Cardiovascular and renal microvascular outcome study with linagliptin in patients with type 2 diabetes mellitus at high vascular risk
- Conditions
- Diabetes Mellitus type 2Therapeutic area: Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Registration Number
- EUCTR2011-004148-23-CZ
- Lead Sponsor
- Boehringer Ingelheim International GmbH
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Not specified
- Target Recruitment
- 12280
1) Documented diagnosis of T2DM before visit 1(screening).
2) Male or female patients who are drug-naïve or pre-treated with any antidiabetic background medication, excluding treatment with GLP-1 receptor agonists, DPP-4 inhibitors or SGLT-2 inhibitors if =>consecutive 7 days.
3) Stable antidiabetic background medication (unchanged daily dose) for at least 8 weeks prior to randomization. If insulin is part of the background therapy, the average daily insulin dose should not have changed by more than 10% within the 8 weeks prior to randomization compared with the daily insulin dose at randomization.
4) HbA1c of => 6.5% and <= 10.0% at Visit 1 (screening)
5) Age => 18 years at Visit 1(screening). For Japan only: Age => 20 years at Visit 1
6) Body Mass Index (BMI) <= 45 kg/m2 at Visit 1 (screening)
7) Signed and dated written informed consent by date of Visit 1(screening) in accordance with Good Clinical Practice (GCP) and local legislation prior to any study related procedure
8) High risk of CV events
Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 5250
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 1750
1) Type 1 diabetes mellitus.
2) Treatment (=> 7 consecutive days) with GLP-1 receptor agonists, other DPP-4 inhibitors or SGLT-2 inhibitors prior to informed consent. Note: This also includes clinical trials where these antidiabetic drugs have been provided to the patient.
3) Active liver disease or impaired hepatic function, defined by serum levels of either ALT (SGPT), AST (SGOT), or alkaline phosphatase (AP) => 3 x upper limit of normal (ULN) as determined at Visit 1.
4) eGFR <15 ml/min 1.73 m2 (severe renal impairment or ESRD, MDRD
formula), as determined during screening at Visit 1 and/or the need for maintenance dialysis.
5) Any previous (or planned within next 12 months) bariatric surgery (open or laparascopic) or intervention (gastric sleeve).
6) Pre-planned coronary artery re-vascularisation (PCI, CABG) or any previous PCI and/or CABG <= 2 months prior informed consent
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: The primary objective is to demonstrate non-inferiority of treatment with linagliptin in comparison with placebo (as add-on therapy on top of standard of care) with respect to time to first occurrence of any of the adjudicated components of the primary composite endpoint in patients with type 2 diabetes mellitus;Secondary Objective: If non-inferiority has been demonstrated, then the primary composite endpoint will be tested for superiority and the composite renal endpoint will be investigated separately with a test on superiority;<br> Primary end point(s): 1: Time to the first occurence of any of the following by adjudication<br> confirmed components of the primary composite endpoint (3-point<br> MACE): CV death, non-fatal MI or non fatal stroke<br> ;<br> Timepoint(s) of evaluation of this end point: 1: 54 months<br>
- Secondary Outcome Measures
Name Time Method <br> Secondary end point(s): 1: Time to first occurance of any of the following by adjudication<br> confirmed components: Composite renal endpoint (renal death,<br> sustained end stage renal disease [ESRD], sustained decrease of 40% or<br> more in eGFR<br> ;<br> Timepoint(s) of evaluation of this end point: 1: 54 months<br> 2: 54 months<br>