Trial Outcomes & Findings for Voglibose Tablets 0.2 / OD Tablets 0.2 Special Drug Use Surveillance "Long-term Use in Patients With Impaired Glucose Tolerance" (NCT NCT01993927)

NCT ID: NCT01993927

Last Updated: 2018-12-04

Results Overview

Recruitment status

COMPLETED

Target enrollment

742 participants

Primary outcome timeframe

Up to Week 72

Results posted on

2018-12-04

Participant Flow

Participants took part in the study at 130 investigative sites in Japan, from 18-November-2009 to 31-August-2013.

Participants, who had determined as having impaired glucose tolerance (IGT) without improvement despite treatment with diet therapy and exercise therapy for 3-6 months, were enrolled to receive voglibose 0.2 milligram (mg) orally, three times daily, up to 72 months (approximately 1 year and 6 months).

Participant milestones

Participant milestones
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Overall Study
STARTED
742
Overall Study
COMPLETED
713
Overall Study
NOT COMPLETED
29

Reasons for withdrawal

Reasons for withdrawal
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Overall Study
Case Report Forms Uncollected
18
Overall Study
Protocol Violation
11

Baseline Characteristics

This baseline characteristic was analyzed only in female participants.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
n=713 Participants
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Age, Continuous
62.6 years
STANDARD_DEVIATION 11.86 • n=713 Participants
Sex: Female, Male
Female
337 Participants
n=713 Participants
Sex: Female, Male
Male
376 Participants
n=713 Participants
Region of Enrollment
Japan
713 Participants
n=713 Participants
Duration of Disease
12.51 Months
STANDARD_DEVIATION 23.708 • n=713 Participants
Healthcare Category
Outpatient
706 Participants
n=713 Participants
Healthcare Category
Inpatient
2 Participants
n=713 Participants
Healthcare Category
Inpatient and Outpatient
5 Participants
n=713 Participants
Pregnancy Status
Not pregnant
337 Participants
n=337 Participants • This baseline characteristic was analyzed only in female participants.
Pregnancy Status
Pregnant
0 Participants
n=337 Participants • This baseline characteristic was analyzed only in female participants.
History of Allergy
Had No History of Allergy
623 Participants
n=713 Participants
History of Allergy
Had History of Allergy
59 Participants
n=713 Participants
History of Allergy
Unknown
31 Participants
n=713 Participants
Family History of Diabetes in Second-Degree Relatives
Had No Family History of Diabetes
567 Participants
n=713 Participants
Family History of Diabetes in Second-Degree Relatives
Had Family History of Diabetes
146 Participants
n=713 Participants
History of Obesity
Had No History of Obesity
410 Participants
n=713 Participants
History of Obesity
Had History of Obesity
303 Participants
n=713 Participants
Medical Complications
Had No Presence of Medical Complications
46 Participants
n=713 Participants
Medical Complications
Had Presence of Medical Complications
667 Participants
n=713 Participants
Medical History
Had No Presence of Medical History
584 Participants
n=713 Participants
Medical History
Had Presence of Medical History
126 Participants
n=713 Participants
Medical History
Unknown
3 Participants
n=713 Participants
Height
160.21 cm
STANDARD_DEVIATION 9.619 • n=713 Participants
Weight
63.21 kg
STANDARD_DEVIATION 13.097 • n=713 Participants
BMI
24.55 kg/m^2
STANDARD_DEVIATION 3.873 • n=713 Participants
Drinking Habits
Never Drank
404 Participants
n=713 Participants
Drinking Habits
Ex-Drinker
47 Participants
n=713 Participants
Drinking Habits
Current Drinker
261 Participants
n=713 Participants
Drinking Habits
Unknown
1 Participants
n=713 Participants
Smoking Classification
Never Smoked
533 Participants
n=713 Participants
Smoking Classification
Ex-Smoker
87 Participants
n=713 Participants
Smoking Classification
Current Smoker
92 Participants
n=713 Participants
Smoking Classification
Unknown
1 Participants
n=713 Participants
Duration of Dietary and Exercise Therapies prior to the Administration of Voglibose
Not performed
56 Participants
n=713 Participants
Duration of Dietary and Exercise Therapies prior to the Administration of Voglibose
< 3 months
304 Participants
n=713 Participants
Duration of Dietary and Exercise Therapies prior to the Administration of Voglibose
≥ 3 months < 6 months
176 Participants
n=713 Participants
Duration of Dietary and Exercise Therapies prior to the Administration of Voglibose
≥ 6 months < 1 year
163 Participants
n=713 Participants
Duration of Dietary and Exercise Therapies prior to the Administration of Voglibose
≥ 1 year
14 Participants
n=713 Participants
Daily Activity Intensity Index
I (very mild activities in a day)
159 Participants
n=713 Participants
Daily Activity Intensity Index
II (mild activities)
302 Participants
n=713 Participants
Daily Activity Intensity Index
III (moderate/optimal)
245 Participants
n=713 Participants
Daily Activity Intensity Index
IV (very strong activities in a day)
7 Participants
n=713 Participants
75g OGTT Fasting Blood Glucose Level
105.3 mg/dL
STANDARD_DEVIATION 11.00 • n=713 Participants
75g OGTT Blood Glucose Level at 30 min after Dosing
181.4 mg/dL
STANDARD_DEVIATION 28.45 • n=713 Participants
75g OGTT Blood Glucose Level at 2 hr after Dosing
168.2 mg/dL
STANDARD_DEVIATION 17.42 • n=713 Participants
Fasting Blood Insulin Level
7.311 mcU/mL
STANDARD_DEVIATION 4.8720 • n=713 Participants
Blood Insulin Level at 30 min after Dosing
38.122 mcU/mL
STANDARD_DEVIATION 25.7354 • n=713 Participants
Blood Insulin Level at 2 hr after Dosing
69.405 mcU/mL
STANDARD_DEVIATION 52.2083 • n=713 Participants
HbA1c (Japan DiabetesSociety; JDS Value)
5.72 Percent
STANDARD_DEVIATION 0.399 • n=713 Participants
HbA1c (National Glycohemoglobin Standardization Program; NGSP Value)
6.11 Percent
STANDARD_DEVIATION 0.406 • n=713 Participants
Homeostasis Model Assessment of Insulin Resistance
1.913 Percent score of insulin resistance
STANDARD_DEVIATION 1.3331 • n=713 Participants
Insulinogenic Index
0.449 Score of insulinogenic Index
STANDARD_DEVIATION 0.3914 • n=713 Participants
Number of Risk Factor
None
0 Participants
n=713 Participants
Number of Risk Factor
One Factor
0 Participants
n=713 Participants
Number of Risk Factor
Two Factors
238 Participants
n=713 Participants
Number of Risk Factor
Three Factors
278 Participants
n=713 Participants
Number of Risk Factor
Four Factors
178 Participants
n=713 Participants
Number of Risk Factor
Five Factors
19 Participants
n=713 Participants
Compliance of Dietary Therapy at 6 Months prior to Study Start
Compliance level of ≥ 70%
187 Participants
n=713 Participants
Compliance of Dietary Therapy at 6 Months prior to Study Start
Compliance level of < 70%
107 Participants
n=713 Participants
Compliance of Dietary Therapy at 6 Months prior to Study Start
Unknown
419 Participants
n=713 Participants
Compliance of Dietary Therapy at 3 Months prior to Study Start
Compliance level of ≥ 70%
297 Participants
n=713 Participants
Compliance of Dietary Therapy at 3 Months prior to Study Start
Compliance level of < 70%
212 Participants
n=713 Participants
Compliance of Dietary Therapy at 3 Months prior to Study Start
Unknown
204 Participants
n=713 Participants
Compliance of Dietary Therapy at Treatment Start
Compliance level of ≥ 70%
391 Participants
n=713 Participants
Compliance of Dietary Therapy at Treatment Start
Compliance level of < 70%
240 Participants
n=713 Participants
Compliance of Dietary Therapy at Treatment Start
Unknown
82 Participants
n=713 Participants
Compliance of Exercise Therapy at 6 Months prior to Study Start
Compliance level of ≥ 70%
167 Participants
n=713 Participants
Compliance of Exercise Therapy at 6 Months prior to Study Start
Compliance level of < 70%
120 Participants
n=713 Participants
Compliance of Exercise Therapy at 6 Months prior to Study Start
Unknown
426 Participants
n=713 Participants
Compliance of Exercise Therapy at 3 Months prior to Study Start
Compliance level of ≥ 70%
260 Participants
n=713 Participants
Compliance of Exercise Therapy at 3 Months prior to Study Start
Compliance level of < 70%
221 Participants
n=713 Participants
Compliance of Exercise Therapy at 3 Months prior to Study Start
Unknown
232 Participants
n=713 Participants
Compliance of Exercise Therapy at Treatment Start
Compliance level of ≥ 70%
331 Participants
n=713 Participants
Compliance of Exercise Therapy at Treatment Start
Compliance level of < 70%
269 Participants
n=713 Participants
Compliance of Exercise Therapy at Treatment Start
Unknown
113 Participants
n=713 Participants

PRIMARY outcome

Timeframe: Up to Week 72

Population: Safety/Efficacy Analysis Set was defined as all participants who were enrolled and completed the study. All data could be received as case report forms without major protocol violations.

Outcome measures

Outcome measures
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
n=713 Participants
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Number of Participants Who Experience at Least One Adverse Events
88 Participants

PRIMARY outcome

Timeframe: Up to Week 72

Population: Safety/Efficacy Analysis Set was defined as all participants who were enrolled and completed the study. Reported data was collected from received case report forms including the data, without major protocol violations.

Percentage of participants who occurred progression of T2DM during treatment period was reported. Diagnostic criteria for progression of T2DM are: (1) "Blood glucose ≥200 mg/dL at any time, morning fasting blood glucose ≥126 mg/dL, or 2-hour post 75-g (Oral Glucose Tolerance Test) blood glucose ≥200 mg/dL. (2) Two or more glucose measurements obtained on different days that meet the above-mentioned criteria, or (3) A single glucose measurement meeting the above-mentioned criteria if the patient meets any of the following conditions: (i) Has typical symptoms of diabetes mellitus (e.g., dry mouth, polydipsia, polyuria, weight loss) (ii) HbA1C ≥6.5% (JDS value) (iii) Obvious diabetic retinopathy.

Outcome measures

Outcome measures
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
n=708 Participants
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Percentage of Participants With Progression to Type 2 Diabetes Mellitus (T2DM) During Treatment Period
4.8 Percentage of participants

SECONDARY outcome

Timeframe: Up to Week 72

Population: Safety/Efficacy Analysis Set was defined as all participants who were enrolled and completed the study. Reported data was collected from received case report forms including the data, without major protocol violations.

Percentage of participants who had normalization of Impaired Glucose Tolerance (IGT) during treatment period was reported. IGT normalization was determined by the survey physician based on the results of the 75-g oral glucose tolerance test (OGTT), glucose metabolism markers, and other data.

Outcome measures

Outcome measures
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
n=708 Participants
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Percentage of Participants With Normalization of Impaired Glucose Tolerance (IGT) During Treatment Period
11.3 Percentage of participants

Adverse Events

Voglibose 0.2 mg or OD Tablets 0.2 mg

Serious events: 5 serious events
Other events: 39 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
n=713 participants at risk
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.14%
1/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.14%
1/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.
Cardiac disorders
Angina pectoris
0.14%
1/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.
Endocrine disorders
Eye disorders
0.14%
1/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.
Blood and lymphatic system disorders
Thrombocytopenic purpura
0.14%
1/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.

Other adverse events

Other adverse events
Measure
Voglibose 0.2 mg or OD Tablets 0.2 mg
n=713 participants at risk
Voglibose 0.2 mg or OD Tablets 0.2 mg was administered orally three times daily immediately before each meal, up to 72 months (approximately 1 year and 6 months). Participants will receive interventions as part of routine medical care.
Gastrointestinal disorders
Diarrhoea
2.0%
14/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.
Gastrointestinal disorders
Abdominal distension
2.0%
14/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. Participants may be represented in more than 1 category.
Hepatobiliary disorders
Hepatic function abnormal
1.5%
11/713 • Baseline up to Week 72
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment. 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