A Study to Evaluate the Effect of Dapagliflozin With and Without Saxagliptin on Albuminuria, and to Investigate the Effect of Dapagliflozin and Saxagliptin on HbA1c in Patients With Type 2 Diabetes and CKD

NCT ID: NCT02547935

Last Updated: 2019-08-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

459 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-21

Study Completion Date

2018-05-18

Brief Summary

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The purpose of this clinical research study is to determine whether dapagliflozin alone or in combination with saxagliptin can decrease albuminuria and improve glycemic control in patients with Type 2 diabetes, albuminuria and renal impairment (CKD). The study is planned to randomize a total of 450 patients (150 patients per treatment arm)

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus, CKD and Albuminuria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Dapagliflozin 10mg

Tablets administered orally once daily for 24 weeks

Group Type EXPERIMENTAL

Dapagliflozin 10 mg

Intervention Type DRUG

Tablets administered orally once daily for 24 weeks.

Dapagliflozin 10mg + Saxagliptin 2.5mg

Tablets administered orally once daily for 24 weeks

Group Type EXPERIMENTAL

Saxagliptin 2.5 mg

Intervention Type DRUG

Tablets administered orally once daily for 24 weeks.

Placebo

Tablets administered orally once daily for 24 weeks

Group Type PLACEBO_COMPARATOR

Matching Placebo for Dapagliflozin 10 mg and Saxagliptin 2.5mg

Intervention Type DRUG

Tablets administered orally once daily for 24 weeks.

Interventions

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Dapagliflozin 10 mg

Tablets administered orally once daily for 24 weeks.

Intervention Type DRUG

Saxagliptin 2.5 mg

Tablets administered orally once daily for 24 weeks.

Intervention Type DRUG

Matching Placebo for Dapagliflozin 10 mg and Saxagliptin 2.5mg

Tablets administered orally once daily for 24 weeks.

Intervention Type DRUG

Other Intervention Names

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Forxiga™ Onglyza™

Eligibility Criteria

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Inclusion Criteria

* Provision of informed consent prior to any study specific procedures
* Female or male aged ≥18 years
* History of type 2 diabetes mellitus for more than 12 months
* HbA1c≥7.0% and ≤11.0%
* Stable antidiabetic treatment during the last 12 weeks up to randomization
* eGFR 25-75 mL/minute/1.73m2, inclusive
* Micro or macroalbuminuria (UACR 30 - 3500 mg/g)
* Treatment with ACE inhibitor or an ARB for at least 3 months prior to screening
* Body mass index between 20 and 45 kg/m2

Exclusion Criteria

* Any of the following CV/Vascular Diseases within 3 month prior to signing the consent at Visit 1:

* Myocardial infarction
* cardiac surgery or revascularization (CABG/PTCA)
* unstable angina
* unstable HF
* New York Heart Association (NYHA) Class III-IV
* transient ischemic attack (TIA) or significant cerebrovascular disease
* unstable or previously undiagnosed arrhythmia
* Significant hepatic disease, including, but not limited to, chronic active hepatitis and/or severe hepatic insufficiency
* Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) \> 3X ULN
* Total Bilirubin (TB) \>2 mg/dL (34.2 μmol/L)
* History of acute kidney injury requiring renal replacement therapy (dialysis or ultrafiltration) or any biopsy or imaging verifying intercurrent kidney disease other than diabetic nephropathy or diabetic nephropathy with nephrosclerosis
* Ongoing treatment with a SGLT2 inhibitor, GLP-1 agonist or DPP4 inhibitors
* Any condition which, in the judgment of the Investigator, may render the patient unable to complete the study or which may pose a significant risk to the patient or patient suspected or with confirmed poor protocol or medication compliance
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Peoria, Arizona, United States

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Chula Vista, California, United States

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Concord, California, United States

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El Centro, California, United States

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La Mesa, California, United States

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Long Beach, California, United States

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Los Gatos, California, United States

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North Hollywood, California, United States

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Riverside, California, United States

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San Diego, California, United States

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San Dimas, California, United States

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Hollywood, Florida, United States

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Miami, Florida, United States

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New Port Richey, Florida, United States

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Palm Harbor, Florida, United States

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Pompano Beach, Florida, United States

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Augusta, Georgia, United States

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Meridian, Idaho, United States

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Chicago, Illinois, United States

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Bangor, Maine, United States

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Kansas City, Missouri, United States

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Las Vegas, Nevada, United States

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Springfield Gardens, New York, United States

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The Bronx, New York, United States

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Greensboro, North Carolina, United States

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Morehead City, North Carolina, United States

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Rocky Mount, North Carolina, United States

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Philadelphia, Pennsylvania, United States

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Greenville, South Carolina, United States

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Brownsville, Texas, United States

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Cypress, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Sugar Land, Texas, United States

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Salt Lake City, Utah, United States

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Burke, Virginia, United States

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Richmond, Virginia, United States

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Box Hill, , Australia

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Campbelltown, , Australia

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Geelong, , Australia

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Herston, , Australia

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Winnipeg, Manitoba, Canada

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Moncton, New Brunswick, Canada

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Ajax, Ontario, Canada

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Cambridge, Ontario, Canada

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Scarborough Village, Ontario, Canada

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Scarborough Village, Ontario, Canada

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Toronto, Ontario, Canada

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Chicoutimi, Quebec, Canada

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Québec, Quebec, Canada

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Saint-Jérôme, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Chūōku, , Japan

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Chūōku, , Japan

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Chūōku, , Japan

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Hachioji-shi, , Japan

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Higashiosaka-shi, , Japan

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Kisarazu-shi, , Japan

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Kyoto, , Japan

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Neyagawa, , Japan

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Nishinomiya-shi, , Japan

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Osaka, , Japan

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Osaka, , Japan

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Ōita, , Japan

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Sendai, , Japan

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Shinjuku-ku, , Japan

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Toyonaka-shi, , Japan

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Aguascalientes, , Mexico

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Guadalajara, , Mexico

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Guadalajara, , Mexico

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Guadalajara, , Mexico

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México, , Mexico

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México, , Mexico

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México, , Mexico

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Monterrey, , Mexico

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Monterrey, , Mexico

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Monterrey, , Mexico

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Querétaro, , Mexico

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Zapopan, , Mexico

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Zapopan, Jalisco, , Mexico

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Benoni, , South Africa

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Cape Town, , South Africa

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Cape Town, , South Africa

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Durban, , South Africa

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Kuilsrivier, , South Africa

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Mamelodi East, , South Africa

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Muckleneuk, , South Africa

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Paarl, , South Africa

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Pretoria, , South Africa

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Ansan-si, , South Korea

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Busan, , South Korea

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Cheongju-si, , South Korea

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Daejeon, , South Korea

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Seongnam-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Suwon, , South Korea

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Wŏnju, , South Korea

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A Coruña, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Sabadell (Barcelona), , Spain

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Santiago(A Coruña), , Spain

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Valencia, , Spain

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Changhua, , Taiwan

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Kaohsiung Hsien, , Taiwan

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New Taipei City, , Taiwan

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New Taipei City, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Yongkang District, , Taiwan

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Countries

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United States Australia Canada Japan Mexico South Africa South Korea Spain Taiwan

References

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Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.

Reference Type DERIVED
PMID: 38770818 (View on PubMed)

Koshino A, Neuen BL, Jongs N, Pollock C, Greasley PJ, Andersson EM, Hammarstedt A, Karlsson C, Langkilde AM, Wada T, Heerspink HJL. Effects of dapagliflozin and dapagliflozin-saxagliptin on erythropoiesis, iron and inflammation markers in patients with type 2 diabetes and chronic kidney disease: data from the DELIGHT trial. Cardiovasc Diabetol. 2023 Nov 28;22(1):330. doi: 10.1186/s12933-023-02027-8.

Reference Type DERIVED
PMID: 38017482 (View on PubMed)

Pollock C, Stefansson B, Reyner D, Rossing P, Sjostrom CD, Wheeler DC, Langkilde AM, Heerspink HJL. Albuminuria-lowering effect of dapagliflozin alone and in combination with saxagliptin and effect of dapagliflozin and saxagliptin on glycaemic control in patients with type 2 diabetes and chronic kidney disease (DELIGHT): a randomised, double-blind, placebo-controlled trial. Lancet Diabetes Endocrinol. 2019 Jun;7(6):429-441. doi: 10.1016/S2213-8587(19)30086-5. Epub 2019 Apr 13.

Reference Type DERIVED
PMID: 30992195 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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D1690C00023

Identifier Type: -

Identifier Source: org_study_id

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