Trial Outcomes & Findings for Efficacy and Safety Study of Saxagliptin + Metformin Immediate Release (IR) Versus Metformin IR Alone in Type 2 Diabetes Mellitus (NCT NCT00885378)

NCT ID: NCT00885378

Last Updated: 2015-06-01

Results Overview

Mean change was adjusted for baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

166 participants

Primary outcome timeframe

Baseline, Week 12

Results posted on

2015-06-01

Participant Flow

Participants at 43 sites in 4 countries (25 sites in the United States \[US\], 9 in Germany, 5 in Hungary, and 4 in Puerto Rico) received study medication and participated in this study.

Of the 166 subjects who entered the lead-in period, 6 discontinued: 3 withdrawal of consent, 1 poor/noncompliance, 1 adverse event (AE; abdominal pain secondary to partial small bowel obstruction), and 1 elevated liver enzymes that did not meet study exclusion criteria but was discontinued by the investigator.

Participant milestones

Participant milestones
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Overall Study
STARTED
74
86
Overall Study
COMPLETED
66
78
Overall Study
NOT COMPLETED
8
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Overall Study
Lack of Efficacy
2
2
Overall Study
Withdrawal by Subject
1
2
Overall Study
Lost to Follow-up
1
2
Overall Study
Poor/Noncompliance
2
2
Overall Study
Protocol Violation
2
0

Baseline Characteristics

Efficacy and Safety Study of Saxagliptin + Metformin Immediate Release (IR) Versus Metformin IR Alone in Type 2 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Total
n=160 Participants
Total of all reporting groups
Age, Continuous
53.90 years
STANDARD_DEVIATION 10.35 • n=5 Participants
56.60 years
STANDARD_DEVIATION 9.97 • n=7 Participants
55.4 years
STANDARD_DEVIATION 10.20 • n=5 Participants
Sex: Female, Male
Female
34 Participants
n=5 Participants
41 Participants
n=7 Participants
75 Participants
n=5 Participants
Sex: Female, Male
Male
40 Participants
n=5 Participants
45 Participants
n=7 Participants
85 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 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
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
White
64 Participants
n=5 Participants
80 Participants
n=7 Participants
144 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
49 participants
n=5 Participants
56 participants
n=7 Participants
105 participants
n=5 Participants
Region of Enrollment
Hungary
8 participants
n=5 Participants
8 participants
n=7 Participants
16 participants
n=5 Participants
Region of Enrollment
Puerto Rico
8 participants
n=5 Participants
10 participants
n=7 Participants
18 participants
n=5 Participants
Region of Enrollment
Germany
9 participants
n=5 Participants
12 participants
n=7 Participants
21 participants
n=5 Participants
Mean Height
168.38 cm
STANDARD_DEVIATION 9.56 • n=5 Participants
167.77 cm
STANDARD_DEVIATION 8.99 • n=7 Participants
168.05 cm
STANDARD_DEVIATION 9.23 • n=5 Participants
Mean Weight
95.85 kg
STANDARD_DEVIATION 21.40 • n=5 Participants
91.74 kg
STANDARD_DEVIATION 19.87 • n=7 Participants
93.64 kg
STANDARD_DEVIATION 20.63 • n=5 Participants
Mean Body Mass Index (BMI)
33.68 kg / m^2
STANDARD_DEVIATION 5.94 • n=5 Participants
32.51 kg / m^2
STANDARD_DEVIATION 6.18 • n=7 Participants
33.05 kg / m^2
STANDARD_DEVIATION 6.08 • n=5 Participants
Participant Body Mass Index
< 30 kg / m^2
19 Participants
n=5 Participants
35 Participants
n=7 Participants
54 Participants
n=5 Participants
Participant Body Mass Index
>= 30 kg / m^2
55 Participants
n=5 Participants
51 Participants
n=7 Participants
106 Participants
n=5 Participants
Mean Duration of Type 2 Diabetes Mellitus
5.81 Years
STANDARD_DEVIATION 6.37 • n=5 Participants
6.17 Years
STANDARD_DEVIATION 4.21 • n=7 Participants
6.00 Years
STANDARD_DEVIATION 5.30 • n=5 Participants
Mean Metformin Dose at Baseline
1911.5 mg
STANDARD_DEVIATION 376.59 • n=5 Participants
1855.8 mg
STANDARD_DEVIATION 330.19 • n=7 Participants
1881.6 mg
STANDARD_DEVIATION 352.38 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 12

Population: Randomized participants with both a baseline value and post-baseline value (up to Week 12).

Mean change was adjusted for baseline.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=84 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Mean Hemoglobin A1C (A1c) and Change From Baseline to Week 12
Adjusted Mean Change From Baseline
-0.56 Percentage of glycosylated hemoglobins
Standard Error 0.09
-0.22 Percentage of glycosylated hemoglobins
Standard Error 0.08
Mean Hemoglobin A1C (A1c) and Change From Baseline to Week 12
Baseline
7.92 Percentage of glycosylated hemoglobins
Standard Error 0.11
7.97 Percentage of glycosylated hemoglobins
Standard Error 0.09

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: Randomized participants with a measurement at the specified timepoint with Last Observation Carried Forward (LOCF).

Mean change was adjusted for baseline.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=73 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=84 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Mean Baseline and Change From Baseline in Fasting Plasma Glucose (FPG)
Mean Baseline
164.22 mg / dL
Standard Error 5.512
161.25 mg / dL
Standard Error 4.624
Mean Baseline and Change From Baseline in Fasting Plasma Glucose (FPG)
Adjusted Mean Change from Baseline
-13.73 mg / dL
Standard Error 4.51
-4.22 mg / dL
Standard Error 4.20

SECONDARY outcome

Timeframe: Week 12

Population: Randomized participants with measurement at timepoint with LOCF.

Adjusted for baseline. Calculated using the method by Zhang et al. (Zhang M, Tsiatis A, Davidian M. Improving efficiency of inference in randomized clinical trials using auxiliary covariates. Biometrics. Published online on January 11, 2008; Digital Object Identifier: 10.1111/j.1541-0420.2007.00976.x.)

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=73 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=84 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Percentage of Participants Achieving a Therapeutic Glycemic Response (A1C < 7.0%) at Week 12
37.5 Percentage of Participants
Interval 27.4 to 47.6
24.2 Percentage of Participants
Interval 15.8 to 32.7

SECONDARY outcome

Timeframe: Week 12

Population: Randomized participants with measurement at timepoint with LOCF.

Adjusted for baseline. Calculated using the method by Zhang et al. (Zhang M, Tsiatis A, Davidian M. Improving efficiency of inference in randomized clinical trials using auxiliary covariates. Biometrics. Published online on January 11, 2008; Digital Object Identifier: 10.1111/j.1541-0420.2007.00976.x.)

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=84 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Percentage of Participants Achieving a Therapeutic Glycemic Response (A1C <= 6.5%) at Week 12
24.6 Percentage of Participants
Interval 15.1 to 34.1
10.7 Percentage of Participants
Interval 4.6 to 16.9

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 to Week 12; AEs are included up to the last treatment day + 1 day or the last visit in the double-blind (DB) period. SAEs are included up to the last of 1) the last treatment day + 30 days or 2) the last visit day + 30 days in the DB period.

Population: All treated participants.

AE = any new untoward medical occurrence/worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment.SAE = any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event. Treatment-related=Possible, Probable, or Certain relationship to drug.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
At Least 1 AE
19 Participants
34 Participants
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
At Least 1 Related AE
1 Participants
3 Participants
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
Deaths
0 Participants
0 Participants
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
At Least 1 SAE
1 Participants
1 Participants
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
At Least 1 Related SAE
0 Participants
0 Participants
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
Discontinued Due to SAEs
0 Participants
0 Participants
Participant Adverse Event (AE), Related AE, Serious Adverse Event (SAE), Related SAE, and Discontinued Due to AEs Summary
Discontinued Due to AEs
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 to Week 12; AEs are included up to the last treatment day + 1 day or the last visit in the DB period. SAEs are included up to the last of 1) the last treatment day + 30 days or 2) the last visit day + 30 days in the DB period.

Population: All treated participants.

Hypoglycemic Events are based upon the Saxagliptin Predefined List of Events, which included hypoglycemia, blood glucose decreased, and hypoglycemic unconsciousness.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Participants With Reported Hypoglycemia AEs During Double-Blind Treatment Period
4 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 1 to Week 12; AEs are included up to the last treatment day + 1 day or the last visit in the DB period. SAEs are included up to the last of 1) the last treatment day + 30 days or 2) the last visit day + 30 days in the DB period.

Population: All treated participants.

Confirmed hypoglycemia was defined by a fingerstick glucose value \<= 50 mg/dL with associated hypoglycemia symptoms.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Participants With Confirmed Hypoglycemia
0 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 12

Population: All treated participants, excluding those with missing values.

Abnormal ECGs were defined as those not within the normal limits for the participant, according to the investigator. 'Shifted Normal to Abnormal' and 'Shifted Abnormal to Normal' references a change from measurements at Baseline to those at Week 12.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=71 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=78 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Participant Electrocardiogram (ECG) Status at Baseline and Week 12
Week 12 Normal
39 Participants
50 Participants
Participant Electrocardiogram (ECG) Status at Baseline and Week 12
Week 12 Abnormal
32 Participants
28 Participants
Participant Electrocardiogram (ECG) Status at Baseline and Week 12
Baseline Abnormal
35 Participants
36 Participants
Participant Electrocardiogram (ECG) Status at Baseline and Week 12
Baseline Normal
36 Participants
42 Participants
Participant Electrocardiogram (ECG) Status at Baseline and Week 12
Shifted Normal to Abnormal
5 Participants
4 Participants
Participant Electrocardiogram (ECG) Status at Baseline and Week 12
Shifted Abnormal to Normal
8 Participants
12 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 4, Week 8, Week 12

Population: All treated participants. n= number of participants with measurement at time point.

Baseline values reference the measurement for the cohort of participants evaluated at the given time point.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
SBP Change From Baseline at Week 4 (n=74, 84)
-0.47 mm Hg
Standard Error 1.43
0.17 mm Hg
Standard Error 1.16
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
DBP Change From Baseline at Week 4 (n=74, 84)
-0.81 mm Hg
Standard Error 0.84
0.95 mm Hg
Standard Error 0.86
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
SBP Change From Baseline at Week 12 (n=66, 77)
1.59 mm Hg
Standard Error 1.51
0.83 mm Hg
Standard Error 1.26
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
DBP Change From Baseline at Week 12 (n=66, 77)
1.03 mm Hg
Standard Error 0.75
1.29 mm Hg
Standard Error 0.85
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline SBP for Week 4 cohort (n=74, 84)
128.89 mm Hg
Standard Error 1.67
127.57 mm Hg
Standard Error 1.53
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline DBP for Week 4 cohort (n=74, 84)
78.99 mm Hg
Standard Error 1.07
77.07 mm Hg
Standard Error 1.05
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline SBP for Week 8 cohort (n=70, 81)
128.33 mm Hg
Standard Error 1.67
127.60 mm Hg
Standard Error 1.57
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline DBP for Week 8 cohort (n=70, 81)
78.87 mm Hg
Standard Error 1.08
77.32 mm Hg
Standard Error 1.03
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
SBP Change From Baseline at Week 8 (n=70, 81)
0.60 mm Hg
Standard Error 1.66
-0.43 mm Hg
Standard Error 1.48
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
DBP Change From Baseline at Week 8 (n=70, 81)
0.37 mm Hg
Standard Error 0.94
0.86 mm Hg
Standard Error 0.93
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline SBP for Week 12 cohort (n=66, 77)
128.18 mm Hg
Standard Error 1.76
127.38 mm Hg
Standard Error 1.56
Baseline and Mean Change From Baseline in Participant Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline DBP for Week 12 cohort (n=66, 77)
78.85 mm Hg
Standard Error 1.13
77.23 mm Hg
Standard Error 1.06

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 4, Week 8, Week 12

Population: All treated participants. n= number of participants with measurement at time point.

Baseline values reference the measurement for the cohort of participants evaluated at the given time point.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Baseline and Mean Change From Baseline in Participant Heart Rate (HR)
Baseline HR for Week 4 cohort (n=74, 84)
73.45 mm Hg
Standard Error 1.072
73.77 mm Hg
Standard Error 0.968
Baseline and Mean Change From Baseline in Participant Heart Rate (HR)
HR Change From Baseline at Week 4 (n=74, 84)
0.97 mm Hg
Standard Error 0.881
1.18 mm Hg
Standard Error 0.778
Baseline and Mean Change From Baseline in Participant Heart Rate (HR)
Baseline HR for Week 8 cohort (n=70, 81)
73.51 mm Hg
Standard Error 1.091
73.56 mm Hg
Standard Error 0.990
Baseline and Mean Change From Baseline in Participant Heart Rate (HR)
HR Change From Baseline at Week 8 (n=70, 81)
2.70 mm Hg
Standard Error 0.914
0.28 mm Hg
Standard Error 0.727
Baseline and Mean Change From Baseline in Participant Heart Rate (HR)
Baseline HR for Week 12 cohort (n=66, 77)
73.71 mm Hg
Standard Error 1.142
73.55 mm Hg
Standard Error 1.035
Baseline and Mean Change From Baseline in Participant Heart Rate (HR)
HR Change From Baseline at Week 12 (n=66, 77)
0.61 mm Hg
Standard Error 1.061
0.60 mm Hg
Standard Error 0.866

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 12

Population: All treated participants.

A laboratory value was considered a marked abnormality if it is outside the pre-defined criteria for marked abnormality and the on-treatment value was more extreme (farther from the limit) than the baseline value. ULN=upper limit of normal; LLN=lower limit of normal.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Leukocytes < 2 x 10^3 c/uL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Neutrophils < 1 x 10^3 c/uL
1 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Lymphocytes <= 0.75 x 10^3 c/uL
1 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Alkaline Phosphatase >3x prior to dosing and > ULN
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Alanine Aminotransferase > 5x ULN
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Total Bilirubin > 2 mg/dL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Creatinine > 2.5 mg/dL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Serum Sodium >1.1x pre-Rx and >= 150 mEq/L
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Serum Potassium <=0.8x pre-Rx and <= 3.2 mEq/L
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Serum Potassium >=1.2x pre-Rx and >= 6.0 mEq/L
1 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Serum Chloride <90 mEq/L
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Serum Chloride > 120 mEq/L
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Fasting Plasma Glucose > 500 mg/dL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Plasma Glucose Unspecified < 50 mg/dL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Plasma Glucose Unspecified > 500 mg/dL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Hemoglobin < 8 g/dL
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Hematocrit < 0.75 prior to dosing
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Platelets < 50 x 10^9 c/L
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Platelets > 1.5 x ULN
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Eosinophils > 0.9 x 10^3 c/uL
0 Participants
2 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Aspartate Aminotransferase > 3x ULN
1 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Aspartate Aminotransferase > 5x ULN
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Alanine Aminotransferase > 3x ULN
1 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Total Bilirubin > 1.5x ULN
0 Participants
1 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Blood Urea Nitrogen > 2x prior to dosing and > ULN
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Serum Sodium <0.9x pre-Rx and <= 130 mEq/
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Albumin <0.9x LLN, or if pre-Rx<LLN use <0.75x
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Creatinine Kinase > 5x ULN
0 Participants
1 Participants
Participants Experiencing Changes From Baseline in Laboratory Parameters That Met the Marked Abnormality Criteria
Fasting Plasma Glucose < 50 mg/dL
1 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 12

Population: All treated participants. N = number of participants analyzed and n = the number of participants with values available for each specific measurement.

Marked abnormality criteria were urine protein: if pre-Rx=o use \>=2, if pre-Rx =0.5 or 1 use \>=3, if pre-Rx =2, use \>=4; urine blood: if pre-Rx=0, use \>=2, if pre-Rx=0.5 or 1, use \>=3, if pre-Rx=2, use \>=4; Urine red blood cell count (RBC): if pre-Rx=o use \>=2, if pre-Rx =0.5 or 1 use \>=3, if pre-Rx =2, use \>=4; urine white blood cell count (WBC): if pre-Rx=o use \>=2, if pre-Rx =0.5 or 1 use \>=3, if pre-Rx =2, use \>=4.

Outcome measures

Outcome measures
Measure
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 Participants
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Placebo + Metformin IR
n=86 Participants
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Participants Experiencing Changes From Baseline in Urinalysis Parameters That Met the Marked Abnormality Criteria
Urine Protein (n=74, 84)
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Urinalysis Parameters That Met the Marked Abnormality Criteria
Urine Red Blood Cells (n=7, 10)
0 Participants
0 Participants
Participants Experiencing Changes From Baseline in Urinalysis Parameters That Met the Marked Abnormality Criteria
Urine White Blood Cells (n=16, 18)
2 Participants
2 Participants
Participants Experiencing Changes From Baseline in Urinalysis Parameters That Met the Marked Abnormality Criteria
Urine Blood (n=74, 84)
1 Participants
1 Participants

Adverse Events

Placebo + Metformin IR

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

Saxagliptin 2.5 mg + Metformin Immediate Release (IR)

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

Serious adverse events

Serious adverse events
Measure
Placebo + Metformin IR
n=86 participants at risk
2.5 mg placebo tablets PO BID plus flexible metformin IR dose.
Saxagliptin 2.5 mg + Metformin Immediate Release (IR)
n=74 participants at risk
Saxagliptin 2.5 mg tablets orally (PO) plus a flexible metformin IR dose twice daily (BID).
Cardiac disorders
MYOCARDIAL INFARCTION
0.00%
0/86
1.4%
1/74
Musculoskeletal and connective tissue disorders
BACK PAIN
1.2%
1/86
0.00%
0/74
Respiratory, thoracic and mediastinal disorders
PULMONARY OEDEMA
0.00%
0/86
1.4%
1/74

Other adverse events

Adverse event data not reported

Additional Information

Boaz Hirschberg

AstraZeneca Pharmaceuticals

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤ 60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER