Patient case: 54-year-old male with Pancreatic cancer. Genetic variant: CDKN2A. Other conditions: Diabetes, Hypertension.

Clinical trial: A Phase III Study of SP2086 in Combination With Metformin in Patients With Type 2 Diabetes

Summary: SP2086 is a new dipeptidy1 peptidase(DPP)-4 inhibitors. This study aims to evaluate the efficacy and safety of SP2086 in combination therapy with Metformin in patients with Type 2 Diabetes Mellitus in Metformin monotherapy Who Have Inadequate Glycemic Control


Eligibility: Inclusion Criteria:
  -  Patients diagnosed with type 2 diabetes mellitus
  -  subject on metformin monotherapy with stable dose ≥1500mg/d for ≥8 weeks
  -  7.5% ≤HbA1C ≤11.0% at screening,7.0% ≤HbA1C ≤10.5% after run-in
  -  Body Mass Index: ≥19 and ≤35 kg/m2
  Exclusion Criteria:
  1. ＜80% or ＞120% compliance with placebo treatment during the run-in period
  2. Patients used the following drugs or therapies prior to randomization:
  1) Somatropin therapy within 6 months prior to randomization 2) History of drug or alcohol abuse within 6 months prior to randomization 3) Participate in clinical trials of any drugs or medical devices within 3 months prior to randomization 4) Receive corticosteroids long-term (more than 7 consecutive days) oral, non-gastrointestinal administration or intra-articular administration within 2 months prior to randomization 5) Weight control drugs administration or Surgeries resulting in weight instability within 2 months prior to randomization 6) In investigator's opinion, patients used any drugs that interfere with assessment of the investigational product, or produce vital organs toxicity 4. Patients with history of the following diseases or proof prior to randomization:
  1. Type 1 diabetes, single gene mutation diabetes, diabetes caused by pancreatic damage and secondary diabetes, such as caused by Cushing's syndrome or acromegaly
  2. a history of hypertension, and after antihypertensive treatment, systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg
  3. a history of acute and chronic pancreatitis or pancreatic injury that may lead to high risk of pancreatitis
  4. serious haematological diseases or other diseases leading to hemolyze and Red Blood Cell unstable (malaria、haemolytic anaemia eg. )
  5. other endocrine diseases, for example hyperthyroidism、hypothyroidism、hypercortisolism、multiple endocrine neoplasia and so on
  6. Any organ system tumors except the local skin basal cell carcinoma that have been treated or not been treated within 5 years prior to randomization, regardless of whether there is evidence of local recurrence or metastasis ; a history or family history of medullary carcinoma of thyroid ; a history of multiple endocrine neoplasia
  7. Decompensated heart failure (NYHA class III and IV), unstable angina, stroke or transient ischemic attack, myocardial infarction, persistence and clinical significance arrhythmia, coronary artery bypass grafting or percutaneous coronary intervention within 6 months prior to randomization
  8. Acute metabolic complications (ketoacidosis, lactic acidosis or hyperosmolar coma), unstable proliferative retinopathy or macular degeneration within 6 months prior to randomization
  9. Severe trauma or acute infection that may affect blood glucose control within 4 weeks prior to randomization
  10. Severe chronic gastrointestinal disease or therapy that may affect drug absorption, such as gastrointestinal surgery
  11. With a history of mental/emotional disorder that would interfere with the subject's participation in the study.
  5. Patients with any laboratory parameters meet the following criteria prior to randomization:
  1. Aspartate Aminotransferase or alanine aminotransferase ≥ 2.0× upper normal limit(UNL) , and/or total bilirubin ≥ 2.0 × UNL also review confirmed within 3 days;
  2. Triglyceride＞5.64mmol/L（500mg/dl）；
  3. serum creatinine to exceed the normal range
  4. thyroid stimulating hormone to exceed the normal range, and have clinical significance
  5. blood amylase o exceed the normal range, and have clinical significance
  6. In investigator's opinion, any significant laboratory abnormalities of clinical significance value that interfere with assessment of this study.
  6. At Screening patients not installed pacemaker with II or III degree atrioventricular block, long QT syndrome or QT corrected > 500 ms 7. Patients who received blood transfusions or blood donation≥ 400 mL or severe blood loss at least 400 mL within 8 weeks prior to randomization

Relevance to patient case: not relevant