Efficacy and Safety of Alogliptin in Participants With Type 2 Diabetes

NCT ID: NCT01289119

Last Updated: 2013-03-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

506 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of the study is to determine the efficacy of alogliptin compared to placebo when given alone or as add-on therapy to metformin or add-on to pioglitazone (with or without metformin).

Detailed Description

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Diabetes is a chronic illness associated with microvascular complications such as nephropathy (kidney disease), retinopathy (eye damage) and neuropathy (nervous system damage). Diabetes is also associated with macrovascular complications including cardiovascular disease (heart disease), stroke and peripheral vascular disease (narrowing or blockage of blood vessels). These complications are associated with reduced quality of life and increased morbidity and mortality.

Takeda is developing SYR-322 (alogliptin) for improvement of glycemic control in patients with Type 2 diabetes mellitus.

Evaluations of alogliptin and its clinical efficacy have been conducted in multiple countries including the United States and Japan. This study will be conducted as a multi-center clinical trial in order to validate the efficacy and safety of alogliptin on type 2 diabetes population within Asia.

Participants who qualified for the study were stratified into 1 of the 3 therapy groups based upon their background antidiabetic therapy before being randomized 1:1 to receive either alogliptin 25 mg once daily or matching placebo once daily.

* Monotherapy group - patients who had been treated with diet and exercise for at least 2 months prior to screening.
* Add-on to metformin therapy group - patients who had been treated with metformin for at least 3 months and at a stable dose (≥1000 mg/day) for at least 8 weeks prior to screening.
* Add-on to pioglitazone therapy group - patients who had been treated with a stable dose of pioglitazone alone or in combination with metformin at a stable dose for at least 8 weeks prior to screening.

Conditions

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Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to alogliptin

Intervention Type DRUG

Alogliptin placebo-matching tablets.

Alogliptin Monotherapy

Participants received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks.

Group Type EXPERIMENTAL

Alogliptin

Intervention Type DRUG

Alogliptin tablets

Metformin

Participants continued to receive their stable dose of metformin (≥1000 mg/day) and also received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.

Group Type OTHER

Placebo to alogliptin

Intervention Type DRUG

Alogliptin placebo-matching tablets.

Metformin

Intervention Type DRUG

Stable metformin dose

Metformin + Alogliptin Add-on Therapy

Participants continued to receive their stable dose of metformin (≥1000 mg/day) and also received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks.

Group Type EXPERIMENTAL

Alogliptin

Intervention Type DRUG

Alogliptin tablets

Metformin

Intervention Type DRUG

Stable metformin dose

Pioglitazone

Participants continued to receive their stable dose of pioglitazone with or without metformin, and also received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.

Group Type OTHER

Placebo to alogliptin

Intervention Type DRUG

Alogliptin placebo-matching tablets.

Pioglitazone

Intervention Type DRUG

Stable pioglitazone dose

Pioglitazone + Alogliptin Add-on Therapy

Participants continued to receive their stable dose of pioglitazone with or without metformin and also received alogliptin, 25 mg tablets orally once daily for up to 16 weeks.

Group Type EXPERIMENTAL

Alogliptin

Intervention Type DRUG

Alogliptin tablets

Pioglitazone

Intervention Type DRUG

Stable pioglitazone dose

Interventions

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Alogliptin

Alogliptin tablets

Intervention Type DRUG

Placebo to alogliptin

Alogliptin placebo-matching tablets.

Intervention Type DRUG

Metformin

Stable metformin dose

Intervention Type DRUG

Pioglitazone

Stable pioglitazone dose

Intervention Type DRUG

Other Intervention Names

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SYR-322 Fortamet Glucophage Glumetza Actos

Eligibility Criteria

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Inclusion Criteria

* Has a historical diagnosis of Type 2 Diabetes Mellitus.
* Has a body mass index between acceptable range.
* Is experiencing inadequate glycemic control.
* Body weight keeps constant.
* Females of childbearing potential and males who are sexually active agree to use routinely adequate contraception from signing of informed consent throughout the duration of the study and for 30 days after last dose.

Exclusion Criteria

* Has participated in another clinical study within the past 90 days or has received any investigational compound within 30 days prior to randomization.
* Has a systolic blood pressure beyond the acceptable range at Screening visit.
* Has New York Heart Association Class III or IV heart failure regardless of therapy.
* Has any major illness or debility that in the investigator's opinion prohibits the subject from completing the study.
* Has a history of hypersensitivity or allergies to any DPP-4 inhibitor.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Professor Study Chair

Role: STUDY_CHAIR

Takeda

Locations

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Beijing, Beijing Municipality, China

Site Status

Fuzhou, Fujian, China

Site Status

Xiamen, Fujian, China

Site Status

Guangzhou, Guangdong, China

Site Status

Haikou, Hainan, China

Site Status

Harbin, Heilongjiang, China

Site Status

Jingzhou, Hubei, China

Site Status

Shiyan, Hubei, China

Site Status

Changsha, Hunan, China

Site Status

Wuxi, Jiangsu, China

Site Status

Nanchang, Jiangxi, China

Site Status

Changchun, Jilin, China

Site Status

Shenyang, Liaoning, China

Site Status

Jinan, Shandong, China

Site Status

Shanghai, Shanghai Municipality, China

Site Status

Xi’an, Shanxi, China

Site Status

Tianjin, Tianjin Municipality, China

Site Status

Kunming, Yunnan, China

Site Status

Hangzhou, Zhejiang, China

Site Status

Hong Kong, Hong Kong, Hong Kong

Site Status

Taipei County, , Taiwan

Site Status

Countries

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China Hong Kong Taiwan

References

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El-Damanawi R, Stanley IK, Staatz C, Pascoe EM, Craig JC, Johnson DW, Mallett AJ, Hawley CM, Milanzi E, Hiemstra TF, Viecelli AK. Metformin for preventing the progression of chronic kidney disease. Cochrane Database Syst Rev. 2024 Jun 4;6(6):CD013414. doi: 10.1002/14651858.CD013414.pub2.

Reference Type DERIVED
PMID: 38837240 (View on PubMed)

Other Identifiers

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U1111-1118-3681

Identifier Type: REGISTRY

Identifier Source: secondary_id

SYR-322_308

Identifier Type: OTHER

Identifier Source: secondary_id

SYR-322_02

Identifier Type: -

Identifier Source: org_study_id

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