Efficacy and Safety of Efpeglenatide Versus Placebo in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Diet and Exercise

NCT ID: NCT03353350

Last Updated: 2022-01-18

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

406 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-05

Study Completion Date

2020-09-07

Brief Summary

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Primary Objective:

To demonstrate the superiority of once weekly injection of efpeglenatide in comparison to placebo in glycated hemoglobin (HbA1c) change in participants with T2DM (Type 2 Diabetes Mellitus) inadequately controlled with diet and exercise.

Secondary Objectives:

* To demonstrate the superiority of once-weekly injection of efpeglenatide in comparison to placebo on glycemic control
* To demonstrate the superiority of once-weekly injection of efpeglenatide in comparison to placebo on body weight
* To evaluate the safety of once-weekly injection of efpeglenatide

Detailed Description

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Study duration per participant is approximately 65 weeks, including a 3-week screening period, 30 weeks core treatment period, 26 weeks extension treatment period, and 6 weeks safety follow up.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Efpeglenatide 2mg

Efpeglenatide low dose (Prefilled syringe) administered once weekly for 56 weeks

Group Type EXPERIMENTAL

efpeglenatide (SAR439977)

Intervention Type DRUG

Pharmaceutical form: solution for injection

Route of administration: subcutaneous

Efpeglenatide 4 mg

Efpeglenatide middle dose (Prefilled syringe) administered once weekly for 56 weeks (including titration period)

Group Type EXPERIMENTAL

efpeglenatide (SAR439977)

Intervention Type DRUG

Pharmaceutical form: solution for injection

Route of administration: subcutaneous

Efpeglenatide 6 mg

Efpeglenatide high dose (Prefilled syringe) administered once weekly for 56 weeks (including titration period)

Group Type EXPERIMENTAL

efpeglenatide (SAR439977)

Intervention Type DRUG

Pharmaceutical form: solution for injection

Route of administration: subcutaneous

Placebo

Matching placebo (Prefilled syringe) administered once weekly for 56 weeks

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

Pharmaceutical form: solution for injection

Route of administration: subcutaneous

Interventions

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efpeglenatide (SAR439977)

Pharmaceutical form: solution for injection

Route of administration: subcutaneous

Intervention Type DRUG

placebo

Pharmaceutical form: solution for injection

Route of administration: subcutaneous

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants must be at least 18 years of age at the time of signing the informed consent.
* Participants with T2DM, and treated with diet and exercise.
* Hemoglobin A1c between 7.0% and 10.0% (inclusive) measured by the central laboratory at Screening.

Exclusion Criteria

* Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to) gastroparesis, unstable and not controlled gastroesophageal reflux disease within 6 months prior to Screening or history of surgery affecting gastric emptying.
* History of pancreatitis (unless pancreatitis was related to gallstone and cholecystectomy has been performed) and pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, and pancreatectomy.
* Personal or family history of Medullary Thyroidian Cancer (MTC) or genetic conditions that predisposes to MTC (eg multiple endocrine neoplasia syndromes).
* Retinopathy or maculopathy with one of the following treatments, either recent (within 3 months of screening) or planned: intravitreal injections or laser or vitrectomy surgery.
* Body weight change of ≥5 kg within the last 3 months prior to Screening.
* Systolic blood pressure \>180 mmHg and/or diastolic blood pressure \>100 mmHg at Randomization.
* End-stage renal disease as defined by estimated glomerular filtration rate (eGFR , by Modification of Diet in Renal Disease \[MDRD\]) of \<15 mL/min/1.73 m2.
* Laboratory findings at the Screening Visit:
* Alanine aminotransferase (ALT ) or aspartate aminotransferase (AST ) \>3 times the upper limit of the normal (ULN ) or total bilirubin \>1.5 times the ULN (except in case of documented Gilbert's syndrome).
* Amylase and/or lipase: \>3 times the ULN laboratory range.
* Calcitonin ≥5.9 pmol/L (20 pg/mL).
* Gastric surgery or other gastric procedures intended for weight loss within 2 years prior to Screening, or planned during study period.
* History of drug or alcohol abuse within 6 months prior to the time of Screening.
* Pregnant (demonstrated by serum pregnancy test at Screening) or breast-feeding women.
* Women of childbearing potential not willing to use highly effective method(s) of birth control during the study period and for at least 5 weeks after the last dose of study intervention.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Hanmi Pharmaceutical Company Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number 8400004

Birmingham, Alabama, United States

Site Status

Investigational Site Number 8400005

Glendale, Arizona, United States

Site Status

Investigational Site Number 8400003

Canoga Park, California, United States

Site Status

Investigational Site Number 8400007

Chula Vista, California, United States

Site Status

Investigational Site Number 8400011

La Mesa, California, United States

Site Status

Investigational Site Number 8400009

Los Angeles, California, United States

Site Status

Investigational Site Number 8400029

Pomona, California, United States

Site Status

Investigational Site Number 8400024

Tarzana, California, United States

Site Status

Investigational Site Number 8400026

Van Nuys, California, United States

Site Status

Investigational Site Number 8400010

DeLand, Florida, United States

Site Status

Investigational Site Number 8400006

Hialeah, Florida, United States

Site Status

Investigational Site Number 8400032

West Palm Beach, Florida, United States

Site Status

Investigational Site Number 8400025

Lawrenceville, Georgia, United States

Site Status

Investigational Site Number 8400034

Chicago, Illinois, United States

Site Status

Investigational Site Number 8400033

Kansas City, Missouri, United States

Site Status

Investigational Site Number 8400018

Lincoln, Nebraska, United States

Site Status

Investigational Site Number 8400062

Las Vegas, Nevada, United States

Site Status

Investigational Site Number 8400021

Las Vegas, Nevada, United States

Site Status

Investigational Site Number 8400001

Bridgeton, New Jersey, United States

Site Status

Investigational Site Number 8400028

Burlington, North Carolina, United States

Site Status

Investigational Site Number 8400031

Wilmington, North Carolina, United States

Site Status

Investigational Site Number 8400013

Maumee, Ohio, United States

Site Status

Investigational Site Number 8400008

Hatboro, Pennsylvania, United States

Site Status

Investigational Site Number 8400017

Carrollton, Texas, United States

Site Status

Investigational Site Number 8400030

Dallas, Texas, United States

Site Status

Investigational Site Number 8400015

Houston, Texas, United States

Site Status

Investigational Site Number 8400019

Plano, Texas, United States

Site Status

Investigational Site Number 8400020

San Antonio, Texas, United States

Site Status

Investigational Site Number 8400016

San Antonio, Texas, United States

Site Status

Investigational Site Number 8400027

San Antonio, Texas, United States

Site Status

Investigational Site Number 8400023

Schertz, Texas, United States

Site Status

Investigational Site Number 8400002

Holladay, Utah, United States

Site Status

Investigational Site Number 2760005

Berlin, , Germany

Site Status

Investigational Site Number 2760003

Frankfurt am Main, , Germany

Site Status

Investigational Site Number 2760001

Leipzig, , Germany

Site Status

Investigational Site Number 6160005

Gdansk, , Poland

Site Status

Investigational Site Number 6160004

Gdynia, , Poland

Site Status

Investigational Site Number 6160007

Katowice, , Poland

Site Status

Investigational Site Number 6160002

Krakow, , Poland

Site Status

Investigational Site Number 6160006

Poznan, , Poland

Site Status

Investigational Site Number 6160003

Warsaw, , Poland

Site Status

Investigational Site Number 6160001

Wroclaw, , Poland

Site Status

Investigational Site Number 8040003

Kyiv, , Ukraine

Site Status

Investigational Site Number 8040001

Kyiv, , Ukraine

Site Status

Investigational Site Number 8040002

Kyiv, , Ukraine

Site Status

Investigational Site Number 8040004

Vinnitsa, , Ukraine

Site Status

Investigational Site Number 8260005

Birmingham, , United Kingdom

Site Status

Investigational Site Number 8260004

Cardiff, , United Kingdom

Site Status

Investigational Site Number 8260007

Chorley, , United Kingdom

Site Status

Investigational Site Number 8260008

Glasgow, , United Kingdom

Site Status

Investigational Site Number 8260001

Hexham, , United Kingdom

Site Status

Investigational Site Number 8260003

Liverpool, , United Kingdom

Site Status

Investigational Site Number 8260006

Manchester, , United Kingdom

Site Status

Investigational Site Number 8260002

Reading, , United Kingdom

Site Status

Countries

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United States Germany Poland Ukraine United Kingdom

References

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Frias JP, Choi J, Rosenstock J, Popescu L, Niemoeller E, Muehlen-Bartmer I, Baek S. Efficacy and Safety of Once-Weekly Efpeglenatide Monotherapy Versus Placebo in Type 2 Diabetes: The AMPLITUDE-M Randomized Controlled Trial. Diabetes Care. 2022 Jul 7;45(7):1592-1600. doi: 10.2337/dc21-2656.

Reference Type DERIVED
PMID: 35671039 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-001857-42

Identifier Type: -

Identifier Source: secondary_id

U1111-1182-1806

Identifier Type: OTHER

Identifier Source: secondary_id

EFC14822

Identifier Type: -

Identifier Source: org_study_id

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