Trial Outcomes & Findings for Effect of Dapagliflozin on 24-hour Blood Glucose in T2DM Patients Inadequately Controlled With Either Metformin Or Insulin (NCT NCT02429258)

NCT ID: NCT02429258

Last Updated: 2017-06-14

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

226 participants

Primary outcome timeframe

Baseline to Week 4

Results posted on

2017-06-14

Participant Flow

226 subjects signed the informed consent form (ICF), and 132 subjects were screened to randomize a total of 100 subjects.

Participant milestones

Participant milestones
Measure
Dapagliflozin
Dapagliflozin + Metformin or Insulin
Placebo
Placebo + Metformin or Insulin
Overall Study
STARTED
50
50
Overall Study
COMPLETED
48
49
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Dapagliflozin
Dapagliflozin + Metformin or Insulin
Placebo
Placebo + Metformin or Insulin
Overall Study
Withdrawal by Subject
2
0
Overall Study
Protocol Violation
0
1

Baseline Characteristics

Effect of Dapagliflozin on 24-hour Blood Glucose in T2DM Patients Inadequately Controlled With Either Metformin Or Insulin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
56.9 Years
STANDARD_DEVIATION 7.11 • n=5 Participants
56.8 Years
STANDARD_DEVIATION 9.71 • n=7 Participants
56.9 Years
STANDARD_DEVIATION 8.47 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
25 Participants
n=7 Participants
49 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
25 Participants
n=7 Participants
51 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
11 Participants
n=5 Participants
14 Participants
n=7 Participants
25 Participants
n=5 Participants
Race/Ethnicity, Customized
White
39 Participants
n=5 Participants
36 Participants
n=7 Participants
75 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian and Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
BMI
34.3 kg/m^2
STANDARD_DEVIATION 5.92 • n=5 Participants
33.2 kg/m^2
STANDARD_DEVIATION 5.59 • n=7 Participants
33.8 kg/m^2
STANDARD_DEVIATION 5.75 • n=5 Participants
Hemoglobin A1c (HbA1c)
8.31 Percentage
STANDARD_DEVIATION 0.785 • n=5 Participants
8.37 Percentage
STANDARD_DEVIATION 0.810 • n=7 Participants
8.34 Percentage
STANDARD_DEVIATION 0.794 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in 24-hour Mean Weighted Glucose (MWG) From Baseline to End of Treatment (Week 4) Using the Continuous Glucose Monitoring (CGM) System
-18.2 mg/dL
Standard Error 4.33
5.8 mg/dL
Standard Error 4.25

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in the 24-hour Mean Ampitude of Glucose Excursions (MAGE) From Baseline to Week 4
-10.0 mg/dL
Standard Error 4.14
5.3 mg/dL
Standard Error 4.06

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose <70 mg/dL From Baseline to Week 4 - ITT Population
0.3 Change in percentage
Standard Error 0.30
-0.6 Change in percentage
Standard Error 0.29

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose Between 70 mg/dL and 180 mg/dL From Baseline to Week 4 - ITT Population
12.2 Change in percentage
Standard Error 2.60
-2.8 Change in percentage
Standard Error 2.55

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose >180 mg/dL From Baseline to Week 4 - ITT Population
-12.6 Change in percentage
Standard Error 2.65
3.5 Change in percentage
Standard Error 2.60

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in Fasting Plasma Glucose (FPG) From Baseline to Week 4
-26.2 mg/dL
Standard Error 5.99
3.6 mg/dL
Standard Error 5.98

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in 4-hour Mean Weighted Post-prandial Glucose (PPG) (After the Standardized Breakfast Meal) From Baseline to Week 4
-50.9 mg/dL
Standard Error 6.54
-10.0 mg/dL
Standard Error 6.39

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in HbA1c From Baseline to Week 4
-0.51 % Alc
Standard Error 0.07
-0.28 % Alc
Standard Error 0.07

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in Fructosamine From Baseline to Week 4
-20.4 mmol/L
Standard Error 3.22
-9.6 mmol/L
Standard Error 3.17

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in 2-hour Mean Weighted PPG (After the Standardized Breakfast Meal) From Baseline to Week 4
-49.5 mg/dL
Standard Error 6.61
-13.2 mg/dL
Standard Error 6.46

SECONDARY outcome

Timeframe: Baseline to Week 4

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=50 Participants
Dapagliflozin + Metformin or Insulin
Placebo
n=50 Participants
Placebo + Metformin or Insulin
Change in Static Insulin Secretion Rate (10^-9 Min^-1) From Baseline to Week 4 - ITT Population
8.4 10^-9 min^-1
Standard Error 2.07
1.4 10^-9 min^-1
Standard Error 1.98

Adverse Events

Dapagliflozin

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Dapagliflozin
n=50 participants at risk
Dapagliflozin + Metformin or Insulin
Placebo
n=50 participants at risk
Placebo + Metformin or Insulin
Infections and infestations
Urinary Tract Infection
6.0%
3/50 • Number of events 3
6.0%
3/50 • Number of events 3

Additional Information

Sergey Zhuplatov MD, PhD

AstraZeneca, PLL

Phone: 215-542-3222

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution \& PI agree they will not use or disclose and confidential information to third parties for a period of 10 years from receipt
  • Publication restrictions are in place

Restriction type: OTHER