (8.703)
    10.73
    (12.908)
    -16.07
    (9.128)
    -9.40
    (12.908)
    -0.77
    (8.979)
    2.31
    (13.866)
    21.27
    (9.805)
    25.67
    (12.908)
    -.021
    (6.093)
    -3.43
    (4.554)
    7. Secondary Outcome
    Title Mean Change in Quantitative Insulin Sensitivity Check Index (QUICKI) Score, From Baseline to 4 Weeks
    Description The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. The score is calculated by the equation: 1 /(log(fasting insulin µU/mL) + log(fasting glucose mg/dL)). In normal subjects the mean score ± SE is 0.366 ± 0.029. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 33 15 30 15 31 13 25 15 28 21
    Least Squares Mean (Standard Error) [number]
    0.004
    (0.0080)
    -0.000
    (0.0119)
    0.002
    (0.0084)
    0.009
    (0.0119)
    0.018
    (0.0083)
    -0.001
    (0.0128)
    -0.003
    (0.0092)
    0.005
    (0.0119)
    -0.001
    (0.0051)
    0.001
    (0.0034)
    8. Secondary Outcome
    Title Mean Change in Fasting Glucose Disposition Index(GDI)1 and Index 2, From Baseline to 4 Weeks
    Description GDI 1 is the product of insulin sensitivity index (Si)during the 1st phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR).GDI 2 is the product of (Si)during the 2nd phase of insulin secretion and β-cell function as measured by the acute insulin response (AIR). A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT group.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 15 30 15 30 13 25 15 26 21
    Index 1
    0.06
    (0.374)
    -0.29
    (0.546)
    0.06
    (0.386)
    0.37
    (0.546)
    0.24
    (0.386)
    0.33
    (0.586)
    0.25
    (0.423)
    -0.27
    (0.546)
    -0.51
    (0.672)
    -0.64
    (0.530)
    Index 2 (n= 32,15, 29,15, 30,13, 25, 15, 20, 26)
    0.14
    (0.652)
    -0.81
    (0.952)
    -0.94
    (0.685)
    0.81
    (0.952)
    0.62
    (0.673)
    0.49
    (1.023)
    -0.21
    (0.738)
    -0.25
    (0.952)
    -0.16
    (0.396)
    -0.31
    (0.509)
    9. Secondary Outcome
    Title Mean Change in Absolute Glucose Level at 2 Hours, From Baseline to 4 Weeks
    Description Change in glucose level measured after 2 hours of fasting. Blood sample was drawn at 0 minutes and at 240 minutes. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [mmol/L]
    -0.53
    (0.389)
    0.13
    (0.551)
    -0.60
    (0.396)
    0.18
    (0.551)
    -1.08
    (0.396)
    -0.56
    (0.589)
    -0.56
    (0.432)
    -0.16
    (0.569)
    -0.26
    (0.241)
    -0.25
    (0.213)
    10. Secondary Outcome
    Title Mean Change in Insulin Area Under the Curve (AUC) 0-4 Hours, From Baseline to 4 Weeks
    Description Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [pmol*hour/L]
    -9.37
    (40.538)
    1.21
    (60.128)
    -73.25
    (42.517)
    -38.32
    (60.128)
    -36.96
    (41.825)
    8.46
    (64.587)
    163.87
    (45.670)
    139.24
    (60.128)
    44.27
    (60.700)
    -106.68
    (53.615)
    11. Secondary Outcome
    Title Mean Change in C-peptide Area Under the Curve (AUC), 0-4 Hours, From Baseline to 4 Weeks
    Description Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [nmol*hour/L]
    -0.18
    (0.225)
    -0.18
    (0.324)
    -0.21
    (0.232)
    0.12
    (0.334)
    -0.61
    (0.229)
    0.02
    (0.346)
    0.16
    (0.249)
    -0.29
    (0.334)
    -0.43
    (0.253)
    -0.40
    (0.288)
    12. Secondary Outcome
    Title Mean Change in Post-prandial Glucose Area Under the Curve (AUC)0-4 Hours, From Baseline to 4 Weeks
    Description Blood samples were drawn after a test meal at 0, 15, 30, 45, 60, 90, 120, 180 and 240 min. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab vs placebo within each T2DM group. The mixed model didn't include the IGT group.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [mmol*hr/L]
    -0.59
    (1.296)
    0.46
    (1.861)
    -1.37
    (1.337)
    -1.24
    (1.861)
    -3.58
    (1.316)
    -2.88
    (1.990)
    -1.49
    (1.460)
    -1.76
    (1.922)
    -0.71
    (0.554)
    -0.10
    (0.512)
    13. Secondary Outcome
    Title Mean Change in Peak Plasma Glucose, From Baseline to 4 Weeks
    Description Change in peak plasma glucose level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [mmol/L]
    -0.41
    (0.369)
    0.21
    (0.531)
    -0.43
    (0.381)
    -0.03
    (0.531)
    -0.82
    (0.375)
    -0.77
    (0.567)
    -0.15
    (0.416)
    -0.60
    (0.548)
    -0.34
    (0.181)
    -0.04
    (0.189)
    14. Secondary Outcome
    Title Mean Change in Peak Plasma Insulin, From Baseline to 4 Weeks
    Description Change in mean peak plasma Insulin level as measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [pmol/L]
    8.09
    (22.673)
    44.56
    (32.561)
    -55.07
    (23.779)
    11.33
    (33.629)
    5.13
    (23.392)
    -5.15
    (36.123)
    91.74
    (25.065)
    36.87
    (33.629)
    56.21
    (27.952)
    -26.43
    (40.163)
    15. Secondary Outcome
    Title Mean Change in Peak Plasma C-peptide Level, From Baseline to 4 Weeks
    Description Change in mean peak plasma C-peptide level measured from Baseline to 4 weeks of treatment. A mixed model with treatment fitted as fixed effect, and population and the interaction of population and treatment fitted as random effects were used for the comparison of Canakinumab versus placebo within each T2DM population. The mixed model did not include participants from the IGT population.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Participants from the full analysis set who participated in the meal challenge and who had at least 1 post-baseline absolute glucose measurement at 2 hours.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 32 16 31 15 31 14 26 15 28 21
    Least Squares Mean (Standard Error) [nmol/L]
    -0.04
    (0.081)
    -0.04
    (0.116)
    -0.10
    (0.083)
    0.16
    (0.120)
    -0.21
    (0.082)
    0.05
    (0.124)
    0.07
    (0.089)
    -0.14
    (0.120)
    -0.18
    (0.101)
    -0.18
    (0.134)
    16. Secondary Outcome
    Title Number of Participants Reporting Death, Serious Adverse Events (SAEs) and Adverse Events (AEs) Above 5% Frequency, From Baseline to 4 Weeks
    Description An adverse event is any unwanted event, whether related to study drug or not occuring during the study period. A Serious Adverse Event (SAE) is an event resulting in death, requiring or prolonging hospitalization, a congenital anomaly or other important medical event. AEs and SAEs were recorded at each visit.
    Time Frame Baseline, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    Safety Population consisted of all participants who received at least one dose of study medication and had at least one post-baseline safety assessment.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metformin + Sulfonylurea Placebo + Metformin + Sulfonylurea Canakinumab 150 mg Canakinumab 150 mg + Met + Sulfonyl + Thia Placebo + Met + Sulfonyl + Thiaz Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Participants With IGT Placebo in Participants With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    Measure Participants 33 17 32 17 32 16 28 15 28 26
    Number of Participants with Serious Adverse Events
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Number of Participants with Non-serious AEs > 5%
    0
    0%
    4
    23.5%
    6
    18.2%
    3
    17.6%
    4
    12.5%
    3
    18.8%
    6
    21.4%
    3
    20%
    0
    0%
    0
    0%

    Adverse Events

    Time Frame
    Adverse Event Reporting Description Safety Set included all randomized participants who received study drug.
    Arm/Group Title Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metforimin + Sulfonylurea Placebo + Metforimin + Sulfonylurea Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione Placebo + Met + Sulfonyl + Thiazolidinedione Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Patients With IGT Placebo in Patients With IGT
    Arm/Group Description Eligible participants received a single subcutaneous injection Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) monotherapy treatment at least 1000 mg/day for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg.Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus and be on a stable dose of Metformin (Met) at least 1000 mg/day , and a Sulfonylurea (Sulfonyl), at least 1/2 the maximally labeled dose, and a Thiazolidinedione (Thiaz)at least 1/2 the maximally labeled dose combination therapy, for 3 months prior to screening. Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had documented diagnosis of Type 2 Diabetes Mellitus for 3 months prior to screening and be on a stable dose of Insulin, 2 insulin injections per day for a total daily dose of less than 100 U with or without Metformin (Met)for 3 months prior to screening Eligible participants received a single subcutaneous injection of Canakinumab 150 mg. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit. Eligible participants received a single subcutaneous injection of Placebo to Canakinumab. Patients must have had Impaired Glucose Tolerance (IGT) as defined by the World Health Organization (WHO) criteria confirmed at screening visit.
    All Cause Mortality
    Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metforimin + Sulfonylurea Placebo + Metforimin + Sulfonylurea Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione Placebo + Met + Sulfonyl + Thiazolidinedione Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Patients With IGT Placebo in Patients With IGT
    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 Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metforimin + Sulfonylurea Placebo + Metforimin + Sulfonylurea Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione Placebo + Met + Sulfonyl + Thiazolidinedione Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Patients With IGT Placebo in Patients With IGT
    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 Affected / at Risk (%) # Events
    Total 0/33 (0%) 0/17 (0%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Other (Not Including Serious) Adverse Events
    Canakinumab 150 mg + Metformin Placebo + Metformin Canakinumab 150 mg + Metforimin + Sulfonylurea Placebo + Metforimin + Sulfonylurea Canakinumab 150 mg + Met + Sulfonyl + Thiazolidinedione Placebo + Met + Sulfonyl + Thiazolidinedione Canakinumab 150 mg + Insulin Placebo + Insulin Canakinumab 150 mg in Patients With IGT Placebo in Patients With IGT
    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 Affected / at Risk (%) # Events
    Total 0/33 (0%) 4/17 (23.5%) 6/32 (18.8%) 3/17 (17.6%) 4/32 (12.5%) 3/16 (18.8%) 6/28 (21.4%) 3/15 (20%) 0/28 (0%) 0/26 (0%)
    Ear and labyrinth disorders
    Vertigo 0/33 (0%) 1/17 (5.9%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Eye disorders
    Vision blurred 0/33 (0%) 0/17 (0%) 0/32 (0%) 0/17 (0%) 1/32 (3.1%) 1/16 (6.3%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Visual impairment 0/33 (0%) 0/17 (0%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 1/16 (6.3%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Gastrointestinal disorders
    Diarrhoea 0/33 (0%) 1/17 (5.9%) 1/32 (3.1%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 1/15 (6.7%) 0/28 (0%) 0/26 (0%)
    Dyspepsia 0/33 (0%) 0/17 (0%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 1/15 (6.7%) 0/28 (0%) 0/26 (0%)
    Nausea 0/33 (0%) 0/17 (0%) 1/32 (3.1%) 0/17 (0%) 0/32 (0%) 1/16 (6.3%) 1/28 (3.6%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Infections and infestations
    Bronchitis 0/33 (0%) 0/17 (0%) 1/32 (3.1%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 1/15 (6.7%) 0/28 (0%) 0/26 (0%)
    Hordeolum 0/33 (0%) 1/17 (5.9%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Nasopharyngitis 0/33 (0%) 2/17 (11.8%) 0/32 (0%) 1/17 (5.9%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Pharyngitis 0/33 (0%) 0/17 (0%) 1/32 (3.1%) 1/17 (5.9%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Investigations
    Antinuclear antibody positive 0/33 (0%) 1/17 (5.9%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Metabolism and nutrition disorders
    Hypoglycaemia 0/33 (0%) 0/17 (0%) 0/32 (0%) 1/17 (5.9%) 0/32 (0%) 0/16 (0%) 3/28 (10.7%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Nervous system disorders
    Dizziness 0/33 (0%) 0/17 (0%) 1/32 (3.1%) 0/17 (0%) 2/32 (6.3%) 1/16 (6.3%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Tremor 0/33 (0%) 0/17 (0%) 1/32 (3.1%) 1/17 (5.9%) 2/32 (6.3%) 0/16 (0%) 2/28 (7.1%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Psychiatric disorders
    Confusional state 0/33 (0%) 0/17 (0%) 0/32 (0%) 1/17 (5.9%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Respiratory, thoracic and mediastinal disorders
    Dysphonia 0/33 (0%) 0/17 (0%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 1/28 (3.6%) 1/15 (6.7%) 0/28 (0%) 0/26 (0%)
    Skin and subcutaneous tissue disorders
    Hyperhidrosis 0/33 (0%) 0/17 (0%) 1/32 (3.1%) 0/17 (0%) 2/32 (6.3%) 1/16 (6.3%) 1/28 (3.6%) 0/15 (0%) 0/28 (0%) 0/26 (0%)
    Rash papular 0/33 (0%) 0/17 (0%) 0/32 (0%) 0/17 (0%) 0/32 (0%) 0/16 (0%) 0/28 (0%) 1/15 (6.7%) 0/28 (0%) 0/26 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.

    Results Point of Contact

    Name/Title Dr. Tom Thuren/Global Brand Medical Director
    Organization Novartis Pharmaceuticals
    Phone 862-778-1828
    Email tom.thuren@novartis.com
    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT01068860
    Other Study ID Numbers:
    • CACZ885I2207
    First Posted:
    Feb 15, 2010
    Last Update Posted:
    Sep 5, 2011
    Last Verified:
    Aug 1, 2011