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Empagliflozin as Adjunctive to InSulin thErapy Over 52 Weeks in Patients With Type 1 Diabetes Mellitus (EASE-2)

Phase 3
Completed
Conditions
Diabetes Mellitus, Type 1
Interventions
Drug: Placebo
Registration Number
NCT02414958
Lead Sponsor
Boehringer Ingelheim
Brief Summary

Comparison of 2 doses of empagliflozin vs placebo in patients already using either an insulin regimen of multiple daily injections (MDI) or continuous subcutaneous insulin infusion (CSII). Randomisation to 3 treatments arms (equal assignment) following a screening period, an optimisation period and a run-in period. 52 week double-blind treatment period, and 3 week follow-up period.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
730
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Empagliflozin low doseEmpagliflozinEmpagliflozin tablets once daily
PlaceboPlaceboPlacebo tablets matching empagliflozin once daily
Empagliflozin high doseEmpagliflozinEmpagliflozin tablets once daily
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Glycated Haemoglobin (HbA1c) at Week 26Baseline to week 26

Change from baseline in glycated haemoglobin (HbA1c) for full analysis set (FAS) (observed cases \[OC\]) is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline. Restricted maximum likelihood estimation based on mixed-effect model for repeated measures (MMRM) analysis was used to obtain adjusted means for the treatment effects.

Change From Baseline in Glycated Haemoglobin (HbA1c) at Week 26 for Modified Intention-to-treat Population Set (mITT) (Observed Case (OC) - All Data (AD) (OC-AD) )Baseline to week 26

Change from baseline in glycated haemoglobin (HbA1c) for modified intention-to-treat population set (mITT) (observed case - all data \[OC-AD\]) is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline. Restricted maximum likelihood estimation based on mixed-effect model for repeated measures (MMRM) analysis was used to obtain adjusted means for the treatment effects.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Interstitial Glucose Variability Based on the Interquartile Range (IQR) as Determined by CGM in Weeks 23 to 26Week 23 to 26

Change from baseline in interstitial glucose variability based on the IQR as determined by CGM is presented for week 23 to 26. Least squares mean is actually an adjusted event rate.

Change From Baseline in Total Daily Insulin Dose (TDID) at Week 26Baseline to week 26

Change from baseline in TDID is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline.

Change From Baseline in Percentage of Time Spent in Target Glucose Range From Weeks 23 to 26Week 23 to 26

Change from baseline in the percentage of time spent in target glucose range of \>70 to ≤180 mg/dL (\>3.9 to ≤10.0 mmol/L) as determined by continuous glucose monitoring (CGM) is presented in week 23 to 26. Least squares mean is actually an adjusted event rate.

Rate Per Patient-year of Investigator-reported Symptomatic Hypoglycaemia Adverse Events (AEs) With Confirmed Plasma Glucose (PG)Week 5 to Week 26, Week 1 to Week 26

This is a key secondary endpoint. Rate per patient-year of investigator-reported symptomatic hypoglycaemia adverse events (AEs) with confirmed plasma glucose (PG) \<54 milligram per deciliter (mg/dL) (\<3.0 millimoles per litre (mmol/L)) and/or severe hypoglycaemia AEs (i.e. all investigator-reported AEs that had confirmed PG \<54 mg/dL \[\<3.0 mmol/L\] with symptoms reported and all severe hypoglycaemia events that were confirmed by adjudication) is presented for (i) From week 5 to 26 and (ii) From week 1 to 26. Least squares mean is actually an adjusted event rate.

Change From Baseline in Body Weight at Week 26Baseline to week 26

Change from baseline in body weight is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline.

Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Week 26Baseline to week 26

Change from baseline in SBP and DBP is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline.

Trial Locations

Locations (131)

AMCR Institute, Inc.

🇺🇸

Escondido, California, United States

Diabetes/Lipid Management and Research Center

🇺🇸

Huntington Beach, California, United States

National Research Institute

🇺🇸

Los Angeles, California, United States

Mills-Peninsula Health Services

🇺🇸

San Mateo, California, United States

Metabolic Institute of America

🇺🇸

Tarzana, California, United States

University Clinical Investigators, Inc.

🇺🇸

Tustin, California, United States

Creekside Endocrine Associates, PC

🇺🇸

Denver, Colorado, United States

The Center for Diabetes and Endocrine Care

🇺🇸

Fort Lauderdale, Florida, United States

East Coast Institute for Research, LLC

🇺🇸

Jacksonville, Florida, United States

Baptist Diabetes Associates, PA

🇺🇸

Miami, Florida, United States

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AMCR Institute, Inc.
🇺🇸Escondido, California, United States

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