MedPath

A Study of BMS-512148 (Dapagliflozin) in Patients With Type 2 Diabetes and Inadequately Controlled Hypertension on an Angiotensin-Converting Enzyme Inhibitor or Angiotensin Receptor Blocker

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
Registration Number
NCT01137474
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to learn whether dapagliflozin, after 12 weeks, can improve (decrease) blood pressure in patients with type 2 diabetes with uncontrolled hypertension who are on an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. The safety of this treatment will also be studied.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2996
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dapagliflozin, 10 mgDapagliflozinOral tablets administered as 10 mg once daily for up to 12 weeks
Placebo-matching dapagliflozinPlacebo-matching dapagliflozinOral tablets administered once daily in the morning
Dapagliflozin, 5 mgDapagliflozinOral tablets administered as 5 mg once daily for up to 12 weeks (Arm discontinued as of Protocol Amendment 8)
Dapagliflozin, 2. 5 mgDapagliflozinOral tablets administered as 2.5 mg once daily for up to 12 weeks (Arm discontinued as of Protocol Amendment 8)
Primary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (BP) at Week 12From Baseline to Week 12

Seated BP was to be measured at every visit. Data after rescue medication was excluded. The patient first rested for at least 10 minutes in the seated position. Seated blood BP was determined from the mean of 3 replicated measurements obtained at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were to be obtained (total=5) and incorporated into the calculated mean for systolic BP and diastolic BP. For the initial BP recording, BP was measured in both arms. If the BP was higher in 1 arm, that arm was used for BP measurement. If there was no difference in BP measurements between arms, the dominant arm was used for all future BP measurements. All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis. SD=standard deviation.

Adjusted Mean Change From Baseline in Hemoglobin (HbA1c) at Week 12From Baseline to Week 12

HbA1c was measured as percent of hemoglobin by a central laboratory. All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis. SD=standard deviation.

Secondary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure at Week 12From Baseline to Week 12

All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis.

Adjusted Mean Change in 24-Hour Ambulatory Diastolic Blood Pressure at Week 12 (Last Observation Carried Forward [LOCF])From Baseline to Week 12

Ambulatory blood pressure monitoring was performed twice during the study, at baseline and at the end of study, for a duration of 24 hours each time. If the patient met the criteria for rescue due to hypertension, a second monitoring was performed prior to the first dose of rescue medication. Initiation of the 24-hour ambulatory blood pressure monitoring began between 6 and 11 am to ensure trough blood pressure measurements were obtained. Patients were instructed to withhold all medication on the morning of the study visit and to bring their medications to the visit with them.

Adjusted Mean Change From Baseline in 24-Hour Ambulatory Systolic Blood Pressure at Week 12 (Last Observation Carried Forward)From Baseline to Week 12

Ambulatory blood pressure monitoring was performed twice during the study, at baseline and at the end of study, for a duration of 24-hrs each time. If the patient met the criteria for rescue due to hypertension, a second monitoring was performed prior to the first dose of rescue medication. Initiation of the 24-hr ambulatory blood pressure monitoring began between 6 and 11 am to ensure trough blood pressure measurements were obtained. Patients were instructed to withhold all medication on the morning of the study visit and to bring their medications to the visit with them.

Adjusted Mean Change From Baseline in Serum Uric Acid Levels at Week 12From Baseline to Week 12

Central laboratory serum uric acid levels will be determined at the Enrollment, Day -28, Day 1, and at Week 4, 8, 12, and 13 visits. All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis.

Trial Locations

Locations (161)

Arcuri Clinical Research Llc

🇺🇸

Philadelphia, Pennsylvania, United States

Philadelphia Health Associates - Adult Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

Cedar Crosse Research Center

🇺🇸

Chicago, Illinois, United States

National Research Inst

🇺🇸

Los Angeles, California, United States

Quest Diagnostics West Hills

🇺🇸

Los Angeles, California, United States

Clinica Medica San Miguel

🇺🇸

Los Angeles, California, United States

San Marcus Research Clinic, Inc.

🇺🇸

Miami, Florida, United States

Flcri Global Research, Llc

🇺🇸

Miami, Florida, United States

International Research Associates, Llc

🇺🇸

Miami, Florida, United States

Clinical Research Of Miami, Inc.

🇺🇸

Miami, Florida, United States

Apf Research, Llc

🇺🇸

Miami, Florida, United States

Community Research Foundation, Inc.

🇺🇸

Miami, Florida, United States

Southwest Clinical Trials

🇺🇸

Houston, Texas, United States

Lone Star Clinical Research

🇺🇸

Houston, Texas, United States

Hope Research Institute

🇺🇸

Phoenix, Arizona, United States

43rd Medical Associates

🇺🇸

Phoenix, Arizona, United States

Palm Medical Research Center

🇺🇸

Las Vegas, Nevada, United States

Community Research

🇺🇸

Cincinnati, Ohio, United States

Integris Family Care Central

🇺🇸

Oklahoma City, Oklahoma, United States

Independent Clinical Researchers@ Wolfson Medical Center

🇺🇸

Las Vegas, Nevada, United States

Clinical Research Advantage, Inc.

🇺🇸

Las Vegas, Nevada, United States

Sooner Clinical Research

🇺🇸

Oklahoma City, Oklahoma, United States

Abbott Clinical Research Group, Inc.

🇺🇸

San Antonio, Texas, United States

Sun Research Institute

🇺🇸

San Antonio, Texas, United States

Covenant Clinical Research, Pa

🇺🇸

San Antonio, Texas, United States

Wasatch Endocrinology And Diabetes Specialists

🇺🇸

Salt Lake City, Utah, United States

Aurora Family Medicine, P.C.

🇺🇸

Aurora, Colorado, United States

Horizons Clinical Research Center, Llc

🇺🇸

Denver, Colorado, United States

Preferred Research Partners, Inc.

🇺🇸

Little Rock, Arkansas, United States

Arlington Family Research Center, Inc.

🇺🇸

Arlington, Texas, United States

Excel Clinical Research, Llc

🇺🇸

Houston, Texas, United States

Horizon Research Group, Inc.

🇺🇸

Mobile, Alabama, United States

University Of Alabama At Birmingham

🇺🇸

Birmingham, Alabama, United States

Clinical Research Advantage/Desert Clinical Research

🇺🇸

Tempe, Arizona, United States

American Institute Of Research

🇺🇸

Los Angeles, California, United States

Eclipse Clinical Research

🇺🇸

Tucson, Arizona, United States

Cmp Research

🇺🇸

Anaheim, California, United States

Aureus Research, Inc.

🇺🇸

Little Rock, Arkansas, United States

Marin Endocrine Care & Research, Inc.

🇺🇸

Greenbrae, California, United States

Del Rosario Medical Clinic, Inc.

🇺🇸

Huntington Park, California, United States

The Center For Clinical Trials

🇺🇸

Biloxi, Mississippi, United States

Jackson Clinic

🇺🇸

Rolling Fork, Mississippi, United States

Clin Research Advantage, Inc. James Meli, Do Family Pracice

🇺🇸

Henderson, Nevada, United States

Kcumb Dybedal Clinical Research Center

🇺🇸

Kansas City, Montana, United States

Pharmquest

🇺🇸

Greensboro, North Carolina, United States

Cleveland Sleep Research Center

🇺🇸

Middleburg Heights, Ohio, United States

Integris Family Care Yukon

🇺🇸

Yukon, Oklahoma, United States

Banksville Medical Pc

🇺🇸

Pittsburgh, Pennsylvania, United States

Southeastern Research Associates, Inc.

🇺🇸

Greenville, South Carolina, United States

Complete Family Care Of Knoxville, Pllc

🇺🇸

Knoxville, Tennessee, United States

Local Institution

🇪🇸

Peralada, Spain

Breco Research, Ltd

🇺🇸

Sugarland, Texas, United States

Manassas Clinical Research Center

🇺🇸

Manassas, Virginia, United States

Willamette Valley Clinical Studies

🇺🇸

Eugene, Oregon, United States

Visions Clinical Research - Tucson

🇺🇸

Tucson, Arizona, United States

Med Center

🇺🇸

Carmichael, California, United States

Catalina Research Institute, Llc

🇺🇸

Chino, California, United States

Southland Clinical Research Center, Inc.

🇺🇸

Fountain Valley, California, United States

Sds Clinical Trials

🇺🇸

Orange, California, United States

Orrin M. Troum, Md And Medical Associates

🇺🇸

Santa Monica, California, United States

Orange County Research Center

🇺🇸

Tustin, California, United States

University Clinical Investigators, Inc.

🇺🇸

Tustin, California, United States

Zasa Clinical Research

🇺🇸

Boynton Beach, Florida, United States

Family Care Associates Of Nw Fl

🇺🇸

Chipley, Florida, United States

Avail Clinical Research, Llc

🇺🇸

Deland, Florida, United States

The Community Research Of South Florida

🇺🇸

Hialeah, Florida, United States

Medical Research Marseilles

🇺🇸

Miami, Florida, United States

Bainbridge Medical Associates

🇺🇸

Bainbridge, Georgia, United States

Perimeter Institute For Clinical Research

🇺🇸

Atlanta, Georgia, United States

Endocrine Research Solutions, Inc.

🇺🇸

Roswell, Georgia, United States

James R. Herron, Md, Ltd

🇺🇸

Chicago, Illinois, United States

So. Illinois Clin Res Ctr @ Div Of Kevin L Pritchett Md, Pc

🇺🇸

O?Fallon, Illinois, United States

American Health Network Of Indiana Llc

🇺🇸

Avon, Indiana, United States

Acadia Clinical Research, Llc

🇺🇸

Bangor, Maine, United States

Alternative Primary Care

🇺🇸

Silver Spring, Maryland, United States

Jefferson City Medical Group

🇺🇸

Jefferson City, Missouri, United States

Central Jersey Medical Research Center

🇺🇸

Elizabeth, New Jersey, United States

Phillips Medical Services, Pllc

🇺🇸

Jackson, Mississippi, United States

St. Louis Center For Clinical Research

🇺🇸

St. Louis, Missouri, United States

Medex Healthcare Research, Inc.

🇺🇸

New York, New York, United States

Digiovanna Institute For Medical Education & Research

🇺🇸

North Massapequa, New York, United States

Community Health Care, Inc.

🇺🇸

Canal Fulton, Ohio, United States

Clinical Research Source, Inc

🇺🇸

Perrysburg, Ohio, United States

Abington Memorial Hos/Feasterville Family Health Care Center

🇺🇸

Feasterville Trevose, Pennsylvania, United States

Pish Medical Associates

🇺🇸

Uniontown, Pennsylvania, United States

The Clinical Trial Center, Llc

🇺🇸

Jenkintown, Pennsylvania, United States

Greater Providence Clinical Research, Llc

🇺🇸

Warwick, Rhode Island, United States

Hillcrest Clinical Reseach, Llc

🇺🇸

Simpsonville, South Carolina, United States

Krk Medical Research

🇺🇸

Dallas, Texas, United States

Research Institute Of Dallas

🇺🇸

Dallas, Texas, United States

Renaissance Clinical Research And Hypertension Pllc

🇺🇸

Dallas, Texas, United States

Internal Medicine Clinical Research

🇺🇸

Dallas, Texas, United States

Mercury Clinical Research

🇺🇸

Houston, Texas, United States

Med-Olam Clinical Research

🇺🇸

Pasadena, Texas, United States

Burke Internal Medicine And Research

🇺🇸

Burke, Virginia, United States

Wasatch Clinical Research

🇺🇸

Salt Lake City, Utah, United States

Hampton Roads Center For Clinical Research, Inc.

🇺🇸

Suffolk, Virginia, United States

Central Phoenix Medical Clinic, Llc

🇺🇸

Tempe, Arizona, United States

Iicr, Inc. (International Institute Of Clinical Research)

🇺🇸

Ozark, Alabama, United States

Time Clinical Research Inc.

🇺🇸

Huntington Park, California, United States

Crest Clinical Trials, Inc.

🇺🇸

Santa Ana, California, United States

Orange County Research Institute

🇺🇸

Anaheim, California, United States

Diabetes Medical Center Of California

🇺🇸

Northridge, California, United States

Marina Raikhel, M.D., F.A.A.F.P

🇺🇸

Lomita, California, United States

Randall G. Shue, D.O.

🇺🇸

Los Angeles, California, United States

Lucita M. Cruz,Md.,Inc.

🇺🇸

Norwalk, California, United States

In Vivo Clinical Research

🇺🇸

Doral, Florida, United States

Valley Clinical Trials

🇺🇸

Northridge, California, United States

Infosphere Clinical Research, Inc.

🇺🇸

West Hills, California, United States

Integrated Research Group, Inc.

🇺🇸

Riverside, California, United States

Bradenton Research Center, Inc.

🇺🇸

Bradenton, Florida, United States

Medical Development Centers, Llc

🇺🇸

Baton Rouge, Louisiana, United States

Chase Medical Research, Llc

🇺🇸

Waterbury, Connecticut, United States

Innovative Research Of West Florida, Inc

🇺🇸

Clearwater, Florida, United States

Clinical Research Of South Florida

🇺🇸

Coral Gables, Florida, United States

Palm Springs Research Institute

🇺🇸

Hialeah, Florida, United States

Newphase Clinical Trials, Inc.

🇺🇸

Miami Beach, Florida, United States

In-Quest Medical Research, Llc

🇺🇸

Duluth, Georgia, United States

Ocean Blue Medical Research Center, Inc.

🇺🇸

Miami Springs, Florida, United States

River Birch Research Alliance, Llc

🇺🇸

Blue Ridge, Georgia, United States

Hci-Metromedic Walk-In Medical Office

🇺🇸

New Bedford, Massachusetts, United States

Baptist Diabetes Associates, Pa

🇺🇸

Miami, Florida, United States

Suncoast Clinical Research, Inc.

🇺🇸

New Port Richey, Florida, United States

South Miami Clinical Research, Llc

🇺🇸

South Miami, Florida, United States

American Health Network Of In Llc

🇺🇸

Muncie, Indiana, United States

Genesis Clinical Research, Llc

🇺🇸

Fall River, Massachusetts, United States

Middle Georgia Clinical Research Center, Llc

🇺🇸

Perry, Georgia, United States

Springfield Diabetes And Endocrine Center

🇺🇸

Springfield, Illinois, United States

Investigators Research Group, Llc

🇺🇸

Brownsburg, Indiana, United States

Crescent City Clinical Research Center

🇺🇸

Metairie, Louisiana, United States

Laporte County Institute For Clinical Research, Inc.

🇺🇸

Michigan City, Indiana, United States

Pmg Research Of Wilmington Llc

🇺🇸

Wilmington, North Carolina, United States

Neurocare, Inc.

🇺🇸

Brookline, Massachusetts, United States

Premier Research

🇺🇸

Trenton, New Jersey, United States

Atlantic Clinical Trials, Llc

🇺🇸

Watertown, Massachusetts, United States

Providence Park Clinical Research

🇺🇸

Novi, Michigan, United States

Office Of Ted Thorp, Md

🇺🇸

Las Vegas, Nevada, United States

Research Across America

🇺🇸

Reading, Pennsylvania, United States

Southgate Medical Group

🇺🇸

West Seneca, New York, United States

Joslin Diabetes Center Affiliate Of Snhmc

🇺🇸

Nashua, New Hampshire, United States

Barat Research Group, Inc.

🇺🇸

Charlotte, North Carolina, United States

Burke Primary Care

🇺🇸

Morganton, North Carolina, United States

Lillestol Research

🇺🇸

Fargo, North Dakota, United States

Premier Internal Medicine

🇺🇸

Memphis, Tennessee, United States

Fanno Creek Clinic

🇺🇸

Portland, Oregon, United States

Hill Country Medical Associates

🇺🇸

New Braunfels, Texas, United States

Southeastern Pa Medical Institute

🇺🇸

Broomall, Pennsylvania, United States

Exodus Healthcare Network

🇺🇸

Magna, Utah, United States

Palmetto Clinical Research

🇺🇸

Summerville, South Carolina, United States

Chattanooga Research & Medicine, Pllc

🇺🇸

Chattanooga, Tennessee, United States

Sergio F. Rovner, M.D.

🇺🇸

El Paso, Texas, United States

Pioneer Research Solutions, Inc.

🇺🇸

Sugarland, Texas, United States

North Hills Medical Research, Inc.

🇺🇸

North Richland Hills, Texas, United States

Lisa E. Medwedeff, Md, Pa

🇺🇸

Plano, Texas, United States

Millennium Clinical Trials Llc

🇺🇸

Arlington, Virginia, United States

Tidewater Integrated Medical Research

🇺🇸

Virginia Beach, Virginia, United States

Sound Medical Research

🇺🇸

Port Orchard, Washington, United States

Quality Control Research, Inc

🇺🇸

Sacramento, California, United States

Meridien Research

🇺🇸

Tampa, Florida, United States

Compass Research, Llc

🇺🇸

Orlando, Florida, United States

Florida Institute For Clinical Research, Llc

🇺🇸

Orlando, Florida, United States

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