Trial Outcomes & Findings for Safety and Tolerability After Four Weeks of Treatment With AZD1656 in Patients With Type 2 Diabetes (NCT NCT00856908)

NCT ID: NCT00856908

Last Updated: 2012-12-06

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

Baseline is pre-dose first day of dosing, end of treatment is the morning following the treatment period

Results posted on

2012-12-06

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Overall Study
STARTED
15
5
Overall Study
COMPLETED
14
5
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

Safety and Tolerability After Four Weeks of Treatment With AZD1656 in Patients With Type 2 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental
n=15 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Total
n=20 Participants
Total of all reporting groups
Age Continuous
52.6 years
n=5 Participants
57.2 years
n=7 Participants
53.8 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
3 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline is pre-dose first day of dosing, end of treatment is the morning following the treatment period

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Systolic Blood Pressure, Change From Baseline to End of Treatment
0.4 mmHg
Standard Deviation 8.5
5.0 mmHg
Standard Deviation 6.4

PRIMARY outcome

Timeframe: Baseline is pre-dose first day of dosing, end of treatment is the morning following the treatment period

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Diastolic Blood Pressure, Change From Baseline to End of Treatment
3.4 mmHg
Standard Deviation 7.6
0.6 mmHg
Standard Deviation 2.9

PRIMARY outcome

Timeframe: Baseline is pre-dose first day of dosing, end of treatment is the morning following the treatment period

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Pulse, Change From Baseline to End of Treatment
0.7 beats/min
Standard Deviation 4.4
-5.4 beats/min
Standard Deviation 4.0

PRIMARY outcome

Timeframe: Baseline is the day before first dose, end of treatment is last day of treatment

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Weight, Change From Baseline to End of Treatment
-0.54 kg
Standard Deviation 1.65
-1.32 kg
Standard Deviation 1.18

PRIMARY outcome

Timeframe: Measured regularly from day before first dose to day after last dose

Number of participants with clinically relevant change of laboratory variables (clinical chemistry, haematology and urinalysis parameters

Outcome measures

Outcome measures
Measure
Experimental
n=15 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Clinically Relevant Change of Laboratory Variables
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Measured last day of treatment

Dose-adjusted to a total daily dose of 100 mg due to titrated doses

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Area Under the Plasma Concentration vs Time Curve (AUC0-24) of AZD1656
23.49 umol*h/L
Interval 18.73 to 29.45

SECONDARY outcome

Timeframe: Measured following the morning dose last day of treatment

Dose-adjusted to a morning dose of 50 mg due to titrated doses

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Maximum Plasma Concentration of AZD1656
2.415 umol/L
Interval 1.992 to 2.928

SECONDARY outcome

Timeframe: Measured last day of treatment

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Time to Reach Maximum Plasma Concentration of AZD1656
0.500 h
Interval 0.25 to 2.5

SECONDARY outcome

Timeframe: Measured following the evening dose last day of treatment

Outcome measures

Outcome measures
Measure
Experimental
n=13 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Terminal Elimination Half-life of AZD1656
5.239 h
Interval 3.1 to 10.1

SECONDARY outcome

Timeframe: Measured last day of treatment

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Apparent Oral Clearance of AZD1656
9.382 L/h
Interval 4.92 to 16.2

SECONDARY outcome

Timeframe: Baseline is the day before first dose, end of treatment is last day of treatment

Log ratio (End of treatment/Baseline) has been analysed in an ANCOVA model, using treatment as fixed factor and log(Baseline) as covariate. Resulting estimates have been back-transformed from the log-scale and then multiplied by 100 to obtain the relative ratio (end of treatment/placebo) in percent. Changes in percent have been obtained by subtraction by 100.

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
P-Glucose (AUC0-24)/24, Change From Baseline to End of Treatment
-7 relative change in percent
Interval -19.0 to 6.2
4 relative change in percent
Interval -18.0 to 33.0

SECONDARY outcome

Timeframe: Baseline is the day before first dose, end of treatment is last day of treatment

Log ratio (End of treatment/Baseline) has been analysed in an ANCOVA model, using treatment as fixed factor and log(Baseline) as covariate. Resulting estimates have been back-transformed from the log-scale and then multiplied by 100 to obtain the relative ratio (end of treatment/placebo) in percent. Changes in percent have been obtained by subtraction by 100

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
S-Insulin (AUC0-24)/24, Change From Baseline to End of Treatment
-2 relative change in percent
Interval -15.0 to 12.0
-29 relative change in percent
Interval -45.0 to -9.3

SECONDARY outcome

Timeframe: Baseline is the day before first dose, end of treatment is last day of treatment

Log ratio (End of treatment/Baseline) has been analysed in an ANCOVA model, using treatment as fixed factor and log(Baseline) as covariate. Resulting estimates have been back-transformed from the log-scale and then multiplied by 100 to obtain the relative ratio (end of treatment/placebo) in percent. Changes in percent have been obtained by subtraction by 100.

Outcome measures

Outcome measures
Measure
Experimental
n=14 Participants
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 Participants
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
S-C-Peptide (AUC0-24)/24, Change From Baseline to End of Treatment
-4 relative change in percent
Interval -18.0 to 13.0
-3 relative change in percent
Interval -26.0 to 28.0

Adverse Events

Experimental

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Placebo Comparator

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Experimental
n=15 participants at risk
AZD1656 dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Placebo Comparator
n=5 participants at risk
placebo Dose titration of oral suspension during 4 days to a tolerable dose given twice daily. Subjects will thereafter be treated with this dose twice daily for another 24 days
Gastrointestinal disorders
Abdominal Pain Upper
6.7%
1/15
0.00%
0/5
Gastrointestinal disorders
Diarrhoea
20.0%
3/15
40.0%
2/5
Gastrointestinal disorders
Constipation
6.7%
1/15
0.00%
0/5
Gastrointestinal disorders
Nausea
6.7%
1/15
20.0%
1/5
General disorders
Non-Cardiac Chest Pain
6.7%
1/15
0.00%
0/5
General disorders
Pain
0.00%
0/15
20.0%
1/5
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/15
20.0%
1/5
Infections and infestations
Urinary Tract Infection
13.3%
2/15
20.0%
1/5
Injury, poisoning and procedural complications
Application Site Reaction
13.3%
2/15
0.00%
0/5
Injury, poisoning and procedural complications
Catheter Site Pain
13.3%
2/15
0.00%
0/5
Investigations
Blood Glucose Decreased
13.3%
2/15
0.00%
0/5
Metabolism and nutrition disorders
Iron Deficiency Anaemia
0.00%
0/15
20.0%
1/5
Metabolism and nutrition disorders
Oedema Peripheral
6.7%
1/15
0.00%
0/5
Musculoskeletal and connective tissue disorders
Limb Discomfort
6.7%
1/15
0.00%
0/5
Musculoskeletal and connective tissue disorders
Pain In Extremity
26.7%
4/15
0.00%
0/5
Nervous system disorders
Headache
66.7%
10/15
20.0%
1/5
Nervous system disorders
Restless Legs Syndrome
6.7%
1/15
0.00%
0/5
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
6.7%
1/15
0.00%
0/5
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
6.7%
1/15
0.00%
0/5
Vascular disorders
Ecchymosis
6.7%
1/15
0.00%
0/5

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee CONTRACT RESEARCH ORGANIZATION AGREEMENT by and between ASTRAZENECA AB and the CRO. CRO agrees that AstraZeneca shall have the exclusive right to publish the results of the Study, including all Work Product, and that such results may not be published or otherwise disseminated by CRO without the prior written approval of AstraZeneca.
  • Publication restrictions are in place

Restriction type: OTHER