A 24-week Open-Label, Phase 3b Trial With a 28-week Extension to Evaluate the Efficacy and Safety of Saxagliptin Co-administered With Dapagliflozin Compared to Insulin Glargine in Subjects withType 2 Diabetes Who Have Glycemic Control on Metformin

NCT ID: NCT02551874

Last Updated: 2018-12-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-20

Study Completion Date

2017-11-10

Brief Summary

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This research study of subjects with inadequately controlled type 2 diabetes mellitus (T2DM) will compare the glycemic control (measured by HbA1c) in subjects co-administered saxagliptin and dapagliflozin, in addition to metformin with or without sulfonylurea, to subjects receiving insulin glargine, in addition to metformin with or without sulfonylurea, over a treatment period of 52 weeks.

Detailed Description

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CV181-369; A 24 Week International, Open-Label Trial With a 28 Week Extension to Evaluate the Efficacy of Saxagliptin Co-administered With Dapagliflozin Compared to Insulin Glargine in Subjects With Type 2 Diabetes on Metformin With or Without Sulfonylurea Therapy

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Saxagliptin/Dapagliflozin/Metformin

Oral route. Saxagliptin/Dapa adminsitered once daily for 24 weeks at a dose of 5 mg Saxagliptin and 10 mg Dapagliflozin

Group Type EXPERIMENTAL

Saxagliptin, Onglyza

Intervention Type DRUG

Tablets, Oral, 5mg , Once daily, 24 weeks

Dapagliflozin, Farxiga

Intervention Type DRUG

Tablets, Oral, 10mg , Once daily, 24 weeks

Metformin

Intervention Type DRUG

Tablets, Oral, ≥ 1500mg/≤ 2500mg, Once daily, 24 weeks

Insulin Glargine, Lantos/Metformin

Insulin glargine administered once a day with starting dose of 0.2 Unit per kg or 10 units.

Group Type ACTIVE_COMPARATOR

Glargine insulin

Intervention Type DRUG

100 Units/ml solution for injection in a prefilled SoloStar pen

Interventions

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Saxagliptin, Onglyza

Tablets, Oral, 5mg , Once daily, 24 weeks

Intervention Type DRUG

Dapagliflozin, Farxiga

Tablets, Oral, 10mg , Once daily, 24 weeks

Intervention Type DRUG

Glargine insulin

100 Units/ml solution for injection in a prefilled SoloStar pen

Intervention Type DRUG

Metformin

Tablets, Oral, ≥ 1500mg/≤ 2500mg, Once daily, 24 weeks

Intervention Type DRUG

Other Intervention Names

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Onglyza BMS-512148 Lantus Glucophage

Eligibility Criteria

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Inclusion Criteria

* At least 18 years of age at screening
* HbA1c ≥ 8% and ≤ 12% at screening
* Fasting plasma glucose (FPG) ≤ 270 mg/dL (15mmol/L)
* Stable dose metformin ≥ 1500 mg per day with or without a stable dose of sulfonylurea (defined as at least 50% maximal dose per local label) for at least 8 weeks
* estimated glomerular filtration rate (eGFR) \< 60 ml/ml/1.73m2
* Body Mass Index ≤ 45.0 kg/m2

Exclusion Criteria

* Clinical diagnosis of Type 1 diabetes
* History of ketoacidosis
* Renal, hepatic or pancreatic disease
* Impairment of renal function (defined as creatinine clearance \[CrCl\] \< 60 mL/min
* Cardiovascular or vascular diseases identified within 3 months of participationImpairment of renal function (defined as creatinine clearance \[CrCl\] \< 60 mL/min
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 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

Principal Investigators

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AstraZeneca

Role: STUDY_DIRECTOR

AstraZeneca

Locations

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Research Site

Anaheim, California, United States

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Los Angeles, California, United States

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Miami, Florida, United States

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Miami, Florida, United States

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St. Petersburg, Florida, United States

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Norcross, Georgia, United States

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Chicago, Illinois, United States

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Lexington, Kentucky, United States

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Quincy, Massachusetts, United States

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Beavercreek, Ohio, United States

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Norman, Oklahoma, United States

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Barto, Pennsylvania, United States

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Columbia, South Carolina, United States

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Bristol, Tennessee, United States

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Kingsport, Tennessee, United States

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Houston, Texas, United States

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Mesquite, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Bountiful, Utah, United States

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Karlovy Vary, , Czechia

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Olomouc, , Czechia

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Copenhagen, , Denmark

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Guadalajara, , Mexico

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México, , Mexico

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Monterrey, , Mexico

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Zapopan, Jalisco, , Mexico

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Lodz, , Poland

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Nowy Duninów, , Poland

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Sochaczew, , Poland

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Craiova, , Romania

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Ploieşti, , Romania

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Timișoara, , Romania

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Timișoara, , Romania

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Lenasia, , South Africa

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A Coruña, , Spain

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Uddevalla, , Sweden

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Countries

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Germany Russia United States Czechia Denmark Hungary Mexico Poland Romania South Africa Spain Sweden

References

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Vilsboll T, Ekholm E, Johnsson E, Dronamraju N, Jabbour S, Lind M. Dapagliflozin Plus Saxagliptin Add-on Therapy Compared With Insulin in Patients With Type 2 Diabetes Poorly Controlled by Metformin With or Without Sulfonylurea Therapy: A Randomized Clinical Trial. Diabetes Care. 2019 Aug;42(8):1464-1472. doi: 10.2337/dc18-1988. Epub 2019 Jun 4.

Reference Type DERIVED
PMID: 31167892 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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2015-001702-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CV181-369

Identifier Type: -

Identifier Source: org_study_id