A Phase III Study of BMS-512148 (Dapagliflozin) in Patients With Type 2 Diabetes Who Are Not Well Controlled on Metformin Alone
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin Alone
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, 1431
- Local Institution
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Cordoba, Argentina, 5000
- Local Institution
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Buenos Aires
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Capital Federal, Buenos Aires, Argentina, 1034
- Local Institution
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Capital Federal, Buenos Aires, Argentina, 1429
- Local Institution
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Capital Federal, Buenos Aires, Argentina, C1056ABJ
- Local Institution
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Capital Federal, Buenos Aires, Argentina, C1425AGC
- Local Institution
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Ciudad Auton, Buenos Aires, Argentina, C1408INH
- Local Institution
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Ciudad Auton., Buenos Aires, Argentina, C1505CWB
- Local Institution
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Mar Del Plata, Buenos Aires, Argentina, 7600
- Local Institution
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Zarate, Buenos Aires, Argentina, 2800
- Local Institution
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Cordoba
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Villa Carlos Paz, Cordoba, Argentina, 5152
- Local Institution
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Rio De Janeiro, Brazil, 20211
- Local Institution
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Ceara
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Fortaleza, Ceara, Brazil, 60021
- Local Institution
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Minas Gerais
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Itajuba, Minas Gerais, Brazil, 37502
- Local Institution
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Para
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Belem, Para, Brazil, 66073
- Local Institution
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Rio Grande Do Sul
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Caxias Do Sul, Rio Grande Do Sul, Brazil, 95070
- Local Institution
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Porto Alegre, Rio Grande Do Sul, Brazil, 90020090
- Local Institution
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Porto Alegre, Rio Grande Do Sul, Brazil, 90035
- Local Institution
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Sao Paulo
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Marilia, Sao Paulo, Brazil, 17519
- Local Institution
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Alberta
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Calgary, Alberta, Canada, T2R 0X7
- Local Institution
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British Columbia
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Kelowna, British Columbia, Canada, V1Y 2H4
- Local Institution
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Manitoba
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Winnipeg, Manitoba, Canada, R3E 3P4
- Local Institution
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New Brunswick
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Bathurst, New Brunswick, Canada, E2A 4X7
- Local Institution
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Newfoundland and Labrador
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Mount Pearl, Newfoundland and Labrador, Canada, A1N 1W7
- Local Institution
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St-John, Newfoundland and Labrador, Canada, A1E 2E2
- Local Institution
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Ontario
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Sarnia, Ontario, Canada, N7T 4X3
- Local Institution
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Thornhill, Ontario, Canada, L4J 8L7
- Local Institution
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Toronto, Ontario, Canada, M4R 2G4
- Local Institution
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Toronto, Ontario, Canada, M9W 4L6
- Local Institution
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Prince Edward Island
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Charlottetown, Prince Edward Island, Canada, C1A 5Y9
- Local Institution
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Quebec
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Drummondville, Quebec, Canada, J2B 7T1
- Local Institution
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Granby, Quebec, Canada, J2G 8Z9
- Local Institution
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L'Ancienne Lorette, Quebec, Canada, G2E 2X1
- Local Institution
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Mirabel, Quebec, Canada, J7J 2K8
- Local Institution
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St-Leonard, Quebec, Canada, H1S 3A9
- Local Institution
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Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7K 3H3
- Local Institution
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Saskatoon, Saskatchewan, Canada, S7K 7H9
- Local Institution
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Durango, Mexico, 64710
- Local Institution
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Distrito Federal
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Df, Distrito Federal, Mexico, 11800
- Local Institution
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Guadalajara, Distrito Federal, Mexico, 44670
- Local Institution
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Zapopan, Distrito Federal, Mexico, 45150
- Local Institution
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Jalisco
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Guadalajara, Jalisco, Mexico, 44650
- Local Institution
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Guadalajara, Jalisco, Mexico, 44670
- Local Institution
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Nuevo Leon
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Monterrey, Nuevo Leon, Mexico, 64710
- Local Institution
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Monterrey, Nuevo Leon, Mexico, 64460
- Local Institution
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Monterrrey, Nuevo Leon, Mexico, 64700
- Local Institution
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Tamaulipas
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Tampico, Tamaulipas, Mexico, 89109
- Local Institution
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Arizona
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Tempe, Arizona, United States, 85282
- Clinical Research Advantage / Desert Clinical Res, Llc
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California
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Encino, California, United States, 91436
- Medical Group of Encino
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Fresno, California, United States, 93720
- Valley Research
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Los Angeles, California, United States, 90023
- Randall Shue, D.O.
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Northridge, California, United States, 91325
- Diabetes Medical Center Of California
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San Diego, California, United States, 92117
- Ritchken & First M.D.'S
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Spring Valley, California, United States, 91978
- Encompass Clinical Research
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Torrance, California, United States, 90505
- Raikhel, Marina
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Colorado
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Colorado Springs, Colorado, United States, 80909
- Express Care Clinical Res
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Denver, Colorado, United States, 80209
- Denver Internal Medicine
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Golden, Colorado, United States, 80401
- New West Physicians
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Florida
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Altamonte Springs, Florida, United States, 32701
- Central Florida Clinical Trials, Inc.
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Chipley, Florida, United States, 32428
- Family Care Associates Of Nw Florida
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Minnesota
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Minneapolis, Minnesota, United States, 56440
- Health Partners Research Foundation
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Missouri
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Chesterfield, Missouri, United States, 63017
- Woodlake Research
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Nevada
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Las Vegas, Nevada, United States, 89101
- Nevada Alliance Against Diabetes
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North Carolina
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Morehead City, North Carolina, United States, 28557
- Diabetes & Endocrinology Consultants, PC
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Ohio
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Newark, Ohio, United States, 43055
- Newark Physician Associates
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73159
- Integris Family Care S. Penn
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Pennsylvania
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Carlisle, Pennsylvania, United States, 17013
- Cumberland Valley Endocrinology Center, Llc
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Pittsburgh, Pennsylvania, United States, 15216
- Banksville Medical Pc
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South Carolina
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Summerville, South Carolina, United States, 29485
- Palmetto Clinical Research
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Taylors, South Carolina, United States, 29687
- Southeastern Research Assoc
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Texas
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Houston, Texas, United States, 77081
- Texas Center For Drug Development, P.A.
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San Antonio, Texas, United States, 78229
- Diabetes & Glandular Disease Research Associates, Inc.
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San Antonio, Texas, United States, 78229
- S.A.M. Clinical Research Center
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Utah
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Salt Lake City, Utah, United States, 84102
- Optimum Clinical Research
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Washington
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Spokane, Washington, United States, 99216
- Office Of Dr. Gray
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria
- Males and females, 18 to 77 years old, with type 2 diabetes and inadequate glycemic control
- Participants who have been receiving metformin at a total daily dose ≥1500 mg per day for at least 8 weeks
- C-peptide ≥1.0 ng/mL
- Body mass index ≤45.0 kg/m^2
- Serum creatinine level <1.50 mg/dL for men or <1.40 mg/dL for women.
Key Exclusion Criteria
- Aspartate aminotransferase and/or alanine aminotransferase level >3.0 times the upper limit of normal
- Serum total bilirubin level >2 mg/dL
- Creatinine kinase level >3 times upper limit of normal
- Symptoms of severely uncontrolled diabetes
- Serum creatinine level ≥1.50 mg/dL for men or ≥1.40 mg/dL for women
- Currently unstable or serious cardiovascular, renal, hepatic, hematologic, oncologic, endocrine, psychiatric, or rheumatic diseases
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo + Metformin
Participants received dapagliflozin-matching placebo once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
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Dapagliflozin-matching placebo administered as tablets orally once daily for up to 102 weeks
Open-label metformin administered as ≥1500 mg per day for up to 102 weeks
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Experimental: Dapagliflozin, 2.5 mg + Metformin
Participants received dapagliflozin, 2.5 mg, once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
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Open-label metformin administered as ≥1500 mg per day for up to 102 weeks
Tablets administered orally as a 2.5-, 5-, or 10-mg dose once daily for up to 102 weeks
Other Names:
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Experimental: Dapagliflozin, 5 mg + Metformin
Participants received dapagliflozin, 5 mg, once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
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Open-label metformin administered as ≥1500 mg per day for up to 102 weeks
Tablets administered orally as a 2.5-, 5-, or 10-mg dose once daily for up to 102 weeks
Other Names:
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Experimental: Dapagliflozin, 10 mg + Metformin
Participants received dapagliflozin, 10 mg, once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
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Dapagliflozin-matching placebo administered as tablets orally once daily for up to 102 weeks
Open-label metformin administered as ≥1500 mg per day for up to 102 weeks
Tablets administered orally as a 2.5-, 5-, or 10-mg dose once daily for up to 102 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
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HbA1c was measured as percent of hemoglobin by a central laboratory.
Data after rescue medication was excluded from this analysis.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, 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 during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period.
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From Baseline to Week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
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Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Data after rescue medication was excluded from this analysis.
Fasting plasma glucose was measured as milligrams per deciliter (mg/dL) by a central laboratory.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.
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From Baseline to Week 24
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Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
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Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined.
Data after rescue medication was excluded from this analysis.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, 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 during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the double-blind period.
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From Baseline to Week 24
|
|
Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
|
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Percent adjusted for baseline HbA1c.
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.
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From Baseline to Week 24
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
|
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
HbA1c was measured as percent of hemoglobin by a central laboratory.
The population included those randomized participants who received treatment and had a baseline HbA1c > 9.0%.
Data after rescue medication were excluded from this analysis.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.
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From Baseline to Week 24
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Adjusted Mean Change From Baseline in Total Body Weight at Week 24 in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
|
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined.)
Data after rescue medication was excluded from this analysis.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, 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 during the qualification and lead-in Periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the double-blind period.
|
From Baseline to Week 24
|
|
Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
|
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Adjusted for baseline HbA1c.
HbA1c was measured as percent of hemoglobin by a central laboratory.
Data after rescue medication were excluded from this analysis.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.
|
From Baseline to Week 24
|
|
Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 1
|
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Data after rescue medication was excluded from this analysis.
Fasting plasma glucose was measured by a central laboratory.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.
|
From Baseline to Week 1
|
|
Adjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])
Time Frame: From Baseline to Week 24
|
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order.
Percent adjusted for baseline HbA1c.
Data after rescue medication was excluded from this analysis.
HbA1c was measured as a percent of hemoglobin.
|
From Baseline to Week 24
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Adverse Events (AEs), Hypoglycemia Events, Related AEs, Death as Outcome, Serious AEs (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs Leading to Discontinuation, and Hypoglycemia Events Leading to Discontinuation
Time Frame: From Baseline to end of Long-term Period (Week 102)
|
AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment.
SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization.
Related=having certain, probable, possible, or missing relationship to study drug.
Events captured from baseline to last dose plus 4 days for AEs and plus 30 days for SAEs during the double-blind 12-week period.
Data after rescue included.
|
From Baseline to end of Long-term Period (Week 102)
|
|
Number of Participants With Laboratory Test Results Meeting the Criteria for Laboratory Abnormality
Time Frame: Day 1 to Week 102
|
BUN=blood urea nitrogen; preRX=pretreatment; ULN=upper limit of normal; AST=aspartate aminotransferase; ALT=alanine aminotransferase; ALP=alkaline phosphatase.
Phosphorus, inorganic (low): ages 17-65 years, ≤1.8 mg/dL; ages≥66 years, ≤2.1 mg/dL.
Phosphorus, inorganic (high): ages 17-65 years, ≥5.6 mg/dL; ages≥66 years, ≥5.6 mg/dL.
Phosphorus, inorganic (low) ≤1.8 mg/dL if age 17-65 or ≤2.1 mg/dL if age ≥66.
Calcium, total (high): ≥1 mg/dL from ULN and ≥0.5 mg/dL from preRx value.
|
Day 1 to Week 102
|
|
Number of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])
Time Frame: Baseline to Week 102
|
12-Lead electrocardiograms (ECGs) were performed at entry into lead-in period Day -7 visit and Week 24/dnd of treatment visit (LOCF) on participants who were supine.
ECGs were assessed by the investigator.
Baseline was Day -7 for this parameter.
Data after rescue included.The Week 102 value is the last observation, regardless of rescue prior to Week 102 if no Week 102 measurement was available.
|
Baseline to Week 102
|
|
Mean Changes From Baseline in Seated Systolic Blood Pressure
Time Frame: From Baseline to Week 102
|
Blood pressure values were obtained after the participant was seated quietly for 5 minutes; at least 8 hours after the last ingestion of caffeine, alcohol, or nicotine; and in the same arm (right or left) consistently through out the study.
Data after rescue were also included.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.
|
From Baseline to Week 102
|
|
Mean Changes From Baseline in Seated Diastolic Blood Pressure
Time Frame: From Baseline to Week 102
|
Blood pressure values were obtained after the participant was seated quietly for 5 minutes; at least 8 hours after the last ingestion of caffeine, alcohol, or nicotine; and in the same arm (right or left) consistently through out the study.
Data after rescue were also included.
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication.
In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.
|
From Baseline to Week 102
|
|
Number of Participants With Orthostatic Hypotension
Time Frame: From Baseline to Week 102
|
Orthostatic hypotension was defined as a decrease from supine to standing blood pressure of >20 mm Hg in systolic blood pressure or >10 mm Hg in diastolic blood pressure.
|
From Baseline to Week 102
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Shah M, Stolbov L, Yakovleva T, Tang W, Sokolov V, Penland RC, Boulton D, Parkinson J. A model-based approach to investigating the relationship between glucose-insulin dynamics and dapagliflozin treatment effect in patients with type 2 diabetes. Diabetes Obes Metab. 2021 Apr;23(4):991-1000. doi: 10.1111/dom.14305. Epub 2021 Jan 25.
- Bailey CJ, Del Prato S, Wei C, Reyner D, Saraiva G. Durability of glycaemic control with dapagliflozin, an SGLT2 inhibitor, compared with saxagliptin, a DPP4 inhibitor, in patients with inadequately controlled type 2 diabetes. Diabetes Obes Metab. 2019 Nov;21(11):2564-2569. doi: 10.1111/dom.13841. Epub 2019 Aug 26.
- Mellander A, Billger M, Johnsson E, Traff AK, Yoshida S, Johnsson K. Hypersensitivity Events, Including Potentially Hypersensitivity-Related Skin Events, with Dapagliflozin in Patients with Type 2 Diabetes Mellitus: A Pooled Analysis. Clin Drug Investig. 2016 Nov;36(11):925-933. doi: 10.1007/s40261-016-0438-3.
- Kohan DE, Fioretto P, Johnsson K, Parikh S, Ptaszynska A, Ying L. The effect of dapagliflozin on renal function in patients with type 2 diabetes. J Nephrol. 2016 Jun;29(3):391-400. doi: 10.1007/s40620-016-0261-1. Epub 2016 Feb 19.
- Bailey CJ, Gross JL, Hennicken D, Iqbal N, Mansfield TA, List JF. Dapagliflozin add-on to metformin in type 2 diabetes inadequately controlled with metformin: a randomized, double-blind, placebo-controlled 102-week trial. BMC Med. 2013 Feb 20;11:43. doi: 10.1186/1741-7015-11-43. Erratum In: BMC Med. 2013;11:193.
- Bailey CJ, Gross JL, Pieters A, Bastien A, List JF. Effect of dapagliflozin in patients with type 2 diabetes who have inadequate glycaemic control with metformin: a randomised, double-blind, placebo-controlled trial. Lancet. 2010 Jun 26;375(9733):2223-33. doi: 10.1016/S0140-6736(10)60407-2.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MB102-014 LT
- MB102-014 (Other Identifier: Other Study ID Numbers:)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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