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Study To Understand Efficacy And Safety Of Investigational Agent (PF-04937319) Compared To Approved Agent (Glimepiride) In Patients With Diabetes On Metformin

Phase 2
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Registration Number
NCT01517373
Lead Sponsor
Pfizer
Brief Summary

This is a study to understand efficacy and safety of investigational agent (PF-04937319) compared to approved agent (glimepiride) in patients with diabetes on metformin

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
304
Inclusion Criteria
  • Age 18-70 yrs, male and females, with T2DM, on metformin alone or in combination with 1 other oral agent
Exclusion Criteria
  • Subjects with recent cardiovascular events, those with evidence of diabetic complications

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PF-04937319 100 mgPF-04937319 100 mg-
PlaceboPlaceboPlacebo to match PF-04937319 and glimepiride
PF-04937319 10 mgPF-04937319 10 mg-
PF-04937319 50 mgPF-04937319 50 mg-
GlimepirideGlimepiride-
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Glycosylated Hemoglobin (HbA1C) at Week 12Baseline (Day 1), Week 12

HbA1c is a form of hemoglobin which is measured primarily to identify the average glycemic control over prolonged periods of time. The normal range for the HbA1c test, was identified as less than 6.5 percent by the study-specific central laboratory used. Change from baseline in percentage of HbA1C was reported.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Glycosylated Hemoglobin (HbA1C) at Week 2, 4, 6 and 8Baseline (Day 1), Week 2, 4, 6, 8

HbA1c is a form of hemoglobin which is measured primarily to identify the average glycemic control over prolonged periods of time. The normal range for the HbA1c test, was identified as less than 6.5 percent by the study-specific central laboratory used. Change from baseline in percentage of HbA1C was reported.

Change From Baseline in Fasting Plasma Glucose at Week 2, 4, 6, 8 and 12Baseline (Day 1), Week 2, 4, 6, 8, 12
Percentage of Participants Achieving Less Than 6.5 Percent and Less Than 7 Percent Glycosylated Hemoglobin (HbA1c) Levels at Week 12Week 12

HbA1c is a form of hemoglobin which is measured primarily to identify the average glycemic control over prolonged periods of time. The normal range for the HbA1c test, was identified as less than 6.5 percent by the study-specific central laboratory used and data are presented in categories of less than 6.5 percent and less than 7 percent.

Number of Participants With Increase From Baseline Electrocardiogram (ECG) DataBaseline (Day 1) up to Week 14

Participants who met the criteria for increase from baseline in ECG data were reported. Criteria for increase from baseline data: PR interval (percent change of greater than or equal to \[\>=\] 25/50% \[if baseline value was \>200 then percent change of \>25% counts; if baseline value was \<=200 then percent change of \>50% counts\]); QRS complex (percent change of \>=50%); QT Fridericia's correction (QTcF) interval (change of \>= 30 to \<60 millisecond \[msec\], and change of \>=60 msec).

Number of Participants With Increase/Decrease From Baseline Vital Signs DataBaseline (Day 1) up to Week 14

Participants who met the criteria for increase or decrease in vital signs data were reported. Criteria for increase or decrease from baseline vital signs data: sitting systolic blood pressure (BP) of \>=30 millimeter of mercury (mmHg); sitting diastolic BP of \>=20 mmHg and pulse rate was based on investigator's discretion.

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Baseline (Day 1) up to 14 days after last dose of study treatment (up to 101 days)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 14 days after last dose that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and non-serious adverse events.

Percentage of Participants With at Least 1 Hypoglycemic Events (HAE) EpisodeBaseline (Day 1) up to Week 14

A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. HAE was defined as 1 of the given definitions: Characteristic symptoms of HAE with no home glucose monitoring performed where clinical picture included prompt resolution with food intake, subcutaneous glucagon, or intravenous glucose; or characteristic symptoms of HAE with home glucose monitoring measurement =\< 70 milligram per deciliter (mg/dL) using ACCU-CHEK plasma-referenced home glucometers or =\<74 mg/dL using International Federation of Clinical Chemistry (IFCC) referenced ACCU-CHEK or central laboratory glucometers; or any laboratory glucose value, meeting the following criterion with or without accompanying symptoms: =\<49 mg/dL using ACCU-CHEK plasma-referenced home glucometers or =\<53 mg/dL using IFCC referenced ACCU-CHEK or central laboratory glucometers.

Number of Hypoglycemic Events (HAE) Episodes Per ParticipantBaseline (Day 1) up to Week 14

A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. Median of 1 and 2 events per participant was reported.

Time to Each Recurrent Hypoglycemic Events (HAE) Episode Per ParticipantBaseline (Day 1) up to Week 14

Median recurrence time was not to be calculated when less than 50% of the participants in a given arm experienced 1 or more HAEs.

Change From Baseline in Body Weight at Week 2, 4, 6, 8, 12 and 14Baseline (Day 1), Week 2, 4, 6, 8, 12, 14 (follow-up)
Number of Participants With Abnormal Laboratory ValuesBaseline (Day 1) up to Week 14

Hemoglobin,hematocrit,red blood cells(RBC) count:less than \[\<\]0.8\*lower limit of normal \[LLN\],platelets:\<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\],white blood cells(WBC):\<0.6\*LLN or \>1.5\*ULN,lymphocytes,total neutrophils:\<0.8\*LLN or \>1.2\*ULN, basophils,eosinophil,monocytes:\>1.2\*ULN;aspartate aminotransferase,alanine aminotransferase, alkaline phosphatase:\>0.3\*ULN,total protein,albumin:\<0.8\*LLN or \>1.2\*ULN;total bilirubin,direct bilirubin,indirect bilirubin:\>1.5\*ULN;triglycerides,cholesterol:\>1.3\*ULN, HDL:\<0.8\*LLN, LDL:\>1.2\*ULN,blood urea nitrogen,creatinine:\>1.3\*ULN,uric acid:\>1.2\*ULN;sodium: \<0.95\*LLN or \>1.05\*ULN,potassium,chloride,calcium,bicarbonate:\<0.9\*LLN or \>1.1\*ULN;creatine kinase:\>2.0\*ULN;glucose:\<0.6\*LLN or \>1.5\*ULN,urine WBC and RBC:\>= 20/High Power Field \[HPF\]),urine epithelial cells (\>=1 HPF),urine bacteria \>20 high-powered field;qualitative urine glucose,urine blood to Hgb ratio (\>=1);urine(protein,nitrite,mucus,leukocyte \>=1 in urine dipstick test).

Trial Locations

Locations (53)

MBAL Yulia Vrevska - Byala, Otdelenie po vatreshni bolesti

🇧🇬

Byala, Bulgaria

DKTs Akta Medika, Kabinet po endokrinologia

🇧🇬

Sevlievo, Bulgaria

Ocean West Research Clinic Inc.

🇨🇦

Surrey, British Columbia, Canada

UMBAL Aleksandrovska, Klinika po endokrinologia i bolesti na obmyanata

🇧🇬

Sofia, Bulgaria

UMBAL Stara Zagora, Klinika po endokrinologia i bolesti na obmyanata

🇧🇬

Stara Zagora, Bulgaria

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Synexus Magyarorszag Kft.

🇭🇺

Budapest, Hungary

Semmelweis Egyetem/I. sz. Belgyogyaszati Klinika

🇭🇺

Budapest, Hungary

BGS Global Hospital

🇮🇳

Bangalore, Karnataka, India

FUNKYSTUFF, s.r.o.

🇸🇰

Nove Zamky, Slovakia

MEDIAB, s.r.o.

🇸🇰

Pezinok, Slovakia

Taipei Medical University Hospital

🇨🇳

Taipei, Taiwan

Clinical Research Center of Cape Cod, Inc.

🇺🇸

Hyannis, Massachusetts, United States

Bristol Clinical Research, LLC

🇺🇸

Austin, Texas, United States

University Diabetes and Endocrine Consultants

🇺🇸

Chattanooga, Tennessee, United States

East-West Medical Research Institute

🇺🇸

Honolulu, Hawaii, United States

Chattanooga Medical Research, LLC

🇺🇸

Chattanooga, Tennessee, United States

Holston Medical Group

🇺🇸

Bristol, Tennessee, United States

National Clinical Research - Richmond, Inc.

🇺🇸

Richmond, Virginia, United States

MBAL - Ruse AD, Vtoro otdelenie po vatreshni bolesti

🇧🇬

Ruse, Bulgaria

Sierra Clinical Research

🇺🇸

Roseville, California, United States

DiscoveResearch, Inc.

🇺🇸

Bryan, Texas, United States

DCTM CLinical Trials Group Ltd.

🇨🇦

Strathroy, Ontario, Canada

Diagnostic Center

🇺🇸

Chattanooga, Tennessee, United States

Glover Medical Clinic

🇨🇦

Langley, British Columbia, Canada

Centre de cardiologie et de Recherche Clinique Pierre-Le Gardeur

🇨🇦

Terrebonne, Quebec, Canada

Fejer Megyei Szent Gyorgy Korhaz/II. Belgyogyaszati Osztaly

🇭🇺

Szekesfehervar, Hungary

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Pro-Recherche

🇨🇦

St-Romuald, Quebec, Canada

Alpha Recherche Clinique

🇨🇦

Quebec, Canada

MEDIVASA, s.r.o.

🇸🇰

Zilina, Slovakia

California Research Foundation

🇺🇸

San Diego, California, United States

Dallas Diabetes and Endocrine Center

🇺🇸

Dallas, Texas, United States

Clinical Trials of Texas, Inc.

🇺🇸

San Antonio, Texas, United States

Meridien Research

🇺🇸

Bradenton, Florida, United States

South Broward Research, LLC

🇺🇸

Pembroke Pines, Florida, United States

Diabetes Unit, K.E.M. Hospital Research Centre

🇮🇳

Pune, Maharashtra, India

Sterling Research Group, Ltd.

🇺🇸

Cincinnati, Ohio, United States

Community Research

🇺🇸

Cincinnati, Ohio, United States

Aggarwal and Associates Limited

🇨🇦

Brampton, Ontario, Canada

Deenanath Mangeshkar Hospital & Research Centre

🇮🇳

Pune, Maharashtra, India

Diablo Clinical Research, Inc.

🇺🇸

Walnut Creek, California, United States

Diabetes & Endocrinology Consultants, PC

🇺🇸

Morehead City, North Carolina, United States

VMA - MBAL - Sofia, Klinika po endokrinologia i bolesti na obmyanata

🇧🇬

Sofia, Bulgaria

Dr. Kenessey Albert Korhaz-Rendelointezet/Belgyogyaszat

🇭🇺

Balassagyarmat, Hungary

Fakultna nemocnica s poliklinikou F.D. Roosevelta Banska Bystrica

🇸🇰

Banska Bystrica, Slovakia

Interna A Diabetologicka Ambulancia

🇸🇰

Moldava Nad Bodvou, Slovakia

Manna Research

🇨🇦

Toronto, Ontario, Canada

Aurora Advanced Healthcare, Inc.

🇺🇸

Milwaukee, Wisconsin, United States

Coastal Carolina Research Center

🇺🇸

Mount Pleasant, South Carolina, United States

Rivergrove Medical Clinic

🇨🇦

Winnipeg, Manitoba, Canada

Clinical Research Associates, Inc.

🇺🇸

Nashville, Tennessee, United States

National Clinical Research - Norfolk, Inc.

🇺🇸

Norfolk, Virginia, United States

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