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.
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
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
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
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
Ukraine6 sites
Research Site
Dnipropetrov'sk
Research Site
Donetsk
Research Site
Kharkiv
Research Site
Kiev
Research Site
Vinnytsia
Research Site
Zaporizhzhya
Philippines4 sites
Research Site
Cebu City
Research Site
Manila
Research Site
Marikina City
Research Site
Pasig
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 group | Role | What they receive |
|---|---|---|
| 1 | Experimental | dapagliflozin 2.5mg + Glimepiride Receives: Drug: dapagliflozin; Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone |
| 2 | Experimental | dapagliflozin 5mg + Glimepiride Receives: Drug: dapagliflozin; Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone |
| 3 | Experimental | dapagliflozin 10mg + Glimepiride Receives: Drug: dapagliflozin; Drug: Glimepiride; Drug: metformin hydrochloride; Drug: pioglitazone hydrochloride; Drug: Rosiglitazone |
| 4 | Placebo comparator | Placebo + 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.
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)
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
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
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
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
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.
- First posted20 May 2008 (estimated)
- Study startApr 2008
- Primary completionNov 2009
- Study completionMay 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 (3)Papers the sponsor has linked to this study.
- Other trials for Type 2 DiabetesStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 597 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Bristol-Myers Squibb
- Responsible party
- Sponsor
- Investigators
- Krzysztof Strojek, Prof. Dr., Principal investigator, Silesian Medical University3-Maja 13/15, 41-800 Zabrze; Poland
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 33368935Strojek 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 23529567Strojek 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
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00680745
- Acronym / sponsor ID
- D1690C00005
- Conditions
- Type 2 Diabetes
- Keywords
- Dapagliflozin, efficacy, safety, sulphonylurea, Type 2 diabetes
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 597 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- Bristol-Myers Squibb
- Study start
- Apr 2008
- Primary completion
- Nov 2009 (actual)
- Study completion
- May 2010 (actual)
- First posted
- 20 May 2008 (estimated)
- Results
- Posted 14 Oct 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: dapagliflozin, Drug: Glimepiride, Drug: metformin hydrochloride, Drug: pioglitazone hydrochloride, Drug: Rosiglitazonedapagliflozin 2.5mg + Glimepiride |
| 2 | Experimental | Drug: dapagliflozin, Drug: Glimepiride, Drug: metformin hydrochloride, Drug: pioglitazone hydrochloride, Drug: Rosiglitazonedapagliflozin 5mg + Glimepiride |
| 3 | Experimental | Drug: dapagliflozin, Drug: Glimepiride, Drug: metformin hydrochloride, Drug: pioglitazone hydrochloride, Drug: Rosiglitazonedapagliflozin 10mg + Glimepiride |
| 4 | Placebo comparator | Drug: Glimepiride, Drug: metformin hydrochloride, Drug: pioglitazone hydrochloride, Drug: RosiglitazonePlacebo + Glimepiride |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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%
Key exclusion criteria (3 listed)
- Type 1 Diabetes
- Hepatic (liver) impairment
- Renal (kidney) failure or dysfunction
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 |
|---|---|---|
| dapagliflozintablet oral 2.5, 5, or 10 mg total daily dose once daily 48 weeks | Drug | 1, 2, 3 |
| GlimepirideAlso: Amaryltablet oral 2.5, 5, or 10 mg total daily dose once daily 48 weeks | Drug | 1, 2, 3, 4 |
| metformin hydrochlorideAlso: Glucophagerescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice | Drug | 1, 2, 3, 4 |
| pioglitazone hydrochlorideAlso: Actosrescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice | Drug | 1, 2, 3, 4 |
| RosiglitazoneAlso: Avandiarescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice | Drug | 1, 2, 3, 4 |
Primary outcome
Adjusted Mean Change in HbA1c Levels
Time frame: Baseline to Week 24
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.
5 secondary outcomes
Adjusted Mean Change in Body Weight
Time frame: Baseline to Week 24
Adjusted Mean Change in 2-h Post-challenge Plasma Glucose Rise
Time frame: Baseline to Week 24
Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7%
Time frame: At Week 24
Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2
Time frame: Baseline to Week 24
Adjusted Mean Change in Fasting Plasma Glucose (FPG)
Time frame: Baseline to Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33368935Shah 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.
- Derived from this study: PubMed 23529567Strojek 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.
- Derived from this study: PubMed 21672123Strojek 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.
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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.
Krzysztof Strojek, Prof. Dr. principal investigator
Silesian Medical University3-Maja 13/15, 41-800 Zabrze; Poland
66 sites in 7 countries: see every site and its status.
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.