IDG-16177 for the Evaluation of Its Safety and Pharmacokinetics

Last updated: August 9, 2022
Sponsor: IlDong Pharmaceutical Co Ltd
Overall Status: Active - Recruiting

Phase

1

Condition

Diabetes Mellitus Types I And Ii

Diabetes And Hypertension

Treatment

N/A

Clinical Study ID

NCT04982705
IDG16177-T2DM-101
2021-001082-21
  • Ages 19-70
  • Male
  • Accepts Healthy Volunteers

Study Summary

This is a Phase I, first-in-human, randomised, double-blinded, placebo-and active-controlled study to assess the safety, tolerability, PK, PD, efficacy, and food-effect of IDG-16177 in healthy male subjects and patients with T2DM at different dose levels.

Eligibility Criteria

Inclusion

Inclusion Criteria:

[Part 1 and Part 2] Subjects/Patients who meet the following criteria will be consideredeligible to participate in Part 1 or Part 2 of the clinical study:

  1. Subject voluntarily/Patient agrees to participate in this study and signs anInstitutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved informedconsent prior to performing any of the Screening Visit procedures. 2. Subject/Patient isable to understand the nature of the clinical study. 3. Subject/Patient is able to read andspeak German. 4. Subject/Patient is able to communicate satisfactorily with theInvestigator and study team and follow the entire requirements of the clinical study. [Part 1] Subjects who meet the following criteria will be considered eligible to participate inPart 1 of the clinical study:
  2. Healthy male subjects aged 19 to 55 years at the time of Screening.
  3. Subject weighs at least 60 kg and has a body mass index (BMI)between 18.5 and 29.9kg/m2, inclusive, at Screening.
  4. Subject who is healthy and judged to be eligible to participate in the study at theScreening test (based on medical history, physical examination, vital sign, 12 leadECG, and laboratory test including serology test).

[Part 2] Patients who meet the following criteria will be considered eligible toparticipate in Part 2 of the clinical study:

  1. Male patients aged 18 to 70 years at the time of Screening.
  2. Patient with T2DM who is taking metformin monotherapy as their only anti hyperglycemictreatment. Metformin dose must be stable, defined as no change in the treatment,including dose, for at least 2 months prior to the screening visit.
  3. Has a HbA1c level at Screening between 7.5% and 10.0%.
  4. Has a fasting plasma glucose level less than 13.3 mmol/L at Screening.
  5. Has a fasting C-peptide concentration greater than or equal to 0.8 ng/mL at Screening.
  6. If patient takes any chronic medications, the dose of these medications must have beenstable (no change in dose or drug) for at least 4 weeks prior to Screening.
  7. Is able and willing to monitor glucose with a home glucose monitor and consistentlyrecord his blood glucose concentrations.
  8. Patient weighs at least 60 kg and has a BMI between 18.5 and 35 kg/m2, inclusive, atScreening.

Exclusion

Exclusion Criteria:

[Part 1 and Part 2] Subjects/Patients who meet one or more of the following criteria willnot be considered eligible to participate in Part 1 or Part 2 of the clinical study:

  1. Subject/Patient is an employee or a family member of the Sponsor or the involved CRO.
  2. Vulnerable subject (i.e., persons under any administrative or legal supervision orpersons kept in detention).
  3. Subject/Patient who has a positive reverse transcription polymerase chain reaction (RTPCR) test for SARS-CoV-2 prior to randomisation.
  4. Subject/Patient who has clinical signs and symptoms consistent with SARS-CoV-2infection; eg, fever, dry cough, dyspnea, sore throat, fatigue, or positive SARS-CoV-2test result within 2 weeks prior to Screening.
  5. Subject/patient who had a severe course of COVID-19 (extracorporeal membraneoxygenation, mechanically ventilated).
  6. Recent (within previous 14 days) exposure to someone who has COVID-19 symptoms orpositive test result.
  7. Subject who has currently acute disease with active symptoms.
  8. History of clinically significant hypersensitivity reaction to any drugs or additives.
  9. Subjects who have a history of any gastrointestinal disease (Crohn's disease,ulcerative colitis, acute or chronic pancreatitis) or gastrointestinal surgery (excluding simple appendectomy or herniotomy) which can affect the absorption ofdrugs.
  10. Subject who has participated in a clinical trial or bioequivalence test and have beenadministered in a product within 60 days or within 5 halflives of the drug, whicheveris longer before the first study drug administration.
  11. Subject who have taken inducer or suppressor of metabolic enzymes such as barbituratesin 30 days before the first study drug administration.
  12. Subject who have donated whole blood in 60 days or who have donated plasma in 20 daysbefore the first study drug administration.
  13. Subjects who have had any prescribed medicine or herbal medicine or who have hadnon-prescription medicine or vitamins within 7 days or 5 half lives before the firststudy drug administration, whichever is longer, except for occasional intake ofparacetamol. Subjects who have received a SARS-CoV-2 vaccination within 4 weeks priorto screening or plan to be vaccinated during the study.
  14. Has a history of drug abuse or a history of alcohol abuse within 2 years prior toScreening.
  15. Subject who do not agree to be sexually abstinent or to use a condom with spermicidewhen engaging in sexual activity and to not donate sperm from the first administrationof study drug, during the study, and for 14 days following completion of the study (Section 5.4.4).
  16. Subject who is judged to be not eligible by the Investigator for any other reason.
  17. Has a positive test result for hepatitis B surface antigen (HBsAg) or hepatitis Cvirus (HCV) antibody or human immunodeficiency virus (HIV).
  18. Has a total bilirubin > 1.5 × ULN at Screening.
  19. Has abnormal thyroid-stimulating hormone levels. [Part 1] Subjects who meet one ormore of the following criteria will not be considered eligible to participate in Part 1 of the clinical study:
  20. Subject who has abnormal vital signs, confirmed by repeat measurement at screening:
  • systolic blood pressure (SBP) outside 90 - 139 mmHg
  • diastolic blood pressure (DBP) outside 50 - 89 mmHg
  • pulse rate outside 50 - 90 bpm.
  1. Abnormal 12-lead ECG, confirmed by repeat measurement, unless considered notclinically significant by Investigator. QTcF > 450 ms, QRS ≥ 120 ms, PR > 220 ms atScreening.
  2. Has an estimating glomerular filtration rate (eGFR) less than or equal to 80 mL/minusing the chronic kidney disease epidemiology collaboration (CKD EPI) at Screening.
  3. History of clinically significant gastrointestinal, renal, hepatic, neurologic,haematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric,musculoskeletal, or cardiovascular disease or any other condition. [Part 2] Patientswho meet one or more of the following criteria will not be considered eligible toparticipate in Part 2 of clinical study:
  4. Has systolic blood pressure (BP) greater than 160 mm Hg or diastolic pressure greaterthan 100 mm Hg at Screening or baseline, confirmed by repeat measurement.
  5. Has history of cancer. A history of basal cell carcinoma or stage 1 squamous cellcarcinoma of the skin is allowed.
  6. Has a creatine phosphokinase level ≥ 5 × upper limit of normal (ULN) at Screening.
  7. Has alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels ≥ 2 ×ULN at Screening, confirmed by repeat measurement.
  8. Has a haemoglobin level ≤ lower limit normal (LLN) for men of the local laboratory atScreening, confirmed by repeat measurement.
  9. The subject has a serum triglyceride level ≥ 1.5 × ULN at Screening.
  10. Has an eGFR less than or equal to 60 mL/min using the CKD EPI at Screening.

Study Design

Total Participants: 94
Study Start date:
July 07, 2021
Estimated Completion Date:
December 30, 2022

Study Description

This study consists of 2 parts: Part 1 is a dose-escalation study in healthy male subjects in single ascending dose (SAD) (Part 1.1) including food-effect and multiple ascending dose (MAD) (Part 1.2) cohorts to determine the highest allowable dose (HAD) for patients with T2DM; and Part 2 is a placebo- and active-controlled efficacy exploration in patients with T2DM, insufficiently controlled with metformin alone.

Connect with a study center

  • Parexel International GmbH Early Phase Clinical Unit Klinikum Westend

    Berlin, 14050
    Germany

    Active - Recruiting

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