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This is a randomized, placebo-controlled, double-blind, dose escalation study to evaluate safety, tolerability, PK and PD of single and repeated SC doses of REMD-477 in Type 2 diabetic subjects. The study will be conducted at multiple sites in the United States and will enroll approximately 102 subjects with Type 2 diabetes who are either treatment-naïve, controlled with diet and exercise or treated with oral antidiabetic medications.
The study will consist of three parts: Part A - Dose Escalation, Part B - Adaptive Dose Cohort, and Part C - REMD-477 in Combination with Metformin. Part A includes 5 cohorts that will be enrolled and dosed sequentially at escalating doses. Each cohort will consist of 12 subjects randomized in a 3:1 (active: placebo) fashion. Part B includes a single dose cohort that will enroll 12 subjects (9 on active treatment and 3 on placebo) with dose level and frequency determined by a Dose Level Review Meeting (DLRM)Committee. Part C includes 2 cohorts of T2DM patients currently treated with metformin alone, and each cohort will consist of 15 subjects (10 on active treatment and 3 on placebo).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| REMD-477 Treatment A | Experimental | Administered as a single and repeated SC doses in subjects with Type 2 Diabetes |
|
| Matching placebo | Placebo Comparator | Placebo administered as single and repeated SC doses in subjects with Type 2 Diabetes |
|
| REMD-477 Treatment B | Experimental | Administered as a single and repeated SC doses in subjects with Type 2 Diabetes |
|
| REMD-477 Treatment C | Experimental | Administered as a single and repeated SC doses in subjects with Type 2 Diabetes |
|
| REMD-477 Treatment D | Experimental | Administered as a single and repeated SC doses in subjects with Type 2 Diabetes |
|
| REMD-477 Treatment E | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| REMD-477 | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of treatment emergent adverse events per subject, including changes in vital signs, physical and neurological examinations, laboratory safety tests and ECGs | 141 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic (PK) profile (parameters including maximum observed concentration (Cmax), area under the curve (AUC) serum-concentration, clearance, and half-life (t1/2) after single and repeated SC doses. | 141 Days | |
| Changes in fasting glucose and insulin levels following single and repeated SC doses of REMD-477. |
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Inclusion Criteria:
Exclusion Criteria:
Other inclusion and exclusion criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Miami | Florida | United States | ||||
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Administered as a single and repeated SC doses in subjects with Type 2 Diabetes
|
| 141 Days |
| Changes in glucose and insulin AUC following a Mixed Meal Tolerance Test. | Day 29, Day 57 and Day 85 |
| Incidence of REMD-477 neutralizing and non-neutralizing antibodies | 141 Days |
| Incidence of elevated alanine transaminase (ALT) or aspartate transaminase (AST) values >3x the upper limit of normal with concomitant >2x increases in alkaline phosphatase (ALP) and/or >2x total bilirubin. | 141 Days |
| Incidence and severity of elevated amylase and lipase values at >2.5x ULN after study treatment | 141 Days |
| Geometric mean ratio to baseline over time of AST, ALT, ALP and total bilirubin. | 141 |
| San Antonio |
| Texas |
| United States |
| Renton | Washington | United States |
| 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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| ID | Term |
|---|---|
| C000629677 | volagidemab |
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