Trial Outcomes & Findings for Foxiga Korea Local Phase 4 Study (NCT NCT02564926)

NCT ID: NCT02564926

Last Updated: 2019-08-20

Results Overview

Adjusted mean changes in total body fat mass from baseline using DXA scan in 52 weeks after the start of the treatment

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

125 participants

Primary outcome timeframe

From baseline to Week 52

Results posted on

2019-08-20

Participant Flow

First patient enrolled: 05 January 2016 Last patient last visit: 15 January 2018

178 patients provided informed consent. 121 patients received study treatment and were included in the SAF population. 112 patients received study treatment and had at least one post-baseline primary efficacy assessment and were included in the FAS population (56 patients in each treatment group).

Participant milestones

Participant milestones
Measure
Dapagliflozin
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
Glimepiriide 1-2mg + Metformin 1000mg
Overall Study
STARTED
60
61
Overall Study
COMPLETED
52
54
Overall Study
NOT COMPLETED
8
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Foxiga Korea Local Phase 4 Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dapagliflozin
n=60 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=61 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Total
n=121 Participants
Total of all reporting groups
Age, Continuous
54.6 years
STANDARD_DEVIATION 9.09 • n=93 Participants
55.7 years
STANDARD_DEVIATION 10.24 • n=4 Participants
55.2 years
STANDARD_DEVIATION 9.66 • n=27 Participants
Sex: Female, Male
Female
23 Participants
n=93 Participants
34 Participants
n=4 Participants
57 Participants
n=27 Participants
Sex: Female, Male
Male
37 Participants
n=93 Participants
27 Participants
n=4 Participants
64 Participants
n=27 Participants
Race/Ethnicity, Customized
Korean
60 Participants
n=93 Participants
61 Participants
n=4 Participants
121 Participants
n=27 Participants

PRIMARY outcome

Timeframe: From baseline to Week 52

Adjusted mean changes in total body fat mass from baseline using DXA scan in 52 weeks after the start of the treatment

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Changes From Baseline in Total Body Fat Mass by DXA Scan
-1485.69 grams
Interval -2025.543 to -945.844
1096.34 grams
Interval 556.489 to 1636.187

PRIMARY outcome

Timeframe: From baseline to Week 52

Adjusted mean percent changes in total body fat mass from baseline using DXA scan in 52 weeks after the start of the treatment

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Changes From Baseline in Percentage of Total Body Fat Assessed by DXA Scan
-1.21 percent change
Interval -1.821 to -0.604
0.73 percent change
Interval 0.123 to 1.341

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in HbA1c at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in HbA1c at Week 52
-1.00 percentages
Interval -1.259 to -0.745
-0.54 percentages
Interval -0.802 to -0.287

SECONDARY outcome

Timeframe: 52 weeks

HbA1c \<7.0% at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
HbA1c <7.0% at Week 52
Count of participants that achieved the response
27 Participants
22 Participants

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Fasting Blood Sugar (FBS) at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Fasting Blood Sugar (FBS) at Week 52
-30.94 mg/dL
Interval -40.084 to -21.8
-12.70 mg/dL
Interval -21.786 to -3.607

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Total Body Weight at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Total Body Weight at Week 52
-2.4 kg
Interval -3.104 to -1.664
1.3 kg
Interval 0.545 to 1.984

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Waist Circumference at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Waist Circumference at Week 52
-2.37 cm
Interval -3.48 to -1.253
-0.16 cm
Interval -1.271 to 0.957

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Body Mass Index (BMI) at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Body Mass Index (BMI) at Week 52
-0.91 kg/m^2
Interval -1.172 to -0.64
0.46 kg/m^2
Interval 0.194 to 0.726

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Systolic Blood Pressure (SBP) at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Systolic Blood Pressure (SBP) at Week 52
-2.18 mmHg
Interval -5.123 to 0.766
4.63 mmHg
Interval 1.682 to 7.57

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Diastolic Blood Pressure (DBP) at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Diastolic Blood Pressure (DBP) at Week 52
-0.25 mmHg
Interval -2.523 to 2.023
2.36 mmHg
Interval 0.092 to 4.638

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Visceral Adipose Tissue (VAT) area at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Visceral Adipose Tissue (VAT) Area at Week 52
-16.06 cm^2
Interval -23.806 to -8.317
1.48 cm^2
Interval -6.407 to 9.377

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Subcutaneous Adipose Tissue (SAT) area at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Subcutaneous Adipose Tissue (SAT) Area at Week 52
-5.41 cm^2
Interval -11.804 to 0.994
12.98 cm^2
Interval 6.462 to 19.506

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Visceral to Subcutaneous Adipose Tissue Ratio at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Visceral to Subcutaneous Adipose Tissue Ratio at Week 52
-0.05 ratio
Interval -0.115 to 0.017
-0.02 ratio
Interval -0.084 to 0.05

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Lean Body Mass at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Lean Body Mass at Week 52
-1.1 Kg
Interval -1.608 to -0.57
0.2 Kg
Interval -0.329 to 0.683

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in Adinopectin at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in Adinopectin at Week 52
1746.66 ng/mL
Interval 1296.144 to 2197.181
1088.95 ng/mL
Interval 638.431 to 1539.468

SECONDARY outcome

Timeframe: From baseline to Week 52

Adjusted Mean Change in High Sensitivity C-Reactive Protein (hsCRP) at Week 52

Outcome measures

Outcome measures
Measure
Dapagliflozin
n=56 Participants
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=56 Participants
Glimepiriide 1-2mg + Metformin 1000mg
Adjusted Mean Change in High Sensitivity C-Reactive Protein (hsCRP) at Week 52
-0.51 mg/L
Interval -1.03 to 0.014
-0.39 mg/L
Interval -0.914 to 0.131

Adverse Events

Dapagliflozin

Serious events: 6 serious events
Other events: 11 other events
Deaths: 0 deaths

Glimepiride

Serious events: 6 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dapagliflozin
n=60 participants at risk
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=61 participants at risk
Glimepiriide 1-2mg + Metformin 1000mg
Infections and infestations
Pyelonephritis acute
0.00%
0/60 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/60 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks
Injury, poisoning and procedural complications
Joint dislocation
0.00%
0/60 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks
Injury, poisoning and procedural complications
Rib fracture
1.7%
1/60 • Number of events 1 • 52 weeks
0.00%
0/61 • 52 weeks
Injury, poisoning and procedural complications
Splenic injury
1.7%
1/60 • Number of events 1 • 52 weeks
0.00%
0/61 • 52 weeks
Injury, poisoning and procedural complications
Subdural haemorrhage
1.7%
1/60 • Number of events 1 • 52 weeks
0.00%
0/61 • 52 weeks
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
1.7%
1/60 • Number of events 1 • 52 weeks
0.00%
0/61 • 52 weeks
Nervous system disorders
Migraine
0.00%
0/60 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks
Nervous system disorders
Transient ischaemic attack
1.7%
1/60 • Number of events 1 • 52 weeks
0.00%
0/61 • 52 weeks
Psychiatric disorders
Conversion disorder
1.7%
1/60 • Number of events 2 • 52 weeks
0.00%
0/61 • 52 weeks
Nervous system disorders
Trigeminal neuralgia
0.00%
0/60 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks
Injury, poisoning and procedural complications
Tibia fracture
1.7%
1/60 • Number of events 1 • 52 weeks
0.00%
0/61 • 52 weeks
General disorders
Chest pain
0.00%
0/60 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks

Other adverse events

Other adverse events
Measure
Dapagliflozin
n=60 participants at risk
Dapagliflozin 10mg + Metformin 1000mg
Glimepiride
n=61 participants at risk
Glimepiriide 1-2mg + Metformin 1000mg
Gastrointestinal disorders
Toothache
6.7%
4/60 • Number of events 5 • 52 weeks
1.6%
1/61 • Number of events 1 • 52 weeks
Infections and infestations
Nasopharyngitis
6.7%
4/60 • Number of events 4 • 52 weeks
3.3%
2/61 • Number of events 2 • 52 weeks
Metabolism and nutrition disorders
Hypoglycaemia
5.0%
3/60 • Number of events 3 • 52 weeks
11.5%
7/61 • Number of events 12 • 52 weeks

Additional Information

EunYoung Kim / Local Study Specialist

Astrazeneca, Korea

Phone: 82 2 2188 0946

Results disclosure agreements

  • Principal investigator is a sponsor employee * The Institution and PI shall provide the Company with copies of any materials relating to the Study that either intends to publish (or submit for publication) or make any presentations relating to, at least 30 days in advance of publication * At the request of the Company, the Institution and PI shall withhold publication for a period of 90 days from the date on which the Company receives the material.
  • Publication restrictions are in place

Restriction type: OTHER