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CompletedNCT03414892Updated Jan 3, 2020

Multiple Ascending Doses of Globalagliatin Hydrochloride in Type 2 Diabetes Mellitus

A Phase 1 interventional study of Globalagliatin Hydrochloride and Placebo in Hyperglycaemia (Diabetic) and Type 2 Diabetes Mellitus, sponsored by Yabao Pharmaceutical Group. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-01-03.

Sponsored by Yabao Pharmaceutical Group · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a phase I placebo-controlled study to assess safety, tolerability, pharmacokinetics and pharmacodynamics of Globalagliatin Hydrochloride (SY-004) after Multiple Ascending Doses in patients with Type 2 Diabetes Mellitus (T2DM).

Read the detailed description

Glucokinase is a characteristic hexokinase isoenzyme in hepatocytes that catalyzes the first step in glucose metabolism. In addition to its role in glucose metabolism, glucokinase is expressed in pancreatic islet beta cells where it acts as a "glucose sensor" for insulin release. Activation of glucokinase increases the glucose sensitivity of insulin secretion, effectively lowering the glucose threshold for insulin secretion. Because of its potential to enhance insulin secretion and affect hepatic glucose metabolism, is being investigated for use as a treatment for hyperglycaemia, Globalagliatin( the active ingredient in SY-004 capsule) is being investigated for use as a treatment for T2DM patients. This is a phase I placebo-controlled study to assess safety, tolerability, pharmacokinetics and pharmacodynamics of Globalagliatin Hydrochloride (SY-004) after Multiple Ascending Doses in patients with Type 2 Diabetes Mellitus.

02

Conditions studied

  • Hyperglycaemia (Diabetic)
  • Type 2 Diabetes Mellitus

Keywords

  • Type 2 Diabetes Mellitus
  • Glucokinase Activator
03

In context

Hyperglycemia

800 studies on the registry are indexed under Hyperglycemia; 115 are open to participants now.

This study's enrollment of 24 is below the median of 50 across 620 interventional studies indexed under Hyperglycemia.

Browse Hyperglycemia studies →

Lead sponsor

Yabao Pharmaceutical Group is the lead sponsor of 4 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 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Sex:Male and Female;
  2. Age:≥18,≤70;
  3. Have T2DM prior to entering the trial based on the disease diagnostic criteria (WHO, 1999), and currently being treated with diet and exercise only or in combined with a stable dose of metformin for at least 8 weeks.
  4. 18 kg/m2≤≤35 kg/m2 at screening.
  5. 7% ≤ ≤11% at screening.
  6. 7 mmol/L≤FPG≤13.3mmol/L at baseline.
  7. The venous access is normal, and blood samples can be collected according to the protocol.
  8. Have given written to participate in this study.
  9. Are well motivated, capable, and willing to communicate with the investigator and complete all the requirements according to the protocol.

Exclusion criteria

Exclusion Criteria:

  1. Personnel and their direct relatives of the clinical research unit and its related facilities. Direct relatives mean all biologically and by law related relatives, including spouse, parent, child and sibling,
  2. Have been diagnosed with type 1 diabetes, or gestational diabetes mellitus, or a specific type of diabetes mellitus.
  3. coronary events or symptoms within 6 months prior to study entry.
  4. Clinically significant peripheral vascular disease.
  5. Clinical evidence of active diabetic proliferative retinopathy.
  6. Known clinically significant autonomic neuropathy as evidenced by urinary retention, orthostatic hypotension, diabetic diarrhea or gastroparesis.
  7. With a history of diabetes or diabetic ketoacidosis, lactic acidosis, hyperosmolar nonketotic coma history.
  8. Have severe hypoglycemia occurred before the screening with unknown causes (need other people to help restore) or the frequency of hypoglycemia, such as 3 or more hypoglycemic events(blood glucose ≤3.9mmol/L) within 1 months before screening or hypoglycemia related symptoms.
  9. Continuous use of insulin for more than 1 month in last year.
  10. Have any disorder or unstable situation of the endocrine system, immune system or other diseases impaired blood sugar(such as Hyperthyroidism, acromegaly, Cushing syndrome) that are required treatment
  11. Have significant history of past or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine (other than diabetes), hematological, or neurological disorders capable of significantly altering the absorption, metabolism or elimination of drugs or of constituting a risk when taking the study drug formulations or interfering with the interpretation of data.
  12. Have any types of (whether cured or not).
  13. History of disease(such as sickle cell anemia or thalassemia, iron deficiency anemia).
  14. Have known allergies to Globalagliatin or related compounds, or have allergic history, or have taken glucokinase activator in last year.
  15. Are currently enrolled in, or discontinued within the last 3 months from, a clinical trial involving an drug or device or use of a drug or device other than the study drug used in this study, or are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
  16. Have a history of drug or alcohol abuse.
  17. Have history of blood donation in last 6 months.
  18. Patients who have an average weekly alcohol intake that exceeds 21 units per week (males) and 14 units per week (females) (1 unit = 360 mL of beer; 150 mL of wine; 45 mL of distilled spirits) or patients unwilling to stop alcohol consumption 24 hours prior to admission until the completion of each in-patient study period.
  19. Patients who smoke >10 cigarettes or other tobacco products per day before study entry. Patients are unlikely / unable to stop nicotine intake during the study period.
  20. Fasting serum C peptide\< 1.0 ng/ml(333pmol/L)at screening.
  21. Patients are treated with stable dose of anti-hypertension drug at least for 4 weeks with inadequate blood pressure control (sitting systolic blood pressure≥160mmHg or diastolic blood pressure≥100mmHg)at screening.
  22. ≥450msec at screening.
  23. Fasting serum triglycerides>500mg/dL(5.70mmol/L)at screening.
  24. (alanine aminotransferase) >1.5 , AST (aspartate transaminase) >1.5×ULN or (total bilirubin) > 1.5×ULN (UIN :times the upper limit of the reference range)at screening; or have active liver diseases at screening.
  25. Serum creatinine>133μmol /L at screening.
  26. Use of any known inducers or inhibitors of (Cytochrome P450 3A) within 14 days prior to the first dosing with study drug or intended use during the study. Examples of inducers include, but are not limited to, phenytoin, barbiturates, carbamazepine, St. John's Wort, rifampin. Examples of inhibitors include, but are not limited to, fluvoxamine, sertraline, norfloxacin, macrolide antibiotics (erythromycin, clarithromycin), antifungals, (HIV) protease inhibitors, cyclosporine, diltiazem, pomelo, grapefruit juice.
  27. Have been previously enrolled in or withdrawn from this clinical trial.
  28. Evidence of positive , or IgM (immunoglobulin M ) anti-HBc (hepatitis B core antigen), or anti- (hepatitis C virus ), or anti-HIV, or anti-TPat (treponema pallidum antibody) screening.
  29. fertility qualified subjects(Male and Female)are unlikely to use reliable during study period and at least 1 month after last dosing or women in child-bearing age have positive for blood pregnancy tests within 24 hours before enrollment, or pregnant or lactating women.
  30. Patients, in opinion of investigator or sponsor, are not suitable for this clinical trial.
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Globalagliatin Hydrochloride (SY-004)

    If subjects tolerate 20mg of Globalagliatin Hydrochloride (SY-004) for 7 days, dose escalation will occur in the following order of 40mg, 80mg and 120mg at weekly intervals until patients get intolerant or blood glucose controlled well or reach the maximal dose 120mg.

    Drug: Globalagliatin Hydrochloride

  • Placebo comparator
    Placebo

    If subjects tolerate 20mg of Placebo for 7 days, dose escalation will occur in the following order of 40mg, 80mg and 120mg at weekly intervals until patients get intolerant or blood glucose controlled well or reach the maximal dose 120mg.

    Drug: Placebo

Interventions

  • DrugGlobalagliatin Hydrochloride

    once daily, oral

    Also known as: SY-004

  • DrugPlacebo

    once daily, oral

06

What researchers measure

Primary outcomes

  1. the mean change in glucose area under curve (AUC) from baseline.

    Compared with placebo, the mean change in glucose AUC from baseline at D28.

    Time frame: 28 days

Secondary outcomes

  1. the fasting plasma glucose from baseline

    Compared with placebo, the fasting plasma glucose from baseline at D7,D14,D21 and D28.

    Time frame: 7, 14, 21, 28 days

  2. the changes of MMTT (mixed-meal tolerance test) results from baseline

    Compared with placebo, the changes of MMTT (mixed-meal tolerance test) results from baseline at D28

    Time frame: 28 days

  3. the mean changes of average 7-points blood glucose profiles from baseline

    Compared with placebo, the mean changes of average 7-points blood glucose profiles from baseline at D7,D14,D21 and D28.

    Time frame: 7, 14, 21, 28 days

  4. the mean changes of average 14-points blood glucose profiles from baseline

    Compared with placebo, the mean changes of average 14-points blood glucose profiles from baseline at D7,D14,D21 and D28.

    Time frame: 7, 14, 21, 28 days

  5. the mean changes of post-prandial blood glucose from baseline

    Compared with placebo, the mean changes of post-prandial blood glucose from baseline at D7,D14,D21 and D28.

    Time frame: 7, 14, 21, 28 days

Other outcomes

  1. genetic: TCF7L2 ( Transcription factor 7-like 2) rs7903146 and GCKR (glucokinase regulatory protein) rs780094 )

    The genetic(TCF7L2 rs7903146 and GCKR rs780094)effects on response of SY-004 in T2DM patients.

    Time frame: 28 days

  2. the changes of GA (Glycated albumin) from baseline

    Compared with placebo, the changes of GA (Glycated albumin) from baseline at D28.

    Time frame: 28 days

07

Study locations

1 site
  • The First Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu, China
08

References and documents

Publications

  • Zheng S, Shao F, Ding Y, Fu Z, Fu Q, Ding S, Xie L, Chen J, Zhou S, Zhang H, Zhou H, Chen Y, Sun C, Zhu J, Zheng X, Yang T. Safety, Pharmacokinetics, and Pharmacodynamics of Globalagliatin, a Glucokinase Activator, in Chinese Patients with Type 2 Diabetes Mellitus: A Randomized, Phase Ib, 28-day Ascending Dose Study. Clin Drug Investig. 2020 Dec;40(12):1155-1166. doi: 10.1007/s40261-020-00971-x. Epub 2020 Oct 30. PubMed 33125674 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 3, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03414892
Lead sponsor
Yabao Pharmaceutical Group
Responsible party
Sponsor
First posted
Jan 30, 2018
Start date
Jan 3, 2018
Primary completion
Jan 4, 2019
Completion
Dec 1, 2019
Last update
Jan 3, 2020

Study contacts

Lei Yang
study director · Yabao pharmaceutical Group Co.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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