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
Studieöversikt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Studietyp
Studietyp
Inskrivning (Faktisk)
Inskrivning
Fas
Fas
- Fas 3
Kontakter och platser
Studieorter
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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, Tjeckien
- Research Site
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Brno, Tjeckien
- Research Site
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Praha, Tjeckien
- Research Site
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Semily, Tjeckien
- Research Site
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Slany, Tjeckien
- Research Site
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Balatonfured, Ungern
- Research Site
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Budapest, Ungern
- Research Site
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Csongrad, Ungern
- Research Site
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Kecskemet, Ungern
- Research Site
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TAT, Ungern
- Research Site
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Deltagandekriterier
Urvalskriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Antal vapen
Vapen och interventioner
Deltagargrupp / ArmDeltagargrupp / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Experimentell: 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-jämförare: 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
|
Vad mäter studien?
Primära resultatmått
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Adjusted Mean Change in Total Body Weight
Tidsram: 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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Sekundära resultatmått
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Adjusted Mean Change in Waist Circumference
Tidsram: 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
Tidsram: 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%
Tidsram: 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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Andra resultatmått
Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Adjusted Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-4)
Tidsram: 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
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Sponsor
Sponsor
Samarbetspartners
Samarbetspartners
Utredare
Utredare
- Huvudutredare: Jan Bolinder, MD, PhD, Dept of Endocrinology, Metabolism and Diabetes Karolinska University Hospital Huddinge Karolinska Institutet 141 86 Stockholm Sweden
Publikationer och användbara länkar
Allmänna 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.
Studieavstämningsdatum
Studera stora datum
Studiestart
Studiestart
Primärt slutförande (Faktisk)
Primärt slutförande
Avslutad studie (Faktisk)
Avslutad studie
Studieregistreringsdatum
Först inskickad
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Första postat
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste uppdatering publicerad
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- Störningar i glukosmetabolism
- Metaboliska sjukdomar
- Sjukdomar i det endokrina systemet
- Diabetes mellitus
- Diabetes mellitus, typ 2
- Kroppsvikt
- Hypoglykemiska medel
- Läkemedels fysiologiska effekter
- Molekylära mekanismer för farmakologisk verkan
- Enzyminhibitorer
- Hormoner
- Hormoner, hormonsubstitut och hormonantagonister
- Proteashämmare
- Inkretiner
- Sodium-Glucose Transporter 2-hämmare
- Dipeptidyl-Peptidas IV-hämmare
- Dapagliflozin
- Metformin
- Sitagliptinfosfat
Andra studie-ID-nummer
Andra studie-ID-nummer
- D1690C00012
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