Trial Outcomes & Findings for An Exploratory Study of the Effects of Trelagliptin and Alogliptin on Glucose Variability in Patients With Type 2 Diabetes Mellitus (NCT NCT02771093)

NCT ID: NCT02771093

Last Updated: 2023-12-12

Results Overview

Changes in the SD of 24-hour blood glucose values (mg/dL) for each 7-day period between Week 3 and Week 4 (between Day 2 on Week 3 \[Day 22\] and Day 8 on Week 3 \[Day 28\]) of the treatment period, calculated from the value at the start of the observation period.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

27 participants

Primary outcome timeframe

Baseline, up to 28 days

Results posted on

2023-12-12

Participant Flow

Participants took part in the study at 2 investigative sites in Japan, from 08 September 2016 to 27 April 2017.

Participants with a historical diagnosis of type 2 diabetes mellitus were enrolled in 1 of 2 (the trelagliptin 100 mg group or the alogliptin 25 mg group) treatment groups.

Participant milestones

Participant milestones
Measure
Trelagliptin 100 mg
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Overall Study
STARTED
13
14
Overall Study
COMPLETED
13
14
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Total
n=27 Participants
Total of all reporting groups
Age, Continuous
62.8 years
STANDARD_DEVIATION 10.14 • n=13 Participants
62.7 years
STANDARD_DEVIATION 7.64 • n=14 Participants
62.7 years
STANDARD_DEVIATION 8.76 • n=27 Participants
Sex: Female, Male
Female
6 Participants
n=13 Participants
4 Participants
n=14 Participants
10 Participants
n=27 Participants
Sex: Female, Male
Male
7 Participants
n=13 Participants
10 Participants
n=14 Participants
17 Participants
n=27 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Japan
13 Participants
n=13 Participants
14 Participants
n=14 Participants
27 Participants
n=27 Participants
Height
160.9 centimeter (cm)
STANDARD_DEVIATION 10.40 • n=13 Participants
164.4 centimeter (cm)
STANDARD_DEVIATION 7.17 • n=14 Participants
162.7 centimeter (cm)
STANDARD_DEVIATION 8.87 • n=27 Participants
Weight
66.45 kilogram (kg)
STANDARD_DEVIATION 14.107 • n=13 Participants
64.15 kilogram (kg)
STANDARD_DEVIATION 9.585 • n=14 Participants
65.26 kilogram (kg)
STANDARD_DEVIATION 11.796 • n=27 Participants
Body Mass Index (BMI)
25.45 (kg/m^2)
STANDARD_DEVIATION 2.948 • n=13 Participants
23.65 (kg/m^2)
STANDARD_DEVIATION 2.404 • n=14 Participants
24.52 (kg/m^2)
STANDARD_DEVIATION 2.783 • n=27 Participants
Smoking Classification
Never Smoked
8 Participants
n=13 Participants
7 Participants
n=14 Participants
15 Participants
n=27 Participants
Smoking Classification
Current Smoker
3 Participants
n=13 Participants
3 Participants
n=14 Participants
6 Participants
n=27 Participants
Smoking Classification
Ex-Smoker
2 Participants
n=13 Participants
4 Participants
n=14 Participants
6 Participants
n=27 Participants
Alcohol Classification
Yes
1 Participants
n=13 Participants
2 Participants
n=14 Participants
3 Participants
n=27 Participants
Alcohol Classification
No
12 Participants
n=13 Participants
12 Participants
n=14 Participants
24 Participants
n=27 Participants
Duration of Diabetes Mellitus
5.62 years
STANDARD_DEVIATION 4.471 • n=13 Participants
6.15 years
STANDARD_DEVIATION 4.679 • n=14 Participants
5.89 years
STANDARD_DEVIATION 4.500 • n=27 Participants
Glycated hemoglobin A1c (HbA1c) [National Glycohemoglobin Standardization Program (NGSP)]
7.29 percent
STANDARD_DEVIATION 0.616 • n=13 Participants
7.19 percent
STANDARD_DEVIATION 0.339 • n=14 Participants
7.24 percent
STANDARD_DEVIATION 0.485 • n=27 Participants
Mean Amplitude Glycemic Excursions (MAGE)
98.02 millgrams per deciliter (mg/dL)
STANDARD_DEVIATION 44.191 • n=13 Participants • The number analyzed is the number of participants with data available for analysis.
114.91 millgrams per deciliter (mg/dL)
STANDARD_DEVIATION 38.454 • n=13 Participants • The number analyzed is the number of participants with data available for analysis.
106.47 millgrams per deciliter (mg/dL)
STANDARD_DEVIATION 41.488 • n=26 Participants • The number analyzed is the number of participants with data available for analysis.
Mean 24-hour Blood Glucose
145.65 mg/dL
STANDARD_DEVIATION 17.570 • n=13 Participants
161.01 mg/dL
STANDARD_DEVIATION 18.349 • n=14 Participants
153.62 mg/dL
STANDARD_DEVIATION 19.287 • n=27 Participants
Area Under the Plasma Concentration-time Curve (AUC) of blood glucose
41947.9 mg*min/dL
STANDARD_DEVIATION 5058.50 • n=13 Participants
46372.7 mg*min/dL
STANDARD_DEVIATION 5282.47 • n=14 Participants
44242.3 mg*min/dL
STANDARD_DEVIATION 5553.22 • n=27 Participants
Fasting Insulin
9.42 uU/mL
STANDARD_DEVIATION 4.177 • n=13 Participants
8.79 uU/mL
STANDARD_DEVIATION 4.395 • n=14 Participants
9.09 uU/mL
STANDARD_DEVIATION 4.221 • n=27 Participants
Fasting Blood Glucose
144.0 mg/dL
STANDARD_DEVIATION 17.57 • n=13 Participants
145.5 mg/dL
STANDARD_DEVIATION 19.15 • n=14 Participants
144.8 mg/dL
STANDARD_DEVIATION 18.06 • n=27 Participants

PRIMARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Changes in the SD of 24-hour blood glucose values (mg/dL) for each 7-day period between Week 3 and Week 4 (between Day 2 on Week 3 \[Day 22\] and Day 8 on Week 3 \[Day 28\]) of the treatment period, calculated from the value at the start of the observation period.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
Day(D) 2 Week(W) 3
-7.51 mg/dL
Interval -17.1 to 2.08
-13.04 mg/dL
Interval -20.84 to -5.23
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
D3W3
-11.76 mg/dL
Interval -21.12 to -2.4
-15.24 mg/dL
Interval -21.87 to -8.61
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
D4W3
-11.71 mg/dL
Interval -21.84 to -1.58
-12.91 mg/dL
Interval -18.55 to -7.26
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
D5W3
-9.89 mg/dL
Interval -19.83 to 0.05
-13.28 mg/dL
Interval -21.28 to -5.27
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
D6W3
-12.75 mg/dL
Interval -22.01 to -3.49
-11.94 mg/dL
Interval -20.58 to -3.29
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
D7W3
-9.50 mg/dL
Interval -18.58 to -0.42
-10.90 mg/dL
Interval -20.0 to -1.8
Changes From Baseline in the Standard Deviation (SD) of 24-hour Blood Glucose Values
D8W3
-7.35 mg/dL
Interval -15.13 to 0.44
-11.63 mg/dL
Interval -18.67 to -4.59

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in AUC for blood glucose when specific blood glucose levels (180 mg/dL) were observed during the 3 hour time period after breakfast, lunch and evening meal at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after breakfast
-90.7 mg·min/dL
Interval -559.9 to 378.5
-660.1 mg·min/dL
Interval -1128.5 to -191.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after breakfast
-241.2 mg·min/dL
Interval -841.3 to 359.0
-592.9 mg·min/dL
Interval -1016.9 to -169.0
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after breakfast
-632.2 mg·min/dL
Interval -1357.8 to 93.4
-375.6 mg·min/dL
Interval -827.9 to 76.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after breakfast
36.5 mg·min/dL
Interval -418.1 to 491.2
-776.3 mg·min/dL
Interval -1602.1 to 49.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after breakfast
-272.2 mg·min/dL
Interval -673.5 to 129.0
-556.5 mg·min/dL
Interval -1099.4 to -13.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after breakfast
-264.2 mg·min/dL
Interval -803.3 to 274.8
-578.2 mg·min/dL
Interval -1000.6 to -155.8
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after breakfast
-214.8 mg·min/dL
Interval -639.5 to 209.8
-603.6 mg·min/dL
Interval -1005.5 to -201.8
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after lunch
-300.3 mg·min/dL
Interval -924.2 to 323.6
-626.6 mg·min/dL
Interval -1126.4 to -126.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after lunch
-383.8 mg·min/dL
Interval -936.3 to 168.7
-521.1 mg·min/dL
Interval -1048.5 to 6.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after lunch
-307.0 mg·min/dL
Interval -878.0 to 264.0
-404.1 mg·min/dL
Interval -890.6 to 82.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after lunch
-430.4 mg·min/dL
Interval -989.5 to 128.7
-589.9 mg·min/dL
Interval -1093.1 to -86.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after lunch
-353.5 mg·min/dL
Interval -859.1 to 152.2
-354.6 mg·min/dL
Interval -979.3 to 270.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after lunch
-184.2 mg·min/dL
Interval -697.4 to 329.1
-293.6 mg·min/dL
Interval -923.6 to 336.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after lunch
-234.0 mg·min/dL
Interval -767.7 to 299.7
-546.4 mg·min/dL
Interval -1085.4 to -7.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after evening meal
-507.6 mg·min/dL
Interval -1077.9 to 62.7
-375.9 mg·min/dL
Interval -841.4 to 89.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after evening meal
-592.4 mg·min/dL
Interval -1198.5 to 13.8
-484.4 mg·min/dL
Interval -1022.2 to 53.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after evening meal
-662.4 mg·min/dL
Interval -1251.3 to -73.4
-597.2 mg·min/dL
Interval -1070.4 to -124.0
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after evening meal
-641.9 mg·min/dL
Interval -1202.6 to -81.2
-427.8 mg·min/dL
Interval -1024.2 to 168.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after evening meal
-598.8 mg·min/dL
Interval -1183.3 to -14.4
-552.4 mg·min/dL
Interval -1101.3 to -3.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after evening meal
-612.6 mg·min/dL
Interval -1195.8 to -29.4
-374.5 mg·min/dL
Interval -1024.4 to 275.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (180 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after evening meal
-555.4 mg·min/dL
Interval -1128.7 to 17.9
-346.5 mg·min/dL
Interval -895.1 to 202.1

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in AUC for blood glucose when specific blood glucose levels (110 mg/dL) were observed during the 3 hour time period after breakfast, lunch and evening meal at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after breakfast
-203.7 mg·min/dL
Interval -857.5 to 450.1
-1052.7 mg·min/dL
Interval -1596.7 to -508.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after breakfast
-662.6 mg·min/dL
Interval -1590.9 to 265.7
-1030.9 mg·min/dL
Interval -1538.5 to -523.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after breakfast
-1024.6 mg·min/dL
Interval -2341.3 to 292.1
-958.9 mg·min/dL
Interval -1723.4 to -194.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after breakfast
-97.2 mg·min/dL
Interval -808.5 to 614.2
-1319.8 mg·min/dL
Interval -2358.8 to -280.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after breakfast
-696.1 mg·min/dL
Interval -1333.9 to -58.3
-832.5 mg·min/dL
Interval -1606.6 to -58.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after breakfast
-573.8 mg·min/dL
Interval -1309.2 to 161.5
-966.3 mg·min/dL
Interval -1566.5 to -366.0
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after breakfast
-399.0 mg·min/dL
Interval -1034.8 to 236.8
-1024.8 mg·min/dL
Interval -1550.4 to -499.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after lunch
-669.0 mg·min/dL
Interval -1648.8 to 310.8
-1131.4 mg·min/dL
Interval -1738.4 to -524.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after lunch
-500.1 mg·min/dL
Interval -1269.9 to 269.7
-941.9 mg·min/dL
Interval -1716.5 to -167.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after lunch
-468.2 mg·min/dL
Interval -1272.1 to 335.6
-701.1 mg·min/dL
Interval -1330.5 to -71.8
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after lunch
-793.5 mg·min/dL
Interval -1682.3 to 95.2
-1065.4 mg·min/dL
Interval -1736.4 to -394.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after lunch
-798.5 mg·min/dL
Interval -1554.0 to -43.1
-534.4 mg·min/dL
Interval -1276.7 to 207.8
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after lunch
-320.4 mg·min/dL
Interval -1078.0 to 437.2
-488.7 mg·min/dL
Interval -1297.0 to 319.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after lunch
-521.3 mg·min/dL
Interval -1377.2 to 334.6
-923.5 mg·min/dL
Interval -1700.5 to -146.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after evening meal
-1079.4 mg·min/dL
Interval -1793.3 to -365.4
-800.5 mg·min/dL
Interval -1381.4 to -219.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after evening meal
-1273.0 mg·min/dL
Interval -2148.7 to -397.3
-1023.6 mg·min/dL
Interval -1676.2 to -371.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after evening meal
-1359.6 mg·min/dL
Interval -2101.2 to -618.0
-1228.5 mg·min/dL
Interval -1793.6 to -663.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after evening meal
-1351.4 mg·min/dL
Interval -2063.7 to -639.0
-756.1 mg·min/dL
Interval -1532.4 to 20.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after evening meal
-1199.9 mg·min/dL
Interval -1847.4 to -552.4
-1144.2 mg·min/dL
Interval -1786.6 to -501.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after evening meal
-884.2 mg·min/dL
Interval -1659.0 to -109.3
-669.9 mg·min/dL
Interval -1432.0 to 92.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (110 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after evening meal
-1142.0 mg·min/dL
Interval -2041.2 to -242.8
-577.0 mg·min/dL
Interval -1218.8 to 64.8

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in AUC for blood glucose when specific blood glucose levels (140 mg/dL) were observed during the 3 hour time period after breakfast, lunch and evening meal at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after evening meal
-822.3 mg·min/dL
Interval -1561.4 to -83.2
-586.4 mg·min/dL
Interval -1346.1 to 173.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after evening meal
-950.8 mg·min/dL
Interval -1638.1 to -263.4
-637.6 mg·min/dL
Interval -1184.9 to -90.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after evening meal
-1077.3 mg·min/dL
Interval -1902.8 to -251.8
-862.0 mg·min/dL
Interval -1508.7 to -215.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after evening meal
-1147.1 mg·min/dL
Interval -1874.5 to -419.6
-1016.8 mg·min/dL
Interval -1565.1 to -468.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after evening meal
-1147.5 mg·min/dL
Interval -1841.6 to -453.3
-613.7 mg·min/dL
Interval -1369.9 to 142.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after evening meal
-1030.6 mg·min/dL
Interval -1668.4 to -392.8
-966.4 mg·min/dL
Interval -1594.0 to -338.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after evening meal
-964.8 mg·min/dL
Interval -1812.4 to -117.1
-535.0 mg·min/dL
Interval -1170.4 to 100.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after breakfast
-218.5 mg·min/dL
Interval -811.5 to 374.4
-981.2 mg·min/dL
Interval -1502.5 to -459.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after breakfast
-510.2 mg·min/dL
Interval -1377.6 to 357.2
-926.1 mg·min/dL
Interval -1418.1 to -434.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after breakfast
-886.4 mg·min/dL
Interval -1860.8 to 88.0
-801.6 mg·min/dL
Interval -1487.3 to -115.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after breakfast
-21.3 mg·min/dL
Interval -672.0 to 629.4
-1178.0 mg·min/dL
Interval -2185.7 to -170.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after breakfast
-559.8 mg·min/dL
Interval -1140.7 to 21.0
-791.8 mg·min/dL
Interval -1517.5 to -66.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after breakfast
-457.4 mg·min/dL
Interval -1154.7 to 239.9
-910.1 mg·min/dL
Interval -1492.1 to -328.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after breakfast
-348.5 mg·min/dL
Interval -942.4 to 245.5
-951.6 mg·min/dL
Interval -1450.0 to -453.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after lunch
-588.5 mg·min/dL
Interval -1518.0 to 340.9
-1079.1 mg·min/dL
Interval -1649.8 to -508.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after lunch
-489.7 mg·min/dL
Interval -1242.6 to 263.2
-845.4 mg·min/dL
Interval -1573.8 to -116.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after lunch
-429.3 mg·min/dL
Interval -1195.4 to 336.8
-648.1 mg·min/dL
Interval -1253.9 to -42.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after lunch
-725.5 mg·min/dL
Interval -1549.9 to 99.0
-970.0 mg·min/dL
Interval -1560.0 to -380.0
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after lunch
-707.9 mg·min/dL
Interval -1383.0 to -32.9
-517.0 mg·min/dL
Interval -1245.9 to 211.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after lunch
-294.9 mg·min/dL
Interval -1014.3 to 424.4
-458.3 mg·min/dL
Interval -1237.2 to 320.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (140 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after lunch
-474.7 mg·min/dL
Interval -1254.4 to 305.0
-867.4 mg·min/dL
Interval -1598.8 to -135.9

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in AUC for blood glucose when specific blood glucose levels (160 mg/dL) were observed during the 3 hour time period after breakfast, lunch and evening meal at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after breakfast
-164.5 mg·min/dL
Interval -704.0 to 374.9
-829.2 mg·min/dL
Interval -1327.2 to -331.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after breakfast
-377.8 mg·min/dL
Interval -1142.0 to 386.4
-770.4 mg·min/dL
Interval -1225.2 to -315.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after breakfast
-759.4 mg·min/dL
Interval -1568.6 to 49.8
-609.9 mg·min/dL
Interval -1198.1 to -21.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after breakfast
25.6 mg·min/dL
Interval -546.2 to 597.5
-981.3 mg·min/dL
Interval -1918.9 to -43.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after breakfast
-405.5 mg·min/dL
Interval -912.4 to 101.5
-696.8 mg·min/dL
Interval -1340.7 to -53.0
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after breakfast
-356.6 mg·min/dL
Interval -1001.3 to 288.0
-760.4 mg·min/dL
Interval -1278.1 to -242.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after breakfast
-273.4 mg·min/dL
Interval -787.3 to 240.5
-806.3 mg·min/dL
Interval -1259.2 to -353.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after lunch
-448.1 mg·min/dL
Interval -1249.4 to 353.2
-890.4 mg·min/dL
Interval -1433.1 to -347.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after lunch
-462.2 mg·min/dL
Interval -1122.9 to 198.6
-705.5 mg·min/dL
Interval -1346.4 to -64.6
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after lunch
-389.7 mg·min/dL
Interval -1066.5 to 287.1
-552.5 mg·min/dL
Interval -1109.1 to 4.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after lunch
-579.4 mg·min/dL
Interval -1289.4 to 130.6
-811.9 mg·min/dL
Interval -1359.0 to -264.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after lunch
-534.1 mg·min/dL
Interval -1126.5 to 58.4
-469.7 mg·min/dL
Interval -1161.5 to 222.1
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after lunch
-249.9 mg·min/dL
Interval -884.3 to 384.4
-384.6 mg·min/dL
Interval -1104.5 to 335.3
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after lunch
-350.8 mg·min/dL
Interval -1014.3 to 312.8
-730.1 mg·min/dL
Interval -1384.0 to -76.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after evening meal
-730.5 mg·min/dL
Interval -1380.6 to -80.3
-507.4 mg·min/dL
Interval -1016.6 to 1.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after evening meal
-825.2 mg·min/dL
Interval -1545.9 to -104.4
-671.1 mg·min/dL
Interval -1284.7 to -57.5
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after evening meal
-914.5 mg·min/dL
Interval -1611.8 to -217.2
-808.9 mg·min/dL
Interval -1337.7 to -280.2
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after evening meal
-887.5 mg·min/dL
Interval -1532.6 to -242.5
-508.3 mg·min/dL
Interval -1195.0 to 178.4
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after evening meal
-809.5 mg·min/dL
Interval -1436.6 to -182.4
-759.6 mg·min/dL
Interval -1361.2 to -157.9
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after evening meal
-742.3 mg·min/dL
Interval -1403.7 to -81.0
-504.1 mg·min/dL
Interval -1235.0 to 226.7
Change From Baseline in AUC for Blood Glucose When Specific Blood Glucose Levels (160 mg/dL) Are Observed During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after evening meal
-763.4 mg·min/dL
Interval -1480.9 to -45.8
-460.2 mg·min/dL
Interval -1059.2 to 138.8

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in AUC for blood glucose during periods when blood glucose levels reached 140 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D2W3
-1935.9 mg·min/dL
Interval -4619.7 to 747.9
-4021.4 mg·min/dL
Interval -5867.0 to -2175.7
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D3W3
-2001.2 mg·min/dL
Interval -4861.6 to 859.3
-3378.3 mg·min/dL
Interval -6054.9 to -701.7
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D4W3
-2978.2 mg·min/dL
Interval -5095.6 to -860.8
-4119.9 mg·min/dL
Interval -5855.8 to -2384.1
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D5W3
-2981.5 mg·min/dL
Interval -5010.4 to -952.5
-4230.4 mg·min/dL
Interval -6524.2 to -1936.7
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D6W3
-2550.5 mg·min/dL
Interval -4308.5 to -792.4
-3840.0 mg·min/dL
Interval -6136.0 to -1544.0
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D7W3
-1946.5 mg·min/dL
Interval -3589.5 to -303.5
-3566.4 mg·min/dL
Interval -5763.1 to -1369.6
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D8W3
-2043.5 mg·min/dL
Interval -4237.3 to 150.4
-3667.1 mg·min/dL
Interval -5489.4 to -1844.7

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in AUC for blood glucose during periods when blood glucose levels reached 160 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D2W3
-1458.0 mg·min/dL
Interval -3556.4 to 640.4
-3075.8 mg·min/dL
Interval -4672.5 to -1479.1
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D3W3
-1702.0 mg·min/dL
Interval -3893.0 to 489.0
-2767.3 mg·min/dL
Interval -4792.8 to -741.8
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D4W3
-2335.8 mg·min/dL
Interval -4011.2 to -660.3
-3273.0 mg·min/dL
Interval -4820.1 to -1725.9
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D5W3
-2171.8 mg·min/dL
Interval -3923.9 to -419.8
-3384.5 mg·min/dL
Interval -5073.8 to -1695.2
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D6W3
-2031.0 mg·min/dL
Interval -3588.9 to -473.1
-2990.8 mg·min/dL
Interval -4843.0 to -1138.6
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D7W3
-1636.5 mg·min/dL
Interval -3081.2 to -191.9
-2768.9 mg·min/dL
Interval -4705.6 to -832.1
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D8W3
-1603.9 mg·min/dL
Interval -3357.3 to 149.5
-2818.8 mg·min/dL
Interval -4272.4 to -1365.2

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in AUC for blood glucose during periods when blood glucose levels reached 180 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D2W3
-989.9 mg·min/dL
Interval -2508.3 to 528.4
-2247.9 mg·min/dL
Interval -3524.3 to -971.6
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D3W3
-1332.7 mg·min/dL
Interval -2948.0 to 282.6
-2086.7 mg·min/dL
Interval -3524.9 to -648.5
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D4W3
-1685.1 mg·min/dL
Interval -3054.1 to -316.0
-2352.2 mg·min/dL
Interval -3639.5 to -1065.0
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D5W3
-1486.5 mg·min/dL
Interval -2877.5 to -95.5
-2492.3 mg·min/dL
Interval -3775.9 to -1208.6
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D6W3
-1449.4 mg·min/dL
Interval -2803.7 to -95.0
-2109.1 mg·min/dL
Interval -3559.9 to -658.2
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D7W3
-1264.2 mg·min/dL
Interval -2516.7 to -11.8
-1976.3 mg·min/dL
Interval -3590.5 to -362.1
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D8W3
-1166.8 mg·min/dL
Interval -2536.5 to 202.8
-2009.8 mg·min/dL
Interval -3116.4 to -903.2

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in cumulative time during periods when blood glucose levels reached 140 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D2W3
-116.9 min
Interval -321.9 to 88.1
-212.5 min
Interval -326.5 to -98.5
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D3W3
-105.0 min
Interval -318.1 to 108.1
-147.1 min
Interval -353.5 to 59.2
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D4W3
-163.8 min
Interval -338.4 to 10.8
-166.1 min
Interval -312.4 to -19.8
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D5W3
-192.3 min
Interval -363.7 to -20.9
-163.2 min
Interval -376.8 to 50.4
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D6W3
-114.2 min
Interval -300.0 to 71.5
-193.2 min
Interval -370.9 to -15.6
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D7W3
-96.9 min
Interval -243.3 to 49.5
-182.1 min
Interval -325.5 to -38.8
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 140 mg/dL (Hyperglycemia)
D8W3
-133.8 min
Interval -328.2 to 60.5
-198.6 min
Interval -348.0 to -49.2

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in cumulative time during periods when blood glucose levels reached 160 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D2W3
-134.2 min
Interval -315.6 to 47.1
-229.3 min
Interval -329.7 to -128.9
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D3W3
-75.0 min
Interval -291.9 to 141.9
-173.2 min
Interval -356.0 to 9.6
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D4W3
-167.7 min
Interval -322.8 to -12.6
-234.3 min
Interval -331.5 to -137.0
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D5W3
-200.0 min
Interval -323.0 to -77.0
-236.8 min
Interval -389.3 to -84.2
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D6W3
-153.1 min
Interval -287.4 to -18.7
-232.9 min
Interval -361.4 to -104.3
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D7W3
-93.5 min
Interval -209.1 to 22.1
-213.2 min
Interval -328.9 to -97.5
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 160 mg/dL (Hyperglycemia)
D8W3
-115.0 min
Interval -255.6 to 25.6
-225.4 min
Interval -339.3 to -111.4

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in cumulative time during periods when blood glucose levels reached 180 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D2W3
-91.2 min
Interval -255.3 to 73.0
-210.7 min
Interval -315.9 to -105.6
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D3W3
-117.3 min
Interval -271.7 to 37.1
-167.1 min
Interval -324.6 to -9.7
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D4W3
-167.3 min
Interval -262.0 to -72.6
-236.4 min
Interval -339.0 to -133.8
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D5W3
-153.1 min
Interval -273.6 to -32.6
-225.4 min
Interval -341.4 to -109.4
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D6W3
-137.7 min
Interval -234.0 to -41.4
-216.8 min
Interval -336.1 to -97.5
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D7W3
-94.2 min
Interval -185.2 to -3.2
-194.3 min
Interval -308.5 to -80.1
Change From Baseline in Time During Periods When Blood Glucose Levels Reached 180 mg/dL (Hyperglycemia)
D8W3
-105.0 min
Interval -232.7 to 22.7
-193.2 min
Interval -290.5 to -96.0

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in AUC for blood glucose during periods when blood glucose levels was less than 70 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D2W3
-31.2 mg·min/dL
Interval -105.8 to 43.3
0.4 mg·min/dL
Interval -0.4 to 1.1
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D3W3
-43.0 mg·min/dL
Interval -136.3 to 50.3
0.0 mg·min/dL
Interval 0.0 to 0.0
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D4W3
-42.3 mg·min/dL
Interval -135.8 to 51.2
13.4 mg·min/dL
Interval -14.0 to 40.8
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D5W3
-30.5 mg·min/dL
Interval -129.9 to 68.8
26.9 mg·min/dL
Interval -8.9 to 62.6
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D6W3
-39.8 mg·min/dL
Interval -134.0 to 54.3
0.0 mg·min/dL
Interval 0.0 to 0.0
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D7W3
-43.0 mg·min/dL
Interval -136.3 to 50.3
0.0 mg·min/dL
Interval 0.0 to 0.0
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels is Less Than 70 mg/dL (Hypoglycemia)
D8W3
-43.0 mg·min/dL
Interval -136.3 to 50.3
0.0 mg·min/dL
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in peak postprandial glucose levels during the 3 hour time period after breakfast, lunch and evening meal at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after breakfast
-11.3 mg/dL
Interval -45.9 to 23.3
-35.6 mg/dL
Interval -55.1 to -16.0
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after breakfast
-35.4 mg/dL
Interval -70.1 to -0.6
-29.1 mg/dL
Interval -50.0 to -8.1
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after breakfast
-39.4 mg/dL
Interval -86.6 to 7.8
-29.0 mg/dL
Interval -54.3 to -3.7
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after breakfast
-4.9 mg/dL
Interval -34.0 to 24.2
-41.1 mg/dL
Interval -70.3 to -11.9
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after breakfast
-28.6 mg/dL
Interval -51.9 to -5.4
-24.2 mg/dL
Interval -50.1 to 1.7
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after breakfast
-23.7 mg/dL
Interval -56.7 to 9.3
-29.6 mg/dL
Interval -51.6 to -7.5
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after breakfast
-16.6 mg/dL
Interval -44.6 to 11.4
-31.4 mg/dL
Interval -55.6 to -7.2
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after lunch
-26.9 mg/dL
Interval -66.1 to 12.2
-40.8 mg/dL
Interval -63.8 to -17.8
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after lunch
-25.9 mg/dL
Interval -55.8 to 3.9
-35.1 mg/dL
Interval -63.6 to -6.7
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after lunch
-21.9 mg/dL
Interval -51.5 to 7.7
-16.6 mg/dL
Interval -42.6 to 9.3
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after lunch
-34.8 mg/dL
Interval -67.4 to -2.2
-41.6 mg/dL
Interval -68.3 to -14.9
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after lunch
-32.7 mg/dL
Interval -63.0 to -2.4
-18.7 mg/dL
Interval -50.8 to 13.4
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after lunch
-11.5 mg/dL
Interval -44.7 to 21.8
-18.1 mg/dL
Interval -48.6 to 12.3
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after lunch
-17.7 mg/dL
Interval -49.2 to 13.8
-33.6 mg/dL
Interval -63.7 to -3.6
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D2W3 after evening meal
-40.6 mg/dL
Interval -68.4 to -12.9
-21.3 mg/dL
Interval -44.3 to 1.8
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D3W3 after evening meal
-44.5 mg/dL
Interval -82.2 to -6.7
-21.6 mg/dL
Interval -45.0 to 1.7
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D4W3 after evening meal
-45.8 mg/dL
Interval -78.6 to -13.0
-32.7 mg/dL
Interval -50.8 to -14.6
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D5W3 after evening meal
-40.6 mg/dL
Interval -69.3 to -12.0
-15.6 mg/dL
Interval -43.2 to 12.0
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D6W3 after evening meal
-41.5 mg/dL
Interval -68.0 to -15.0
-33.8 mg/dL
Interval -57.2 to -10.4
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D7W3 after evening meal
-32.3 mg/dL
Interval -59.1 to -5.5
-13.9 mg/dL
Interval -42.8 to 15.0
Change From Baseline in Peak Postprandial Glucose Levels During the 3 Hour Time Period After Breakfast, Lunch and Evening Meal
D8W3 after evening meal
-42.2 mg/dL
Interval -73.3 to -11.2
-15.9 mg/dL
Interval -35.7 to 3.8

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in maximum variation of glucose levels between before and after breakfast, lunch and evening meal at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D2W3 between before/after breakfast
-13.9 mg/dL
Interval -51.7 to 23.8
-28.9 mg/dL
Interval -54.0 to -3.7
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D3W3 between before/after breakfast
-47.4 mg/dL
Interval -77.3 to -17.5
-35.4 mg/dL
Interval -57.6 to -13.1
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D4W3 between before/after breakfast
-41.2 mg/dL
Interval -77.7 to -4.7
-42.1 mg/dL
Interval -70.2 to -14.0
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D5W3 between before/after breakfast
-7.0 mg/dL
Interval -25.1 to 11.1
-25.5 mg/dL
Interval -55.6 to 4.6
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D6W3 between before/after breakfast
-38.6 mg/dL
Interval -65.9 to -11.4
-29.8 mg/dL
Interval -62.3 to 2.7
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D7W3 between before/after breakfast
-36.4 mg/dL
Interval -67.2 to -5.6
-33.3 mg/dL
Interval -58.2 to -8.4
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D8W3 between before/after breakfast
-36.2 mg/dL
Interval -61.0 to -11.3
-34.5 mg/dL
Interval -58.8 to -10.2
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D2W3 between before/after lunch
-30.2 mg/dL
Interval -66.2 to 5.7
-35.5 mg/dL
Interval -64.4 to -6.6
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D3W3 between before/after lunch
-34.5 mg/dL
Interval -68.9 to -0.1
-29.5 mg/dL
Interval -61.3 to 2.3
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D4W3 between before/after lunch
-23.8 mg/dL
Interval -59.2 to 11.5
-6.2 mg/dL
Interval -39.1 to 26.6
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D5W3 between before/after lunch
-34.8 mg/dL
Interval -73.8 to 4.2
-31.2 mg/dL
Interval -60.6 to -1.8
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D6W3 between before/after lunch
-37.0 mg/dL
Interval -69.5 to -4.5
-13.1 mg/dL
Interval -50.6 to 24.4
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D7W3 between before/after lunch
-12.7 mg/dL
Interval -49.6 to 24.2
-14.9 mg/dL
Interval -50.8 to 21.0
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D8W3 between before/after lunch
-15.6 mg/dL
Interval -46.9 to 15.6
-29.1 mg/dL
Interval -68.9 to 10.7
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D2W3 between before/after evening meal
-37.8 mg/dL
Interval -75.3 to -0.3
-15.6 mg/dL
Interval -45.1 to 13.8
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D3W3 between before/after evening meal
-49.1 mg/dL
Interval -95.1 to -3.0
-21.8 mg/dL
Interval -48.6 to 5.0
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D4W3 between before/after evening meal
-42.6 mg/dL
Interval -86.1 to 0.8
-24.2 mg/dL
Interval -49.5 to 1.1
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D5W3 between before/after evening meal
-31.5 mg/dL
Interval -70.7 to 7.6
-5.2 mg/dL
Interval -39.1 to 28.7
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D6W3 between before/after evening meal
-41.9 mg/dL
Interval -73.8 to -10.1
-24.6 mg/dL
Interval -51.4 to 2.1
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D7W3 between before/after evening meal
-33.6 mg/dL
Interval -72.7 to 5.4
-4.4 mg/dL
Interval -36.6 to 27.9
Change From Baseline in Maximum Variation of Blood Glucose Levels Between Before and After Breakfast, Lunch, and Evening Meal
D8W3 between before/after evening meal
-39.3 mg/dL
Interval -75.5 to -3.1
-6.6 mg/dL
Interval -30.5 to 17.3

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug. The number analyzed is the number of participants with data available for analysis at the given time-point.

Change from baseline in MAGE at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D2W3
-28.42 mg/dL
Interval -50.55 to -6.29
-47.25 mg/dL
Interval -77.78 to -16.71
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D3W3
-33.72 mg/dL
Interval -60.42 to -7.03
-52.75 mg/dL
Interval -76.5 to -28.99
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D4W3
-36.08 mg/dL
Interval -64.14 to -8.03
-44.67 mg/dL
Interval -69.51 to -19.83
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D5W3
-23.12 mg/dL
Interval -45.68 to -0.56
-50.22 mg/dL
Interval -81.42 to -19.02
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D6W3
-38.05 mg/dL
Interval -67.39 to -8.7
-34.82 mg/dL
Interval -62.54 to -7.09
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D7W3
-25.74 mg/dL
Interval -48.52 to -2.96
-37.18 mg/dL
Interval -62.06 to -12.31
Change From Baseline in Mean Amplitude Glycemic Excursions (MAGE)
D8W3
-24.26 mg/dL
Interval -44.71 to -3.82
-41.38 mg/dL
Interval -66.75 to -16.01

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in mean 24-hour blood glucose levels at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Mean 24-hour Blood Glucose Levels
D2W3
-8.14 mg/dL
Interval -20.37 to 4.09
-16.77 mg/dL
Interval -23.33 to -10.21
Change From Baseline in Mean 24-hour Blood Glucose Levels
D3W3
-8.15 mg/dL
Interval -21.55 to 5.25
-12.46 mg/dL
Interval -23.07 to -1.86
Change From Baseline in Mean 24-hour Blood Glucose Levels
D4W3
-13.12 mg/dL
Interval -23.02 to -3.21
-15.85 mg/dL
Interval -23.57 to -8.13
Change From Baseline in Mean 24-hour Blood Glucose Levels
D5W3
-13.95 mg/dL
Interval -22.9 to -5.0
-17.46 mg/dL
Interval -27.9 to -7.03
Change From Baseline in Mean 24-hour Blood Glucose Levels
D6W3
-8.37 mg/dL
Interval -17.3 to 0.56
-15.79 mg/dL
Interval -24.43 to -7.14
Change From Baseline in Mean 24-hour Blood Glucose Levels
D7W3
-6.38 mg/dL
Interval -14.31 to 1.54
-14.23 mg/dL
Interval -22.0 to -6.46
Change From Baseline in Mean 24-hour Blood Glucose Levels
D8W3
-8.46 mg/dL
Interval -21.29 to 4.37
-14.94 mg/dL
Interval -21.97 to -7.9

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in mean daytime blood glucose levels at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Mean Daytime Blood Glucose Levels
D2W3
-11.08 mg/dL
Interval -25.75 to 3.58
-20.38 mg/dL
Interval -28.27 to -12.48
Change From Baseline in Mean Daytime Blood Glucose Levels
D3W3
-12.48 mg/dL
Interval -26.87 to 1.91
-17.21 mg/dL
Interval -29.46 to -4.97
Change From Baseline in Mean Daytime Blood Glucose Levels
D4W3
-18.42 mg/dL
Interval -28.06 to -8.78
-21.80 mg/dL
Interval -31.2 to -12.4
Change From Baseline in Mean Daytime Blood Glucose Levels
D5W3
-19.53 mg/dL
Interval -29.75 to -9.31
-22.54 mg/dL
Interval -35.28 to -9.81
Change From Baseline in Mean Daytime Blood Glucose Levels
D6W3
-14.27 mg/dL
Interval -24.0 to -4.54
-19.34 mg/dL
Interval -29.1 to -9.59
Change From Baseline in Mean Daytime Blood Glucose Levels
D7W3
-10.86 mg/dL
Interval -20.48 to -1.25
-16.92 mg/dL
Interval -26.1 to -7.75
Change From Baseline in Mean Daytime Blood Glucose Levels
D8W3
-12.90 mg/dL
Interval -26.16 to 0.36
-19.78 mg/dL
Interval -28.28 to -11.27

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in mean nocturnal blood glucose levels at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D2W3
-2.65 mg/dL
Interval -17.2 to 11.89
-10.69 mg/dL
Interval -23.02 to 1.64
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D3W3
0.52 mg/dL
Interval -15.45 to 16.48
-3.38 mg/dL
Interval -18.4 to 11.65
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D4W3
-3.17 mg/dL
Interval -18.5 to 12.16
-3.76 mg/dL
Interval -15.4 to 7.89
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D5W3
-4.09 mg/dL
Interval -16.58 to 8.4
-6.43 mg/dL
Interval -20.62 to 7.76
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D6W3
5.55 mg/dL
Interval -6.57 to 17.68
-7.98 mg/dL
Interval -20.46 to 4.51
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D7W3
3.86 mg/dL
Interval -4.41 to 12.13
-8.59 mg/dL
Interval -18.5 to 1.33
Change From Baseline in Mean Nocturnal Blood Glucose Levels
D8W3
1.06 mg/dL
Interval -13.04 to 15.16
-5.96 mg/dL
Interval -17.16 to 5.24

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in AUC for blood glucose levels at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose
D2W3
-2340.4 mg·min/dL
Interval -5859.6 to 1178.8
-4828.9 mg·min/dL
Interval -6716.3 to -2941.6
Change From Baseline in AUC for Blood Glucose
D3W3
-2348.4 mg·min/dL
Interval -6208.4 to 1511.6
-3594.8 mg·min/dL
Interval -6648.1 to -541.5
Change From Baseline in AUC for Blood Glucose
D4W3
-3723.2 mg·min/dL
Interval -6575.5 to -870.8
-4565.6 mg·min/dL
Interval -6788.3 to -2343.0
Change From Baseline in AUC for Blood Glucose
D5W3
-4017.8 mg·min/dL
Interval -6594.3 to -1441.4
-5023.4 mg·min/dL
Interval -8025.0 to -2021.8
Change From Baseline in AUC for Blood Glucose
D6W3
-2408.2 mg·min/dL
Interval -4978.6 to 162.3
-4526.4 mg·min/dL
Interval -7012.3 to -2040.6
Change From Baseline in AUC for Blood Glucose
D7W3
-1837.6 mg·min/dL
Interval -4117.9 to 442.7
-4097.5 mg·min/dL
Interval -6332.3 to -1862.7
Change From Baseline in AUC for Blood Glucose
D8W3
-2438.5 mg·min/dL
Interval -6134.2 to 1257.1
-4302.9 mg·min/dL
Interval -6327.4 to -2278.5

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in AUC for blood glucose during periods when blood glucose levels reached 110 mg/dL at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D2W3
-2263.8 mg·min/dL
Interval -5522.2 to 994.7
-4735.1 mg·min/dL
Interval -6642.5 to -2827.7
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D3W3
-2479.2 mg·min/dL
Interval -6073.9 to 1115.4
-3742.8 mg·min/dL
Interval -6840.0 to -645.5
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D4W3
-3755.3 mg·min/dL
Interval -6409.6 to -1101.0
-4576.9 mg·min/dL
Interval -6710.1 to -2443.6
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D5W3
-3845.6 mg·min/dL
Interval -6396.3 to -1295.0
-4812.0 mg·min/dL
Interval -7716.0 to -1908.0
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D6W3
-2581.9 mg·min/dL
Interval -4877.8 to -286.0
-4592.1 mg·min/dL
Interval -7132.0 to -2052.3
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D7W3
-2184.1 mg·min/dL
Interval -4350.4 to -17.7
-4169.3 mg·min/dL
Interval -6477.7 to -1860.8
Change From Baseline in AUC for Blood Glucose During Periods When Blood Glucose Levels Reached 110 mg/dL (Hypoglycemia)
D8W3
-2634.2 mg·min/dL
Interval -5836.3 to 568.0
-4335.7 mg·min/dL
Interval -6389.1 to -2282.4

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Standard Deviation (SD) of 24-hour Blood Glucose Values
Baseline
38.18 mg/dL
Interval 27.46 to 48.91
40.44 mg/dL
Interval 34.14 to 46.74
Standard Deviation (SD) of 24-hour Blood Glucose Values
D2W3
30.68 mg/dL
Interval 24.39 to 36.97
27.41 mg/dL
Interval 22.11 to 32.71
Standard Deviation (SD) of 24-hour Blood Glucose Values
D3W3
26.42 mg/dL
Interval 22.32 to 30.53
25.20 mg/dL
Interval 21.51 to 28.89
Standard Deviation (SD) of 24-hour Blood Glucose Values
D4W3
26.48 mg/dL
Interval 21.31 to 31.65
27.54 mg/dL
Interval 23.69 to 31.39
Standard Deviation (SD) of 24-hour Blood Glucose Values
D5W3
28.29 mg/dL
Interval 23.82 to 32.77
27.16 mg/dL
Interval 22.22 to 32.11
Standard Deviation (SD) of 24-hour Blood Glucose Values
D6W3
25.44 mg/dL
Interval 20.45 to 30.43
28.51 mg/dL
Interval 23.13 to 33.89
Standard Deviation (SD) of 24-hour Blood Glucose Values
D7W3
28.68 mg/dL
Interval 24.1 to 33.27
29.54 mg/dL
Interval 23.07 to 36.01
Standard Deviation (SD) of 24-hour Blood Glucose Values
D8W3
30.84 mg/dL
Interval 25.33 to 36.35
28.81 mg/dL
Interval 23.37 to 34.26

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in SD of daytime blood glucose values at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Changes From Baseline in the SD of Daytime Blood Glucose Values
D2W3
-9.78 mg/dL
Interval -19.01 to -0.54
-13.28 mg/dL
Interval -21.07 to -5.48
Changes From Baseline in the SD of Daytime Blood Glucose Values
D3W3
-12.82 mg/dL
Interval -23.36 to -2.29
-13.12 mg/dL
Interval -19.85 to -6.39
Changes From Baseline in the SD of Daytime Blood Glucose Values
D4W3
-11.98 mg/dL
Interval -22.91 to -1.04
-10.98 mg/dL
Interval -16.68 to -5.28
Changes From Baseline in the SD of Daytime Blood Glucose Values
D5W3
-10.88 mg/dL
Interval -21.93 to 0.18
-12.54 mg/dL
Interval -20.37 to -4.71
Changes From Baseline in the SD of Daytime Blood Glucose Values
D6W3
-11.94 mg/dL
Interval -21.55 to -2.33
-10.44 mg/dL
Interval -19.45 to -1.43
Changes From Baseline in the SD of Daytime Blood Glucose Values
D7W3
-8.13 mg/dL
Interval -17.7 to 1.44
-9.49 mg/dL
Interval -18.54 to -0.43
Changes From Baseline in the SD of Daytime Blood Glucose Values
D8W3
-6.49 mg/dL
Interval -14.98 to 2.0
-10.81 mg/dL
Interval -18.56 to -3.07

SECONDARY outcome

Timeframe: Baseline, up to 28 days

Population: Full analysis set (FAS); FAS was defined as participants who were randomized and received at least one dose of the study drug.

Change from baseline in SD of nocturnal blood glucose values at each time points was calculated.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D2W3
-0.71 mg/dL
Interval -7.36 to 5.95
-2.45 mg/dL
Interval -13.78 to 8.88
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D3W3
-3.55 mg/dL
Interval -9.51 to 2.4
-9.76 mg/dL
Interval -18.48 to -1.03
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D4W3
-4.06 mg/dL
Interval -13.05 to 4.92
-7.86 mg/dL
Interval -18.87 to 3.14
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D5W3
-2.96 mg/dL
Interval -8.25 to 2.33
-5.21 mg/dL
Interval -16.82 to 6.39
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D6W3
-5.67 mg/dL
Interval -12.26 to 0.93
-8.23 mg/dL
Interval -17.41 to 0.95
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D7W3
-5.25 mg/dL
Interval -10.02 to -0.47
-8.01 mg/dL
Interval -17.17 to 1.16
Changes From Baseline in the SD of Nocturnal Blood Glucose Values
D8W3
-2.93 mg/dL
Interval -9.26 to 3.4
-6.64 mg/dL
Interval -14.48 to 1.2

SECONDARY outcome

Timeframe: Up to 29 days

Population: Safety Analysis Set (SAS), SAS was defined as participants who received at least one dose of the study drug.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg
n=13 Participants
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Alogliptin 25 mg
n=14 Participants
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Number of Participants Reporting One or More Treatment-emergent Adverse Events
1 Participants
2 Participants

Adverse Events

Alogliptin 25 mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Trelagliptin 100 mg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Alogliptin 25 mg
n=13 participants at risk
Alogliptin 25 mg group; Alogliptin 25 mg once daily taken orally before breakfast.
Trelagliptin 100 mg
n=14 participants at risk
Trelagliptin 100 mg group; Trelagliptin 100 mg once weekly taken orally before breakfast.
Gastrointestinal disorders
Gastric mucosal lesion
0.00%
0/13 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
1/14 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Feeling abnormal
0.00%
0/13 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
1/14 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Viral upper respiratory tract infection
0.00%
0/13 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
1/14 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Dizziness
7.7%
1/13 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/14 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Eczema
0.00%
0/13 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
1/14 • Up to 29 days
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director

Takeda (Note: This product was divested to Teijin Pharma Limited in 2023)

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER