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The purpose of this study is to evaluate the PK/PD and safety of TA-7284 in patients with type 2 diabetes mellitus who have moderate renal impairment.
This is an open-label, randomized, 2-way crossover study to evaluate the PK/PD and safety of TA-7284 in patients with type 2 diabetes mellitus who have moderate renal impairment relative to patients with type 2 diabetes mellitus who have normal renal function. The patients will receive both TA-7284-Low and TA-7284-High orally alone in either Period 1 or 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TA-7284 Low | Experimental |
| |
| TA-7284 High | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TA-7284 Low | Drug | Low |
| |
| TA-7284 High |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of Renal Function on Maximum Plasma Concentration of TA-7284 | For 72 hours after each administration | |
| Effect of Renal Function on Area Under the Plasma Concentration-time Curve From Zero up to Infinity of TA-7284 | For 72 hours after each administration | |
| Effect of Renal Function on Urinary Glucose Excretion of TA-7284 | For 24 hours after each administration | |
| Effect of Renal Function on Percent Inhibition of Renal Glucose Reabsorption (RGR) of TA-7284 | The percent inhibition of renal glucose reabsorption was calculated from renal glucose reabsorption (eGFR × plasma glucose AUC - urinary glucose excretion) on the preceding day and on the day of administration. | For 24 hours after each administration |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Incidence and severity of AEs | Upto approximately 14 days after last administration |
| 12-lead Electrocardiogram (ECG) | Change from baseline in ECG parameters |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nobuya Inagaki, MD | Kyoto University, Graduate School of Medicine | Study Director |
| Kazuoki Kondo, MD | Tanabe Pharma Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Reserch site | Kanto | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38770818 | Derived | Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Moderate Renal Impairment Low Dose First | TA-7284 Low dose in Period 1, then crossover to TA-7284 High dose in Period 2 |
| FG001 | Moderate Renal Impairment High Dose First | TA-7284 High dose in Period 1, then crossover to TA-7284 Low dose in Period 2 |
| FG002 | Normal Renal Function Low Dose First | TA-7284 Low dose in Period 1, then crossover to TA-7284 High dose in Period 2 |
| FG003 | Normal Renal Function High Dose First | TA-7284 High dose in Period 1, then crossover to TA-7284 Low dose in Period 2 |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Crossover Period 1 |
| |||||||||||||
| Crossover Period 2 |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Entire Population for Moderate Renal Impairment | |
| BG001 | Entire Population for Normal Renal Function | |
| BG002 | Total |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Effect of Renal Function on Maximum Plasma Concentration of TA-7284 | Posted | Mean | Standard Deviation | ng / mL | For 72 hours after each administration |
|
Up to approximately 14 days after last administration
Serious adverse events and the other adverse events were summarized in terms of renal function and dose.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Moderate Renal Impairment Low | TA-7284-Low was administered in a single dose. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA 15 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Trials, Information Desk | Tanabe Pharma Corporation | cti-inq-ml.JP@ml.tanabe-pharma.com |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D051437 | Renal Insufficiency |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| Drug |
High |
|
| For 72 hours after each administration |
| Vital Signs | Change from baseline in Vital signs (BP, PR and BT) | For 72 hours after each administration |
| Clinical Laboratory Tests | Change from baseline in Clinical laboratory tests | For 72 hours after each administration |
| COMPLETED |
|
| NOT COMPLETED |
|
Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG003 |
| Normal Renal Function High |
TA-7284-High was administered in a single dose. |
|
|
| Secondary | Adverse Events | Incidence and severity of AEs | Not Posted | Upto approximately 14 days after last administration | Participants |
| Secondary | 12-lead Electrocardiogram (ECG) | Change from baseline in ECG parameters | Not Posted | For 72 hours after each administration | Participants |
| Secondary | Vital Signs | Change from baseline in Vital signs (BP, PR and BT) | Not Posted | For 72 hours after each administration | Participants |
| Secondary | Clinical Laboratory Tests | Change from baseline in Clinical laboratory tests | Not Posted | For 72 hours after each administration | Participants |
| Primary | Effect of Renal Function on Area Under the Plasma Concentration-time Curve From Zero up to Infinity of TA-7284 | Posted | Mean | Standard Deviation | ng・h/mL | For 72 hours after each administration |
|
|
|
| Primary | Effect of Renal Function on Urinary Glucose Excretion of TA-7284 | Posted | Mean | 95% Confidence Interval | g | For 24 hours after each administration |
|
|
|
| Primary | Effect of Renal Function on Percent Inhibition of Renal Glucose Reabsorption (RGR) of TA-7284 | The percent inhibition of renal glucose reabsorption was calculated from renal glucose reabsorption (eGFR × plasma glucose AUC - urinary glucose excretion) on the preceding day and on the day of administration. | Posted | Mean | 95% Confidence Interval | percent of RGR at baseline | For 24 hours after each administration |
|
|
|
| 0 |
| 12 |
| 3 |
| 12 |
| EG001 | Moderate Renal Impairment High | TA-7284-High was administered in a single dose. | 0 | 12 | 1 | 12 |
| EG002 | Normal Renal Function Low | TA-7284-Low was administered in a single dose. | 0 | 12 | 2 | 12 |
| EG003 | Normal Renal Function High | TA-7284-High was administered in a single dose. | 0 | 12 | 3 | 12 |
| Diarrhoea | Gastrointestinal disorders | MedDRA 15 |
|
| Nasopharyngitis | Infections and infestations | MedDRA 15 |
|
| Blood creatin phosphokinase increased | Investigations | MedDRA 15 |
|
| Blood creatinine increased | Investigations | MedDRA 15 |
|
| Blood glucose increased | Investigations | MedDRA 15 |
|
| Protein urine present | Investigations | MedDRA 15 |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 15 |
|
| Pollakiuria | Renal and urinary disorders | MedDRA 15 |
|
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| D004700 | Endocrine System Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |