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Bexagliflozin Efficacy and Safety Trial

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Placebo
Registration Number
NCT02558296
Lead Sponsor
Theracos
Brief Summary

The purpose of this study is to investigate the effect of bexagliflozin in lowering hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM) and increased risk of cardiovascular adverse events.

The data from this study will be combined with the data from other bexagliflozin studies in a meta-analysis of CV safety outcomes.

Detailed Description

Approximately 130 investigative sites globally are planned to participate in this study.

An estimated 1650 subjects with inadequately controlled T2DM and an elevated risk of cardiovascular adverse events will be randomized to bexagliflozin tablets, 20 mg, or placebo in a ratio of 2:1 in addition to the background anti-diabetic medications.

The study is an event-driven trial. The treatment period will end when the last randomized subject has completed at least 52 weeks of treatment and a total of at least 134 subjects have experienced a cardiac event.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1700
Inclusion Criteria
  • Subjects with a diagnosis of T2DM
  • Subjects who have had a stable treatment regimen for T2DM for the past 3 months
  • Subjects who present with at least one of the following 3 histories:

Group 1: A history of atherosclerotic vascular disease Group 2: A history of heart failure Group 3: Age ≥ 55 years with diabetes for ≥ 10 years, uncontrolled hypertension, currently smoking, reduced kidney function, or cholesterol problems

Exclusion Criteria
  • Diagnosis of type 1 diabetes mellitus or maturity-onset/diabetes of the young
  • History of genitourinary tract infections
  • Evidence of abnormal liver function
  • History of MI, stroke or hospitalization for heart failure in the past 3 months
  • Prior kidney transplant or evidence of kidney problems
  • Prior or planned pace maker implantation
  • Pregnant or nursing

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo tabletsPlaceboEach subject will receive placebo (inactive tablet) once daily for the duration of the study.
Bexagliflozin tablets, 20 mgBexagliflozinEach subject will receive bexagliflozin 20 mg once daily for the duration of the study.
Primary Outcome Measures
NameTimeMethod
Change in HbA1c From Baseline to Week 2424 weeks

The primary efficacy objective of this trial is to evaluate the placebo-adjusted change in HbA1c from baseline after 24 weeks of treatment with 20 mg bexagliflozin tablets in type 2 diabetic subjects with increased risk of cardiovascular adverse events.

Secondary Outcome Measures
NameTimeMethod
Change in Body Weight From Baseline to Week 4848 weeks

To evaluate the effect of 20 mg bexagliflozin on the change in body weight from baseline to week 48 in randomized subjects with a BMI ≥ 25 kg/m2 compared to placebo

Change in Systolic Blood Pressure From Baseline to Week 24 in Subjects Hypertensive at Baseline24 weeks

To evaluate the effect of 20 mg bexagliflozin on the change in systolic blood pressure (SBP) from baseline to week 24 in subjects with baseline systolic blood pressure ≥ 140 mmHg compared to placebo

Change From Baseline in HbA1c at Week 24 for Subjects Who Have Been Prescribed Insulin24 weeks

To evaluate the effect of 20 mg bexagliflozin on the change in HbA1c from baseline to week 24 in randomized subjects who have been prescribed insulin to control their diabetes

Trial Locations

Locations (157)

Research Site 1090

🇺🇸

Gilbert, Arizona, United States

Research Site 1041

🇺🇸

Little Rock, Arkansas, United States

Research Site 1073

🇺🇸

Azusa, California, United States

Research Site 1076

🇺🇸

Concord, California, United States

Research Site 1078

🇺🇸

Fresno, California, United States

Research Site 1089

🇺🇸

Harbor City, California, United States

Research Site 1058

🇺🇸

Lincoln, California, United States

Research Site 1051

🇺🇸

Los Angeles, California, United States

Research Site 1004

🇺🇸

Los Angeles, California, United States

Research Site 1068

🇺🇸

Montclair, California, United States

Scroll for more (147 remaining)
Research Site 1090
🇺🇸Gilbert, Arizona, United States

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