Trial Outcomes & Findings for To Assess Safety of Fixed Dose Combination of Dapagliflozin and Saxagliptin in Type 2 Diabetes Mellitus Patients (NCT NCT04445714)

NCT ID: NCT04445714

Last Updated: 2024-11-12

Results Overview

Adverse events (AEs) including serious adverse events (SAEs), AEs leading to discontinuation (DAE), and adverse events of special interest (volume depletion, renal events, major hypoglycemic events, fractures, urinary/genital tract infections diabetic ketoacidosis, amputations and hospitalization for heart failure)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

196 participants

Primary outcome timeframe

Baseline to End of Study (Week 26)

Results posted on

2024-11-12

Participant Flow

Participant milestones

Participant milestones
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Overall Study
STARTED
196
Overall Study
COMPLETED
173
Overall Study
NOT COMPLETED
23

Reasons for withdrawal

Reasons for withdrawal
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Overall Study
Discontinuation of the study
14
Overall Study
High plasma glucose-fasting and HbA1c; investigator decision to withdraw participant
1
Overall Study
Withdrawal of Informed Consent
8

Baseline Characteristics

Data only available for 151 participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mgOverall
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Age, Continuous
52.2 Years
STANDARD_DEVIATION 10.27 • n=196 Participants
Sex: Female, Male
Female
76 Participants
n=196 Participants
Sex: Female, Male
Male
120 Participants
n=196 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=196 Participants
Race (NIH/OMB)
Asian
196 Participants
n=196 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=196 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=196 Participants
Race (NIH/OMB)
White
0 Participants
n=196 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=196 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=196 Participants
Height
163 centimeters
STANDARD_DEVIATION 8.62 • n=196 Participants
Weight
74.2 kilograms
STANDARD_DEVIATION 12.59 • n=196 Participants
Waist circumference
97.5 centimeters
STANDARD_DEVIATION 12.76 • n=196 Participants
Body mass index
28.0 kg/m^2
STANDARD_DEVIATION 4.35 • n=196 Participants
Glycated haemoglobin
8.6 percentage of glycated haemoglobin
STANDARD_DEVIATION 0.77 • n=196 Participants
Fasting plasma glucose
161.8 mg/dL
STANDARD_DEVIATION 52.30 • n=196 Participants
Systolic blood pressure
125.7 mmHg
STANDARD_DEVIATION 9.27 • n=151 Participants • Data only available for 151 participants

PRIMARY outcome

Timeframe: Baseline to End of Study (Week 26)

Population: Safety Population

Adverse events (AEs) including serious adverse events (SAEs), AEs leading to discontinuation (DAE), and adverse events of special interest (volume depletion, renal events, major hypoglycemic events, fractures, urinary/genital tract infections diabetic ketoacidosis, amputations and hospitalization for heart failure)

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Adverse Events (AEs) Including Serious Adverse Events (SAEs), AEs Leading to Discontinuation (DAE), and Adverse Events of Special Interest
Adverse events of special interest
4 events
Adverse Events (AEs) Including Serious Adverse Events (SAEs), AEs Leading to Discontinuation (DAE), and Adverse Events of Special Interest
AEs
40 events
Adverse Events (AEs) Including Serious Adverse Events (SAEs), AEs Leading to Discontinuation (DAE), and Adverse Events of Special Interest
SAEs
0 events
Adverse Events (AEs) Including Serious Adverse Events (SAEs), AEs Leading to Discontinuation (DAE), and Adverse Events of Special Interest
DAEs
0 events

PRIMARY outcome

Timeframe: Enrolment (Week -1) to End of Study (Week 26)

Population: Safety Population

Clinical laboratory results were presented separately for haematology, clinical chemistry, and urinalysis variables. The number of participants with clinically important (haematology and clinical chemistry) or clinically significant (urinalysis) abnormalities in safety laboratory values are presented.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Clinically Important or Significant Abnormalities in Safety Laboratory Values
0 Participants

PRIMARY outcome

Timeframe: Time Frame: Baseline to End of Study (Week 26)

Population: Safety Population

The number of participants with clinically important abnormalities in ECG values are presented.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Clinically Important Abnormalities in ECG Values
0 Participants

PRIMARY outcome

Timeframe: Enrolment (Week -1) to End of Study (Week 26)

Population: Safety Population

The number of participants with clinically important abnormalities in vital signs (pulse and blood pressure).

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Clinically Important Abnormalities in Vital Signs (Pulse and Blood Pressure)
0 Participants

PRIMARY outcome

Timeframe: Enrolment (Week -1) to End of Study (Week 26)

Population: Safety Population

The number of participants with clinically significant abnormalities in physical examinations.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Clinically Significant Abnormalities in Physical Examinations
0 Participants

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Safety Population

The efficacy of the fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus participants was analyzed by measuring HbA1c change at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Glycated Haemoglobin (HbA1c) Change at Week 24 Compared to Baseline
Baseline (Visit 2)
8.6 percentage of glycated haemoglobin
Standard Deviation 0.77
Glycated Haemoglobin (HbA1c) Change at Week 24 Compared to Baseline
Week 24
7.4 percentage of glycated haemoglobin
Standard Deviation 0.98
Glycated Haemoglobin (HbA1c) Change at Week 24 Compared to Baseline
Change from Baseline
-1.2 percentage of glycated haemoglobin
Standard Deviation 1.09

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Safety Population

The efficacy of the fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus participants was analyzed by measuring weight change at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Weight Change at Week 24 Compared to Baseline
Baseline (Visit 2)
74.2 kilograms
Standard Deviation 12.59
Weight Change at Week 24 Compared to Baseline
Week 24
72.2 kilograms
Standard Deviation 11.51
Weight Change at Week 24 Compared to Baseline
Change from Baseline
-2.1 kilograms
Standard Deviation 3.98

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Safety Population

The efficacy of the fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus participants was analyzed by measuring systolic blood pressure change at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Systolic Blood Pressure Change at Week 24 Compared to Baseline
Baseline (Visit 2)
125.7 mmHg
Standard Deviation 9.27
Systolic Blood Pressure Change at Week 24 Compared to Baseline
Week 24
124.5 mmHg
Standard Deviation 10.33
Systolic Blood Pressure Change at Week 24 Compared to Baseline
Change from Baseline
-0.2 mmHg
Standard Deviation 12.90

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Safety Population

The efficacy of the fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus participants was analyzed by measuring fasting plasma glucose change at week 24 compared to baseline.

Outcome measures

Outcome measures
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 Participants
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Fasting Plasma Glucose Change at Week 24 Compared to Baseline
Baseline (Visit 2)
161.8 mg/dL
Standard Deviation 52.30
Fasting Plasma Glucose Change at Week 24 Compared to Baseline
Week 24
136.7 mg/dL
Standard Deviation 41.98
Fasting Plasma Glucose Change at Week 24 Compared to Baseline
Change from Baseline
-24.4 mg/dL
Standard Deviation 62.89

Adverse Events

Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fixed Dose Combination of Dapagliflozin 10 mg / Saxagliptin 5 mg
n=196 participants at risk
All participants were given once daily fixed dose combination of Dapagliflozin 10 mg / Saxagliptin 5 mg administered orally at the same time of the day throughout the study.
Immune system disorders
Hypersensitivity
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Infections and infestations
Balanitis candida
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Infections and infestations
Nasopharyngitis
1.5%
3/196 • Number of events 3 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Infections and infestations
Pharyngitis
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Infections and infestations
Trichomoniasis
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Infections and infestations
Urinary tract infection
2.6%
5/196 • Number of events 7 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Investigations
Blood creatine phosphokinase increased
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Investigations
Blood glucose decreased
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Metabolism and nutrition disorders
Hyperkalaemia
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Musculoskeletal and connective tissue disorders
Muscle spasms
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Cardiac disorders
Left ventricular dysfunction
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Nervous system disorders
Headache
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Nervous system disorders
Paraesthesia
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Nervous system disorders
Polyneuropathy
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Reproductive system and breast disorders
Balanoposthitis
1.5%
3/196 • Number of events 4 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Respiratory, thoracic and mediastinal disorders
Cough
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Gastrointestinal disorders
Abdominal pain upper
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Gastrointestinal disorders
Gastritis
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Gastrointestinal disorders
Nausea
1.0%
2/196 • Number of events 2 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Gastrointestinal disorders
Vomiting
1.0%
2/196 • Number of events 2 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
General disorders
Pain
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
General disorders
Pyrexia
2.6%
5/196 • Number of events 5 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Hepatobiliary disorders
Nonalcoholic fatty liver disease
0.51%
1/196 • Number of events 1 • Week 0 to End of Study (26 weeks)
An adverse event was any unfavourable and unintended sign (e.g. an abnormal laboratory finding), symptom (for example nausea, chest pain), or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Additional Information

Global Clinical Lead

AstraZeneca

Phone: 1-877-240-9479

Results disclosure agreements

  • Principal investigator is a sponsor employee The Investigator shall be entitled to publish the results of or make presentations related to the Study, provided that any publications or presentations to be made within 2 years after completion of the Study shall require the Sponsor's prior written consent.
  • Publication restrictions are in place

Restriction type: OTHER