Efficacy and Safety of Dapagliflozin, Added to Therapy of Patients With Type 2 Diabetes With Inadequate Glycemic Control on Insulin

NCT ID: NCT00673231

Last Updated: 2013-10-29

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2011-01-31

Brief Summary

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This study is being carried out to see if Dapagliflozin in addition to insulin is effective and safe in treating patients with type 2 diabetes when compared to placebo (identical looking inactive treatment) in addition to insulin

Detailed Description

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Conditions

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Type 2 Diabetes

Keywords

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Dapagliflozin efficacy safety add on to insulin Oral AntiDiabetic Type 2 diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

2.5mg

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

tablet oral 2.5 mg total daily dose once daily 48 weeks (= 24 week randomised treatment period + 24 week study extension period I)

Dapagliflozin

Intervention Type DRUG

tablet oral 2.5 total daily dose once daily 56 weeks (= 56 week study extension period II)

2

5mg

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

Tablet oral 5 mg total daily dose once daily 48 weeks (= 24 week randomised treatment period + 24 week study extension period I)

3

10mg

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

Tablet oral 10 mg total daily dose once daily 48 weeks (= 24 week randomised treatment period + 24 week study extension period I)

Dapagliflozin

Intervention Type DRUG

tablet oral 10 mg total daily dose once daily 56 weeks (= 56 week study extension period II)patients that have been treated with 5 mg during the 24 week randomised treatment period and extension I period will during extension II period switched to 10 mg

4

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Interventions

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Dapagliflozin

tablet oral 2.5 mg total daily dose once daily 48 weeks (= 24 week randomised treatment period + 24 week study extension period I)

Intervention Type DRUG

Dapagliflozin

Tablet oral 5 mg total daily dose once daily 48 weeks (= 24 week randomised treatment period + 24 week study extension period I)

Intervention Type DRUG

Dapagliflozin

Tablet oral 10 mg total daily dose once daily 48 weeks (= 24 week randomised treatment period + 24 week study extension period I)

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

Dapagliflozin

tablet oral 2.5 total daily dose once daily 56 weeks (= 56 week study extension period II)

Intervention Type DRUG

Dapagliflozin

tablet oral 10 mg total daily dose once daily 56 weeks (= 56 week study extension period II)patients that have been treated with 5 mg during the 24 week randomised treatment period and extension I period will during extension II period switched to 10 mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 2 Diabetes
* Patients with HbA1c ≥7.5% and ≤10.5% and who are on a stable insulin regimen of at least 30 IU of injectable insulin per day either without any other oral antidiabetic drug or with a stable dose of oral antidiabetic drugs

Exclusion Criteria

* Type 1 Diabetes
* Treatment with more than two additional oral antidiabetic drugs
* Moderate and severe renal (kidney) failure or dysfunction
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John Wilding, MD

Role: PRINCIPAL_INVESTIGATOR

Clinical Sciences CentreUniversity Hospital AintreeLongmoor LaneLiverpool, UK

Locations

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Fresno, California, United States

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Greenbrae, California, United States

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Roswell, Georgia, United States

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Chicago, Illinois, United States

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Springfield, Illinois, United States

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Indianapolis, Indiana, United States

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Omaha, Nebraska, United States

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Philadelphia, Pennsylvania, United States

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Corpus Christi, Texas, United States

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Dallas, Texas, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Tacoma, Washington, United States

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Salzburg, , Austria

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Vienna, , Austria

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Pleven, , Bulgaria

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Calgary, Alberta, Canada

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Kelowna, British Columbia, Canada

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Langley, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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Moncton, New Brunswick, Canada

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Mount Pearl, Newfoundland and Labrador, Canada

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St. John's, Newfoundland and Labrador, Canada

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Halifax, Nova Scotia, Canada

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Etobicoke, Ontario, Canada

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Kingston, Ontario, Canada

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London, Ontario, Canada

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Oakville, Ontario, Canada

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Scarborough Village, Ontario, Canada

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Thornhill, Ontario, Canada

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Chicoutimi, Quebec, Canada

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Longueuil, Quebec, Canada

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Mirabel, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Lahti, Finland, Finland

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Helsinki, , Finland

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Joensuu, , Finland

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Jyväskylä, , Finland

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Kuopio, , Finland

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Oulu, , Finland

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Seinäjoki, , Finland

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Turku, , Finland

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Bad Oeynhausen, , Germany

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Dortmund, , Germany

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Dresden, , Germany

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Essen, , Germany

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Frankfurt, , Germany

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Magdeburg, , Germany

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Münster, , Germany

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Riesa, , Germany

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Wolmirstedt, , Germany

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Csongrád, , Hungary

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Esztergom, , Hungary

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Győr, , Hungary

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Kaposvár, , Hungary

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Kecskemét, , Hungary

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Komárom, , Hungary

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Miskolc, , Hungary

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Székesfehérvár, , Hungary

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Veszprém, , Hungary

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Amersfoort, , Netherlands

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Den Helder, , Netherlands

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Leiden, , Netherlands

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Rotterdam, , Netherlands

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Brasov, Brașov County, Romania

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Tg Mures, Mureș County, Romania

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Bucharest, , Romania

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Moscow, , Russia

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Nizhny Novgorod, , Russia

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Saint Petersburg, , Russia

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Bratislava, , Slovakia

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Dolný Kubín, , Slovakia

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Košice, , Slovakia

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Levice, , Slovakia

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Lučenec, , Slovakia

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Považská Bystrica, , Slovakia

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Prešov, , Slovakia

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Seville, Andalusia, Spain

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Sabadell (barcelona), Catalonia, Spain

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Madrid, Madrid, Spain

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Alicante, Valencia, Spain

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Reading, Berks, United Kingdom

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Aylesbury, Bucks, United Kingdom

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Ashford, , United Kingdom

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Birmingham, , United Kingdom

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Cardiff, , United Kingdom

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Liverpool, , United Kingdom

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Reading, , United Kingdom

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Swansea, , United Kingdom

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Countries

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United States Austria Bulgaria Canada Finland Germany Hungary Netherlands Romania Russia Slovakia Spain United Kingdom

References

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Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.

Reference Type DERIVED
PMID: 38770818 (View on PubMed)

Aberle J, Menzen M, Schmid SM, Terkamp C, Jaeckel E, Rohwedder K, Scheerer MF, Xu J, Tang W, Birkenfeld AL. Dapagliflozin effects on haematocrit, red blood cell count and reticulocytes in insulin-treated patients with type 2 diabetes. Sci Rep. 2020 Dec 28;10(1):22396. doi: 10.1038/s41598-020-78734-z.

Reference Type DERIVED
PMID: 33372185 (View on PubMed)

Shah M, Stolbov L, Yakovleva T, Tang W, Sokolov V, Penland RC, Boulton D, Parkinson J. A model-based approach to investigating the relationship between glucose-insulin dynamics and dapagliflozin treatment effect in patients with type 2 diabetes. Diabetes Obes Metab. 2021 Apr;23(4):991-1000. doi: 10.1111/dom.14305. Epub 2021 Jan 25.

Reference Type DERIVED
PMID: 33368935 (View on PubMed)

Kohan DE, Fioretto P, Johnsson K, Parikh S, Ptaszynska A, Ying L. The effect of dapagliflozin on renal function in patients with type 2 diabetes. J Nephrol. 2016 Jun;29(3):391-400. doi: 10.1007/s40620-016-0261-1. Epub 2016 Feb 19.

Reference Type DERIVED
PMID: 26894924 (View on PubMed)

van Haalen HG, Pompen M, Bergenheim K, McEwan P, Townsend R, Roudaut M. Cost effectiveness of adding dapagliflozin to insulin for the treatment of type 2 diabetes mellitus in the Netherlands. Clin Drug Investig. 2014 Feb;34(2):135-46. doi: 10.1007/s40261-013-0155-0.

Reference Type DERIVED
PMID: 24243529 (View on PubMed)

Wilding JP, Woo V, Rohwedder K, Sugg J, Parikh S; Dapagliflozin 006 Study Group. Dapagliflozin in patients with type 2 diabetes receiving high doses of insulin: efficacy and safety over 2 years. Diabetes Obes Metab. 2014 Feb;16(2):124-36. doi: 10.1111/dom.12187. Epub 2013 Aug 29.

Reference Type DERIVED
PMID: 23911013 (View on PubMed)

Wilding JP, Woo V, Soler NG, Pahor A, Sugg J, Rohwedder K, Parikh S; Studiengruppe Dapagliflozin 006. [Long-term efficacy of dapagliflozin in patients with type 2 diabetes mellitus receiving high doses of insulin]. Dtsch Med Wochenschr. 2013 Apr;138 Suppl 1:S27-38. doi: 10.1055/s-0032-1305284. Epub 2013 Mar 25. German.

Reference Type DERIVED
PMID: 23529568 (View on PubMed)

Wilding JP, Woo V, Soler NG, Pahor A, Sugg J, Rohwedder K, Parikh S; Dapagliflozin 006 Study Group. Long-term efficacy of dapagliflozin in patients with type 2 diabetes mellitus receiving high doses of insulin: a randomized trial. Ann Intern Med. 2012 Mar 20;156(6):405-15. doi: 10.7326/0003-4819-156-6-201203200-00003.

Reference Type DERIVED
PMID: 22431673 (View on PubMed)

Other Identifiers

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D1690C00006

Identifier Type: -

Identifier Source: org_study_id