Trial Outcomes & Findings for 30 Week Parallel Group Comparison Study of Linagliptin + Pioglitazone (5+15, 5+30 and 5+45 mg) qd Versus Respective Monotherapies, Followed by a Comparison of 5mg+30mg and 5mg+45mg Versus Respective Monotherapies in Type 2 Diabetes for up to 54 Weeks (NCT NCT01183013)

NCT ID: NCT01183013

Last Updated: 2014-10-20

Results Overview

HbA1c is measured as a percentage. The change from baseline is the Week 30 HbA1c minus the baseline HbA1c.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

936 participants

Primary outcome timeframe

Baseline and 30 weeks

Results posted on

2014-10-20

Participant Flow

After Amendment #5, patients were considered COMPLETED at the end of Part A (30 weeks) or after their next Part B visit (up to 54 weeks) if already in Part B. Before Amendment #5, all patients were considered COMPLETED at the end of Part A + Part B (84 weeks).

Participant milestones

Participant milestones
Measure
Pio15/Pio30
Participants treated with pioglitazone 15mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio30/Pio30
Participants treated with pioglitazone 30mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio45/Pio45
Participants treated with pioglitazone 30 mg for 6 weeks and then were titrated up to pioglitazone 45mg for 24 weeks followed by pioglitazone 45mg for up to 54 weeks.
Lina5/Lina5
Participants treated with linagliptin 5mg once daily for 30 weeks followed by linagliptin 5mg once daily for up to 54 weeks.
Lina5Pio15/Lina5Pio30
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio30/Lina5Pio30
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio45/Lina5Pio45
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 6 weeks and linagliptin 5mg + pioglitazone 45mg FDC for 24 weeks followed by linagliptin 5mg + pioglitazone 45mg FDC for up to 54 weeks.
Overall Study
STARTED
131
140
138
135
126
133
133
Overall Study
COMPLETED
86
101
97
105
90
88
96
Overall Study
NOT COMPLETED
45
39
41
30
36
45
37

Reasons for withdrawal

Reasons for withdrawal
Measure
Pio15/Pio30
Participants treated with pioglitazone 15mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio30/Pio30
Participants treated with pioglitazone 30mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio45/Pio45
Participants treated with pioglitazone 30 mg for 6 weeks and then were titrated up to pioglitazone 45mg for 24 weeks followed by pioglitazone 45mg for up to 54 weeks.
Lina5/Lina5
Participants treated with linagliptin 5mg once daily for 30 weeks followed by linagliptin 5mg once daily for up to 54 weeks.
Lina5Pio15/Lina5Pio30
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio30/Lina5Pio30
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio45/Lina5Pio45
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 6 weeks and linagliptin 5mg + pioglitazone 45mg FDC for 24 weeks followed by linagliptin 5mg + pioglitazone 45mg FDC for up to 54 weeks.
Overall Study
Adverse Event
6
8
5
5
10
10
6
Overall Study
Lack of Efficacy
3
2
1
2
1
2
0
Overall Study
Protocol Violation
5
2
4
0
4
3
3
Overall Study
Lost to Follow-up
7
3
4
3
2
6
5
Overall Study
Withdrawal by Subject
9
13
10
8
7
9
10
Overall Study
Reasons other than stated above
15
11
17
12
12
15
13

Baseline Characteristics

30 Week Parallel Group Comparison Study of Linagliptin + Pioglitazone (5+15, 5+30 and 5+45 mg) qd Versus Respective Monotherapies, Followed by a Comparison of 5mg+30mg and 5mg+45mg Versus Respective Monotherapies in Type 2 Diabetes for up to 54 Weeks

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pio15/Pio30
n=124 Participants
Participants treated with pioglitazone 15mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio30/Pio30
n=134 Participants
Participants treated with pioglitazone 30mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio45/Pio45
n=134 Participants
Participants treated with pioglitazone 30 mg for 6 weeks and then were titrated up to pioglitazone 45mg for 24 weeks followed by pioglitazone 45mg for up to 54 weeks.
Lina5/Lina5
n=130 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio15/Lina5Pio30
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for 30 weeks followed by a blinded trial period on linagliptin 5mg + pioglitazone 30mg FDC
Lina5Pio30/Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio45/Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 6 weeks and linagliptin 5mg + pioglitazone 45mg FDC for 24 weeks followed by linagliptin 5mg + pioglitazone 45mg FDC for up to 54 weeks.
Total
n=893 Participants
Total of all reporting groups
Age, Continuous
56.4 years
STANDARD_DEVIATION 10.4 • n=5 Participants
57.2 years
STANDARD_DEVIATION 11.1 • n=7 Participants
56.5 years
STANDARD_DEVIATION 11.1 • n=5 Participants
56.3 years
STANDARD_DEVIATION 10.1 • n=4 Participants
57.1 years
STANDARD_DEVIATION 10.2 • n=21 Participants
56.4 years
STANDARD_DEVIATION 10.0 • n=8 Participants
60.1 years
STANDARD_DEVIATION 10.2 • n=8 Participants
57.1 years
STANDARD_DEVIATION 10.5 • n=24 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
64 Participants
n=7 Participants
66 Participants
n=5 Participants
51 Participants
n=4 Participants
54 Participants
n=21 Participants
61 Participants
n=8 Participants
57 Participants
n=8 Participants
410 Participants
n=24 Participants
Sex: Female, Male
Male
67 Participants
n=5 Participants
70 Participants
n=7 Participants
68 Participants
n=5 Participants
79 Participants
n=4 Participants
66 Participants
n=21 Participants
64 Participants
n=8 Participants
69 Participants
n=8 Participants
483 Participants
n=24 Participants
Baseline HbA1c
8.33 percent
STANDARD_DEVIATION 0.93 • n=5 Participants
7.99 percent
STANDARD_DEVIATION 0.85 • n=7 Participants
8.12 percent
STANDARD_DEVIATION 0.87 • n=5 Participants
8.01 percent
STANDARD_DEVIATION 0.88 • n=4 Participants
8.13 percent
STANDARD_DEVIATION 0.94 • n=21 Participants
8.17 percent
STANDARD_DEVIATION 1.07 • n=8 Participants
8.01 percent
STANDARD_DEVIATION 0.81 • n=8 Participants
8.11 percent
STANDARD_DEVIATION 0.91 • n=24 Participants
Baseline fasting plasma glucose (FPG)
171.3 mg/dL
STANDARD_DEVIATION 39.3 • n=5 Participants
165.8 mg/dL
STANDARD_DEVIATION 40.0 • n=7 Participants
167.5 mg/dL
STANDARD_DEVIATION 37.9 • n=5 Participants
161.4 mg/dL
STANDARD_DEVIATION 38.1 • n=4 Participants
167.3 mg/dL
STANDARD_DEVIATION 39.5 • n=21 Participants
168.8 mg/dL
STANDARD_DEVIATION 46.8 • n=8 Participants
162.3 mg/dL
STANDARD_DEVIATION 36.8 • n=8 Participants
166.3 mg/dL
STANDARD_DEVIATION 39.9 • n=24 Participants

PRIMARY outcome

Timeframe: Baseline and 30 weeks

Population: Patients from Full Analysis Set (FAS) with last observation carried forward (LOCF) used to handle missing values at Week 30. FAS is the patient set which includes all patients who were documented to have taken at least one dose of treatment and who had a baseline HbA1c value at at least one on-treatment HbA1c.

HbA1c is measured as a percentage. The change from baseline is the Week 30 HbA1c minus the baseline HbA1c.

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Change From Baseline in HbA1c After 30 Weeks of Treatment.
-0.66 percent
Standard Error 0.09
-0.69 percent
Standard Error 0.09
-0.87 percent
Standard Error 0.09
-0.39 percent
Standard Error 0.09
-0.83 percent
Standard Error 0.09
-1.06 percent
Standard Error 0.09
-1.28 percent
Standard Error 0.09

SECONDARY outcome

Timeframe: Baseline and 30 weeks

Population: FAS patients who also had baseline HbA1c\>=7%.Non-completers (patients without a value at Week 30) were considered as failures (NCF).

Glycosylated hemoglobin is reported as a percentage of the total hemoglobin.

Outcome measures

Outcome measures
Measure
Pio15
n=121 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=125 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=129 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=124 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=112 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=118 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=121 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Occurrence of Cumulative Treat to Target Efficacy Response, of HbA1c Under Treatment of < 7.0% After 30 Weeks of Treatment
39 participants
55 participants
68 participants
29 participants
45 participants
61 participants
81 participants

SECONDARY outcome

Timeframe: Baseline and 30 weeks

Population: FAS patients who also had baseline HbA1c \>=6.5%. Non-completers (patients without a value at Week 30) were considered as failures (NCF)

Glycosylated hemoglobin is reported as a percentage of the total hemoglobin.

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=132 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=129 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=123 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Occurrence of Cumulative Treat to Target Efficacy Response, of HbA1c Under Treatment of < 6.5% After 30 Weeks of Treatment
20 participants
28 participants
39 participants
14 participants
24 participants
38 participants
43 participants

SECONDARY outcome

Timeframe: Baseline and 30 weeks

Population: FAS with non-completers (without a value at Week 30) considered as failure

Glycosylated hemoglobin is reported as a percentage of the total hemoglobin.

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Occurrence of Relative Efficacy Response (HbA1c Lowering by at Least 0.5% After 30 Weeks of Treatment)
79 participants
83 participants
90 participants
54 participants
79 participants
91 participants
107 participants

SECONDARY outcome

Timeframe: Baseline, week 6, week 12, week 18, week 24, week 30

Population: FAS (observed cases)

HbA1c is measured as a percentage. The change from baseline is the HbA1c over time minus the baseline HbA1c. The model includes fixed effects for treatment, continuous baseline HbA1c, prior andi-diabetic medication, country, visit and treatment. by visit interaction.

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
HbA1c Change From Baseline by Visit Over Time
Change to week 6 (N=121,133,133,130,119,124,125)
-0.22 percent
Standard Error 0.06
-0.16 percent
Standard Error 0.06
-0.20 percent
Standard Error 0.06
-0.23 percent
Standard Error 0.06
-0.43 percent
Standard Error 0.06
-0.47 percent
Standard Error 0.06
-0.62 percent
Standard Error 0.06
HbA1c Change From Baseline by Visit Over Time
Change to week 12 (N=112,124,127,122,111,117,120)
-0.47 percent
Standard Error 0.08
-0.43 percent
Standard Error 0.07
-0.59 percent
Standard Error 0.07
-0.36 percent
Standard Error 0.08
-0.71 percent
Standard Error 0.08
-0.92 percent
Standard Error 0.08
-1.01 percent
Standard Error 0.08
HbA1c Change From Baseline by Visit Over Time
Change to week 18 (N=101,121,122,112,104,104,115)
-0.63 percent
Standard Error 0.09
-0.58 percent
Standard Error 0.08
-0.82 percent
Standard Error 0.08
-0.39 percent
Standard Error 0.08
-0.81 percent
Standard Error 0.09
-1.07 percent
Standard Error 0.09
-1.22 percent
Standard Error 0.09
HbA1c Change From Baseline by Visit Over Time
Change to week 24 (N=91,108,110,95,92,96,109)
-0.75 percent
Standard Error 0.09
-0.67 percent
Standard Error 0.09
-0.87 percent
Standard Error 0.09
-0.39 percent
Standard Error 0.09
-0.84 percent
Standard Error 0.09
-1.10 percent
Standard Error 0.09
-1.23 percent
Standard Error 0.09
HbA1c Change From Baseline by Visit Over Time
Change to week 30 (N=78,93,91,79,86,87,97)
-0.77 percent
Standard Error 0.09
-0.73 percent
Standard Error 0.08
-0.94 percent
Standard Error 0.09
-0.37 percent
Standard Error 0.09
-0.87 percent
Standard Error 0.09
-1.09 percent
Standard Error 0.09
-1.27 percent
Standard Error 0.09

SECONDARY outcome

Timeframe: Baseline and 30 weeks

Population: Patients from Full Analysis Set (FAS) with a value for FPG at baseline and on-treatment. Last observation carried forward (LOCF) used to handle missing values at Week 30.

The change from baseline is the FPG after 30 weeks minus the baseline FPG.

Outcome measures

Outcome measures
Measure
Pio15
n=123 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=133 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=119 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=123 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Fasting Plasma Glucose (FPG) Change From Baseline After 30 Weeks of Treatment
-15.16 mg/dL
Standard Error 3.49
-25.49 mg/dL
Standard Error 3.28
-28.69 mg/dL
Standard Error 3.29
-1.46 mg/dL
Standard Error 3.35
-18.84 mg/dL
Standard Error 3.47
-27.33 mg/dL
Standard Error 3.46
-35.19 mg/dL
Standard Error 3.40

SECONDARY outcome

Timeframe: Baseline, week 6, week 12, week 18, week 24, week 30

Population: FAS (observed cases)

The change from baseline is the FPG over time minus the baseline FPG. Model includes fixed effects for treatment, continuous baseline FPG, continuous baseline HbA1c, prior anti-diabetic medication, country, visit and treatment by visit interaction

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Fasting Plasma Glucose (FPG) Change From Baseline by Visit Over Time
Change at week 6 (N=118,132,133,130,119,122,124)
-14.43 mg/dL
Standard Error 2.99
-16.38 mg/dL
Standard Error 2.80
-15.72 mg/dL
Standard Error 2.81
-4.25 mg/dL
Standard Error 2.84
-19.25 mg/dL
Standard Error 2.96
-26.89 mg/dL
Standard Error 2.94
-28.36 mg/dL
Standard Error 2.89
Fasting Plasma Glucose (FPG) Change From Baseline by Visit Over Time
Change at week 12 (N=111,124,126,122,108,114,118)
-10.63 mg/dL
Standard Error 3.24
-21.36 mg/dL
Standard Error 3.04
-25.30 mg/dL
Standard Error 3.03
-7.43 mg/dL
Standard Error 3.08
-17.99 mg/dL
Standard Error 3.24
-31.25 mg/dL
Standard Error 3.19
-28.53 mg/dL
Standard Error 3.13
Fasting Plasma Glucose (FPG) Change From Baseline by Visit Over Time
Change at week 18 (N=100,122,121,111,104,103,114)
-16.68 mg/dL
Standard Error 3.29
-20.69 mg/dL
Standard Error 3.02
-28.68 mg/dL
Standard Error 3.03
-7.06 mg/dL
Standard Error 3.13
-19.01 mg/dL
Standard Error 3.24
-31.22 mg/dL
Standard Error 3.25
-30.66 mg/dL
Standard Error 3.12
Fasting Plasma Glucose (FPG) Change From Baseline by Visit Over Time
Change at week 24 (N=90,108,108,96,93,93,108)
-16.25 mg/dL
Standard Error 3.25
-21.57 mg/dL
Standard Error 2.99
-27.67 mg/dL
Standard Error 3.00
-4.60 mg/dL
Standard Error 3.13
-16.68 mg/dL
Standard Error 3.20
-31.48 mg/dL
Standard Error 3.20
-31.49 mg/dL
Standard Error 3.03
Fasting Plasma Glucose (FPG) Change From Baseline by Visit Over Time
Change at week 30 (N=76,91,89,79,82,87,98)
-17.66 mg/dL
Standard Error 3.35
-26.09 mg/dL
Standard Error 3.08
-31.76 mg/dL
Standard Error 3.11
-0.09 mg/dL
Standard Error 3.24
-17.93 mg/dL
Standard Error 3.27
-27.11 mg/dL
Standard Error 3.22
-34.04 mg/dL
Standard Error 3.07

SECONDARY outcome

Timeframe: Baseline and 30 weeks

Population: MTT set: This patient set includes those patients in the FAS who had a valid MTT at baseline and at least one valid on-treatment MTT. An MTT is considered valid if both an FPG and a 2-hour PPG value are available.

The change from baseline is the 2hPPG after 30 weeks minus the baseline 2hPPG.

Outcome measures

Outcome measures
Measure
Pio15
n=29 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=34 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=25 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=22 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=28 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=26 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=31 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Two-hour Postprandial Glucose (2hPPG) Change From Baseline at Week 30 by Meal Tolerance Test (MTT)
-30.65 mg/dL
Standard Error 10.93
-83.00 mg/dL
Standard Error 9.85
-82.98 mg/dL
Standard Error 10.92
-51.61 mg/dL
Standard Error 11.67
-67.26 mg/dL
Standard Error 11.15
-87.94 mg/dL
Standard Error 11.14
-84.77 mg/dL
Standard Error 10.28

SECONDARY outcome

Timeframe: 30 weeks

Population: FAS

Proportion of patients at 30 weeks with rescue therapy using Kaplan-Meier analysis.

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Time to First Use of Rescue Therapy
Proportion event-free
0.8117 Proportion of participants
50.5
0.8533 Proportion of participants
47.8
0.9051 Proportion of participants
55.3
0.7756 Proportion of participants
47.7
0.8854 Proportion of participants
61.5
0.9078 Proportion of participants
54.7
0.9548 Proportion of participants
65.7
Time to First Use of Rescue Therapy
Standard Error
0.0382 Proportion of participants
0.0330 Proportion of participants
0.0273 Proportion of participants
0.0390 Proportion of participants
0.0313 Proportion of participants
0.0279 Proportion of participants
0.0198 Proportion of participants

SECONDARY outcome

Timeframe: 30 weeks

Population: FAS

Rescue therapy was defined to include any new antidiabetic medication taken for hyperglycemia and introduced on or after the start date of study treatment and before the end date of study treatment.

Outcome measures

Outcome measures
Measure
Pio15
n=124 Participants
Participants treated with pioglitazone 15mg monotherapy for the first 30 weeks
Pio30
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for the first 30 weeks
Pio45
n=134 Participants
Participants treated with pioglitazone 30mg monotherapy for 6 weeks and were titrated to pioglitazone 45mg monotherapy for the next 24 weeks.
Lina5
n=130 Participants
Participants treated with linagliptin 5mg once daily for the first 30 weeks
Lina5Pio15
n=120 Participants
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio30
n=125 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 30 weeks
Lina5Pio45
n=126 Participants
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for the first 6 weeks and were titrated to linagliptin 5mg + pioglitazone 45mg for the next 24 weeks.
Incidence of Rescue Therapy During the First 30 Weeks of Treatment
20 participants
17 participants
11 participants
26 participants
12 participants
10 participants
5 participants

Adverse Events

Pio15/Pio30

Serious events: 9 serious events
Other events: 57 other events
Deaths: 0 deaths

Pio30/Pio30

Serious events: 9 serious events
Other events: 55 other events
Deaths: 0 deaths

Pio45/Pio45

Serious events: 5 serious events
Other events: 66 other events
Deaths: 0 deaths

Lina5/Lina5

Serious events: 9 serious events
Other events: 57 other events
Deaths: 0 deaths

Lina5Pio15/Lina5Pio30

Serious events: 9 serious events
Other events: 52 other events
Deaths: 0 deaths

Lina5Pio30/Lina5Pio30

Serious events: 15 serious events
Other events: 58 other events
Deaths: 0 deaths

Lina5Pio45/Lina5Pio45

Serious events: 10 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pio15/Pio30
n=131 participants at risk
Participants treated with pioglitazone 15mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio30/Pio30
n=140 participants at risk
Participants treated with pioglitazone 30mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio45/Pio45
n=138 participants at risk
Participants treated with pioglitazone 30 mg for 6 weeks and then were titrated up to pioglitazone 45mg for 24 weeks followed by pioglitazone 45mg for up to 54 weeks.
Lina5/Lina5
n=135 participants at risk
Participants treated with linagliptin 5mg once daily for 30 weeks followed by linagliptin 5mg once daily for up to 54 weeks.
Lina5Pio15/Lina5Pio30
n=126 participants at risk
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio30/Lina5Pio30
n=133 participants at risk
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio45/Lina5Pio45
n=133 participants at risk
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 6 weeks and linagliptin 5mg + pioglitazone 45mg FDC for 24 weeks followed by linagliptin 5mg + pioglitazone 45mg FDC for up to 54 weeks.
Skin and subcutaneous tissue disorders
Skin necrosis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Surgical and medical procedures
Gastric bypass
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Surgical and medical procedures
Hip arthroplasty
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Surgical and medical procedures
Vascular graft
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Vascular disorders
Aortic stenosis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Vascular disorders
Arteriovenous fistula
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Vascular disorders
Hypertensive crisis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Vascular disorders
Peripheral ischaemia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Blood and lymphatic system disorders
Anaemia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Blood and lymphatic system disorders
Idiopathic thrombocytopenic purpura
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Acute myocardial infarction
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
1.5%
2/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Atrial fibrillation
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Cardiac disorders
Cardiopulmonary failure
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Congestive cardiomyopathy
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Coronary artery disease
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Myocardial infarction
0.76%
1/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Supraventricular tachycardia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Cardiac disorders
Tachycardia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Congenital, familial and genetic disorders
Hydrocele
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Endocrine disorders
Basedow's disease
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Eye disorders
Retinal artery embolism
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Constipation
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Diarrhoea
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Diverticulum
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Gastric haemorrhage
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Gastric ulcer
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Gastroduodenitis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Intestinal haemorrhage
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Pancreatitis acute
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Gastrointestinal disorders
Vomiting
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
General disorders
Chest pain
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
1.5%
2/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
General disorders
Fatigue
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Hepatobiliary disorders
Cholestasis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Hepatobiliary disorders
Jaundice
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Infections and infestations
Appendicitis
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Infections and infestations
Bronchitis
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Infections and infestations
Device related infection
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Infections and infestations
Diverticulitis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Infections and infestations
Gastroenteritis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Infections and infestations
Infection
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Infections and infestations
Pneumonia
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Infections and infestations
Pneumonia legionella
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Infections and infestations
Pyelonephritis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Injury, poisoning and procedural complications
Anaemia postoperative
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Injury, poisoning and procedural complications
Craniocerebral injury
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Injury, poisoning and procedural complications
Fall
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Injury, poisoning and procedural complications
Joint dislocation
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Injury, poisoning and procedural complications
Traumatic fracture
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Intervertebral disc degeneration
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic lymphocytic leukaemia
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hairy cell leukaemia
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma stage II
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectosigmoid cancer
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small intestine carcinoma
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour invasion
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
Nervous system disorders
Carpal tunnel syndrome
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Nervous system disorders
Encephalitis
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Nervous system disorders
Peripheral nerve palsy
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Nervous system disorders
Radiculopathy
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.72%
1/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Psychiatric disorders
Bipolar disorder
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Psychiatric disorders
Depression
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Renal and urinary disorders
Renal colic
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.74%
1/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.76%
1/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
Respiratory, thoracic and mediastinal disorders
Sleep apnoea syndrome
0.00%
0/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
0.00%
0/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks
0.00%
0/133 • Up to 85 weeks

Other adverse events

Other adverse events
Measure
Pio15/Pio30
n=131 participants at risk
Participants treated with pioglitazone 15mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio30/Pio30
n=140 participants at risk
Participants treated with pioglitazone 30mg for 30 weeks followed by pioglitazone 30mg for up to 54 weeks.
Pio45/Pio45
n=138 participants at risk
Participants treated with pioglitazone 30 mg for 6 weeks and then were titrated up to pioglitazone 45mg for 24 weeks followed by pioglitazone 45mg for up to 54 weeks.
Lina5/Lina5
n=135 participants at risk
Participants treated with linagliptin 5mg once daily for 30 weeks followed by linagliptin 5mg once daily for up to 54 weeks.
Lina5Pio15/Lina5Pio30
n=126 participants at risk
Participants treated with linagliptin 5mg + pioglitazone 15mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio30/Lina5Pio30
n=133 participants at risk
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 30 weeks followed by linagliptin 5mg + pioglitazone 30mg FDC for up to 54 weeks.
Lina5Pio45/Lina5Pio45
n=133 participants at risk
Participants treated with linagliptin 5mg + pioglitazone 30mg fixed dose combination (FDC) for 6 weeks and linagliptin 5mg + pioglitazone 45mg FDC for 24 weeks followed by linagliptin 5mg + pioglitazone 45mg FDC for up to 54 weeks.
Gastrointestinal disorders
Diarrhoea
1.5%
2/131 • Up to 85 weeks
0.00%
0/140 • Up to 85 weeks
3.6%
5/138 • Up to 85 weeks
5.2%
7/135 • Up to 85 weeks
7.9%
10/126 • Up to 85 weeks
1.5%
2/133 • Up to 85 weeks
2.3%
3/133 • Up to 85 weeks
General disorders
Oedema
3.1%
4/131 • Up to 85 weeks
0.71%
1/140 • Up to 85 weeks
5.1%
7/138 • Up to 85 weeks
0.00%
0/135 • Up to 85 weeks
0.00%
0/126 • Up to 85 weeks
9.0%
12/133 • Up to 85 weeks
3.0%
4/133 • Up to 85 weeks
General disorders
Oedema peripheral
9.9%
13/131 • Up to 85 weeks
7.9%
11/140 • Up to 85 weeks
8.0%
11/138 • Up to 85 weeks
4.4%
6/135 • Up to 85 weeks
6.3%
8/126 • Up to 85 weeks
6.8%
9/133 • Up to 85 weeks
11.3%
15/133 • Up to 85 weeks
Infections and infestations
Bronchitis
3.8%
5/131 • Up to 85 weeks
2.9%
4/140 • Up to 85 weeks
5.1%
7/138 • Up to 85 weeks
3.0%
4/135 • Up to 85 weeks
2.4%
3/126 • Up to 85 weeks
1.5%
2/133 • Up to 85 weeks
3.8%
5/133 • Up to 85 weeks
Infections and infestations
Nasopharyngitis
6.9%
9/131 • Up to 85 weeks
7.1%
10/140 • Up to 85 weeks
2.9%
4/138 • Up to 85 weeks
7.4%
10/135 • Up to 85 weeks
7.1%
9/126 • Up to 85 weeks
6.0%
8/133 • Up to 85 weeks
2.3%
3/133 • Up to 85 weeks
Infections and infestations
Upper respiratory tract infection
1.5%
2/131 • Up to 85 weeks
4.3%
6/140 • Up to 85 weeks
6.5%
9/138 • Up to 85 weeks
3.7%
5/135 • Up to 85 weeks
3.2%
4/126 • Up to 85 weeks
4.5%
6/133 • Up to 85 weeks
4.5%
6/133 • Up to 85 weeks
Infections and infestations
Urinary tract infection
5.3%
7/131 • Up to 85 weeks
5.0%
7/140 • Up to 85 weeks
5.8%
8/138 • Up to 85 weeks
5.9%
8/135 • Up to 85 weeks
4.0%
5/126 • Up to 85 weeks
5.3%
7/133 • Up to 85 weeks
5.3%
7/133 • Up to 85 weeks
Metabolism and nutrition disorders
Hyperglycaemia
6.9%
9/131 • Up to 85 weeks
7.1%
10/140 • Up to 85 weeks
3.6%
5/138 • Up to 85 weeks
10.4%
14/135 • Up to 85 weeks
6.3%
8/126 • Up to 85 weeks
6.0%
8/133 • Up to 85 weeks
3.8%
5/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
2.3%
3/131 • Up to 85 weeks
3.6%
5/140 • Up to 85 weeks
6.5%
9/138 • Up to 85 weeks
5.2%
7/135 • Up to 85 weeks
0.79%
1/126 • Up to 85 weeks
3.0%
4/133 • Up to 85 weeks
3.0%
4/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Back pain
9.2%
12/131 • Up to 85 weeks
3.6%
5/140 • Up to 85 weeks
7.2%
10/138 • Up to 85 weeks
4.4%
6/135 • Up to 85 weeks
6.3%
8/126 • Up to 85 weeks
5.3%
7/133 • Up to 85 weeks
9.0%
12/133 • Up to 85 weeks
Musculoskeletal and connective tissue disorders
Pain in extremity
3.8%
5/131 • Up to 85 weeks
3.6%
5/140 • Up to 85 weeks
3.6%
5/138 • Up to 85 weeks
2.2%
3/135 • Up to 85 weeks
5.6%
7/126 • Up to 85 weeks
5.3%
7/133 • Up to 85 weeks
4.5%
6/133 • Up to 85 weeks
Nervous system disorders
Dizziness
0.00%
0/131 • Up to 85 weeks
5.0%
7/140 • Up to 85 weeks
2.2%
3/138 • Up to 85 weeks
3.0%
4/135 • Up to 85 weeks
3.2%
4/126 • Up to 85 weeks
6.8%
9/133 • Up to 85 weeks
3.0%
4/133 • Up to 85 weeks
Nervous system disorders
Headache
5.3%
7/131 • Up to 85 weeks
5.0%
7/140 • Up to 85 weeks
6.5%
9/138 • Up to 85 weeks
4.4%
6/135 • Up to 85 weeks
4.0%
5/126 • Up to 85 weeks
3.8%
5/133 • Up to 85 weeks
4.5%
6/133 • Up to 85 weeks
Vascular disorders
Hypertension
9.2%
12/131 • Up to 85 weeks
2.9%
4/140 • Up to 85 weeks
5.1%
7/138 • Up to 85 weeks
6.7%
9/135 • Up to 85 weeks
4.8%
6/126 • Up to 85 weeks
3.8%
5/133 • Up to 85 weeks
0.75%
1/133 • Up to 85 weeks

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