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Diabetes MellitusPhase 3NCT00707993

Efficacy and Safety of Alogliptin Compared to Glipizide in Elderly Diabetics

A Phase 3 study testing Alogliptin and Glipizide in people with Diabetes Mellitus, run by Takeda at 80 sites in 11 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy and safety of alogliptin, once daily (QD), compared to glipizide in elderly diabetic patients who have not received treatment or are on a single oral medication. Read more about this study

Who is it for?
Ages 65 to 90 years
Conditions the study is for
Diabetes Mellitus
What is being tested?
Alogliptin and Glipizide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
441 participants
Where
80 sitesin 11 countries
Study dates
Jun 2008to Aug 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 65 to 90 years
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Has a diagnosis of type 2 diabetes mellitus with either:
  • Failed diet and exercise therapy alone as demonstrated by inadequate glycemic control while receiving no antidiabetic treatment within the two months prior to Screening, or
  • Failed treatment with oral monotherapy alone (may include treatment with two or more antidiabetic agents if for less than 7 days) as demonstrated by inadequate glycemic control within the two months prior to Screening.
  • Body mass index greater than or equal to 23 kg/m2 and less than or equal to 45 kg/m2.
  • If regularly using other, non-excluded medications, must be on a stable dose for at least the 4 weeks prior to Screening.
  • Females of childbearing potential who are sexually active must agree to use a medically accepted means of contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
  • Able and willing to monitor their own blood glucose concentrations with a home glucose monitor.
  • No major illness or debility that in the investigator's opinion prohibits the participant from completing the study.

Who cannot join

  • Systolic blood pressure greater than or equal to 160 mm Hg and/or diastolic pressure greater than or equal to 100 mm Hg.
  • Hemoglobin less than or equal to 12 g/dL for males or less than or equal to 10 g/dL for females.
  • Alanine aminotransferase greater than or equal to 3 times the upper limit of normal.
  • Calculated creatinine clearance less than or equal to 50 mL/min.
  • Thyroid-stimulating hormone level outside of the normal range.
  • History of cancer, other than squamous cell or basal cell carcinoma of the skin, that has not been in full remission for at least 5 years prior to Screening.
Show all 21Show fewer
  • History of laser treatment for proliferative diabetic retinopathy within the 6 months prior to Screening.
  • History of treated diabetic gastroparesis, gastric banding, or gastric bypass surgery.
  • New York Heart Association Class III or IV heart failure regardless of therapy.
  • History of coronary angioplasty, coronary stent placement, coronary bypass surgery, or myocardial infarction within the 6 months prior to Screening.
  • History of any hemoglobinopathy that may affect determination of glycosylated hemoglobin.
  • History of infection with Human Immunodeficiency Virus.
  • History of a psychiatric disorder that will affect the participant's ability to participate in the study.
  • History of angioedema in association with use of angiotensin-converting enzyme inhibitors or angiotensin-II receptor inhibitors.
  • History of alcohol or substance abuse within the 2 years prior to Screening.
  • History of treatment with any weight-loss drugs or oral or systemically injected glucocorticoids within the 3 months prior to Screening.
  • Receipt of any investigational drug within the 30 days prior to Screening.
  • Prior treatment in an investigational study of alogliptin.
  • Clinically significant medical abnormality or disease or clinically significant abnormal findings at Screening (other than type 2 diabetes) that, in the opinion of the investigator, should exclude the participant from the study.
  • Has donated more than 400 mL of blood within the 90 days preceding their participation in the study.
  • Has hypersensitivity or has had an anaphylactic reaction(s) to any DPP-4 inhibitor drug.

Trial locations and contacts

80 sites in 11 countries.

80 sites in 11 countries

United States36 sites
  • Study site

    Aiken, South Carolina

  • Study site

    Albuquerque, New Mexico

  • Study site

    Alexander City, Alabama

  • Study site

    Aurora, Illinois

  • Study site

    Beachwood, Ohio

  • Study site

    Bensalem, Pennsylvania

  • Study site

    Bradenton, Florida

  • Study site

    Clarkston, Michigan

  • Study site

    Corpus Christi, Texas

  • Study site

    Dallas, Texas

  • Study site

    Foothill Ranch, California

  • Study site

    Fort Myers, Florida

  • Study site

    Greenville, South Carolina

  • Study site

    Greer, South Carolina

  • Study site

    Hamilton, New Jersey

  • Study site

    Huntington Park, California

  • Study site

    La Porte, Indiana

  • Study site

    Long Beach, California

  • Study site

    Los Angeles, California

  • Study site

    Miami, Florida

  • Study site

    Ogden, Utah

  • Study site

    Omaha, Nebraska

  • Study site

    Ormond Beach, Florida

  • Study site

    Pasadena, Texas

  • Study site

    Prospect, Connecticut

  • Study site

    Redlands, California

  • Study site

    Roswell, Georgia

  • Study site

    Salisbury, Maryland

  • Study site

    Salt Lake City, Utah

  • Study site

    San Antonio, Texas

  • Study site

    South Bend, Indiana

  • Study site

    Taylors, South Carolina

  • Study site

    Tomball, Texas

  • Study site

    Westlake, Ohio

  • Study site

    Winter Park, Florida

  • Study site

    Zanesville, Ohio

Other trials in United States

Mexico9 sites
  • Study site

    Aguascalientes, Aguascalientes

  • Study site

    Durango, Durango

  • Study site

    Guadalajara

  • Study site

    Mexico City

  • Study site

    Monterrey, Nuevo León

  • Study site

    Morelia, Michoacán

  • Study site

    Nezahualcóyotl

  • Study site

    Pachuca, Hidalgo

  • Study site

    Saltillo, Coahuila

Other trials in Mexico

Israel6 sites
  • Study site

    Ashkelon

  • Study site

    Haifa

  • Study site

    Holon

  • Study site

    Nahariya

  • Study site

    Rishon LeZiyyon

  • Study site

    Safed

Other trials in Israel

South Africa6 sites
  • Study site

    Cape Town

  • Study site

    Centurion

  • Study site

    Durban

  • Study site

    Johannesburg

  • Study site

    Port Elizabeth

  • Study site

    Pretoria

Other trials in South Africa

Romania5 sites
  • Study site

    Baia Mare

  • Study site

    Brasov

  • Study site

    Bucharest

  • Study site

    Galati

  • Study site

    Satu Mare

Other trials in Romania

India4 sites
  • Study site

    Bangalore, Karnataka

  • Study site

    Belagavi, Karnataka

  • Study site

    Karnāl, Haryana

  • Study site

    Mumbai, Maharashrta

Other trials in India

Hungary3 sites
  • Study site

    Budapest

  • Study site

    Miskoic

  • Study site

    Nyíregyháza

Other trials in Hungary

Peru3 sites
  • Study site

    Arequipa

  • Study site

    Lima

  • Study site

    Piura

Other trials in Peru

Poland3 sites
  • Study site

    Gdansk

  • Study site

    Krakow

  • Study site

    Warsaw

Other trials in Poland

Russia3 sites
  • Study site

    Arkhangelsk

  • Study site

    Irkutsk

  • Study site

    Smolensk

Other trials in Russia

Ukraine2 sites
  • Study site

    Donetsk

  • Study site

    Kharkiv

Other trials in Ukraine

About this study

Official title: A Multicenter, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Alogliptin Compared to Glipizide in Elderly Subjects With Type 2 Diabetes

The purpose of this study is to evaluate the efficacy and safety of alogliptin, once daily (QD), compared to glipizide in elderly diabetic patients who have not received treatment or are on a single oral medication.

Read the detailed description

Type 2 diabetes is among the most common chronic condition in adults 65 years of age or older. A recent National Health and Nutrition Examination Survey reported that more than 20% of adults aged 65 years or older have diabetes. These individuals are often under-treated with respect to glucose-lowering medications, and their care is complicated by the extent of their clinical and functional status. Age-related changes in physiology, diabetes-associated illnesses and other illnesses (such as renal, cardiac, and hepatic insufficiency), as well as use of multiple medications make standard oral anti-hyperglycemic therapy and insulin use problematic. In addition, hypoglycemia is more common and severe in older rather than younger patients taking oral antidiabetic drugs which can precipitate serious events such as falls and hip fractures. While avoidance of hypoglycemia is paramount in elderly diabetic patients, many commonly used medications are associated with a substantial risk for hypoglycemia. New classes of drug which avoid such complications in the elderly population are of increasing interest as this population continues to expand.

Takeda is developing SYR-322 (alogliptin) for the improvement of glycemic control in patients with type 2 diabetes mellitus. Alogliptin is an inhibitor of the dipeptidyl peptidase IV enzyme. Dipeptidyl peptidase IV is thought to be primarily responsible for the degradation of 2 peptide hormones released in response to nutrient ingestion. It is expected that inhibition of dipeptidyl peptidase IV will improve glycemic (glucose) control in patients with type 2 diabetes.

This study will compare the effectiveness and safety of alogliptin with that of glipizide (a commonly used diabetes medication) in adults who are 65 to 90 years of age with Type 2 diabetes. Individuals who participate in this study will either have failed diet and exercise therapy alone during the 2 months before Screening, or will have been receiving a single oral antidiabetic medication without obtaining good blood glucose (sugar) control.

Each participant will be required to commit to screening visits. Study participation is anticipated to be up to 59 weeks.

Being tested
Alogliptin, Glipizide
Keywords
Glucose Metabolism Disorder, Dysmetabolic Syndrome, Type II Diabetes, Diabetes Mellitus, Lipoatrophic, Dyslipidemia, Drug Therapy
Medical subject headings
Diabetes Mellitus, Glucose Metabolism Disorders, Diabetes Mellitus, Type 2, Dyslipidemias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AlogliptinDrug

    Also called SYR110322, SYR-322

    Alogliptin 25 mg, tablets, orally, once daily and glipizide placebo matching tablets, orally, once daily for up to 52 weeks.

  • GlipizideDrug

    Also called Glucotrol

    Alogliptin placebo-matching tablets, orally, once daily and glipizide 5 mg to 10 mg, tablets, orally, once daily up to 52 weeks.

Study groups in NCT00707993
Study groupRoleWhat they receive
Alogliptin 25 mg QDExperimentalNot described
Receives: Drug: Alogliptin
Glipizide 5 mg QDActive comparatorNot described
Receives: Drug: Glipizide

What is being measured

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

  1. Change From Baseline in Glycosylated Hemoglobin at Week 52.

    The change in the percentage of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at week 52 or final visit and glycosylated hemoglobin collected at baseline.

    Measured: Baseline and Week 52.

Secondary outcomes (18)
  1. Change From Baseline in Glycosylated Hemoglobin

    The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at each week indicated including final visit relative to baseline.

    Measured: Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 26, Week 34 and Week 42.

  2. Incidence of Hypoglycemia

    Percentage of participants with at least one hypoglycemic episode during 52 week study.

    Measured: On occurrence (up to 52 weeks).

  3. Incidence of Marked Hyperglycemia (Fasting Plasma Glucose ≥200 mg Per dL).

    The number of participants with a fasting plasma glucose value ≥ to 200 mg per dL during the 52 week study.

    Measured: On Occurrence (up to 52 weeks).

  4. Incidence of Hyperglycemic Rescue

    The number of participants requiring rescue for failing to achieve pre-specified glycemic targets during the 52 week study.

    Measured: On Occurrence (up to 52 weeks).

  5. Change From Baseline in Fasting Plasma Glucose

    The change in the value of fasting plasma glucose collected at each week indicated including final visit relative to baseline.

    Measured: Baseline, Week 2, Week 4, Week 8, Week 12, Week 16, Week 20, Week 26, Week 34, Week 42 and Week 52.

  6. Change From Baseline in 2-hour Postprandial Glucose

    The change in postprandial (after eating a meal) glucose levels at week 52 relative to baseline. Standard 2-hour postprandial glucose (PPG) tests performed following an overnight fast and evaluated right before and after a 120-minute (2-hour) timeframe relative to ingestion of a standard oral glucose drink.

    Measured: Baseline and Week 52.

  7. Change From Baseline in Fasting Proinsulin

    The change between the value of fasting proinsulin collected at each week indicated including final visit relative to baseline.

    Measured: Baseline, Week 12, Week 26, Week 42 and Week 52.

  8. Change From Baseline in Insulin

    The change between the value of insulin collected at each week indicated including final visit relative to baseline.

    Measured: Baseline, Week 12, Week 26, Week 42 and Week 52.

  9. Change From Baseline in Proinsulin/Insulin Ratio

    The change between the ratio value of proinsulin and insulin collected at each week indicated including final visit relative to baseline.

    Measured: Baseline, Week 12, Week 26, Week 42 and Week 52.

  10. Homeostasis Model Assessment of Beta Cell Function

    The change between homeostasis model assessment of beta cell function collected at each week indicated including final visit relative to baseline. Homeostasis model assessment of beta cell function measures beta cell function, calculated by a constant (20) times insulin, divided by fasting plasma glucose minus a constant (3.5).

    Measured: Baseline, Week 12, Week 26, Week 42 and Week 52.

  11. Change From Baseline in Body Weight

    The change in body weight measured at each week indicated including final visit from baseline.

    Measured: Baseline, Week 8, Week 12, Week 26, Week 42 and Week 52.

  12. Change From Baseline in Serum Lipids (Total Cholesterol)

    The change in total cholesterol measured at each week indicated including final visit from baseline.

    Measured: Baseline, Week 8, Week 12, Week 26, Week 42 and Week 52.

  13. Change From Baseline in Serum Lipids (High-Density Lipoprotein Cholesterol)

    The change in high-density lipoprotein cholesterol measured at each week indicated including final visit from baseline.

    Measured: Baseline, Week 8, Week 12, Week 26, Week 42 and Week 52.

  14. Change From Baseline in Serum Lipids (Low-Density Lipoprotein Cholesterol)

    The change in low-density lipoprotein cholesterol measured at each week indicated including final visit from baseline.

    Measured: Baseline, Week 8, Week 12, Week 26, Week 42 and Week 52.

  15. Change From Baseline in Serum Lipids (Triglycerides)

    The change in triglycerides measured at each week indicated including final visit from baseline.

    Measured: Baseline, Week 8, Week 12, Week 26, Week 42 and Week 52.

  16. Change From Baseline in High Sensitivity C-reactive Protein

    The change between the high sensitivity C-reactive protein value collected at each week indicated including final visit from baseline.

    Measured: Baseline, Week 12, Week 26, Week 42 and Week 52.

  17. Incidence of Subjects Achieving Glycosylated Hemoglobin <=7%

    The percentage of participants with a value for the percentage of glycosylated hemoglobin (HbA1c; the percentage of hemoglobin that is bound to glucose) less than or equal to 6.5 and 7.0% during the 52 week study.

    Measured: Baseline and Week 52.

  18. Incidence of Glycosylated Hemoglobin Decrease From Baseline.

    The percentage of participants with a decrease from baseline in the percentage of glycosylated hemoglobin (the percentage of hemoglobin that is bound to glucose) greater than or equal to 0.5, 1.0, 1.5 and 2.0% during the 52 week study.

    Measured: Baseline and Week 52.

Timeline

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

  1. First posted2 Jul 2008 (estimated)
  2. Study startJun 2008
  3. Primary completionAug 2010
  4. Study completionAug 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
441 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00707993
Sponsor's protocol ID
SYR-322_303
Other IDs
2008-000959-10, U1111-1112-7905, 2008
Status last verified
May 2013
First submitted
27 Jun 2008
Last updated
24 May 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alogliptin and Glipizide in people with Diabetes Mellitus, run by Takeda at 80 sites in 11 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 8 inclusion and 21 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 24 May 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 80 sites in United States, Mexico, Israel, South Africa, Romania and 6 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. 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 24 May 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?

Change From Baseline in Glycosylated Hemoglobin at Week 52. (time frame: Baseline and Week 52.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 May 2013.

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