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CLINICAL TRIAL REPORT

TRC150094, a Novel Mitochondrial Modulator, Reduces Cardio-Metabolic Risk as an Add-On Treatment: a Phase-2, 24-Week, Multi-Center, Randomized, Double-Blind, Clinical Trial

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Pages 615-631 | Published online: 25 Feb 2022

Figures & data

Table 1 Details of Institutional/Independent Ethics Committee

Figure 1 Study design of the TRC150094 Phase II study. After obtaining informed consent on visit 1, only subjects who satisfied the placebo run-in criteria at visit 3 were randomized in the ratio of 1:1:1:1.5 to the TRC150094 (25, 50, or 75 mg) or placebo till the end of the treatment (Visit 6); a follow-up was performed at the end of the study.

Abbreviation: OD, once daily.
Figure 1 Study design of the TRC150094 Phase II study. After obtaining informed consent on visit 1, only subjects who satisfied the placebo run-in criteria at visit 3 were randomized in the ratio of 1:1:1:1.5 to the TRC150094 (25, 50, or 75 mg) or placebo till the end of the treatment (Visit 6); a follow-up was performed at the end of the study.

Table 2 Demographics and Baseline Characteristics

Figure 2 Subject disposition.

Figure 2 Subject disposition.

Figure 3 Effect of TRC150094 treatment on glycemic parameters, mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC at 24-week for (A) FPG (mg/dL), (B) fasting insulin, (C) HOMA-IR, (D) HbA1c. *p<0.05 change from baseline compared to placebo (Kruskal–Wallis test followed by pairwise comparison using DSCF procedure).

Abbreviations: DSCF, Dwass-Steel-Critchlow-Fligner; FPG, fasting plasma glucose; HbA1c, glycated hemoglobin; HOMA-IR, homeostasis model assessment insulin resistance; SoC, standard of care.
Figure 3 Effect of TRC150094 treatment on glycemic parameters, mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC at 24-week for (A) FPG (mg/dL), (B) fasting insulin, (C) HOMA-IR, (D) HbA1c. *p<0.05 change from baseline compared to placebo (Kruskal–Wallis test followed by pairwise comparison using DSCF procedure).

Table 3 Effect of TRC150094 Treatment on Post-Prandial Glucose (AUC0–6hr Glucose) and Insulin (AUC0–6hr Insulin)

Figure 4 Effect of TRC150094 treatment on blood pressure, (A) mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for 24-hour MAP (mmHg) at 24-week. (B) Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for nighttime MAP (mmHg) at 24-week. (C) Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for daytime MAP (mmHg) at 24-week. *p<0.05 change from baseline compared to placebo using ANCOVA and pairwise comparison using Tukey’s test.

Abbreviations: MAP, mean arterial pressure; SoC, standard of care.
Figure 4 Effect of TRC150094 treatment on blood pressure, (A) mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for 24-hour MAP (mmHg) at 24-week. (B) Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for nighttime MAP (mmHg) at 24-week. (C) Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for daytime MAP (mmHg) at 24-week. *p<0.05 change from baseline compared to placebo using ANCOVA and pairwise comparison using Tukey’s test.

Figure 5 Effect of TRC150094 on lipid parameters, (A) mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for various atherogenic lipid fractions 24-week, double-blind treatment period. (B) Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) in subjects not receiving statin therapy for nHDLc at 24-week.

Abbreviations: Apo B, apolipoprotein B; LDLc, low density lipoprotein-cholesterol; nHDLc, non-high density lipoprotein-cholesterol; sdLDLc, small dense low density lipoprotein-cholesterol, SoC, standard of care.
Figure 5 Effect of TRC150094 on lipid parameters, (A) mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC for various atherogenic lipid fractions 24-week, double-blind treatment period. (B) Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) in subjects not receiving statin therapy for nHDLc at 24-week.

Figure 6 Effect of TRC150094 on body weight. Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC at 24-week.

Figure 6 Effect of TRC150094 on body weight. Mean placebo-subtracted change from baseline in TRC150094 (25, 50, 75 mg) added to SoC at 24-week.

Table 4 Effect of TRC150094 Treatment on Exploratory Parameters

Table 5 Summary of Most Common (Frequency >3%) Treatment-Emergent Adverse Events (TEAE) in the Different Treatment Groups for TRC150094 (25, 50, and 75 mg) and Placebo

CAMRRI trial collaborators: list of participating investigator(s) and institution(s)