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NCT Number: NCT02803918

A Study on Safety, Pharmacokinetics and Pharmacodynamics of Lixisenatide in Pediatric Patients With Type 2 Diabetes Mellitus (T2DM)

Primary Objective:

To demonstrate safety of 14-day repeated lixisenatide doses with 3 ascending doses as compared to placebo in pediatric patients with T2DM.

Secondary Objectives:

* To evaluate plasma concentrations of lixisenatide after repeated doses (3 ascending doses) and pharmacokinetic parameters of repeated lixisenatide doses in pediatric patients with T2DM. * To evaluate the change from baseline in fasting and post-prandial plasma glucose concentrations during a standardized meal test after 3 ascending repeated doses of lixisenatide in comparison to placebo.

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Key information

Age range

10 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Investigational Site Number 480001, Phoenix, Mauritius

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About this study

The total study duration will be up to 10 weeks that includes a 6-week treatment period with dose escalation every 2 weeks.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patients aged ≥10 and <18 years old (at least 4 patients below 16 years old).
  • Body mass index (BMI) >85th percentile for age and gender; BMI ≤50 kg/m2.
  • Male and female patients with documented T2DM insufficiently controlled with metformin at a stable dose and regimen for 8 weeks prior to randomization and/or basal insulin at stable dose (± 20%) and regimen for 8 weeks prior to randomization. The exact individual metformin dose will be selected according to local regulation and to the investigator's medical judgment.
  • Glycated hemoglobin (HbA1c) >6.5% and ≤11% at screening.

Exclusion criteria

  • If female, ongoing pregnancy (defined as positive serum pregnancy test), breast-feeding.
  • Sexually active postmenarchal female patient who does not agree to use an adequate and highly effective method of contraception throughout the study duration and according to local regulation (ie, hormonal contraception, condom, etc.).
  • Diabetes other than T2DM.
  • Fasting plasma glucose >250 mg/dL (>13.9 mmol/L) at screening.
  • Use of other oral or injectable antidiabetic or hypoglycemic agents other than metformin and basal insulin (eg, alpha glucosidase inhibitor, glucagon-like peptide (GLP-1) receptor agonist, dipeptidyl peptidase-IV (DPP-IV) inhibitors, short-acting insulin etc.) within 1 month prior to the screening visit.
  • History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, stomach/gastric surgery, inflammatory bowel disease.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

Lixisenatide (AVE0010)

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Placebo

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

Basal Insulin

Drug

Pharmaceutical form: solution

Route of administration: subcutaneous

metformin

Drug

Pharmaceutical form: tablet

Route of administration: oral

Primary outcomes

  1. Number of patients with adverse events (AEs)

    Time frame: Up to 10 weeks

  2. Number of patients with treatment-emergent adverse events (TEAEs)

    Time frame: Up to 10 weeks

  3. Number of patients with anti-lixisenatide antibodies

    Time frame: Up to 10 weeks

Secondary outcomes

  1. Assessment of pharmacokinetic (PK) parameters: lixisenatide plasma concentration

    Time frame: Day 14, Day 28 and Day 42

  2. Assessment of PK parameters: maximum concentration (Cmax)

    Time frame: Day 42

  3. Assessment of PK parameters: time to reach Cmax (Tmax)

    Time frame: Day 42

  4. Assessment of PK parameters: area under up to last concentration (AUClast)

    Time frame: Day 42

  5. Assessment of PK parameters: area under curve (AUC)

    Time frame: Day 42

  6. Assessment of pharmacodynamic parameter: plasma glucose AUC-0-4.5 hours

    Time frame: Day 14, Day 28 and Day 42

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

Randomized, Double-blind, Placebo-controlled, Dose Escalation, Study on Safety, Pharmacokinetics and Pharmacodynamics of Lixisenatide in Pediatric Patients With Type 2 Diabetes Mellitus Not Adequately Controlled With Metformin and/or Basal Insulin

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Jun 17, 2016
Registry last updated
Apr 25, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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