Trial Outcomes & Findings for Treatment Preference for Weekly Dipeptidyl Peptidase-4 (DPP-4) Inhibitors Versus Daily DPP-4 Inhibitors in Participants With Type 2 Diabetes Mellitus (NCT NCT03231709)

NCT ID: NCT03231709

Last Updated: 2023-12-22

Results Overview

Participants answered standardized questions about their preference of drug therapy for Type 2 Diabetes Mellitus. Participants selected one choice from the following 4 choices; either once-weekly DPP-4 inhibitor or daily DPP-4 inhibitor, once-weekly DPP-4 inhibitor, daily DPP-4 inhibitor, neither once-weekly DPP-4 inhibitor nor daily DPP-4 inhibitor. Reported data was the number of participants with a choice of either trelagliptin (once-weekly DPP-4 inhibitor) or alogliptin (once-daily DPP-4 inhibitor), trelagliptin, alogliptin, neither trelagliptin nor alogliptin.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

At Week 16

Results posted on

2023-12-22

Participant Flow

Participants took part in the study at 2 investigative sites in Japan from 18 August 2017 to 4 February 2018.

Participants with a diagnosis of Type 2 Diabetes Mellitus (DM) were enrolled in 1 of 2 crossover arms: trelagliptin 100 mg then alogliptin 25 mg or alogliptin 25 mg then trelagliptin 100 mg.

Participant milestones

Participant milestones
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Treatment Period 1
STARTED
30
30
Treatment Period 1
COMPLETED
30
29
Treatment Period 1
NOT COMPLETED
0
1
Treatment Period 2
STARTED
30
29
Treatment Period 2
COMPLETED
30
28
Treatment Period 2
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Treatment Period 1
Reason not Specified
0
1
Treatment Period 2
Pretreatment Event/Adverse Event
0
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
n=30 Participants
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
n=30 Participants
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
60.6 years
STANDARD_DEVIATION 8.86 • n=30 Participants
59.7 years
STANDARD_DEVIATION 8.73 • n=30 Participants
60.1 years
STANDARD_DEVIATION 8.73 • n=60 Participants
Sex: Female, Male
Female
4 Participants
n=30 Participants
2 Participants
n=30 Participants
6 Participants
n=60 Participants
Sex: Female, Male
Male
26 Participants
n=30 Participants
28 Participants
n=30 Participants
54 Participants
n=60 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Japan
30 Participants
n=30 Participants
30 Participants
n=30 Participants
60 Participants
n=60 Participants
Height
169.2 cm
STANDARD_DEVIATION 7.44 • n=30 Participants
169.9 cm
STANDARD_DEVIATION 6.58 • n=30 Participants
169.5 cm
STANDARD_DEVIATION 6.97 • n=60 Participants
Weight
70.57 kg
STANDARD_DEVIATION 10.79 • n=30 Participants
69.87 kg
STANDARD_DEVIATION 10.79 • n=30 Participants
70.22 kg
STANDARD_DEVIATION 10.70 • n=60 Participants
Body Mass Index (BMI)
24.61 kg/m^2
STANDARD_DEVIATION 3.22 • n=30 Participants
24.19 kg/m^2
STANDARD_DEVIATION 3.31 • n=30 Participants
24.40 kg/m^2
STANDARD_DEVIATION 3.24 • n=60 Participants
Smoking Habits
Had Smoking Habits
3 Participants
n=30 Participants
7 Participants
n=30 Participants
10 Participants
n=60 Participants
Smoking Habits
Had No Smoking Habits
27 Participants
n=30 Participants
23 Participants
n=30 Participants
50 Participants
n=60 Participants
Alcohol intake history
Regular Drinker
19 Participants
n=30 Participants
16 Participants
n=30 Participants
35 Participants
n=60 Participants
Alcohol intake history
Occasional Drinker
1 Participants
n=30 Participants
4 Participants
n=30 Participants
5 Participants
n=60 Participants
Alcohol intake history
Non-Drinker
10 Participants
n=30 Participants
10 Participants
n=30 Participants
20 Participants
n=60 Participants
Duration of diabetes mellitus
3 Years or More
26 Participants
n=30 Participants
29 Participants
n=30 Participants
55 Participants
n=60 Participants
Duration of diabetes mellitus
Less than 3 Years
4 Participants
n=30 Participants
1 Participants
n=30 Participants
5 Participants
n=60 Participants
Glycosylated Hemoglobin A1c (HbA1c) National Glycohemoglobin Standardization Program (NGSP)
7.34 percent
STANDARD_DEVIATION 0.63 • n=30 Participants
7.41 percent
STANDARD_DEVIATION 0.84 • n=30 Participants
7.38 percent
STANDARD_DEVIATION 0.74 • n=60 Participants
Diabetes Treatment Satisfaction Questionnaire (DTSQ) at the time of informed consent
23.7 score on a scale
STANDARD_DEVIATION 5.86 • n=30 Participants
23.0 score on a scale
STANDARD_DEVIATION 5.48 • n=30 Participants
23.3 score on a scale
STANDARD_DEVIATION 5.64 • n=60 Participants
Work status
Worker
24 Participants
n=30 Participants
23 Participants
n=30 Participants
47 Participants
n=60 Participants
Work status
Unemployed
6 Participants
n=30 Participants
7 Participants
n=30 Participants
13 Participants
n=60 Participants
Presence of Cohabiter
Living alone
4 Participants
n=30 Participants
4 Participants
n=30 Participants
8 Participants
n=60 Participants
Presence of Cohabiter
Living together
26 Participants
n=30 Participants
26 Participants
n=30 Participants
52 Participants
n=60 Participants
Experience in Educational Hospitalization on Diabetes
Had Experience
3 Participants
n=30 Participants
2 Participants
n=30 Participants
5 Participants
n=60 Participants
Experience in Educational Hospitalization on Diabetes
Had No Experience
27 Participants
n=30 Participants
28 Participants
n=30 Participants
55 Participants
n=60 Participants
Compliance With DPP-4 Inhibitors During 4-Week Before Start of Treatment
90 Percent or More
30 Participants
n=30 Participants
30 Participants
n=30 Participants
60 Participants
n=60 Participants
Number of Oral Drugs/Day at the Start of the Treatment Period, Excluding Study Drug
1 or 2 Tablet(s)
12 Participants
n=30 Participants
9 Participants
n=30 Participants
21 Participants
n=60 Participants
Number of Oral Drugs/Day at the Start of the Treatment Period, Excluding Study Drug
3 - 5 Tablets
13 Participants
n=30 Participants
11 Participants
n=30 Participants
24 Participants
n=60 Participants
Number of Oral Drugs/Day at the Start of the Treatment Period, Excluding Study Drug
6 Tablets or More
5 Participants
n=30 Participants
10 Participants
n=30 Participants
15 Participants
n=60 Participants
Complication of Metabolic Syndrome
Had Presence of Complications
11 Participants
n=30 Participants
11 Participants
n=30 Participants
22 Participants
n=60 Participants
Complication of Metabolic Syndrome
Had No Presence of Complications
19 Participants
n=30 Participants
19 Participants
n=30 Participants
38 Participants
n=60 Participants

PRIMARY outcome

Timeframe: At Week 16

Population: FAS included all enrolled participants who received either the investigational product or comparator at least once during the study after randomization.

Participants answered standardized questions about their preference of drug therapy for Type 2 Diabetes Mellitus. Participants selected one choice from the following 4 choices; either once-weekly DPP-4 inhibitor or daily DPP-4 inhibitor, once-weekly DPP-4 inhibitor, daily DPP-4 inhibitor, neither once-weekly DPP-4 inhibitor nor daily DPP-4 inhibitor. Reported data was the number of participants with a choice of either trelagliptin (once-weekly DPP-4 inhibitor) or alogliptin (once-daily DPP-4 inhibitor), trelagliptin, alogliptin, neither trelagliptin nor alogliptin.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
n=30 Participants
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
n=30 Participants
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Alogliptin Preference
Participants who prefer alogliptin 25 mg, tablets, once a day.
Neither Trelagliptin Nor Alogliptin
Participants who prefer neither trelagliptin 100 mg, tablets, once a week nor alogliptin 25 mg, tablets once a day.
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period
Neither Trelagliptin nor Alogliptin
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period
Alogliptin
18 Participants
13 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period
Either Trelagliptin or Alogliptin
4 Participants
7 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period
Trelagliptin
8 Participants
10 Participants

SECONDARY outcome

Timeframe: At Week 16

Population: FAS included all enrolled participants who received either the investigational product or comparator at least once during the study after randomization.

Participants answered standardized questions about their preference of drug therapy for Type 2 Diabetes Mellitus. The preference of drug therapy was categorized by background factors like age (years), gender, height (cm), weight (kg), BMI (kg/m\^2), duration of diabetes (years), work status, alcohol intake history, smoking habits, experience of educational hospitalization on DM, presence of cohabiter, percentage of compliance with DPP-4 inhibitors during 4-weeks before the start of treatment period, number of oral drugs per day at the beginning of treatment period (excluding investigational drug), complication of metabolic syndrome, percentage of HbA1c (NGSP is the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at the time of informed consent.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
n=11 Participants
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
n=18 Participants
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Alogliptin Preference
n=31 Participants
Participants who prefer alogliptin 25 mg, tablets, once a day.
Neither Trelagliptin Nor Alogliptin
Participants who prefer neither trelagliptin 100 mg, tablets, once a week nor alogliptin 25 mg, tablets once a day.
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
HbA1c (NGSP), 7.0%<= - <8.0%
7 Participants
8 Participants
14 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
HbA1c (NGSP), 8.0%<=
3 Participants
4 Participants
6 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
HbA1c (NGSP), < 7.0%
1 Participants
6 Participants
11 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Age, Min <= - <65
9 Participants
13 Participants
16 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Age, 65 <= - <75
2 Participants
5 Participants
15 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Gender, Male
11 Participants
16 Participants
27 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Gender, Female
0 Participants
2 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Height, Min <= - <150
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Height, 150 <= - <160
0 Participants
1 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Height, 160 <= - <170
1 Participants
9 Participants
14 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Height, 170 <= - <=Max
10 Participants
7 Participants
15 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Weight, Min <= - <50.0
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Weight, 50.0 <= - <60.0
0 Participants
5 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Weight, 60.0<= - <70.0
3 Participants
3 Participants
12 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Weight, 70.0 <= - <80.0
8 Participants
6 Participants
7 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Weight, 80.0 <= - <=Max
0 Participants
3 Participants
7 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
BMI, Min <= - <18.5
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
BMI, 18.5 <= - <25.0
9 Participants
9 Participants
18 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
BMI, 25.0 <= - <=Max
2 Participants
8 Participants
13 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Duration of Diabetes, 3 Years or More
10 Participants
17 Participants
28 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Duration of Diabetes, Less than 3 Years
1 Participants
1 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Work Status, Worker
9 Participants
16 Participants
22 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Work Status, Unemployed
2 Participants
2 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Alcohol Intake History, Regular Drinker
5 Participants
7 Participants
23 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Alcohol Intake History, Occasional Drinker
2 Participants
3 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Alcohol Intake History, Non-Drinker
4 Participants
8 Participants
8 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Had Smoking Habits
4 Participants
4 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Had No Smoking Habits
7 Participants
14 Participants
29 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Had Experience of Educational Hospitalization
3 Participants
0 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Had No Experience of Educational Hospitalization
8 Participants
18 Participants
29 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Presence of Cohabiter, Live alone
1 Participants
3 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Presence of Cohabiter, Living together
10 Participants
15 Participants
27 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Compliance with DPP-4 Inhibitors, 90% or More
11 Participants
18 Participants
31 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Number of Oral Drugs per Day, 1 or 2 Tablet(s)
1 Participants
7 Participants
13 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Number of Oral Drugs per Day, 3 - 5 Tablets
5 Participants
8 Participants
11 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Number of Oral Drugs per Day, 6 Tablets or More
5 Participants
3 Participants
7 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Had Complication of Metabolic Syndrome
4 Participants
4 Participants
14 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
Had No Complication of Metabolic Syndrome
7 Participants
14 Participants
17 Participants
0 Participants

SECONDARY outcome

Timeframe: At Week 16

Population: FAS included all enrolled participants who received either the investigational product or comparator at least once during the study after randomization.

Participants answered standardized questions about their preference of drug therapy for Type 2 Diabetes Mellitus. The preference of drug therapy was categorized by background factors like age (years), gender, height (cm), weight (kg), BMI (kg/m\^2), duration of diabetes (years), work status, alcohol intake history, smoking habits, experience of educational hospitalization on DM, presence of cohabiter, percentage of compliance with DPP-4 inhibitors during 4-weeks before the start of treatment period, number of oral drugs per day at the beginning of treatment period (excluding investigational drug), complication of metabolic syndrome, percentage of HbA1c (NGSP is the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at the time of informed consent.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
n=4 Participants
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
n=8 Participants
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Alogliptin Preference
n=18 Participants
Participants who prefer alogliptin 25 mg, tablets, once a day.
Neither Trelagliptin Nor Alogliptin
Participants who prefer neither trelagliptin 100 mg, tablets, once a week nor alogliptin 25 mg, tablets once a day.
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Had Complication of Metabolic Syndrome
1 Participants
1 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
HbA1c (NGSP), 8.0%<=
2 Participants
0 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Age, Min <= - <65
4 Participants
5 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Age, 65 <= - <75
0 Participants
3 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Gender, Male
4 Participants
7 Participants
15 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Gender, Female
0 Participants
1 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Height, Min <= - <150
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Height, 150 <= - <160
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Height, 160 <= - <170
0 Participants
3 Participants
11 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Height, 170 <= - <=Max
4 Participants
4 Participants
6 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Weight, Min <= - <50.0
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Weight, 50.0 <= - <60.0
0 Participants
0 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Weight, 60.0<= - <70.0
1 Participants
2 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Weight, 70.0 <= - <80.0
3 Participants
4 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Weight, 80.0 <= - <=Max
0 Participants
1 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
BMI, 18.5 <= - <25.0
4 Participants
4 Participants
10 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
BMI, 25.0 <= - <=Max
0 Participants
4 Participants
8 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Duration of Diabetes, 3 Years or More
4 Participants
7 Participants
15 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Duration of Diabetes, Less than 3 Years
0 Participants
1 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Work Status, Worker
4 Participants
7 Participants
13 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Work Status, Unemployed
0 Participants
1 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Alcohol Intake History, Regular Drinker
3 Participants
4 Participants
12 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Alcohol Intake History, Occasional Drinker
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Alcohol Intake History, Non-Drinker
0 Participants
4 Participants
6 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Had Smoking Habits
0 Participants
2 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Had No Smoking Habits
4 Participants
6 Participants
17 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Had Experience of Educational Hospitalization
2 Participants
0 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Had No Experience of Educational Hospitalization
2 Participants
8 Participants
17 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Presence of Cohabiter, Live alone
0 Participants
2 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Presence of Cohabiter, Living together
4 Participants
6 Participants
16 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Compliance with DPP-4 Inhibitors, 90% or More
4 Participants
8 Participants
18 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Number of Oral Drugs per Day, 1 or 2 Tablet(s)
1 Participants
2 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Number of Oral Drugs per Day, 3 - 5 Tablets
3 Participants
5 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Number of Oral Drugs per Day, 6 Tablets or More
0 Participants
1 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
Had No Complication of Metabolic Syndrome
3 Participants
7 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
HbA1c (NGSP), < 7.0%
1 Participants
4 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
HbA1c (NGSP), 7.0%<= - <8.0%
1 Participants
4 Participants
11 Participants
0 Participants

SECONDARY outcome

Timeframe: At Week 16

Population: FAS included all enrolled participants who received either the investigational product or comparator at least once during the study after randomization.

Participants answered standardized questions about their preference of drug therapy for Type 2 Diabetes Mellitus. The preference of drug therapy was categorized by background factors like age (years), gender, height (cm), weight (kg), BMI (kg/m\^2), duration of diabetes (years), work status, alcohol intake history, smoking habits, experience of educational hospitalization on DM, presence of cohabiter, percentage of compliance with DPP-4 inhibitors during 4-weeks before the start of treatment period, number of oral drugs per day at the beginning of treatment period (excluding investigational drug), complication of metabolic syndrome, percentage of HbA1c (NGSP is the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at the time of informed consent.

Outcome measures

Outcome measures
Measure
Trelagliptin 100 mg + Alogliptin 25 mg
n=7 Participants
Trelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
n=10 Participants
Alogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Alogliptin Preference
n=13 Participants
Participants who prefer alogliptin 25 mg, tablets, once a day.
Neither Trelagliptin Nor Alogliptin
Participants who prefer neither trelagliptin 100 mg, tablets, once a week nor alogliptin 25 mg, tablets once a day.
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Had Smoking Habits
4 Participants
2 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Age, Min <= - <65
5 Participants
8 Participants
7 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Age, 65 <= - <75
2 Participants
2 Participants
6 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Gender, Male
7 Participants
9 Participants
12 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Gender, Female
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Height, 150 <= - <160
0 Participants
1 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Height, 160 <= - <170
1 Participants
6 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Height, 170 <= - <=Max
6 Participants
3 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Weight, 50.0 <= - <60.0
0 Participants
5 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Weight, 60.0<= - <70.0
2 Participants
1 Participants
7 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Weight, 70.0 <= - <80.0
5 Participants
2 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Weight, 80.0 <= - <=Max
0 Participants
2 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
BMI, Min <= - <18.5
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
BMI, 18.5 <= - <25.0
5 Participants
5 Participants
8 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
BMI, 25.0 <= - <=Max
2 Participants
4 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Duration of Diabetes, 3 Years or More
6 Participants
10 Participants
13 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Duration of Diabetes, Less than 3 Years
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Work Status, Worker
5 Participants
9 Participants
9 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Work Status, Unemployed
2 Participants
1 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Alcohol Intake History, Regular Drinker
2 Participants
3 Participants
11 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Alcohol Intake History, Occasional Drinker
1 Participants
3 Participants
0 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Alcohol Intake History, Non-Drinker
4 Participants
4 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Had No Smoking Habits
3 Participants
8 Participants
12 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Had Experience of Educational Hospitalization
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Had No Experience of Educational Hospitalization
6 Participants
10 Participants
12 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Presence of Cohabiter, Live alone
1 Participants
1 Participants
2 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Presence of Cohabiter, Living together
6 Participants
9 Participants
11 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Compliance with DPP-4 Inhibitors, 90% or More
7 Participants
10 Participants
13 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Number of Oral Drugs per Day, 1 or 2 Tablet(s)
0 Participants
5 Participants
4 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Number of Oral Drugs per Day, 3 - 5 Tablets
2 Participants
3 Participants
6 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Number of Oral Drugs per Day, 6 Tablets or More
5 Participants
2 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Had Complication of Metabolic Syndrome
3 Participants
3 Participants
5 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
Had No Complication of Metabolic Syndrome
4 Participants
7 Participants
8 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
HbA1c (NGSP), < 7.0%
0 Participants
2 Participants
8 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
HbA1c (NGSP), 7.0%<= - <8.0%
6 Participants
4 Participants
3 Participants
0 Participants
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
HbA1c (NGSP), 8.0%<=
1 Participants
4 Participants
2 Participants
0 Participants

Adverse Events

Trelagliptin 100 mg

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Alogliptin 25 mg

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

Serious adverse events

Serious adverse events
Measure
Trelagliptin 100 mg
n=59 participants at risk
Trelagliptin 100 mg tablets, orally, once a week for 8 weeks in either Period 1 or 2.
Alogliptin 25 mg
n=60 participants at risk
Alogliptin 25 mg tablets, orally, once a day for 8 weeks in either Period 1 or 2.
Gastrointestinal disorders
Intestinal obstruction
1.7%
1/59 • Up to Week 16
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%
0/60 • Up to Week 16
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.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
1.7%
1/59 • Up to Week 16
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%
0/60 • Up to Week 16
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.

Other adverse events

Other adverse events
Measure
Trelagliptin 100 mg
n=59 participants at risk
Trelagliptin 100 mg tablets, orally, once a week for 8 weeks in either Period 1 or 2.
Alogliptin 25 mg
n=60 participants at risk
Alogliptin 25 mg tablets, orally, once a day for 8 weeks in either Period 1 or 2.
Infections and infestations
Viral upper respiratory tract infection
3.4%
2/59 • Up to Week 16
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.
1.7%
1/60 • Up to Week 16
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
Upper respiratory tract infection
3.4%
2/59 • Up to Week 16
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%
0/60 • Up to Week 16
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