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一项关于葡萄糖激酶激活剂PB - 201在初治2型糖尿病患者中的多中心、随机、双盲、平行、活性药物与安慰剂对照的3期临床研究:研究方案

A multicentre, randomized, double-blind, parallel, active- and placebo-controlled Phase 3 clinical study of the glucokinase activator PB-201 in treatment-naive patients with type 2 diabetes mellitus: A study protocol.

作者信息

Du Ying, Gao Leili, Xiao Xinhua, Hou Xin, Ji Linong

机构信息

Clinical Develop Center, PegBio Co., Ltd, Suzhou, China.

Department of Endocrinology, Peking University People's Hospital, Beijing, China.

出版信息

Diabetes Obes Metab. 2023 Mar;25(3):649-655. doi: 10.1111/dom.14909. Epub 2022 Nov 21.

DOI:10.1111/dom.14909
PMID:36309971
Abstract

AIM

To report the rationale for using PB-201, a partial glucokinase activator (GKA), for a Phase 3 study (NCT05102149) assessing its efficacy and safety in a Chinese population and to describe the design of this GKA Phase 3 trial, the first to involve both an active control and a placebo control arm.

MATERIALS AND METHODS

This is an ongoing, multicentre, randomized, double-blind, three-arm placebo and active control study to be carried out among 672 Chinese treatment-naive participants with type 2 diabetes mellitus (T2DM) to assess the efficacy and safety of PB-201 for approximately 60 weeks, including a screening period and a safety follow-up period.

RESULTS

The primary objective of this study was to monitor change in glycated haemoglobin levels with PB-201 in treatment-naive T2DM participants from baseline to 24 weeks in comparison with vildagliptin and placebo. The key secondary objective was to assess the efficacy and safety of PB-201 following treatment for a time period of 52 weeks.

CONCLUSION

This pivotal study will offer critical information regarding the efficacy and safety of PB-201 in Chinese treatment-naive T2DM participants that would help to establish robust evidence for the benefit-risk evaluation of this drug.

摘要

目的

报告使用部分葡萄糖激酶激活剂(GKA)PB - 201进行3期研究(NCT05102149)的基本原理,该研究旨在评估其在中国人群中的疗效和安全性,并描述这项GKA 3期试验的设计,这是首个同时包含活性对照和安慰剂对照臂的试验。

材料与方法

这是一项正在进行的多中心、随机、双盲、三臂安慰剂和活性对照研究,将在672名未接受过治疗的中国2型糖尿病(T2DM)患者中开展,以评估PB - 201约60周的疗效和安全性,包括筛查期和安全性随访期。

结果

本研究的主要目的是监测初治T2DM患者中,与维格列汀和安慰剂相比,PB - 201治疗从基线到24周糖化血红蛋白水平的变化。关键次要目的是评估PB - 201治疗52周后的疗效和安全性。

结论

这项关键研究将提供关于PB - 201在未接受过治疗的中国T2DM患者中疗效和安全性的关键信息,这将有助于为该药物的获益 - 风险评估建立有力证据。

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