Safety and Efficacy of PB-119 in Subjects With Type 2 Diabetes and Not Well-controlled by Metformin Monotherapy

Sponsor
PegBio Co., Ltd. (Other)
Overall Status
Recruiting
CT.gov ID
NCT04504396
Collaborator
(none)
600
1
2
34.2
17.6

Study Details

Study Description

Brief Summary

This is a randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of 24 once-weekly subcutaneous doses of PB-119 to subjects with type 2 diabetes mellitus (T2DM) not well-controlled by metformin monotherapy.

Condition or Disease Intervention/Treatment Phase
  • Drug: GLP-1 receptor agonist
  • Drug: Placebo
Phase 3

Detailed Description

This is a phase 3 multicenter, randomized, double-blind, placebo-controlled, parallel dose cohort study to evaluate the efficacy and safety of PB-119 to patients with T2DM not well-controlled by metformin monotherapy. Patients will be assessed for eligibility over a 2 week screening period prior to a 4-week run-in period,a 24-week double-blind treatment period and a 28-week open-label treatment period. The eligible patients will be randomized to PB-119 or placebo cohort at a 1:1 ratio for the first 24-week. Patients in PB-119 group will subsequently be given active drug and patients in placebo group will take placebo, all patients in two groups will remain metformin background therapy. In the 28-week open-label period, all patients will be administered active drugs. After that, there will be a 4-week follow-up period; All randomized patients will be taken blood samples for the pharmacokinetic (PK) analysis.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
600 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-blinded, Placebo-controlled Trial Comparing the Efficacy and Safety of PB-119 in Combination With Metformin in Subjects With Type 2 Diabetes Mellitus Inadequately Controlled on Metformin Alone
Actual Study Start Date :
Jun 23, 2020
Anticipated Primary Completion Date :
Apr 29, 2023
Anticipated Study Completion Date :
Apr 29, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: PB-119 once-weekly-subcutaneous injection

PB119 (polyethylene glycol exenatide) is a long-acting GLP-1RA for injection, which will be administered 150μg once-weekly subcutaneously to patients in active drug group for 24 weeks.

Drug: GLP-1 receptor agonist
PB-119 is an investigational pegylated human glucagon-like peptide-1 (GLP-1) receptor agonist. The dosing regimen is 150μg once every week as subcutaneous administration. Patients in PB-119 group will be administered the active drugs for 52 weeks (24+28).

Placebo Comparator: Placebo once-weekly-subcutaneous injection

PB-119 150μg matched placebo which will be used in placebo group for 24 weeks.

Drug: Placebo
PB-119 matched placebo will be used once every week as subcutaneous administration to placebo group for 24 weeks.
Other Names:
  • PB-119 Placebo
  • Outcome Measures

    Primary Outcome Measures

    1. Change in HbA1c [week 1, week 25]

      Change in HbA1c from baseline(week 1) to week 25

    Secondary Outcome Measures

    1. HbA1c Below 7.0% [week 1, week 25]

      Percentage of participants with HbA1c below 7.0% was evaluated at week 25.

    2. Change in Body Weight (kg) [week 1, week 25]

      Change from baseline (week 1) in body weight was evaluated at week 25

    3. Change in Fasting Plasma Glucose (FPG) [week 1, week 25]

      Change from baseline (week 1) in FPG was evaluated at week 25

    4. Change in Body Mass Index [week 1, week 25]

      Change from baseline (week 1) in body mass index (BMI) was evaluated at week 25.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female, aged 18~75 years old;

    • T2DM and treated with Metformin ≥ 1500mg/day or maximum tolerated dose(≥1000mg,<1500mg) constantly for at least 8 consecutive weeks;

    • 7.5% ≤ HbA1c ≤ 10.0% at screening;

    • 18.5 kg/m2 < BMI < 40.0 kg/m2 at screening;

    Exclusion Criteria:
    • Any anti-diabetic therapy other than Metformin within 8 weeks before screening;

    • T1DM;

    • Received insulin therapy more than 14 days within 1 year before screening;

    • Female who is pregnant, breast-feeding;

    • Any disorder which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol;

    • History of acute diabetic complications, such as diabetic ketoacidosis or hyperglycemic hyperosmolar status within 6 months before screening;

    • History or presence of pancreatitis (acute or chronic);

    • Presence or history of malignant neoplasms within the past 5 years prior to the day of screening

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Beijing University People's Hospital Beijing Beijing China

    Sponsors and Collaborators

    • PegBio Co., Ltd.

    Investigators

    • Principal Investigator: HuiMin Zhou, MD,PhD, First Hospital of Hebei Medical University
    • Principal Investigator: WeiHong Song, MD,PhD, First People's Hospital of Chenzhou
    • Principal Investigator: YanJun Wang, MD,PhD, Second Hospital of Jilin University
    • Principal Investigator: Jing Yang, MD,PhD, The First Affiliated Hospital of Shanxi Medical University
    • Principal Investigator: Bin Gao, MD,PhD, Tang-Du Hospital
    • Principal Investigator: XinLing Wang, Doctor, People's Hospital of Xinjiang Uygur Autonomous Region
    • Principal Investigator: MingHui Hou, MD,PhD, Affiliated Hospital of Hebei University
    • Principal Investigator: Lin Liao, MD,PhD, Qianfoshan Hospital
    • Principal Investigator: Linong Ji, MD,PhD, Beijing University People's Hospital
    • Principal Investigator: Minxiu Yao, MD,PhD, Qingdao Central Hospital
    • Principal Investigator: Huige Shao, MD,PhD, Changsha Central Hospital
    • Principal Investigator: Jingna Lin, MD,PhD, Tianjin People's Hospital
    • Principal Investigator: Xiaohong Lin, MD,PhD, ZhuZhou Central Hospital
    • Principal Investigator: Jianhua Ma, MD,PhD, The First Affiliated Hospital with Nanjing Medical University
    • Principal Investigator: Wei Zhang, MD,PhD, Qiqihar First Hospital
    • Principal Investigator: Hui Liu, MD,PhD, Luoyang Central Hospital
    • Principal Investigator: Tao Ning, MD,PhD, Baotou Central Hospital
    • Principal Investigator: Xiaohong Wu, MD,PhD, Zhejiang Province People's Hospital
    • Principal Investigator: Xueying Wang, MD,PhD, Jingzhou Central Hospital
    • Principal Investigator: Lan Xu, MD,PhD, WuXi Central Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    PegBio Co., Ltd.
    ClinicalTrials.gov Identifier:
    NCT04504396
    Other Study ID Numbers:
    • PB119302
    First Posted:
    Aug 7, 2020
    Last Update Posted:
    Oct 21, 2021
    Last Verified:
    Oct 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 21, 2021