Trial Outcomes & Findings for Bioequivalence of a Fixed Dose Combination Tablet of Empagliflozin/Metformin Extended Release Compared With Mono Compound Tablets in Healthy Subjects (NCT NCT02230995)

NCT ID: NCT02230995

Last Updated: 2017-03-09

Results Overview

Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

30 participants

Primary outcome timeframe

-1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Results posted on

2017-03-09

Participant Flow

This was an open-label, randomised, 2-way crossover trial with 2 treatments (T and R) and 2 treatment sequences (T\_R and R\_T). Trial drug administrations of the 2 single dose treatments were separated by a washout period of at least 7 days.

Participant milestones

Participant milestones
Measure
Fed 25mg+1000mg FDC/Single
Subjects received in period 1 a single dose of 25 mg empagliflozin/1000 mg metformin HCl XR (1 FDC tablet) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Fed 25mg+1000mg Single/FDC
Subjects received in period 1 a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 25 mg empagliflozin/1000 mg metformin HCl XR (1 FDC tablet) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Period 1 + Washout
STARTED
15
15
Period 1 + Washout
COMPLETED
15
15
Period 1 + Washout
NOT COMPLETED
0
0
Period 2 + Washout
STARTED
15
15
Period 2 + Washout
COMPLETED
15
15
Period 2 + Washout
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bioequivalence of a Fixed Dose Combination Tablet of Empagliflozin/Metformin Extended Release Compared With Mono Compound Tablets in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fed 25mg+1000mg FDC/Single
n=15 Participants
Subjects received in period 1 a single dose of 25 mg empagliflozin/1000 mg metformin HCl XR (1 FDC tablet) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Fed 25mg+1000mg Single/FDC
n=15 Participants
Subjects received in period 1 a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal, followed in period 2 with a single dose of 25 mg empagliflozin/1000 mg metformin HCl XR (1 FDC tablet) with 240 mL of water after intake of a high-fat, high-caloric meal. 2 treatments separated by a wash-out period of at least 7 days.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
36.60 Years
STANDARD_DEVIATION 9.30 • n=5 Participants
32.00 Years
STANDARD_DEVIATION 9.80 • n=7 Participants
34.30 Years
STANDARD_DEVIATION 9.70 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
9 Participants
n=7 Participants
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS set

Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

Outcome measures

Outcome measures
Measure
Fed 25mg+1000mg FDC
n=30 Participants
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 Participants
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-tz of Empagliflozin in Plasma
5370 nmol·h/L
Geometric Coefficient of Variation 14.9
5470 nmol·h/L
Geometric Coefficient of Variation 16.0

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: Pharmacokinetic Set (PKS): This analysis set included all treated subjects that provided at least 1 observation for at least 1 primary endpoint without important protocol violations with respect to the statistical evaluation of the pharmacokinetic endpoints.

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the time of the last quantifiable concentration

Outcome measures

Outcome measures
Measure
Fed 25mg+1000mg FDC
n=30 Participants
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 Participants
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-tz of Metformin in Plasma
11000 ng·h/mL
Geometric Coefficient of Variation 21.5
10800 ng·h/mL
Geometric Coefficient of Variation 22.8

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS set

Maximum measured concentration of empagliflozin in plasma (Cmax)

Outcome measures

Outcome measures
Measure
Fed 25mg+1000mg FDC
n=30 Participants
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 Participants
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
Cmax of Empagliflozin in Plasma
590 nmol/L
Geometric Coefficient of Variation 19.9
597 nmol/L
Geometric Coefficient of Variation 19.5

PRIMARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS set

Maximum measured concentration of the metformin in plasma

Outcome measures

Outcome measures
Measure
Fed 25mg+1000mg FDC
n=30 Participants
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 Participants
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
Cmax of Metformin in Plasma
1120 ng/mL
Geometric Coefficient of Variation 23.0
1060 ng/mL
Geometric Coefficient of Variation 24.9

SECONDARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS set

Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 extrapolated to infinity (AUC0-infinity)

Outcome measures

Outcome measures
Measure
Fed 25mg+1000mg FDC
n=30 Participants
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 Participants
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-infinity of Empagliflozin in Plasma
5460 nmol·h/L
Geometric Coefficient of Variation 15.1
5550 nmol·h/L
Geometric Coefficient of Variation 16.2

SECONDARY outcome

Timeframe: -1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Population: PKS set

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity.

Outcome measures

Outcome measures
Measure
Fed 25mg+1000mg FDC
n=30 Participants
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 Participants
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
AUC0-infinity of Metformin in Plasma
11500 ng*h/mL
Geometric Coefficient of Variation 20.2
11000 ng*h/mL
Geometric Coefficient of Variation 22.7

Adverse Events

Fed 25mg+1000mg FDC

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

Fed 25mg+1000mg Single

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
Fed 25mg+1000mg FDC
n=30 participants at risk
Subjects received a single dose of 25 mg empagliflozin/1000 mg metformin Hydrochloride (HCl) Extended release (XR) (1 Fixed dose combination (FDC) tablet) with 240 mL of water after intake of a high-fat, high-caloric meal.
Fed 25mg+1000mg Single
n=30 participants at risk
Subject received a single dose of 25 mg empagliflozin (1 tablet) together with 1000 mg metformin HCl XR (2 tablets) with 240 mL of water after intake of a high-fat, high-caloric meal.
Nervous system disorders
Nasopharyngitis
6.7%
2/30 • From first drug administration up to 13 days after last drug administration, ie., upto 20 days.
0.00%
0/30 • From first drug administration up to 13 days after last drug administration, ie., upto 20 days.
Nervous system disorders
Headache
6.7%
2/30 • From first drug administration up to 13 days after last drug administration, ie., upto 20 days.
10.0%
3/30 • From first drug administration up to 13 days after last drug administration, ie., upto 20 days.
Gastrointestinal disorders
Diarrhoea
3.3%
1/30 • From first drug administration up to 13 days after last drug administration, ie., upto 20 days.
6.7%
2/30 • From first drug administration up to 13 days after last drug administration, ie., upto 20 days.

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place