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This crossover study investigates the safety, tolerability, pharmacokinetics (PK) ,pharmacodynamics (PD) effect of three dose levels of PB-201,and characterizes the PK profile of a prominent des-methyl metabolite of PB-201(WI-0800), following dosing of three dose levels of PB-201 in drug-naive Chinese adult subjects with Type 2 diabetes mellitus (T2DM) as monotherapy.
There were 7 days separating 4 treatment periods and at least 7-day washout (but not exceeding 14 days) between dosing in 4 periods with 3 dose levels of PB-201 and placebo. Three dose levels of PB-201 are: split dose regimen of 50 mg 30 minutes before morning meal plus 50 mg 30 minutes before lunch at approximately 3.5 hours after morning dose, and split dose regimen of 100 mg 30 minutes before morning meal plus 100 mg 30 minutes before lunch at approximately 3.5 hours after morning dose, and split dose regimen of 150 mg 30 minutes before morning meal plus 100 mg 30 minutes before lunch at approximately 3.5 hours after morning dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PB-201 50/50mg by mouth,every morning and noon for 7 days | Experimental |
| |
| PB-201 100/50mg by mouth,every morning and noon for 7 days | Experimental |
| |
| PB-201 100/100mg by mouth,every morning and noon for 7 days | Experimental |
| |
| placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| glucokinase activator | Drug | PB-201 is a kind of dual and partial GKA |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to peak(Tmax) | hour | 9 days |
| Peak Plasma Concentration (Cmax) | ng/mL | 9 days |
| Area under the plasma concentration versus time curve (AUC) | ng•hr/mL | 9 days |
| Measure | Description | Time Frame |
|---|---|---|
| The change for fasting plasma glucose (FPG) | The change from baseline value (day 0) to the last dose of drug in this period (day 7) compared to placebo | 8days |
| The change for postprandial plasma glucose (PPG) |
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Inclusion Criteria:
Exclusion Criteria:
Diagnosis of type 1 diabetes mellitus or secondary forms of diabetes
History of febrile illness within 5 days prior to dosing
Medical history of myocardial infarction, angina/unstable angina, coronary revascularization, stroke or transient ischemic attack
Any medical history or current clinical evidence of congestive heart failure, New York Heart Association (NYHA) Functional Classification, Classes II-IV
Episode(s) of hypoglycemia adverse events (HAE) of 'severe' intensity prior to screening; either:
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| Name | Affiliation | Role |
|---|---|---|
| HaiYan Li | Peking University Third Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Third Hospital | Beijing | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34805810 | Derived | Liu D, Du Y, Yao X, Wei Y, Zhu J, Cui C, Zhou H, Xu M, Li H, Ji L. Safety, tolerability, pharmacokinetics, and pharmacodynamics of the glucokinase activator PB-201 and its effects on the glucose excursion profile in drug-naive Chinese patients with type 2 diabetes: a randomised controlled, crossover, single-centre phase 1 trial. EClinicalMedicine. 2021 Nov 6;42:101185. doi: 10.1016/j.eclinm.2021.101185. eCollection 2021 Dec. |
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| ID | Term |
|---|---|
| D007003 | Hypoglycemia |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C520311 | glucokinase activator compound 50 |
| C000615120 | Lead-201 |
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|
| Placebo | Drug | Placebo oral tablet |
|
|
The change from baseline value (day 0) to the last dose of drug in this period (day 7) compared to placebo
| 8 days |
| The change for plasma C-peptide | The change from baseline value (day 0) to the last dose of drug in this period (day 7) compared to placebo | 8 days |
| The change for plasma insulin | The change from baseline value (day 0) to the last dose of drug in this period (day 7) compared to placebo | 8 days |