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Glycemic Efficacy and Renal Safety Study of Dapagliflozin in Subjects With Type 2 Diabetes Mellitus and Moderate Renal Impairment

Phase 2
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: Placebo
Registration Number
NCT00663260
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to determine whether dapagliflozin is effective in the treatment of type 2 diabetes in subjects with poor blood sugar control and moderate renal impairment

Detailed Description

All eligible subjects will receive a single-blind placebo medication during a 1-week lead-in period prior to randomization. All arms may include the addition of open label medication described (as needed for rescue based on protocol specific criteria). Rescue medication is defined as the addition of an approved, appropriate antihyperglycemic agent, except metformin, used according to conventional standards of care, to treat hyperglycemia, which may therefore allow the subject to remain in the trial

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
631
Inclusion Criteria
  • Males and females, ≥18 years old, with type 2 diabetes and with inadequate glycemic control
  • Clinical diagnosis of moderate renal impairment
Exclusion Criteria
  • AST and /or ALT > 3.0 times the upper limit of normal
  • Serum total bilirubin > 1.5 times ULN
  • Symptoms of severely uncontrolled diabetes
  • Currently unstable or serious cardiovascular, hepatic, hematological, oncological, endocrine, psychiatric, or rheumatic diseases

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
Dapagliflozin (5 mg)Dapagliflozin-
Dapagliflozin (10 mg)Dapagliflozin-
Primary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]From 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 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 in the double-blind period.

Secondary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24

Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. 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 1, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 in the double-blind period

Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24

Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. 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 weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 of the double-blind period.

Trial Locations

Locations (35)

Marin Endocrine Care & Research, Inc.

🇺🇸

Greenbrae, California, United States

Diabetes Medical Center Of California

🇺🇸

Northridge, California, United States

Office Of Richard Cherlin, Md

🇺🇸

Los Gatos, California, United States

Endocrine Associates Of The Rockies

🇺🇸

Denver, Colorado, United States

Panhandle Family Care Associates

🇺🇸

Marianna, Florida, United States

Genesis Clinical Research

🇺🇸

Tampa, Florida, United States

Endocrine Research Solutions, Inc.

🇺🇸

Roswell, Georgia, United States

Twin Cities Clinical Research

🇺🇸

Brooklyn Center, Minnesota, United States

Kcva Medical Center Research Svc (151)

🇺🇸

Kansas City, Missouri, United States

Winthrop University Hospital

🇺🇸

Mineola, New York, United States

Slocum-Dickson Medical Group, Pllc

🇺🇸

New Hartford, New York, United States

Center For Thyroid Diseases And Endocrinology

🇺🇸

Beachwood, Ohio, United States

Physician Research, Inc.

🇺🇸

Zanesville, Ohio, United States

The Strelitz Diabetes Center

🇺🇸

Norfolk, Virginia, United States

Capital Clinical Research Center

🇺🇸

Olympia, Washington, United States

Cedar Research Llc

🇺🇸

Tacoma, Washington, United States

Aurora Advanced Healthcare

🇺🇸

Milwaukee, Wisconsin, United States

Local Institution

🇪🇸

Vizcaya, Spain

Zablocki Veterans Affairs Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Valley Research

🇺🇸

Fresno, California, United States

Apex Research Of Riverside

🇺🇸

Riverside, California, United States

La Biomed At Harbor Ucla Med Ctr.

🇺🇸

Torrance, California, United States

University Of Medicine And Dentistry Of New Jersey

🇺🇸

Voorhees, New Jersey, United States

Community Health Care Of Manchester

🇺🇸

Akron, Ohio, United States

Rogue Valley Clinical Research

🇺🇸

Medford, Oregon, United States

Drexel University College Of Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

Research Institute Of Dallas

🇺🇸

Dallas, Texas, United States

Westbury Medical Clinic P.A.

🇺🇸

Houston, Texas, United States

Vista Medical Research, Inc.

🇺🇸

Mesa, Arizona, United States

Va Nebraska-Western Iowa Health Care System (Nwihcs)

🇺🇸

Omaha, Nebraska, United States

Low Country Internal Medicine Of Sc, Pa

🇺🇸

Charleston, South Carolina, United States

Carolina Health Specialists

🇺🇸

Myrtle Beach, South Carolina, United States

Palmetto Clinical Research

🇺🇸

Summerville, South Carolina, United States

Univ Of Oklahoma Health Science Center

🇺🇸

Oklahoma City, Oklahoma, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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