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Pramlintide

Phase 3

Type 1 Diabetes Mellitus | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Nov 2, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment446
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00108004Clinical Utility and Safety of Pramlintide in Subjects With Type 1 and Type 2 Diabetes MellitusPHASE3 COMPLETED 400Apr 1, 2003Jun 1, 2005May 21, 201548 United States
NCT00313183A Study to Evaluate Symlin in Adolescent Subjects With Type 1 Diabetes MellitusPHASE2 COMPLETED 12Apr 1, 2006Aug 1, 2007Mar 6, 20153 United States
NCT02500979Effect of a Fixed Pramlintide: Insulin Dose Ratio on Postprandial Glucose in Type 1 Diabetes MellitusPHASE1 COMPLETED 34Aug 17, 2015Aug 5, 2016Nov 2, 20183 United States
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Study Endpoints
Primary Endpoints
To investigate the clinical utility and safety of pramlintide in subjects with type 1 and type 2 diabetes mellitus
6 months

To investigate the clinical utility (change in HbA1c, seven-point glucose profile, body weight, and insulin use) and safety of pramlintide in subjects with type 1 and type 2 diabetes mellitus who have not achieved glycemic targets with insulin therapy.

Understand management issues in subjects with type 1 and type 2 diabetes mellitus
6 months

To collect data regarding the selection of subjects for pramlintide administration by healthcare professionals and to further understand management issues in subjects with type 1 and type 2 diabetes mellitus who have not achieved glycemic targets with insulin therapy

To evaluate the pharmacokinetics of Symlin in adolescent subjects with type 1 diabetes
single doses
To assess the safety and tolerability of Symlin in adolescent subjects with type 1 diabetes
single doses
Efficacy of Pramlintide by Measurement of 24-hour Tissue Mean Weighted Glucose (MWG) Obtained With Continuous Glucose Monitoring (CGM)
24 h

24-hour MWG mg/dL, defined as total area under the 24-hour tissue glucose curve obtained with CGM, divided by actual time span in the 24-hour period.

Secondary Endpoints
To evaluate the effects of Symlin compared to placebo in adolescent subjects with type 1 diabetes on various pharmacodynamic endpoints
single doses
Efficacy of Pramlintide by Measurement of Absolute Plasma Glucose Area Under the Plasma Concentration-time Curve (AUC) Following Lunch
3 hours
Efficacy of Pramlintide by Measurement of Absolute Plasma Glucose Area Under the Plasma Concentration-time Curve (AUC) Following Dinner
2 hours
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PramlintideEXPERIMENTALPramlintide acetate injection is a clear, colorless, sterile solution for SC injection. It consists of pramlintide in sodium acetate buffer, pH 4.0, containing 43-mg/mL mannitol as an iso-osmolality modifier and 2.25 mg/mL metacresol as a preservative
1EXPERIMENTALsingle doses of pramlintide acetate or placebo, given in three different sequences to three cohorts of subjects
Pramlintide acetate & regular insulinEXPERIMENTALPramlintide will be adiministered by sc infusion at a concentration of 1000ug/mL
Placebo and regular insulinPLACEBO_COMPARATORPlacebo is similar sterile solution without pramlintide.
Interventions
NameTypeDescription
pramlintide acetateDRUGPramlintide (0.6 mg/mL) in 5.0-mL multiple-draw glass vials for SC injection for 12weekes and after Pramlintide (1.0 mg/mL) 1.5 mL pen-cartridge. Subjects who do not switch to the pen-cartridge device at Week 12 will continue to administer pramlintide using a syringe and vial.
PlaceboDRUGPlacebo administered by separate pump
Lispro insulin U-100DRUGSubjects will be stabilized on a separate insulin pump and administered lispro insulin throughout the study, except during both inpatient treatment periods (Visit 4 and Visit 5)
Regular insulin U-100DRUGUse during two in-patient treatment periods (visits 4 and 5) and administered by separate pump
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites48

Inclusion Criteria: * The subject has a clinical diagnosis of type 1 diabetes mellitus requiring treatment with insulin for a minimum of 6 months at Screening; -OR- The subject has a clinical diagnosis of type 2 diabetes requiring treatment with insulin with or without oral antidiabetic agents for ...

Countries:United States
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