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This is a Multi-center, Randomized, Double-blinded, Placebo-controlled, Parallel-design, 12-Week, Therapeutic exploratory, Phase IIa Study which will patients with type 2 diabetes mellitus and recent cardiovascular complications.
After a screening, 114 patients will be stratified randomized in a 1:1:1 ratio to the 3 arms (PH100 800mg/day, PH100 1600mg/day, Placebo) to evaluate the safety and efficacy of PH100.
Subjects will visit the centers on Week 4, 8 and 12 during the entire 12-week treatment period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low Dose PH100: 800mg/day | Experimental |
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| High Dose PH100: 1600mg/day | Experimental | - PH100 4 tablets (800mg) BID during 12wks |
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| Placebo | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ecklonia cava Phlorotannin | Drug | Drugs that have been administered prior to participation in this study that are not expected to affect the results of this study will be accepted at the investigator's discretion. |
| Measure | Description | Time Frame |
|---|---|---|
| hs-CRP (high-sensitivity C-reactive protein) | Change in hs-CRP level compared to baseline after 12 weeks of investigational product administration | Visit 2(Baseline Visit) vs Visit 5(week 12) |
| Measure | Description | Time Frame |
|---|---|---|
| hs-CRP | Change in hs-CRP level compared to baseline after 4 weeks, 8 weeks of investigational product administration | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8) |
| hs-CRP: monthly rate of change |
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Inclusion Criteria:
Age >= 19 years old
Subjects who have been treated for cardiovascular complications (stent insertion due to angina pectoris, myocardial infarction, cerebral ischemia, peripheral vascular disease) within 4 weeks prior to baseline
T2DM patients who diagnosed with type 2 diabetes prior to or above cardiovascular complications and have been taking oral hypoglycemic agents and/or receiving insulin treatment before the above complication occurred
Subjects taking a stable dose of statins and are anticipated to have no change in dose during the duration of the study
The following is confirmed through screening:
Women of child-bearing potential who have negative pregnancy testing results and have agreed to use appropriate measures of contraception* during the duration of the study (*appropriate contraception is defined as women of child-bearing potential, excluding women in whom more than 52 weeks have passed since their last period, using the following methods: surgical sterilization, intrauterine device, condoms, barrier contraceptives, absolute abstinence)
Subjects who have signed the informed consent form (or whose legal representative has signed) and who are deemed to be able to follow the requirements of the study
Exclusion Criteria:
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Change in hs-CRP level monthly
| Between Visit 2(Baseline Visit) and Visit 3(week 4), Between Visit 3(week 4) and Visit 4(week 8), Between Visit 4(week 8) and Visit 5(week 12) |
| Interleukin-6 (IL-6) | Change in IL-6 [Inflammatory Marker] | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| Tumor Necrosis Factor-α (TNF- α) | Change in TNF- α [Inflammatory Marker] | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| Malondialdehyde (MDA) | Change in MDA [Biomarkers of oxidative stress] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Oxidized Low Density Lipoprotein (Oxidized LDL) | Change in Oxidized LDL [Biomarkers of oxidative stress] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Glutathione Peroxidase (GPX) | Change in GPX [Biomarkers of oxidative stress] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Superoxide Dismutase (SOD) | Change in SOD [Biomarkers of oxidative stress] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Total AntiOxidants (TAS) | Change in TAS [Biomarkers of oxidative stress] | Visit 2(Baseline Visit), Visit 5(week 12) |
| HbA1c | Change in HbA1c level compared to Visit1(screening) after 12 weeks of investigational product administration | Visit1(screening), Visit 5(week 12) |
| Adiponectin | Change in Adiponectin level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration | Visit 2(Baseline Visit), Visit 5(week 12) |
| Free Fatty Acid | Change in Free Fatty Acid level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration | Visit 2(Baseline Visit), Visit 5(week 12) |
| High Density Lipoprotein-cholesterol (HDL-C) | Change in HDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Low Density Lipoprotein-cholesterol (LDL-C) | Change in LDL-C level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Triglyceride (TG) | Change in TG level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Total Cholesterol (TC) | Change in TC level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration [Lipid Profile] | Visit 2(Baseline Visit), Visit 5(week 12) |
| Homocysteine | Change in Homocysteine level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration | Visit 2(Baseline Visit), Visit 5(week 12) |
| Fibrinogen | Change in Fibrinogen level compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration | Visit 2(Baseline Visit), Visit 5(week 12) |
| MACE (Major Adverse Cardiovascular Events) | Incidence rate of MACE (Major Adverse Cardiovascular Events) during investigational product administration | Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| Left Ventricular Ejection Fraction | Change in LVEFF compared to Visit 2(Baseline Visit) after 12 weeks of investigational product administration by Echocardiogram | Visit 2(Baseline Visit), Visit 5(week 12) |
| Blood Pressure (Systolic Blood Pressure, Diastolic Blood Pressure) | Change in SiSBP, SiDBP | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| BMI | Change in BMI | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| Waist-hip ratio | Change in Waist-hip ratio | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| AE (Adverse Events) | [Safety and Tolerability] Incidence of AEs during investigational product administration | Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| Pulse | [Safety and Tolerability] Check the Vital Sign (pulse) every visit schedule | Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |
| Body Temperature | [Safety and Tolerability] Check the Vital Sign (body temperature) every visit schedule | Visit 1(Screening), Visit 2(Baseline Visit), Visit 3(week 4), Visit 4(week 8), Visit 5(week 12) |