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临床试验/EUCTR2008-004916-12-DE
EUCTR2008-004916-12-DE进行中(未招募)不适用

A 24-Week, International, Multi-centre, Randomised, Parallel-group, Double-blind, Active-controlled, Phase III study to Evaluate the Efficacy and Safety of Dapagliflozin in Combination with Metformin compared with a DPP-4 inhibitor (Sitagliptin) in Combination with Metformin in Adult Patients with Type 2 Diabetes who have Inadequate Glycaemic Control on Metformin Therapy Alone

AstraZeneca AB0 个研究点目标入组 494 人开始时间: 2008年10月27日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
494

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • •1. Provision of informed consent prior to any study specific procedures
  • •2. Female and/or male aged =18 years and =79 years at the time of consenting
  • •3. Diagnosed with type 2 diabetes
  • •4. Inadequate glycaemic control, defined as HbA1c >7% and =10.5%
  • •5. Ongoing treatment with metformin alone on a stable dose of =1500 mg/day for at
  • •least 8 weeks prior to enrolment
  • •Are the trial subjects under 18? no
  • •Number of subjects for this age range:
  • •F.1.2 Adults (18-64 years) yes
  • •F.1.2.1 Number of subjects for this age range
  • •F.1.3 Elderly (>=65 years) yes
  • •F.1.3.1 Number of subjects for this age range

排除标准

  • •1. Diagnosis of Type 1 diabetes mellitus, MODY, or secondary diabetes mellitus
  • •2. Insulin therapy within 24 weeks of enrolment (with the exception of insulin use
  • •during a hospitalization or during pregnancy in a patient with gestational diabetes)
  • •3. History of diabetes insipidus
  • •4. History of diabetic ketoacidosis or other acute or chronic metabolic acidosis
  • •5. Symptoms of poorly controlled diabetes including, but not limited to, marked
  • •polyuria, polydipsia and/or greater than 10% weight loss during the 3 months prior
  • •to enrolment
  • •6. Previous treatment with a DPP-4 inhibitor
  • •7. BMI >45 kg/m2
  • •8. History of unstable or rapidly progressing renal disease
  • •9. Known condition of congenital renal glucosuria
  • •10. History of severe hepatobiliary disease or hepatotoxicicty with any medication
  • •11. Pregnant or breastfeeding patients
  • •12. Treatment with glucocorticoids equivalent to oral prednisolone >10 mg
  • •(betametasone >1.2 mg/dexamethasone >1.5 mg/hydrocortisone >40 mg)/day
  • •within 30 days prior to enrolment; topical or inhaled corticosteroids are allowed
  • •13. History of bariatric surgery
  • •14. Administration of weight loss medication, including but not limited to sibutramine,
  • •phentermine, orlistat, rimonabant, benzphetamine, diethylpropion,
  • •methamphetamine, and/or phendimetrazine, within 30 days prior to enrolment
  • •15. Treatment for Human Immunodeficiency Virus (HIV)/use of antiviral drugs
  • •(delavirdine, indinavir, nelfinavir, ritonavir, saquinavir) and/or known immunocompromised status, including patients who have undergone organ
  • •transplantation
  • •16. Congestive heart failure defined as New York Heart Association (NYHA) class III
  • •or IV (see Appendix D), unstable congestive heart failure and/or left ventricular
  • •ejection fraction of = 40%
  • •17. Significant cardiovascular history within the past 6 months prior to the screening
  • •visit, defined as: myocardial infarction, unstable angina pectoris, transient ischemic
  • •attack, unstable or previously undiagnosed arrhythmia, cardiac surgery or
  • •revascularization (coronary angioplasty or bypass grafts), or cerebrovascular
  • •18. Severe respiratory failure or severe emphysema
  • •19. Systolic BP =180 mmHg and/or diastolic BP =110 mmHg
  • •20. Any clinically significant abnormality identified on physical examination, ECG or
  • •laboratory tests, which in the judgement of the investigator would compromise the
  • •patient’s safety or successful participation in the clinical study
  • •21. Treatment with unstable doses of teriparatide, bisphosphonates and/or calcitonin
  • •(Note: teriparatide, bisphosponates and/or calcitonin are allowed provided the dose
  • •has not changed within 30 days prior to enrolment)
  • •22. Patients who, in the judgment of the investigator, may be at risk for dehydration
  • •23. History of chronic haemolytic anemia or haemoglobinopathies (sickle cell anemia
  • •or thalassemias, sideroblatic anaemia)
  • •24. History of drug-induced liver enzyme elevations
  • •25. History of drug-induced myopathy or drug-induced CK elevation
  • •26. Acute or chronic metabolic acidosis
  • •27. History of malignancy within the last 5 years, excluding successful treatment of
  • •basal or squamous cell skin carcinoma
  • •28. History of alcohol abuse or illegal drug abuse within the past 12 months
  • •29. Intolerance, contraindication or potential allergy to dapagliflozin, metformin,
  • •sitagliptin, glimepiride, other sulfonylurea, placebo or formulation excipients
  • 另有 3 项未显示

研究者

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