About this trial
Evaluating a novel, allosteric glucokinase activator in monogenic diabetes secondary to inactivating glucokinase mutations: a randomised, cross-over trial
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 and <75 years
body mass index (BMI) >18 and <30 kg/m2
fasting plasma glucose >5.6 mmol/L at screening
Participants with GCK-MODY had and are heterozygous carriers of a pathogenic or likely pathogenic GCK mutation at screening based on guidelines published by the American College of Medical Genetics and Genomics (ACMG), Association for Clinical Genomic Science (ACGS) and the ClinGen Monogenic Diabetes Expert Panel (MDEP) .
Disqualifiers
Body weight <45kg at screening
Current or planning pregnancy or lactating
troke or cardiovascular disease within 6 months of recruitment
severe renal dysfunction (estimated glomerular filtration rate <30mL/min/1.73m2 or renal replacement therapy)
Trial design
Crossover
Treatments tested in this trial
Dorzagliatin
DrugDorzagliatin 50mg bd
matched placebo
Drugmatched placebo
Treatment groups
Trial outcomes
Primary outcomes
Fasting plasma glucose
Difference in fasting plasma glucose (FPG) between treatment periods
Secondary outcomes
• HbA1c
Difference between HbA1c at end of treatment periods
CGM metrics time in range
Time in range defined by CGM at end of treatment periods
CGM metric coefficient of variation
Difference in % CV at end of treatment periods
Glucose area under the curve during OGTT
Difference between AUC glucose at end of treament periods
Other outcomes
Treatment-emergent adverse events
Proportion of participants with adverse events in each treatment period
Hypoglycemia
Incidence of hypoglycemic events
Blood pressure
Blood pressure at end of each treatment period
Body weight
Body weight at end of each treatment period
Sponsors and contacts
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