Phase 2 Study to Evaluate Safety & Efficacy of RM-131 Administered to Patients With Diabetic Gastroparesis

NCT ID: NCT01571297

Last Updated: 2016-09-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2013-09-30

Brief Summary

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The purpose of this study is to evaluate the effects of RM-131 on gastric emptying, gastroparesis symptoms, and the safety and tolerability of RM-131 compared to placebo in patients with Type 1 and Type 2 diabetes mellitus and gastroparesis. The study is designed to evaluate the efficacy and safety of multiple dose regimens of RM-131. Study drug (RM-131 and placebo) will be administered subcutaneously in a blinded fashion.

Detailed Description

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Conditions

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Diabetes Mellitus Diabetes Mellitus Complications Gastroparesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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RM-131

Group Type ACTIVE_COMPARATOR

RM-131

Intervention Type DRUG

Double blind RM-131 will be studied with various doses and regimens from 10 to 100 μg for 35 days.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo given subcutaneously for 35 days

Interventions

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RM-131

Double blind RM-131 will be studied with various doses and regimens from 10 to 100 μg for 35 days.

Intervention Type DRUG

Placebo

Placebo given subcutaneously for 35 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Able to provide written informed consent prior to any study procedures and be willing and able to comply with study procedures.
* Type 1 or Type 2 diabetes mellitus with HbA1c ≤11% at screening.
* Diabetic gastroparesis defined as at least 3 months history of symptoms suggestive of gastroparesis on an ongoing basis.
* Average Gastroparesis Cardinal Symptom Index Daily Diary (GCSI-DD) \> 2.6 during Visit 2.
* History of nausea and/or vomiting/emesis at least once a week during the 2 weeks prior to Visit 1.
* Delayed gastric emptying confirmed at screening by abnormal gastric emptying breath test (GEBT), defined as half-emptying time (t½) \> 79 minutes.
* Stable concomitant medications defined as no changes in regimen for at least 2 weeks prior to Visit 2.
* No use of metoclopramide, erythromycin or anti-emetics for at least 2 weeks prior to Visit 2.
* Body mass index \> 18 kg/m2.
* Female patients must have negative serum or urine pregnancy tests and must not be lactating. For females able to bear children, a hormonal (i.e., oral, implantable, or injectable) and single-barrier method, or a double-barrier method of birth control must be used throughout the study. Female patients unable to bear children must have this documented in the electronic case report form (eCRF) (i.e., tubal ligation, hysterectomy, or post-menopausal \[defined as a minimum of one year since the last menstrual period\]). Post-menopausal status will be confirmed by FSH.

Exclusion Criteria

* Currently receiving parenteral feeding; presence of a nasogastric or other enteral tube for feeding or decompression.
* History of gastric surgery such as fundoplication, gastrectomy, gastric pacemaker placement, vagotomy, bariatric procedure.
* History of pyloric injection of botulinum toxin within 6 months of screening.
* Persistent daily vomiting.
* Patients with clinical suspicion of upper gastrointestinal obstruction must have been evaluated per standard of care, and obstruction ruled out before screening.
* Currently taking opiates.
* Currently taking GLP-1 and amylin analogs.
* Allergic or intolerant of egg, wheat, milk or algae, as these are components of the GEBT study meal.
* History of anorexia nervosa, binge-eating or bulimia within 5 years.
* ALT or AST \> 2 X upper limit of normal during screening.
* History of intestinal malabsorption or pancreatic exocrine disease.
* Requires hemodialysis or has end-stage renal disease.
* History of human immunodeficiency virus (HIV) infection.
* Clinically significant neurologic or psychiatric disorders which are likely to impact compliance with protocol requirements.
* Poor venous access or inability to tolerate venipuncture.
* Participation in a clinical study within the 30 days prior to dosing in the present study.
* Any other reason, which in the opinion of the Investigator, including renal, hepatic or cardiopulmonary disease, or significant acute ECG abnormalities that would confound proper interpretation of the study or expose a patient to unacceptable risk.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Motus Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chief Development Officer

Role: STUDY_DIRECTOR

Rhythm Pharmaceuticals, Inc.

Locations

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Dothan, Alabama, United States

Site Status

Tucson, Arizona, United States

Site Status

North Little Rock, Arkansas, United States

Site Status

Concord, California, United States

Site Status

Lomita, California, United States

Site Status

Los Angeles, California, United States

Site Status

Torrance, California, United States

Site Status

Hialeah, Florida, United States

Site Status

Inverness, Florida, United States

Site Status

Miami, Florida, United States

Site Status

West Palm Beach, Florida, United States

Site Status

Wichita, Kansas, United States

Site Status

Monroe, Louisiana, United States

Site Status

Chevy Chase, Maryland, United States

Site Status

Boston, Massachusetts, United States

Site Status

Farmington Hills, Michigan, United States

Site Status

Jackson, Mississippi, United States

Site Status

Lebanon, New Hampshire, United States

Site Status

Albuquerque, New Mexico, United States

Site Status

Morehead City, North Carolina, United States

Site Status

Raleigh, North Carolina, United States

Site Status

Wilmington, North Carolina, United States

Site Status

Winston-Salem, North Carolina, United States

Site Status

Portland, Oregon, United States

Site Status

Chattanooga, Tennessee, United States

Site Status

Germantown, Tennessee, United States

Site Status

Dallas, Texas, United States

Site Status

Lubbock, Texas, United States

Site Status

Burke, Virginia, United States

Site Status

Norfolk, Virginia, United States

Site Status

Countries

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United States

References

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Camilleri M, Lembo A, McCallum R, Tourkodimitris S, Kemps L, Miller MB, Bertelsen K, Iacob A. Overall safety of relamorelin in adults with diabetic gastroparesis: Analysis of phase 2a and 2b trial data. Aliment Pharmacol Ther. 2020 Jun;51(11):1139-1148. doi: 10.1111/apt.15711. Epub 2020 Apr 17.

Reference Type DERIVED
PMID: 32301137 (View on PubMed)

Lembo A, Camilleri M, McCallum R, Sastre R, Breton C, Spence S, White J, Currie M, Gottesdiener K, Stoner E; RM-131-004 Trial Group. Relamorelin Reduces Vomiting Frequency and Severity and Accelerates Gastric Emptying in Adults With Diabetic Gastroparesis. Gastroenterology. 2016 Jul;151(1):87-96.e6. doi: 10.1053/j.gastro.2016.03.038. Epub 2016 Apr 4.

Reference Type DERIVED
PMID: 27055601 (View on PubMed)

Other Identifiers

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RM-131-004

Identifier Type: -

Identifier Source: org_study_id

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