Comparing the Efficacy and Safety Between Continuous Subcutaneous Beinaglutide and CSII for Newly Diagnosed T2DM Patients

NCT ID: NCT03987308

Last Updated: 2025-05-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-02

Study Completion Date

2025-12-31

Brief Summary

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The efficacy, safety and post-treatment disease control will be compared between groups of continuous subcutaneous Beinaglutide infusion and continuous subcutaneous insulin infusion (CSII) in adult patients with newly diagnosed type 2 diabetes.

Detailed Description

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Based on the dual roles of glucagon-like peptide 1 (GLP-1) in regulating fasting blood glucose and postprandial blood glucose secretion, we adopted a combinational therapeutic model and will administer drug treatments during meals. Newly diagnosed type 2 diabetic patients will be administered continuous subcutaneous Beinaglutide injections using a pump device. The efficacy, safety and disease control after terminating the drug treatments will be compared to those of patients who receive CSII treatment.

This is a national-level, multicenter, randomized, open study with parallel controls. The study consists of two phases:

a 8-week treatment phase and a 12-week post-treatment follow-up period.

Conditions

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Type 2 Diabetic Patients T2DM (Type 2 Diabetes Mellitus) T2DM

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Continuous Beinaglutide infusion

8-week Beinaglutide (continuous subcutaneous infusion) treatment group

Group Type EXPERIMENTAL

Beinaglutide

Intervention Type DRUG

Beinaglutide (continuous subcutaneous infusion)

Continuouns Insulin aspart infusion

8-week insulin aspart (CSII) treatment group

Group Type ACTIVE_COMPARATOR

Insulin aspart

Intervention Type DRUG

Insulin aspart (CSII)

Interventions

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Beinaglutide

Beinaglutide (continuous subcutaneous infusion)

Intervention Type DRUG

Insulin aspart

Insulin aspart (CSII)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age 18 to 70 years (inclusive) at enrollment, regardless of gender.
2. Voluntary signing of the informed consent form.
3. Newly diagnosed type 2 diabetes mellitus patients, diagnosed according to the WHO 1999 criteria, with a disease duration ≤1 year.
4. HbA1c between 7.5% and 10.0%.
5. BMI between 24 kg/m² and 42 kg/m².
6. Subjects who have not taken antidiabetic medications or have used oral antidiabetic medications for less than 3 months and have discontinued for more than 1 month (calculated from the date of signing the informed consent form).
7. Subjects with reproductive potential (including male subjects whose partners have reproductive potential) agree to use effective contraception during the study and for 1 month after study completion.

Exclusion Criteria

1. Patients with type 1 diabetes or other types of diabetes.
2. History of obstructive intestinal diseases or potential complications: subjects with post-abdominal surgery or peritoneal infection-related intestinal adhesions, intestinal obstruction sequelae; subjects with intestinal motility disorders, chronic constipation; subjects with a history of Crohn's disease or ulcerative colitis.
3. History of pancreatitis.
4. Family history of medullary thyroid carcinoma.
5. History of malignant tumors.
6. ALT, AST \>3 times the upper limit of normal, and/or total bilirubin \>2 times the upper limit of normal.
7. Moderate to severe renal insufficiency (eGFR \<60 ml/min/1.73m²).
8. Triglycerides ≥5.0 mmol/L.
9. Multiple endocrine neoplasia type 2 (MEN 2).
10. Participation in any pre-marketing drug study within 3 months.
11. Use or expected use of systemic corticosteroids, immunosuppressants, or cytotoxic drugs during the study period.
12. History of diabetic ketoacidosis or non-ketotic hyperosmolar coma within 6 months prior to screening.
13. Blood pressure exceeding the following criteria (untreated or treated): systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg.
14. History of any of the following cardiovascular diseases within 3 months prior to screening: acute myocardial infarction, New York Heart Association functional class III/IV heart failure or left ventricular ejection fraction ≤40%, or cerebrovascular event (stroke).
15. Allergy to binaclotide or any component of the study drug, or allergy to insulin or any component of the insulin used in the study.
16. Presence of other severe diseases that may interfere with the study, as judged by the investigator.
17. Pregnant or breastfeeding women.
18. Poor compliance, as judged by the investigator, and inability to complete the study as required.
19. Inability to undergo continuous pump infusion: subjects allergic to subcutaneous infusion tubes or adhesive tape; subjects unwilling to have long-term subcutaneous infusion tubes or continuous pump use; subjects with psychological aversion to pump therapy; subjects or their families lack relevant knowledge and are unable to master the use after training; subjects with severe psychological disorders or mental abnormalities; subjects who are unable to care for themselves and have no caregivers.
20. Any other factors deemed unsuitable for participation in the study by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Pinggu District Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Capital Medical University Beijing Anzhen Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Emergency General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking University Shougang Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Southern Medical University Nanfang Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Harbin Medical University Second Hospital

Harbin, Heilongjiang, China

Site Status RECRUITING

Southeast University Zhongda Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Xuzhou Medical University Affiliated Hospital

Xuzhou, Jiangsu, China

Site Status RECRUITING

China-Japan Union Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Jilin University Second Hospital

Changchun, Jilin, China

Site Status RECRUITING

Xi'an Jiaotong University Second Hospital

Xi'an, Shaanxi, China

Site Status RECRUITING

Southwest Medical University Affiliated Hospital

Luzhou, Sichuan, China

Site Status RECRUITING

Peking University Binhai Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

First Hospital of Peking University

Beijing, , China

Site Status RECRUITING

Heilongjiang provincial hospital

Harbin, , China

Site Status RECRUITING

Henan People's Hospital

Zhengzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Lixin Guo, M.D.,Ph.D.

Role: CONTACT

+8613901317569

Dongni Yu, M.D.

Role: CONTACT

+8613621273587

Facility Contacts

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Yufeng Li, M.D.

Role: primary

+8613911080328

Liping Ma, M.D.

Role: primary

+8613901249835

Kailiang Wang, M.D.

Role: primary

+8613911151692

Xiuqin Sun, M.D.

Role: primary

+8613552300467

Yaoming Xue, M.D.

Role: primary

+8613926066999

Qiao Hong, M.D.

Role: primary

+8613359854888

Ling Li, M.D.

Role: primary

+8613951606816

Hongwei Ling, M.D.

Role: primary

+8618052268607

Qing Wang, M.D.

Role: primary

+8613614301117

Hanqing Cai, M.D.

Role: primary

+8613674315050

Jing Xu, M.D.

Role: primary

+8613772151682

Xu Yong, M.D.

Role: primary

+8613980255895

Su Wang, M.D.

Role: primary

+8615122328988

Geheng Yuan, Ph.D. M.D.

Role: primary

13811235488

Binhong Duan, M.D, Ph.D.

Role: primary

Huijuan Yuan, Ph.D. M.D.

Role: primary

Other Identifiers

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BN-IIT-IS-008

Identifier Type: -

Identifier Source: org_study_id

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