Trial Outcomes & Findings for Effects and Safety of OPK-88003 Dose Escalation in Type 2 Diabetes Subjects (NCT NCT03406377)

NCT ID: NCT03406377

Last Updated: 2021-06-15

Results Overview

To evaluate the effect of dose escalation of QW SC OPK-88003 vs placebo injections on HbA1c absolute change from baseline to after 30 weeks treatment in subjects with T2DM inadequately controlled with diet and exercise alone, or treated with a stable dose of metformin.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

113 participants

Primary outcome timeframe

From baseline to 30 weeks

Results posted on

2021-06-15

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Overall Study
STARTED
41
72
Overall Study
COMPLETED
25
51
Overall Study
NOT COMPLETED
16
21

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effects and Safety of OPK-88003 Dose Escalation in Type 2 Diabetes Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=41 Participants
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=72 Participants
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Total
n=113 Participants
Total of all reporting groups
Age, Continuous
57.4 Year
STANDARD_DEVIATION 9.06 • n=5 Participants
53.8 Year
STANDARD_DEVIATION 9.94 • n=7 Participants
55.1 Year
STANDARD_DEVIATION 9.75 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
29 Participants
n=7 Participants
53 Participants
n=5 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
43 Participants
n=7 Participants
60 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
23 Participants
n=5 Participants
36 Participants
n=7 Participants
59 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
36 Participants
n=7 Participants
54 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
12 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
White
33 Participants
n=5 Participants
60 Participants
n=7 Participants
93 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From baseline to 30 weeks

To evaluate the effect of dose escalation of QW SC OPK-88003 vs placebo injections on HbA1c absolute change from baseline to after 30 weeks treatment in subjects with T2DM inadequately controlled with diet and exercise alone, or treated with a stable dose of metformin.

Outcome measures

Outcome measures
Measure
Placebo
n=28 Participants
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=45 Participants
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Change in HbA1c in Subjects With Type 2 DM
-0.25 mmols/mol
Standard Error 0.209
-1.47 mmols/mol
Standard Error 0.168

SECONDARY outcome

Timeframe: From baseline to 30 weeks

Mean percent (%) body weight change from baseline to after 30 weeks treatment

Outcome measures

Outcome measures
Measure
Placebo
n=28 Participants
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=45 Participants
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Mean Percent (%) Body Weight Change
-2.10 Percentage of body weight change
Standard Error 0.976
-5.83 Percentage of body weight change
Standard Error 0.737

SECONDARY outcome

Timeframe: 30 weeks.

Percent (%) of subjects with 5% or greater body weight loss after 30 weeks treatment

Outcome measures

Outcome measures
Measure
Placebo
n=28 Participants
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=45 Participants
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Percent (%) of Subjects With 5% or Greater Body Weight Loss.
16.7 Percentage of participants
48.8 Percentage of participants

SECONDARY outcome

Timeframe: 30 weeks.

Change of FPG from baseline to after 30 weeks treatment

Outcome measures

Outcome measures
Measure
Placebo
n=28 Participants
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=45 Participants
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Change From Baseline of Fasting Plasma Glucose (FPG).
-13.3 mg/dL
Standard Error 7.04
-46.2 mg/dL
Standard Error 5.86

Adverse Events

Placebo

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

OPK-88003

Serious events: 9 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=41 participants at risk
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=72 participants at risk
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Eye disorders
Branch retinal artery occlusion
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Eye disorders
Branch retinal artery occlusion account for peripheral vision loss right eye
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Hepatobiliary disorders
Acute cholelithiasis
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Gastrointestinal disorders
Acute pancreatitis
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Cardiac disorders
Coronary artery disease
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Immune system disorders
Hypersensitivity reaction
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
General disorders
Systemic inflammatory response syndrome
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Renal and urinary disorders
Renal calculi
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Injury, poisoning and procedural complications
Right fibula fracture
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Injury, poisoning and procedural complications
Right distal tibia fracture
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Gastrointestinal disorders
Small bowel obstruction
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Cardiac disorders
Non st-segment elevation myocardial infarction
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Infections and infestations
Acute diverticulitis
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Gastrointestinal disorders
Cecal volvulus s/p right hemicolectomy
2.4%
1/41 • 36 weeks
0.00%
0/72 • 36 weeks
Infections and infestations
Sepsis
2.4%
1/41 • 36 weeks
0.00%
0/72 • 36 weeks
Nervous system disorders
Acute toxic encephalopathy
2.4%
1/41 • 36 weeks
0.00%
0/72 • 36 weeks

Other adverse events

Other adverse events
Measure
Placebo
n=41 participants at risk
Water for injection, Sorbitol, L-Methionine, Sodium Acetate Trihydrate Placebo: Placebo subcutaneous injection
OPK-88003
n=72 participants at risk
70 mg/vial (extractable volume 1 mL) OPK-88003: OPK-88003 subcutaneous injection
Cardiac disorders
Acute myocardial infarction
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Gastrointestinal disorders
Nausea
4.9%
2/41 • 36 weeks
38.9%
28/72 • 36 weeks
Gastrointestinal disorders
Vomiting
2.4%
1/41 • 36 weeks
26.4%
19/72 • 36 weeks
Gastrointestinal disorders
Diarrhoea
7.3%
3/41 • 36 weeks
12.5%
9/72 • 36 weeks
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Gastrointestinal disorders
Retching
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Immune system disorders
Drug hypersensitivity
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Immune system disorders
Hypersensitivity
0.00%
0/41 • 36 weeks
1.4%
1/72 • 36 weeks
Investigations
Lipase increased
0.00%
0/41 • 36 weeks
2.8%
2/72 • 36 weeks

Additional Information

OPKO Health Inc

OPKO Health Inc

Phone: 3055754100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place