Trial Outcomes & Findings for Saxagliptin Compared to Glimepiride in Elderly Type 2 Diabetes Patients, With Inadequate Glycemic Control on Metformin (NCT NCT01006603)

NCT ID: NCT01006603

Last Updated: 2013-11-28

Results Overview

Defined as obtained on or before the 8th day after the last dosing day, as determined by central laboratory. Safety analysis set. Confirmed hypoglycaemia defined as: any event defined as either a symptomatic event with blood glucose level \<3 mmol/L (\<54 mg/dL) and no need for external assistance, or an asymptomatic blood glucose measurement \<3 mmol/L (\<54 mg/dL). Major (or severe) hypoglycaemia defined as: symptomatic events requiring external assistance due to severe impairment in consciousness or behaviour, with or without blood glucose level \<3 mmol/L (\<54 mg/dL), but with prompt recovery after glucose or glucagon administration. These events may be associated with sufficient neuroglycopenia to induce seizure or coma. Plasma glucose measurements may not be available during such an event, but neurological recovery, attributable to the restoration of plasma glucose to normal, was considered sufficient evidence that the event was induced by a low plasma glucose concentration.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

957 participants

Primary outcome timeframe

From week 0 to week 52.

Results posted on

2013-11-28

Participant Flow

In total, 152 study centres in 13 countries recruited patients in this study. The first patient was enrolled in the study on 20 October 2009, and the last patient completed the study on 14 June 2012. 957 subjects were enrolled. 753 were deemed eligible for lead-in and 720 were randomized.

A 2-week single-blind (to patient only) placebo lead-in period occurred from Week -2 to Week 0. Patients were from this period on,counselled on dietary and lifestyle modifications according to usual clinical routine. They were given a glucometer to check their plasma glucose at home at least every second day.

Participant milestones

Participant milestones
Measure
Saxagliptin 5 mg
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
Glimepiride : 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Overall Study
STARTED
360
360
Overall Study
COMPLETED
289
285
Overall Study
NOT COMPLETED
71
75

Reasons for withdrawal

Reasons for withdrawal
Measure
Saxagliptin 5 mg
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
Glimepiride : 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Overall Study
Withdrawal by Subject
17
19
Overall Study
Lost to Follow-up
0
1
Overall Study
Safety reason
1
1
Overall Study
Protocol Violation
1
3
Overall Study
Incorrect enrolment
0
2
Overall Study
Adverse Event
15
7
Overall Study
Death
1
1
Overall Study
Study specific discontinuation criteria
33
34
Overall Study
Other
3
7

Baseline Characteristics

Saxagliptin Compared to Glimepiride in Elderly Type 2 Diabetes Patients, With Inadequate Glycemic Control on Metformin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saxagliptin 5 mg
n=360 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=360 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Total
n=720 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
360 Participants
n=5 Participants
360 Participants
n=7 Participants
720 Participants
n=5 Participants
Age Continuous
72.5 years
STANDARD_DEVIATION 5.72 • n=5 Participants
72.7 years
STANDARD_DEVIATION 5.44 • n=7 Participants
72.6 years
STANDARD_DEVIATION 5.58 • n=5 Participants
Sex: Female, Male
Female
143 Participants
n=5 Participants
132 Participants
n=7 Participants
275 Participants
n=5 Participants
Sex: Female, Male
Male
217 Participants
n=5 Participants
228 Participants
n=7 Participants
445 Participants
n=5 Participants
Region of Enrollment
Greece
21 participants
n=5 Participants
18 participants
n=7 Participants
39 participants
n=5 Participants
Region of Enrollment
Finland
24 participants
n=5 Participants
19 participants
n=7 Participants
43 participants
n=5 Participants
Region of Enrollment
Spain
31 participants
n=5 Participants
25 participants
n=7 Participants
56 participants
n=5 Participants
Region of Enrollment
Austria
30 participants
n=5 Participants
15 participants
n=7 Participants
45 participants
n=5 Participants
Region of Enrollment
United Kingdom
39 participants
n=5 Participants
49 participants
n=7 Participants
88 participants
n=5 Participants
Region of Enrollment
Italy
12 participants
n=5 Participants
12 participants
n=7 Participants
24 participants
n=5 Participants
Region of Enrollment
France
11 participants
n=5 Participants
13 participants
n=7 Participants
24 participants
n=5 Participants
Region of Enrollment
Hungary
9 participants
n=5 Participants
9 participants
n=7 Participants
18 participants
n=5 Participants
Region of Enrollment
Mexico
10 participants
n=5 Participants
7 participants
n=7 Participants
17 participants
n=5 Participants
Region of Enrollment
Denmark
16 participants
n=5 Participants
17 participants
n=7 Participants
33 participants
n=5 Participants
Region of Enrollment
Germany
44 participants
n=5 Participants
55 participants
n=7 Participants
99 participants
n=5 Participants
Region of Enrollment
Norway
47 participants
n=5 Participants
59 participants
n=7 Participants
106 participants
n=5 Participants
Region of Enrollment
Sweden
66 participants
n=5 Participants
62 participants
n=7 Participants
128 participants
n=5 Participants

PRIMARY outcome

Timeframe: From week 0 to week 52.

Population: Safety analysis set (a subset of the randomised analysis set including patients who took at least one investigational product dose).

Defined as obtained on or before the 8th day after the last dosing day, as determined by central laboratory. Safety analysis set. Confirmed hypoglycaemia defined as: any event defined as either a symptomatic event with blood glucose level \<3 mmol/L (\<54 mg/dL) and no need for external assistance, or an asymptomatic blood glucose measurement \<3 mmol/L (\<54 mg/dL). Major (or severe) hypoglycaemia defined as: symptomatic events requiring external assistance due to severe impairment in consciousness or behaviour, with or without blood glucose level \<3 mmol/L (\<54 mg/dL), but with prompt recovery after glucose or glucagon administration. These events may be associated with sufficient neuroglycopenia to induce seizure or coma. Plasma glucose measurements may not be available during such an event, but neurological recovery, attributable to the restoration of plasma glucose to normal, was considered sufficient evidence that the event was induced by a low plasma glucose concentration.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=359 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=359 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Proportion of Patients Reaching HbA1c <7% After 52 Weeks of Treatment Without Confirmed or Severe Hypoglycaemia.
All patients
37.9 percentage of participants
38.2 percentage of participants
Proportion of Patients Reaching HbA1c <7% After 52 Weeks of Treatment Without Confirmed or Severe Hypoglycaemia.
patients aged <75 years (n=217, n=216)
39.2 percentage of participants
33.3 percentage of participants
Proportion of Patients Reaching HbA1c <7% After 52 Weeks of Treatment Without Confirmed or Severe Hypoglycaemia.
patients aged ≥75 years (n=142, n=143)
35.9 percentage of participants
45.5 percentage of participants

SECONDARY outcome

Timeframe: From week 0 to week 52.

Population: Safety analysis set (a subset of the randomised analysis set including patients who took at least one investigational product dose).

Hypoglyceamic event defined as, Confirmed hypoglycaemia: any event defined as either a symptomatic event with blood glucose level \<3 mmol/L (\<54 mg/dL) and no need for external assistance, or an asymptomatic blood glucose measurement \<3 mmol/L (\<54 mg/dL). Major (or severe) hypoglycaemia: symptomatic events requiring external assistance due to severe impairment in consciousness or behaviour, with or without blood glucose level \<3 mmol/L (\<54 mg/dL), but with prompt recovery after glucose or glucagon administration. These events may be associated with sufficient neuroglycopenia to induce seizure or coma. Plasma glucose measurements may not be available during such an event, but neurological recovery, attributable to the restoration of plasma glucose to normal, was considered sufficient evidence that the event was induced by a low plasma glucose concentration. Safety analysis set.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=359 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=359 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Proportion of Patients Having Experienced at Least One Hypoglycaemic Event (Confirmed or Severe) Over the 52-week Double-blind Treatment Period.
1.1 percentage of patients
15.3 percentage of patients

SECONDARY outcome

Timeframe: From week 0 to week 52.

Population: The number of subjects with non-missing baseline and Week 52 (LOCF) values in the full analysis set (defined as the subset of patients in the randomized analysis set who took at least one randomised IP dose and have non-missing baseline and post-baseline efficacy data for at least one variable).

Measured as the difference between the last on-treatment value (defined as obtained before or on the 8th day after the last dosing date), and the last pre-randomisation HbA1c value, as determined by central laboratory. Full analysis set.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=353 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=345 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Change From Baseline to Week 52 in HbA1c.
-0.44 % of glycosylated hemoglobin
Interval -0.51 to -0.37
-0.64 % of glycosylated hemoglobin
Interval -0.71 to -0.57

SECONDARY outcome

Timeframe: From week 0 to week 52

Population: The number of subjects with non-missing baseline and Week 52 (LOCF) values in the full analysis set (defined as the subset of patients in the randomized analysis set who took at least one randomised IP dose and have non-missing baseline and post-baseline efficacy data for at least one variable).

Proportion of patients with their last on-treatment value (defined as obtained before or on the 8th day after the last dosing date), as determined by central laboratory, below the specified limits. Full analysis set.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=356 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=353 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Proportion of Patients Achieving a Therapeutic Glycaemic Response at Week 52 Defined as HbA1c <7.0%
44.7 percentage of responders
54.7 percentage of responders

SECONDARY outcome

Timeframe: From week 0 to week 52

Population: The number of subjects with non-missing baseline and Week 52 (LOCF) values in the full analysis set (defined as the subset of patients in the randomized analysis set who took at least one randomised IP dose and have non-missing baseline and post-baseline efficacy data for at least one variable).

Measured as the difference between the last on-treatment value (defined as obtained before or on the first day after the last dosing date)and the last pre-randomisation fasting plasma glucose value, as determined by central laboratory. Full analysis set.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=344 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=339 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Change From Baseline to Week 52 in Fasting Plasma Glucose (FPG)
-0.73 mmol/L
Interval -0.89 to -0.57
-1.29 mmol/L
Interval -1.45 to -1.13

SECONDARY outcome

Timeframe: From week 0 to week 52

Population: The number of subjects with non-missing baseline and Week 52 (LOCF) values in the full analysis set (defined as the subset of patients in the randomized analysis set who took at least one randomised IP dose and have non-missing baseline and post-baseline efficacy data for at least one variable).

Measured as the difference between the last on-treatment value (defined as obtained before or on the first day after the last dosing date) and the last pre-randomisation fasting plasma insulin value, as determined by central laboratory. Full analysis set.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=312 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=309 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Change From Baseline to Week 52 in Insulin
-2.0 µU/mL
Interval -3.1 to -1.0
-0.6 µU/mL
Interval -1.6 to 0.5

SECONDARY outcome

Timeframe: From week 0 to week 52

Population: The number of subjects with non-missing baseline and Week 52 (LOCF) values in the full analysis set (defined as the subset of patients in the randomized analysis set who took at least one randomised IP dose and have non-missing baseline and post-baseline efficacy data for at least one variable).

β-cell function as estimated by the homeostasis model assessment (HOMA) model. Value is derived from FPG and fasting insulin; fasting insulin values below 2.074 μU/mL or above 57.595 μU/mL and FPG values below 3 mmol/L or above 25 mmol/L are excluded (as restricted by the calculation method used). Full analysis set.

Outcome measures

Outcome measures
Measure
Saxagliptin 5 mg
n=240 Participants
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=247 Participants
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Change From Baseline to Week 52 in β-cell Function (as Measured by Homeostasis Model Assessment-β [HOMA-β]
3.83 percentage of change from baseline
Interval 0.79 to 6.88
16.22 percentage of change from baseline
Interval 13.23 to 19.2

Adverse Events

Saxagliptin 5 mg

Serious events: 41 serious events
Other events: 130 other events
Deaths: 0 deaths

Glimepiride 1 - 6 mg

Serious events: 32 serious events
Other events: 129 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saxagliptin 5 mg
n=359 participants at risk
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=359 participants at risk
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Blood and lymphatic system disorders
ANAEMIA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Blood and lymphatic system disorders
LYMPHADENOPATHY
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
CARDIAC FAILURE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.84%
3/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
MYOCARDIAL INFARCTION
0.84%
3/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
ACUTE MYOCARDIAL INFARCTION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.56%
2/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
ATRIAL FIBRILLATION
0.56%
2/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
ANGINA PECTORIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
ANGINA UNSTABLE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
ISCHAEMIC CARDIOMYOPATHY
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
PERICARDITIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Cardiac disorders
TACHYCARDIA
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
EPIGASTRIC DISCOMFORT
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
HIATUS HERNIA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
INGUINAL HERNIA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
MELAENA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
SUBILEUS
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
General disorders
CHEST PAIN
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
General disorders
DEATH
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
General disorders
DEVICE DISLOCATION
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
General disorders
INFLAMMATION
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Hepatobiliary disorders
CHOLECYSTITIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Immune system disorders
ANAPHYLACTIC SHOCK
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
PNEUMONIA
0.84%
3/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.84%
3/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
APPENDICITIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
DIVERTICULITIS
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
GASTROENTERITIS
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
GASTROENTERITIS NOROVIRUS
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
INFECTIOUS PLEURAL EFFUSION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
LABYRINTHITIS
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
PYELONEPHRITIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
RESPIRATORY TRACT INFECTION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
URINARY TRACT INFECTION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
UROSEPSIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
LUMBAR VERTEBRAL FRACTURE
0.56%
2/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
ANKLE FRACTURE
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
CONCUSSION
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
CONTUSION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
FEMUR FRACTURE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
HAND FRACTURE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
MUSCLE RUPTURE
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Investigations
MEDICAL OBSERVATION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Investigations
WEIGHT DECREASED
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Metabolism and nutrition disorders
HYPERKALAEMIA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Metabolism and nutrition disorders
HYPOGLYCAEMIA
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
ARTHRALGIA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
BACK PAIN
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC PROTRUSION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
JOINT EFFUSION
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
OSTEOARTHRITIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
SPINAL COLUMN STENOSIS
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER
0.56%
2/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BASAL CELL CARCINOMA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BLADDER TRANSITIONAL CELL CARCINOMA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER IN SITU
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
COLON CANCER
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
HEPATIC NEOPLASM MALIGNANT
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG CANCER METASTATIC
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LYMPHOMA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PANCREATIC CARCINOMA
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SALIVARY GLAND CANCER
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
CEREBROVASCULAR ACCIDENT
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
EPILEPSY
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
SYNCOPE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
TRANSIENT ISCHAEMIC ATTACK
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Renal and urinary disorders
CALCULUS BLADDER
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Renal and urinary disorders
CALCULUS URETERIC
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Renal and urinary disorders
NEUROGENIC BLADDER
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Surgical and medical procedures
SURGICAL AND MEDICAL PROCEDURES CARDIOVERSION Systematic Assessment 0 359 1 359
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Vascular disorders
AORTIC ANEURYSM
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Vascular disorders
AORTIC ARTERIOSCLEROSIS
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Vascular disorders
CIRCULATORY COLLAPSE
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Vascular disorders
PERIPHERAL ARTERIAL OCCLUSIVE DISEASE
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Saxagliptin 5 mg
n=359 participants at risk
Saxagliptin 5 mg, oral tablet, once daily
Glimepiride 1 - 6 mg
n=359 participants at risk
Glimepiride 1, 2, 3, 4 or 6 mg, oral encapsulated tablet, once daily
Ear and labyrinth disorders
VERTIGO
2.5%
9/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
DIARRHOEA
4.2%
15/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
5.3%
19/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
CONSTIPATION
1.1%
4/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
2.8%
10/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Gastrointestinal disorders
NAUSEA
1.1%
4/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
2.2%
8/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
NASOPHARYNGITIS
6.4%
23/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
9.7%
35/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
URINARY TRACT INFECTION
3.1%
11/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
5.0%
18/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
BRONCHITIS
3.9%
14/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
1.9%
7/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
3.3%
12/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
3.9%
14/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Injury, poisoning and procedural complications
CONTUSION
2.2%
8/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.00%
0/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
BACK PAIN
2.5%
9/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
5.0%
18/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
ARTHRALGIA
4.7%
17/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
2.5%
9/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
2.8%
10/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
2.5%
9/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL PAIN
2.5%
9/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
0.84%
3/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
DIZZINESS
1.7%
6/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
4.7%
17/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
HEADACHE
1.7%
6/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
3.3%
12/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Nervous system disorders
TREMOR
0.28%
1/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
2.2%
8/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
COUGH
2.5%
9/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
3.6%
13/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
Vascular disorders
HYPERTENSION
2.2%
8/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.
3.3%
12/359
The at Risk population includes only those randomized subjects who took at least one dose of study drug.

Additional Information

Boaz Hirshberg , MSD

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee No publication or presentation may include any of AZ's confidential information without AZ's prior written approval.
  • Publication restrictions are in place

Restriction type: OTHER