The Safety and Efficacy of Dapagliflozin Therapy in Combination With Insulin in Japanese Subjects With T1DM

NCT ID: NCT02582814

Last Updated: 2019-04-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-26

Study Completion Date

2017-06-15

Brief Summary

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This study will enroll eligible subjects into a long-term safety study (Part B).

Japanese male and female patients with T1DM and age 18 to 75 years, with inadequate glycemic control on insulin defined as HbA1c ≥ 7.5% and ≤ 10.5% at screening visit. As a condition of enrollment, subjects must be on a total daily insulin dose of ≥ 0.3 U/kg/day for at least 3 months prior to the screening visit. The study design of Part B is a randomized, open-label, 2 arm, parallel-group design. 140 Japanese subjects in total will be randomized in a 1:1 ratio into one of the two treatment arms; dapagliflozin 5 mg or dapagliflozin 10 mg.

Detailed Description

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Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Open Label

Study Groups

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dapagliflozin 5mg + insulin

dapagliflozin tablet 5mg + adjustable insulin

Group Type EXPERIMENTAL

Dapagliflozin 5 mg

Intervention Type DRUG

Dapagliflozin, a blood glucose lowering drug. Oral dose

dapagliflozin 10mg + insulin

dapagliflozin tablet 10mg + adjustable insulin

Group Type EXPERIMENTAL

Dapagliflozin 10mg

Intervention Type DRUG

Dapagliflozin, a blood glucose lowering drug. Oral dose

Interventions

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Dapagliflozin 5 mg

Dapagliflozin, a blood glucose lowering drug. Oral dose

Intervention Type DRUG

Dapagliflozin 10mg

Dapagliflozin, a blood glucose lowering drug. Oral dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed Written Informed Consent
* Diagnosis of T1DM. In addition, the following criteria also needs to be met; Central laboratory test of C-peptide \< 0.7 ng/mL
* Insulin use for at least 12 months prior to the enrolment per subject report or medical records and Method of insulin administration (MDI or CSII) must have been unchanged for at least 3 months prior to the enrolment per subject report or medical records. Subjects must be taking a total daily insulin dose of ≥ 0.3 U/kg/day for at least 3 months prior to the enrolment. If on MDI insulin administration subject must be on ≥ 3x injections per day.
* Japanese men and women
* Screening Visit: Central laboratory HbA1c ≥ 7.5% and ≤ 10.5%
* BMI ≥ 20.0 kg/m² at visit 1
* Age 18 to 75 years, inclusive

Exclusion Criteria

\- Target Disease Exceptions History of T2DM Maturity onset diabetes of young (MODY) Any anti-hyperglycemic agent use, other than α-GI or insulin, within 1 month prior to the enrolment.

Use of thiazolidinediones within 6 months prior to the enrolment History of DKA requiring medical intervention within 1 month prior to the enrolment History of hospital admission for glycemic control (either hyperglycemia or hypoglycemia) within 1 month prior to the enrolment

* Medical History and Concurrent Diseases Malignancy within 5 years of the enrolment (with the exception of treated basal cell or treated squamous cell carcinoma) History of bladder cancer History of radiation therapy to the lower abdomen or pelvis at any time
* Physical and Laboratory Test Findings Aspartate aminotransferase (AST) \> 3x upper limit of normal (ULN) Alanine aminotransferase (ALT) \> 3x ULN Serum total bilirubin (TB) \> 2.0 mg/dL (34.2 μmol/L) Estimated GFR (eGFR) by the Japanese Society of Nephrology formula ≤ 45 mL/min/1.73m2 Hemoglobin ≤ 11.0 g/dL (110 g/L) for men; hemoglobin ≤ 10.0 g/dL (100 g/L) for women.

Positive for hepatitis B surface antigen or anti-hepatitis C virus antibody Abnormal Free T4
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 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

Aizu Wakamatsu-shi, , Japan

Site Status

Research Site

Chūōku, , Japan

Site Status

Research Site

Fukuoka, , Japan

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Fukuyama-shi, , Japan

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Research Site

Funabashi-shi, , Japan

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Hamamatsu, , Japan

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Research Site

Hirosaki-shi, , Japan

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Research Site

Ise-shi, , Japan

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Kagoshima, , Japan

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Koriyama-shi, , Japan

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Kumamoto, , Japan

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Kunitachi-shi, , Japan

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Minatoku, , Japan

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Nagoya, , Japan

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Oyama-shi, , Japan

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Ōita, , Japan

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Ōtsu, , Japan

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Sapporo, , Japan

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Sendai, , Japan

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Shinjyuku-ku, , Japan

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Suita-shi, , Japan

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Tama-shi, , Japan

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Research Site

Tsukuba, , Japan

Site Status

Research Site

Yokohama, , Japan

Site Status

Countries

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Japan

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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D1695C00001

Identifier Type: -

Identifier Source: org_study_id

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