Study of Efficacy and Safety of Vildagliptin as add-on Insulin Therapy in T2DM Patients

NCT ID: NCT02002221

Last Updated: 2016-03-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2015-02-28

Brief Summary

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The purpose of this study was to assess the efficacy and safety of vildagliptin 50 mg bid add-on therapy to improve overall glycemic control in patients with T2DM inadequately controlled by insulin, with or without concomitant metformin treatment. It was agreed with PMDA to conduct a postmarketing clinical trial to further collect the efficacy and safety data of vildagliptin especially in Japanese patients when it iwas used on top of insulin.

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus (T2DM)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Vildagliptin (LAF237)

Patients received vildagliptin (LAF237) 50 mg tablets twice daily for 12 weeks. Patients continued on a stable dose of long-acting or intermediate-acting or pre-mixed insulin, and metformin if applicable, throughout the study

Group Type EXPERIMENTAL

Vildagliptin (LAF237)

Intervention Type DRUG

Corresponds to vildagliptin (LAF237) 50 mg tablets twice daily

Insulin

Intervention Type DRUG

Patients continued their prescribed insulin dose. The dose of insulin remained within a 10% increase of the baseline dose throughout the trial (with no change in frequency or insulin type) unless dose adjustments were required for safety reasons.

The insulin dose was allowed to be decreased for safety reasons at anytime without specific dose limits at the Investigator's discretion.

Metformin

Intervention Type DRUG

Patients continued their prescribed metformin dose, if applicable.

Placebo

In this arm, patients received vildagliptin 50 mg matching placebo tablets twice daily for 12 weeks. Patients continued on a stable dose of long-acting or intermediate-acting or pre-mixed insulin, and metformin if applicable, throughout the study

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo of vildagliptin 50 mg twice daily

Insulin

Intervention Type DRUG

Patients continued their prescribed insulin dose. The dose of insulin remained within a 10% increase of the baseline dose throughout the trial (with no change in frequency or insulin type) unless dose adjustments were required for safety reasons.

The insulin dose was allowed to be decreased for safety reasons at anytime without specific dose limits at the Investigator's discretion.

Metformin

Intervention Type DRUG

Patients continued their prescribed metformin dose, if applicable.

Interventions

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Vildagliptin (LAF237)

Corresponds to vildagliptin (LAF237) 50 mg tablets twice daily

Intervention Type DRUG

Placebo

Matching placebo of vildagliptin 50 mg twice daily

Intervention Type DRUG

Insulin

Patients continued their prescribed insulin dose. The dose of insulin remained within a 10% increase of the baseline dose throughout the trial (with no change in frequency or insulin type) unless dose adjustments were required for safety reasons.

The insulin dose was allowed to be decreased for safety reasons at anytime without specific dose limits at the Investigator's discretion.

Intervention Type DRUG

Metformin

Patients continued their prescribed metformin dose, if applicable.

Intervention Type DRUG

Other Intervention Names

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Vildagliptin

Eligibility Criteria

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Inclusion Criteria

* Confirmed diagnosis of T2DM by standard criteria.
* HbA1c ≥ 7.0 to ≤ 10% at Visit 1.
* Age: ≥ 20 to \< 75 years old at Visit 1.
* BMI ≥ 20 to ≤ 35 kg/m2 at Visit 1.

Exclusion Criteria

* FPG ≥ 270 mg/dL (≥15 mmol/L) at Visit 1.
* Type 1 diabetes, monogenic diabetes, diabetes resulting from pancreatic injury, or secondary forms of diabetes.
* Significant heart diseases
* Hepatic disorder
Minimum Eligible Age

20 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Fukuoka, Fukuoka, Japan

Site Status

Novartis Investigative Site

Fukuoka, Fukuoka, Japan

Site Status

Novartis Investigative Site

Fukutsu, Fukuoka, Japan

Site Status

Novartis Investigative Site

Kitakyushu, Fukuoka, Japan

Site Status

Novartis Investigative Site

Kōriyama, Fukushima, Japan

Site Status

Novartis Investigative Site

Mito, Ibaraki, Japan

Site Status

Novartis Investigative Site

Ibusuki, Kagoshima-ken, Japan

Site Status

Novartis Investigative Site

Yokohama, Kanagawa, Japan

Site Status

Novartis Investigative Site

Kumamoto, Kumamoto, Japan

Site Status

Novartis Investigative Site

Kumamoto, Kumamoto, Japan

Site Status

Novartis Investigative Site

Yatsushiro, Kumamoto, Japan

Site Status

Novartis Investigative Site

Kyoto, Kyoto, Japan

Site Status

Novartis Investigative Site

Sendai, Miyagi, Japan

Site Status

Novartis Investigative Site

Hirakata, Osaka, Japan

Site Status

Novartis Investigative Site

Izumisano, Osaka, Japan

Site Status

Novartis Investigative Site

Osaka, Osaka, Japan

Site Status

Novartis Investigative Site

Osaka, Osaka, Japan

Site Status

Novartis Investigative Site

Takatsuki, Osaka, Japan

Site Status

Novartis Investigative Site

Ageo, Saitama, Japan

Site Status

Novartis Investigative Site

Saitama, Saitama, Japan

Site Status

Novartis Investigative Site

Sayama, Saitama, Japan

Site Status

Novartis Investigative Site

Tokorozawa, Saitama, Japan

Site Status

Novartis Investigative Site

Adachi-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Chiyoda-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Chuo-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Chuo-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Chuo-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Nerima-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Nerima-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Ōta-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Suginami-ku, Tokyo, Japan

Site Status

Countries

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Japan

References

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Hirose T, Suzuki M, Tsumiyama I. Efficacy and Safety of Vildagliptin as an Add-on to Insulin with or without Metformin in Japanese Patients with Type 2 Diabetes Mellitus: A 12-week, Double-Blind, Randomized Study. Diabetes Ther. 2015 Dec;6(4):559-571. doi: 10.1007/s13300-015-0147-6. Epub 2015 Nov 30.

Reference Type DERIVED
PMID: 26620049 (View on PubMed)

Other Identifiers

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CLAF237A1405

Identifier Type: -

Identifier Source: org_study_id

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