Trial Outcomes & Findings for Alogliptin Tablets Special Drug Use Surveillance "Type 2 Diabetes Mellitus: Monotherapy/Combination Therapy With α-GI" (NCT NCT01945216)

NCT ID: NCT01945216

Last Updated: 2019-11-19

Results Overview

Recruitment status

COMPLETED

Target enrollment

3317 participants

Primary outcome timeframe

Up to Month 36

Results posted on

2019-11-19

Participant Flow

Participants took part in the study at 608 investigative sites in Japan, from 8-July-2010 to 31-October-2015. Data reports overall population, since data not collected separately per arm as specified in protocol.

Participants with type 2 diabetes mellitus who failed to respond adequately to diet and/or exercise therapy and α-glucosidase inhibitor were enrolled to receive Alogliptin as routine medical care. Treatments were not allocated at the start of the study. Thus, the Participant Flow cannot be presented "per Arm".

Participant milestones

Participant milestones
Measure
Overall Population
Alogliptin 25 milligram (mg), tablets, orally, once daily, up to 36 months along with an alpha-glucosidase inhibitor (α-GI), without an α-GI, or the other diabetic drugs from the start of administration of alogliptin and during the treatment period of alogliptin in routine medical care.
Overall Study
STARTED
3317
Overall Study
COMPLETED
3218
Overall Study
NOT COMPLETED
99

Reasons for withdrawal

Reasons for withdrawal
Measure
Overall Population
Alogliptin 25 milligram (mg), tablets, orally, once daily, up to 36 months along with an alpha-glucosidase inhibitor (α-GI), without an α-GI, or the other diabetic drugs from the start of administration of alogliptin and during the treatment period of alogliptin in routine medical care.
Overall Study
Case report forms (CRF) uncollected
52
Overall Study
Protocol Violation
42
Overall Study
CRF not assured by investigators
5

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alogliptin
n=1560 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received no diabetic drugs within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + αGI
n=669 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received an α-GI within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=989 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in routine medical care. Participants in this group did not receive an α-GI within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Total
n=3218 Participants
Total of all reporting groups
Complications
Had No Complications
314 Participants
n=1560 Participants
61 Participants
n=669 Participants
103 Participants
n=989 Participants
478 Participants
n=3218 Participants
Age, Continuous
65.0 years
STANDARD_DEVIATION 12.28 • n=1560 Participants
67.1 years
STANDARD_DEVIATION 12.13 • n=669 Participants
64.0 years
STANDARD_DEVIATION 12.57 • n=989 Participants
65.1 years
STANDARD_DEVIATION 12.39 • n=3218 Participants
Sex: Female, Male
Female
640 Participants
n=1560 Participants
286 Participants
n=669 Participants
438 Participants
n=989 Participants
1364 Participants
n=3218 Participants
Sex: Female, Male
Male
920 Participants
n=1560 Participants
383 Participants
n=669 Participants
551 Participants
n=989 Participants
1854 Participants
n=3218 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Japan
1560 Participants
n=1560 Participants
669 Participants
n=669 Participants
989 Participants
n=989 Participants
3218 Participants
n=3218 Participants
Time From Diagnosis of Type 2 Diabetes
3.45 years
STANDARD_DEVIATION 4.923 • n=1161 Participants • The number analyzed is the number of participants with data available for analysis.
8.10 years
STANDARD_DEVIATION 7.018 • n=501 Participants • The number analyzed is the number of participants with data available for analysis.
5.03 years
STANDARD_DEVIATION 5.732 • n=722 Participants • The number analyzed is the number of participants with data available for analysis.
4.91 years
STANDARD_DEVIATION 5.937 • n=2384 Participants • The number analyzed is the number of participants with data available for analysis.
Height
160.22 cm
STANDARD_DEVIATION 9.686 • n=1439 Participants • The number analyzed is the number of participants with data available for analysis.
159.33 cm
STANDARD_DEVIATION 9.535 • n=621 Participants • The number analyzed is the number of participants with data available for analysis.
160.18 cm
STANDARD_DEVIATION 9.738 • n=894 Participants • The number analyzed is the number of participants with data available for analysis.
160.02 cm
STANDARD_DEVIATION 9.674 • n=2954 Participants • The number analyzed is the number of participants with data available for analysis.
Body Weight
64.49 kg
STANDARD_DEVIATION 13.699 • n=1538 Participants • The number analyzed is the number of participants with data available for analysis.
62.68 kg
STANDARD_DEVIATION 13.005 • n=664 Participants • The number analyzed is the number of participants with data available for analysis.
64.51 kg
STANDARD_DEVIATION 14.046 • n=976 Participants • The number analyzed is the number of participants with data available for analysis.
64.12 kg
STANDARD_DEVIATION 13.681 • n=3178 Participants • The number analyzed is the number of participants with data available for analysis.
BMI
25.00 kg/m^2
STANDARD_DEVIATION 4.225 • n=1431 Participants • The number analyzed is the number of participants with data available for analysis.
24.52 kg/m^2
STANDARD_DEVIATION 4.277 • n=619 Participants • The number analyzed is the number of participants with data available for analysis.
25.04 kg/m^2
STANDARD_DEVIATION 4.190 • n=889 Participants • The number analyzed is the number of participants with data available for analysis.
24.91 kg/m^2
STANDARD_DEVIATION 4.229 • n=2939 Participants • The number analyzed is the number of participants with data available for analysis.
Waist Circumference (Male)
< 85cm
96 Participants
n=920 Participants • This baseline characteristic was analyzed only in male participants.
55 Participants
n=383 Participants • This baseline characteristic was analyzed only in male participants.
61 Participants
n=551 Participants • This baseline characteristic was analyzed only in male participants.
212 Participants
n=1854 Participants • This baseline characteristic was analyzed only in male participants.
Waist Circumference (Male)
≥ 85cm
211 Participants
n=920 Participants • This baseline characteristic was analyzed only in male participants.
80 Participants
n=383 Participants • This baseline characteristic was analyzed only in male participants.
120 Participants
n=551 Participants • This baseline characteristic was analyzed only in male participants.
411 Participants
n=1854 Participants • This baseline characteristic was analyzed only in male participants.
Waist Circumference (Male)
Unknown
613 Participants
n=920 Participants • This baseline characteristic was analyzed only in male participants.
248 Participants
n=383 Participants • This baseline characteristic was analyzed only in male participants.
370 Participants
n=551 Participants • This baseline characteristic was analyzed only in male participants.
1231 Participants
n=1854 Participants • This baseline characteristic was analyzed only in male participants.
Waist Circumference (Female)
< 90cm
152 Participants
n=640 Participants • This baseline characteristic was analyzed only in female participants.
65 Participants
n=286 Participants • This baseline characteristic was analyzed only in female participants.
85 Participants
n=438 Participants • This baseline characteristic was analyzed only in female participants.
302 Participants
n=1364 Participants • This baseline characteristic was analyzed only in female participants.
Waist Circumference (Female)
≥ 90cm
70 Participants
n=640 Participants • This baseline characteristic was analyzed only in female participants.
37 Participants
n=286 Participants • This baseline characteristic was analyzed only in female participants.
52 Participants
n=438 Participants • This baseline characteristic was analyzed only in female participants.
159 Participants
n=1364 Participants • This baseline characteristic was analyzed only in female participants.
Waist Circumference (Female)
Unknown
418 Participants
n=640 Participants • This baseline characteristic was analyzed only in female participants.
184 Participants
n=286 Participants • This baseline characteristic was analyzed only in female participants.
301 Participants
n=438 Participants • This baseline characteristic was analyzed only in female participants.
903 Participants
n=1364 Participants • This baseline characteristic was analyzed only in female participants.
Healthcare category
Out-patient
1524 Participants
n=1560 Participants
640 Participants
n=669 Participants
942 Participants
n=989 Participants
3106 Participants
n=3218 Participants
Healthcare category
In-patient
3 Participants
n=1560 Participants
8 Participants
n=669 Participants
11 Participants
n=989 Participants
22 Participants
n=3218 Participants
Healthcare category
In- to/from out-patient
33 Participants
n=1560 Participants
21 Participants
n=669 Participants
36 Participants
n=989 Participants
90 Participants
n=3218 Participants
Pregnancy Status
Not pregnant
640 Participants
n=640 Participants • This baseline characteristic was analyzed only in female participants.
286 Participants
n=286 Participants • This baseline characteristic was analyzed only in female participants.
438 Participants
n=438 Participants • This baseline characteristic was analyzed only in female participants.
1364 Participants
n=1364 Participants • This baseline characteristic was analyzed only in female participants.
Pregnancy Status
Pregnant
0 Participants
n=640 Participants • This baseline characteristic was analyzed only in female participants.
0 Participants
n=286 Participants • This baseline characteristic was analyzed only in female participants.
0 Participants
n=438 Participants • This baseline characteristic was analyzed only in female participants.
0 Participants
n=1364 Participants • This baseline characteristic was analyzed only in female participants.
History of Allergy
Had no history of Allergy
1377 Participants
n=1560 Participants
583 Participants
n=669 Participants
856 Participants
n=989 Participants
2816 Participants
n=3218 Participants
History of Allergy
Had history of Allergy
127 Participants
n=1560 Participants
57 Participants
n=669 Participants
104 Participants
n=989 Participants
288 Participants
n=3218 Participants
History of Allergy
Unknown
56 Participants
n=1560 Participants
29 Participants
n=669 Participants
29 Participants
n=989 Participants
114 Participants
n=3218 Participants
Complications
Had Complications
1246 Participants
n=1560 Participants
608 Participants
n=669 Participants
886 Participants
n=989 Participants
2740 Participants
n=3218 Participants
Diabetic Complications
Had No Diabetic Complications
1402 Participants
n=1560 Participants
506 Participants
n=669 Participants
831 Participants
n=989 Participants
2739 Participants
n=3218 Participants
Diabetic Complications
Had Diabetic Complications
158 Participants
n=1560 Participants
163 Participants
n=669 Participants
158 Participants
n=989 Participants
479 Participants
n=3218 Participants
Hypertension Complications
Had No Hypertension Complications
676 Participants
n=1560 Participants
249 Participants
n=669 Participants
383 Participants
n=989 Participants
1308 Participants
n=3218 Participants
Hypertension Complications
Had Hypertension Complications
884 Participants
n=1560 Participants
420 Participants
n=669 Participants
606 Participants
n=989 Participants
1910 Participants
n=3218 Participants
Hyperlipidemia Complications
Had No Hyperlipidemia Complications
715 Participants
n=1560 Participants
246 Participants
n=669 Participants
375 Participants
n=989 Participants
1336 Participants
n=3218 Participants
Hyperlipidemia Complications
Had Hyperlipidemia Complications
845 Participants
n=1560 Participants
423 Participants
n=669 Participants
614 Participants
n=989 Participants
1882 Participants
n=3218 Participants
Hyperuricemia Complications
Had No Hyperuricemia Complications
1411 Participants
n=1560 Participants
611 Participants
n=669 Participants
891 Participants
n=989 Participants
2913 Participants
n=3218 Participants
Hyperuricemia Complications
Had Hyperuricemia Complications
149 Participants
n=1560 Participants
58 Participants
n=669 Participants
98 Participants
n=989 Participants
305 Participants
n=3218 Participants
Hepatic Dysfunction Complications
Had No Hepatic Dysfunction Complications
1322 Participants
n=1560 Participants
553 Participants
n=669 Participants
799 Participants
n=989 Participants
2674 Participants
n=3218 Participants
Hepatic Dysfunction Complications
Had Hepatic Dysfunction Complications
238 Participants
n=1560 Participants
116 Participants
n=669 Participants
190 Participants
n=989 Participants
544 Participants
n=3218 Participants
Degree of Hepatic Dysfunction
Normal
986 Participants
n=1560 Participants
443 Participants
n=669 Participants
596 Participants
n=989 Participants
2025 Participants
n=3218 Participants
Degree of Hepatic Dysfunction
Grade 1
122 Participants
n=1560 Participants
36 Participants
n=669 Participants
87 Participants
n=989 Participants
245 Participants
n=3218 Participants
Degree of Hepatic Dysfunction
Grade 2
22 Participants
n=1560 Participants
10 Participants
n=669 Participants
19 Participants
n=989 Participants
51 Participants
n=3218 Participants
Degree of Hepatic Dysfunction
Grade 3
0 Participants
n=1560 Participants
0 Participants
n=669 Participants
0 Participants
n=989 Participants
0 Participants
n=3218 Participants
Degree of Hepatic Dysfunction
Unknown
430 Participants
n=1560 Participants
180 Participants
n=669 Participants
287 Participants
n=989 Participants
897 Participants
n=3218 Participants
Renal Dysfunction Complications
Had No Renal Dysfunction Complications
1427 Participants
n=1560 Participants
563 Participants
n=669 Participants
861 Participants
n=989 Participants
2851 Participants
n=3218 Participants
Renal Dysfunction Complications
Had Renal Dysfunction Complications
133 Participants
n=1560 Participants
106 Participants
n=669 Participants
128 Participants
n=989 Participants
367 Participants
n=3218 Participants
Degree of Renal Dysfunction (eGFR)
Normal
249 Participants
n=1560 Participants
108 Participants
n=669 Participants
189 Participants
n=989 Participants
546 Participants
n=3218 Participants
Degree of Renal Dysfunction (eGFR)
Mild
667 Participants
n=1560 Participants
254 Participants
n=669 Participants
361 Participants
n=989 Participants
1282 Participants
n=3218 Participants
Degree of Renal Dysfunction (eGFR)
Moderate
190 Participants
n=1560 Participants
108 Participants
n=669 Participants
121 Participants
n=989 Participants
419 Participants
n=3218 Participants
Degree of Renal Dysfunction (eGFR)
Severe
28 Participants
n=1560 Participants
22 Participants
n=669 Participants
25 Participants
n=989 Participants
75 Participants
n=3218 Participants
Degree of Renal Dysfunction (eGFR)
Unknown
426 Participants
n=1560 Participants
177 Participants
n=669 Participants
293 Participants
n=989 Participants
896 Participants
n=3218 Participants
Degree of Renal Dysfunction (Cr)
Normal or Mild
1089 Participants
n=1560 Participants
466 Participants
n=669 Participants
664 Participants
n=989 Participants
2219 Participants
n=3218 Participants
Degree of Renal Dysfunction (Cr)
Moderate
24 Participants
n=1560 Participants
7 Participants
n=669 Participants
17 Participants
n=989 Participants
48 Participants
n=3218 Participants
Degree of Renal Dysfunction (Cr)
Severe
21 Participants
n=1560 Participants
19 Participants
n=669 Participants
15 Participants
n=989 Participants
55 Participants
n=3218 Participants
Degree of Renal Dysfunction (Cr)
Unknown
426 Participants
n=1560 Participants
177 Participants
n=669 Participants
293 Participants
n=989 Participants
896 Participants
n=3218 Participants
Cardiac Disease Complications
Had No Cardiac Disease Complications
1417 Participants
n=1560 Participants
578 Participants
n=669 Participants
870 Participants
n=989 Participants
2865 Participants
n=3218 Participants
Cardiac Disease Complications
Had Cardiac Disease Complications
143 Participants
n=1560 Participants
91 Participants
n=669 Participants
119 Participants
n=989 Participants
353 Participants
n=3218 Participants
Heart Failure Complications
Had No Heart Failure Complications
1517 Participants
n=1560 Participants
649 Participants
n=669 Participants
970 Participants
n=989 Participants
3136 Participants
n=3218 Participants
Heart Failure Complications
Had Heart Failure Complications
43 Participants
n=1560 Participants
20 Participants
n=669 Participants
19 Participants
n=989 Participants
82 Participants
n=3218 Participants
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class I
26 Participants
n=43 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
13 Participants
n=20 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
11 Participants
n=19 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
50 Participants
n=82 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class II
16 Participants
n=43 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
5 Participants
n=20 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
5 Participants
n=19 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
26 Participants
n=82 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class III
1 Participants
n=43 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
1 Participants
n=20 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
1 Participants
n=19 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
3 Participants
n=82 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class IV
0 Participants
n=43 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
0 Participants
n=20 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
0 Participants
n=19 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
0 Participants
n=82 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
New York Heart Association (NYHA) Heart Failure Classification
Unknown
0 Participants
n=43 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
1 Participants
n=20 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
2 Participants
n=19 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
3 Participants
n=82 Participants • This baseline characteristic was analyzed only for Participants who had complications of heart failure.
Stroke-Related Disorder Complications
Had No Stroke-Related Disorder Complications
1505 Participants
n=1560 Participants
613 Participants
n=669 Participants
922 Participants
n=989 Participants
3040 Participants
n=3218 Participants
Stroke-Related Disorder Complications
Had Stroke-Related Disorder Complications
55 Participants
n=1560 Participants
56 Participants
n=669 Participants
67 Participants
n=989 Participants
178 Participants
n=3218 Participants
Allergic Disease Complications
Had No Allergic Disease Complications
1466 Participants
n=1560 Participants
627 Participants
n=669 Participants
914 Participants
n=989 Participants
3007 Participants
n=3218 Participants
Allergic Disease Complications
Had Allergic Disease Complications
94 Participants
n=1560 Participants
42 Participants
n=669 Participants
75 Participants
n=989 Participants
211 Participants
n=3218 Participants
Malignancy Complications
Had No Malignancy Complications
1543 Participants
n=1560 Participants
661 Participants
n=669 Participants
960 Participants
n=989 Participants
3164 Participants
n=3218 Participants
Malignancy Complications
Had Malignancy Complications
17 Participants
n=1560 Participants
8 Participants
n=669 Participants
29 Participants
n=989 Participants
54 Participants
n=3218 Participants
Medical history
Had No Medical History
1255 Participants
n=1560 Participants
501 Participants
n=669 Participants
768 Participants
n=989 Participants
2524 Participants
n=3218 Participants
Medical history
Had Medical History
225 Participants
n=1560 Participants
126 Participants
n=669 Participants
166 Participants
n=989 Participants
517 Participants
n=3218 Participants
Medical history
Unknown
80 Participants
n=1560 Participants
42 Participants
n=669 Participants
55 Participants
n=989 Participants
177 Participants
n=3218 Participants
Alcohol Consumption Classification
Drinking Almost Everyday
412 Participants
n=1560 Participants
158 Participants
n=669 Participants
276 Participants
n=989 Participants
846 Participants
n=3218 Participants
Alcohol Consumption Classification
Not Drinking Almost Everyday
891 Participants
n=1560 Participants
383 Participants
n=669 Participants
526 Participants
n=989 Participants
1800 Participants
n=3218 Participants
Alcohol Consumption Classification
Unknown
257 Participants
n=1560 Participants
128 Participants
n=669 Participants
187 Participants
n=989 Participants
572 Participants
n=3218 Participants
Smoking Classification
Never Smoked
737 Participants
n=1560 Participants
292 Participants
n=669 Participants
414 Participants
n=989 Participants
1443 Participants
n=3218 Participants
Smoking Classification
Current Smoker
227 Participants
n=1560 Participants
77 Participants
n=669 Participants
155 Participants
n=989 Participants
459 Participants
n=3218 Participants
Smoking Classification
Ex-Smoker
249 Participants
n=1560 Participants
153 Participants
n=669 Participants
160 Participants
n=989 Participants
562 Participants
n=3218 Participants
Smoking Classification
Unknown
347 Participants
n=1560 Participants
147 Participants
n=669 Participants
260 Participants
n=989 Participants
754 Participants
n=3218 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c <6.0 percent
28 Participants
n=1560 Participants
24 Participants
n=669 Participants
33 Participants
n=989 Participants
85 Participants
n=3218 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c >=6.0 to <7.0 percent
475 Participants
n=1560 Participants
134 Participants
n=669 Participants
195 Participants
n=989 Participants
804 Participants
n=3218 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c >=7.0 to <8.0 percent
576 Participants
n=1560 Participants
270 Participants
n=669 Participants
320 Participants
n=989 Participants
1166 Participants
n=3218 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c >=8.0 percent
351 Participants
n=1560 Participants
195 Participants
n=669 Participants
345 Participants
n=989 Participants
891 Participants
n=3218 Participants
Glycosylated Hemoglobin A1c (HbA1c)
Unknown
130 Participants
n=1560 Participants
46 Participants
n=669 Participants
96 Participants
n=989 Participants
272 Participants
n=3218 Participants

PRIMARY outcome

Timeframe: Up to Month 36

Population: Safety Analysis Set was defined as all participants who were enrolled and completed the study.

Outcome measures

Outcome measures
Measure
Alogliptin
n=1560 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received no diabetic drugs within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + α-GI
n=669 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received an α-GI within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=989 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in routine medical care. Participants in this group did not receive an α-GI within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Number of Participants Who Experience at Least One Adverse Events
151 Participants
98 Participants
139 Participants

PRIMARY outcome

Timeframe: Baseline, Months 1, 3, 6, 12, 18, 24, 30, 36 and final assessment (up to Month 36)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline. Reported group were Alogliptin and Alogliptin + α-GI and data for Alogliptin + Other were not collected as specified in protocol.

The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at month 36 relative to baseline.

Outcome measures

Outcome measures
Measure
Alogliptin
n=1341 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received no diabetic drugs within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + α-GI
n=612 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received an α-GI within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in routine medical care. Participants in this group did not receive an α-GI within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 1
-0.45 Percent
Standard Deviation 0.581
-0.33 Percent
Standard Deviation 0.708
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 3
-0.79 Percent
Standard Deviation 1.007
-0.54 Percent
Standard Deviation 1.074
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 6
-0.84 Percent
Standard Deviation 1.045
-0.70 Percent
Standard Deviation 1.128
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 12
-0.83 Percent
Standard Deviation 1.102
-0.75 Percent
Standard Deviation 1.054
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 18
-0.81 Percent
Standard Deviation 1.077
-0.62 Percent
Standard Deviation 1.190
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 24
-0.82 Percent
Standard Deviation 1.095
-0.66 Percent
Standard Deviation 1.214
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 30
-0.83 Percent
Standard Deviation 1.114
-0.73 Percent
Standard Deviation 1.271
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 36
-0.84 Percent
Standard Deviation 1.131
-0.72 Percent
Standard Deviation 1.318
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Final Assessment
-0.81 Percent
Standard Deviation 1.140
-0.63 Percent
Standard Deviation 1.381

SECONDARY outcome

Timeframe: Baseline, Months 1, 3, 6, 12, 18, 24, 30, 36 and final assessment (up to Month 36)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline. Reported group were Alogliptin and Alogliptin + α-GI and data for Alogliptin + Other were not collected as specified in protocol.

The change in the value of fasting blood glucose collected at month 36 relative to baseline.

Outcome measures

Outcome measures
Measure
Alogliptin
n=510 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received no diabetic drugs within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + α-GI
n=229 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received an α-GI within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in routine medical care. Participants in this group did not receive an α-GI within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Change From Baseline in Fasting Blood Glucose
Change at Month 1
-22.9 mg/dL
Standard Deviation 45.05
-4.9 mg/dL
Standard Deviation 41.17
Change From Baseline in Fasting Blood Glucose
Change at Month 3
-21.7 mg/dL
Standard Deviation 39.40
-8.3 mg/dL
Standard Deviation 36.58
Change From Baseline in Fasting Blood Glucose
Change at Month 6
-19.1 mg/dL
Standard Deviation 36.46
-14.5 mg/dL
Standard Deviation 49.90
Change From Baseline in Fasting Blood Glucose
Change at Month 12
-23.1 mg/dL
Standard Deviation 43.60
-18.4 mg/dL
Standard Deviation 41.37
Change From Baseline in Fasting Blood Glucose
Change at Month 18
-21.1 mg/dL
Standard Deviation 41.54
-16.0 mg/dL
Standard Deviation 46.75
Change From Baseline in Fasting Blood Glucose
Change at Month 24
-19.9 mg/dL
Standard Deviation 42.56
-14.0 mg/dL
Standard Deviation 42.09
Change From Baseline in Fasting Blood Glucose
Change at Month 30
-24.4 mg/dL
Standard Deviation 39.14
-11.7 mg/dL
Standard Deviation 52.27
Change From Baseline in Fasting Blood Glucose
Change at Month 36
-23.0 mg/dL
Standard Deviation 45.19
-18.6 mg/dL
Standard Deviation 48.80
Change From Baseline in Fasting Blood Glucose
Change at Final Assessment
-24.5 mg/dL
Standard Deviation 48.45
-12.2 mg/dL
Standard Deviation 51.25

Adverse Events

Alogliptin

Serious events: 2 serious events
Other events: 26 other events
Deaths: 1 deaths

Alogliptin + αGI

Serious events: 2 serious events
Other events: 19 other events
Deaths: 1 deaths

Alogliptin + Other

Serious events: 8 serious events
Other events: 23 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Alogliptin
n=1560 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received no diabetic drugs within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + αGI
n=669 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received an α-GI within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=989 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in routine medical care. Participants in this group did not receive an α-GI within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic neoplasm
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lymph nodes
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Nervous system disorders
Cerebral infarction
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Cardiac disorders
Myocardial infarction
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.15%
1/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.15%
1/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
General disorders
Sudden death
0.06%
1/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Injury, poisoning and procedural complications
Fall
0.06%
1/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Injury, poisoning and procedural complications
Tibia fracture
0.06%
1/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
General disorders
Death
0.00%
0/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.00%
0/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.10%
1/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.

Other adverse events

Other adverse events
Measure
Alogliptin
n=1560 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received no diabetic drugs within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + αGI
n=669 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 36 months in routine medical care. Participants in this group received an α-GI within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=989 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in routine medical care. Participants in this group did not receive an α-GI within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Vascular disorders
Hypertension
1.3%
20/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
1.9%
13/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
1.7%
17/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
Hepatobiliary disorders
Hepatic function abnormal
0.38%
6/1560 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.90%
6/669 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.
0.61%
6/989 • Up to Month 36
Reported data on Serious Adverse Events were serious adverse drug reactions since only serious adverse drug reactions were collected in this study as specified protocol. Participants may be represented in more than 1 category.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER