Efficacy and Safety of Berberine Ursodeoxycholate (HTD1801) in Patients With Type 2 Diabetes Inadequately Controlled With Metformin

NCT ID: NCT06353347

Last Updated: 2025-11-26

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

PHASE3

Total Enrollment

551 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-13

Study Completion Date

2025-07-30

Brief Summary

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The goal of this clinical study is to evaluate the efficacy and safety of berberine ursodeoxycholate (HTD1801) compared to placebo in patients with type 2 diabetes inadequately controlled with metformin.

Detailed Description

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This Phase 3, randomized, double-blind, placebo-controlled study will evaluate the safety and efficacy of HTD1801 in two phases, a 24-week double-blind phase followed by a 28-week open-label extension. To ensure stabilization of glycemic control, eligible patients will first participate in a 4-week single-blind run-in period where investigators will provide guidance on lifestyle modifications, concomitant medications, and procedures for self-monitoring of blood glucose. Following this period, patient eligibility will be reassessed. Eligible patients will then be randomized 2:1 to receive HTD1801 1000 mg twice daily (BID) or placebo for 24 weeks.

Patients who complete the double-blind treatment phase will enter an open-label extension period where all patients will receive HTD1801 1000 mg BID for 28 weeks.

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

DOUBLE

Participants Investigators

Study Groups

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HTD1801

Administered orally twice daily (BID)

Group Type EXPERIMENTAL

HTD1801

Intervention Type DRUG

HTD1801 1000 mg administered orally BID as four capsules

Placebo

Administered orally BID

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo administered orally BID as four capsules

Interventions

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HTD1801

HTD1801 1000 mg administered orally BID as four capsules

Intervention Type DRUG

Placebo

Matching placebo administered orally BID as four capsules

Intervention Type DRUG

Other Intervention Names

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berberine ursodeoxycholate

Eligibility Criteria

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Inclusion Criteria

* Have been diagnosed with type 2 diabetes
* Received a stable dose of metformin monotherapy for at least 8 weeks prior to screening
* If used any glucose-lowering drugs other than metformin within the 8 weeks prior to screening such use was ≤7 days and was discontinued at least 4 weeks prior to screening
* Have HbA1c ≥7.5% to ≤11.0% (screening) and HbA1c ≥7.0% to ≤10.5% (pre-randomization)
* Have fasting plasma glucose ≤13.9 mmol/L (screening and pre-randomization)
* Have a body mass index ≥19.0 kg/m\^2 to ≤35.0 kg/m\^2

Exclusion Criteria

* Have type 1 diabetes
* Have had any acute diabetic complications within 12 months prior to screening
* Have had any Grade 3 hypoglycemic event within 12 months prior to screening
* Have had proliferative retinopathy or macular degeneration, severe diabetic neuropathy, or diabetic foot
* Have been taking any weight loss medication or dietary supplement, have participated in a weight loss program, or have adhered to a special diet within 12 weeks prior to screening
* Have used insulin or an insulin analogue for more than 14 days within 12 months prior to screening
* Have used any hypoglycemic drug other than metformin during the 4-week run-in period prior to randomization
* Have had weight gain or loss ≥5% during the 4-week run-in period prior to randomization
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shenzhen HighTide Biopharmaceutical Ltd.

UNKNOWN

Sponsor Role collaborator

HighTide Biopharma Pty Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kui Liu, MD

Role: STUDY_DIRECTOR

Shenzhen HighTide Biopharmaceutical Ltd.

Locations

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Baogang Hospital of Inner Mongolia

Baotou, , China

Site Status

Beijing Friendship Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Luhe Hospital Capital Medical University

Beijing, , China

Site Status

Beijing Pinggu Hospital

Beijing, , China

Site Status

Peking Union Medical College Hospital

Beijing, , China

Site Status

Peking University People's Hospital

Beijing, , China

Site Status

The Second Norman Bethune Hospital of Jilin University

Changchun, , China

Site Status

The First People's Hospital of Changde City

Changde, , China

Site Status

Hunan Provincial People's Hospital

Changsha, , China

Site Status

The Third Xiangya Hospital of Central South University

Changsha, , China

Site Status

Chongqing University Three Gorges Hospital

Chongqing, , China

Site Status

The Third People's Hospital of Datong

Datong, , China

Site Status

Nanfang Hospital, Southern Medical University

Guangzhou, , China

Site Status

Handan First Hospital

Handan, , China

Site Status

The Fourth Affiliated Hospital of Harbin Medical University

Harbin, , China

Site Status

Anhui Provincial Hospital

Hefei, , China

Site Status

The Second Hospital of Anhui Medical University

Hefei, , China

Site Status

Hengshui People's Hospital (Harrison International Peace Hospital)

Hengshui, , China

Site Status

Heze Municipal Hospital

Heze, , China

Site Status

Huai'an First People's Hospital

Huai'an, , China

Site Status

Huangshi Central Hospital

Huangshi, , China

Site Status

Huizhou Municipal Central Hospital

Huizhou, , China

Site Status

Huzhou Central Hospital

Huzhou, , China

Site Status

Jinan Central Hospital

Jinan, , China

Site Status

Jingzhou Central Hospital

Jingzhou, , China

Site Status

Jinzhou Central Hospital

Jinzhou, , China

Site Status

The First People's Hospital of Kashgar

Kashgar, , China

Site Status

Hebei Petro China Center Hospital

Langfang, , China

Site Status

Liaocheng People's Hospital

Liaocheng, , China

Site Status

The First Affiliated Hospital of Henan University of Science and Technology (Jinghua)

Luoyang, , China

Site Status

The First Affiliated Hospital of Henan University of Science and Technology (Kaiyuan)

Luoyang, , China

Site Status

Nanjing Drum Tower Hospital - The Affiliated Hospital of Nanjing University Medical School

Nanjing, , China

Site Status

Nanjing First Hospital

Nanjing, , China

Site Status

Nanjing Jiangning Hospital

Nanjing, , China

Site Status

Sir Run Run Hospital Nanjing Medical University

Nanjing, , China

Site Status

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, , China

Site Status

The First People's Hospital of Nanning

Nanning, , China

Site Status

The First Affiliated Hospital of Nanyang Medical College

Nanyang, , China

Site Status

Panjin Liaohe Oilfield Gem Flower Hospital

Panjin, , China

Site Status

The First Hospital of Qiqihar

Qiqihar, , China

Site Status

Shanghai East Hospital of Tongji University

Shanghai, , China

Site Status

Shanghai Pudong New Area People's Hospital

Shanghai, , China

Site Status

Shengjing Hospital of China Medical University

Shenyang, , China

Site Status

The Sixth People's Hospital of Shenyang

Shenyang, , China

Site Status

Shenzhen People's Hospital

Shenzhen, , China

Site Status

The University of Hong Kong - Shenzhen Hospital

Shenzhen, , China

Site Status

Taihe Hospital

Shiyan, , China

Site Status

Siping City Central People's Hospital

Siping, , China

Site Status

The First Affiliated Hospital of Suzhou University

Suzhou, , China

Site Status

People's Hospital of Tianjin

Tianjin, , China

Site Status

Tonghua Central Hospital

Tonghua, , China

Site Status

The Central Hospital of Wuhan

Wuhan, , China

Site Status

Yijishan Hospital of Wannan Medical College

Wuhu, , China

Site Status

The First People's Hospital of Xiangtan City

Xiangtan, , China

Site Status

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, , China

Site Status

Yanan University Affiliated Hospital

Yanan, , China

Site Status

Yueyang People's Hospital

Yueyang, , China

Site Status

Yuncheng Central Hospital

Yuncheng, , China

Site Status

The Second Affiliated Hospital of Zhengzhou University

Zhengzhou, , China

Site Status

Affiliated Hospital of Jiangsu University

Zhenjiang, , China

Site Status

Zhumadian Central Hospital

Zhumadian, , China

Site Status

Zhuzhou Central Hospital

Zhuzhou, , China

Site Status

Zibo Central Hospital

Zibo, , China

Site Status

The First People's Hospital of Zunyi

Zunyi, , China

Site Status

Countries

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China

Other Identifiers

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HTD1801.PCT106

Identifier Type: -

Identifier Source: org_study_id

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