An Extension Study of PEAK Trial

NCT ID: NCT02763007

Last Updated: 2019-06-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-18

Study Completion Date

2019-02-28

Brief Summary

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Double blind, three arm, comparative intervention trial for 24 weeks(PEAK study) with open label extension trial for 28 weeks followed by 2 year observational study.

Detailed Description

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PEAK trial is now undergoing (Multicenter, randomized, double blind, three-arm parallel group study to evaluate efficacy and safety of Alogliptin and Pioglitazone combination therapy on glucose control in type 2 diabetes subjects who have inadequate control with Metformin monotherapy in Korea, Takeda No. ALO-IIT-012).

Duration of combination treatment is 24 week in the PEAK trial. Long-term efficacy and safety of alogliptin + pioglitazone + metformin combination therapy is not defined in Korea yet.

Thus, extension of the PEAK trial for the longer treatment upto 1 year has been planned.

PEAK trial will be followed by another 28 week open-label treatment of the same drug as initial randomization (total duration of treatment as randomized 52 week), and followed by 2 year of observation.

During observation period, any antidiabetic medication can be added/changed when HbA1c of the subject is off target 7% with clinician's clinical decision.

After 3 years of initial randomization, durability of glucose control will be assessed between 3 treatment group.

Conditions

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Diabetes Mellitus, Type 2

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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alogliptin+pioglitazone

A group who treat with alogliptin+pioglitazone: The Combination of Alogliptin 25 mg and pioglitazone 30 mg daily add on metformin for 28 week as extension and followed by 2 years of observation

Group Type EXPERIMENTAL

alogliptin+pioglitazone

Intervention Type DRUG

alogliptin and pioglitazone add on metformin

alogliptin

A group who treat with alogliptin: Alogliptin 25 mg daily add on metformin for for 28 week as extension and followed by 2 years of observation

Group Type ACTIVE_COMPARATOR

alogliptin

Intervention Type DRUG

nesina add on metformin

pioglitazone

A group who treat with pioglitazone: Pioglitazone 30 mg daily add on metformin for for 28 week as extension and followed by 2 years of observation

Group Type ACTIVE_COMPARATOR

pioglitazone

Intervention Type DRUG

actos add on metformin

Interventions

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alogliptin+pioglitazone

alogliptin and pioglitazone add on metformin

Intervention Type DRUG

alogliptin

nesina add on metformin

Intervention Type DRUG

pioglitazone

actos add on metformin

Intervention Type DRUG

Other Intervention Names

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nesina, actos nesina actos

Eligibility Criteria

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Inclusion Criteria

* Completed "ALO-IIT-012(PEAK study)", without major protocol deviations.
* Male, or female, 19 years to 75 years.
* Female with childbearing potential who has a negative urine pregnancy test result at study start and willing to continue practice appropriate birth control during the entire duration of study
* Subjects completed PEAK can be included within 30 days after End Of the Study
* Subjects completed PEAK can be included if their treatment is the same as randomized even after 30 days of End Of the Study.

Exclusion Criteria

* eGFR(Epidermal growth factor receptor) \< 50mL/min
* AST(aspartate aminotransferase)/ALT(alanine aminotransaminase) \>2.5 upper limit of normal
* Pregnant or lactating women
* Subject who the investigator deems inappropriate to participate in this study
* Patients with a history of bladder cancer or patients with active bladder cancer
* Patients with uninvestigated macroscopic hematuria
* Patients with cardiac failure or a history of cardiac failure (New York Heart Association \[NYHA\] Stages 3 to 4)
* Patients with genetic problems such as galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption, since this study drug contains lactose
Minimum Eligible Age

19 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role collaborator

Kun-Ho Yoon

OTHER

Sponsor Role lead

Responsible Party

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Kun-Ho Yoon

professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Kun-Ho Yoon, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul St Mary's Hospital, The Catholic University of Korea

Locations

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Seoul St Mary's Hospital, The Catholic University of Korea

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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PEAK-E

Identifier Type: -

Identifier Source: org_study_id

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