Safety and Efficacy Study of TRC150094 to Improve the CV Risk in Subjects With Diabetes, Dyslipidemia and Hypertension

Last updated: July 16, 2020
Sponsor: Torrent Pharmaceuticals Limited
Overall Status: Active - Recruiting

Phase

3

Condition

Diabetic Macular Edema

Diabetic Kidney Disease

Diabetic Vitreous Hemorrhage

Treatment

N/A

Clinical Study ID

NCT03254446
CT/P015/CMR/16/03_01
  • Ages 30-70
  • All Genders

Study Summary

The phase III trial is designed with an aim of determining the efficacy of Investigational Product TRC150094 in concurrently reducing non-traditional risk factors for CV risk i.e., HbA1c, MAP and non-HDL cholesterol. This study will be a randomized, double blind, parallel group, placebo controlled, multi-centre, multinational study in 1250 subjects. All the study subjects will receive once daily dose of TRC150094 45 mg or placebo tablets in addition to their standard of care, for 24 weeks followed by roll over to a safety extension phase of 26 weeks.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male and female subjects in the age range 30-70 years (both inclusive)

  2. BMI in the range 23-39 (inclusive) kg/m2

  3. HbA1C ≥7.5 %

  4. Stable therapy of ≤2 oral hypoglycemic agents for at least two months prior toscreening at doses that are appropriate for the duration of the study in the judgmentof the investigator.

  5. Non HDL-cholesterol ≥ 160 mg/dL.

  6. Mean Arterial Pressure (MAP) ≥100 mm Hg based on average of 24 hours' ambulatory bloodpressure monitoring (ABPM) with or without antihypertensive treatment (subjects willhave to be on stable dose of anti-hypertensive treatment for at least two months priorto screening); Dose should be appropriate for the duration of the study in thejudgment of the investigator.

  7. Willing to give written informed consent

  8. Ability to adhere to the study restrictions and assessments schedule

Exclusion

Exclusion Criteria:

  1. Uncontrolled hypertension: SBP of ≥ 180 mm Hg and DBP ≥ 110 mmHg based on average of 24 hours' ambulatory blood pressure monitoring.

  2. HbA1C > 10 % at screening.

  3. Serum triglycerides >400 mg/dL.

  4. LDL-cholesterol >300 mg/dL or medical history/clinical evidence of familialhyperlipidemic disorder.

  5. Subjects on Insulin or Sodium Glucose Co-Transporter 2 (SGLT2) inhibitors.

  6. Acute coronary syndrome (ACS) or stroke or any revascularization within last 6 months.

  7. Subjects having untreated thyroid dysfunction (TSH <0.3 or >5.5 µIU/mL) or hormonerelated obesity disorder.

  8. Subjects with liver enzymes (SGOT, SGPT) more than 3X of upper limit of normal value.

  9. eGFR <30 mL/min as evaluated by Modification of Diet in Renal Disease (MDRD) method.

  10. Seropositive for HIV, Hepatitis B or Hepatitis C.

  11. History of alcohol or drug abuse, psychiatric disorder, any bleeding disorder,malignancy in last 3 years.

  12. Pregnant or lactating women.

  13. Female of childbearing potential, who are neither surgically sterilized nor willing touse reliable contraceptive methods (double barrier methods or intrauterine device).

  14. Male subjects with partners of childbearing potential not willing to use reliablecontraception methods.

  15. Clinically significant abnormal physical findings, laboratory results, ECG findingsand/or any other clinical observation or history during the screening examination,which would interfere with the objectives of the study.

  16. Intake of any investigational drug within 3 months prior to the first dose of studydrug.

  17. In the opinion of the investigator, subject is unable to cooperate with any studyprocedures, unlikely to adhere to the study procedures, keep appointments, or plan torelocate during the study.

Study Design

Total Participants: 1250
Study Start date:
March 12, 2018
Estimated Completion Date:
August 31, 2022

Study Description

TRC150094 is an Investigational Product for the treatment of CV risk associated with non-traditional risk factors ie, diabetes, hypertension and dyslipidemia, which acts by increasing the energy expenditure and restoring mitochondrial flexibility which is deranged in patients with these risk factors. Treatment with TRC150094 has shown clinically meaningful benefits in well-established contributors of CV risk i.e., insulin resistance and hyperglycemia, SBP as well as non-traditional risk factors i.e. non-HDL cholesterol and MAP, over and above standard of care.

The phase III trial is designed with an aim of determining the efficacy of TRC150094 in concurrently reducing non-traditional risk factors for CV risk i.e., HbA1c, MAP and non-HDL cholesterol. This study will be a randomized, double blind, parallel group, placebo controlled, multi-centre, multinational study in 1250 subjects. All the study subjects will receive once daily dose of TRC150094 45 mg or placebo tablets in addition to their standard of care, for 24 weeks followed by roll over to a safety extension phase of 26 weeks.

Primary Objective of the study is, To evaluate the efficacy of TRC150094 in improving cardiovascular (CV) risk in subjects with diabetes, dyslipidemia and hypertension Secondary Objectives of the study are,

  1. To evaluate safety of TRC150094 in subjects with diabetes, dyslipidemia and hypertension

  2. To evaluate extended safety profile of TRC150094 beyond 24 weeks of treatment in subjects with diabetes, dyslipidemia and hypertension

In this study there will be five visits at week 4, 12, 24, 36 and 50 after enrolment.

Connect with a study center

  • Comitê de ética em Pesquisa do Hospital Pró Cardíaco

    Rio De Janeiro, Botafogo 22270-005
    Brazil

    Active - Recruiting

  • Avenida Angélica

    São Paulo, CEP 01228-200
    Brazil

    Active - Recruiting

  • Rua Silva Jardim

    São Bernardo Do Campo, SP 09715-090 -
    Brazil

    Active - Recruiting

  • Av. Farroupilha, 8001 Prédio 21, Recepção C, Bairro São José - Canoas/RS

    Canoas,
    Brazil

    Active - Recruiting

  • Rua Coronel Aureliano de Camargo,905, Centro,

    Tatuí,
    Brazil

    Active - Recruiting

  • BAPS Pramukh Swami Hospital,

    Sūrat, Gujarat 395009
    India

    Active - Recruiting

  • Bangalore Diabetes Centre, No. 426, 4th Cross, 2nd block, kalyan nagar,

    Bangalore, Karnataka 560043
    India

    Active - Recruiting

  • Government Medical College, Government Medical College Campus,

    Calicut, Kerala 673008
    India

    Active - Recruiting

  • Lisie Hospital

    Kochi, Kerala 682017
    India

    Active - Recruiting

  • Indian Institute of Diabetes

    Thiruvananthapuram, Kerala 695031
    India

    Active - Recruiting

  • Supe Heart and Diabetes Hospital and Research Centre,

    Nashik, Maharashtra 422002
    India

    Active - Recruiting

  • Medipoint Hospitals Pvt. Ltd

    Pune, Maharashtra 411007,
    India

    Active - Recruiting

  • Ashirwad Hospital & Research Centre

    Ulhasnagar, Maharashtra 421004
    India

    Active - Recruiting

  • Dayanand Medical College & Hospital

    Ludhiana, Punjab 141001
    India

    Active - Recruiting

  • Diabetes ,Thyroid and Endocrine Centre

    Jaipur, Rajasthan 302006
    India

    Active - Recruiting

  • S.R Kalla Memorial Gastro and General Hospital

    Jaipur, Rajasthan 302001
    India

    Active - Recruiting

  • Apollo Hospitals, PR No. 3-5-836 to 838, Near Old MLA Quarters,

    Hyderabad, Telangana 500029
    India

    Active - Recruiting

  • De La Salle Heath Sciences Institute

    Dasmariñas, Cavite 4114
    Philippines

    Active - Recruiting

  • Angeles University Foundation Medical Center

    Angeles City, Pampanga 2009
    Philippines

    Active - Recruiting

  • St. Paul's Hospital

    General Luna, Saint Iloilo City 5000
    Philippines

    Active - Recruiting

  • Davao Doctors Hospital

    Davao City, 8000
    Philippines

    Active - Recruiting

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