Long-term Safety of Alogliptin in Patients With Type 2 Diabetes Mellitus

NCT ID: NCT00306384

Last Updated: 2013-03-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

3323 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2011-11-30

Brief Summary

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The purpose of this study is to evaluate the long-term safety of alogliptin, once daily (QD), following participation in 1 of 7 controlled studies in patients with type 2 diabetes mellitus.

Detailed Description

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SYR-322 (alogliptin) is an inhibitor of the dipeptidyl peptidase IV enzyme. Dipeptidyl peptidase IV is thought to be primarily responsible for the degradation of 2 peptide hormones released in response to nutrient ingestion, namely glucagon-like peptide-1 and glucose-dependent insulinotropic peptide. It is expected that inhibition of dipeptidyl peptidase IV will improve glycemic (glucose) control in patients with type 2 diabetes mellitus by prolonging the beneficial effects of glucagon-like peptide-1.

The rising incidence of type 2 diabetes mellitus and the limitations of the currently available treatments suggest the need for new therapies for glycemic control. Studies have been undertaken in humans that evaluated the effects of directly augmenting glucagon-like peptide-1 and glucose-dependent insulinotropic peptide levels and of inhibiting the activity of dipeptidyl peptidase IV.

This study is an extension of 7 controlled phase 3 studies of alogliptin. These phase 3 studies included 1 monotherapy study of alogliptin (SYR-322-PLC-010; NCT00286455); 4 placebo-controlled add-on studies of alogliptin, namely in combination with a sulfonylurea (SYR-322-SULF-007; NCT00286468), metformin (SYR-322-MET-008; NCT00286442), a thiazolidinedione (pioglitazone; SYR-322-TZD-009; NCT00286494), and insulin (SYR-322-INS-011; NCT00286429); 1 coadministration study with pioglitazone in combination with metformin (01-05-TL-322OPI-001; NCT00328627), and 1 coadministration study with pioglitazone (01-06-TL-322OPI-002; NCT00395512).

The end of treatment or early withdrawal visit from the preceding study will be the screening visit for this study, after which enrolled patients will be required to commit to approximately 22 additional visits at the study center.

Conditions

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Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Alogliptin 12.5 mg

Alogliptin 12.5 tablet, orally, once daily for up to 4 years.

Group Type EXPERIMENTAL

Alogliptin

Intervention Type DRUG

Alogliptin tablets.

Alogliptin 25 mg

Alogliptin 25 mg tablet, orally, once daily for up to 4 years.

Group Type EXPERIMENTAL

Alogliptin

Intervention Type DRUG

Alogliptin tablets.

Interventions

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Alogliptin

Alogliptin tablets.

Intervention Type DRUG

Other Intervention Names

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SYR110322 SYR-322

Eligibility Criteria

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Inclusion Criteria

* Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
* Type 2 diabetes mellitus and was enrolled in one of the following 7 controlled Phase III studies. The study will be open to all patients who completed one of these studies through the end-of-treatment visit:

* SYR-322-PLC-010 - NCT00286455
* SYR-322-SULF-007 - NCT00286468
* SYR-322-MET-008 - NCT00286442
* SYR-322-TZD-009 - NCT00286494
* SYR-322-INS-011 - NCT00286429
* 01-05-TL-322OPI-001 - NCT00328627
* 01-06-TL-322OPI-002 - NCT00395512
* Alanine aminotransferase less than or equal to 3 times the upper limit of normal and serum creatinine less than or equal to 2.0 mg per dL.
* Able and willing to monitor own blood glucose concentrations with a home glucose monitor.
* No major illness or debility that in the investigator's opinion prohibits the patient from completing the study.

Exclusion Criteria

* The occurrence of any adverse event or condition during the controlled Phase III studies, which, in the opinion of the investigator, should exclude the patient from participating in the open-label extension.
* Is required to take or intends to continue taking any disallowed medication, any prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:

* Weight-loss drugs
* Investigational antidiabetics, additional dipeptidyl peptidase-4 (DPP-4) and glucagon-like peptide-1 (GLP 1) inhibitors
* Incretin Mimetics,
* Oral or systemically injected glucocorticoids.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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VP Biological Sciences

Role: STUDY_DIRECTOR

Takeda

Locations

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Birmingham, Alabama, United States

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Peoria, Arizona, United States

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Phoenix, Arizona, United States

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Anaheim, California, United States

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Artesia, California, United States

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Fresno, California, United States

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Los Angeles, California, United States

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Mission Viejo, California, United States

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Northridge, California, United States

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Orange, California, United States

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San Diego, California, United States

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Tustin, California, United States

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Walnut Creek, California, United States

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Colorado Springs, Colorado, United States

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Denver, Colorado, United States

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Norwalk, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Clearwater, Florida, United States

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Hollywood, Florida, United States

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Kissimmee, Florida, United States

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Longwood, Florida, United States

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New Port Richie, Florida, United States

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Ocala, Florida, United States

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Ocoee, Florida, United States

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Saint Cloud, Florida, United States

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Lawrenceville, Georgia, United States

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Honolulu, Hawaii, United States

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Idaho Falls, Idaho, United States

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Chicago, Illinois, United States

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Avon, Indiana, United States

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Elkhart, Indiana, United States

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Evansville, Indiana, United States

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Lafayette, Indiana, United States

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Erlanger, Kentucky, United States

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Baltimore, Maryland, United States

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Sudbury, Massachusetts, United States

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Chesterfield, Missouri, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Berlin, New Jersey, United States

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Burlington, North Carolina, United States

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Charlotte, North Carolina, United States

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Morehead City, North Carolina, United States

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Pinehurst, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnatti, Ohio, United States

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Dayton, Ohio, United States

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Tulsa, Oklahoma, United States

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Medford, Oregon, United States

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Lansdale, Pennsylvania, United States

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West Grove, Pennsylvania, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Simpsonville, South Carolina, United States

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Bristol, Tennessee, United States

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Cookeville, Tennessee, United States

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Milan, Tennessee, United States

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Dallas, Texas, United States

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San Antonio, Texas, United States

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Temple, Texas, United States

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Texarkana, Texas, United States

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Burlington, Vermont, United States

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Buenos Aires, La Plata, Argentina

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Buenos Aires, Moron, Argentina

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Rosario, Sante Fe, Argentina

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Buenos Aires, , Argentina

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Ciudadd Autonoma de Buenos Aires, , Argentina

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Córdoba, , Argentina

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Mar del Plata, , Argentina

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Fortaleza, Ceará, Brazil

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Curitiba, Paraná, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Mogi das Cruzes, São Paulo, Brazil

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Santos, São Paulo, Brazil

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São Paulo, , Brazil

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Santiago, , Chile

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Ostrava, , Czechia

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Prague, , Czechia

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Sternberk, , Czechia

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Zlín, , Czechia

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Santo Domingo Oeste, , Dominican Republic

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Aschaffenburg, , Germany

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Berlin, , Germany

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Frankfurt, , Germany

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Hamburg, , Germany

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Hanover, , Germany

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Munich, , Germany

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Nuremberg, , Germany

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Schwerin, , Germany

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Wiesbaden, , Germany

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Witten, , Germany

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Guatemala City, , Guatemala

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Almere Stad, , Netherlands

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De Bilt, , Netherlands

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Geleen, , Netherlands

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Oud-Beijerland, , Netherlands

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Rotterdam, , Netherlands

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Zwijndrecht, , Netherlands

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Bellavista, Lima region, Peru

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San Isidro, Lima region, Peru

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Ica, , Peru

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Lima, , Peru

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Bytom, , Poland

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Kamieniec Ząbkowicki, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Radom, , Poland

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Łęczyca, , Poland

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Pretoria, Gauteng, South Africa

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Cape Town, Western Cape, South Africa

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Somerset West, Western Cape, South Africa

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Durban, , South Africa

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Johannesburg, , South Africa

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Parow, , South Africa

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Countries

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United States Argentina Brazil Chile Czechia Dominican Republic Germany Guatemala Netherlands Peru Poland South Africa

Other Identifiers

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2005-004672-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1113-8455

Identifier Type: REGISTRY

Identifier Source: secondary_id

SYR-322-OLE-012

Identifier Type: -

Identifier Source: org_study_id

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