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A randomised, double-blind, placebo-controlled parallel group efficacy and safety study of BI 1356 (5 mg) administered orally once daily over 24 weeks in type 2 diabetic patients with insufficient glycaemic control despite a therapy of metformin in combination with a sulphonylurea

Conditions
Type 2 diabetes
MedDRA version: 9.1Level: LLTClassification code 10045242Term: Type II diabetes mellitus
Registration Number
EUCTR2007-002450-28-GB
Lead Sponsor
Boehringer Ingelheim Limited
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
800
Inclusion Criteria

1. Male and female patients with a diagnosis of type 2 diabetes mellitus, currently treated only with a stable total daily dose of preferably* more than or equal to 1500 mg metformin and a dose of a sulphonylurea drug that has been documented, by the Investigator, to be the individual maximum tolerated dose of that sulphonylurea drug. Both the dose and dosing regimen of metformin and the sulphonylurea must be stable (i.e. unchanged) for 10 weeks prior to informed consent, and must not be changed for the duration of the trial

2. Glycosylated haemoglobin A1 (HbA1c) more than or equal to 7.0 and less than or equal to 10.0% at the screening Visit 1a and at Visit 2 (start of placebo run-in phase)

3. Age more than or equal to 18 and less than or equal to 80 years at Visit 1a (screening)

4. BMI (Body Mass Index) less than or equal to 40 kg/m2 at Visit 1a (screening)

5. Signed and dated written informed consent, at the latest by the date of Visit 1a, in accordance with GCP and local legislation

*Patients currently treated with a total daily dose of less than 1500 mg metformin can be included in the trial if the Investigator has documented that the dose is the maximum tolerated dose of metformin for that patient.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1. Myocardial infarction, stroke or TIA (transient ischaemic attack) within 6 months prior to the date of informed consent

2. Impaired hepatic function, defined by serum levels of either alanine transaminase, ALT (SGPT), aspartase transaminase, AST (SGOT), or alkaline phosphatase (ALP) above 3 times the upper limit of normal (ULN), as determined at Visit 1a

3. Renal failure or renal impairment (serum creatinine more than or equal to 1.5 mg/dl) as determined at Visit 1a

4. Treatment with rosiglitazone or pioglitazone within 3 months prior to the date of informed consent

5. Treatment with GLP-1 analogues (e.g. exanatide) within 3 months prior to the date of informed consent

6. Treatment with insulin within 3 months prior to the date of informed consent

7. Treatment with anti-obesity drugs (e.g. sibutramine, rimonabant, orlistat) within 3 months prior to the date of informed consent

8. Current treatment with systemic steroids (i.e. at the time of informed consent) or a change in the dosage of thyroid hormones within 6 weeks prior to the date of informed consent

9. Pre-menopausal women (last menstruation less than or equal to 1 year prior to the date of informed consent) who:

- are nursing or pregnant
- or are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study and do not agree to periodic pregnancy testing during their participation in the trial.

Acceptable methods of birth control include transdermal patch, intra uterine devices/systems (IUDs/IUSs), oral, implantable or injectable contraceptives, true sexual abstinence (when this is in line with the preferred and usual lifestyle of the patient; periodic abstinence [e.g. calendar, ovulation, symptothermal, post-ovulation methods] and withdrawal are not acceptable methods of birth control) and vasectomised partner. No exception will be made.

10. Known hypersensitivity or allergy to the investigational product or its excipients or to the trial background therapy (i.e. metformin in combination with a sulphonylurea) or sulphonamides

11. Dehydration (as confirmed by the Investigator’s clinical opinion)

12. Current acute or chronic metabolic acidosis

13. Hereditary galactose intolerance

14. Alcohol abuse within 3 months prior to the date of informed consent that, in the Investigator’s opinion, would interfere with participation in the trial

15. Drug abuse

16. Participation in another trial with an investigational product within 2 months prior to the date of informed consent

17. Any other clinical condition which, in the Investigator’s opinion, would interfere with participation in the trial and patient safety

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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