Diabetes Mellitus, Type 2Phase 3NCT00654381
Japanese P III vs Voglibose and Placebo
A Phase 3 study testing BI 1356 and voglibose in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 47 sites in Japan.
Trial summary
The objective of the current study is to investigate the efficacy, safety and tolerability of Linagliptin (BI 1356) (5 mg or 10 mg / once daily) compared to placebo given for 12 weeks and voglibose for 26 weeks as mono therapy in patients with type 2 diabetes mellitus with insufficient glycaemic control. Read more about this study
- Who is it for?
- Ages 20 to 80 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- BI 1356 and voglibose
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 561 participants
- Where
- 47 sitesJapan
- Study dates
- Apr 2008to Jan 2010
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Japanese patients with a diagnosis of type 2 diabetes mellitus. Antidiabetic therapy has to be stable for at least 10 weeks before Visit 1.
- Glycosylated haemoglobin A1 (HbA1c) 7.0 - 10.0% at Visit 3 (beginning of the 2-week placebo run-in phase)
- Age: >= 20 and <= 80
- Body Mass Index (BMI) <= 40 kg/m2
Who cannot join
- Myocardial infarction, stroke or transient ischemic attack (TIA) within 6 months before Visit 1
- Impaired hepatic function
- History of severe allergy/hypersensitivity
- Treatment with anti-diabetic, anti obesity drugs, etc 3 months before Visit 1
- Fasting blood glucose >240 mg/dl (=13.3 mmol/L) at Visits 2 or 3
Trial locations and contacts
47 sites in 1 country.
47 sites in 1 country
Japan47 sites
1218.23.05 Boehringer Ingelheim Investigational Site
Asahi, Chiba
1218.23.06 Boehringer Ingelheim Investigational Site
Funabashi, Chiba
1218.23.21 Boehringer Ingelheim Investigational Site
Hitachinaka, Ibaraki
1218.23.44 Boehringer Ingelheim Investigational Site
Hitachiota, Ibaraki
1218.23.09 Boehringer Ingelheim Investigational Site
Imizu, Toyama
1218.23.45 Boehringer Ingelheim Investigational Site
Inashiki-gun, Ibaraki
1218.23.13 Boehringer Ingelheim Investigational Site
Izumisano, Osaka
1218.23.27 Boehringer Ingelheim Investigational Site
Kariya, Aichi
1218.23.47 Boehringer Ingelheim Investigational Site
Kitakatsushika-gun, Saitama
1218.23.39 Boehringer Ingelheim Investigational Site
Kitakyuushuu, Fukuoka
1218.23.02 Boehringer Ingelheim Investigational Site
Koriyama, Fukushima
1218.23.03 Boehringer Ingelheim Investigational Site
Koriyama, Fukushima
1218.23.10 Boehringer Ingelheim Investigational Site
Kyoto, Kyoto
1218.23.37 Boehringer Ingelheim Investigational Site
Marugame, Kagawa
1218.23.38 Boehringer Ingelheim Investigational Site
Marugame, Kagawa
1218.23.23 Boehringer Ingelheim Investigational Site
Matsumoto, Nagano
1218.23.07 Boehringer Ingelheim Investigational Site
Meguro-ku, Tokyo
1218.23.25 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1218.23.26 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1218.23.28 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1218.23.29 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1218.23.30 Boehringer Ingelheim Investigational Site
Nagoya, Aichi
1218.23.04 Boehringer Ingelheim Investigational Site
Naka, Ibaraki
1218.23.15 Boehringer Ingelheim Investigational Site
Nishi-ku, Hiroshima, Hiroshima
1218.23.34 Boehringer Ingelheim Investigational Site
Nishi-ku, Sakai, Osaka
1218.23.22 Boehringer Ingelheim Investigational Site
Nishishinjyuku, Shinjyuku-ku, Tokyo
1218.23.16 Boehringer Ingelheim Investigational Site
Oita, Oita
1218.23.40 Boehringer Ingelheim Investigational Site
Oita, Oita
1218.23.36 Boehringer Ingelheim Investigational Site
Okayama, Okayama
1218.23.11 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1218.23.12 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1218.23.32 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1218.23.33 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1218.23.35 Boehringer Ingelheim Investigational Site
Osaka, Osaka
1218.23.17 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1218.23.18 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1218.23.19 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1218.23.41 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1218.23.42 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1218.23.43 Boehringer Ingelheim Investigational Site
Sapporo, Hokkaido
1218.23.01 Boehringer Ingelheim Investigational Site
Sendai, Miyagi
1218.23.20 Boehringer Ingelheim Investigational Site
Sendai, Miyagi
1218.23.46 Boehringer Ingelheim Investigational Site
Shinjuku-ku, Tokyo
1218.23.08 Boehringer Ingelheim Investigational Site
Shinjyuku-ku,Tokyo
1218.23.14 Boehringer Ingelheim Investigational Site
Suita, Osaka
1218.23.31 Boehringer Ingelheim Investigational Site
Takatsuki, Osaka
1218.23.48 Boehringer Ingelheim Investigational Site
Yokohama, Kanagawa
About this study
Official title: A Double-blind Phase III Study to Evaluate the Efficacy of BI 1356 5 mg and 10 mg vs. Placebo for 12 Weeks and vs. Voglibose 0.6 mg for 26 Weeks in Patients With Type 2 Diabetes Mellitus and Insufficient Glycaemic Control, Followed by an Extension Study to 52 Weeks to Evaluate Long-term Safety
The objective of the current study is to investigate the efficacy, safety and tolerability of Linagliptin (BI 1356) (5 mg or 10 mg / once daily) compared to placebo given for 12 weeks and voglibose for 26 weeks as mono therapy in patients with type 2 diabetes mellitus with insufficient glycaemic control. Furthermore, long-term safety is evaluated with an extension treatment to 52 weeks.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- BI 1356, voglibose placebo, BI 1356 placebo, voglibose
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BI 1356Drug
5 mg/daily
BI 1356Drug
10 mg/daily
voglibose placeboDrug
three times daily
BI 1356 placeboDrug
once daily
vogliboseDrug
0.6 mg/daily
| Study group | Role | What they receive |
|---|---|---|
| voglibose 0.2 mg three times a day (TID) | Active comparator | patient to receive a tablet containing 0.2 mg voglibose TID plus 2 placebo tablets matching BI 1356 Receives: Drug: voglibose |
| BI 1356 low dose | Experimental | patient to receive a tablet containing BI 1356 and matching placebo plus 3 placebo tablets matching voglibose Receives: Drug: BI 1356 |
| BI 1356 high dose | Experimental | patient to receive 2 tablets containing BI 1356 plus 3 placebo tablets matching voglibose Receives: Drug: BI 1356 |
| placebo | Placebo comparator | patient to receive 2 placebo tablets matching BI 1356 plus 3 placebo tablets matching voglibose Receives: Drug: voglibose placebo; Drug: BI 1356 placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in HbA1c at Week 12
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Measured: 12 weeks
Change From Baseline in HbA1c at Week 26
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Measured: 26 weeks
Examination of Long-term Safety of Linagliptin (52-week Treatment)
The incidence of AEs (Preferred Terms) with a frequency of 5% or more in the patients with type 2 diabetes mellitus who received linagliptin (5 mg or 10 mg) once daily for 52 weeks
Measured: 52 weeks
Secondary outcomes (6)
Relative Efficacy Response of HbA1c at Week 12
HbA1c value decreased below 7.0%, below 6.5% and reduction from baseline ≥0.5% at Week 12
Measured: 12 weeks
Relative Efficacy Response of HbA1c at Week 26
HbA1c value decreased below 7.0%, below 6.5% and reduction from baseline ≥0.5% at Week 26
Measured: 26 weeks
Relative Efficacy Response of HbA1c at Week 52
HbA1c value decreased below 7.0%, below 6.5% and reduction from baseline ≥0.5% at Week 52
Measured: 52 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Measured: 12 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Measured: 26 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Measured: 52 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2008 (estimated)
- Study startApr 2008
- Primary completionJan 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 561 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00654381
- Sponsor's protocol ID
- 1218.23
- Status last verified
- Dec 2013
- First submitted
- 3 Apr 2008
- Last updated
- 27 Jan 2014
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Johansen OE, Neubacher D, von Eynatten M, Patel S, Woerle HJ. Cardiovascular safety with linagliptin in patients with type 2 diabetes mellitus: a pre-specified, prospective, and adjudicated meta-analysis of a phase 3 programme. Cardiovasc Diabetol. 2012 Jan 10;11:3. doi: 10.1186/1475-2840-11-3.
PubMed 22234149Horie Y, Hayashi N, Dugi K, Takeuchi M. Design, statistical analysis and sample size calculation of a phase IIb/III study of linagliptin versus voglibose and placebo. Trials. 2009 Sep 5;10:82. doi: 10.1186/1745-6215-10-82.
PubMed 19732457
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-blind Phase III Study to Evaluate the Efficacy of BI 1356 5 mg and 10 mg vs. Placebo for 12 Weeks and vs. Voglibose 0.6 mg for 26 Weeks in Patients With Type 2 Diabetes Mellitus and Insufficient Glycaemic Control, Followed by an Extension Study to 52 Weeks to Evaluate Long-term Safety
- ClinicalTrials.gov ID
- NCT00654381
- Acronym / sponsor ID
- 1218.23
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 561 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Apr 2008
- Primary completion
- Jan 2010 (actual)
- First posted
- 8 Apr 2008 (estimated)
- Results
- Posted 2 Aug 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of the current study is to investigate the efficacy, safety and tolerability of Linagliptin (BI 1356) (5 mg or 10 mg / once daily) compared to placebo given for 12 weeks and voglibose for 26 weeks as mono therapy in patients with type 2 diabetes mellitus with insufficient glycaemic control. Furthermore, long-term safety is evaluated with an extension treatment to 52 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| voglibose 0.2 mg three times a day (TID) | Active comparator | Drug: voglibosepatient to receive a tablet containing 0.2 mg voglibose TID plus 2 placebo tablets matching BI 1356 |
| BI 1356 low dose | Experimental | Drug: BI 1356patient to receive a tablet containing BI 1356 and matching placebo plus 3 placebo tablets matching voglibose |
| BI 1356 high dose | Experimental | Drug: BI 1356patient to receive 2 tablets containing BI 1356 plus 3 placebo tablets matching voglibose |
| placebo | Placebo comparator | Drug: voglibose placebo, Drug: BI 1356 placebopatient to receive 2 placebo tablets matching BI 1356 plus 3 placebo tablets matching voglibose |
Who may qualify
- Ages
- 20 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Japanese patients with a diagnosis of type 2 diabetes mellitus. Antidiabetic therapy has to be stable for at least 10 weeks before Visit 1.
- Glycosylated haemoglobin A1 (HbA1c) 7.0 - 10.0% at Visit 3 (beginning of the 2-week placebo run-in phase)
- Age: >= 20 and <= 80
- Body Mass Index (BMI) <= 40 kg/m2
Key exclusion criteria (5 listed)
- Myocardial infarction, stroke or transient ischemic attack (TIA) within 6 months before Visit 1
- Impaired hepatic function
- History of severe allergy/hypersensitivity
- Treatment with anti-diabetic, anti obesity drugs, etc 3 months before Visit 1
- Fasting blood glucose >240 mg/dl (=13.3 mmol/L) at Visits 2 or 3
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BI 13565 mg/daily | Drug | BI 1356 low dose |
| BI 135610 mg/daily | Drug | BI 1356 high dose |
| voglibose placebothree times daily | Drug | placebo |
| BI 1356 placeboonce daily | Drug | placebo |
| voglibose0.6 mg/daily | Drug | voglibose 0.2 mg three times a day (TID) |
Primary outcome
Change From Baseline in HbA1c at Week 12
Time frame: 12 weeks
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Change From Baseline in HbA1c at Week 26
Time frame: 26 weeks
Change from the baseline measurement, where the baseline measurement was obtained at randomization (0 week) before receiving study medication
Examination of Long-term Safety of Linagliptin (52-week Treatment)
Time frame: 52 weeks
The incidence of AEs (Preferred Terms) with a frequency of 5% or more in the patients with type 2 diabetes mellitus who received linagliptin (5 mg or 10 mg) once daily for 52 weeks
6 secondary outcomes
Relative Efficacy Response of HbA1c at Week 12
Time frame: 12 weeks
Relative Efficacy Response of HbA1c at Week 26
Time frame: 26 weeks
Relative Efficacy Response of HbA1c at Week 52
Time frame: 52 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12
Time frame: 12 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
Time frame: 26 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 52
Time frame: 52 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22234149Johansen OE, Neubacher D, von Eynatten M, Patel S, Woerle HJ. Cardiovascular safety with linagliptin in patients with type 2 diabetes mellitus: a pre-specified, prospective, and adjudicated meta-analysis of a phase 3 programme. Cardiovasc Diabetol. 2012 Jan 10;11:3. doi: 10.1186/1475-2840-11-3.
- Derived from this study: PubMed 19732457Horie Y, Hayashi N, Dugi K, Takeuchi M. Design, statistical analysis and sample size calculation of a phase IIb/III study of linagliptin versus voglibose and placebo. Trials. 2009 Sep 5;10:82. doi: 10.1186/1745-6215-10-82.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim study chair
Boehringer Ingelheim
47 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BI 1356 and voglibose in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 47 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 47 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 2 Aug 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in HbA1c at Week 12 (time frame: 12 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00654381, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2014.