Efficacy and Safety of Berberine Ursodeoxycholate (HTD1801) in Patients With Type 2 Diabetes Inadequately Controlled With Metformin

Last updated: November 19, 2025
Sponsor: HighTide Biopharma Pty Ltd
Overall Status: Completed

Phase

3

Condition

Diabetes And Hypertension

Diabetes Mellitus, Type 2

Hypertriglyceridemia

Treatment

HTD1801

Placebo

Clinical Study ID

NCT06353347
HTD1801.PCT106
  • Ages 18-75
  • All Genders

Study Summary

The goal of this clinical study is to evaluate the efficacy and safety of berberine ursodeoxycholate (HTD1801) compared to placebo in patients with type 2 diabetes inadequately controlled with metformin.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Have been diagnosed with type 2 diabetes

  • Received a stable dose of metformin monotherapy for at least 8 weeks prior toscreening

  • If used any glucose-lowering drugs other than metformin within the 8 weeks prior toscreening such use was ≤7 days and was discontinued at least 4 weeks prior toscreening

  • Have HbA1c ≥7.5% to ≤11.0% (screening) and HbA1c ≥7.0% to ≤10.5% (pre-randomization)

  • Have fasting plasma glucose ≤13.9 mmol/L (screening and pre-randomization)

  • Have a body mass index ≥19.0 kg/m^2 to ≤35.0 kg/m^2

Exclusion

Exclusion Criteria:

  • Have type 1 diabetes

  • Have had any acute diabetic complications within 12 months prior to screening

  • Have had any Grade 3 hypoglycemic event within 12 months prior to screening

  • Have had proliferative retinopathy or macular degeneration, severe diabeticneuropathy, or diabetic foot

  • Have been taking any weight loss medication or dietary supplement, have participatedin a weight loss program, or have adhered to a special diet within 12 weeks prior toscreening

  • Have used insulin or an insulin analogue for more than 14 days within 12 monthsprior to screening

  • Have used any hypoglycemic drug other than metformin during the 4-week run-in periodprior to randomization

  • Have had weight gain or loss ≥5% during the 4-week run-in period prior torandomization

Study Design

Total Participants: 551
Treatment Group(s): 2
Primary Treatment: HTD1801
Phase: 3
Study Start date:
November 13, 2023
Estimated Completion Date:
July 30, 2025

Study Description

This Phase 3, randomized, double-blind, placebo-controlled study will evaluate the safety and efficacy of HTD1801 in two phases, a 24-week double-blind phase followed by a 28-week open-label extension. To ensure stabilization of glycemic control, eligible patients will first participate in a 4-week single-blind run-in period where investigators will provide guidance on lifestyle modifications, concomitant medications, and procedures for self-monitoring of blood glucose. Following this period, patient eligibility will be reassessed. Eligible patients will then be randomized 2:1 to receive HTD1801 1000 mg twice daily (BID) or placebo for 24 weeks.

Patients who complete the double-blind treatment phase will enter an open-label extension period where all patients will receive HTD1801 1000 mg BID for 28 weeks.

Connect with a study center

  • Baogang Hospital of Inner Mongolia

    Baotou,
    China

    Site Not Available

  • Baogang Hospital of Inner Mongolia

    Baotou 2038432,
    China

    Site Not Available

  • Beijing Friendship Hospital, Capital Medical University

    Beijing,
    China

    Site Not Available

  • Beijing Luhe Hospital Capital Medical University

    Beijing,
    China

    Site Not Available

  • Beijing Pinggu Hospital

    Beijing,
    China

    Site Not Available

  • Peking Union Medical College Hospital

    Beijing,
    China

    Site Not Available

  • Peking University People's Hospital

    Beijing,
    China

    Site Not Available

  • Beijing Friendship Hospital, Capital Medical University

    Beijing 1816670,
    China

    Site Not Available

  • Beijing Luhe Hospital Capital Medical University

    Beijing 1816670,
    China

    Site Not Available

  • Beijing Pinggu Hospital

    Beijing 1816670,
    China

    Site Not Available

  • Peking Union Medical College Hospital

    Beijing 1816670,
    China

    Site Not Available

  • Peking University People's Hospital

    Beijing 1816670,
    China

    Site Not Available

  • The Second Norman Bethune Hospital of Jilin University

    Changchun,
    China

    Site Not Available

  • The Second Norman Bethune Hospital of Jilin University

    Changchun 2038180,
    China

    Site Not Available

  • The First People's Hospital of Changde City

    Changde,
    China

    Site Not Available

  • The First People's Hospital of Changde City

    Changde 1791121,
    China

    Site Not Available

  • Hunan Provincial People's Hospital

    Changsha,
    China

    Site Not Available

  • The Third Xiangya Hospital of Central South University

    Changsha,
    China

    Site Not Available

  • Hunan Provincial People's Hospital

    Changsha 1815577,
    China

    Site Not Available

  • The Third Xiangya Hospital of Central South University

    Changsha 1815577,
    China

    Site Not Available

  • Chongqing University Three Gorges Hospital

    Chongqing,
    China

    Site Not Available

  • Chongqing University Three Gorges Hospital

    Chongqing 1814906,
    China

    Site Not Available

  • The Third People's Hospital of Datong

    Datong,
    China

    Site Not Available

  • The Third People's Hospital of Datong

    Datong 2037799,
    China

    Site Not Available

  • Nanfang Hospital, Southern Medical University

    Guangzhou,
    China

    Site Not Available

  • Nanfang Hospital, Southern Medical University

    Guangzhou 1809858,
    China

    Site Not Available

  • Handan First Hospital

    Handan,
    China

    Site Not Available

  • Handan First Hospital

    Handan 1808963,
    China

    Site Not Available

  • The Fourth Affiliated Hospital of Harbin Medical University

    Harbin,
    China

    Site Not Available

  • The Fourth Affiliated Hospital of Harbin Medical University

    Harbin 2037013,
    China

    Site Not Available

  • Anhui Provincial Hospital

    Hefei,
    China

    Site Not Available

  • The Second Hospital of Anhui Medical University

    Hefei,
    China

    Site Not Available

  • Anhui Provincial Hospital

    Hefei 1808722,
    China

    Site Not Available

  • The Second Hospital of Anhui Medical University

    Hefei 1808722,
    China

    Site Not Available

  • Hengshui People's Hospital (Harrison International Peace Hospital)

    Hengshui,
    China

    Site Not Available

  • Hengshui People's Hospital (Harrison International Peace Hospital)

    Hengshui 1808392,
    China

    Site Not Available

  • Heze Municipal Hospital

    Heze,
    China

    Site Not Available

  • Heze Municipal Hospital

    Heze 1808198,
    China

    Site Not Available

  • Huai'an First People's Hospital

    Huai'an,
    China

    Site Not Available

  • Huai'an First People's Hospital

    Huai'an 1797873,
    China

    Site Not Available

  • Huangshi Central Hospital

    Huangshi,
    China

    Site Not Available

  • Huangshi Central Hospital

    Huangshi 1807234,
    China

    Site Not Available

  • Huizhou Municipal Central Hospital

    Huizhou,
    China

    Site Not Available

  • Huizhou Municipal Central Hospital

    Huizhou 1806776,
    China

    Site Not Available

  • Huzhou Central Hospital

    Huzhou,
    China

    Site Not Available

  • Huzhou Central Hospital

    Huzhou 1806535,
    China

    Site Not Available

  • Jinan Central Hospital

    Jinan,
    China

    Site Not Available

  • Jinan Central Hospital

    Jinan 1805753,
    China

    Site Not Available

  • Jingzhou Central Hospital

    Jingzhou,
    China

    Site Not Available

  • Jingzhou Central Hospital

    Jingzhou 1805540,
    China

    Site Not Available

  • Jinzhou Central Hospital

    Jinzhou,
    China

    Site Not Available

  • Jinzhou Central Hospital

    Jinzhou 2036427,
    China

    Site Not Available

  • The First People's Hospital of Kashgar

    Kashgar,
    China

    Site Not Available

  • The First People's Hospital of Kashgar

    Kashgar 1280849,
    China

    Site Not Available

  • Hebei Petro China Center Hospital

    Langfang,
    China

    Site Not Available

  • Hebei Petro China Center Hospital

    Langfang 1804540,
    China

    Site Not Available

  • Liaocheng People's Hospital

    Liaocheng,
    China

    Site Not Available

  • Liaocheng People's Hospital

    Liaocheng 1803834,
    China

    Site Not Available

  • The First Affiliated Hospital of Henan University of Science and Technology (Jinghua)

    Luoyang,
    China

    Site Not Available

  • The First Affiliated Hospital of Henan University of Science and Technology (Kaiyuan)

    Luoyang,
    China

    Site Not Available

  • The First Affiliated Hospital of Henan University of Science and Technology (Jinghua)

    Luoyang 1801792,
    China

    Site Not Available

  • The First Affiliated Hospital of Henan University of Science and Technology (Kaiyuan)

    Luoyang 1801792,
    China

    Site Not Available

  • Nanjing Drum Tower Hospital - The Affiliated Hospital of Nanjing University Medical School

    Nanjing,
    China

    Site Not Available

  • Nanjing First Hospital

    Nanjing,
    China

    Site Not Available

  • Nanjing Jiangning Hospital

    Nanjing,
    China

    Site Not Available

  • Sir Run Run Hospital Nanjing Medical University

    Nanjing,
    China

    Site Not Available

  • The Second Affiliated Hospital of Nanjing Medical University

    Nanjing,
    China

    Site Not Available

  • Nanjing Drum Tower Hospital - The Affiliated Hospital of Nanjing University Medical School

    Nanjing 1799962,
    China

    Site Not Available

  • Nanjing First Hospital

    Nanjing 1799962,
    China

    Site Not Available

  • Nanjing Jiangning Hospital

    Nanjing 1799962,
    China

    Site Not Available

  • Sir Run Run Hospital Nanjing Medical University

    Nanjing 1799962,
    China

    Site Not Available

  • The Second Affiliated Hospital of Nanjing Medical University

    Nanjing 1799962,
    China

    Site Not Available

  • The First People's Hospital of Nanning

    Nanning,
    China

    Site Not Available

  • The First People's Hospital of Nanning

    Nanning 1799869,
    China

    Site Not Available

  • The First Affiliated Hospital of Nanyang Medical College

    Nanyang,
    China

    Site Not Available

  • The First Affiliated Hospital of Nanyang Medical College

    Nanyang 1799629,
    China

    Site Not Available

  • Panjin Liaohe Oilfield Gem Flower Hospital

    Panjin,
    China

    Site Not Available

  • Panjin Liaohe Oilfield Gem Flower Hospital

    Panjin 10794003,
    China

    Site Not Available

  • The First Hospital of Qiqihar

    Qiqihar,
    China

    Site Not Available

  • The First Hospital of Qiqihar

    Qiqihar 2035265,
    China

    Site Not Available

  • Shanghai East Hospital of Tongji University

    Shanghai,
    China

    Site Not Available

  • Shanghai Pudong New Area People's Hospital

    Shanghai,
    China

    Site Not Available

  • Shanghai East Hospital of Tongji University

    Shanghai 1796236,
    China

    Site Not Available

  • Shanghai Pudong New Area People's Hospital

    Shanghai 1796236,
    China

    Site Not Available

  • Shengjing Hospital of China Medical University

    Shenyang,
    China

    Site Not Available

  • The Sixth People's Hospital of Shenyang

    Shenyang,
    China

    Site Not Available

  • Shengjing Hospital of China Medical University

    Shenyang 2034937,
    China

    Site Not Available

  • The Sixth People's Hospital of Shenyang

    Shenyang 2034937,
    China

    Site Not Available

  • Shenzhen People's Hospital

    Shenzhen,
    China

    Site Not Available

  • The University of Hong Kong - Shenzhen Hospital

    Shenzhen,
    China

    Site Not Available

  • Shenzhen People's Hospital

    Shenzhen 1795565,
    China

    Site Not Available

  • The University of Hong Kong - Shenzhen Hospital

    Shenzhen 1795565,
    China

    Site Not Available

  • Taihe Hospital

    Shiyan,
    China

    Site Not Available

  • Taihe Hospital

    Shiyan 1794903,
    China

    Site Not Available

  • Siping City Central People's Hospital

    Siping,
    China

    Site Not Available

  • Siping City Central People's Hospital

    Siping 2034714,
    China

    Site Not Available

  • The First Affiliated Hospital of Suzhou University

    Suzhou,
    China

    Site Not Available

  • The First Affiliated Hospital of Suzhou University

    Suzhou 1886760,
    China

    Site Not Available

  • People's Hospital of Tianjin

    Tianjin,
    China

    Site Not Available

  • People's Hospital of Tianjin

    Tianjin 1792947,
    China

    Site Not Available

  • Tonghua Central Hospital

    Tonghua,
    China

    Site Not Available

  • Tonghua Central Hospital

    Tonghua 2034414,
    China

    Site Not Available

  • The Central Hospital of Wuhan

    Wuhan,
    China

    Site Not Available

  • The Central Hospital of Wuhan

    Wuhan 1791247,
    China

    Site Not Available

  • Yijishan Hospital of Wannan Medical College

    Wuhu,
    China

    Site Not Available

  • Yijishan Hospital of Wannan Medical College

    Wuhu 1791236,
    China

    Site Not Available

  • The First People's Hospital of Xiangtan City

    Xiangtan,
    China

    Site Not Available

  • The First People's Hospital of Xiangtan City

    Xiangtan 1790492,
    China

    Site Not Available

  • The Affiliated Hospital of Xuzhou Medical University

    Xuzhou,
    China

    Site Not Available

  • The Affiliated Hospital of Xuzhou Medical University

    Xuzhou 10630003,
    China

    Site Not Available

  • Yanan University Affiliated Hospital

    Yanan,
    China

    Site Not Available

  • Yanan University Affiliated Hospital

    Yanan 1806102,
    China

    Site Not Available

  • Yueyang People's Hospital

    Yueyang,
    China

    Site Not Available

  • Yueyang People's Hospital

    Yueyang 1927639,
    China

    Site Not Available

  • Yuncheng Central Hospital

    Yuncheng,
    China

    Site Not Available

  • Yuncheng Central Hospital

    Yuncheng 1785738,
    China

    Site Not Available

  • The Second Affiliated Hospital of Zhengzhou University

    Zhengzhou,
    China

    Site Not Available

  • The Second Affiliated Hospital of Zhengzhou University

    Zhengzhou 1784658,
    China

    Site Not Available

  • Affiliated Hospital of Jiangsu University

    Zhenjiang,
    China

    Site Not Available

  • Affiliated Hospital of Jiangsu University

    Zhenjiang 1784642,
    China

    Site Not Available

  • Zhumadian Central Hospital

    Zhumadian,
    China

    Site Not Available

  • Zhumadian Central Hospital

    Zhumadian 1783873,
    China

    Site Not Available

  • Zhuzhou Central Hospital

    Zhuzhou,
    China

    Site Not Available

  • Zhuzhou Central Hospital

    Zhuzhou 1783763,
    China

    Site Not Available

  • Zibo Central Hospital

    Zibo,
    China

    Site Not Available

  • Zibo Central Hospital

    Zibo 1785286,
    China

    Site Not Available

  • The First People's Hospital of Zunyi

    Zunyi,
    China

    Site Not Available

  • The First People's Hospital of Zunyi

    Zunyi 1783621,
    China

    Site Not Available

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.