Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes
A Multicenter, Randomized, Double-Blind, Placebo Controlled, Parallel Group, Phase III Trial to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Ahmedabad, Indien, 380 015
- Local Institution
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Bangalore, Indien, 560 043
- Local Institution
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Bangalore, Indien, 560 052
- Local Institution
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Jaipur, Indien, 302001
- Local Institution
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Jaipur, Indien, 302016
- Local Institution
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Alberta
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Calgary, Alberta, Kanada, T3C 3P1
- Local Institution
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British Columbia
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Coquitlam, British Columbia, Kanada, V3K 3V9
- Local Institution
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Manitoba
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Winnipeg, Manitoba, Kanada, R3E 3P4
- Local Institution
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New Brunswick
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Bathurst, New Brunswick, Kanada, E2A 4X7
- Local Institution
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Ontario
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Ajax, Ontario, Kanada, L1S 7J5
- Local Institution
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Toronto, Ontario, Kanada, M9W 4L6
- Local Institution
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Waterloo, Ontario, Kanada, N2T 2Z6
- Local Institution
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Quebec
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Drummondville, Quebec, Kanada, J2B 7T1
- Local Institution
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L'Ancienne Lorette, Quebec, Kanada, G2E 2X1
- Local Institution
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St-Leonard, Quebec, Kanada, H1S 3A9
- Local Institution
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Durango, Mexiko, 34000
- Local Institution
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Mexico City, Mexiko, 06700
- Local Institution
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Veracruz, Mexiko, 91910
- Local Institution
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Distrito Federal
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Df, Distrito Federal, Mexiko, 11800
- Local Institution
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Jalisco
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Guadalajara, Jalisco, Mexiko, 44670
- Local Institution
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Nuevo Leon
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Monterrey, Nuevo Leon, Mexiko, 64060
- Local Institution
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Yucatan
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Merida, Yucatan, Mexiko, 97070
- Local Institution
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Ponce, Puerto Rico, 00716
- Local Institution
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Ponce, Puerto Rico, 00717
- Local Institution
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Kursk, Russische Föderation, 305035
- Local Institution
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Saint-Petersburg, Russische Föderation, 191015
- Local Institution
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Saratov, Russische Föderation, 410012
- Local Institution
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Smolensk, Russische Föderation, 214018
- Local Institution
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St. Petersburg, Russische Föderation, 195112
- Local Institution
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St. Petersburg, Russische Föderation, 195257
- Local Institution
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St. Petersburg, Russische Föderation, 197341
- Local Institution
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St.Petersburg, Russische Föderation, 197022
- Local Institution
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Gauteng
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Benoni, Gauteng, Südafrika, 1501
- Local Institution
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Soweto, Gauteng, Südafrika, 1818
- Local Institution
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Western Cape
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Paarl, Western Cape, Südafrika, 7646
- Local Institution
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Tygerberg, Western Cape, Südafrika, 7505
- Local Institution
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Arizona
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Litchfield Park, Arizona, Vereinigte Staaten, 85340
- Dedicated Clinical Research
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Phoenix, Arizona, Vereinigte Staaten, 85051
- 43rd Medical Associates, P.C.
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Tempe, Arizona, Vereinigte Staaten, 85282
- Clinical Research Advantage, Inc.
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California
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Fresno, California, Vereinigte Staaten, 93720
- Valley Research
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Lomita, California, Vereinigte Staaten, 90717
- Marina Raikhel, Md, Faafp
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Los Gatos, California, Vereinigte Staaten, 95032
- Richard S. Cherlin, MD
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Tustin, California, Vereinigte Staaten, 92780
- Orange County Research Center
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Colorado
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Greeley, Colorado, Vereinigte Staaten, 80634
- Family Physicians Of Greeley
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Connecticut
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New London, Connecticut, Vereinigte Staaten, 06320
- Coastal Connecticut Research, LLC
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Florida
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Altamonte Springs, Florida, Vereinigte Staaten, 32701
- Central Florida Clinical Trials, Inc.
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Jacksonville, Florida, Vereinigte Staaten, 32205
- Westside Center for Clinical Research
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Marianna, Florida, Vereinigte Staaten, 32446
- Panhandle Family Care Associates
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Georgia
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Roswell, Georgia, Vereinigte Staaten, 30076
- Endocrine Research Solutions, Inc.
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Mississippi
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Belzoni, Mississippi, Vereinigte Staaten, 39038
- Belzoni Clinical Research
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New Jersey
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Hamilton, New Jersey, Vereinigte Staaten, 08690
- R-Research
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New York
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Syracuse, New York, Vereinigte Staaten, 13210
- Internist Associates Of Central New York
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West Seneca, New York, Vereinigte Staaten, 14224
- Southgate Medical Group
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North Carolina
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Morehead City, North Carolina, Vereinigte Staaten, 28557
- Down East Medical Associates, PA
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Ohio
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Akron, Ohio, Vereinigte Staaten, 44319
- James J. Brown, Md
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Oklahoma
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Oklahoma, Oklahoma, Vereinigte Staaten, 73170
- Integris Family Care South
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South Carolina
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Taylors, South Carolina, Vereinigte Staaten, 29687
- Southeastern Research Associates, Inc.
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Texas
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San Antonio, Texas, Vereinigte Staaten, 78224
- Abbott Clinical Research Group, Inc
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Utah
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Midvale, Utah, Vereinigte Staaten, 84047
- Avastra Clinical Trials
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Salt Lake City, Utah, Vereinigte Staaten, 84102
- Optimum Clinical Research, Inc.
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Washington
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Olympia, Washington, Vereinigte Staaten, 98502
- Capital Clinical Research Center
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Spokane, Washington, Vereinigte Staaten, 99216
- Stephen G. Danley, Do
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Male and females, ≥18 to ≤77 years old, with type 2 diabetes mellitus
- Subjects must have central laboratory pre-randomization A1C ≥7.0 and ≤ 10.0%
- C-peptide ≥ 1.0 ng/mL (0.34 nmol/L)
- Body Mass Index ≤ 45 kg/m²
- Must be able to perform self monitoring of blood glucose
Exclusion Criteria:
- aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >3* upper limit of normal (ULN)
- Serum Total bilirubin >2 mg/dL (34.2 µmol/L)
- Creatinine kinase >3* ULN
- Serum creatinine ≥1.50 mg/dL (133 µmol/L) for male subjects, ≥1.40 mg/dL (124 µmol/L) for female subjects
- Currently unstable or serious cardiovascular, renal, hepatic, hematological, oncological, endocrine, psychiatric, or rheumatic diseases
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: Dapagliflozin 1 mg
Dapagliflozin: 1 mg
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Tablets, Oral, Once Daily, Up to 24 weeks
Andere Namen:
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Experimental: Dapagliflozin 2.5 mg
Dapagliflozin: 2.5 mg
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Tablets, Oral, Once Daily, Up to 24 weeks
Andere Namen:
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Experimental: Dapagliflozin 5 mg
Dapagliflozin: 5 mg
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Tablets, Oral, Once Daily, Up to 24 weeks
Andere Namen:
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Placebo-Komparator: Placebo
Placebo: 0 mg
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Tablets, Oral, Once Daily, Up to 24 weeks
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 Last Observation Carried Forward (LOCF) - All Randomized Participants
Zeitfenster: Baseline (Day 1), Week 24
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Adjusted mean change in HbA1c from baseline at Week 24, or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available was determined(LOCF).
HbA1c was measured as percent of hemoglobin by a central laboratory.
Data after rescue medication (metformin) 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 values were obtained at enrollment, lead-in, and at Day 1, Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period.
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Baseline (Day 1), Week 24
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (LOCF) - Randomized Participants
Zeitfenster: Baseline (Day 1), Week 24
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Adjusted mean change in total body weight from baseline at Week 24, or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available LOCF was determined.
Data after rescue medication (metformin) 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 was measured in kilograms (kg) at qualification, lead-in, Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 during double-blind period.
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Baseline (Day 1), Week 24
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (LOCF) - Randomized Participants
Zeitfenster: Baseline (Day 1), Week 24
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Adjusted mean change in fasting plasma glucose (FPG) from baseline at Week 24 (LOCF) was determined.
Data after rescue medication (metformin) was excluded from this analysis.
FPG was measured as milligrams per deciliter (mg/dL) by a central laboratory at qualification, lead-in, Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 during double-blind period.
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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Baseline (Day 1), Week 24
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Adjusted Mean Change From Baseline in Effect on 2-hour Post Liquid Meal Glucose at Week 24 (LOCF) - Randomized Participants
Zeitfenster: Baseline (Day 1), Week 24
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Liquid meal tolerance tests (MTTs) were scheduled to occur at Day 1 visit (MTT was to be completed 2 hours prior to first dose of treatment) and at Week 24 / End of treatment visit, or Rescue visit for participants meeting criteria for rescue due to lack of glycemic control.
At Week 24, study treatment was given 1 hour before MTT was administered.
Participant fasted for at least 10 hours (h) prior to both visits and abstained from tobacco, alcohol, and caffeine for 24 h prior to the MTT.
The liquid meal supplement was administered over 10 minutes, starting immediately after Time 0 blood sample was drawn.
Blood samples for post-liquid meal Glucose were obtained at 30, 60, 120, and 180 minutes after ingesting the liquid supplement.
Glucose was measured in 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 double-blind study medication.
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Baseline (Day 1), Week 24
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Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response at Week 24 (LOCF) - Randomized Participants
Zeitfenster: Baseline (Day 1), Week 24
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Therapeutic glycemic response was defined as HbA1c less than 7.0%.
n=Number of participants with HBA1c less than (<) 7 % at Week 24, last observation carried forward (LOCF) while N=number of randomized participants with non-missing baseline and Week 24 (LOCF) values.
Percent=n/N and was adjusted for Baseline HbA1c.
Data after rescue medication (metformin) was excluded from this analysis.
HbA1c was measured as a percent of hemoglobin.
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Baseline (Day 1), Week 24
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Adjusted Mean Change From Baseline in Waist Circumference at Week 24 (LOCF) - Randomization Participants
Zeitfenster: Baseline (Day 1), Week 24
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Adjusted mean waist circumference values from baseline to Week 24 (or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available, last observation carried forward, (LOCF) was determined.
Data after rescue medication (metformin) was excluded from this analysis.
Waist circumference was measured centimeters (cm) and obtained at lead-in, Day 1, and Week 24 of the double-blind period.
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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Baseline (Day 1), Week 24
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Number of Participants With Deaths, Serious AEs (SAEs), Adverse Events (AEs), Discontinuation Due to AEs, During the 12 Week Double Blind Period, Including Data After Rescue - All Treated Participants
Zeitfenster: Day 1 of Double Blind Period to end of Week 24 Plus 30 days
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Medical Dictionary for Regulatory Activities (MedDRA), version 12.1 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.
Treatment-related=having certain, probable, possible, or missing relationship to study drug as per the investigator.
Baseline to last dose plus 4 days for AEs, plus 30 days for SAEs.
Data after rescue included.
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Day 1 of Double Blind Period to end of Week 24 Plus 30 days
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Number of Participants With Adverse Events of Special Interest During the 12 Week Double Blind Period - All Treated Participants
Zeitfenster: Baseline to last dose plus 4 days in 12 Week Double Blind Period
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Participants with AEs of hypoglycemia, cardiac/vascular disorders, renal impairment or failure, volume depletion (hypotension/dehydration/hypovolemia), fractures, urinary stones, and other reports suggestive of genital infection or urinary tract infection (UTI) were summarized using MedDRA version 12.1.
Data after rescue included for all AEs of special interest except hypoglycemia; hypoglycemia AEs were prior to rescue.
Major hypoglycemic episode: symptomatic requiring 3rd party assistance due to severe impairment in consciousness or behavior with a glucose value < 54 mg/dL and prompt recovery after glucose/glucagon; Minor: either symptomatic with glucose measurement < 63 mg/dL, regardless of need for 3rd party assistance, or asymptomatic with glucose < 63 mg/dL that does not qualify as major; Other: suggestive but not meeting criteria for major or minor.
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Baseline to last dose plus 4 days in 12 Week Double Blind Period
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Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure at Week 24, Including Data After Rescue - Treated Participants
Zeitfenster: Baseline (Day 1), Week 24
|
Blood pressure values were obtained on Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 in the double blind period, after the participant was seated for quietly for 5 minutes; the same arm (right or left) was used consistently through out the study.
Measurements were taken at least 10 hours after the last ingestion of caffeine, alcohol, or nicotine.
Blood pressure was measured in millimeters of mercury (mmHg).
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.
|
Baseline (Day 1), Week 24
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Mean Change From Baseline in Seated Heart Rate at Week 24 - Treated Participants
Zeitfenster: Baseline (Day 1), Week 24
|
Heart rate values were obtained after the participant was seated for quietly for 5 minutes; the same arm (right or left) was used consistently through out the study.
Measurements were taken at least 10 hours after the last ingestion of caffeine, alcohol, or nicotine.
Heart rate was measured in beats per minute (bpm).
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.
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Baseline (Day 1), Week 24
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Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 24 (LOCF) - Treated Participants
Zeitfenster: Week 24
|
12-Lead electrocardiograms (ECGs) were performed at Day -14 and Week 24/End of treatment visit (last observation carried forward) on participants who were supine.
ECGs were assessed by the investigator.
Baseline (BL) was Day -14 for this parameter.
|
Week 24
|
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Number of Participants With Marked Laboratory Abnormalities in 24 Week Double Blind Treatment Period - Treated Participants
Zeitfenster: Baseline to Week 24/end of treatment plus 4 days
|
Safety laboratory measurements were obtained at Day 1, Weeks 1, 2, 4, 8, 12, 20, and 24 in the double blind Period.
Baseline was defined as the last assessment prior to the start of the first dose of the double-blind study medication.
Data included from baseline up to and including the last day of treatment plus 4 days.
Data after rescue was also included.
Abbreviations; Pretreatment (PreRX); grams per deciliter (g/dL); upper limit of normal (ULN); milliequivalent per liter (mEq/L); greater than (>) less than (<); Units per liter (U/L), alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP); blood urea nitrogen (BUN).
Marked abnormality Low (High) defined: hemoglobin <6 (>18 females or >20 males) g/dL; hematocrit <20% ( >55% females or >60% males); BUN (>60 mg/dL) or Urea >21.4 mmol/L; creatinine (>=1.5*preRX,
>=2.5 mg/dL); AST and ALT >3*ULN; bilirubin >1.5*ULN; ALP >1.5*ULN.
|
Baseline to Week 24/end of treatment plus 4 days
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Störungen des Glukosestoffwechsels
- Stoffwechselerkrankungen
- Erkrankungen des endokrinen Systems
- Diabetes Mellitus
- Diabetes mellitus, Typ 2
- Hypoglykämische Mittel
- Physiologische Wirkungen von Arzneimitteln
- Molekulare Mechanismen der pharmakologischen Wirkung
- Natrium-Glucose-Transporter 2-Inhibitoren
- Dapagliflozin
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- MB102-032
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
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