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NCT00970593: 3283K1-1008-US

Study Evaluating Safety, Tolerability, And Action Of OAP-189 In Subjects With Type 2 Diabetes On Metformin

Completed Phase 1 Results posted Last updated 2 November 2020
What this trial tests

Phase 1 trial testing OAP-189 in Diabetes Mellitus in 92 participants. Completed in 25 July 2011.

Timeline
2 September 2009
Primary endpoint
25 July 2011
25 July 2011

Quick facts

Lead sponsorPfizer
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment92
Start date2 September 2009
Primary completion25 July 2011
Estimated completion25 July 2011
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 65, any sex, with Diabetes Mellitus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Clinically Significant Physical Examination Abnormalities Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Physical examination included examination of skin, head, eyes, ears, nose, throat (HEENT), heart, lungs, abdomen, extremities, neurological function, back and lymph nodes. Clinically significant physical examination abnormalities were considered as adverse events based on investigator's discretion.

GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
Placebo IR0
Placebo MR0
Number of Participants With Clinically Significant Vital Signs Abnormalities Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Criteria for clinically significant vital sign abnormalities: sitting systolic blood pressure (SBP) of (greater than equal to) \>=160 millimeter of mercury (mmHg), (less than equal to) \<=90 mmHg, \>=20 mmHg increase and decrease from baseline; sitting diastolic blood pressure (DBP) of \>=100 mmHg, \<=50 mmHg, \>=15 mmHg increase and decrease from baseline; heart rate of \>=120 beats per minute (bpm), \<=45 bpm, (greater than) \>15 bpm increase and decrease from baseline, orthostatic SBP: decrease of \>=20 mm Hg from sitting value, orthostatic DBP: decrease of \>=20 mm Hg from sitting value, o

GroupValue95% CI
OAP-189 0.2 mg IR1
OAP-189 0.4 mg IR2
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg1
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg2
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg4
Placebo IR0
Placebo MR1
Number of Participants With Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Criteria for clinically significant ECG abnormalities: PR interval \>=220 millisecond (msec) or a change of \>=20 msec from baseline values, QRS interval \>=120 msec, QTc interval \>450 msec (in males) and \>470 msec (in females).

GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg2
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg4
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg4
Placebo IR0
Placebo MR7
Number of Participants With Clinically Significant Laboratory Abnormalities Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Hematocrit, haemoglobin: decrease of \>=0.05 L/L and \>=20 g/L from baseline respectively, WBC count:\<3\*10\^9 /L, neutrophils: \<1.5\*10\^9 /L, platelet count: \<100\*10\^9 /L, eosinophil: \<0.5\*10\^9 /L; prothrombin time, partial thromboplastin time \>1.5\*upper limit of normal (ULN); sodium:\>5 mmol/L above ULN or below lower limit of normal(LLN), potassium \>0.5 mmol/L above ULN or below LLN, creatinine \>1.36\*ULN, blood urea nitrogen \>1.5\*ULN, glucose (fasting) \>0.83 mmol/L above ULN or below LLN, glucose (non-fasting) \>5 mmol/L above ULN or \>0.56 below LLN, calcium, magnesium: Ch

GroupValue95% CI
OAP-189 0.2 mg IR10
OAP-189 0.4 mg IR15
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg13
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg9
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg19
Placebo IR5
Placebo MR15
Number of Participants With Injection Site Reactions Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Injection site reactions included irritation, erythema, pain, hematoma, inflammation.

Irritation
GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg1
Placebo IR0
Placebo MR1
Erythema
GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg1
Placebo IR0
Placebo MR1
Pain
GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg2
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg1
Placebo IR0
Placebo MR0
Hematoma
GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg3
Placebo IR0
Placebo MR1
Inflammation
GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
Placebo IR0
Placebo MR1
Number of Participants With Clinically Significant Fasting Glucose Level Abnormalities Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Criteria: Blood glucose levels \>15 milligram per deciliter (mg/dL) above ULN or \>15 mg/dL below LLN.

GroupValue95% CI
OAP-189 0.2 mg IR10
OAP-189 0.4 mg IR15
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg13
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg9
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg19
Placebo IR5
Placebo MR15
Number of Participants With Hypoglycaemia Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Hypoglycaemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually \<=50 mg/dL.

GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg2
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg1
Placebo IR0
Placebo MR0
Number of Participants With Drug-Induced Liver Injury Primary · Baseline up to 17 days after last dose of study drug (Day 31)

Criteria for drug induced liver injury: Levels of aspartate transaminase (AST) or alanine transaminase (ALT) should be \>= 3 times ULN concurrent with a total bilirubin of \>=2 times ULN with no evidence of hemolysis and an alkaline phosphatase should be \<=2 times ULN.

GroupValue95% CI
OAP-189 0.2 mg IR0
OAP-189 0.4 mg IR0
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg0
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg0
Placebo IR0
Placebo MR0
Change From Baseline in Predose Fasting Glucose Levels at Day 8 Primary · Baseline, Day 8

Fasting glucose levels were determined before administration of OAP-189 using a glucometer.

Baseline
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg10.02± 2.373
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg10.06± 2.583
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg9.27± 2.148
Placebo MR9.01± 1.769
Change at Day 8
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg-1.37± 2.222
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg-2.75± 1.663
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg-2.47± 1.400
Placebo MR-0.25± 1.166
Change From Baseline in Predose Fasting Glucose Levels at Day 15 Primary · Baseline, Day 15

Fasting glucose levels were determined before administration of OAP-189 using a glucometer.

GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg-2.62± 0.998
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg-3.87± 1.783
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg-3.49± 1.643
Placebo MR-0.33± 1.273
Plasma Concentration Versus Time Summary of Metformin Following Single Dose of OAP-189 Secondary · Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6 hours post-dose on Day 14

Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =2 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

Pre-dose
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg318.7± 140.36
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg455.6± 246.43
1 hour post dose
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg899.1± 344.02
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg990.9± 453.01
2 hour post dose
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg885.4± 364.20
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg1112± 652.61
3 hour post dose
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg881.4± 357.83
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg1063± 613.86
4 hour post dose
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg912.3± 381.22
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg943.7± 474.35
6 hour post dose
GroupValue95% CI
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg869.7± 215.27
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg804.8± 349.20
Plasma Concentration Versus Time Summary of Metformin Following Multiple Dose of OAP-189 Secondary · Pre-dose (2 hours before dosing), 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 24 hours post-dose on Day 7

Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLOQ =2 nanogram per millliter) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.

Pre-dose
GroupValue95% CI
OAP-189 0.2 mg IR544.7± 334.72
OAP-189 0.4 mg IR558.9± 386.19
1 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR998.8± 360.42
OAP-189 0.4 mg IR1276± 858.80
2 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR980.7± 336.37
OAP-189 0.4 mg IR1084± 582.26
3 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR995.8± 342.21
OAP-189 0.4 mg IR985.5± 424.50
4 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR938.3± 355.38
OAP-189 0.4 mg IR974.7± 504.81
6 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR804.6± 343.23
OAP-189 0.4 mg IR854.0± 415.21
8 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR617.0± 265.18
OAP-189 0.4 mg IR735.4± 350.03
10 hour post dose
GroupValue95% CI
OAP-189 0.2 mg IR462.4± 194.50
OAP-189 0.4 mg IR658.1± 457.83

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

OAP-189 0.2 mg IR
Serious: 0/11 (0%)
Deaths:
OAP-189 0.4 mg IR
Serious: 0/15 (0%)
Deaths:
OAP-189 MR (0.05:1 Z/P Ratio) 0.9 mg Followed by 1.2 mg
Serious: 0/13 (0%)
Deaths:
OAP-189 MR (0.1:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Serious: 0/12 (0%)
Deaths:
OAP-189 MR (0.25:1 Z/P Ratio) 1.2 mg Followed by 1.6 mg
Serious: 0/20 (0%)
Deaths:
Placebo IR
Serious: 0/5 (0%)
Deaths:
Placebo MR
Serious: 0/16 (0%)
Deaths:
Other adverse events (58 terms — click to expand)

ReactionSystemOAP-189 0.2 mg IROAP-189 0.4 mg IROAP-189 MR (0.05:1 Z/P Rat…OAP-189 MR (0.1:1 Z/P Rati…OAP-189 MR (0.25:1 Z/P Rat…Placebo IRPlacebo MR
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
DyspepsiaGastrointestinal disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
Abdominal distensionGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
Abdominal discomfortGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Injection site haematomaGeneral disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
EcchymosisSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
TinnitusEar and labyrinth disorders
Dry mouthGastrointestinal disorders
AstheniaGeneral disorders
Injection site painGeneral disorders
Injection site reactionGeneral disorders
HypoglycaemiaMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
ErythemaSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Ear painEar and labyrinth disorders
Vision blurredEye disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
EructationGastrointestinal disorders
HyperchlorhydriaGastrointestinal disorders
Lip dryGastrointestinal disorders
Vomiting projectileGastrointestinal disorders
Application site irritationGeneral disorders
ChillsGeneral disorders
FatigueGeneral disorders
InflammationGeneral disorders
Infusion site inflammationGeneral disorders
Injection site erythemaGeneral disorders
Non-cardiac chest painGeneral disorders
PainGeneral disorders

Data from ClinicalTrials.gov NCT00970593 adverse events section.

Sponsor's own description

This is a study to evaluate the safety, tolerability, and activity of OAP-189 in subjects with type 2 diabetes who are taking metformin for their diabetes.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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