Safety and Efficacy Study of TRC150094 to Improve the CV Risk in Subjects With Diabetes, Dyslipidemia and Hypertension

NCT ID: NCT03254446

Last Updated: 2020-07-17

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

1250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-12

Study Completion Date

2022-08-31

Brief Summary

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The phase III trial is designed with an aim of determining the efficacy of Investigational Product TRC150094 in concurrently reducing non-traditional risk factors for CV risk i.e., HbA1c, MAP and non-HDL cholesterol. This study will be a randomized, double blind, parallel group, placebo controlled, multi-centre, multinational study in 1250 subjects. All the study subjects will receive once daily dose of TRC150094 45 mg or placebo tablets in addition to their standard of care, for 24 weeks followed by roll over to a safety extension phase of 26 weeks.

Detailed Description

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TRC150094 is an Investigational Product for the treatment of CV risk associated with non-traditional risk factors ie, diabetes, hypertension and dyslipidemia, which acts by increasing the energy expenditure and restoring mitochondrial flexibility which is deranged in patients with these risk factors. Treatment with TRC150094 has shown clinically meaningful benefits in well-established contributors of CV risk i.e., insulin resistance and hyperglycemia, SBP as well as non-traditional risk factors i.e. non-HDL cholesterol and MAP, over and above standard of care.

The phase III trial is designed with an aim of determining the efficacy of TRC150094 in concurrently reducing non-traditional risk factors for CV risk i.e., HbA1c, MAP and non-HDL cholesterol. This study will be a randomized, double blind, parallel group, placebo controlled, multi-centre, multinational study in 1250 subjects. All the study subjects will receive once daily dose of TRC150094 45 mg or placebo tablets in addition to their standard of care, for 24 weeks followed by roll over to a safety extension phase of 26 weeks.

Primary Objective of the study is, To evaluate the efficacy of TRC150094 in improving cardiovascular (CV) risk in subjects with diabetes, dyslipidemia and hypertension Secondary Objectives of the study are,

1. To evaluate safety of TRC150094 in subjects with diabetes, dyslipidemia and hypertension
2. To evaluate extended safety profile of TRC150094 beyond 24 weeks of treatment in subjects with diabetes, dyslipidemia and hypertension

In this study there will be five visits at week 4, 12, 24, 36 and 50 after enrolment.

Conditions

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Diabetes Dyslipidemias Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, Double Blind, Parallel Group, Placebo Controlled, Multi-centre, Multinational Study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double Blind

Study Groups

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TRC150094 45 mg

TRC150094 45 mg Tablet to be administered orally once a day for 50 weeks

Group Type EXPERIMENTAL

TRC150094

Intervention Type DRUG

TRC150094 Tablet 45 mg

Placebo

Matching Placebo Tablet to be administered orally once a day for 50 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching Placebo Tablet

Interventions

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TRC150094

TRC150094 Tablet 45 mg

Intervention Type DRUG

Placebo

Matching Placebo Tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male and female subjects in the age range 30-70 years (both inclusive)
2. BMI in the range 23-39 (inclusive) kg/m2
3. HbA1C ≥7.5 %
4. Stable therapy of ≤2 oral hypoglycemic agents for at least two months prior to screening at doses that are appropriate for the duration of the study in the judgment of the investigator.
5. Non HDL-cholesterol ≥ 160 mg/dL.
6. Mean Arterial Pressure (MAP) ≥100 mm Hg based on average of 24 hours' ambulatory blood pressure monitoring (ABPM) with or without antihypertensive treatment (subjects will have to be on stable dose of anti-hypertensive treatment for at least two months prior to screening); Dose should be appropriate for the duration of the study in the judgment of the investigator.
7. Willing to give written informed consent
8. Ability to adhere to the study restrictions and assessments schedule

Exclusion Criteria

1. Uncontrolled hypertension: SBP of ≥ 180 mm Hg and DBP ≥ 110 mmHg based on average of 24 hours' ambulatory blood pressure monitoring.
2. HbA1C \> 10 % at screening.
3. Serum triglycerides \>400 mg/dL.
4. LDL-cholesterol \>300 mg/dL or medical history/clinical evidence of familial hyperlipidemic disorder.
5. Subjects on Insulin or Sodium Glucose Co-Transporter 2 (SGLT2) inhibitors.
6. Acute coronary syndrome (ACS) or stroke or any revascularization within last 6 months.
7. Subjects having untreated thyroid dysfunction (TSH \<0.3 or \>5.5 µIU/mL) or hormone related obesity disorder.
8. Subjects with liver enzymes (SGOT, SGPT) more than 3X of upper limit of normal value.
9. eGFR \<30 mL/min as evaluated by Modification of Diet in Renal Disease (MDRD) method.
10. Seropositive for HIV, Hepatitis B or Hepatitis C.
11. History of alcohol or drug abuse, psychiatric disorder, any bleeding disorder, malignancy in last 3 years.
12. Pregnant or lactating women.
13. Female of childbearing potential, who are neither surgically sterilized nor willing to use reliable contraceptive methods (double barrier methods or intrauterine device).
14. Male subjects with partners of childbearing potential not willing to use reliable contraception methods.
15. Clinically significant abnormal physical findings, laboratory results, ECG findings and/or any other clinical observation or history during the screening examination, which would interfere with the objectives of the study.
16. Intake of any investigational drug within 3 months prior to the first dose of study drug.
17. In the opinion of the investigator, subject is unable to cooperate with any study procedures, unlikely to adhere to the study procedures, keep appointments, or plan to relocate during the study.
Minimum Eligible Age

30 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Iqvia Pty Ltd

INDUSTRY

Sponsor Role collaborator

Torrent Pharmaceuticals Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nikhil Tandon, M.D., PhD

Role: STUDY_CHAIR

All India Institute of Medical Sciences

Locations

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Comitê de ética em Pesquisa do Hospital Pró Cardíaco

Rio de Janeiro, Botafogo, Brazil

Site Status RECRUITING

Avenida Angélica

São Paulo, CEP, Brazil

Site Status RECRUITING

Rua Silva Jardim

São Bernardo do Campo, São Paulo, Brazil

Site Status RECRUITING

Av. Farroupilha, 8001 Prédio 21, Recepção C, Bairro São José - Canoas/RS

Canoas, , Brazil

Site Status RECRUITING

Rua Coronel Aureliano de Camargo,905, Centro,

Tatuí, , Brazil

Site Status RECRUITING

BAPS Pramukh Swami Hospital,

Surat, Gujarat, India

Site Status RECRUITING

Bangalore Diabetes Centre, No. 426, 4th Cross, 2nd block, kalyan nagar,

Bangalore, Karnataka, India

Site Status RECRUITING

Government Medical College, Government Medical College Campus,

Calicut, Kerala, India

Site Status RECRUITING

Lisie Hospital

Kochi, Kerala, India

Site Status RECRUITING

Indian Institute of Diabetes

Thiruvananthapuram, Kerala, India

Site Status RECRUITING

Supe Heart and Diabetes Hospital and Research Centre,

Nashik, Maharashtra, India

Site Status RECRUITING

Medipoint Hospitals Pvt. Ltd

Pune, Maharashtra, India

Site Status RECRUITING

Ashirwad Hospital & Research Centre

Ulhasnagar, Maharashtra, India

Site Status RECRUITING

Dayanand Medical College & Hospital

Ludhiana, Punjab, India

Site Status RECRUITING

S.R Kalla Memorial Gastro and General Hospital

Jaipur, Rajasthan, India

Site Status RECRUITING

Diabetes ,Thyroid and Endocrine Centre

Jaipur, Rajasthan, India

Site Status RECRUITING

Apollo Hospitals, PR No. 3-5-836 to 838, Near Old MLA Quarters,

Hyderabad, Telangana, India

Site Status RECRUITING

De La Salle Heath Sciences Institute

Dasmariñas, Cavite, Philippines

Site Status RECRUITING

Angeles University Foundation Medical Center

Angeles City, Pampanga, Philippines

Site Status RECRUITING

St. Paul's Hospital

General Luna, Saint Iloilo City, Philippines

Site Status RECRUITING

Davao Doctors Hospital

Davao City, , Philippines

Site Status RECRUITING

Countries

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Brazil India Philippines

Central Contacts

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Shohini Ghosh, PhD

Role: CONTACT

+91-79-23969100 ext. 574

Girish Deshmukh, PhD

Role: CONTACT

+91-79-23969100 ext. 602

Facility Contacts

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Luis Augusto Russo, MD PhD, MBA

Role: primary

55 21 99988 0336

Joselita S Bodart, MD, Physian

Role: backup

55 21 986961073

Freddy G Eliaschewitz, Endocrino

Role: primary

55 11 27110298

Denise R Franco, Endocrino

Role: backup

55 11 27110298

Claudia M de Brito, MD, Physian

Role: primary

55 11 95369-9341

Andrea S Audi, MD, Physian

Role: backup

55 11 95369-9341

Cristiano P Jaeger, cardiologist

Role: primary

55 51 3478-8152

Patricia E Pizzato, Cardiologist

Role: backup

55 51 3478-8152

Wladmir F Saporito, Cardiologist

Role: primary

55 15 3451-1300

Roberto S Almeida, cardiologist

Role: backup

55 15 3451-1300 ext. 219

Dr. Parshottam Koradia, MBBS, MD

Role: primary

9825312027

Dr. Anand Modi, DNB

Role: backup

9825312027

Paramesh Shamanna, MBBS, MD

Role: primary

9845010610

Dr. Ambrish Chandrappa, MBBS, MD

Role: backup

9845895911

Neeraj Manikath, MBBS, DNB

Role: primary

9447391055

Dr.Chyandni R., MBBS,MD,PHD

Role: backup

Paulose George, MBBS, MD

Role: primary

9895021667

Jabir Abdullakutty, MBBS, DM

Role: backup

9447011773

Jabbar P, MBBS, MD

Role: primary

0471-2559388

Abhilash Nair, MBBS,MD

Role: backup

9495378383

PRAVIN SUPE, M.D.

Role: primary

+91-253-2232487

ANUPAMA SUPE, M.B.B.S

Role: backup

+91-253-2232487

Girish Bhatia, MD

Role: primary

+917387003636

Shailaja G Bhatia, MBBS,MD

Role: backup

+919527016688

Shrikant Deshpande, MBBS, MD

Role: primary

9822017445

R. M. Mundada, MBBS,MD

Role: backup

9822676212

Parminder Singh, MBBS, MD, DM

Role: primary

9814077536

damandeep P Kaur

Role: backup

9814066999

Dr. Nikhil Parikh, MBBS,MD,DM

Role: primary

9829054944

Dr. Rajiv Tiwari, MBBS, MD

Role: backup

+91-141-5112042

Surendra K Sharma, MBBS.MD,DM

Role: primary

9829010233

Sheela Sharma, MBBS.MD

Role: backup

+91 1412451946

Harikishan Boorugu, M.B.B.S.M.D.

Role: primary

9642767757

Dr.Arshad Pujani, M.B.B.S.

Role: backup

9866081267

Dr. Olivia P Roderos, Endocrlogist

Role: primary

Wendy Cudiamat

Role: backup

Dr. Gabriel Jocson, Cardiologist

Role: primary

Rose A Barranda, Coordinator

Role: backup

Ygpuara M Lallaine, Int.Med

Role: primary

Dr. Efren E Jr, Int.Med

Role: backup

Aquitania Grace, Int.Med

Role: primary

Emily R Doliente, Int.Med

Role: backup

Other Identifiers

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CT/P015/CMR/16/03_01

Identifier Type: -

Identifier Source: org_study_id

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