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DiObex Inc. is developing an experimental drug (DIO-902) that is made up of part of the ketoconazole molecule for the treatment of elevated blood glucose associated with type 2 diabetes mellitus. Ketoconazole (Nizoral®) is a drug available by prescription for the treatment of fungal infections however DIO-902 is an investigational drug. DIO-902 may lower blood glucose by lowering levels of a naturally occurring hormone called cortisol. Elevated cortisol may contribute to the development of type 2 diabetes.
To maintain the blind in Protocol DIO-502, subjects will be re-randomized at Study Visit 1 to one of three doses of DIO-902: 150, 300 or 450 mg QHS. All subjects receiving DIO-902 placebo and 50% of subjects receiving DIO-902 will be re-randomized to one of three DIO-902 doses. The remaining 50% of subjects receiving DIO-902 will be assigned to their original DIO-902 dose. The re- randomization will be performed by a group independent of study conduct to ensure the treatment status of the subject while in Protocol DIO-502 remains blinded. In addition, subjects will continue on the same dose of metformin that they had been taking during the conduct of Protocol DIO-502. Subjects will continue on atorvastatin 10 mg for the first 4 weeks of this protocol. Thereafter, at Study Visits 3 and 4, the dose of atorvastatin may be increased up to a maximum of 40 mg daily in order to achieve LDL-cholesterol/non-HDL cholesterol goals specified within the protocol. In addition, after Study Visit 4 (Week 12) subjects with HbA1c levels of > 7.5% (0.075 Hb Fract.) will undergo a one time titration of their oral hypoglycemic regimen as per the algorithm provided in the protocol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | 150mg DIO-902 + 10mg Atorvastatin |
|
| 2. | Experimental | 300mg DIO-902 + 10mg Atorvastatin |
|
| 3 | Experimental | 450mg DIO-902 + 10mg Atorvastatin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DIO-902 | Drug | 150mg DIO-902 + 10mg atorvastatin |
| |
| DIO-902 |
| Measure | Description | Time Frame |
|---|---|---|
| The following parameters will be evaluated at Week 12 and Week 24: • Proportion of subjects who reach the lipid goal as defined in the protocol from baseline • Proportion of subjects who meet the HbA1c goal as defined in the protocol from baseline | 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Terence Hart | Muscle Shoals | Alabama | 35662 | United States | ||
| Genova Research |
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| Drug |
300mg dose once per day for 24 weeks |
|
| DIO-902 | Drug | 450mg dose once per day for 24 weeks |
|
| Tucson |
| Arizona |
| 85741 |
| United States |
| Research Solutions | Jonesboro | Arkansas | 72401 | United States |
| Arkansas Primary Care Clinic | Little Rock | Arkansas | 72211 | United States |
| Advanced Medical Research | Lakewood | California | 90712 | United States |
| Mills-Peninsula Helath Services | San Mateo | California | 94401 | United States |
| Diabetes Research Goup University of Hawaii at Manoa | Honolulu | Hawaii | 96813 | United States |
| Creighton Diabetes Center | Omaha | Nebraska | 68131 | United States |
| AHS Oklahoma Physician Group | Tulsa | Oklahoma | 74104 | United States |
| Covance Clinical Research Unit - Dr. Andrew Ahmann | Portland | Oregon | 927239 | United States |
| Covance CRU | Austin | Texas | 78752 | United States |
| Diabetes Glandular Disease Research Associates | San Antonio | Texas | 78229 | United States |
| Flinders Medical Centre | Adelaide | South Australia | Australia |
| Lyell McEwin Hospital | North Western Adelaide | South Australia | Australia |
| ECRU | Box Hill, Melbourne | Victoria | Australia |
| School of Medicine and Pharmacology | Fremantle | Western Australia | 6160 | Australia |
| Keough Institute | Nedands | Western Australia | 6009 | Australia |
| Endocrinology Research Unit | Herston Road | QLD 4029 | Australia |
| Endocrinology Department | St Leonards | NSW 2065 | Australia |
| Royal Melbourn Hospital | Victoria | Australia |
| Middlemore Hospital | Otahuhu | Auckland | New Zealand |
| Lipid and Diabetes Research | Christchurch | New Zealand |
| Waikaito Hospital | Hamilton | New Zealand |
| Diabetes Centre | Wellington | New Zealand |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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