Study to Compare the Efficacy and Safety of Administration of the Fix Dose Combination of Linagliptin Plus Metformin in Drug naïve Type 2 Patients

NCT ID: NCT01708902

Last Updated: 2015-04-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

876 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-04-30

Brief Summary

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Reduced factorial design study with 24 week randomized treatment of initial combination therapy with linagliptin and metformin in T2DM patients

Detailed Description

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Conditions

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Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

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linagliptin2.5mg / metformin500mg BID

patient to receive a tablet containing linagliptin 2.5mg and metformin 500mg BID

Group Type EXPERIMENTAL

linagliptin 5mg

Intervention Type DRUG

linagliptin 5mg once daily

Metformin 500mg

Intervention Type DRUG

Metformin 500mg BID

linagliptin2.5mg / metformin1000mg BID

patient to receive a tablet containing linagliptin 2.5mg and metformin 1000mg BID

Group Type EXPERIMENTAL

linagliptin 5mg

Intervention Type DRUG

linagliptin 5mg once daily

Metformin 1000mg

Intervention Type DRUG

Metformin 1000mg BID

metformin 500mg BID

patient to receive a tablet containing metformin 500mg BID

Group Type ACTIVE_COMPARATOR

linagliptin2.5mg/metformin500mg

Intervention Type DRUG

linagliptin2.5mg/metformin500mg BID

metformin 1000mg BID

patient to receive a tablet containing metformin 1000mg BID

Group Type ACTIVE_COMPARATOR

linagliptin2.5mg/metformin1000mg

Intervention Type DRUG

linagliptin2.5mg/metformin1000mg BID

linagliptin 5 mg QD

patient to receive a tablet containing linagliptin 5mg once daily

Group Type ACTIVE_COMPARATOR

linagliptin2.5mg/metformin1000mg

Intervention Type DRUG

linagliptin2.5mg/metformin1000mg BID

linagliptin2.5mg/metformin500mg

Intervention Type DRUG

linagliptin2.5mg/metformin500mg BID

Interventions

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linagliptin2.5mg/metformin1000mg

linagliptin2.5mg/metformin1000mg BID

Intervention Type DRUG

linagliptin2.5mg/metformin1000mg

linagliptin2.5mg/metformin1000mg BID

Intervention Type DRUG

linagliptin 5mg

linagliptin 5mg once daily

Intervention Type DRUG

Metformin 500mg

Metformin 500mg BID

Intervention Type DRUG

linagliptin2.5mg/metformin500mg

linagliptin2.5mg/metformin500mg BID

Intervention Type DRUG

linagliptin2.5mg/metformin500mg

linagliptin2.5mg/metformin500mg BID

Intervention Type DRUG

linagliptin 5mg

linagliptin 5mg once daily

Intervention Type DRUG

Metformin 1000mg

Metformin 1000mg BID

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of Type 2 diabetes mellitus(T2DM) prior to informed consent
2. Male and female patients on diet and exercise regimen who are drug-naïve
3. Glycosylated haemoglobin A1c (HbA1c) at V1a \>/=7.5 %\<11% for main group and HbA1c \>/= 11.0 % for the additional parallel group
4. Age \>/= 18 and \</= 80 years at Visit 1a (Screening)
5. Body Mass Index(BMI)\</ = 40 kg/m2 at Visit 1a (Screening)
6. Signed and dated written informed consent by date of Visit 1a in accordance with good clinical practice(GCP) and local legislation

Exclusion Criteria

1. Uncontrolled hyperglycaemia required for rescue medication during placebo run-in phase
2. In main group, the patients with investigational medicinal product(IMP) compliance \< 80 % or \>120 % during 2 weeks placebo run in period
3. Acute coronary syndrome stroke or Transient ischaemic attack (TIA) within 3 months prior to randomisation
4. Impaired hepatic function, defined by serum levels of either Alanine aminotransferase(ALT) ,Aspartate aminotransferase(AST), or alkaline phosphatase (AP) above 3 x upper limit of normal (ULN) ,or total bilirubin above 1.5 x ULN as determined at Visit 1a
5. Known hypersensitivity or allergy to linagliptin or its excipients or metformin or placebo
6. Treatment with anti-obesity drugs 3 months prior to informed consent or any other treatment at the time of screening
7. Alcohol or drug abuse within the 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to a decreased compliance to study procedures or study drug intake in the opinion of the investigator.
8. Concurrent participation in another clinical trial or any investigational therapy within thirty days prior to signing the consent form or during the trial.
9. Pre-menopausal women (last menstruation \</= 1 year prior to informed consent) who are nursing or pregnant or are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study
10. Current treatment with systemic steroids at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent.
11. Renal failure or renal impairment at Visit 1a (screening) with an Estimated Glomerular Filtration Rate(eGFR) \< 60 ml/min
12. Bariatric surgery within the past two years and other gastrointestinal surgeries that induce chronic malabsorption
13. Dehydration by clinical judgement of the investigator
14. Clinical detected unstable or acute congestive heart failure
15. Acute or chronic metabolic acidosis (present in patient history)
16. Hereditary galactose intolerance
17. Known history of pancreatitis and chronic pancreatitis
18. Medical history of cancer (except for basal cell carcinoma) and/or treatment for cancer within last 5 years.
19. Any other clinical condition that would jeopardize patients safety while participating in this clinical trial at the discretion of investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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1288.18.86001 Boehringer Ingelheim Investigational Site

Beijing, , China

Site Status

1288.18.86002 Boehringer Ingelheim Investigational Site

Beijing, , China

Site Status

1288.18.86003 Boehringer Ingelheim Investigational Site

Beijing, , China

Site Status

1288.18.86004 Boehringer Ingelheim Investigational Site

Beijing, , China

Site Status

1288.18.86046 Boehringer Ingelheim Investigational Site

Beijing, , China

Site Status

1288.18.86019 Boehringer Ingelheim Investigational Site

Changchun, , China

Site Status

1288.18.86020 Boehringer Ingelheim Investigational Site

Changchun, , China

Site Status

1288.18.86028 Boehringer Ingelheim Investigational Site

Changsha, , China

Site Status

1288.18.86029 Boehringer Ingelheim Investigational Site

Changsha, , China

Site Status

1288.18.86050 Boehringer Ingelheim Investigational Site

Changsha, , China

Site Status

1288.18.86045 Boehringer Ingelheim Investigational Site

Chengdu, , China

Site Status

1288.18.86042 Boehringer Ingelheim Investigational Site

Chongqing, , China

Site Status

1288.18.86023 Boehringer Ingelheim Investigational Site

Dalian, , China

Site Status

1288.18.86009 Boehringer Ingelheim Investigational Site

Guangzhou, , China

Site Status

1288.18.86010 Boehringer Ingelheim Investigational Site

Guangzhou, , China

Site Status

1288.18.86012 Boehringer Ingelheim Investigational Site

Guangzhou, , China

Site Status

1288.18.86047 Boehringer Ingelheim Investigational Site

Haerbin, , China

Site Status

1288.18.86032 Boehringer Ingelheim Investigational Site

Hefei, , China

Site Status

1288.18.86016 Boehringer Ingelheim Investigational Site

Hengshui, , China

Site Status

1288.18.86017 Boehringer Ingelheim Investigational Site

Jinan, , China

Site Status

1288.18.86026 Boehringer Ingelheim Investigational Site

Lanzhou, , China

Site Status

1288.18.86039 Boehringer Ingelheim Investigational Site

Nanchang, , China

Site Status

1288.18.86035 Boehringer Ingelheim Investigational Site

Nanjing, , China

Site Status

1288.18.86036 Boehringer Ingelheim Investigational Site

Nanjing, , China

Site Status

1288.18.86034 Boehringer Ingelheim Investigational Site

Nanning, , China

Site Status

1288.18.86006 Boehringer Ingelheim Investigational Site

Shanghai, , China

Site Status

1288.18.86007 Boehringer Ingelheim Investigational Site

Shanghai, , China

Site Status

1288.18.86008 Boehringer Ingelheim Investigational Site

Shanghai, , China

Site Status

1288.18.86013 Boehringer Ingelheim Investigational Site

Shantou, , China

Site Status

1288.18.86022 Boehringer Ingelheim Investigational Site

Shenyang, , China

Site Status

1288.18.86014 Boehringer Ingelheim Investigational Site

Shijiazhuang, , China

Site Status

1288.18.86015 Boehringer Ingelheim Investigational Site

Shijiazhuang, , China

Site Status

1288.18.86038 Boehringer Ingelheim Investigational Site

Suzhou, , China

Site Status

1288.18.86049 Boehringer Ingelheim Investigational Site

Wuhan, , China

Site Status

1288.18.86033 Boehringer Ingelheim Investigational Site

Wuhu, , China

Site Status

1288.18.86024 Boehringer Ingelheim Investigational Site

Xi'an, , China

Site Status

1288.18.86025 Boehringer Ingelheim Investigational Site

Xi'an, , China

Site Status

1288.18.86030 Boehringer Ingelheim Investigational Site

Yueyang, , China

Site Status

1288.18.60004 Boehringer Ingelheim Investigational Site

Kelantan, , Malaysia

Site Status

1288.18.60003 Boehringer Ingelheim Investigational Site

Kuala Selangor, , Malaysia

Site Status

1288.18.60002 Boehringer Ingelheim Investigational Site

Malacca, , Malaysia

Site Status

1288.18.60005 Boehringer Ingelheim Investigational Site

Negeri Sembilan, , Malaysia

Site Status

1288.18.60007 Boehringer Ingelheim Investigational Site

Negeri Sembilan, , Malaysia

Site Status

1288.18.60001 Boehringer Ingelheim Investigational Site

Perak, , Malaysia

Site Status

1288.18.60006 Boehringer Ingelheim Investigational Site

Perak, , Malaysia

Site Status

1288.18.60008 Boehringer Ingelheim Investigational Site

Putrajaya, , Malaysia

Site Status

1288.18.63007 Boehringer Ingelheim Investigational Site

Cebu, , Philippines

Site Status

1288.18.63003 Boehringer Ingelheim Investigational Site

Cebu City, , Philippines

Site Status

1288.18.63002 Boehringer Ingelheim Investigational Site

Makati City, , Philippines

Site Status

1288.18.63001 Boehringer Ingelheim Investigational Site

Manila, , Philippines

Site Status

1288.18.63008 Boehringer Ingelheim Investigational Site

Quezon City, , Philippines

Site Status

1288.18.63006 Boehringer Ingelheim Investigational Site

Surigao City, , Philippines

Site Status

1288.18.63005 Boehringer Ingelheim Investigational Site

Tagum, , Philippines

Site Status

1288.18.84003 Boehringer Ingelheim Investigational Site

Hanoi, , Vietnam

Site Status

1288.18.84001 Boehringer Ingelheim Investigational Site

Ho Chi Minh City, , Vietnam

Site Status

1288.18.84002 Boehringer Ingelheim Investigational Site

Ho Chi Minh City, , Vietnam

Site Status

Countries

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China Malaysia Philippines Vietnam

References

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Lv Q, Shen J, Miao L, Ye B, Schepers C, Plat A, Shi Y. Early Combination Therapy with Linagliptin and Metformin in People with Type 2 Diabetes Improves Glycemic Control to HbA1c </= 6.5% without Increasing Hypoglycemia: Pooled Analysis of Two Randomized Clinical Trials. Diabetes Ther. 2020 Jun;11(6):1317-1330. doi: 10.1007/s13300-020-00819-9. Epub 2020 Apr 23.

Reference Type DERIVED
PMID: 32328953 (View on PubMed)

Other Identifiers

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1288.18

Identifier Type: -

Identifier Source: org_study_id

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