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CompletedNCT01293669Updated Sep 13, 2013

Glycemic Control, Safety and Tolerability of TC-6987 Monotherapy in Type 2 Diabetes Mellitus

A Phase 2 interventional study of TC-6987 and Placebo in Type 2 Diabetes Mellitus, sponsored by Targacept Inc.. Completed at 18 sites in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-09-13.

Sponsored by Targacept Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
440
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

TC-6987 is a selective nicotinic α-7 receptor ligand (open channel stabilizer) that has demonstrated potent anti-inflammatory/antioxidant properties in animal models. Following the oral administration of a 1mg/kg dose of TC-6987 to diabetic mice (db/db mouse) for 7 weeks, numerous metabolic improvements were observed. Specifically, plasma glucose and triglyceride concentrations declined by approximately 30%; Hb1Ac was reduced by nearly 50%; and TNF-α declined more than 60% relative to control db/db mice Therefore, it appears that TC-6987 could prove beneficial in reducing elevated glucose concentrations in diabetic patients as well as in ameliorating organ damage associated with inflammation, oxidative stress and hyperglycemia.

Read the detailed description

This is a Phase II, multicenter, randomized, double-blind, parallel group, placebo-controlled study to assess the efficacy, safety, tolerability, and pharmacokinetic parameters of TC-6987 in subjects with type 2 diabetes mellitus (T2DM). The study is organized into three phases: (a) Screening phase consisting of a 1-week Screening (Week -5)and a 4-week Washout (Week -4 to Day 1); (b) 4-week, Double-Blind Treatment (Day 1 to Week 4) during which subjects are randomized to either TC-6987 (20 mg on Day 1 and 10 mg from Day 2 to Week 4) or placebo; and (c) 2-week Follow-Up (Week 6). Unscheduled visits will be allowed between visits from Washout through Follow-up to evaluate a subject's glycemic status or other safety issues, as required. Subjects will fast overnight for a minimum of 10 hrs and refrain from drinking alcohol 24 hrs prior to each visit.

02

Conditions studied

  • Type 2 Diabetes Mellitus

Keywords

  • Type 2 Diabetes
  • Type 2 Diabetes Mellitus
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 440 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Targacept Inc. is the lead sponsor of 15 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Males or postmenopausal/surgically sterile females
  • Being treated for T2DM with oral antidiabetic agents (excluding glitazones)
  • BMI limit ≤ 38
  • Subjects at least 80% compliant on reporting daily SMBG values during washout
  • At the end of washout the subject's fasting SMBG is higher than it was at the start of washout and the fasting SMBG ≤ 280.g treated for T2DM with oral antidiabetic agents (excluding glitazones)

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes mellitus
  • Severe complications of T2DM (especially diabetic retinopathy imminently requiring treatment for preserving or restoring vision, diabetic neuropathy with symptomatic orthostatic hypotension, urinary retention, gastric stasis, or pedal ulcers)
  • Current treatment with insulin or a glitazone
  • Use of moderate to strong cytochrome P450 3A4 (CYP3A4) inhibitors
  • FSH level of \< 35 IU/L and a LH level \< 25 IU/L except for confirmed surgically sterile women with functioning ovaries
  • Significant cardiovascular diseases (including arrhythmia) or congestive heart failure, or severe ischemic disease within the last 3 months prior to Screening, or evidence of stroke, myocardial infarction, unstable angina, coronary bypass and/or percutaneous transluminal coronary angioplasty
  • History of significant other major or unstable neurological, metabolic, hepatic, renal, hematological, pulmonary, CV, GI, or urological disorder; or diagnosis of major depressive disorder; if stable medical disorder, any medical treatment must be stable for last 2 months prior to Screening
  • History of diabetic ketoacidosis
  • Patients who have an increased red blood cell (RBC) turn-over or thalassemia or anemia
  • Known HIV or history of viral hepatitis type B or C
  • Systemic infection with TB
  • Current or previous use of oral or injectable corticosteroids 3 months prior to screening.
  • Subject has persistent, uncontrolled severe hypertension as indicated by a systolic blood pressure > 180 mmHg or a diastolic blood pressure of > 110 mmHg, with or without treatment
  • Subject has had a malignancy in the last 5 years, except for successfully treated basal or squamous cell carcinoma of the skin or of the cervix
  • Subject is receiving chemotherapy
  • Tobacco user within 4 months prior to Screening
  • Smoking cessation therapy within 4 months prior to Screening and/or planned during the study
  • Use of prohibited concomitant medications including psychoactive agents
  • History within 6 months prior to Screening of alcohol abuse or illicit drug abuse
  • Was administered study medication in another clinical trial in the past 3 months prior to Screening
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
440 participants (actual)

Study arms

  • Experimental
    TC-6987

    Drug: TC-6987

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugTC-6987

    TC-6987-23 (TC-6987 HCl) as experimental treatment: 20 mg loading dose (2 capsules) on Day 1 and 10 mg (1 capsule) on Days 2 to 28 (dose expressed as free base). Each dose will be given once daily.

  • DrugPlacebo

    Matching placebo: Mode of administration: p.o. (microcrystalline cellulose in capsule) given once daily.

06

What researchers measure

Primary outcomes

  1. Changes in fasting plasma glucose (FPG)

    The primary efficacy endpoint will be FPG values obtained at Week 4 compared to Day 1 (baseline). This change from baseline will be analyzed using MMRM techniques with an alpha of 0.10 (one-sided), to examine differences between the TC-6987 and placebo treatment cohorts. This change from baseline will be analyzed using the primary efficacy endpoints for the mITT analysis set. The efficacy analyses based on the Per Protocol (PP) analysis set will be considered secondary.

    Time frame: Day 1 and Week 4

Secondary outcomes

  1. Change in FPG from Day 1 (Baseline) at each time point

    Change in FPG from Day 1 (Baseline) compared to weeks 1 and 4

    Time frame: Day 1, Week 1 and Week 4

  2. Change in FPG and insulin from Day 1 (Baseline) at each time point

    Change in FPG and insulin from Day 1 (Baseline) compared to weeks 1 and 4

    Time frame: Day 1, Week 1 and Week 4

  3. Change in AUC FPG from Day 1 (Baseline) and at Week 4

    Change in AUC FPG from Day 1 (Baseline) compared to weeks 1 and 4

    Time frame: Day 1 and Week 4

  4. Change in AUC insulin from Day 1 (Baseline) at Week 4

    Change in AUC insulin from Day 1 (Baseline) compared to week 4

    Time frame: Day 1 and Week 4

07

Study locations

18 sites
  • Clopton Clinic
    Jonesboro, Arkansas 72401, United States
  • NCA Medical Center
    Mountain Home, Arkansas 72653, United States
  • Associated Pharmaceutical Research Center
    Buena Park, California 90620, United States
  • Cedar Crosse Research Center
    Chicago, Illinois 60607, United States
  • Medex Healthcare Research, Inc
    St. Louis, Missouri 63117, United States
  • Om Medical
    Henderson, Nevada 89052, United States
  • MEDEX Healthcare Research, Inc
    New York, New York 10004, United States
  • PMG Research of WS
    Winston-Salem, North Carolina 27103, United States
  • Rapid Medical Research, Inc.
    Cleveland, Ohio 44122, United States
  • Providence Health Partners - Center for Research
    Dayton, Ohio 45439, United States
  • Omega Medical Research
    Warwick, Rhode Island 02888, United States
  • Ellipsis Research
    Columbia, South Carolina 29201, United States
  • PMG Research of Charleston
    Mt. Pleasant, South Carolina 29464, United States
  • New Phase Research and Development
    Knoxville, Tennessee 37923, United States
  • Mercury Clinical Research
    Houston, Texas 77093, United States
  • Quality Research, Inc.
    San Antonio, Texas 78209, United States
  • Highland Clinical Research
    Salt Lake City, Utah 84124, United States
  • Strelitz Diabetes Center, Eastern Virginia Medical School
    Norfolk, Virginia 23510, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01293669
Lead sponsor
Targacept Inc.
Responsible party
Sponsor
First posted
Feb 10, 2011
Start date
Jan 2011
Primary completion
Jan 2012
Completion
Jan 2012
Last update
Sep 13, 2013

Study contacts

Aaron Vinik, MD
principal investigator · Strelitz Diabetes Center, Eastern Virginia Medical School

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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