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Trial · NCT00900146

Dose Finding, Safety and Efficacy of Monthly Subcutaneous Canakinumab Administration in Metformin Monotherapy Treated Type 2 Diabetic Patients

NCT00900146, Phase 2, Phase 3, Terminated, Novartis; results first posted 2012-02-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Dose Finding, Safety and Efficacy of Monthly Subcutaneous Canakinumab Administration in Metformin Monotherapy Treated Type 2 Diabetic Patients. Trials, record NCT00900146. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00900146

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Dose Finding, Safety and Efficacy of Monthly Subcutaneous Canakinumab Administration in Metformin Monotherapy Treated Type 2 Diabetic Patients
NCT number
NCT00900146
Status
Terminated
Phases
Phase 2, Phase 3
Enrollment
556 participants, actual
Lead sponsor
Novartis
Conditions
Diabetes Mellitus, Type 2
Interventions
Canakinumab, Metformin, Placebo
First posted
2009-05-12
Last updated
2012-02-20
Results first posted
2012-02-20

Source ClinicalTrials.gov

Registered outcomes21

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)4 months (Period II)
Adverse events are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgment of investigators represent significant hazards.
PrimaryChange From Baseline in Hemoglobin A1c (HbA1c) at Month 4 During Dose-finding Period of the Study (Period II)Baseline, Month 4
HbA1c was measured by National glycohemoglobin standardization program (NGSP) certified methodology. HbA1c is an integrated measure of average glucose concentration in plasma in the last 2-3 months. The analysis of covariance (ANCOVA) included treatment and metformin dose group as main effects and baseline HbA1c as a covariate.
PrimaryChange From Baseline in Dynamic Phase Secreted Insulin Per Unit of Glucose Concentration (Φd) Over 4 Months (Period III)Baseline, Over Month 4This was planned as interim analysis and was not conducted because the study was terminated in period III.
SecondaryChange From Baseline in C-peptide Area Under Curve (AUC 0-4 Hours ) Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients completed each standard meal challenge with measurement of C-peptide prior to and after a liquid mixed meal. Sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to start of meal. C-peptide levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. The analysis of covariance included baseline C-peptide AUC 0-4 hours as a covariate.
SecondaryChange From Baseline in Prandial Plasma Glucose Area Under Curve (AUC0-4 Hours ) Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients completed each standard meal challenge with measurement of glucose prior to and after a liquid mixed meal. Sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to the start of meal. Glucose levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. The model of analysis of covariance included baseline plasma glucose AUC 0-4 hours as a covariate.
SecondaryChange From Baseline in Insulin Area Under Curve (AUC 0-4 Hours ) Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients completed each standard meal challenge with measurement of insulin prior to and after a liquid mixed meal. Sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to the start of meal. Insulin levels over 4 hrs were shown as Area Under the Curve,(AUC). AUC was calculated as: x=1 AUC ΣAx n Where Ax = AUC for the 240 min.interval, and X = 1 for the 1st interval. Model of analysis of covariance included baseline insulin AUC 0-4 hours as covariate.
SecondaryChange From Baseline in 2-hour Glucose Level Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients fasted overnight after 10 pm on day prior to scheduled visit. Study visits should occur before 10 am. Patients completed each standard meal challenge with measurement of glucose prior to and after a liquid mixed meal. The sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to the start of meal. The analysis of covariance included treatment and metformin dose group as main effects and baseline 2-hour glucose level as covariate.
SecondaryChange From Baseline in Peak Glucose Level Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients fasted overnight after 10 pm on day prior to scheduled visit. Study visits should occur before 10 am. Patients completed each standard meal challenge with measurement of glucose prior to and after a liquid mixed meal. The sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to the start of meal. The analysis of covariance included treatment and metformin dose group as main effects and baseline peak glucose level as covariate.
SecondaryChange From Baseline in Peak C-peptide Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients fasted overnight after 10 pm on the day prior to scheduled visit. Study visits should occur before 10 am. Patients completed each standard meal challenge with measurement of C-peptide prior to and after a liquid mixed meal. Sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to the start of meal. The analysis of covariance included treatment and metformin dose group as main effects and baseline peak C-peptide level as a covariate.
SecondaryChange From Baseline in Peak Insulin Level Following Meal Test (Period II)Baseline, Month 4
A standard liquid mixed-meal challenge was done at baseline and Month 4. Patients fasted overnight after 10 pm on day prior to scheduled visit. Study visits should occur before 10 am. Patients completed each standard meal challenge with measurement of insulin prior to and after a liquid mixed meal. The sampling times were -20, -10, and -1, 10, 20, 30, 60, 90, 120, 150, 180 and 240 minutes relative to the start of meal. The analysis of covariance included treatment and metformin dose group as main effects and baseline 2-hour insulin level as covariate.

Outcomes21

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)4 months (Period II)The safety set (SAF) included all patients who received at least one dose of study medication during Period II.ParticipantsNUMBER
PRIMARYChange From Baseline in Hemoglobin A1c (HbA1c) at Month 4 During Dose-finding Period of the Study (Period II)Baseline, Month 4
The full analysis set (included all randomized patients except for mis-randomized patients who randomized in error but did not receive study drug. Last observation carried forward (LOCF) method was used for patients without Month 4 HbA1c data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
percentage of hemoglobin A1cLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in C-peptide Area Under Curve (AUC 0-4 Hours ) Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
nmol*hour/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Prandial Plasma Glucose Area Under Curve (AUC0-4 Hours ) Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
mmol*hour/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Insulin Area Under Curve (AUC 0-4 Hours ) Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
pmol*hour/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in 2-hour Glucose Level Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
mmol/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Peak Glucose Level Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
mmol/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Peak C-peptide Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
nmol/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Peak Insulin Level Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
pmol/LLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Insulin Secretion Rates Relative to Glucose AUC (0-2 Hours) at Month 4 Following Meal Test (Period II)Baseline, Month 4
The full analysis set included all randomized patients except for mis-randomized patients who inadvertently randomized into study and did not receive study drug. Last observation carried forward method was used for patients without Month 4 data for any reason and who used rescue medication or any other glucose lowering agents other than metformin.
pmol/min/m²/mmol *hour/LLEAST_SQUARES_MEAN

Results by group135

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 5 mg + MetforminAny Adverse Events33Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 15 mg + MetforminAny Adverse Events43Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 50 mg + MetforminAny Adverse Events45Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 150 mg + MetforminAny Adverse Events43Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Placebo + MetforminAny Adverse Events76Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 5 mg + MetforminDeath0Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 15 mg + MetforminDeath0Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 50 mg + MetforminDeath0Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Canakinumab 150 mg + MetforminDeath0Participants
Number of Participants With Adverse Events (AEs), Serious Adverse Events, Death and Clinical Significant AEs During 4 Months (Period II)Placebo + MetforminDeath0Participants

Participant flow40

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Dose Finding: Period II (4 Months)STARTEDCanakinumab 5 mg + Metformin93
Dose Finding: Period II (4 Months)STARTEDCanakinumab 15 mg + Metformin95
Dose Finding: Period II (4 Months)STARTEDCanakinumab 50 mg + Metformin92
Dose Finding: Period II (4 Months)STARTEDCanakinumab 150 mg + Metformin92
Dose Finding: Period II (4 Months)STARTEDPlacebo + Metformin179
Dose Finding: Period II (4 Months)Full Analysis Set (FAS)/SafetyCanakinumab 5 mg + Metformin93
Dose Finding: Period II (4 Months)Full Analysis Set (FAS)/SafetyCanakinumab 15 mg + Metformin95
Dose Finding: Period II (4 Months)Full Analysis Set (FAS)/SafetyCanakinumab 50 mg + Metformin92
Dose Finding: Period II (4 Months)Full Analysis Set (FAS)/SafetyCanakinumab 150 mg + Metformin92
Dose Finding: Period II (4 Months)Full Analysis Set (FAS)/SafetyPlacebo + Metformin179

Adverse events175

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersCanakinumab 5 mg + Metformin293
otherDiarrhoeaGastrointestinal disordersCanakinumab 15 mg + Metformin295
otherDiarrhoeaGastrointestinal disordersCanakinumab 50 mg + Metformin592
otherDiarrhoeaGastrointestinal disordersCanakinumab 150 mg + Metformin092
otherDiarrhoeaGastrointestinal disordersPlacebo + Metformin3179
otherNasopharyngitisInfections and infestationsCanakinumab 5 mg + Metformin593
otherNasopharyngitisInfections and infestationsCanakinumab 15 mg + Metformin495
otherNasopharyngitisInfections and infestationsCanakinumab 50 mg + Metformin992
otherNasopharyngitisInfections and infestationsCanakinumab 150 mg + Metformin492
otherNasopharyngitisInfections and infestationsPlacebo + Metformin15179

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCanakinumab 5 mg + Metformin
Total, all-cause mortalityCanakinumab 15 mg + Metformin
Total, all-cause mortalityCanakinumab 50 mg + Metformin
Total, all-cause mortalityCanakinumab 150 mg + Metformin
Total, all-cause mortalityPlacebo + Metformin
Total, other adverse eventsCanakinumab 5 mg + Metformin993
Total, other adverse eventsCanakinumab 15 mg + Metformin995
Total, other adverse eventsCanakinumab 50 mg + Metformin1592
Total, other adverse eventsCanakinumab 150 mg + Metformin892
Total, other adverse eventsPlacebo + Metformin26179

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
23129601DERIVEDPubMed
24075453DERIVEDPubMed
25240532DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00900146

GET https://conductscience.org/api/trials/v1/NCT00900146/registered?page=2