Trial Outcomes & Findings for The Effect of Linagliptin (BI 1356) on 24h-glucose Control and Various Biomarkers in Type 2 Diabetic Patients (NCT NCT00716092)

NCT ID: NCT00716092

Last Updated: 2014-06-27

Results Overview

The change from baseline reflects the day 28 WMG value minus the baseline WMG value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication, and baseline WMG.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

121 participants

Primary outcome timeframe

Baseline and day 28

Results posted on

2014-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Patients randomized to receive treatment with matching placebo
BI1356
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
Patients randomized to receive treatment with Sitagliptin 100 mg
Overall Study
STARTED
40
40
41
Overall Study
COMPLETED
38
39
41
Overall Study
NOT COMPLETED
2
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Patients randomized to receive treatment with matching placebo
BI1356
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
Patients randomized to receive treatment with Sitagliptin 100 mg
Overall Study
Other incl. Lack of Efficacy
2
1
0

Baseline Characteristics

The Effect of Linagliptin (BI 1356) on 24h-glucose Control and Various Biomarkers in Type 2 Diabetic Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=40 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=40 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Total
n=121 Participants
Total of all reporting groups
Age, Continuous
60.5 Years
STANDARD_DEVIATION 9.5 • n=5 Participants
60.7 Years
STANDARD_DEVIATION 10.11 • n=7 Participants
62.0 Years
STANDARD_DEVIATION 7.85 • n=5 Participants
61.1 Years
STANDARD_DEVIATION 9.14 • n=4 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
15 Participants
n=7 Participants
9 Participants
n=5 Participants
35 Participants
n=4 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
25 Participants
n=7 Participants
32 Participants
n=5 Participants
86 Participants
n=4 Participants
Body Mass Index (BMI) continuous
30.3 kg/m^2
STANDARD_DEVIATION 3.83 • n=5 Participants
31.4 kg/m^2
STANDARD_DEVIATION 4.48 • n=7 Participants
30.7 kg/m^2
STANDARD_DEVIATION 4.56 • n=5 Participants
30.8 kg/m^2
STANDARD_DEVIATION 4.29 • n=4 Participants
Glycosylated Hemoglobin A1 (HbA1C) continuous
7.47 Percent
STANDARD_DEVIATION 0.53 • n=5 Participants
7.32 Percent
STANDARD_DEVIATION 0.59 • n=7 Participants
7.17 Percent
STANDARD_DEVIATION 0.44 • n=5 Participants
7.32 Percent
STANDARD_DEVIATION 0.53 • n=4 Participants
Fasting plasma glucose (FPG) continuous
172.8 mg/dL
STANDARD_DEVIATION 28.81 • n=5 Participants
166.9 mg/dL
STANDARD_DEVIATION 27.65 • n=7 Participants
160.3 mg/dL
STANDARD_DEVIATION 25.35 • n=5 Participants
166.6 mg/dL
STANDARD_DEVIATION 27.55 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline and day 28

Population: The pharmacodynamic set(PD-set) consisted of all randomised patients who were treated with at least one dose of study drug. This analysis was based upon model with only BI 1356 and Placebo groups, further restricted to patients who had a baseline and at least one on-treatment value for WMG. Sitagliptin results are from model containing all 3 groups

The change from baseline reflects the day 28 WMG value minus the baseline WMG value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication, and baseline WMG.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=40 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Weighted Mean Glucose (WMG) Change From Baseline at Day 28
0.1 mg/dL
Standard Error 3.0
-19.8 mg/dL
Standard Error 2.9
-26.1 mg/dL
Standard Error 2.8

PRIMARY outcome

Timeframe: Baseline and day 28

Population: The pharmacodynamic set(PD-set) consisted of all randomised patients who were treated with at least one dose of study drug. Analysis was based upon model with only BI 1356 and Placebo groups, further restricted to patients who had a baseline and at least one ontreatment value for GLP-1. Sitagliptin results are from model containing all 3 groups.

The change from baseline reflects the day 28 GLP-1 AUEC (0-2h) value minus the baseline GLP-1 AUEC (0-2h) value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline GLP-1.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
GLP-1 (Glucagon Like Peptide 1) AUEC (0-2h) (Area Under Effect Curve) Change From Baseline at Day 28
0.4 pmol*h/L
Standard Error 2.1
18.5 pmol*h/L
Standard Error 2.1
15.3 pmol*h/L
Standard Error 2.0

SECONDARY outcome

Timeframe: Baseline and day 28

Population: The pharmacodynamic set(PD-set) consisted of all randomised patients who were treated with at least one dose of study drug. This analysis was based upon model with only BI 1356 and Placebo groups, further restricted to patients who had a baseline and at least one on-treatment value for FPG. Sitagliptin results are from model containing all 3 groups

The change from baseline reflects the day 28 FPG value minus the baseline FPG value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline FPG.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Fasting Plasma Glucose (FPG) Change From Baseline at Day 28
-0.1 mg/dL
Standard Error 3.6
-10.9 mg/dL
Standard Error 3.5
-15.6 mg/dL
Standard Error 3.1

SECONDARY outcome

Timeframe: Baseline and day 28

Population: The pharmacodynamic set (PD-set) consisted of all randomised patients who were treated with at least one dose of study drug. This analysis was based upon model with only BI 1356 and Placebo, further restricted to patients who had a baseline and at least one on-treatment value for Glucose AUEC(0-3h). Sitagliptin results from model with all 3 groups.

The change from baseline reflects the day 28 Glucose AUEC (0-3h) value minus the baseline Glucose AUEC (0-3h) value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline plasma glucose AUEC (0-3h).

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Plasma Glucose Area Under Effect Curve (AUEC) (0-3h) Change From Baseline at Day 28
8.1 mg*h/dL
Standard Error 15.1
-98.4 mg*h/dL
Standard Error 14.7
-119.1 mg*h/dL
Standard Error 13.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and day 28

Population: This analysis was based upon the PD-set further restricted to patients who had a baseline and at least one on-treatment value for WMG.

The change from baseline reflects the day 28 WMG value minus the baseline WMG value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline WMG.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=40 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Exploratory Sensitivity Analysis of the WMG Change From Baseline at Day 28
-0.2 mg/dL
Standard Error 2.9
-20.1 mg/dL
Standard Error 2.8
-26.1 mg/dL
Standard Error 2.8

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and day 28

Population: This analysis was based upon the PD-set further restricted to patients who had a baseline and at least one on-treatment value for GLP-1.

The change from baseline reflects the day 28 GLP-1 AUEC (0-2h) value minus the baseline GLP-1 AUEC (0-2h) value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline GLP-1.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Exploratory Sensitivity Analysis of GLP-1 AUEC (0-2h) Change From Baseline at Day 28
-0.1 pmol*h/L
Standard Error 2.0
18.1 pmol*h/L
Standard Error 2.0
15.3 pmol*h/L
Standard Error 2.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and day 28

Population: This analysis was based upon the PD-set further restricted to patients who had a baseline and at least one on-treatment value for FPG.

The change from baseline reflects the day 28 FPG value minus the baseline FPG value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline FPG.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Exploratory Sensitivity Analysis of FPG Change From Baseline at Day 28
0.4 mg/dL
Standard Error 3.2
-10.3 mg/dL
Standard Error 3.1
-15.6 mg/dL
Standard Error 3.1

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and day 28

Population: This analysis was based upon the PD-set further restricted to patients who had a baseline and at least one on-treatment value for Plasma Glucose AUEC (0-3h).

The change from baseline reflects the day 28 FPG value minus the baseline FPG value. Means are treatment adjusted for baseline HbA1c, previous anti-diabetic medication and baseline FPG.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Patients randomized to receive treatment with matching placebo
BI1356
n=39 Participants
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 Participants
Patients randomized to receive treatment with Sitagliptin 100 mg
Exploratory Sensitivity Analysis of Plasma Glucose AUEC (0-3h) Change From Baseline at Day 28
9.8 mg*h/dL
Standard Error 14.0
-96.4 mg*h/dL
Standard Error 13.5
-119.1 mg*h/dL
Standard Error 13.3

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

BI1356

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Sitagliptin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=40 participants at risk
Patients randomized to receive treatment with matching placebo
BI1356
n=40 participants at risk
Patients randomized to receive treatment with BI1356 5 mg
Sitagliptin
n=41 participants at risk
Patients randomized to receive treatment with Sitagliptin 100 mg
Musculoskeletal and connective tissue disorders
Back pain
5.0%
2/40 • From day of first dose until 7 days after last dose, up to 35 days
7.5%
3/40 • From day of first dose until 7 days after last dose, up to 35 days
2.4%
1/41 • From day of first dose until 7 days after last dose, up to 35 days
Nervous system disorders
Headache
7.5%
3/40 • From day of first dose until 7 days after last dose, up to 35 days
10.0%
4/40 • From day of first dose until 7 days after last dose, up to 35 days
12.2%
5/41 • From day of first dose until 7 days after last dose, up to 35 days

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.
  • Publication restrictions are in place

Restriction type: OTHER