E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Men or women who are 18 years of age or more at enrolment (visit 1). The patients should be drug-naïve with Type 2 diabetes and not on anti-diabetic treatment during the recent 24 weeks. |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 7 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10045242 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To compare the efficacy of tesaglitazar (0.5 and 1 mg) given as monotherapy for 24 weeks in improving glycaemic control in patients with type 2 diabetes with placebo as determined by the absolute change in glycosylated haemoglobin A1c (HbA1c), from baseline to the end of the randomized treatment period. |
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E.2.2 | Secondary objectives of the trial |
To compare the effects of tesaglitazar (0.5 and 1 mg) monotherapy versus placebo in modifying lipids and lipoproteins in patients with type 2 diabetes after a 24-week randomized treatment period by evaluation of: The change from baseline to the end of the randomized treatment period in lipid and lipoprotein variables Responder rates as determined by the proportion of patients achieving a pre-specified change from baseline to the end of the randomized treatment period, for TG, HDL-C, non-HDL-C and LDL-C Proportion of patients reaching pre-specified target levels for TG, HDL-C, non-HDL-C and LDL-C To compare the effects of tesaglitazar (0.5 and 1 mg) monotheraphy versus placebo in modifying other markers of glycaemic control in patients with type 2 diabetes after a 24-week randomized treatment period by evaluation of: The change i FPG, insulin, proinsulin and C-peptide from baseline to the end of the randomized treatment period...
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
Provision of a written informed consent at visit 1. Men or women who are 18 years of age or more at time of consenting upon visit 1. Female patients post menopausal, hysterectomized or if of childbearing potential using a reliable method of birth control...
Diagnosed with type 2 diabetes.
Drug-naïve (ie, no use of antidiabetic drug(s), for at least 24 weeks prior to visit 1). However, one temporary period of daily insulin injections no longer than 7 days during this period is allowed.
For patients <30 years old C-peptide level has to be >0.8 ng/mL, 0.26 nmol/L. HbA1c 7% up to or equal of 10%. NB Enrolment will be stopped when the cohort of patients having HbA1c more or equal to 7% and less or equal to 7.4% is approximately 25% or the cohort of patients having HbA1c more or equal to 7.5% and less or equal to 10% is approximately 75%.
FPG less than or equal to 13.3 mmol/L, 240 mg/dL.
Inclusion criteria at randomization (visit 5, laboratory values from visit 3 and 4): HbA1c 7 % up to or equal of 10% (laboratory value from visit 4).
Mean FPG of two measurements (laboratory values from visit 3 and 4) less or equal of 11.7 mmol/L, 210 mg/dL.
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E.4 | Principal exclusion criteria |
Type 1 diabetes, history of diabetic ketoacidosis, or corticosteroid-induced type 2 diabetes. Active arterial disease such as unstable angina... NYHA heart failure Class III or IV, or unstable Class I or II... History of thyroid ophthalmopathy. History of malignancy within the last 5 years... History of blood lipid induced eruptive xanthomas or hypertriglyceridemia induced pancreatitis. Pregnant or breastfeeding patients. Suspicion that the patient is infected according to WHO risk categories 2 to 4... Treatment with fibrates, within 4 weeks prior to visit 1. Treatment with glucocorticoids (equivalent to oral prednisolon >10 mg per day), within 4 weeks prior to visit 1. Treatment with probenecid that cannot be stopped at visit 1. History of hypersensitivity or intolerance to any PPAR-agonist. History of drug-induced myopathy or drug-induced CK elevation. History of drug-induced liver enzyme elevations. History of drug-induced neutropenia. History of alcohol or drug abuse within the last 5 years. Other serious or unstable medical or psychological condition... Receiving any investigational product within 12 weeks prior to visit 1. Previous enrolment in this study. Involvement in the planning and conduct of the Clinical Study (applies to both AstraZeneca staff and staff at the investigational site). Exclusion criteria at placebo run-in (visit 2, laboratory values from visit 1) Fasting TG >7.0 mmol/L, 620 mg/dL. Hb <90 g/L, 9 g/dL. ANC <1.0 x 1 000 000 000/L. Total bilirubin above the upper limit of normal unless exclusively caused by Gilbert’s syndrome. Creatinine >2 times the upper limit of normal. CK >3 times the upper limit of normal. High BP (mean diastolic BP >120 mm Hg) or malignant hypertension. Hb <90 g/L, 9 g/dL. ANC <1.0 x 1 000 000 000/L. Any of ALT, AST or ALP >2.5 times the upper limit of normal.
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E.5 End points |
E.5.1 | Primary end point(s) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
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E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of study is defined as date of database lock, which is the time point after which no patient will patient will be exposed to study related activities. The study is expected to be completed in Q3 2006.
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 7 |