Efficacy vs Placebo as Initial Combination Therapy With Pioglitazone

NCT ID: NCT00641043

Last Updated: 2014-02-17

Study Results

Results available

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

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

389 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The objective of the current study is to investigate the efficacy, safety and tolerability of BI 1356 (Linagliptin) (5 mg / once daily) compared to placebo given for 24 weeks as initial combination therapy with pioglitazone 30 mg in patients with type 2 diabetes mellitus with insufficient glycaemic control.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Diabetes Mellitus, Type 2

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

BI 1356 (5 mg)

BI 1356 5mg in initial combination therapy with pioglitazone 30 mg

Group Type EXPERIMENTAL

Linagliptin + pioglitazone (30 mg)

Intervention Type DRUG

5 mg tablet + overcapsulated 30 mg tablet, once daily

Placebo matching BI 1356 5 mg

Placebo in initial combination therapy with pioglitazone 30 mg

Group Type PLACEBO_COMPARATOR

placebo + pioglitazone (30 mg)

Intervention Type DRUG

placebo + overcapsulated 30 mg tablet, once daily

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

placebo + pioglitazone (30 mg)

placebo + overcapsulated 30 mg tablet, once daily

Intervention Type DRUG

Linagliptin + pioglitazone (30 mg)

5 mg tablet + overcapsulated 30 mg tablet, once daily

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Signed and dated written Informed Consent (IC) by date of Visit 1a in accordance with Good Clinical Practice (GCP) and local legislation
2. Patients with a diagnosis of type 2 diabetes mellitus and treatment naive or previously treated with any oral hypoglycaemic agent; antidiabetic therapy has to be unchanged for ten weeks prior to informed consent.
3. Glycosylated haemoglobin A1 (HbA1c) 7.5-11% at Visit 2 (Start of Run-in).
4. Male and female patients aged \> or = 18 and \< or = to 80 years at Visit 1a (Screening).
5. Body Mass Index (BMI) \< or = 40 kg/m2 at Visit 1a (Screening)
6. Signed and dated written informed consent prior to admission to the study in accordance with GCP and local legislation.

Exclusion Criteria

1. Myocardial infarction, stroke or Transient Isquemic Atack (TIA) within 6 months prior to Inform Consent (IC)
2. Impaired hepatic function, defined by serum levels of either Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), or alkaline phosphatase above 3 x upper limit of normal (ULN) determined at Visit 1a.
3. Known hypersensitivity or allergy to the investigational product or its excipients and/or to hydrochloride of pioglitazone or its excipients
4. Treatment with Glucagon-like peptide-1 (GLP-1) analogue / agonist within 3 months prior to IC.
5. Treatment with insulin within 3 months prior to IC
6. Treatment with anti-obesity drugs 3 months prior to IC.
7. Alcohol abuse within the 3 months prior to IC that would interfere with trial participation or drug abuse.
8. Participation in another trial with an investigational drug within 2 months prior to IC.
9. Fasting blood glucose \> 240 mg/dl (=13.3 mmol/L) at screening (Visit 1).
10. Pre-menopausal women (last menstruation \< or =1 year prior to signing IC) who:

* are nursing or pregnant,
* or are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study and do not agree to submit to periodic pregnancy testing during participation in the trial. Acceptable methods of birth control include transdermal patch, intra uterine devices/systems (IUDs/IUSs), oral, implantable or injectable contraceptives, sexual abstinence and vasectomised partner. No exception will be made.
11. Treatment with systemic steroids or change in the dosage of thyroid hormone within six weeks prior to IC
12. Heart failure New York Heart Asociation (NYHA) class I-IV, or history of heart failure.
13. Diabetic ketoacidosis within 6 months prior to IC.
14. Hemodialyzed patients due to limited experience with Thiazolidinediones (TZDs)
15. Any other clinical condition wich, in the opinion of the investigator, would not alow safe completion of the protocol and safe administration of BI1356 and pioglitazone.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Boehringer Ingelheim

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

1218.15.43004 Boehringer Ingelheim Investigational Site

Feldkirch, , Austria

Site Status

1218.15.43001 Boehringer Ingelheim Investigational Site

Graz, , Austria

Site Status

1218.15.43003 Boehringer Ingelheim Investigational Site

Vienna, , Austria

Site Status

1218.15.43005 Boehringer Ingelheim Investigational Site

Vienna, , Austria

Site Status

1218.15.30004 Boehringer Ingelheim Investigational Site

Athens, , Greece

Site Status

1218.15.30007 Boehringer Ingelheim Investigational Site

Athens, , Greece

Site Status

1218.15.30017 Boehringer Ingelheim Investigational Site

Ioannina, , Greece

Site Status

1218.15.30002 Boehringer Ingelheim Investigational Site

Melissia-Athens, , Greece

Site Status

1218.15.30003 Boehringer Ingelheim Investigational Site

Nikaia, , Greece

Site Status

1218.15.30006 Boehringer Ingelheim Investigational Site

Thessaloniki, , Greece

Site Status

1218.15.30014 Boehringer Ingelheim Investigational Site

Thessaloniki, , Greece

Site Status

1218.15.30016 Boehringer Ingelheim Investigational Site

Thessaloniki, , Greece

Site Status

1218.15.36003 Boehringer Ingelheim Investigational Site

Budapest, , Hungary

Site Status

1218.15.36004 Boehringer Ingelheim Investigational Site

Budapest, , Hungary

Site Status

1218.15.36006 Boehringer Ingelheim Investigational Site

Budapest, , Hungary

Site Status

1218.15.36008 Boehringer Ingelheim Investigational Site

Debrecen, , Hungary

Site Status

1218.15.36005 Boehringer Ingelheim Investigational Site

Győr, , Hungary

Site Status

1218.15.36002 Boehringer Ingelheim Investigational Site

Szombathely, , Hungary

Site Status

1218.15.81001 Boehringer Ingelheim Investigational Site

Amagasaki, Hyogo, , Japan

Site Status

1218.15.81005 Boehringer Ingelheim Investigational Site

Koganei, Tokyo, , Japan

Site Status

1218.15.81002 Boehringer Ingelheim Investigational Site

Osaka, Osaka, , Japan

Site Status

1218.15.81004 Boehringer Ingelheim Investigational Site

Shinjyuku-ku,Tokyo, , Japan

Site Status

1218.15.81003 Boehringer Ingelheim Investigational Site

Suita, Osaka,, , Japan

Site Status

1218.15.35007 Boehringer Ingelheim Investigational Site

Aveiro, , Portugal

Site Status

1218.15.35001 Boehringer Ingelheim Investigational Site

Lisbon, , Portugal

Site Status

1218.15.40504 Boehringer Ingelheim Investigational Site

Alba Iulia, , Romania

Site Status

1218.15.40501 Boehringer Ingelheim Investigational Site

Bucharest, , Romania

Site Status

1218.15.40502 Boehringer Ingelheim Investigational Site

Bucharest, , Romania

Site Status

1218.15.40503 Boehringer Ingelheim Investigational Site

Sibiu, , Romania

Site Status

1218.15.40505 Boehringer Ingelheim Investigational Site

Târgu Mureş, , Romania

Site Status

1218.15.34002 Boehringer Ingelheim Investigational Site

Badalona, , Spain

Site Status

1218.15.34011 Boehringer Ingelheim Investigational Site

Badia Del Vallés, , Spain

Site Status

1218.15.34001 Boehringer Ingelheim Investigational Site

Bercelona, , Spain

Site Status

1218.15.34012 Boehringer Ingelheim Investigational Site

Borges Del Camp, , Spain

Site Status

1218.15.34013 Boehringer Ingelheim Investigational Site

Centelles, , Spain

Site Status

1218.15.34007 Boehringer Ingelheim Investigational Site

Granada, , Spain

Site Status

1218.15.34008 Boehringer Ingelheim Investigational Site

L'Hospitalet de Llobregat (Barcelona), , Spain

Site Status

1218.15.34009 Boehringer Ingelheim Investigational Site

L'Hospitalet de Llobregat (Barcelona), , Spain

Site Status

1218.15.34004 Boehringer Ingelheim Investigational Site

Madrid, , Spain

Site Status

1218.15.34006 Boehringer Ingelheim Investigational Site

Madrid, , Spain

Site Status

1218.15.34010 Boehringer Ingelheim Investigational Site

Sant Adrià Del Besós (Barcelona), , Spain

Site Status

1218.15.34005 Boehringer Ingelheim Investigational Site

Seville, , Spain

Site Status

1218.15.34014 Boehringer Ingelheim Investigational Site

Vic (Barcelona), , Spain

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Austria Greece Hungary Japan Portugal Romania Spain

References

Explore related publications, articles, or registry entries linked to this study.

Johansen OE, Neubacher D, von Eynatten M, Patel S, Woerle HJ. Cardiovascular safety with linagliptin in patients with type 2 diabetes mellitus: a pre-specified, prospective, and adjudicated meta-analysis of a phase 3 programme. Cardiovasc Diabetol. 2012 Jan 10;11:3. doi: 10.1186/1475-2840-11-3.

Reference Type DERIVED
PMID: 22234149 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2007-002456-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1218.15

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.