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Type 2 DiabetesPhase 3NCT00680745

Efficacy and Safety of Dapagliflozin in Combination With Glimepiride (a Sulphonylurea) in Type 2 Diabetes Patients

A Phase 3 study testing dapagliflozin, Glimepiride and metformin hydrochloride in people with Type 2 Diabetes, run by AstraZeneca at 66 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is being carried out to see if dapagliflozin in addition to glimepiride (sulphonylurea) is effective and safe in treating patients with type 2 diabetes when compared to glimepiride alone. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Type 2 Diabetes
What is being tested?
dapagliflozin, Glimepiride and metformin hydrochloride
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
597 participants
Where
66 sitesin 7 countries
Study dates
Apr 2008to May 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Type 2 Diabetes
  • Treatment with a stable sulphonylurea monotherapy dose that is at least half the maximal recommended dose for a minimum of 8 weeks prior to study
  • Inadequate glycaemic control, defined as A1C ≥ 7.0 % and ≤ 10%

Who cannot join

  • Type 1 Diabetes
  • Hepatic (liver) impairment
  • Renal (kidney) failure or dysfunction

Trial locations and contacts

66 sites in 7 countries.

66 sites in 7 countries

Poland22 sites
  • Research Site

    Bielsko-Biala

  • Research Site

    Bydgoszcz

  • Research Site

    Chojnice

  • Research Site

    Chrzanów

  • Research Site

    Ciechocinek

  • Research Site

    Czechowice-Dziedzice

  • Research Site

    Elblag

  • Research Site

    Gdansk

  • Research Site

    Gniewkowo

  • Research Site

    Grudziądz

  • Research Site

    Iława

  • Research Site

    Krakow

  • Research Site

    Mrągowo

  • Research Site

    Płock

  • Research Site

    Poznan

  • Research Site

    Ruda Śląska

  • Research Site

    Sopot

  • Research Site

    Torun

  • Research Site

    Wroclaw

  • Research Site

    Zabrze

  • Research Site

    Zielona Góra

  • Research Site

    Żory

Other trials in Poland

Hungary14 sites
  • Research Site

    Balatonfüred

  • Research Site

    Békéscsaba

  • Research Site

    Budapest

  • Research Site

    Csongrád

  • Research Site

    Eger

  • Research Site

    Gyöngyös

  • Research Site

    Kecskemét

  • Research Site

    Makó

  • Research Site

    Miskolc

  • Research Site

    Mosonmagyaróvár

  • Research Site

    Siófok

  • Research Site

    Szentes

  • Research Site

    Tát

  • Research Site

    Zalaegerszeg

Other trials in Hungary

Czechia10 sites
  • Research Site

    Blansko

  • Research Site

    Břeclav

  • Research Site

    Bruntál

  • Research Site

    Hodonín

  • Research Site

    Ostrava - Belsky Les

  • Research Site

    Pilsen

  • Research Site

    Prague

  • Research Site

    Pribram VIII

  • Research Site

    Rakovník

  • Research Site

    Semily

Other trials in Czechia

South Korea8 sites
  • Research Site

    Bucheon-si

  • Research Site

    Incheon

  • Research Site

    Jeonju, Jeollabuk-do

  • Research Site

    Seongnam

  • Research Site

    Seoul

  • Research Site

    Suwon, Gyeonggi-do

  • Research Site

    Uljeongbu

  • Research Site

    Wŏnju, Gangwon-do

Other trials in South Korea

Ukraine6 sites
  • Research Site

    Dnipropetrov'sk

  • Research Site

    Donetsk

  • Research Site

    Kharkiv

  • Research Site

    Kiev

  • Research Site

    Vinnytsia

  • Research Site

    Zaporizhzhya

Other trials in Ukraine

Philippines4 sites
  • Research Site

    Cebu City

  • Research Site

    Manila

  • Research Site

    Marikina City

  • Research Site

    Pasig

Other trials in Philippines

Thailand2 sites
  • Research Site

    Bangkok

  • Research Site

    Chiang Mai

Other trials in Thailand

About this study

Official title: A 24-Week,Int.,Rand.,Double-blind,Parallel-group,Multi-centre, Plac.-Controlled Phase III Study With a 24-Wk Ext.Per.to Eval.the Efficacy and Safety of Dapagliflozin in Comb.With Glimepiride (a Sulphonylurea) in Subjects With Type2 Diab.Who Have Inadeq. Glycaemic Control on Glimepiride Therapy Alone

This study is being carried out to see if dapagliflozin in addition to glimepiride (sulphonylurea) is effective and safe in treating patients with type 2 diabetes when compared to glimepiride alone.

Conditions
Type 2 Diabetes
Being tested
dapagliflozin, Glimepiride, metformin hydrochloride, pioglitazone hydrochloride, Rosiglitazone
Keywords
Dapagliflozin, efficacy, safety, sulphonylurea, Type 2 diabetes
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.

  • dapagliflozinDrug

    tablet oral 2.5, 5, or 10 mg total daily dose once daily 48 weeks

  • GlimepirideDrug

    Also called Amaryl

    tablet oral 2.5, 5, or 10 mg total daily dose once daily 48 weeks

  • metformin hydrochlorideDrug

    Also called Glucophage

    rescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice

  • pioglitazone hydrochlorideDrug

    Also called Actos

    rescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice

  • RosiglitazoneDrug

    Also called Avandia

    rescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice

Study groups in NCT00680745
Study groupRoleWhat they receive
1Experimentaldapagliflozin 2.5mg + Glimepiride
Receives: Drug: dapagliflozin; Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone
2Experimentaldapagliflozin 5mg + Glimepiride
Receives: Drug: dapagliflozin; Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone
3Experimentaldapagliflozin 10mg + Glimepiride
Receives: Drug: dapagliflozin; Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone
4Placebo comparatorPlacebo + Glimepiride
Receives: Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adjusted Mean Change in HbA1c Levels

    To assess the efficacy of dapagliflozin compared to placebo as add-on therapy to glimepiride in improving glycemic control in participants with type 2 diabetes, as determined by the change in HbA1C levels from baseline to the end of the 24-week double-blind treatment period.

    Measured: Baseline to Week 24

Secondary outcomes (5)
  1. Adjusted Mean Change in Body Weight

    To show that dapagliflozin plus glimepiride results in greater reduction in body weight or less weight gain after 24 weeks of treatment when compared to placebo plus glimepiride.

    Measured: Baseline to Week 24

  2. Adjusted Mean Change in 2-h Post-challenge Plasma Glucose Rise

    To show that dapagliflozin plus glimepiride results in greater reductions in the 2-h post-challenge plasma glucose rise as a response to an oral glucose tolerance test (OGTT) from baseline to Week 24.

    Measured: Baseline to Week 24

  3. Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7%

    To show that dapagliflozin plus glimepiride results in a larger proportion of participants achieving a therapeutic glycemic response, defined as HbA1c < 7% after 24 weeks of treatment, compared to placebo plus glimepiride.

    Measured: At Week 24

  4. Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2

    To show that dapagliflozin plus glimepiride results in greater reductions in body weight or less weight gain in participants with baseline BMI ≥27 kg/m2 after 24 weeks of treatment when compared to placebo plus glimepiride.

    Measured: Baseline to Week 24

  5. Adjusted Mean Change in Fasting Plasma Glucose (FPG)

    To show that dapagliflozin plus glimepiride leads to greater reductions in FPG after 24 weeks of treatment compared to placebo plus glimepiride.

    Measured: Baseline to Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 May 2008 (estimated)
  2. Study startApr 2008
  3. Primary completionNov 2009
  4. Study completionMay 2010

Resources

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
597 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00680745
Sponsor's protocol ID
D1690C00005
Status last verified
Aug 2013
First submitted
16 May 2008
Last updated
14 Oct 2013
Data monitoring committee
No

Publications

  • Shah M, Stolbov L, Yakovleva T, Tang W, Sokolov V, Penland RC, Boulton D, Parkinson J. A model-based approach to investigating the relationship between glucose-insulin dynamics and dapagliflozin treatment effect in patients with type 2 diabetes. Diabetes Obes Metab. 2021 Apr;23(4):991-1000. doi: 10.1111/dom.14305. Epub 2021 Jan 25.

    PubMed 33368935
  • Strojek K, Yoon KH, Hruba V, Elze M, Langkilde AM, Parikh S. [Effect of dapagliflozin in patients with type 2 diabetes who have inadequate glycaemic control with glimepiride]. Dtsch Med Wochenschr. 2013 Apr;138 Suppl 1:S16-26. doi: 10.1055/s-0032-1305277. Epub 2013 Mar 25. German.

    PubMed 23529567
  • Strojek K, Yoon KH, Hruba V, Elze M, Langkilde AM, Parikh S. Effect of dapagliflozin in patients with type 2 diabetes who have inadequate glycaemic control with glimepiride: a randomized, 24-week, double-blind, placebo-controlled trial. Diabetes Obes Metab. 2011 Oct;13(10):928-38. doi: 10.1111/j.1463-1326.2011.01434.x.

    PubMed 21672123

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing dapagliflozin, Glimepiride and metformin hydrochloride in people with Type 2 Diabetes, run by AstraZeneca at 66 sites in 7 countries.

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 3 inclusion and 3 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 14 Oct 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in Poland, Hungary, Czechia, South Korea, Ukraine and 2 more countries. 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 14 Oct 2013). 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?

Adjusted Mean Change in HbA1c Levels (time frame: Baseline to Week 24). 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 NCT00680745, which also lists 3 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 14 Oct 2013.

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