Study to Evaluate Safety and Efficacy of Dapagliflozin in Patients With Type 2 Diabetes Mellitus Aged 10-24 Years

NCT ID: NCT02725593

Last Updated: 2022-02-23

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-22

Study Completion Date

2020-04-06

Brief Summary

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A trial of patients aged 10-24 years with type 2 diabetes mellitus to evaluate the comparative efficacy and safety between dapagliflozin and Placebo.

Detailed Description

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A 24 Week, Multicenter, Randomized, Double-Blind, Parallel Group, Phase 3 Trial with a 28 Week Long Term Safety Extension Period Evaluating the Safety and Efficacy of Dapagliflozin 10 mg in T2DM Patients aged 10-24 years

Conditions

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Type 2 Diabetes

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

Group Type EXPERIMENTAL

Dapagliflozin

Intervention Type DRUG

Dapagliflozin 10 mg tablets administered orally once daily, for the 24-week blinded treatment period. Dapagliflozin 10mg tablets administered orally once daily, for the 28-week site and subject blinded long term extension.

Dapagliflozin placebo

Group Type PLACEBO_COMPARATOR

Dapagliflozin placebo

Intervention Type DRUG

matching placebo tablets, administered orally once daily, for the 24-week blinded treatment period. Dapagliflozin 10mg tablets administered orally once daily,for the 28-week site and subject blinded long term extension.

Interventions

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Dapagliflozin

Dapagliflozin 10 mg tablets administered orally once daily, for the 24-week blinded treatment period. Dapagliflozin 10mg tablets administered orally once daily, for the 28-week site and subject blinded long term extension.

Intervention Type DRUG

Dapagliflozin placebo

matching placebo tablets, administered orally once daily, for the 24-week blinded treatment period. Dapagliflozin 10mg tablets administered orally once daily,for the 28-week site and subject blinded long term extension.

Intervention Type DRUG

Other Intervention Names

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FORXIGA

Eligibility Criteria

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Inclusion Criteria

1. Provision of informed consent prior to any study-specific procedures
2. Males and Females, ages 10 years of age, up to but not including 25 years of age at the time of randomization
3. Previously diagnosed as having type 2 diabetes for at least 2 months by WHO/ADA diagnostic criteria
4. HbA1c \>= 6.5% and \<= 11% obtained at screening visit
5. Currently on diet and exercise and a stable dose of metformin (at least 1000 mg daily) for a minimum of 8 weeks, or stable dose of insulin for a minimum of 8 weeks, or a stable combination of metformin (at least 1000 mg daily) and insulin for a minimum of 8 weeks prior to screening
6. FPG \<=255 mg/dL (\<= 14.2 mmol/L) obtained at screening visit

Exclusion Criteria

1. Previous diagnosis of Type 1 diabetes
2. Diabetes ketoacidosis (DKA) within 6 months of screening
3. Current use of the following medications for the treatment of diabetes, or use within the specified timeframe prior to screening for the main study:

* Eight weeks: sulfonylureas, alpha glucosidase inhibitors, metiglinide, or injectable incretins or incretin mimetics or other antidiabetes medications not otherwise specified
* Sixteen weeks: thiazolidinediones
* Any previous history or current use of an SGLT2 inhibitor, including dapagliflozin
4. Initiation or discontinuation of prescription or non-prescription weight loss drugs within 8 weeks of screening.

Use of prescription or non-prescription weight loss drugs must be stable during the study
5. Pregnant, positive serum pregnancy test, planning to become pregnant during the clinical trials, or breastfeeding
6. History of unstable or rapidly progressive renal disease
7. History of unresolved vesico-ureteral reflux
8. Replacement or chronic systemic corticosteroid therapy, defined as any dose of systemic corticosteroid taken for \> 4 weeks within 3 months prior to the Day 1 visit.

Note: Topical, nasal, or inhaled corticosteroids are allowed
9. Abnormal renal function, which is defined in subjects \< 18 years of age as an estimated glomerular filtration rate (eGFR) calculated by the Schwartz Formula \< 80 mL/min/1.73 m2 (1.33 mL/s), and in subjects \>= 18 years as an estimated glomerular filtration rate (eGFR) calculated by the MDRD Formula \< 60 mL/min/1.73 m2 (1.33 mL/s)
10. Presence of either: antibodies to glutamic acid decarboxylase (GAD) or protein tyrosine phosphatase-like protein antibodies (IA-2)
11. An abnormal TSH value at screening will be further evaluated for free T4. Subjects with abnormal free T4 values will be excluded
12. Hematuria (confirmed by microscopy at screening) with no explanation as judged by the investigator up to randomization
13. Anemia of any etiology defined as hemoglobin \<=10.7 g/dL (107 g/L) for females and \<= 11.3 g/dL (113 g/L) for males. Subjects who are considered to have anemia according to local guidelines should be excluded
14. Volume-depleted subjects. Subjects at risk for volume depletion due to co-existing conditions or concomitant medications, such as loop diuretics, should carefully monitor their volume status
Minimum Eligible Age

10 Years

Maximum Eligible Age

24 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

Q2 Solutions

INDUSTRY

Sponsor Role collaborator

PRA Health Sciences

INDUSTRY

Sponsor Role collaborator

Covance

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

New Haven, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Gainesville, Florida, United States

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Homestead, Florida, United States

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Miami, Florida, United States

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Boston, Massachusetts, United States

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Buffalo, New York, United States

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The Bronx, New York, United States

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Columbus, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Greenville, South Carolina, United States

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Memphis, Tennessee, United States

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Memphis, Tennessee, United States

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Lampasas, Texas, United States

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McAllen, Texas, United States

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Budapest, , Hungary

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Nyíregyháza, , Hungary

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Ramat Gan, , Israel

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Ẕerifin, , Israel

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Culiacán, , Mexico

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Guadalajara, , Mexico

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Mérida, , Mexico

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México, D.F., , Mexico

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Monterrey, , Mexico

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Zapopan, , Mexico

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Oradea, , Romania

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Timișoara, , Romania

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Izhevsk, , Russia

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Krasnoyarsk, , Russia

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Moscow, , Russia

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Novosibirsk, , Russia

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Pyatigorsk, , Russia

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Rostov-on-Don, , Russia

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Saint Petersburg, , Russia

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Samara, , Russia

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Saratov, , Russia

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Tomsk, , Russia

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Kent, , United Kingdom

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Leicester, , United Kingdom

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Countries

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United States Hungary Israel Mexico Romania Russia United Kingdom

References

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Tamborlane WV, Laffel LM, Shehadeh N, Isganaitis E, Van Name M, Ratnayake J, Karlsson C, Norjavaara E. Efficacy and safety of dapagliflozin in children and young adults with type 2 diabetes: a prospective, multicentre, randomised, parallel group, phase 3 study. Lancet Diabetes Endocrinol. 2022 May;10(5):341-350. doi: 10.1016/S2213-8587(22)00052-3. Epub 2022 Apr 1.

Reference Type DERIVED
PMID: 35378069 (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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2015-005041-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D1690C00017

Identifier Type: -

Identifier Source: org_study_id

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