Evaluation of the Effect of Dapagliflozin in Combination With Metformin on Body Weight in Subjects With Type 2 Diabetes
A 24-week,Multi-centre,Int.,Double-blind,Rand.,Parallel-group,Plac.-Controlled,Phase III Study With a 78-week Ext.Per. to Evaluate the Effect of Dapagliflozin in Combination With Metformin on Body Weight in Subjects With Type2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Blagoevgrad, Bulgarien
- Research Site
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Sofia, Bulgarien
- Research Site
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Elblag, Polen
- Research Site
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Krakow, Polen
- Research Site
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Torun, Polen
- Research Site
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Goteborg, Sverige
- Research Site
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Jarfalla, Sverige
- Research Site
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Lund, Sverige
- Research Site
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Malmo, Sverige
- Research Site
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Stockholm, Sverige
- Research Site
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Uppsala, Sverige
- Research Site
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Beroun, Tjekkiet
- Research Site
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Brno, Tjekkiet
- Research Site
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Praha, Tjekkiet
- Research Site
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Semily, Tjekkiet
- Research Site
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Slany, Tjekkiet
- Research Site
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Balatonfured, Ungarn
- Research Site
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Budapest, Ungarn
- Research Site
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Csongrad, Ungarn
- Research Site
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Kecskemet, Ungarn
- Research Site
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TAT, Ungarn
- Research Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Type 2 diabetes
- Ongoing treatment with metformin on a stable dose of ≥1500 mg/day for at least 12 weeks prior to enrolment
- Inadequate glycemic control, defined as HbA1c ≥6.5% and ≤8.5%
- ≥30 years for males
- ≥55 years for females
Exclusion Criteria:
- Type 1 Diabetes
- Body weight change >5% within 3 months prior to enrolment
- Renal and liver impairment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: A
Dapagliflozin 10 mg plus Metformin
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Tablet oral 10 mg total daily dose once daily 102 weeks
Tablet oral 1500 - 2500 mg total daily dose 1-3 times a day104 weeks
Tablet oral 100 mg total daily dose once daily rescue medication
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Placebo komparator: B
Placebo plus Metformin
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Tablet oral 1500 - 2500 mg total daily dose 1-3 times a day104 weeks
Tablet oral 100 mg total daily dose once daily rescue medication
Matching placebo for dapagliflozin, tablet, oral, once daily, 102 weeks
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Adjusted Mean Change in Total Body Weight
Tidsramme: Baseline to Week 24
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To evaluate the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin on total body weight after 24 weeks of oral administration of double-blind treatment.
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Baseline to Week 24
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Adjusted Mean Change in Waist Circumference
Tidsramme: Baseline to Week 24
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To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 24 weeks of double-blind treatment on waist circumference.
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Baseline to Week 24
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Adjusted Mean Change in Body Fat Mass
Tidsramme: Baseline to Week 24
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To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 24 weeks of double-blind treatment on total body fat mass measured by dual energy X-ray absorptiometry.
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Baseline to Week 24
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Proportion of Participants With Body Weight Decrease ≥5%
Tidsramme: Baseline to Week 24
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To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 24 weeks of double-blind treatment on body weight decrease ≥5%.
Least Squares Mean represents the percent of participants adjusted for body weight baseline value.
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Baseline to Week 24
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Adjusted Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-4)
Tidsramme: Baseline to Week 102
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To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 102 weeks of double-blind treatment on Bone Mineral Density at lumbar spine (L1-4) as measured by Dual Energy X-ray Absorptiometry.
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Baseline to Week 102
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Adjusted Percent Change in Bone Mineral Density (BMD) at Femoral Neck
Tidsramme: Baseline to Week 102
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To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 102 weeks of double-blind treatment on Bone Mineral Density at femoral neck as measured by Dual Energy X-ray Absorptiometry.
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Baseline to Week 102
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Adjusted Percent Change in Bone Mineral Density (BMD) at Total Hip
Tidsramme: Baseline to Week 102
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To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 102 weeks of double-blind treatment on Bone Mineral Density at total hip as measured by Dual Energy X-ray Absorptiometry.
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Baseline to Week 102
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Jan Bolinder, MD, PhD, Dept of Endocrinology, Metabolism and Diabetes Karolinska University Hospital Huddinge Karolinska Institutet 141 86 Stockholm Sweden
Publikationer og nyttige links
Generelle publikationer
- 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.
- Bolinder J, Ljunggren O, Johansson L, Wilding J, Langkilde AM, Sjostrom CD, Sugg J, Parikh S. Dapagliflozin maintains glycaemic control while reducing weight and body fat mass over 2 years in patients with type 2 diabetes mellitus inadequately controlled on metformin. Diabetes Obes Metab. 2014 Feb;16(2):159-69. doi: 10.1111/dom.12189. Epub 2013 Aug 29.
- Ljunggren O, Bolinder J, Johansson L, Wilding J, Langkilde AM, Sjostrom CD, Sugg J, Parikh S. Dapagliflozin has no effect on markers of bone formation and resorption or bone mineral density in patients with inadequately controlled type 2 diabetes mellitus on metformin. Diabetes Obes Metab. 2012 Nov;14(11):990-9. doi: 10.1111/j.1463-1326.2012.01630.x. Epub 2012 Jun 29.
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Glukosemetabolismeforstyrrelser
- Metaboliske sygdomme
- Sygdomme i det endokrine system
- Diabetes mellitus
- Diabetes mellitus, type 2
- Kropsvægt
- Hypoglykæmiske midler
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Hormoner
- Hormoner, hormonsubstitutter og hormonantagonister
- Proteasehæmmere
- Inkretiner
- Natrium-Glucose Transporter 2-hæmmere
- Dipeptidyl-Peptidase IV-hæmmere
- Dapagliflozin
- Metformin
- Sitagliptin fosfat
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- D1690C00012
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