Type 2 Diabetes Mellitus Clinical Trial
Official title:
A Phase III Double-blind, Parallel Group, Randomized, Placebo-controlled Clinical Trial to Study the Efficacy and Safety of MP-513 Monotherapy in Patients With Type 2 Diabetes Mellitus
The study design of this trial is double blind, parallel-group, randomized, placebo controlled study
- Although many different oral antidiabetic agents are currently available, approximately
50% of treated Type 2 diabetic subjects do not reach currently accepted goals for
HbA1c(Oral communication, American Diabetic Association, 2008)Subjects are frequently
prescribed agents which can cause hypoglycemia, and/or weight gain.
- In many countries, the most commonly prescribed primary oral diabetes drug that does
not cause hypoglycemia or weight gain, is metformin, but metformin can cause
gastrointestinal adverse drug reactions, nausea, vomiting, diarrhea, abdominal pain and
loss of appetite and other symptoms, and rare but life-threatening lactic acidosis.
- This decrease in the Power of Hydrogen Ions of the blood (<7.25) and the increase in
blood lactate (> 5 mmol / L) is associated with a reduced kidney failure and if there
is kidney impairment, decreased metformin clearance and thus accumulated metformin may
occur lactic acidosis more frequently. Also there is inconvenience, such as adjusting
metformin dose depending on patient's condition.
- MP-513 is expected to be safely used as a treatment for type 2 diabetes because it has
no risk of hypoglycemia and/or weight gain which are reported in pre-existing diabetes
therapies and no inconvenience related to dose adjustment depending on patient's
condition, and no cases of fatal side effects.
- Furthermore the inhibitory effect on Dipeptidyl peptidase-IV was stronger and half-life
was longer compared with other dipeptidyl peptidase-IV inhibitors in non-clinical
trial, and blood glucose moderating effects are proven to be clinically significant in
clinical trials conducted in Europe and Japan in that its development as a therapeutic
agent for patients with type 2 diabetes is considered to be promising.
- Based on these previous studies, the objective of this study is to investigate the
efficacy and safety in subjects with type 2 diabetes mellitus that is not adequately
controlled with exercise and diet.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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