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临床试验/EUCTR2008-007444-34-DE
EUCTR2008-007444-34-DE进行中(未招募)不适用

A Multicenter, Randomized, Double-Blind, Active-Controlled Study to Evaluate the Durability of the Efficacy and Safety of Alogliptin Compared to Glipizide When Used in Combination with Metformin in Subjects with Type 2 Diabetes

Takeda Global Research & Development Centre (Europe) Ltd.0 个研究点目标入组 2,691 人开始时间: 2009年6月29日最近更新:
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试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
2,691

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Subject eligibility is determined according to the following criteria:
  • 1. Male or female subjects, 18 to 80 years of age, inclusive with a historical diagnosis of T2DM
  • 2. The subjects must meet one of the following:
  • a) The subject has been inadequately controlled on a stable daily dose of =1500 mg (or documented MTD) of metformin for at least 2 months prior to Screening. Inadequate glycemic control is defined as an HbA1c concentration between 7.0 and 9.0%, inclusive. These subjects will immediately enter the stabilization period according to Study Schedule A.
  • b) The subject has been inadequately controlled (as defined by an HbA1c 7.5-10%, inclusive) on metformin <1500 mg without documented MTD. After completing the Pre-screening visit, these subjects will have their metformin dose immediately increased to <1500 mg (or MTD) for an 8-week period according to Study Schedule B. Following this 8-week period, the subject must qualify for entry into the stabilization period by completing the Screening Visit having inadequate glycemic control defined as an HbA1c concentration between 7.0 and 9.0%, inclusive.
  • 3. No treatment with antidiabetic agents other than metformin within 2 months prior to Screening (for Schedule A) / Pre-Screening (for Schedule B) (Exception: if a subject has received other antidiabetic therapy for less than 7 days within the 2 months prior to Screening/Pre-Screening).
  • 4. Body mass index (BMI) =23 kg/m2 and =45 kg/m2 unless the subject is Asian or of Asian descent, for whom the allowable body mass index will be =20 kg/m2 and =35 kg/m2, inclusive.
  • 5. Fasting C-peptide concentration =0.8 ng/mL (=0.26 nmol/L).
  • 6. Subjects regularly using other, non-excluded medications, must be on a stable dose for at least the 4 weeks prior to Screening/Pre-screening. However, PRN (as needed) use of prescription or over-the-counter medications is allowed at the discretion of the investigator.
  • 7. A female subject of childbearing potential and males who are sexually active agree to routinely use adequate contraception from Screening throughout the duration of the study.
  • NOTE: Women NOT of childbearing potential are defined as those who have been surgically sterilized (hysterectomy, bilateral salpingo-oophorectomy, bilateral tubal ligation) or who are postmenopausal (defined as at least 45 years and above and at least 1 year since last regular menses). Acceptable methods of contraception are defined in Section 9.1.13 Contraception and Pregnancy Avoidance Procedure.
  • 8. Subject or the subject’s legally acceptable representative is able and willing to provide written informed consent prior to the initiation of any study procedures.
  • 9. The subject is capable of understanding and complying with protocol requirements, including scheduled clinic appointments.
  • 10. Able and willing to monitor their own blood glucose concentrations with a home glucose monitor and complete subject diaries.
  • Additional Inclusion Criteria
  • In order to be eligible for randomization, each of the following additional criteria must be satisfied with a Yes” answer:
  • 1. HbA1c concentration between 7.0% and 9.0%, inclusive, at the Week -1 visit. (Of note, if the subject does not qualify for randomization based on this criterion, the assessment may be repeated on a weekly basis, for a maximum of 2 additional weeks.)
  • 2. FPG <275 mg/dL (15.27 mmol/L) at Week -1 visit. (Of note, if the subject does not qualify for randomization based on this criterion, the assessment

排除标准

  • Any subject who meets any of the following criteria will not qualify for entry into the study:
  • 1. Systolic blood pressure =150 mm Hg and/or diastolic pressure =90 mm Hg at Screening Visit.
  • 2. Hemoglobin =12 g/dL (=120 gm/L) for males and =10 g/dL (=100 gm/L) for females at Screening Visit.
  • 3. Alanine aminotransferase >2.5 x upper limit of normal at Screening Visit.
  • 4. Serum creatinine =1.5 mg/dL for males and =1.4 mg/dL for females or creatinine clearance <60 mL/min, based on calculation by central lab using the Cockcroft-Gault approximation at Screening Visit.
  • 5. Subject plans to become pregnant during the study or is pregnant (confirmed by laboratory testing, ie, serum/urine hCG, in females of childbearing potential) or is lactating.
  • 6. Subject has a history of cancer, other than squamous cell or basal cell carcinoma of the skin that has not been in full remission for at least 5 years prior to Screening. (A history of treated CIN I, II or CIN III [cervical intraepithelial neoplasia] is allowed.)
  • 7. Subject has a history of laser treatment for proliferative diabetic retinopathy within the 6 months prior to Screening.
  • 8. Subject has a history of treatment for diabetic gastric paresis, gastric banding, or gastric bypass surgery.
  • 9. Subject has New York Heart Association Class III or IV heart failure regardless of therapy. Currently treated subjects who are stable at Class I or II are candidates for the study (see Appendix E.)
  • 10. Subject has a history of coronary angioplasty, coronary stent placement, coronary bypass surgery, myocardial infarction, stroke or transient ischemic attack (TIA) within the 3 months prior to Screening.
  • 11. Subject has a history of any hemoglobinopathy that may affect determination of HbA1c.
  • 12. Subject has a known history of infection with human immunodeficiency virus (HIV), Hepatitis B virus (HBV) or Hepatitis C virus (HCV).
  • 13. Subject has a history of any psychiatric disorder that will affect the subject’s ability to participate in the study.
  • 14. Subject has a history of alcohol or substance abuse within the 2 years prior to Screening.
  • 15. Subject has received any investigational drug within the 30 days prior to Screening or has received an investigational antidiabetic drug within the 3 months prior to Screening.
  • 16. Subject has received any antidiabetic drug in the DPP-IV inhibitors or GLP-1 mimetics classes within 90 days prior to Screening.
  • 17. Subject has any major illness or debility that in the investigator’s opinion prohibits the subject from completing the study.
  • 18. Subject has participated in a previous investigational study of alogliptin that has completed and received alogliptin treatment.
  • 19. The subject is a study site employee, or is an immediate family member (ie, spouse, parent, child, and sibling) of a study site employee who is involved in conduct of this study.
  • 20. The subject has a history of hypersensitivity, allergies, or have had an anaphylactic reaction(s) to any DPP-IV inhibitor drug, metformin or glipizide.
  • 21. The subject is unable to understand verbal or written English, or any other language for which a certified translation of the approved informed consent is available.
  • 22. Subject has a documented history or concurrent signs of significant thyroid disease (eg, autoimmune thyroid diseases such as Graves disease and Hashimoto thyroiditis or active thyroid nodules).

研究者

发起方
Takeda Global Research & Development Centre (Europe) Ltd.

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