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临床试验/NCT04885712
NCT04885712已完成3 期

A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Study to Evaluate the Efficacy and Safety of Pioglitazone 15mg or Pioglitazone 30mg Add-on in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin and Dapagliflozin

Boryung Pharmaceutical Co., Ltd1 个研究点 分布在 1 个国家目标入组 378 人开始时间: 2021年5月28日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
已完成
入组人数
378
试验地点
1
主要终点
Changes in HbA1c

研究概览

简要总结

A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Study to Evaluate the Efficacy and Safety of Pioglitazone 15mg or Pioglitazone 30mg Add-on in Patients with Type 2 Diabetes Mellitus Inadequately Controlled with Metformin and Dapagliflozin

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
19 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Those who voluntarily signed the informed consent to participate in this study.
  • Adults aged 19 years or older.
  • Those diagnosed with type 2 diabetes mellitus.
  • Subjects taking constant doses of ≥1000mg of Metformin and 10 mg of Dapagliflozin for more than 8 weeks at Visit 1 (regardless of dosage forms (immediate-release and sustained-release) and single agent or combination drug.)
  • Subjects with 7% ≤ HbA1c ≤ 10.5% at Visit 1 and Visit 2
  • Subjects able to understand the study, comply with study procedures, and attend all scheduled visits.

排除标准

  • Uncontrolled hyperglycemia at Visit 1 or Visit 2 (subjects with FPG > 270 mg/dL as a result of the test conducted by the study institution.)
  • Medication compliance is <70% or >120% for each BR3003D, BR3003C, BR3003A-2, and BR3003B-2 during the Run-in period at Visit
  • Patients with other types of diabetes instead of type 2 diabetes (e.g., type 1 diabetes, secondary diabetes, or congenital renal glycosuria).
  • Patients with uncontrolled, severe diabetic complications (e.g., proliferative diabetic retinopathy uncontrolled despite medication and severe diabetic neuropathy)
  • Those who suffered from acute or chronic metabolic acidosis within 3 months as of Visit 1, including lactic acidosis and diabetic ketoacidosis.
  • Those with > 40 kg/m2 of BMI measured at Visit
  • Those with uncontrolled hypertension at Visit 1 or Visit 2 (SBP > 180 mmHg or DBP > 110 mmHg).
  • Those diagnosed with cardiovascular diseases (myocardial infarction, stroke, unstable angina, and transient ischemic attack (TIA)) or undergo revascularization within 3 months as of Visit 1
  • Those with heart failure (NYHA class II~IV) or who had suffered from heart failure.
  • Those who suffered from gastrointestinal diseases that may affect the absorption, distribution, metabolism, and excretion of investigational products or had underwent surgery;
  • Those who underwent surgery requiring general anesthesia within 4 weeks as of Visit 1 or who are scheduled to receive such surgery within 4 weeks after the study ends
  • Those with a history of malignant tumor within 5 years as of Visit 1
  • Those who have a clinically significant liver disease
  • Those who have a clinically significant renal disease
  • Those with clinically significant hematuria detected at Visit 1 or Visit 2
  • Those with chronic diseases requiring the continued use of systemic steroid or immunosuppressants (oral administration, injection, or inhalation).
  • Patients with pituitary insufficiency or adrenal insufficiency.
  • Those with clinically significant severe infection or trauma based on an investigator's judgement.
  • Patients with AIDS.
  • Patients with acute or chronic diseases that may cause histotoxic hypoxia such as respiratory failure and shock.
  • Those who need treatment due to dehydration caused by persistent diarrhea and vomiting or at a risk of fluid volume depletion.
  • Those who have been administered with the following drugs or expected to require the continued administration during the study period:
  • Those administered with systemic steroid agents (Prednisolone, >30 mg/day) within 2 weeks as of Visit
  • Those being administered with thyroid medications and whose dose has been modified within 6 weeks as of Visit 1 (however, dose reduction is accepted.)
  • Those being administered with diuretics and whose dose has been modified within 8 weeks as of Visit 1 however, dose reduction is accepted.)
  • Those who have been administered with antidiabetics other than Metformin and Dapagliflozin within 8 weeks as of Visit
  • Those who have been administered with obesity drugs (e.g., phentermine, phendimetrazine, diethylpropion, and mazindol) within 12 weeks as of Visit
  • Those who need to take prohibited concomitant medications stated here during the study period.
  • Those with history of alcohol or drug abuse within 1 year as of Visit
  • Those who had allergic reaction to main ingredients or components of the investigational products.
  • Those who had genetic disorders such as galactose intolerance, Lapp lactose deficiency, or glucose-galactose malabsorption.
  • Females who are pregnant or breastfeeding.
  • Patients planning to become pregnant or of childbearing potential, but not using any recognized contraceptive method
  • Those who are currently participating in other ongoing clinical studies or those who have taken the investigational products from other clinical studies within 12 weeks as of Visit 1
  • Those who are judged unsuitable for the study by a principal investigator or investigators.

研究组 & 干预措施

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg + Pioglitazone 30mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg Pioglitazone 30mg placebo

干预措施: Metformin≥1000mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg + Pioglitazone 30mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg Pioglitazone 30mg placebo

干预措施: Pioglitazone 15mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg + Pioglitazone 30mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg Pioglitazone 30mg placebo

干预措施: Pioglitazone 30mg Placebo (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg + Pioglitazone 30mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg Pioglitazone 30mg placebo

干预措施: Dapagliflozin 10mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 30mg +Pioglitazone 15mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 30mg Pioglitazone 15mg placebo

干预措施: Metformin≥1000mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 30mg +Pioglitazone 15mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 30mg Pioglitazone 15mg placebo

干预措施: Pioglitazone 30 mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 30mg +Pioglitazone 15mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 30mg Pioglitazone 15mg placebo

干预措施: Pioglitazone 15mg Placebo (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 30mg +Pioglitazone 15mg Placebo

Experimental

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 30mg Pioglitazone 15mg placebo

干预措施: Dapagliflozin 10mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg Placebo+ Pioglitazone 30mg Placebo

Active Comparator

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg placebo Pioglitazone 30mg placebo

干预措施: Metformin≥1000mg (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg Placebo+ Pioglitazone 30mg Placebo

Active Comparator

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg placebo Pioglitazone 30mg placebo

干预措施: Pioglitazone 15mg Placebo (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg Placebo+ Pioglitazone 30mg Placebo

Active Comparator

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg placebo Pioglitazone 30mg placebo

干预措施: Pioglitazone 30mg Placebo (Drug)

Metformin≥1000mg + Dapagliflozin 10mg + Pioglitazone 15mg Placebo+ Pioglitazone 30mg Placebo

Active Comparator

Metformin≥1000mg Dapagliflozin 10mg Pioglitazone 15mg placebo Pioglitazone 30mg placebo

干预措施: Dapagliflozin 10mg (Drug)

结局指标

主要结局

Changes in HbA1c

时间窗: 24th week

Changes in HbA1c at the 24th week after the administration of investigational products from the baseline

次要结局

未报告次要终点

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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