A Clinical Trial to Evaluate the Bone Metabolism and the Blood Sugar of Evogliptin and Dapagliflozin

NCT ID: NCT04706637

Last Updated: 2021-01-13

Study Results

Results pending

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

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2023-01-31

Brief Summary

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This multi-center, randomized and exploratory clinical trial is designed to evaluate the effect of bone metabolism and blood sugar of evogliptin and dapagliflozin in the menopause female patients with osteopenia and type 2 diabetes.

The trial will evaluate bone metabolism (bone markers and bone density) and blood sugar (AGE and glucose variability) after 12 weeks and 48 weeks.

This clinical trial conducts in two arms, and each arm recruits 60 subjects.

Detailed Description

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This clinical trial is to evaluate the effect of bone metabolism and blood sugar of evogliptin and dapagliflozin in the menopause female patients with osteopenia and type 2 diabetes.

Bone metabolism (bone markers and bone density) and blood sugar (AGE and glucose variability) after 12 weeks and 48 weeks will be evaluated.

This clinical trial conducts in two arms, and each arm recruits 60 subjects. If a subject voluntarily agrees to participate and meets the inclusion and exclusion criteria for the clinical trial, the subject will be randomly assigned to one of the two arms.

The total period after the subject enrollment is 48 weeks, and a total of six visits are made with screening, baseline, 12 weeks, 24 weeks, 36 weeks, and 48 weeks.

Efficacy evaluation will be carried out changes on blood sugar, bone markers and density and after 12 and 48 weeks.

The results of this study are intended to be a reference to future clinical trials.

Conditions

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Bone Diseases, Metabolic Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

If a subject voluntarily agrees to participate and meets the inclusion and exclusion criteria for the clinical trial, the subject will be randomly assigned to one of the two arms.

1. Arm 1: evogliptin 5mg + metformin, oral administration once a day for 48 weeks
2. Arm 2: dapagliflozin 10mg + metformin, oral administration once a day for 48 weeks
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

The subject will be randomly assigned to one of the two arms. This is an open-label trial.

Study Groups

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evogliptin

evogliptin 5 mg + metformin, oral administration once a day for 48 weeks

Group Type EXPERIMENTAL

Evogliptin

Intervention Type DRUG

evogliptin 5mg + metformin, oral administration once a day for 48 weeks

dapagliflozin

dapagliflozin 10mg + metformin, oral administration once a day for 48 weeks

Group Type ACTIVE_COMPARATOR

Dapagliflozin

Intervention Type DRUG

dapagliflozin 10mg + metformin, oral administration once a day for 48 weeks

Interventions

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Evogliptin

evogliptin 5mg + metformin, oral administration once a day for 48 weeks

Intervention Type DRUG

Dapagliflozin

dapagliflozin 10mg + metformin, oral administration once a day for 48 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Postmenopausal women between 40 and 70 years of age with type 2 diabetes patients who are not taking diabetes drugs or who are not controlled by blood sugar at 7.0≤HbA1c≤9.0 while taking metformin

※ Menopause corresponds when one or more of the following three conditions are satisfied. (1) 12 months of amenorrhea (2) In the case of FSH≥40 mIL(milli-international unit)/mL in women over 50 years who have undergone a hysterectomy or 6 months of amenorrhea (3) Patients 6 weeks after ovariectomy
2. Lumbar, neck of femur and total femur bone density measurements were -2.4≤T-score≤-1.0
3. Obtained written informed consent from a patient
4. Patients who can participate during clinical trials and perform all planned trial procedures and visits.

Exclusion Criteria

1. A person who has taken a diabetes medications other than metformin within 12 weeks, or who is hypersensitivity to DPP4(dipeptidyl peptidase-4) inhibitors or SGLT2 inhibitors.
2. AST(ASpartate Transaminase) or ALT(ALanine Transaminase) exceeds 2 times the upper limit of the normal range in laboratory tests
3. Patients with moderate or severe renal impairment, end-stage renal disease (ESRD) or dialysis
4. Patients whose eGFR(epidermal growth factor receptor) calculated using MDRD formula within 4 weeks before screening or at screening is less than 60 mL/minute/1.73 m2
5. In the case of osteoporosis medication dosage as follows:

* Patients who have ever used bisphosphonate formulations
* Patients who have used female hormones, SERM(Selective Estrogen Receptor Modulator), denosumab, and parathyroid hormone preparations within 12 months
6. Have bone or mineral metabolic diseases or have received treatment that affects them (1) Steroid; - Oral steroid 2.5mg or more has been continuously taken for more than 3 months from the date of consent - Continuous use of systemic or inhaled steroids for more than 3 months from the date of consent (2) Taking diuretics (3) Patients at risk for secondary osteoporosis
7. Patients who have participated in other clinical trials within 3 months
8. Patients with a history of malignant tumors within 5 years
9. Those who have a history of hypersensitivity to the main ingredients and additives of the trial drugs
10. Patients with type 1 diabetes or diabetic ketoacidosis
11. Patients with genetic problems such as galactose intolerance, Lapp deficiency, or glucose-galactose malabsorption
12. Any other patient that the investigator has determined is unsuitable for this clinical trial
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Dong-A ST Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Kyung Hee University Hospital at Gangdong

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hoyeon Chung, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kyung Hee University Hospital at Gangdong

Locations

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GangNeung Asan Hospital

Gangneung, Gangwondo, South Korea

Site Status

Inha University Hospital

Incheon, , South Korea

Site Status

Kyung Hee University Hospital

Seoul, , South Korea

Site Status

Soon Chun Hyang University Hospital Seoul

Seoul, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Kyung Hee University Hospital at Gangdong

Seoul, , South Korea

Site Status

The Catholic University of Korea, Yeouido St. Mary's Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Hoyeon Chung, MD, PhD

Role: CONTACT

+82-2-440-6124

Facility Contacts

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Ha Young Kim, MD, PhD

Role: primary

+82-33-610-3072

Seong Bin Hong, MD, PhD

Role: primary

+82-32-890-3363

So Young Park, MD, PhD

Role: primary

+82-2-958-9431

Dong Won Byun, MD,PhD

Role: primary

+82-2-710-4240

Kee Ho Song, MD, PhD

Role: primary

+82-2-2030-7533

Hoyeon Chung, MD, PhD

Role: primary

+82-2-440-6124

Ki Hyun Baik, MD, PhD

Role: primary

+82-2-3779-1400

Other Identifiers

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EVOMETA-04

Identifier Type: -

Identifier Source: org_study_id

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