TOFO Insulin Combination Trial
A Randomized, Double Blind Placebo Controlled 2-Arm Parallel Group, Multicenter Study With A 16-Week Treatment Assessing The Efficacy And Safety, And 52-Week Long Term Safety Including 36-Week Open Label Extension Of Tofogliflozin With Insulin Treatment In Type 2 Diabetes Mellitus
Primary Objectives:
To assess the effects of tofogliflozin on glycemic control in comparison to placebo as an add-on treatment to insulin treatment in terms of glycated hemoglobin (HbA1c) reduction over a period of 16 weeks in patients with type 2 diabetes mellitus.
To assess the safety of tofogliflozin in combination with insulin treatment throughout 52 weeks.
Secondary Objectives:
To assess the effects of tofogliflozin in comparison to placebo on:
- Body weight
- Fasting plasma glucose (FPG)
- Postprandial plasma glucose (PPG) To assess the long term safety and tolerability of tofogliflozin.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Fase 4
Kontakter og plasseringer
Studiesteder
-
-
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Adachi-ku, Japan
- Investigational Site Number 392-028
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Atsugi-shi, Japan
- Investigational Site Number 392-007
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Chuoh-ku, Japan
- Investigational Site Number 392-026
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Fukuoka-shi, Japan
- Investigational Site Number 392-021
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Ichihara-shi, Japan
- Investigational Site Number 392-002
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Iruma-shi, Japan
- Investigational Site Number 392-012
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Kawaguchi-shi, Japan
- Investigational Site Number 392-003
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Kitakyusyu-shi, Japan
- Investigational Site Number 392-014
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Kobe-shi, Japan
- Investigational Site Number 392-027
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Koga-shi, Japan
- Investigational Site Number 392-004
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Kunitachi-shi, Japan
- Investigational Site Number 392-022
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Kurume-shi, Japan
- Investigational Site Number 392-019
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Kyoto-shi, Japan
- Investigational Site Number 392-001
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Kyoto-shi, Japan
- Investigational Site Number 392-024
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Matsudo-shi, Japan
- Investigational Site Number 392-006
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Mito-shi, Japan
- Investigational Site Number 392-008
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Musashino-shi, Japan
- Investigational Site Number 392-030
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Okayama-shi, Japan
- Investigational Site Number 392-029
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Otsu-shi, Japan
- Investigational Site Number 392-017
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Sagamihara-shi, Japan
- Investigational Site Number 392-011
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Sakai-shi, Japan
- Investigational Site Number 392-020
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Sapporo-shi, Japan
- Investigational Site Number 392-010
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Sendai-shi, Japan
- Investigational Site Number 392-016
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Shinjuku-ku, Japan
- Investigational Site Number 392-018
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Shizuoka-shi, Japan
- Investigational Site Number 392-005
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Suita-shi, Japan
- Investigational Site Number 392-031
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Sumida-ku, Japan
- Investigational Site Number 392-015
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Sunto-gun, Japan
- Investigational Site Number 392-023
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Tokorozawa-shi, Japan
- Investigational Site Number 392-013
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Yokohama-shi, Japan
- Investigational Site Number 392-025
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion criteria:
- Patients aged 20-75 years old with type 2 diabetes mellitus (T2DM).
- Hemoglobin A1c ≥7.5% - ≤10.5% and FPG ≤220 mg/dL.
- Basal bolus (BB), Bolus, Premix, Basal supported oral therapy (BOT) regimens used for more than 12 weeks before screening.
- Stable dose (-/+20%) of insulin and no change in the dose of oral hypoglycemic agents for more than 12 weeks before screening.
- Only Dipeptidyl peptidase-4 inhibitor is allowed for basal supported oral therapy (BOT) regimen.
- Body mass index (BMI) ≥18.5 kg/m^2 and <35.0 kg/m^2.
- No change of antihypertensive, anti-hypercholesterolemia and uric acid lowering drug 4 weeks before screening.
Exclusion criteria:
- Type 1 diabetes mellitus.
- Pregnancy or lactation.
- Severely uncontrolled glycemic situation.
- History of metabolic acidosis, including diabetic ketoacidosis, within 1 year prior to screening.
- History of myocardial infarction, stroke, or heart failure requiring hospitalization or drug or alcohol abuse within the previous 6 months.
- A measured serum creatinine level greater than 2.0 mg/dL for men and 1.5 mg/dL for women.
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥2.5 times the upper limit of the reference range at the central laboratory test facility.
- Has previously received treatment with the investigational product.
- Has received treatment with another investigational product or non-approved drug within 3 months before tests for provisional enrolment.
- Corticosteroid therapy for 14 or more days in total within 8 weeks before tests for provisional enrolment (excluding those used for localized effects, such as drugs for topical [skin] application, eye drops and sprays).
- Patients who are frequently experiencing orthostatic hypotension.
- Required a change in the dosing regimen for the following drugs within 4 weeks before tests for provisional enrolment:
- Lipid-lowering drug
- Antihypertensive drug
- Thyroid hormone preparation
- Uric acid lowering drug
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: tofogliflozin
Tofogliflozin administered once daily for 52 weeks.
Insulin administered as base treatment.
|
Pharmaceutical form:tablet Route of administration: oral
Andre navn:
Pharmaceutical form:solution Route of administration: subcutaneous
|
|
Placebo komparator: placebo
Placebo administered once daily for 16 weeks.
After 16-weeks, Tofogliflozin administered once daily for 36 weeks.
Insulin administered as base treatment.
|
Pharmaceutical form:tablet Route of administration: oral
Andre navn:
Pharmaceutical form:solution Route of administration: subcutaneous
Pharmaceutical form:tablet Route of administration: oral
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in HbA1c from baseline
Tidsramme: 16 weeks after first intake of investigational product
|
16 weeks after first intake of investigational product
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change of Body Weight (BW) from baseline
Tidsramme: 16 weeks after first intake of investigational product
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16 weeks after first intake of investigational product
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Change of FPG from baseline
Tidsramme: 16 weeks after first intake of investigational product
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16 weeks after first intake of investigational product
|
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Change of PPG from baseline
Tidsramme: 16 weeks after first intake of investigational product
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16 weeks after first intake of investigational product
|
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Number of subjects with adverse events
Tidsramme: Up to 52 weeks from the first intake of investigational medicinal product
|
Up to 52 weeks from the first intake of investigational medicinal product
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Samarbeidspartnere
Samarbeidspartnere
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Glukosemetabolismeforstyrrelser
- Metabolske sykdommer
- Sykdommer i det endokrine systemet
- Sukkersyke
- Diabetes mellitus, type 2
- Hypoglykemiske midler
- Fysiologiske effekter av legemidler
- Molekylære mekanismer for farmakologisk virkning
- Sodium-Glucose Transporter 2-hemmere
- 6-((4-etylfenyl)metyl)-3',4',5',6'-tetrahydro-6'-(hydroksymetyl)spiro(isobenzofuran-1(3H),2'-(2H)pyran)-3 ',4',5'-triol
Andre studie-ID-numre
Andre studie-ID-numre
- TOFOGL07061
- U1111-1159-5316 (UTN)
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