A Study to Evaluate the Effect of Ranolazine on Postprandial Glucagon in Subjects With Type 2 Diabetes.

NCT ID: NCT01843127

Last Updated: 2014-03-31

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

PHASE1

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2013-09-30

Brief Summary

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To explore the mechanism of action of ranolazine as a potential treatment for type 2 diabetes mellitus (T2DM).

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Placebo, Ranolazine, Exenatide

Group Type ACTIVE_COMPARATOR

Ranolazine

Intervention Type DRUG

Placebo

Intervention Type DRUG

Exenatide

Intervention Type DRUG

Ranolazine, Placebo, Exenatide

Group Type ACTIVE_COMPARATOR

Ranolazine

Intervention Type DRUG

Placebo

Intervention Type DRUG

Exenatide

Intervention Type DRUG

Interventions

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Ranolazine

Intervention Type DRUG

Placebo

Intervention Type DRUG

Exenatide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males and females, 18 to 65 years old, inclusive
* Documented history of T2DM for ≥5 years
* Body mass index (BMI) 20.0 to 40.0 kg/m2, inclusive, at Screening
* Stable treatment (≥ 12 weeks) with metformin alone, a sulfonylurea alone, a meglitinide alone, or a combination of metformin with either a sulfonylurea or a meglitinide
* HbA1c ≥ 7.0% and ≤ 10.5%, inclusive, at Screening
* Fasting glucose within specific ranges, at Screening and after 14 +/-2 days of wash-out from prior oral anti-diabetic agents
* Fasting serum C-peptide ≥0.8 ng/mL, at Screening
* Estimated glomerular filtration rate (eGFR)≥60 mL/min/1.73 m2
* Ability and willingness to comply with all study procedures during the course of the study, including washout from oral anti-diabetic (OAD) agents approximately 2 weeks prior to Day -2 admission
* Females of childbearing potential must have a negative pregnancy test at Screening and on Day -2 admission and must agree to use highly effective contraception methods from Screening throughout study participation and for 14 days following the last dose of study drug.

Exclusion Criteria

* History of type 1 diabetes mellitus or secondary forms of diabetes
* History of acute diabetes complications
* Recent or significant heart conditions
* Uncontrolled hypertension
* QTc interval \> 500 msec by ECG at Screening or on Day -2 admission, a personal or family history of QTc prolongation, congenital long QT syndrome, or use of drugs that prolong the QTc interval, such as Class Ia or Class III antiarrhythmic agents, erythromycin, and certain antipsychotics (eg, ziprasidone)
* History of severe GI disease (e.g., gastroparesis)
* History of pancreatitis (acute or chronic)
* Current consumption of \> 14 alcoholic drinks per week, or more than 4 alcoholic drinks on any one day
* Current regular use of tobacco- or nicotine-containing products in excess of 10 cigarettes per day or equivalent
* History of substance abuse within 12 months prior to Screening
* Significant hepatic disease, including, but not limited to, chronic active hepatitis and liver cirrhosis (Child-Pugh Class A, B, or C)
* History of malignancy within 5 years prior to Screening
* Significant thyroid disease
* Treatment with selected medications, as indicated in the protocol
* Prior treatment with open-label ranolazine or known hypersensitivity or intolerance to ranolazine or its excipients
* Known hypersensitivity or intolerance to GLP-1 mimetics
* Known hypersensitivity or intolerance to acetaminophen
* Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) \> 2.5 X upper limit of normal (ULN)
* Total Bilirubin (TB) \> 2 mg/dL
* Hemoglobin \< 12 g/dL (for males) or \< 11 g/dL (for females)
* Positive for hepatitis B surface antigen
* Positive for anti-hepatitis C virus antibody
* Positive for human immunodeficiency virus-1 (HIV-1) antibody
* Positive urine drug screen
* Positive alcohol test
* Donation of blood or blood products to a blood bank, blood transfusion, or participation in a clinical study requiring withdrawal of \> 500 mL of blood during the 6 weeks prior to Screening
* Females who are pregnant or breastfeeding
* Other condition(s) that, in the opinion of the investigator, would compromise the safety of the subject, would prevent compliance with the study protocol, or would compromise the quality of the clinical study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Profil Institute for Clinical Research, Inc.

Chula Vista, California, United States

Site Status

SeaView Research, Inc

Miami, Florida, United States

Site Status

Translational Research Institute-Florida Hospital

Orlando, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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GS-US-259-0165

Identifier Type: -

Identifier Source: org_study_id