Trial Outcomes & Findings for Efficacy of Alogliptin With Pioglitazone (Actos®) in Subjects With Type 2 Diabetes Mellitus (NCT NCT00395512)

NCT ID: NCT00395512

Last Updated: 2013-03-27

Results Overview

The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

655 participants

Primary outcome timeframe

Baseline and Week 26

Results posted on

2013-03-27

Participant Flow

Participants took part in the study at 268 investigative sites in 23 countries from 02 November 2006 to 13 February 2008.

Participants with a diagnosis of type 2 diabetes who were inadequately controlled with diet and exercise were randomized to 1 of 4 treatment groups in a 1:1:1:1 ratio as follows: Alogliptin alone, pioglitazone alone, alogliptin 25 mg + pioglitazone 30 mg and alogliptin 12.5 mg + pioglitazone 30 mg.

Participant milestones

Participant milestones
Measure
Alogliptin 25 mg
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Overall Study
STARTED
164
163
164
164
Overall Study
Safety Set
164
163
164
163
Overall Study
COMPLETED
126
126
136
126
Overall Study
NOT COMPLETED
38
37
28
38

Reasons for withdrawal

Reasons for withdrawal
Measure
Alogliptin 25 mg
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Overall Study
Adverse Event
3
8
6
6
Overall Study
Protocol Violation
2
3
6
7
Overall Study
Lost to Follow-up
2
6
5
5
Overall Study
Withdrawal by Subject
6
5
5
12
Overall Study
Physician Decision
6
4
2
2
Overall Study
Other
1
1
0
0
Overall Study
Hyperglycemic Rescue
18
10
4
6

Baseline Characteristics

Efficacy of Alogliptin With Pioglitazone (Actos®) in Subjects With Type 2 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Total
n=655 Participants
Total of all reporting groups
Age Continuous
52.6 years
STANDARD_DEVIATION 10.38 • n=5 Participants
51.5 years
STANDARD_DEVIATION 10.72 • n=7 Participants
52.8 years
STANDARD_DEVIATION 11.01 • n=5 Participants
53.5 years
STANDARD_DEVIATION 11.37 • n=4 Participants
52.6 years
STANDARD_DEVIATION 10.88 • n=21 Participants
Age, Customized
< 65 years
144 participants
n=5 Participants
143 participants
n=7 Participants
140 participants
n=5 Participants
130 participants
n=4 Participants
557 participants
n=21 Participants
Age, Customized
≥ 65 years
20 participants
n=5 Participants
20 participants
n=7 Participants
24 participants
n=5 Participants
34 participants
n=4 Participants
98 participants
n=21 Participants
Sex: Female, Male
Female
88 Participants
n=5 Participants
73 Participants
n=7 Participants
91 Participants
n=5 Participants
83 Participants
n=4 Participants
335 Participants
n=21 Participants
Sex: Female, Male
Male
76 Participants
n=5 Participants
90 Participants
n=7 Participants
73 Participants
n=5 Participants
81 Participants
n=4 Participants
320 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
63 Participants
n=5 Participants
65 Participants
n=7 Participants
58 Participants
n=5 Participants
62 Participants
n=4 Participants
248 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
101 Participants
n=5 Participants
98 Participants
n=7 Participants
106 Participants
n=5 Participants
102 Participants
n=4 Participants
407 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
14 Participants
n=5 Participants
15 Participants
n=7 Participants
12 Participants
n=5 Participants
16 Participants
n=4 Participants
57 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
9 Participants
n=7 Participants
12 Participants
n=5 Participants
9 Participants
n=4 Participants
38 Participants
n=21 Participants
Race (NIH/OMB)
White
135 Participants
n=5 Participants
130 Participants
n=7 Participants
129 Participants
n=5 Participants
132 Participants
n=4 Participants
526 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
9 Participants
n=7 Participants
11 Participants
n=5 Participants
6 Participants
n=4 Participants
32 Participants
n=21 Participants
Weight
86.72 kg
STANDARD_DEVIATION 19.033 • n=5 Participants
85.53 kg
STANDARD_DEVIATION 16.254 • n=7 Participants
85.39 kg
STANDARD_DEVIATION 20.374 • n=5 Participants
84.38 kg
STANDARD_DEVIATION 20.378 • n=4 Participants
85.50 kg
STANDARD_DEVIATION 19.062 • n=21 Participants
Body Mass Index (BMI)
31.61 kg/m^2
STANDARD_DEVIATION 5.587 • n=5 Participants
30.87 kg/m^2
STANDARD_DEVIATION 4.938 • n=7 Participants
31.32 kg/m^2
STANDARD_DEVIATION 5.354 • n=5 Participants
30.71 kg/m^2
STANDARD_DEVIATION 5.621 • n=4 Participants
31.13 kg/m^2
STANDARD_DEVIATION 5.382 • n=21 Participants
Duration of diabetes
3.23 years
STANDARD_DEVIATION 3.559 • n=5 Participants
3.20 years
STANDARD_DEVIATION 3.739 • n=7 Participants
3.05 years
STANDARD_DEVIATION 3.328 • n=5 Participants
3.36 years
STANDARD_DEVIATION 4.166 • n=4 Participants
3.21 years
STANDARD_DEVIATION 3.704 • n=21 Participants

PRIMARY outcome

Timeframe: Baseline and Week 26

Population: The Full analysis Set (all randomized patients who took at least 1 dose of double-blind study drug) where a Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline to Week 26 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound).

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=160 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=153 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=158 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=158 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline to Week 26 in Glycosylated Hemoglobin (HbA1c)
-0.96 percentage of glycosylated hemoglobin
Standard Error 0.081
-1.15 percentage of glycosylated hemoglobin
Standard Error 0.083
-1.71 percentage of glycosylated hemoglobin
Standard Error 0.081
-1.56 percentage of glycosylated hemoglobin
Standard Error 0.081

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16 and 20.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at 4 week intervals during the study. Least Squares Means were from an Analysis of Covariance (ANCOVA) model with treatment and geographic region as class variables and baseline HbA1c as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in HbA1c Over Time
Week 8 (n=160, 153, 158, 158)
-0.84 percentage of glycosylated hemoglobin
Standard Error 0.058
-0.72 percentage of glycosylated hemoglobin
Standard Error 0.060
-1.19 percentage of glycosylated hemoglobin
Standard Error 0.059
-1.03 percentage of glycosylated hemoglobin
Standard Error 0.059
Change From Baseline in HbA1c Over Time
Week 12 (n=160, 153, 158, 158)
-0.98 percentage of glycosylated hemoglobin
Standard Error 0.070
-1.04 percentage of glycosylated hemoglobin
Standard Error 0.071
-1.57 percentage of glycosylated hemoglobin
Standard Error 0.070
-1.34 percentage of glycosylated hemoglobin
Standard Error 0.070
Change From Baseline in HbA1c Over Time
Week 16 (n=160, 153, 158, 158)
-1.01 percentage of glycosylated hemoglobin
Standard Error 0.080
-1.17 percentage of glycosylated hemoglobin
Standard Error 0.082
-1.67 percentage of glycosylated hemoglobin
Standard Error 0.081
-1.43 percentage of glycosylated hemoglobin
Standard Error 0.081
Change From Baseline in HbA1c Over Time
Week 20 (n=160, 153, 158, 158)
-1.00 percentage of glycosylated hemoglobin
Standard Error 0.077
-1.20 percentage of glycosylated hemoglobin
Standard Error 0.079
-1.72 percentage of glycosylated hemoglobin
Standard Error 0.078
-1.54 percentage of glycosylated hemoglobin
Standard Error 0.078
Change From Baseline in HbA1c Over Time
Week 4 (n=145, 146, 144, 150)
-0.55 percentage of glycosylated hemoglobin
Standard Error 0.043
-0.30 percentage of glycosylated hemoglobin
Standard Error 0.043
-0.62 percentage of glycosylated hemoglobin
Standard Error 0.043
-0.51 percentage of glycosylated hemoglobin
Standard Error 0.043

SECONDARY outcome

Timeframe: Baseline and Weeks 1, 2, 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in fasting plasma glucose was assessed at weeks 1, 2, 4, 8, 12, 16, 20 and 26. Least Squares Means were from an ANCOVA model with treatment and geographic region as class variables and baseline plasma glucose as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Fasting Plasma Glucose Over Time
Week 1 (n=148, 146, 152, 151)
-14.6 mg/dL
Standard Error 2.93
-7.3 mg/dL
Standard Error 2.95
-26.6 mg/dL
Standard Error 2.90
-23.3 mg/dL
Standard Error 2.91
Change From Baseline in Fasting Plasma Glucose Over Time
Week 2 (n=161, 156, 162, 159)
-16.7 mg/dL
Standard Error 2.87
-14.2 mg/dL
Standard Error 2.92
-33.5 mg/dL
Standard Error 2.87
-30.9 mg/dL
Standard Error 2.90
Change From Baseline in Fasting Plasma Glucose Over Time
Week 4 (n=162, 157, 162, 161)
-26.7 mg/dL
Standard Error 2.72
-31.9 mg/dL
Standard Error 2.76
-41.4 mg/dL
Standard Error 2.72
-39.7 mg/dL
Standard Error 2.73
Change From Baseline in Fasting Plasma Glucose Over Time
Week 8 (n=162, 157, 162, 162)
-29.0 mg/dL
Standard Error 2.80
-38.0 mg/dL
Standard Error 2.84
-50.4 mg/dL
Standard Error 2.80
-48.4 mg/dL
Standard Error 2.81
Change From Baseline in Fasting Plasma Glucose Over Time
Week 12 (n=162, 157, 162, 162)
-29.5 mg/dL
Standard Error 3.01
-42.4 mg/dL
Standard Error 3.05
-51.9 mg/dL
Standard Error 3.01
-49.3 mg/dL
Standard Error 3.01
Change From Baseline in Fasting Plasma Glucose Over Time
Week 16 (n=162, 157, 162, 162)
-26.9 mg/dL
Standard Error 3.11
-40.6 mg/dL
Standard Error 3.16
-52.7 mg/dL
Standard Error 3.12
-46.6 mg/dL
Standard Error 3.12
Change From Baseline in Fasting Plasma Glucose Over Time
Week 20 (n=162, 157, 162, 162)
-28.3 mg/dL
Standard Error 3.06
-42.0 mg/dL
Standard Error 3.11
-54.0 mg/dL
Standard Error 3.07
-47.5 mg/dL
Standard Error 3.07
Change From Baseline in Fasting Plasma Glucose Over Time
Week 26 (n=162, 157, 162, 162)
-25.8 mg/dL
Standard Error 3.26
-37.3 mg/dL
Standard Error 3.31
-50.2 mg/dL
Standard Error 3.27
-48.5 mg/dL
Standard Error 3.27

SECONDARY outcome

Timeframe: Weeks 1, 2, 4, 8, 12, 16, 20 and 26.

Population: Full analysis set including patients with at least one non-missing fasting plasma glucose result in the specified interval in each treatment group.

Marked Hyperglycemia is defined as fasting plasma glucose greater than or equal to 200 mg/dL. Study week windows are defined to place hyperglycemia into visit categories.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With Marked Hyperglycemia
Week 1 to < Week 4 (n=162, 157, 162, 161)
31.5 percentage of participants
31.8 percentage of participants
18.5 percentage of participants
28.6 percentage of participants
Percentage of Participants With Marked Hyperglycemia
Week 4 to < Week 8 (n=153, 147, 148, 147)
19.0 percentage of participants
15.0 percentage of participants
10.8 percentage of participants
14.3 percentage of participants
Percentage of Participants With Marked Hyperglycemia
Week 8 to < Week 12 (n=151, 146, 152, 146)
15.2 percentage of participants
11.6 percentage of participants
7.2 percentage of participants
8.2 percentage of participants
Percentage of Participants With Marked Hyperglycemia
Week 12 to < Week 16 (n=153, 141, 148, 139)
16.3 percentage of participants
9.2 percentage of participants
8.1 percentage of participants
7.9 percentage of participants
Percentage of Participants With Marked Hyperglycemia
Week 16 to < Week 20 (n=142, 135, 144, 131)
16.2 percentage of participants
14.8 percentage of participants
2.8 percentage of participants
6.9 percentage of participants
Percentage of Participants With Marked Hyperglycemia
Week 20 to Week 26 (n=130, 132, 143, 128)
17.7 percentage of participants
11.4 percentage of participants
10.5 percentage of participants
6.3 percentage of participants
Percentage of Participants With Marked Hyperglycemia
Overall (n=162, 157, 162, 162)
44.4 percentage of participants
38.2 percentage of participants
25.3 percentage of participants
30.9 percentage of participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 12, 16, 20 and 26.

Population: Full analysis set including patients with visits during or after the specified interval in each treatment group.

Rescue was defined as meeting 1 of the following criteria, confirmed by a 2nd sample drawn within 5 days after the first sample and analyzed by the central laboratory: 1. After more than 4 weeks of treatment but prior to the Week 8 Visit: a single fasting plasma glucose ≥310 mg/dL (≥17.5 mmol/L); 2. From the Week 8 Visit but prior to the Week 12 Visit: a single fasting plasma glucose ≥275 mg/dL (≥15.27 mmol/L); 3. From the Week 12 Visit through the End-of-Treatment Visit: HbA1c ≥8.5% and ≤0.5% reduction in HbA1c as compared with the Baseline HbA1c.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants Meeting Rescue Criteria
Week 4 to < Week 8 (n=160, 156, 161, 160)
0 percentage of participants
0 percentage of participants
0 percentage of participants
0.6 percentage of participants
Percentage of Participants Meeting Rescue Criteria
Week 8 to < Week 12 (n=158, 151, 157, 153)
1.3 percentage of participants
0 percentage of participants
0 percentage of participants
0 percentage of participants
Percentage of Participants Meeting Rescue Criteria
Week 12 to < Week 16 (n=156, 145, 153, 144)
2.6 percentage of participants
3.4 percentage of participants
1.3 percentage of participants
2.1 percentage of participants
Percentage of Participants Meeting Rescue Criteria
Week 16 to < Week 20 (n=150, 138, 149, 134)
7.3 percentage of participants
2.2 percentage of participants
0 percentage of participants
1.5 percentage of participants
Percentage of Participants Meeting Rescue Criteria
Week 20 to Week 26 (n=132, 133, 146, 130)
0.8 percentage of participants
1.5 percentage of participants
1.4 percentage of participants
0 percentage of participants
Percentage of Participants Meeting Rescue Criteria
Overall (n=160, 156, 161, 160)
11.3 percentage of participants
6.4 percentage of participants
2.5 percentage of participants
3.8 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c ≤6.5%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 6.5%
11.6 percentage of participants
16.6 percentage of participants
27.4 percentage of participants
26.4 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c ≤ 7%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 7.0%
24.4 percentage of participants
33.7 percentage of participants
62.8 percentage of participants
53.4 percentage of participants

SECONDARY outcome

Timeframe: Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with HbA1c ≤ 7.5%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 7.5%
44.5 percentage of participants
55.8 percentage of participants
72.0 percentage of participants
72.4 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of ≥ 0.5%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin Greater Than or Equal to 0.5%
66.5 percentage of participants
70.6 percentage of participants
89.6 percentage of participants
85.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of ≥ 1%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin Greater Than or Equal to 1.0%
43.3 percentage of participants
54.6 percentage of participants
75.6 percentage of participants
68.1 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of ≥ 1.5%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin Greater Than or Equal to 1.5%.
29.3 percentage of participants
33.1 percentage of participants
57.3 percentage of participants
50.9 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: Full Analysis Set. Participants who did not complete the scheduled Week 26 visit were assessed based on their response at the time of discontinuation.

Clinical response at Week 26 was assessed by the percentage of participants with a decrease from Baseline in HbA1c of ≥ 2.0%.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Percentage of Participants With a Decrease in Glycosylated Hemoglobin Greater Than or Equal to 2.0%
17.7 percentage of participants
19.6 percentage of participants
34.1 percentage of participants
33.1 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Proinsulin is a precursor to insulin, and was measured as an indicator of pancreatic function. The change from Baseline in fasting proinsulin was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least Squares Means were from an ANCOVA model with treatment and geographic region as class variables and baseline proinsulin as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Fasting Proinsulin
Week 4 (n=136, 134, 135, 145)
-4.9 pmol/L
Standard Error 1.74
-12.1 pmol/L
Standard Error 1.75
-16.0 pmol/L
Standard Error 1.74
-12.3 pmol/L
Standard Error 1.68
Change From Baseline in Fasting Proinsulin
Week 8 (n=150, 143, 146, 155)
-3.7 pmol/L
Standard Error 1.57
-14.9 pmol/L
Standard Error 1.60
-18.2 pmol/L
Standard Error 1.59
-17.7 pmol/L
Standard Error 1.54
Change From Baseline in Fasting Proinsulin
Week 12 (n=150, 143, 147, 155)
-5.9 pmol/L
Standard Error 1.48
-16.0 pmol/L
Standard Error 1.52
-18.6 pmol/L
Standard Error 1.50
-16.7 pmol/L
Standard Error 1.46
Change From Baseline in Fasting Proinsulin
Week 16 (n=150, 143, 147, 155)
-3.4 pmol/L
Standard Error 1.88
-16.3 pmol/L
Standard Error 1.93
-16.0 pmol/L
Standard Error 1.90
-13.1 pmol/L
Standard Error 1.85
Change From Baseline in Fasting Proinsulin
Week 20 (n=150, 143, 147, 155)
-8.1 pmol/L
Standard Error 1.75
-16.1 pmol/L
Standard Error 1.79
-19.8 pmol/L
Standard Error 1.76
-15.5 pmol/L
Standard Error 1.72
Change From Baseline in Fasting Proinsulin
Week 26 (n=150, 143, 147, 155)
-4.8 pmol/L
Standard Error 1.64
-13.2 pmol/L
Standard Error 1.68
-18.3 pmol/L
Standard Error 1.66
-15.1 pmol/L
Standard Error 1.61

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in fasting insulin was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least Squares Means were from an ANCOVA model with treatment and geographic region as class variables and baseline insulin as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Insulin
Week 4 (n=135, 133, 133, 145)
0.43 μIU/mL
Standard Error 0.684
-4.74 μIU/mL
Standard Error 0.689
-4.67 μIU/mL
Standard Error 0.687
-4.27 μIU/mL
Standard Error 0.659
Change From Baseline in Insulin
Week 8 (n=150, 142, 147, 155)
0.93 μIU/mL
Standard Error 0.811
-4.41 μIU/mL
Standard Error 0.834
-4.75 μIU/mL
Standard Error 0.818
-4.86 μIU/mL
Standard Error 0.797
Change From Baseline in Insulin
Week 12 (n=150, 142, 148, 155)
0.29 μIU/mL
Standard Error 0.883
-4.08 μIU/mL
Standard Error 0.907
-2.98 μIU/mL
Standard Error 0.887
-4.65 μIU/mL
Standard Error 0.867
Change From Baseline in Insulin
Week 16 (n=150, 142, 148, 155)
0.26 μIU/mL
Standard Error 0.829
-4.49 μIU/mL
Standard Error 0.852
-3.65 μIU/mL
Standard Error 0.833
-2.73 μIU/mL
Standard Error 0.814
Change From Baseline in Insulin
Week 20 (n=150, 142, 148, 155)
-1.02 μIU/mL
Standard Error 0.844
-4.56 μIU/mL
Standard Error 0.868
-4.61 μIU/mL
Standard Error 0.848
-3.06 μIU/mL
Standard Error 0.829
Change From Baseline in Insulin
Week 26 (n=150, 142, 148, 155)
-0.47 μIU/mL
Standard Error 0.755
-4.06 μIU/mL
Standard Error 0.776
-3.86 μIU/mL
Standard Error 0.759
-3.72 μIU/mL
Standard Error 0.742

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The ratio of proinsulin to insulin was calculated as proinsulin (pmol/L) / insulin (μIU/mL) at weeks 4, 8, 12, 16, 20 and 26 relative to the Baseline value. Least squares means were from an ANCOVA model with treatment and geographic region as class variables and Baseline proinsulin/insulin ratio as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Proinsulin/Insulin Ratio
Week 4 (n=135, 133, 133, 145)
-0.073 ratio
Standard Error 0.0150
-0.047 ratio
Standard Error 0.0151
-0.080 ratio
Standard Error 0.0151
-0.056 ratio
Standard Error 0.0144
Change From Baseline in Proinsulin/Insulin Ratio
Week 8 (n=149, 142, 146, 155)
-0.041 ratio
Standard Error 0.0140
-0.085 ratio
Standard Error 0.0144
-0.094 ratio
Standard Error 0.0142
-0.102 ratio
Standard Error 0.0138
Change From Baseline in Proinsulin/Insulin Ratio
Week 12 (n=149, 142, 147, 155)
-0.062 ratio
Standard Error 0.0122
-0.098 ratio
Standard Error 0.0125
-0.123 ratio
Standard Error 0.0123
-0.095 ratio
Standard Error 0.0120
Change From Baseline in Proinsulin/Insulin Ratio
Week 16 (n=149, 142, 147, 155)
-0.049 ratio
Standard Error 0.0173
-0.081 ratio
Standard Error 0.0177
-0.115 ratio
Standard Error 0.0174
-0.090 ratio
Standard Error 0.0170
Change From Baseline in Proinsulin/Insulin Ratio
Week 20 (n=149, 142, 147, 155)
-0.057 ratio
Standard Error 0.0173
-0.076 ratio
Standard Error 0.0177
-0.124 ratio
Standard Error 0.0174
-0.119 ratio
Standard Error 0.0169
Change From Baseline in Proinsulin/Insulin Ratio
Week 26 (n=149, 142, 147, 155)
-0.051 ratio
Standard Error 0.0145
-0.076 ratio
Standard Error 0.0148
-0.107 ratio
Standard Error 0.0146
-0.102 ratio
Standard Error 0.0142

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

C-peptide is a byproduct created when the hormone insulin is produced and is measured by a blood test. Change from Baseline was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline C-peptide as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in C-peptide Levels
Week 4 (n=142, 141, 141, 146)
0.057 ng/mL
Standard Error 0.0740
-0.551 ng/mL
Standard Error 0.0741
-0.593 ng/mL
Standard Error 0.0741
-0.452 ng/mL
Standard Error 0.0729
Change From Baseline in C-peptide Levels
Week 8 (n=158, 150, 153, 156)
0.034 ng/mL
Standard Error 0.0701
-0.606 ng/mL
Standard Error 0.0718
-0.620 ng/mL
Standard Error 0.0711
-0.547 ng/mL
Standard Error 0.0704
Change From Baseline in C-peptide Levels
Week 12 (n=158, 150, 154, 156)
-0.040 ng/mL
Standard Error 0.0676
-0.612 ng/mL
Standard Error 0.0693
-0.534 ng/mL
Standard Error 0.0684
-0.536 ng/mL
Standard Error 0.0680
Change From Baseline in C-peptide Levels
Week 16 (n=158, 150, 154, 156)
0.037 ng/mL
Standard Error 0.0801
-0.604 ng/mL
Standard Error 0.0822
-0.424 ng/mL
Standard Error 0.0810
-0.353 ng/mL
Standard Error 0.0805
Change From Baseline in C-peptide Levels
Week 20 (n=158, 150, 154, 156)
-0.097 ng/mL
Standard Error 0.0783
-0.623 ng/mL
Standard Error 0.0803
-0.556 ng/mL
Standard Error 0.0792
-0.374 ng/mL
Standard Error 0.0787
Change From Baseline in C-peptide Levels
Week 26 (n=158, 150, 154, 156)
-0.068 ng/mL
Standard Error 0.0752
-0.577 ng/mL
Standard Error 0.0771
-0.541 ng/mL
Standard Error 0.0760
-0.444 ng/mL
Standard Error 0.0756

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The Homeostasis Model Assessment of insulin resistance (HOMA IR) measures insulin resistance based on fasting glucose and insulin measurements: HOMA IR = fasting plasma insulin (µIU/mL) \* fasting plasma glucose (mmol/L) / 22.5 A higher number indicates a greater degree of insulin resistance. The change from Baseline in HOMA IR was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline HOMA IR as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance
Week 12 (n=139, 132, 137, 143)
-0.814 insulin resistance
Standard Error 0.5309
-3.479 insulin resistance
Standard Error 0.5458
-2.905 insulin resistance
Standard Error 0.5348
-3.877 insulin resistance
Standard Error 0.5236
Change From Baseline in Calculated Homeostatic Model Assessment Insulin Resistance
Week 26 (n=145, 134, 144, 148)
-1.353 insulin resistance
Standard Error 0.3566
-3.350 insulin resistance
Standard Error 0.3717
-3.646 insulin resistance
Standard Error 0.3579
-3.508 insulin resistance
Standard Error 0.3532

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The Homeostasis Model Assessment (HOMA) estimates steady state beta cell function (%B) as a percentage of a normal reference population. HOMA %B = 20 \* insulin (µIU/mL) / fasting plasma glucose (mmol/L) - 3.5 The change from Baseline in the homeostasis model assessment of beta cell function was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline HOMA beta cell function as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Homeostatic Model Assessment Beta Cell Function
Week 12 (n= 139, 132, 137, 143)
15.133 percentage beta cell function
Standard Error 4.2787
17.328 percentage beta cell function
Standard Error 4.3868
30.266 percentage beta cell function
Standard Error 4.3006
22.134 percentage beta cell function
Standard Error 4.2098
Change From Baseline in Homeostatic Model Assessment Beta Cell Function
Week 26 (n=145, 134, 144, 148)
10.472 percentage beta cell function
Standard Error 8.5306
17.500 percentage beta cell function
Standard Error 8.8718
39.153 percentage beta cell function
Standard Error 8.5455
24.887 percentage beta cell function
Standard Error 8.4285

SECONDARY outcome

Timeframe: Baseline and Weeks 8, 12, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in body weight was assessed at Weeks 8, 12, 20 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and Baseline weight as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Body Weight
Week 8 (n=155, 146, 152, 151)
-0.34 kg
Standard Error 0.184
0.58 kg
Standard Error 0.189
0.82 kg
Standard Error 0.185
0.70 kg
Standard Error 0.186
Change From Baseline in Body Weight
Week 12 (n=159, 147, 155, 154)
-0.78 kg
Standard Error 0.227
0.96 kg
Standard Error 0.236
1.35 kg
Standard Error 0.230
1.22 kg
Standard Error 0.230
Change From Baseline in Body Weight
Week 20 (n=159, 147, 155, 154)
-0.47 kg
Standard Error 0.265
1.56 kg
Standard Error 0.275
2.36 kg
Standard Error 0.268
1.86 kg
Standard Error 0.269
Change From Baseline in Body Weight
Week 26 (n=159, 147, 155, 154)
-0.29 kg
Standard Error 0.291
2.19 kg
Standard Error 0.302
3.14 kg
Standard Error 0.295
2.51 kg
Standard Error 0.296

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in total cholesterol level was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline total cholesterol as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Total Cholesterol Level
Week 4 (n=146, 144, 142, 149)
-8.5 mg/dL
Standard Error 2.22
0.9 mg/dL
Standard Error 2.23
-0.4 mg/dL
Standard Error 2.25
-5.3 mg/dL
Standard Error 2.20
Change From Baseline in Total Cholesterol Level
Week 8 (n=160, 151, 154, 158)
-5.4 mg/dL
Standard Error 2.30
7.2 mg/dL
Standard Error 2.37
-0.3 mg/dL
Standard Error 2.34
-1.2 mg/dL
Standard Error 2.31
Change From Baseline in Total Cholesterol Level
Week 12 (n=160, 151, 155, 158)
-4.0 mg/dL
Standard Error 2.43
4.9 mg/dL
Standard Error 2.51
-0.6 mg/dL
Standard Error 2.47
4.4 mg/dL
Standard Error 2.45
Change From Baseline in Total Cholesterol Level
Week 16 (n=160, 151, 155, 158)
-4.3 mg/dL
Standard Error 2.42
4.6 mg/dL
Standard Error 2.49
3.8 mg/dL
Standard Error 2.46
4.7 mg/dL
Standard Error 2.44
Change From Baseline in Total Cholesterol Level
Week 20 (n=160, 151, 155, 158)
-2.9 mg/dL
Standard Error 2.67
4.5 mg/dL
Standard Error 2.75
-0.3 mg/dL
Standard Error 2.71
-0.6 mg/dL
Standard Error 2.69
Change From Baseline in Total Cholesterol Level
Week 26 (n=160, 151, 155, 158)
-0.5 mg/dL
Standard Error 2.61
6.5 mg/dL
Standard Error 2.68
3.7 mg/dL
Standard Error 2.65
4.0 mg/dL
Standard Error 2.62

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in low-density lipoprotein cholesterol (LDL-C) was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline LDL cholesterol as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Low-Density Lipoprotein Cholesterol
Week 4 (n=137, 130, 135, 142)
-3.5 mg/dL
Standard Error 1.88
2.8 mg/dL
Standard Error 1.93
2.2 mg/dL
Standard Error 1.89
-2.8 mg/dL
Standard Error 1.85
Change From Baseline in Low-Density Lipoprotein Cholesterol
Week 8 (n=152, 139, 147, 153)
-0.5 mg/dL
Standard Error 1.96
7.6 mg/dL
Standard Error 2.05
2.6 mg/dL
Standard Error 1.99
1.3 mg/dL
Standard Error 1.95
Change From Baseline in Low-Density Lipoprotein Cholesterol
Week 12 (n=154, 140, 148, 154)
0.8 mg/dL
Standard Error 2.02
5.8 mg/dL
Standard Error 2.12
1.4 mg/dL
Standard Error 2.06
3.9 mg/dL
Standard Error 2.02
Change From Baseline in Low-Density Lipoprotein Cholesterol
Week 16 (n=154, 140, 148, 154)
1.8 mg/dL
Standard Error 2.22
6.6 mg/dL
Standard Error 2.33
5.3 mg/dL
Standard Error 2.27
4.6 mg/dL
Standard Error 2.22
Change From Baseline in Low-Density Lipoprotein Cholesterol
Week 20 (n=154, 140, 148, 154)
0.9 mg/dL
Standard Error 2.27
7.4 mg/dL
Standard Error 2.38
2.1 mg/dL
Standard Error 2.32
0.5 mg/dL
Standard Error 2.27
Change From Baseline in Low-Density Lipoprotein Cholesterol
Week 26 (n=154, 140, 148, 154)
2.0 mg/dL
Standard Error 2.22
8.1 mg/dL
Standard Error 2.33
4.6 mg/dL
Standard Error 2.27
3.8 mg/dL
Standard Error 2.22

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in high-density lipoprotein cholesterol (HDL-C) was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline HDL cholesterol as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in High-Density Lipoprotein Cholesterol
Week 4 (n=146, 144, 142, 149)
-0.2 mg/dL
Standard Error 0.54
3.0 mg/dL
Standard Error 0.54
3.8 mg/dL
Standard Error 0.55
3.0 mg/dL
Standard Error 0.54
Change From Baseline in High-Density Lipoprotein Cholesterol
Week 8 (n=160, 151, 154, 158)
0.5 mg/dL
Standard Error 0.56
4.7 mg/dL
Standard Error 0.58
5.0 mg/dL
Standard Error 0.57
4.8 mg/dL
Standard Error 0.57
Change From Baseline in High-Density Lipoprotein Cholesterol
Week 12 (n=160, 151, 155, 158)
0.9 mg/dL
Standard Error 0.64
6.0 mg/dL
Standard Error 0.66
6.4 mg/dL
Standard Error 0.65
6.5 mg/dL
Standard Error 0.65
Change From Baseline in High-Density Lipoprotein Cholesterol
Week 16 (n=160, 151, 155, 158)
0.9 mg/dL
Standard Error 0.57
5.2 mg/dL
Standard Error 0.58
6.0 mg/dL
Standard Error 0.58
5.9 mg/dL
Standard Error 0.57
Change From Baseline in High-Density Lipoprotein Cholesterol
Week 20 (n=160, 151, 155, 158)
0.5 mg/dL
Standard Error 0.59
4.7 mg/dL
Standard Error 0.60
5.6 mg/dL
Standard Error 0.60
5.6 mg/dL
Standard Error 0.59
Change From Baseline in High-Density Lipoprotein Cholesterol
Week 26 (n=160, 151, 155, 158)
0.8 mg/dL
Standard Error 0.64
5.7 mg/dL
Standard Error 0.66
6.2 mg/dL
Standard Error 0.65
6.2 mg/dL
Standard Error 0.64

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 12, 16, 20 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in triglycerides was assessed at Weeks 4, 8, 12, 16, 20 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline triglycerides as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Triglyceride Levels
Week 4 (n=146, 144, 142, 149)
-28.2 mg/dL
Standard Error 8.60
-43.2 mg/dL
Standard Error 8.63
-51.7 mg/dL
Standard Error 8.70
-32.1 mg/dL
Standard Error 8.51
Change From Baseline in Triglyceride Levels
Week 8 (n=160, 151, 154, 158)
-34.8 mg/dL
Standard Error 6.51
-38.2 mg/dL
Standard Error 6.69
-61.6 mg/dL
Standard Error 6.63
-51.9 mg/dL
Standard Error 6.56
Change From Baseline in Triglyceride Levels
Week 12 (n=160, 151, 155, 158)
-36.4 mg/dL
Standard Error 6.90
-47.9 mg/dL
Standard Error 7.09
-64.3 mg/dL
Standard Error 7.00
-45.4 mg/dL
Standard Error 6.95
Change From Baseline in Triglyceride Levels
Week 16 (n=160, 151, 155, 158)
-44.5 mg/dL
Standard Error 5.74
-48.3 mg/dL
Standard Error 5.90
-54.6 mg/dL
Standard Error 5.82
-43.9 mg/dL
Standard Error 5.78
Change From Baseline in Triglyceride Levels
Week 20 (n=160, 151, 155, 158)
-29.9 mg/dL
Standard Error 7.35
-46.6 mg/dL
Standard Error 7.56
-59.3 mg/dL
Standard Error 7.46
-46.5 mg/dL
Standard Error 7.41
Change From Baseline in Triglyceride Levels
Week 26 (n=160, 151, 155, 158)
-24.7 mg/dL
Standard Error 6.83
-46.6 mg/dL
Standard Error 7.02
-56.2 mg/dL
Standard Error 6.92
-43.1 mg/dL
Standard Error 6.88

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in free fatty acids (FFA) was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline free fatty acid as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Free Fatty Acids
Week 12 (n=148, 136, 140, 147)
-0.0404 mmol/L
Standard Error 0.01643
-0.0990 mmol/L
Standard Error 0.01716
-0.1061 mmol/L
Standard Error 0.01690
-0.0805 mmol/L
Standard Error 0.01650
Change From Baseline in Free Fatty Acids
Week 26 (n=154, 136, 147, 150)
-0.0429 mmol/L
Standard Error 0.01624
-0.0680 mmol/L
Standard Error 0.01729
-0.0881 mmol/L
Standard Error 0.01662
-0.1013 mmol/L
Standard Error 0.01647

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in plasminogen activator inhibitor-1 was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline plasminogen activator inhibitor-1 as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Plasminogen Activator Inhibitor-1
Week 12 (n=136, 127, 131, 133)
-1.58 ng/mL
Standard Error 2.815
-4.23 ng/mL
Standard Error 2.909
-9.63 ng/mL
Standard Error 2.870
-11.87 ng/mL
Standard Error 2.849
Change From Baseline in Plasminogen Activator Inhibitor-1
Week 26 (n=145, 129, 142, 137)
1.71 ng/mL
Standard Error 3.151
-5.45 ng/mL
Standard Error 3.341
-7.14 ng/mL
Standard Error 3.189
-8.38 ng/mL
Standard Error 3.246

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in high-sensitivity C-Reactive Protein (hsCRP) was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline hsCRP as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in High-sensitivity C-Reactive Protein
Week 12 (n=147, 134, 138, 146)
-0.4497 mg/L
Standard Error 0.41497
-1.7446 mg/L
Standard Error 0.43493
-1.5346 mg/L
Standard Error 0.42831
-2.2771 mg/L
Standard Error 0.41646
Change From Baseline in High-sensitivity C-Reactive Protein
Week 26 (n=153, 135, 144, 149)
-0.1851 mg/L
Standard Error 0.42623
-1.0391 mg/L
Standard Error 0.45388
-1.9763 mg/L
Standard Error 0.43925
-1.9796 mg/L
Standard Error 0.43182

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in adiponectin was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline adiponectin as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Adiponectin
Week 12 (n=148, 137, 141, 147)
-0.28 μg/mL
Standard Error 0.560
6.35 μg/mL
Standard Error 0.582
8.10 μg/mL
Standard Error 0.575
7.50 μg/mL
Standard Error 0.562
Change From Baseline in Adiponectin
Week 26 (n=154, 137, 147, 149)
-0.09 μg/mL
Standard Error 0.570
6.90 μg/mL
Standard Error 0.605
6.85 μg/mL
Standard Error 0.586
7.16 μg/mL
Standard Error 0.581

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in Apolipoprotein A1 was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and Baseline apolipoprotein A1 as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Apolipoprotein A1
Week 12 (n=140, 138, 137, 144)
-1.6 mg/dL
Standard Error 1.57
2.3 mg/dL
Standard Error 1.58
1.0 mg/dL
Standard Error 1.59
1.7 mg/dL
Standard Error 1.55
Change From Baseline in Apolipoprotein A1
Week 26 (n=149, 139, 146, 146)
-4.5 mg/dL
Standard Error 1.59
1.2 mg/dL
Standard Error 1.64
0.8 mg/dL
Standard Error 1.60
1.6 mg/dL
Standard Error 1.60

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in apolipoprotein A2 was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline apolipoprotein A2 as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Apolipoprotein A2
Week 12 (n=140, 138, 137, 144)
-0.1 mg/dL
Standard Error 0.41
3.4 mg/dL
Standard Error 0.41
2.8 mg/dL
Standard Error 0.41
3.2 mg/dL
Standard Error 0.40
Change From Baseline in Apolipoprotein A2
Week 26 (n=149, 139, 146, 146)
-0.3 mg/dL
Standard Error 0.41
2.9 mg/dL
Standard Error 0.43
2.5 mg/dL
Standard Error 0.42
2.6 mg/dL
Standard Error 0.42

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in apolipoprotein B was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline apolipoprotein B as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Apolipoprotein B
Week 12 (n=140, 138, 137, 143)
-4.0 mg/dL
Standard Error 1.76
-5.0 mg/dL
Standard Error 1.78
-9.8 mg/dL
Standard Error 1.78
-5.9 mg/dL
Standard Error 1.74
Change From Baseline in Apolipoprotein B
Week 26 (n=149, 139, 146, 146)
-2.5 mg/dL
Standard Error 1.84
-3.7 mg/dL
Standard Error 1.91
-7.9 mg/dL
Standard Error 1.86
-6.4 mg/dL
Standard Error 1.86

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in apolipoprotein C-III was assessed at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline apolipoprotein C-III as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Apolipoprotein C-III
Week 12 (n=140, 138, 138, 144)
-0.5 mg/dL
Standard Error 0.30
-0.3 mg/dL
Standard Error 0.30
-0.8 mg/dL
Standard Error 0.30
-0.3 mg/dL
Standard Error 0.30
Change From Baseline in Apolipoprotein C-III
Week 26 (n=149, 139, 147, 146)
-0.4 mg/dL
Standard Error 0.28
-0.2 mg/dL
Standard Error 0.29
-0.3 mg/dL
Standard Error 0.28
-0.4 mg/dL
Standard Error 0.28

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Nuclear Magnetic Resonance (NMR) lipid fractionation was used to assess the change from Baseline in total triglyceride levels at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline NMR total triglycerides as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=147 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=133 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=141 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=147 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides
Week 12 (n=139, 132, 132, 141)
-14.9 mg/dL
Standard Error 6.36
-25.0 mg/dL
Standard Error 6.52
-39.7 mg/dL
Standard Error 6.52
-23.7 mg/dL
Standard Error 6.32
Change From Baseline in Nuclear Magnetic Resonance Lipid Fractionation Total Triglycerides
Week 26 (n=147, 133, 141, 147)
-7.6 mg/dL
Standard Error 5.82
-20.2 mg/dL
Standard Error 6.11
-28.8 mg/dL
Standard Error 5.94
-22.6 mg/dL
Standard Error 5.82

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in levels of total VLDL/chylomicron particles and large VLDL/chylomicron particles was assessed by NMR lipid fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline VLDL/chylomicron particles as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles
Total Particles - Week 12 (n=139, 132, 132, 141)
-6.59 nmol/L
Standard Error 2.600
0.70 nmol/L
Standard Error 2.663
-9.63 nmol/L
Standard Error 2.664
-2.67 nmol/L
Standard Error 2.578
Change From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles
Total Particles - Week 26 (n=147, 133, 141, 147)
-4.97 nmol/L
Standard Error 2.831
4.94 nmol/L
Standard Error 2.976
-0.73 nmol/L
Standard Error 2.888
-1.17 nmol/L
Standard Error 2.828
Change From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles
Large Particles - Week 12 (n=139, 132, 132, 141)
-0.94 nmol/L
Standard Error 0.511
-1.83 nmol/L
Standard Error 0.525
-2.63 nmol/L
Standard Error 0.525
-2.06 nmol/L
Standard Error 0.508
Change From Baseline in Very Low Density Lipoprotein (VLDL) / Chylomicron Particles
Large Particles - Week 26 (n=147, 133, 141, 147)
-0.18 nmol/L
Standard Error 0.480
-1.96 nmol/L
Standard Error 0.505
-2.37 nmol/L
Standard Error 0.490
-2.11 nmol/L
Standard Error 0.480

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in levels of VLDL/chylomicron triglycerides was assessed by NMR lipid fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline VLDL/chylomicron triglycerides as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in VLDL / Chylomicron Triglycerides
Week 12 (n=139, 132, 132, 141)
-14.4 mg/dL
Standard Error 6.34
-25.6 mg/dL
Standard Error 6.50
-39.5 mg/dL
Standard Error 6.50
-24.2 mg/dL
Standard Error 6.30
Change From Baseline in VLDL / Chylomicron Triglycerides
Week 26 (n=147, 133, 141, 147)
-8.2 mg/dL
Standard Error 5.79
-22.0 mg/dL
Standard Error 6.08
-29.7 mg/dL
Standard Error 5.90
-23.3 mg/dL
Standard Error 5.79

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in levels of medium VLDL particles and small VLDL particles was assessed by NMR fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline VLDL particles as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in VLDL Particles
Medium Particles - Week 12 (n=139, 132, 132, 141)
-3.20 nmol/L
Standard Error 1.639
-2.30 nmol/L
Standard Error 1.678
-8.52 nmol/L
Standard Error 1.679
-4.69 nmol/L
Standard Error 1.625
Change From Baseline in VLDL Particles
Medium Particles - Week 26 (n=147, 133, 141, 147)
-0.23 nmol/L
Standard Error 1.784
-0.39 nmol/L
Standard Error 1.874
-3.76 nmol/L
Standard Error 1.819
-3.58 nmol/L
Standard Error 1.782
Change From Baseline in VLDL Particles
Small Particles - Week 12 (n=139, 132, 132, 141)
-1.74 nmol/L
Standard Error 1.617
4.77 nmol/L
Standard Error 1.662
1.18 nmol/L
Standard Error 1.660
3.71 nmol/L
Standard Error 1.607
Change From Baseline in VLDL Particles
Small Particles - Week 26 (n=147, 133, 141, 147)
-4.11 nmol/L
Standard Error 1.710
7.16 nmol/L
Standard Error 1.802
5.22 nmol/L
Standard Error 1.746
4.36 nmol/L
Standard Error 1.711

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in mean VLDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline mean VLDL particle size as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Mean VLDL Particle Size
Week 26 (n=147, 133, 141, 147)
0.30 nm
Standard Error 0.607
-3.71 nm
Standard Error 0.640
-4.21 nm
Standard Error 0.620
-2.80 nm
Standard Error 0.607
Change From Baseline in Mean VLDL Particle Size
Week 12 (n=139, 132, 132, 141)
-0.97 nm
Standard Error 0.668
-3.97 nm
Standard Error 0.688
-2.92 nm
Standard Error 0.687
-2.85 nm
Standard Error 0.665

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in levels of IDL particles was assessed by NMR fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline IDL particles as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Intermediate Density Lipoprotein (IDL) Particles
Week 12 (n=139, 132, 132, 141)
-2.9 nmol/L
Standard Error 3.63
-1.0 nmol/L
Standard Error 3.72
-2.9 nmol/L
Standard Error 3.73
-4.0 nmol/L
Standard Error 3.61
Change From Baseline in Intermediate Density Lipoprotein (IDL) Particles
Week 26 (n=147, 133, 141, 147)
0.5 nmol/L
Standard Error 3.68
2.1 nmol/L
Standard Error 3.86
-1.0 nmol/L
Standard Error 3.75
-5.8 nmol/L
Standard Error 3.68

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in levels of total, large, medium-small, total small and very small LDL particles was assessed by NMR fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline LDL particles as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Very Small - Week 12 (n=139, 132, 132, 141)
-20.9 nmol/L
Standard Error 26.22
-159.2 nmol/L
Standard Error 26.88
-265.7 nmol/L
Standard Error 26.90
-254.2 nmol/L
Standard Error 26.02
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Medium-Small - Week 12 (n=139, 132, 132, 141)
-6.2 nmol/L
Standard Error 6.25
-41.4 nmol/L
Standard Error 6.41
-65.8 nmol/L
Standard Error 6.41
-65.8 nmol/L
Standard Error 6.20
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Total Particles - Week 12 (n=139, 132, 132, 141)
-11.9 nmol/L
Standard Error 28.57
-104.1 nmol/L
Standard Error 29.34
-207.0 nmol/L
Standard Error 29.33
-181.8 nmol/L
Standard Error 28.40
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Total Particles - Week 26 (n=147, 133, 141, 147)
60.9 nmol/L
Standard Error 30.67
-75.6 nmol/L
Standard Error 32.29
-169.9 nmol/L
Standard Error 31.31
-177.1 nmol/L
Standard Error 30.68
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Large Particles - Week 12 (n=139, 132, 132, 141)
15.3 nmol/L
Standard Error 15.16
98.8 nmol/L
Standard Error 15.52
129.4 nmol/L
Standard Error 15.54
142.1 nmol/L
Standard Error 15.05
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Large Particles - Week 26 (n=147, 133, 141, 147)
2.6 nmol/L
Standard Error 15.32
120.4 nmol/L
Standard Error 16.10
146.6 nmol/L
Standard Error 15.63
155.5 nmol/L
Standard Error 15.33
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Medium-Small - Week 26 (n=147, 133, 141, 147)
9.9 nmol/L
Standard Error 6.42
-40.1 nmol/L
Standard Error 6.75
-63.0 nmol/L
Standard Error 6.55
-66.6 nmol/L
Standard Error 6.41
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Total Small - Week 12 (n=139, 132, 132, 141)
-27.8 nmol/L
Standard Error 31.91
-200.3 nmol/L
Standard Error 32.71
-331.2 nmol/L
Standard Error 32.73
-320.0 nmol/L
Standard Error 31.66
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Total Small - Week 26 (n=147, 133, 141, 147)
54.5 nmol/L
Standard Error 33.34
-195.8 nmol/L
Standard Error 35.04
-313.8 nmol/L
Standard Error 34.01
-327.4 nmol/L
Standard Error 33.30
Change From Baseline in Low Density Lipoprotein (LDL) Particles
Very Small - Week 26 (n=147, 133, 141, 147)
45.1 nmol/L
Standard Error 27.44
-156.0 nmol/L
Standard Error 28.83
-250.9 nmol/L
Standard Error 27.98
-260.8 nmol/L
Standard Error 27.40

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in mean LDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline mean LDL particle size as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Mean LDL Particle Size
Week 12 (n=139, 132, 132, 141)
0.09 nm
Standard Error 0.051
0.44 nm
Standard Error 0.053
0.63 nm
Standard Error 0.053
0.58 nm
Standard Error 0.051
Change From Baseline in Mean LDL Particle Size
Week 26 (n=147, 133, 141, 147)
-0.02 nm
Standard Error 0.052
0.44 nm
Standard Error 0.054
0.65 nm
Standard Error 0.053
0.61 nm
Standard Error 0.052

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

The change from Baseline in levels of total, large, medium and small HDL particles was assessed by NMR fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline HDL particles as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in High Density Lipoprotein (HDL) Particles
Total Particles - Week 12 (n=139, 132, 132, 141)
0.18 µmol/L
Standard Error 0.350
0.92 µmol/L
Standard Error 0.359
0.11 µmol/L
Standard Error 0.359
0.54 µmol/L
Standard Error 0.348
Change From Baseline in High Density Lipoprotein (HDL) Particles
Total Particles - Week 26 (n=147, 133, 141, 147)
0.81 µmol/L
Standard Error 0.359
1.67 µmol/L
Standard Error 0.377
1.01 µmol/L
Standard Error 0.367
1.03 µmol/L
Standard Error 0.359
Change From Baseline in High Density Lipoprotein (HDL) Particles
Large Particles - Week 12 (n=139, 132, 132, 141)
0.07 µmol/L
Standard Error 0.195
0.99 µmol/L
Standard Error 0.200
0.98 µmol/L
Standard Error 0.200
1.31 µmol/L
Standard Error 0.193
Change From Baseline in High Density Lipoprotein (HDL) Particles
Large Particles - Week 26 (n=147, 133, 141, 147)
-0.06 µmol/L
Standard Error 0.197
1.14 µmol/L
Standard Error 0.207
1.24 µmol/L
Standard Error 0.201
1.31 µmol/L
Standard Error 0.197
Change From Baseline in High Density Lipoprotein (HDL) Particles
Medium Particles - Week 12 (n=139, 132, 132, 141)
-0.26 µmol/L
Standard Error 0.311
0.72 µmol/L
Standard Error 0.319
1.60 µmol/L
Standard Error 0.320
1.61 µmol/L
Standard Error 0.308
Change From Baseline in High Density Lipoprotein (HDL) Particles
Medium Particles - Week 26 (n=147, 133, 141, 147)
-0.26 µmol/L
Standard Error 0.313
0.95 µmol/L
Standard Error 0.329
1.19 µmol/L
Standard Error 0.320
1.30 µmol/L
Standard Error 0.312
Change From Baseline in High Density Lipoprotein (HDL) Particles
Small Particles - Week 12 (n=139, 132, 132, 141)
0.50 µmol/L
Standard Error 0.412
-0.68 µmol/L
Standard Error 0.423
-2.65 µmol/L
Standard Error 0.423
-2.42 µmol/L
Standard Error 0.410
Change From Baseline in High Density Lipoprotein (HDL) Particles
Small Particles - Week 26 (n=147, 133, 141, 147)
1.24 µmol/L
Standard Error 0.412
-0.28 µmol/L
Standard Error 0.433
-1.58 µmol/L
Standard Error 0.421
-1.63 µmol/L
Standard Error 0.413

SECONDARY outcome

Timeframe: Baseline and Weeks 12 and 26.

Population: The full analysis set where Baseline and at least 1 postbaseline value were available. Last observation carried forward (LOCF) imputation was utilized.

Change from Baseline in mean HDL particle size was assessed by NMR lipid fractionation at Weeks 12 and 26. Least squares means are from an ANCOVA model with treatment and geographic region as class variables and baseline mean HDL particle size as a covariate.

Outcome measures

Outcome measures
Measure
Alogliptin 25 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 Participants
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 Participants
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 Participants
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Change From Baseline in Mean HDL Particle Size
Week 12 (n=139, 132, 132, 141)
-0.02 nm
Standard Error 0.024
0.09 nm
Standard Error 0.025
0.17 nm
Standard Error 0.025
0.15 nm
Standard Error 0.024
Change From Baseline in Mean HDL Particle Size
Week 26 (n=147, 133, 141, 147)
-0.03 nm
Standard Error 0.024
0.08 nm
Standard Error 0.025
0.15 nm
Standard Error 0.024
0.14 nm
Standard Error 0.024

Adverse Events

Alogliptin 25 mg

Serious events: 1 serious events
Other events: 19 other events
Deaths: 0 deaths

Pioglitazone 30 mg

Serious events: 6 serious events
Other events: 25 other events
Deaths: 0 deaths

Alogliptin 25 mg + Pioglitazone 30 mg

Serious events: 8 serious events
Other events: 37 other events
Deaths: 0 deaths

Alogliptin 12.5 mg + Pioglitazone 30 mg

Serious events: 1 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Alogliptin 25 mg
n=164 participants at risk
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 participants at risk
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 participants at risk
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 participants at risk
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Cardiac disorders
Acute myocardial infarction
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Cardiac disorders
Angina unstable
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Eye disorders
Retinal detachment
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Gastrointestinal disorders
Gastritis
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Gastrointestinal disorders
Pancreatitis
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
General disorders
Non-cardiac chest pain
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Hepatobiliary disorders
Cholecystitis
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Infections and infestations
Cervicitis
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Metabolism and nutrition disorders
Hypertriglyceridaemia
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Nervous system disorders
Syncope
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Nervous system disorders
Cerebral ischaemia
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Renal and urinary disorders
Haematuria
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Reproductive system and breast disorders
Endometriosis
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Vascular disorders
Aortic stenosis
0.00%
0/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
0.00%
0/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.

Other adverse events

Other adverse events
Measure
Alogliptin 25 mg
n=164 participants at risk
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 26 weeks.
Pioglitazone 30 mg
n=163 participants at risk
Pioglitazone 30 mg, tablets, orally, once daily and alogliptin placebo-matching tablets, orally, once daily for up to 26 weeks.
Alogliptin 25 mg + Pioglitazone 30 mg
n=164 participants at risk
Alogliptin 25 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Alogliptin 12.5 mg + Pioglitazone 30 mg
n=163 participants at risk
Alogliptin 12.5 mg, tablets, orally, once daily and pioglitazone 30 mg, tablets, orally, once daily for up to 26 weeks.
Nervous system disorders
Headache
6.7%
11/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
6.7%
11/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
12.2%
20/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
8.6%
14/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Infections and infestations
Urinary tract infection
3.0%
5/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
2.5%
4/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
5.5%
9/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
3.7%
6/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
Musculoskeletal and connective tissue disorders
Back pain
0.61%
1/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
1.8%
3/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
6.1%
10/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
1.8%
3/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
General disorders
Oedema peripheral
1.2%
2/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
5.5%
9/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
2.4%
4/164 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.
1.2%
2/163 • Adverse events were collected from the time of informed consent until the end of the study, and from spontaneous reporting for 30 days after the end of treatment.
At each study visit, the investigator assessed whether any events had occurred. Patients could report events at any other time during the study. All events, whether reported by the patient or observed by the investigator, were documented, whether or not the investigator concluded the event to be related to the drug treatment.

Additional Information

Sr. VP, Clinical Science

Takeda Global Research and Development Center, Inc.

Phone: 800-778-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee No publication related to study results will be published prior to publication of a multi-center report submitted for publication within 18 months after conclusion or termination of a study at all study sites. Results publications will be submitted to sponsor for review 60 days in advance of publication. Sponsor can require removal of confidential information unrelated to study results. Sponsor can embargo a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER