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This is a randomized, double-blind, placebo-parallel, multicenter phase 3 clinical trial to evaluate the efficacy of TG103 injection 7.5mg and 15mg once a week monotherapy compared with placebo in subjects with type 2 diabetes with poor glycemic control after diet and exercise.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TG103, 7.5 mg | Experimental | TG103 (7.5 mg) will be administered via subcutaneous injection once a week in subjects with type 2 diabetes. |
|
| TG103, 7.5 mg placebo | Placebo Comparator | Placebo will be administered via subcutaneous injection once a week in subjects with type 2 diabetes. |
|
| TG103, 15 mg | Experimental | TG103 (15 mg) will be administered via subcutaneous injection once a week in subjects with type 2 diabetes. |
|
| TG103, 15 mg placebo | Placebo Comparator | Placebo will be administered via subcutaneous injection once a week in subjects with type 2 diabetes. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TG103 | Drug | TG103 injection, 7.5mg, 15 mg, SC, once a week |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in glycosylated hemoglobin (HbA1c) | Baseline through Week28 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in HbA1c | Baseline through Week52 | |
| The percentage of HbA1c≤6.5% and the percentage of HbA1c≤7% | Week28 and 52 | |
| Change in fasting plasma glucose (FPG) |
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Inclusion Criteria:
1.Subjects have diagnosed with type 2 diabetes according to the Guidelines for prevention and treatment of type 2 diabetes in China (2020 Edition), and have been diagnosed with T2DM for at least 8 weeks before screening;
2.Aged 18 to 75 years (inclusive), no gender limitation;
3. Body Mass Index (BMI): 18.5≤BMI≤40;
4. No hypoglycemic drugs have been used within 8 weeks before screening, and the blood glucose control is poor after diet and exercise therapy alone
5.The continuous use of insulin ≤14 days (except gestational diabetes), and/or the types of hypoglycemic drugs used in combination <3 with the continuous use time ≤4 weeks within 1 year (more than 8 weeks) before screening;
6.HbA1c must meet the following criteria:
7.Subjects of childbearing potential must use reliable methods of contraception throughout the study period and at least 3 months after the last dose to avoid pregnancy in female subjects or pregnancy in the male subject's partner;
8. Willing and able to accurately use home glucose meter for self-glucose monitoring;
9. Be able to understand and follow the trial procedure, voluntarily participate in the trial and sign the informed consent form.
Exclusion Criteria:
1. Type 1 diabetes;
2. Body weight change more than 5% within 1 month prior to screening;
3. Received any of the following medications:
4. History of ≥2 episodes of grade 3 hypoglycemia within 6 months prior to screening, or grade 3 hypoglycemia between screening to randomization;
5. Acute complications of diabetes, such as diabetic ketoacidosis and hyperglycemic hyperosmolar status, occurred ≥1 time within 6 months prior to screening;
6. Severe chronic complications of diabetes (e.g., proliferative diabetic retinopathy, severe diabetic neuropathy, diabetic foot, etc.) within 6 months prior to screening
7. History of acute or chronic pancreatitis prior to screening;
8. Subjects with clinically significant gastric emptying abnormalities (e.g., gastric outlet obstruction), severe chronic gastrointestinal diseases (e.g., gastroparesis, inflammatory bowel disease, or intestinal obstruction) within 6 months prior to screening, or who have undergone gastrointestinal surgery that affects gastric emptying;
9. Any of the following cardiovascular events within 6 months prior to screening: decompensated cardiac insufficiency (NYHA class III or IV); history of unstable angina pectoris, myocardial infarction, coronary artery bypass grafting, or coronary stent implantation; long QT syndrome or prolonged QTcF interval (QTcF: male >450 ms, female >470 ms) on 12-lead ECG; severe arrhythmias that are evaluated by the investigator to be inappropriate for participation in this clinical trial;
10. Hemorrhagic stroke or acute ischemic stroke disease occurred within 6 months prior to screening;
11. History of psychiatric diseases (such as depression, anxiety, etc.) during screening; or symptomatic gallbladder disease; or history of other diseases that may endanger the safety of the subject and that the investigator deems inappropriate for enrollment;
12. Any type of malignant tumor treated or untreated within 5 years prior to screening (except for clinically cured basal cell carcinoma or carcinoma in situ);
13. Severe or acute infection within 4 weeks prior to screening, or refractory urinary tract or genital infection within 6 months prior to screening;
14. Having a significant blood system disease (e.g., aplastic anemia, myelodysplastic syndrome) or any disease causing hemolysis or red blood cell instability (e.g., malaria) at screening;
15. Subjects with thyroid dysfunction that cannot be controlled by a stable drug dose at screening, or with clinically significant abnormalities in thyroid function examination results requiring drug treatment at screening;
16. Personal or family history of medullary thyroid cancer (MTC) or type 2 multiple endocrine tumor syndrome at screening;
17. Any of the indicators meet the following criteria:
i. Systolic blood pressure ≥ 160mmHg or diastolic blood pressure ≥ 100mmHg at screening or before randomization;
ii. Laboratory tests show any of the following abnormalities:
iii. Serological examination:
18. Known allergy to the test drug, Empagliflozin, or related excipients;
19. Subjects who have lost more than 400 mL blood due to blood donation or other reasons within 3 months prior to screening;
20. Average alcohol intake more than 21 units of alcohol (male)/14 units of alcohol (female) per week within the 3 months prior to screening (1 unit ≈360 mL beer, or 45 mL spirits with 40% alcohol content, or 150 mL wine);
21. Subject participated in any drug or medical device clinical study within 3 months prior to screening (except for screening failure);
22. Pregnant or lactating female;
23. Not suitable for this study in the investigator's opinion.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital | Beijing | Beijing Municipality | 100032 | China |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| Placebo |
| Drug |
Placebo, SC, once a week |
|
| Baseline through Week 28 and 52 |
| Change in weight | Baseline through Week 28 and 52 |
| Change in 2h-postprandial plasma glucose (2h-PPG) | Baseline through Week 28 and 52 |
| Change in mean 7-point blood glucose curve , Change in mean postprandial blood glucose increment . | Baseline through Week 28 and 52 |
| Change in blood lipids (triglycerides, total cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol) | Baseline through Week 28 and 52 |
| Proportion of subjects receiving remedial therapy | Week 28 and 52 |
| Incidence of adverse events | Week-2 through 52 |
| Blood concentrations of TG103 | Week 0, 4, 8,16, 28,36, 44,52 and 55 |
| The occurrence of TG103 anti-drug antibodies (ADA) and neutralizing antibody (NAb) | Week 0, 4, 8,16, 28,36, 44,52 and 55 |
| D004700 | Endocrine System Diseases |