A Study to Investigate in Healthy Volunteers (Part 1) and in Patients With Type 2 Diabetes Mellitus (Part 2) the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Doses of RO6799477

Study Overview
=================
Brief Summary
-----------------
This study is designed to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of RO6799477 following once daily oral administration for 2 weeks in healthy volunteers (Part 1) and in Type 2 diabetes patients (T2D) (Part 2). The anticipated time on study treatment is two weeks.

Conditions
-----------------
Healthy Volunteer, Type 2 Diabetes

Intervention / Treatment
-----------------
* Drug: Placebo
* Drug: RO6799477


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Part 1 Inclusion criteria: Right-handed male volunteers Aged 18-45 years, inclusive Healthy participants, as determined by screening assessments and Principal Investigator's judgment Healthy status is defined by the absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead ECG, hematology, blood chemistry, serology and urinalysis Body Mass Index (BMI) of 18-30 kg/m2 inclusive, with body weight in the range of 50-100 kg Part 2 Inclusion Criteria: Patients with type 2 diabetes according to WHO criteria diagnosed for at least 3 months prior to screening Male or female patients, 40 to 65 years of age, inclusive Type 2 diabetic patients who are either drug naive (diet & exercise alone) or on a stable dose of metformin for at least 3 months prior to screening or willing to safely stop sulfonylurea medications at least 2 weeks prior to first dose administration and until follow-up visit BMI of 23-42 kg/m2, inclusive Exclusion Criteria: Part 1 Exclusion criteria: Any clinically relevant history or the presence of e.g. respiratory, renal, hepatic, gastrointestinal, hematological, lymphatic, neurological, cardiovascular, psychiatric, etc. disease or diseases Disorders of central nervous system, psychiatric disorders, behavioral disturbances (e.g. cerebrovascular events, depression, post-traumatic stress disorder [PTSD], anxiety, bipolar disorder, severe migraine, Parkinson's disease) Participation in an investigational drug or device study within 3 months prior to screening or more than 4 times per year Concomitant disease or condition that could interfere with, or treatment of which might interfere with, the conduct of the study, or that would, in the opinion of the investigator, pose an unacceptable risk to the subject in this study Part 2 Exclusion Criteria: Type 1 diabetes Acquired or secondary forms of diabetes such as those resulting from pancreatic surgery/injury, cystic fibrosis related diabetes Evidence or history of clinically significant diabetic complications such as clinically severe diabetic peripheral neuropathy, clinically significant nephropathy as judged by the investigator, or pre-proliferative/proliferative diabetic retinopathy as judged by the investigator or already diagnosed by the diabetologist or general practitioner Disorders of central nervous system, psychiatric disorders, behavioral disturbances Clinically significant history or presence of bronchopulmonary, gastrointestinal, hematological, lymphatic, neurological, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, infectious, connective tissue or inflammatory diseases, and any type of cancer (with the exception of treated basal cell carcinoma of the skin) or other clinically significant disease Use of anti-diabetic drugs other than metformin or sulfonylureas within 2 months prior to screening Any condition or disease detected during the medical interview / physical examination that would render the patient unsuitable for the study, place the patient at undue risk or interfere with the ability of the patient to complete the study in the opinion of the investigator

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Part 1: Healthy Volunteers<br> | Drug: Placebo<br>* Matching placebo daily oral administration<br>Drug: RO6799477<br>* Daily oral administration of RO6799477<br>|
| Experimental: Part 2: Patients with T2D, Group A<br>Low dose daily oral administration of RO6799477 | Drug: Placebo<br>* Matching placebo daily oral administration<br>Drug: RO6799477<br>* Daily oral administration of RO6799477<br>|
| Experimental: Part 2: Patients with T2D, Group B<br>High dose daily oral administration of RO6799477 | Drug: Placebo<br>* Matching placebo daily oral administration<br>Drug: RO6799477<br>* Daily oral administration of RO6799477<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of adverse events (AEs) |  | Up to 9 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetic parameters derived from plasma and urine concentrations of RO6799477, area under the concentration time curve (AUC), Cmax |  | Day 1 and Day 14 | 
| Fasting serum glucose |  | Up to 9 weeks | 
| Fasting serum insulin (Part 2 only) |  | Up to 9 weeks |