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Safety and Efficacy of Dapagliflozin in Triple Therapy to Treat Subjects With Type 2 Diabetes

Registration Number
NCT01646320
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to learn if BMS-512148 (Dapagliflozin) as part of a triple combination therapy can improve (decrease) hemoglobin A1c in patients with type 2 diabetes after 24 weeks of treatment compared to a 2 drug oral antidiabetic therapy. The safety of this treatment will also be studied.

Detailed Description

Prior to randomization, all eligible subjects will receive open-label treatment with Saxagliptin 5mg and Metformin IR during the 16-week open-label treatment period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
320
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 2: Placebo + Saxagliptin + Metformin IRMetformin immediate release (IR)-
Arm1: Dapagliflozin (10 mg) + Saxagliptin + Metformin IRSaxagliptin-
Arm 2: Placebo + Saxagliptin + Metformin IRPlacebo matching with Dapagliflozin-
Arm1: Dapagliflozin (10 mg) + Saxagliptin + Metformin IRMetformin immediate release (IR)-
Arm1: Dapagliflozin (10 mg) + Saxagliptin + Metformin IRDapagliflozin-
Arm 2: Placebo + Saxagliptin + Metformin IRSaxagliptin-
Primary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24From Baseline to Week 24

HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 6, 12, 18, and 24 in the double-blind period.

Secondary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24From Baseline to Week 24

Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 6, 12, 18, and 24 in the double-blind period

Adjusted Mean Change From Baseline in 120-minute Postprandial Glucose (PPG) at Week 24From Baseline to Week 24

2-hour postprandial glucose (PPG) from a liquid meal tolerance test (2-h MTT) Subject must be fasted for at least 8 hrs prior to the MTT.

Adjusted Mean Change From Baseline in Body Weight at Week 24From baseline to Week 24

Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weights were measured during the qualification and lead-in periods and on Day 1 and Weeks 6, 12, 18, and 24 in the double-blind period.

Percentage of Subjects Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])From baseline to week 24

Percent adjusted for baseline HbA1c. Therapeutic glycemic response is defined as HbA1c \<7.0%. Data after rescue medication was excluded from this analysis.

Trial Locations

Locations (28)

Torrance Clinical Research Institute Inc.

🇺🇸

Lomita, California, United States

Diabetes Medical Center Of California

🇺🇸

Northridge, California, United States

Cassidy Medical Group/Clinical Research Advantage

🇺🇸

Vista, California, United States

Palm Harbor Medical Associates

🇺🇸

Palm Harbor, Florida, United States

Clinical Research Advantage

🇺🇸

Evansville, Indiana, United States

Associated Internal Medicine Specialists

🇺🇸

Battle Creek, Michigan, United States

Compass Research East, Llc

🇺🇸

Oviedo, Florida, United States

Jackson Clinic

🇺🇸

Rolling Fork, Mississippi, United States

Metrolina Internal Medicine

🇺🇸

Charlotte, North Carolina, United States

Local Institution

🇬🇧

London, United Kingdom

Clinical Research Puerto Rico

🇵🇷

San Juan, Puerto Rico

Premier Research

🇺🇸

Trenton, New Jersey, United States

Arkansas Clinical Research

🇺🇸

Little Rock, Arkansas, United States

Fpa Clinical Research

🇺🇸

Kissimmee, Florida, United States

University Of Alabama At Birmingham

🇺🇸

Birmingham, Alabama, United States

Palm Springs Research Institute

🇺🇸

Hialeah, Florida, United States

Cedar Crosse Research Center

🇺🇸

Chicago, Illinois, United States

Sterling Research Grp, Ltd.

🇺🇸

Cincinnati, Ohio, United States

Endocrine Associates

🇺🇸

Houston, Texas, United States

Sam Clinical Research Center

🇺🇸

San Antonio, Texas, United States

Tidewater Integrated Medical Research

🇺🇸

Virginia Beach, Virginia, United States

Clinical Research Advantage Inc/Desert Clinical Research Llc

🇺🇸

Mesa, Arizona, United States

Clinical Research Advantage, Inc.

🇺🇸

Phoenix, Arizona, United States

Elite Clinical Studies, Llc

🇺🇸

Phoenix, Arizona, United States

Randall G. Shue, Do, Inc.

🇺🇸

Los Angeles, California, United States

National Research Institute

🇺🇸

Los Angeles, California, United States

International Research Associates, Llc

🇺🇸

Miami, Florida, United States

Omega Research Consultants, Llc

🇺🇸

Orlando, Florida, United States

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