A Study to Assess the Efficacy and Safety of ASP1941 in Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin and Sitagliptin

November 9, 2018 updated by: Astellas Pharma Korea, Inc.

A Phase 3, Multicenter, Double-Blind, Randomized, Parallel-group, Placebo-Controlled Study to Assess the Efficacy and Safety of ASP1941 in Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin and Sitagliptin

The purpose of this study is to compare the efficacy and safety of ASP1941 50mg once daily in combination with metformin and sitagliptin against placebo in combination with metformin and sitagliptin over a 24 week treatment period in subjects with type 2 diabetes mellitus with inadequate glycemic control on metformin and sitagliptin.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
143

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Korea, Republic of
      • Busan, Korea, Republic of
        • Site KR00002
      • Busan, Korea, Republic of
        • Site KR00003
      • Daegu, Korea, Republic of
        • Site KR00007
      • Daegu, Korea, Republic of
        • Site KR00011
      • Dong Gu Gwangju, Korea, Republic of
        • Site KR00019
      • Gangwon-do, Korea, Republic of
        • Site KR00008
      • Gyeonggi-do, Korea, Republic of
        • Site KR00018
      • Gyeonggi-do, Korea, Republic of
        • Site KR00022
      • Incheon, Korea, Republic of
        • Site KR00014
      • Jeollabuk-do, Korea, Republic of
        • Site KR00020
      • Kyungsangnam-do, Korea, Republic of
        • Site KR00021
      • Seoul, Korea, Republic of
        • Site KR00006
      • Seoul, Korea, Republic of
        • Site KR00001
      • Seoul, Korea, Republic of
        • Site KR00004
      • Seoul, Korea, Republic of
        • Site KR00005
      • Seoul, Korea, Republic of
        • Site KR00009
      • Seoul, Korea, Republic of
        • Site KR00010
      • Seoul, Korea, Republic of
        • Site KR00012
      • Seoul, Korea, Republic of
        • Site KR00013
      • Seoul, Korea, Republic of
        • Site KR00016
      • Seoul, Korea, Republic of
        • Site KR00017
      • Suwon, Korea, Republic of
        • Site KR00015

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

19 years to 74 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Subject has been diagnosed with type 2 diabetes mellitus.
  • Subject has an HbA1c value between 7.0% and 10.5 % at visit 1.
  • Subject shows FPG (Fasting Plasma Glucose) value is less than 270mg/dL.
  • Subject shows a BMI of 20.0 to 45.0 kg/m2.
  • Subject is on stable diet and exercise program at least 8 weeks prior to study participation.
  • Postmenopausal female or surgically sterile female or agree not to become pregnant.

Exclusion Criteria:

  • Subject has type 1 diabetes mellitus.
  • Subject has proliferative diabetic retinopathy.
  • Subject has a history of clinically significant renal disease(s) such as renovascular occlusive disease, nephrectomy, or renal transplant.
  • Subject has significant dysuria caused by a neurogenic bladder or a benign prostatic hypertrophy etc.
  • Subject has a symptomatic urinary tract infection or genital infection.
  • Subject has chronic disease(s) that require the continuous use of systemic corticosteroids or immunosuppressants.
  • Subject has cardiovascular disease or cerebrovascular disease that may affect the administration of ASP1941 or its safety assessment in the opinion of the investigator or sub-investigator.
  • Subject has uncontrollable psychiatric disorder(s) with medication.
  • Male subject is not willing to use appropriate contraception during the study.
  • Subject has severe infection, serious trauma, or perioperative subject.
  • Subject has a malignant tumor or has a history of malignant tumor.
  • Subject has severe gastrointestinal disease, or history of operation for serious gastrointestinal disease.
  • Subject has diabetic ketoacidosis.
  • Subject has lactic acidosis or has history of lactic acidosis.
  • Subject has hepatitis or is a carrier of hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, or is positive for HIV-1 and/or HIV-2.
  • Subject has a history of thyroid dysfunction and acute pancreatitis.
  • Subject is on weight-loss program or weight-loss medication (e.g. orlistat, phentermine/topiramate, lorcaserin) within 12 weeks of study participation.
  • Subject has a history of serious cardiac diseases (NYHA Class III to IV), congestive heart failure, arrhythmia in need of medical treatment.
  • Subject has a history of cerebrovascular attack, unstable angina, myocardial infarction, angioplasty, within 52 weeks (364 days) of study participation.
  • Subject has uncontrollable severe hypertension, i.e., systolic blood pressure of higher than 180 mmHg or diastolic blood pressure of higher than 110mmHg measured in a sitting position after a 5-minute rest.

  • Subject has following AST or ALT value:

    • AST: Male > 100 U/L, Female > 80 U/L
    • ALT: Male > 102.5 U/L, Female > 82.5 U/L

  • Subject has following serum creatinine value:

    • Creatinine: Male > 1.3 mg/dL, Female > 1.2 mg/dL
  • Subject has estimated GFR values, of < 60 mL/min/1.73m2.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: ASP1941 group
once daily over a 24 week treatment
Drug: ASP1941
oral
Other Names:
  • Suglat
  • ipragliflozin
Placebo Comparator: Placebo group
once daily over a 24 week treatment
Drug: Placebo
oral

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Time Frame
Change from baseline in HbA1c at the end of treatment
Time Frame: at 24 weeks
at 24 weeks

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Change from baseline in Fasting plasma glucose at the end of treatment
Time Frame: at 24 weeks
at 24 weeks
Change from baseline in Fasting serum insulin at the end of treatment
Time Frame: at 24 weeks
at 24 weeks
Change from baseline in Body weight at the end of treatment
Time Frame: at 24 weeks
at 24 weeks
Change from baseline in Waist circumference at the end of treatment
Time Frame: at 24 weeks
at 24 weeks
Safety assessed by development of adverse events, vital signs, laboratory tests, and 12-lead ECG
Time Frame: up to 24 weeks
ECG: Electrocardiogram
up to 24 weeks
Number of subjects achieving the target HbA1c(<6.5% and <7.0%) at each visit
Time Frame: at 4, 8, 12, 16 and 24 weeks
at 4, 8, 12, 16 and 24 weeks
Percentage of subjects achieving the target HbA1c(<6.5% and <7.0%) at each visit
Time Frame: at 4, 8, 12, 16 and 24 weeks
at 4, 8, 12, 16 and 24 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Astellas Pharma Korea, Inc.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
June 22, 2015

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
January 5, 2017

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
January 5, 2017

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
May 14, 2015

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
May 20, 2015

First Posted (Estimate)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
May 22, 2015

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
November 14, 2018

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 9, 2018

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
November 1, 2018

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 1941-CL-2009

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Access to anonymized individual participant level data collected during the trial, in addition to study-related supporting documentation, is planned for trials conducted with approved product indications and formulations, as well as compounds terminated during development. Conditions and exceptions are described under the Sponsor Specific Details for Astellas on www.clinicalstudydatarequest.com.

IPD Sharing Time Frame

Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.

IPD Sharing Access Criteria

Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • CSR

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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