Type 2 & other diabetes

A model‐informed approach to accelerate the clinical development of cofrogliptin ( HSK7653 ), a novel ultralong‐acting dipeptidyl peptidase‐4 inhibitor

Diabetes Obes MetabPublished Modelling study

Authors' conclusion

Successful waiver approval for the phase 2b dose-finding study was achieved through model-informed recommendations, facilitating the clinical development of HSK7653 and other DPP-4 inhibitors.

Study context

Population
Healthy subjects (single ascending dose study); published studies of Eastern Asian subjects for all DPP-4 inhibitors; T2D patients in late clinical trials
Outcome
Predicted vs observed PK/DPP-4 inhibition/HbA1c profiles of HSK7653
Methodological detailsmodel-informed drug development, population PK/PD model, model-based meta-analysis, validation in late clinical trials, Waiver approval for the phase 2b dose-finding study achieved through model-informed recommendations
  • Model-informed drug development
  • Population PK/PD model
  • Model-based meta-analysis
  • Validation in late clinical trials
  • Waiver approval for the phase 2b dose-finding study achieved through model-informed recommendations

Pooled result

As reported in the abstract

  • PK/DPP-4 inhibition/HbA1c profiles of T2D patients treated with HSK7653 matched the modelled data
  • PopPKPD and model-based meta-analysis (MBMA) models predicted multiple ascending dosing PK and PD from single ascending dosing data, and long-term efficacy in T2D patients, based on healthy subjects

Original publication

A model‐informed approach to accelerate the clinical development of cofrogliptin ( HSK7653 ), a novel ultralong‐acting dipeptidyl peptidase‐4 inhibitor. Diabetes Obes Metab. Published 12 November 2023. doi:10.1111/dom.15348

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