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Trial · Interventional

TerminatedPhase 2Results postedRegistry data

A Preliminary Study of the Efficacy and Safety of MK-8521 for Type 2 Diabetes (MK-8521-004)

NCTNCT02492763 (opens ClinicalTrials.gov in a new tab)Other id8521-004Other idMK-8521-004

Overview

Status
Terminated
Phase
Phase 2
Enrollment
176 participants (actual)
Sponsor
Merck Sharp & Dohme LLC · Industry
Design
Randomized · Double masking
Countries
Not stated
Start
27 Jul 2015
Primary completion
18 Apr 2017
Completion
18 Apr 2017
First posted
9 Jul 2015 (estimated)
Last update posted
10 Sept 2018
Conditions
Type II Diabetes Mellitus

Timeline

1 trial · 1 stopped early · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2015201620172018
  1. Ph 2

    A Preliminary Study of the Efficacy and Safety of MK-8521 for Type 2 Diabetes (MK-8521-004)

    NCT02492763

    27 Jul 2015 to 18 Apr 2017

    Terminated

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This is a multicenter randomized, double-blind, placebo- and active-controlled (liraglutide; Victoza®), parallel-group, clinical trial of MK-8521 in participants with type 2 diabetes mellitus (T2DM) with inadequate glycemic control while on a stable dose of metformin (≥1000 mg/day). The trial will include a 1-week screening period; at least an 8-week antihyperglycemic agent (AHA) washout period, if required; a 14-week blinded therapy period (which includes single-blind run-in and double-blind therapy); and a 14-day post-treatment visit, 2 weeks after the last dose of investigational product. The primary hypothesis of the trial is that MK-8521 provides greater reduction in hemoglobin A1C relative to placebo after 12 weeks of once-daily administration in participants with T2DM with inadequate glycemic control on metformin monotherapy.

Interventions

  • MK-8521Drug
  • PlaceboDrug
  • LiraglutideDrug
  • MetforminDrug

Arms4

  • Experimental

    MK-8521 300 μg

    Participants receive double-blind MK-8521 300 μg daily (QD), subcutaneously, over 12 weeks.

  • Experimental

    MK-8521 180 μg

    Participants receive double-blind MK-8521 180 μg QD, subcutaneously, over 12 weeks.

  • Placebo comparator

    Placebo

    Participants receive matching double-blind placebo, QD over 12 weeks.

  • Active comparator

    Liraglutide 1.8 mg

    Participants receive open-label 1.8 mg of liraglutide, QD, subcutaneously, over 12 weeks.

Primary outcomes5

Outcomes the sponsor listed as primary.

  1. Change From Baseline in Hemoglobin A1C (A1C) at Week 12

    Time frame · Baseline and Week 12

    Registry description

    A1C is the percentage of hemoglobin that has glucose bound to it and is a blood marker used to report average blood glucose levels over prolonged periods of time. A1C is reported as a percentage (%). This change from baseline reflects the Week 12 A1C minus the Week 0 A1C.

  2. Number of Participants With an Adverse Event (AE)

    Time frame · Up to Week 14

    Registry description

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study.

  3. Number of Participants Who Discontinued Study Treatment Due to an AE

    Time frame · Up to Week 12

    Registry description

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study.

  4. Number of Participants With an AE of Symptomatic Hypoglycemia

    Time frame · Up to Week 14

    Registry description

    An AE is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Hypoglycemia episodes are those with glucose values ≤70 mg/dL (3.9 mmol/L). Symptomatic hypoglycemia episodes were episodes with clinical symptoms reported by the investigator as hypoglycemia and classified as adverse events.

  5. Change From Baseline in Heart Rate at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 heart rate minus the Week 0 heart rate.

Secondary outcomes(7)
  1. Change From Baseline in Body Weight at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 body weight minus the Week 0 body weight.

  2. Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 FPG minus the Week 0 FPG.

  3. Change From Baseline in Fasting Low Density Lipoprotein (LDL) Cholesterol at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 fasting LDL cholesterol minus the Week 0 fasting LDL cholesterol.

  4. Change From Baseline in Fasting High Density Lipoprotein (HDL) Cholesterol at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 fasting HDL cholesterol minus the Week 0 fasting HDL cholesterol.

  5. Change From Baseline in Fasting Triglycerides at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 fasting triglycerides minus the Week 0 fasting triglycerides.

  6. Change From Baseline in Systolic Blood Pressure (SBP) at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 SBP minus the Week 0 SBP.

  7. Change From Baseline in Diastolic Blood Pressure (DBP) at Week 12

    Time frame · Baseline and Week 12

    Registry description

    This change from baseline reflects the Week 12 DBP minus the Week 0 DBP.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeLeast squares mean· Baseline and Week 12

Change From Baseline in Hemoglobin A1C (A1C) at Week 12

GroupValue (Percent)
MK-8521 180 μg-0.82
MK-8521 300 μg-1.05
Placebo-0.44
Liraglutide 1.8 mg-1.42
Primary outcomeCount of participants· Up to Week 14

Number of Participants With an Adverse Event (AE)

GroupValue (Participants)
MK-8521 180 μg24
MK-8521 300 μg29
Placebo25
Liraglutide 1.8 mg22
Primary outcomeCount of participants· Up to Week 12

Number of Participants Who Discontinued Study Treatment Due to an AE

GroupValue (Participants)
MK-8521 180 μg3
MK-8521 300 μg1
Placebo2
Liraglutide 1.8 mg2
Primary outcomeCount of participants· Up to Week 14

Number of Participants With an AE of Symptomatic Hypoglycemia

GroupValue (Participants)
MK-8521 180 μg0
MK-8521 300 μg2
Placebo1
Liraglutide 1.8 mg1
Primary outcomeLeast squares mean· Baseline and Week 12

Change From Baseline in Heart Rate at Week 12

GroupValue (Beats/minute)
MK-8521 180 μg5.47
MK-8521 300 μg6.28
Placebo-1.42
Liraglutide 1.8 mg1.63
Secondary and other outcome results(3)
Secondary outcomeLeast squares mean· Baseline and Week 12

Change From Baseline in Body Weight at Week 12

GroupValue (Kilograms)
MK-8521 180 μg-2.0
MK-8521 300 μg-3.0
Placebo-1.3
Liraglutide 1.8 mg-2.9
Secondary outcomeLeast squares mean· Baseline and Week 12

Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12

GroupValue (mg/dL)
MK-8521 180 μg-13.7
MK-8521 300 μg-34.6
Placebo-5.1
Liraglutide 1.8 mg-42.9
Secondary outcomeMean· Baseline and Week 12

Change From Baseline in Fasting Low Density Lipoprotein (LDL) Cholesterol at Week 12

GroupValue (mg/dL)Spread
MK-8521 180 μg-9.323.5
MK-8521 300 μg8.841.8
Placebo4.533.5
Liraglutide 1.8 mg0.318.0

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
MK-8521 180 μgParticipants receive double-blind MK-8521 180 μg daily (QD), subcutaneously, over 12 weeks.0 / 460 / 4618 / 46
MK-8521 300 μgParticipants receive double-blind MK-8521 300 μg, QD, subcutaneously, over 12 weeks.0 / 441 / 4421 / 44
PlaceboParticipants receive matching double-blind placebo QD over 12 weeks.1 / 431 / 4315 / 43
Liraglutide 1.8 mgParticipants receive open-label liraglutide, 1.8 mg QD, subcutaneously, over 12 weeks.0 / 420 / 4213 / 42

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 21 Years up to 65 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Have T2DM in accordance with American Diabetes Association guidelines * Be on metformin monotherapy (\>-1000 mg/day: metformin IR or metformin XR) for at least 12 weeks prior to study start with a hemoglobin A1C (A1C) \>-7.5 and \<-10.5% OR Be on dual therapy with metformin (\>-1000 mg/day: dose stable for at least 4 weeks prior to study start) with an A1C of \>-7.0% and \<-10.0% and a second AHA and be willing to washout the second AHA. Allowable AHAs are dipeptidyl peptidase 4 (DPP-4 inhibitors), alpha-glucosidase inhibitors, sulfonylureas, and glinides. * Have a body mass index (BMI) ≥23 kg/m\^2 and ≤40 kg/m\^2 * Is a female who is not of reproductive potential, or is a female of reproductive potential who agrees to avoid becoming pregnant: while receiving study drug and for 14 days after the last dose of study drug Exclusion Criteria: * Have a history of type 1 diabetes or a history of diabetic ketoacidosis * Has a history of other specific types of diabetes (e.g., genetic syndromes, secondary pancreatic diabetes, diabetes due to endocrinopathies, drug- or chemical-induced, and post-organ transplant) * Has been treated with any gut-derived incretin hormone glucagon-like peptide 1 (GLP-1) receptor agonist (e.g. Byetta™, Victoza™ or investigational agents) within the last 6 months or has had GLP-1 receptor agonist discontinued due to gastrointestinal intolerance or lack of efficacy. Note: treatment with a GLP-1 receptor agonist that was discontinued \>6 months prior to study start is not an exclusion if the GLP-1 receptor agonist was discontinued for reasons other than gastrointestinal intolerance or lack of efficacy. * Has a history of clinically significant gastrointestinal disorder (including diabetic gastroparesis; irritable bowel disease; recurrent episodes of nausea, vomiting, diarrhea and abdominal pain) * Has a history of clinically significant and active, immunological, respiratory, genitourinary or major neurological (including stroke, transient ischemic attack and chronic seizures) abnormalities or diseases * Has a history of cardiovascular disease (including diabetic cardiomyopathy) or significant cardiac condition (including a history of myocardial infarction, stable or unstable angina, arterial revascularization, pathologic, symptomatic or sustained tachyarrhythmia \[e.g. atrial fibrillation, sustained supraventricular tachycardia, symptomatic non-sustained supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation, Wolf-Parkinson-White syndrome, congenital long QT syndrome, etc.\]) or heart failure * Has a family history of medullary carcinoma of the thyroid or multiple endocrine neoplasm type-2 syndrome * Has active diabetic proliferative retinopathy or a history of maculopathy * Has human immunodeficiency virus (HIV) * Has a medical history of active liver disease (other than non-alcoholic hepatic steatosis), including chronic hepatitis B or C (assessed by medical history), primary biliary cirrhosis, or active symptomatic gallbladder disease * Is on a weight loss medication or has undergone bariatric surgery * Has a history of acute or chronic pancreatitis of any etiology * Had an event of severe hypoglycemia with neuroglycopenia in the past 12 months * Has a positive urine pregnancy test * Is pregnant or breast-feeding, or is planning to conceive during the trial, including 14 days following the last dose of investigational product * Routinely consumes \>1 alcoholic drinks per day or \>7 alcoholic drinks per week or engages in binge drinking * Routinely consumes ≥480mg /day caffeine in caffeinated beverages (1 cup of coffee contains approximately 120 mg of caffeine * Is taking a beta blocker or medications with sympathomimetic activity (e.g. pseudoephedrine, phenylpropanolamine, etc.) * Is currently a user of nicotine or nicotine containing products or does not agree to refrain from using nicotine during the trial, including 14 days following the last dose of investigational product * Is currently a user of any illicit drugs (including any marijuana use) or has a history of drug (including alcohol) abuse within approximately 5 years * has other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or blinded investigational product administration

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