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NCT Number: NCT07139405

TriGlytza®-01 Versus Metformin in Overweight and Obese Adults With Type 2 Diabetes and Inadequate Glycaemic Control Despite Metformin Therapy

This Phase 2a, randomized, double-blind, active-controlled study will evaluate the safety, tolerability, and preliminary efficacy of TriGlytza®-01 compared with metformin in adults with Type 2 diabetes inadequately controlled despite metformin therapy. Participants will be randomized to one of three treatment groups and treated for 16 weeks. Safety, glycaemic control, body weight, and other metabolic outcomes will be assessed

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

UniSC Clinical Trials, Maroochydore, Queensland, Australia

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About this study

This is a multicentre, randomized, double-blind, active-controlled Phase 2a study evaluating TriGlytza®-01 in adults with Type 2 diabetes inadequately controlled on metformin therapy. Eligible participants will be randomized in a 1:1:1 ratio to metformin alone, low-dose TriGlytza®-01, or high-dose TriGlytza®-01. Treatment will continue for 16 weeks following screening. The study will evaluate safety, tolerability, glycaemic efficacy, body weight, pharmacokinetics, and selected metabolic biomarkers.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Adults aged 18 to 70 years. Confirmed diagnosis of Type 2 diabetes mellitus. Inadequate glycaemic control while receiving a stable dose of metformin.

Inclusion criteria

  • Adults aged 18 to 70 years.
  • Confirmed diagnosis of Type 2 diabetes mellitus.
  • Inadequate glycaemic control while receiving a stable dose of metformin.
  • HbA1c within the protocol-defined screening range.
  • Body mass index (BMI) 25 to 40 kg/m².
  • Adequate renal function.
  • Able and willing to provide written informed consent and comply with study procedures.

Exclusion criteria

  • Type 1 diabetes mellitus or history of diabetic ketoacidosis.
  • Use of prohibited glucose-lowering medications before screening.
  • Clinically significant renal, hepatic, gastrointestinal, cardiovascular, or other medical conditions that could interfere with study participation or safety.
  • Recent major cardiovascular event or unstable cardiovascular disease.
  • Previous bariatric surgery or recent treatment with anti-obesity medication.
  • Active infection or other uncontrolled medical condition.
  • Pregnant or breastfeeding, or unwilling to comply with protocol-required contraception.
  • Any condition that, in the investigator's opinion, would make participation unsuitable or compromise the study.

Treatment and study plan

Metformin XR

Drug

Metformin extended-release tablets administered orally once daily according to protocol.

Celecoxib

Drug

Celecoxib capsules or matching placebo capsules administered orally once daily according to randomized treatment assignment.

valsartan

Drug

Valsartan tablets or matching placebo tablets administered orally once daily according to randomized treatment assignment.

Primary outcomes

  1. Incidence and severity of treatment-emergent adverse events and changes in clinical safety assessments through Week 16.

    Time frame: 16 weeks

Secondary outcomes

  1. Change in HbA1c

    Time frame: 16 weeks

  2. Proportion achieving HbA1c <7.0%

    Time frame: 16 weeks

  3. Change in fasting plasma glucose

    Time frame: 16 weeks

  4. Change in body weight

    Time frame: 16 weeks

  5. Change from Baseline to Week 16 in Total Body Fat Percentage Measured by Dual-energy X-ray Absorptiometry (DEXA)

    Time frame: 16 weeks

    Change in total body fat (%) measured using whole-body dual-energy X-ray absorptiometry (DEXA).

  6. Requirement for rescue therapy

    Time frame: 16 weeks

  7. Maximum Plasma Concentration (Cmax) of Study Treatment Components

    Time frame: 16 weeks

    Plasma maximum observed concentration (Cmax)

  8. Time to Maximum Plasma Concentration (Tmax) of Study Treatment Components

    Time frame: 16 weeks

    Time to maximum observed plasma concentration (Tmax)

  9. Area Under the Plasma Concentration-Time Curve (AUC) of Study Treatment Components

    Time frame: 16 weeks

    Plasma area under the concentration-time curve (AUC)

  10. Terminal Elimination Half-life (t½) of Study Treatment Components

    Time frame: 16 Weeks

    Plasma terminal elimination half-life (t½)

Study contacts

Contact information is provided by the study sponsor or research team.

Charles Czank, PhD MBA

CONTACT

[email protected]

+61 2 8527 2453

Kurt Sales, PhD PGCM

CONTACT

[email protected]

+61 2 8527 2453

Sponsors and collaborators

Lead sponsor

Myopharm Limited

Other

Collaborators

  • Southern Star Research

Registry information

Official study title

A Double-Blind, Randomized, Active-Controlled Phase 2a Trial to Evaluate the Safety, Tolerability, and Preliminary Efficacy of TriGlytza®-01 in Overweight and Obese Adults With Type 2 Diabetes and Inadequate Glycaemic Control Despite Metformin Therapy

Acronym: RESILIENCE-2a

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Aug 24, 2025
Registry last updated
Jul 8, 2026

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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