Trial Outcomes & Findings for Bioequivalence Study in Healthy Volunteers for Empagliflozin/Metformin Fixed Dose Combination Compared to Separate Tablets (NCT NCT02028767)

NCT ID: NCT02028767

Last Updated: 2015-07-24

Results Overview

AUC (0-tz) (area under the concentration-time curve of metformin in plasma over the time interval from 0 to the last quantifiable data point)

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

32 participants

Primary outcome timeframe

1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Results posted on

2015-07-24

Participant Flow

Participant milestones

Participant milestones
Measure
Fixed Dose Combination (FDC) First, Then Separate Tablets
Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin first, then free combination of Empagliflozin 2.5 mg tablet, Empagliflozin 10 mg tablet and Metformin 500 mg tablet Both medications were administered oral with 240 mL water after intake of a high-fat, high-calorie meal.
Separate Tablets First, Then Fixed Dose Combination (FDC)
free combination of Empagliflozin 2.5 mg tablet, Empagliflozin 10 mg tablet and Metformin 500 mg tablet first, then Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin Both medications were administered oral with 240 mL water after intake of a high-fat, high-calorie meal.
Treatment Period 1
STARTED
16
16
Treatment Period 1
COMPLETED
16
16
Treatment Period 1
NOT COMPLETED
0
0
Treatment Period 2
STARTED
16
16
Treatment Period 2
COMPLETED
14
16
Treatment Period 2
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Fixed Dose Combination (FDC) First, Then Separate Tablets
Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin first, then free combination of Empagliflozin 2.5 mg tablet, Empagliflozin 10 mg tablet and Metformin 500 mg tablet Both medications were administered oral with 240 mL water after intake of a high-fat, high-calorie meal.
Separate Tablets First, Then Fixed Dose Combination (FDC)
free combination of Empagliflozin 2.5 mg tablet, Empagliflozin 10 mg tablet and Metformin 500 mg tablet first, then Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin Both medications were administered oral with 240 mL water after intake of a high-fat, high-calorie meal.
Treatment Period 2
Non compliant with protocol
1
0
Treatment Period 2
Reason other than those specified above
1
0

Baseline Characteristics

Bioequivalence Study in Healthy Volunteers for Empagliflozin/Metformin Fixed Dose Combination Compared to Separate Tablets

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fixed Dose Combination vs. Separate Tablets
n=32 Participants
12.5 mg Empagliflozin / 500mg metformin fixed dose combination vs. free combination of 2.5 mg tablet Empagliflozin, 10 mg tablet Empagliflozin and 500 mg tablet Metformin
Age, Continuous
36.1 years
STANDARD_DEVIATION 10.0 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Population: Pharmacokinetic set (PKS): includes all subjects of the TS who provided at least 1 observation for at least 1 primary pharmacokinetic endpoint, and had no important protocol violations with respect to the statistical evaluation of pharmacokinetic endpoints.

AUC (0-tz) (area under the concentration-time curve of metformin in plasma over the time interval from 0 to the last quantifiable data point)

Outcome measures

Outcome measures
Measure
Fixed Dose Combination (FDC)
n=32 Participants
12.5 mg Empagliflozin / 500mg metformin fixed dose combination Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin
Separate Tablets
n=30 Participants
Empagliflozin and Metformin tablets Empagliflozin 2.5 mg: Empagliflozin 2.5 mg tablet Empagliflozin 10 mg: Empagliflozin 10 mg tablet Metformin 500 mg: Metformin 500 mg tablet
AUC (0-tz) (Area Under the Concentration-time Curve of Metformin in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point)
6260 ng*h/mL
Geometric Coefficient of Variation 20.4
6360 ng*h/mL
Geometric Coefficient of Variation 21.8

PRIMARY outcome

Timeframe: 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Population: PKS: includes all subjects of the TS who provided at least 1 observation for at least 1 primary pharmacokinetic endpoint, and had no important protocol violations with respect to the statistical evaluation of pharmacokinetic endpoints.

Cmax (maximum measured concentration of metformin in plasma)

Outcome measures

Outcome measures
Measure
Fixed Dose Combination (FDC)
n=32 Participants
12.5 mg Empagliflozin / 500mg metformin fixed dose combination Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin
Separate Tablets
n=30 Participants
Empagliflozin and Metformin tablets Empagliflozin 2.5 mg: Empagliflozin 2.5 mg tablet Empagliflozin 10 mg: Empagliflozin 10 mg tablet Metformin 500 mg: Metformin 500 mg tablet
Cmax (Maximum Measured Concentration of Metformin in Plasma)
746 ng/mL
Geometric Coefficient of Variation 21.3
754 ng/mL
Geometric Coefficient of Variation 23.3

SECONDARY outcome

Timeframe: 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Population: PKS: includes all subjects of the TS who provided at least 1 observation for at least 1 primary pharmacokinetic endpoint, and had no important protocol violations with respect to the statistical evaluation of pharmacokinetic endpoints.

AUC (0-infinity) (Area under the concentration-time curve of metformin in plasma over the time interval from 0 extrapolated to infinity)

Outcome measures

Outcome measures
Measure
Fixed Dose Combination (FDC)
n=32 Participants
12.5 mg Empagliflozin / 500mg metformin fixed dose combination Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin
Separate Tablets
n=30 Participants
Empagliflozin and Metformin tablets Empagliflozin 2.5 mg: Empagliflozin 2.5 mg tablet Empagliflozin 10 mg: Empagliflozin 10 mg tablet Metformin 500 mg: Metformin 500 mg tablet
AUC (0-infinity) (Area Under the Concentration-time Curve of Metformin in Plasma Over the Time Interval From 0 Extrapolated to Infinity)
6410 ng*h/mL
Geometric Coefficient of Variation 20.9
6520 ng*h/mL
Geometric Coefficient of Variation 22.5

Adverse Events

Fixed Dose Combination (FDC)

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Separate Tablets

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fixed Dose Combination (FDC)
n=32 participants at risk
12.5 mg Empagliflozin / 500mg metformin fixed dose combination Empagliflozin / Metformin FDC: 12.5 mg Empagliflozin / 500 mg Metformin
Separate Tablets
n=30 participants at risk
Empagliflozin and Metformin tablets Empagliflozin 2.5 mg: Empagliflozin 2.5 mg tablet Empagliflozin 10 mg: Empagliflozin 10 mg tablet Metformin 500 mg: Metformin 500 mg tablet
Nervous system disorders
Somnolence
21.9%
7/32 • From first trial medication intake until next intake or the day after the end-of-trial visit, 16 days
13.3%
4/30 • From first trial medication intake until next intake or the day after the end-of-trial visit, 16 days
Nervous system disorders
Headache
12.5%
4/32 • From first trial medication intake until next intake or the day after the end-of-trial visit, 16 days
3.3%
1/30 • From first trial medication intake until next intake or the day after the end-of-trial visit, 16 days
Gastrointestinal disorders
Vomiting
6.2%
2/32 • From first trial medication intake until next intake or the day after the end-of-trial visit, 16 days
0.00%
0/30 • From first trial medication intake until next intake or the day after the end-of-trial visit, 16 days

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Other - Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER