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LX4211

Phase 2

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Lexicon Pharmaceuticals, Inc.|Last Updated: Oct 31, 2014

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
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials6
Total Enrollment417
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01376557Safety and Efficacy of LX4211 With Metformin in Type 2 Diabetes Patients With Inadequate Glycemic Control on MetforminPHASE2 COMPLETED 299Jun 1, 2011May 1, 2012Oct 31, 201456 United States
NCT00962065Study of LX4211 in Subjects With Type 2 Diabetes MellitusPHASE2 COMPLETED 36Aug 1, 2009 -Mar 3, 20111 United States
NCT01555008Study to Evaluate the Pharmacodynamic and Pharmacokinetic Effects of LX4211 in Subjects With Type 2 Diabetes and Renal ImpairmentPHASE1 COMPLETED 31Mar 1, 2012 -Sep 9, 20136 United States
NCT01441232A Study to Evaluate the Pharmacodynamic Effects of Single-Dose Co-Administration of LX4211 With Januvia® in Type 2 DiabeticsPHASE1 COMPLETED 18Oct 1, 2011 -Jan 31, 20121 United States
NCT01292993A Study to Evaluate the Interaction of LX4211 and Metformin in Healthy SubjectsPHASE1 COMPLETED 18Feb 1, 2011 -Mar 30, 20111 United States
NCT01188863Study of Two Oral Formulations of LX4211 in Patients With Type 2 Diabetes MellitusPHASE1 COMPLETED 15Sep 1, 2010 -Mar 30, 20111 United States
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Study Endpoints
Primary Endpoints
Change From Baseline in HbA1c to Week 12
12 weeks
Change From Baseline at Day 28 in 24-hour Urinary Glucose Excretion
Baseline to Day 28

To assess 24-hour urinary glucose excretion, urine was collected over a 24-hour period and evaluated for glucose concentration.

Change from baseline in postprandial glucose
baseline to 7 days
Change from baseline in gut hormones
Days 1, 8, and 15
Plasma concentration of LX4211 and metformin after concurrent single-dose administration
Up to 43 days, including screening
Maximum observed plasma concentration
Pharmacokinetics samples collected on day of dosing and 24 and 48 hours post-dose (Follow-up).
Time at which maximum observed plasma concentration occurs
Pharmacokinetics samples collected on day of dosing and 24 and 48 hours post-dose (Follow-up).
Half-life of the drug in plasma
Pharmacokinetics samples collected on day of dosing and 24 and 48 hours post-dose (Follow-up).
Secondary Endpoints
Number of Participants Achieving a HbA1c Value of <7% at Week 12
12 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 12
12 weeks
Change From Baseline in Body Weight at Week 12
12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment AEXPERIMENTAL -
Treatment BEXPERIMENTAL -
Treatment CEXPERIMENTAL -
Treatment DEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Low DoseEXPERIMENTALA low dose of LX4211; daily oral intake for 28 days
High DoseEXPERIMENTALA high dose of LX4211; daily oral intake for 28 days
LX4211 PlaceboPLACEBO_COMPARATOR -
Solid Oral Dose - 150 mg tabletsEXPERIMENTAL -
Solid Oral Dose - 50 mg tabletsEXPERIMENTAL -
Liquid Oral DoseEXPERIMENTAL -
Interventions
NameTypeDescription
75 mg LX4211DRUGSubjects will receive 75 mg LX4211 once daily
200 mg LX4211DRUGSubjects will receive 200 mg LX4211 once daily.
400 mg LX4211DRUGSubjects will receive 400 mg LX4211 once daily.
PlaceboDRUGSubjects will receive placebo once daily.
LX4211 Low DoseDRUGA low dose of LX4211; daily oral intake for 28 days
LX4211 High DoseDRUGA high dose of LX4211; daily oral intake for 28 days
LX4211DRUGSubjects will receive LX4211 once daily for 7 days
LX4211 PlaceboDRUGSubjects will receive LX4211 placebo once daily for 7 days
Januvia®DRUG100 mg Januvia® (sitagliptin) administered as one 100 mg sitagliptin tablet
1000 mg metforminDRUG1000 mg metformin given as a solid oral dose form
300 mg LX4211 (150 mg tablets)DRUGSingle oral dose of two 150 mg tablets LX4211
300 mg LX4211 (50 mg tablets)DRUGSingle oral dose of six 50 mg tablets LX4211
300 mg LX4211 (liquid)DRUGSingle 30 mL dose of liquid oral solution LX4211 (10 mg/mL)
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites56

Inclusion Criteria: * Adult subjects between the ages of 18 to 75 years, inclusive * Confirmed diagnosis of Type 2 diabetes mellitus * Meet required laboratory values at screening, including fasting plasma glucose less than 270 mg/dL * Stable dose of metformin monotherapy greater than 1500 mg/day f...

Countries:United States
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