Effects of Berberine Ursodeoxycholate (HTD1801) Versus Dapagliflozin in Patients With Type 2 Diabetes Inadequately Controlled With Metformin

NCT ID: NCT06415773

Last Updated: 2025-12-31

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

367 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-04

Study Completion Date

2025-07-25

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 dapagliflozin in patients with type 2 diabetes inadequately controlled with metformin alone.

Detailed Description

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This Phase 3 randomized, double-blind, active-controlled, parallel-group study will evaluate the efficacy and safety of HTD1801 compared to dapagliflozin after 24 weeks of treatment. All patients will remain on a stable dose of metformin throughout the study.

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 modification, concomitant medications, and procedures for self-monitoring of blood glucose. Following this period, patient eligibility will be reassessed. Eligible patients will then be randomized 1:1 to receive HTD1801 1000 mg BID or dapagliflozin 10 mg QD.

Conditions

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T2DM (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 BID administered orally BID as four capsules

Dapagliflozin

Administered orally once daily (QD)

Group Type ACTIVE_COMPARATOR

Dapagliflozin

Intervention Type DRUG

Dapagliflozin 10 mg tablet administered orally QD

Interventions

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HTD1801

HTD1801 1000 mg BID administered orally BID as four capsules

Intervention Type DRUG

Dapagliflozin

Dapagliflozin 10 mg tablet administered orally QD

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
* Have 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 and ≤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
* Have a history of refractory or recurrent urinary tract infections or genital infections
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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Beijing Pinggu Hospital

Beijing, , China

Site Status

Peking University People's Hospital

Beijing, , China

Site Status

Binzhou Medical University Hospital

Binzhou, , China

Site Status

Jilin Province FAW General Hospital

Changchun, , China

Site Status

The Second Hospital of Jilin University

Changchun, , China

Site Status

The First People's Hospital of Changde City

Changde, , China

Site Status

The First Hospital of Changsha City

Changsha, , China

Site Status

The Fourth Hospital of Changsha

Changsha, , China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, , China

Site Status

The Third Xiangya Hospital of Central South University

Changsha, , China

Site Status

Bishan Hospital of Chongqing

Chongqing, , China

Site Status

People's Hospital of Deyang City

Deyang, , China

Site Status

Handan First Hospital

Handan, , China

Site Status

The Fourth Hospital of Harbin Medical University

Harbin, , China

Site Status

The Second People's Hospital of Huai'an

Huai'an, , China

Site Status

Huanggang Central Hospital

Huanggang, , China

Site Status

Huangshi Central Hospital

Huangshi, , China

Site Status

Huizhou Municipal Central Hospital

Huizhou, , China

Site Status

Jincheng General Hospital

Jincheng, , China

Site Status

Hebei Petro China Central Hospital

Langfang, , China

Site Status

The Second People's Hospital of Lianyungang

Lianyungang, , China

Site Status

Liaocheng People's Hospital

Liaocheng, , China

Site Status

Luoyang Third People's Hospital

Luoyang, , China

Site Status

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

Luoyang, , China

Site Status

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

Luoyang, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

The Second Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

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

Nanjing, , China

Site Status

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, , China

Site Status

Affiliated Hospital of Nantong University

Nantong, , 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

Pingxiang People's Hospital

Pingxiang, , China

Site Status

The First Hospital of Qiqihar

Qiqihar, , China

Site Status

Sanmenxia Central Hospital

Sanmenxia, , China

Site Status

Huadong Hospital Affiliated to Fudan University

Shanghai, , China

Site Status

Shanghai Sixth People's Hospital

Shanghai, , China

Site Status

Shengjing Hospital of China Medical University

Shenyang, , China

Site Status

The People's Hospital of Liaoning Province

Shenyang, , China

Site Status

Wuhan Third Hospital

Wuhan, , China

Site Status

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

The Central Hospital of Xiangtan

Xiangtan, , China

Site Status

The First People's Hospital of Xiangtan City

Xiangtan, , China

Site Status

Xianyang Hospital of Yan'an University

Xianyang, , China

Site Status

Xuzhou Cancer Hospital

Xuzhou, , China

Site Status

The Second People's Hospital of Yibin

Yibin, , China

Site Status

Yiyang Central Hospital

Yiyang, , China

Site Status

Yueyang People's Hospital

Yueyang, , China

Site Status

Shandong Guoxinyiyang Group Zaozhuang Central Hospital

Zaozhuang, , 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

Countries

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China

Other Identifiers

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HTD1801.PCT109

Identifier Type: -

Identifier Source: org_study_id