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Safety and Efficacy of Combination Saxagliptin & Dapagliflozin Added to Metformin to Treat Subjects With Type 2 Diabetes

Registration Number
NCT01606007
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to learn if a combination of BMS-477118 (Saxagliptin) and BMS -512148 (Dapagliflozin) added to Metformin can improve (decrease) Glycosylated Hemoglobin (Hemoglobin A1c) in patients with type 2 diabetes after 24 weeks of treatment. The safety of this treatment will also be studied.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1282
Inclusion Criteria
  • Subjects with Type 2 diabetes mellitus (T2DM) with HbA1c ≥ 8.0% and ≤ 12.0%
  • Stable metformin therapy dose of ≥ 1500mg for at least 8 weeks prior to screening
  • Body mass index (BMI) ≤ 45.0kg/m2
Exclusion Criteria
  • Estimated glomerular filtration rate (eGFR) < 60mL/min/1,73m2 and Serum Creatinine (Scr) ≥ 1.5 mg/dL in males or ≥ 1.4 mg/dL in females
  • Uncontrolled hypertension Systolic Blood Pressure (SBP) ≥ 160mmHg and/or Diastolic Blood Pressure (DBP) ≥ 100mmHg
  • Hepatic disease
  • Cardiovascular disease within 3 months

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 2: Dapagliflozin+Metformin XR+PlaceboPlacebo matching with Saxagliptin-
Arm 3: Saxagliptin+Dapagliflozin+Metformin XRSaxagliptin-
Arm 1: Saxagliptin+Metformin XR+PlaceboMetformin XR-
Arm 1: Saxagliptin+Metformin XR+PlaceboPlacebo matching with Dapagliflozin-
Arm 2: Dapagliflozin+Metformin XR+PlaceboMetformin XR-
Arm 3: Saxagliptin+Dapagliflozin+Metformin XRMetformin XR-
Arm 1: Saxagliptin+Metformin XR+PlaceboSaxagliptin-
Arm 2: Dapagliflozin+Metformin XR+PlaceboDapagliflozin-
Arm 3: Saxagliptin+Dapagliflozin+Metformin XRDapagliflozin-
Primary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24Baseline (Week 0) and at Week 24

HbA1c was measured as percent of hemoglobin by a central laboratory. 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 at Week 24 in the double-blind period, including observations prior to rescue.

Secondary Outcome Measures
NameTimeMethod
Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24Baseline (Week 0) and at Week 24

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 at Week 24 in the doubleblind period, including observations prior to rescue.

Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])At Week 24

Therapeutic glycemic response is defined as HbA1c \<7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin.

Adjusted Mean Change From Baseline in Body Weight at Week 24Baseline (Week 0) and at Week 24

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 at Week 24 in the doubleblind period, including observations prior to rescue.

Adjusted Mean Change From Baseline in 2-hour Post Prandial Glucose (PPG) From a Liquid Meal Tolerance Test (MTT) at Week 24 (Last Observation Carried Forward [LOCF])Baseline (Week 0) and at Week 24

Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. PPG measurements were obtained at week 24 in the doubleblind period, including observations prior to rescue.

Trial Locations

Locations (73)

Willamette Valley Clinical Studies

🇺🇸

Eugene, Oregon, United States

Pmg Research Of Knoxville

🇺🇸

Knoxville, Tennessee, United States

Excel Clinical Research, Llc

🇺🇸

Houston, Texas, United States

Covenant Clinical Research, Pa

🇺🇸

San Antonio, Texas, United States

Metrolina Internal Medicine

🇺🇸

Charlotte, North Carolina, United States

Diabetes & Endocrinology Consultants

🇺🇸

Morehead City, North Carolina, United States

Sterling Research Grp, Ltd.

🇺🇸

Cincinnati, Ohio, United States

Rapid Medical Research, Inc.

🇺🇸

Cleveland, Ohio, United States

Arlington Family Research Center, Inc.

🇺🇸

Arlington, Texas, United States

Med-Olam Clinical Research

🇺🇸

Pasadena, Texas, United States

Terence T. Hart, Md

🇺🇸

Muscle Shoals, Alabama, United States

Mehrdad Kevin Ariani Md, Inc.

🇺🇸

Northridge, California, United States

Fpa Clinical Research

🇺🇸

Kissimmee, Florida, United States

Associated Internal Medicine Specialists

🇺🇸

Battle Creek, Michigan, United States

Central Jersey Health And Medical Research

🇺🇸

Elizabeth, New Jersey, United States

Bellevue Family Practice

🇺🇸

Bellevue, Nebraska, United States

South Jersey Medical Associates, P.A.

🇺🇸

Blackwood, New Jersey, United States

Southgate Medical Group

🇺🇸

West Seneca, New York, United States

Triad Clinical Trials, Llc

🇺🇸

Greensboro, North Carolina, United States

Daystar Clinical Resarch, Inc.

🇺🇸

Akron, Ohio, United States

Lynn Institute Of Norman

🇺🇸

Norman, Oklahoma, United States

Primed Clinical Research

🇺🇸

Dayton, Ohio, United States

Physicians Research, Inc.

🇺🇸

Zanesville, Ohio, United States

Holston Medical Group

🇺🇸

Kingsport, Tennessee, United States

Heritage Valley Medical Group

🇺🇸

Beaver, Pennsylvania, United States

Wellmon Family Practice

🇺🇸

Shippensburg, Pennsylvania, United States

Padre Coast Clinical Research

🇺🇸

Corpus Christi, Texas, United States

Dallas Diabetes & Endocrine Center

🇺🇸

Dallas, Texas, United States

North Hills Medical Research, Inc.

🇺🇸

North Richland Hills, Texas, United States

Sam Clinical Research Center

🇺🇸

San Antoinio, Texas, United States

Elite Clinical Studies, Llc

🇺🇸

Phoenix, Arizona, United States

Harris And Associates, P.C.

🇺🇸

Detroit, Michigan, United States

Highland Clinical Research

🇺🇸

Salt Lake City, Utah, United States

Orange County Research Center

🇺🇸

Tustin, California, United States

Trinitas Research, Inc

🇺🇸

San Jose, California, United States

Palm Harbor Medical Associates

🇺🇸

Palm Harbor, Florida, United States

Aureus Research, Inc.

🇺🇸

Little Rock, Arkansas, United States

Diabetes Medical Center Of California

🇺🇸

Northridge, California, United States

Cedar Crosse Research Center

🇺🇸

Chicago, Illinois, United States

Clinical Research Advantage

🇺🇸

Omaha, Nebraska, United States

Infocus Clinical Research

🇺🇸

Denver, Colorado, United States

Endocrine Research Solutions, Inc.

🇺🇸

Roswell, Georgia, United States

Providence Clinical Research

🇺🇸

North Hollywood, California, United States

Genova Clinical Research

🇺🇸

Tucson, Arizona, United States

Central Alabama Research

🇺🇸

Homewood, Alabama, United States

Medical Investigations, Inc.

🇺🇸

Little Rock, Arkansas, United States

Southeast Clinical Research, Llc

🇺🇸

Jacksonville, Florida, United States

Torrance Clinical Research

🇺🇸

Lomita, California, United States

International Institute Of Clinical Research

🇺🇸

Ozark, Alabama, United States

Southland Clinical Research Center, Inc.

🇺🇸

Fountain Valley, California, United States

National Research Inst

🇺🇸

Los Angeles, California, United States

Advanced Pharma Cr, Llc

🇺🇸

Miami, Florida, United States

Center For Clinical Trials, Llc.

🇺🇸

Paramount, California, United States

Horizon Research Group Of Opelousas, Llc

🇺🇸

Eunice, Louisiana, United States

Lynn Institute Of Denver

🇺🇸

Denver, Colorado, United States

Lucita M. Cruz,Md.,Inc.

🇺🇸

Norwalk, California, United States

Clinical Therapeutics Corporation

🇺🇸

Coral Gables, Florida, United States

Newphase Clinical Trials, Inc.

🇺🇸

Miami Beach, Florida, United States

Clinical Research Of Miami, Inc.

🇺🇸

Miami, Florida, United States

Deerbrook Medical Associates

🇺🇸

Vernon Hills, Illinois, United States

Patterson Medical Clinic

🇺🇸

Florissant, Missouri, United States

Andres Patron, Do Pa

🇺🇸

Pembroke Pines, Florida, United States

Oregon Clinical Research

🇺🇸

Portland, Oregon, United States

Tlm Medical Services

🇺🇸

Columbia, South Carolina, United States

Palmetto Clinical Trial Services Llc

🇺🇸

Fountain Inn, South Carolina, United States

Southwestern Vermont Med Cntr

🇺🇸

Bennington, Vermont, United States

Local Institution

🇿🇦

Johannesburg, South Africa

Hillcrest Family Health Center

🇺🇸

Waco, Texas, United States

Pmg Research Of Winston-Salem, Llc

🇺🇸

Winston-salem, North Carolina, United States

Center For Clinical Trials Of Sacramento, Inc.

🇺🇸

Sacramento, California, United States

Omega Research Consultants, Llc

🇺🇸

Orlando, Florida, United States

Val R. Hansen, M.D.

🇺🇸

Bountiful, Utah, United States

Hampton Roads Center For Clinical Research, Inc.

🇺🇸

Suffolk, Virginia, United States

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