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Dipeptidyl peptidase-4 inhibitors

Phase 2

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |Novo Nordisk A/S|Last Updated: Apr 2, 2021

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment247

FDA Designations

No designations recorded

Clinical trial landscape

Dipeptidyl peptidase-4 inhibitors · 1 trial · 1 indication

Phase 2 1
NCT03751657A Research Study to Compare Insulin 287 Once a Week to Insulin Glargine (100 Units/mL) Once a Day in People With Type 2 Diabetes.Diabetes Mellitus, Type 2
COMPLETED247 Analytics
PHASE2COMPLETED
A Research Study to Compare Insulin 287 Once a Week to Insulin Glargine (100 Units/mL) Once a Day in People With Type 2 Diabetes.
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Change in Glycated Haemoglobin (HbA1c) [Percentage Point (%-Point)]
From baseline (Visit 2) to week 26 (Visit 28)

Change in HbA1c from baseline (week 0) to week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i.

Change in HbA1c [Millimoles/Mole (mmol/Mol)]
From baseline (Visit 2) to week 26 (Visit 28)

Change in HbA1c from baseline (week 0) to week 26 is presented. The endpoint was evaluated based on the data from on-treatment without ancillary treatment period, starting at the date of first dose of trial product until the follow-up visit, or the last date on trial product + 5 weeks for once daily insulin and + 6 weeks for once weekly insulin, or initiation of any diabetes treatment other than trial products and metformin +/- DPP4i, or increase of the dose of metformin or DPP4i.

Secondary Endpoints

Change in Fasting Plasma Glucose
From baseline (Visit 2) to week 26 (Visit 28)
9-point Profile (Individual SMPG Values)
Week 26 (Visit 28)
Change in Mean of the 9-point Profile, Defined as the Area Under the Profile Divided by Measurement Time
From baseline (Visit 2) to week 26 (Visit 28)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Insulin 287EXPERIMENTALParticipants will receive once weekly insulin 287 and once daily placebo in combination with metformin with or without dipeptidyl peptidase-4 inhibitors (DPP4i) during 26 weeks of treatment period.
Insulin glargineACTIVE_COMPARATORParticipants will receive once daily insulin glargine and once weekly placebo in combination with metformin with or without DPP4i during 26 weeks of treatment period.

Interventions

NameTypeDescription
Insulin icodecDRUGInsulin 287 once weekly subcutaneous (s.c.) injections at the starting dose of 70 units. Dose adjustment was done for the individual patient based on the three pre-breakfast self-measured plasma glucose values measured on two days prior to titration and on the day of the contact. The insulin dose adjustment should aim to reach an SMPG of 3.9-6.0 mmol/L (70-108 mg/dL)
Placebo (insulin 287)DRUGParticipants will receive once weekly s.c. injections of placebo equivalent to insulin 287.
MetforminDRUGMetformin is considered as non investigational medicinal product. Subject will continue metformin at stable pre-trial dose.
Dipeptidyl peptidase-4 inhibitorsDRUGDipeptidyl peptidase-4 inhibitors are considered as non investigational medicinal products. Subject will continue dipeptidyl peptidase-4 inhibitor at stable pre-trial dose.
Insulin glargineDRUGInsulin glargine (100 U/mL) once daily s.c. injections at the starting dose of 10 units. Dose adjustment will be done for the individual patient based on the three pre-breakfast self-measured plasma glucose values measured on two days prior to titration and on the day of the contact. The insulin dose adjustment should aim to reach an SMPG of 3.9-6.0 mmol/L (70-108 mg/dL).
Placebo (insulin glargine)DRUGParticipants will receive once daily s.c. injections of placebo equivalent to insulin glargine.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: * Male or female, aged 18-75 years (both inclusive) at the time of signing informed consent * Diagnosed with type 2 diabetes mellitus greater than or equal to 180 days prior to the day of screening * HbA1c of 7.0-9.5% (53-80 mmol/mol) (both inclusive) as assessed by central labo...

Countries:United StatesCanadaCzechiaGreecePolandSlovakiaSlovenia
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Frequently asked questions about Dipeptidyl peptidase-4 inhibitors

What is Dipeptidyl peptidase-4 inhibitors used for in Diabetes Mellitus, Type 2?

Dipeptidyl peptidase-4 inhibitors are being studied for the treatment of Type 2 Diabetes Mellitus. The drug is currently in Phase 2 clinical development and is being investigated as a once-weekly treatment option for people with this condition.

Who makes Dipeptidyl peptidase-4 inhibitors?

Dipeptidyl peptidase-4 inhibitors is being developed by Novo Nordisk A/S, a pharmaceutical company listed on the stock exchange under the ticker symbol NVO.

What phase is Dipeptidyl peptidase-4 inhibitors in?

Dipeptidyl peptidase-4 inhibitors is in Phase 2 clinical development. It is an investigational drug and has not yet been approved by regulatory authorities. One Phase 2 trial has been completed.

What clinical trials is Dipeptidyl peptidase-4 inhibitors in?

Dipeptidyl peptidase-4 inhibitors has one completed clinical trial, identified as NCT03751657. This Phase 2 study compared the drug to insulin glargine in 247 participants with Type 2 Diabetes Mellitus across multiple countries.

How does Dipeptidyl peptidase-4 inhibitors work?

Dipeptidyl peptidase-4 inhibitors work by inhibiting the enzyme dipeptidyl peptidase-4, which helps regulate blood sugar levels in people with Type 2 Diabetes Mellitus. This mechanism is the basis for its potential therapeutic effect in this condition.