Diabetes Mellitus, Type 2Phase 3NCT00740051
A Randomised, db, Placebo-controlled Study of BI 1356 for 18 Weeks Followed by a 34 Week Double-blind Extension Period (Placebo Patients Switched to Glimepiride) in Type 2 Diabetic Patients for Whom Treatment With Metformin is Inappropriate
A Phase 3 study testing Linagliptin and Glimepiride in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 53 sites in 7 countries.
Trial summary
Efficacy of BI 1356 compared to placebo in patients for whom metformin therapy is inappropriate (intolerability, contraindication). The second part of the study looks at the safety of BI 1356 in this patient population with longer term treatment in comparison to a sulfonylurea drug (glimepiride) Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Linagliptin and Glimepiride
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 227 participants
- Where
- 53 sitesin 7 countries
- Study dates
- Aug 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 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Inclusion criteria Patients between 18 and 80 years old with type 2 diabetes and insufficient glycemic control (HbA1c 7% to 10%) for whom metformin therapy is inappropriate (intolerability or contraindication)
Exclusion criteria Myocardial infarction, stroke or Transient ischaemic attack in last 6 months Treatment with rosiglitazone or pioglitazone, GLP-1 analogues, insulin or anti-obesity drugs in past 3 months Impaired hepatic function Severe renal impairment current treatment with systemic steroids change in dosage of thyroid hormones hereditary galactose intolerance
Trial locations and contacts
53 sites in 7 countries.
53 sites in 7 countries
United States15 sites
1218.50.10009 Boehringer Ingelheim Investigational Site
Birmingham, Alabama
1218.50.10012 Boehringer Ingelheim Investigational Site
Dallas, Texas
1218.50.10022 Boehringer Ingelheim Investigational Site
Dallas, Texas
1218.50.10002 Boehringer Ingelheim Investigational Site
Eugene, Oregon
1218.50.10013 Boehringer Ingelheim Investigational Site
Greenbrae, California
1218.50.10015 Boehringer Ingelheim Investigational Site
Greer, South Carolina
1218.50.10016 Boehringer Ingelheim Investigational Site
Harbor City, California
1218.50.10017 Boehringer Ingelheim Investigational Site
Huntington Park, California
1218.50.10005 Boehringer Ingelheim Investigational Site
Kingsport, Tennessee
1218.50.10006 Boehringer Ingelheim Investigational Site
Los Angeles, California
1218.50.10007 Boehringer Ingelheim Investigational Site
Miami, Florida
1218.50.10011 Boehringer Ingelheim Investigational Site
Peoria, Arizona
1218.50.10010 Boehringer Ingelheim Investigational Site
San Antonio, Texas
1218.50.10018 Boehringer Ingelheim Investigational Site
San Antonio, Texas
1218.50.10004 Boehringer Ingelheim Investigational Site
Statesville, North Carolina
Mexico9 sites
1218.50.52007 Boehringer Ingelheim Investigational Site
Aguascalientes
1218.50.52010 Boehringer Ingelheim Investigational Site
Guadalajara
1218.50.52009 Boehringer Ingelheim Investigational Site
León
1218.50.52002 Boehringer Ingelheim Investigational Site
México
1218.50.52004 Boehringer Ingelheim Investigational Site
México
1218.50.52005 Boehringer Ingelheim Investigational Site
México
1218.50.52008 Boehringer Ingelheim Investigational Site
México
1218.50.52001 Boehringer Ingelheim Investigational Site
Monterrey
1218.50.52003 Boehringer Ingelheim Investigational Site
Monterrey
Philippines9 sites
1218.50.63003 Boehringer Ingelheim Investigational Site
Cebu
1218.50.63005 Boehringer Ingelheim Investigational Site
Cebu
1218.50.63006 Boehringer Ingelheim Investigational Site
Manila
1218.50.63008 Boehringer Ingelheim Investigational Site
Manila
1218.50.63001 Boehringer Ingelheim Investigational Site
Marikina City
1218.50.63004 Boehringer Ingelheim Investigational Site
Marikina City
1218.50.63007 Boehringer Ingelheim Investigational Site
Pasay
1218.50.63002 Boehringer Ingelheim Investigational Site
Pasig
1218.50.63009 Boehringer Ingelheim Investigational Site
Pasig
Canada5 sites
1218.50.11001 Boehringer Ingelheim Investigational Site
Edmonton, Alberta
1218.50.11003 Boehringer Ingelheim Investigational Site
Edmonton, Alberta
1218.50.11002 Boehringer Ingelheim Investigational Site
Montague, Prince Edward Island
1218.50.11005 Boehringer Ingelheim Investigational Site
Sarnia, Ontario
1218.50.11004 Boehringer Ingelheim Investigational Site
Saskatoon, Saskatchewan
Romania5 sites
1218.50.40004 Boehringer Ingelheim Investigational Site
Brasov
1218.50.40001 Boehringer Ingelheim Investigational Site
Bucharest
1218.50.40002 Boehringer Ingelheim Investigational Site
Bucharest
1218.50.40005 Boehringer Ingelheim Investigational Site
Galati
1218.50.40003 Boehringer Ingelheim Investigational Site
Sibiu
Russia5 sites
1218.50.70001 Boehringer Ingelheim Investigational Site
Moscow
1218.50.70003 Boehringer Ingelheim Investigational Site
Moscow
1218.50.70002 Boehringer Ingelheim Investigational Site
Saint Petersburg
1218.50.70004 Boehringer Ingelheim Investigational Site
Saint Petersburg
1218.50.70005 Boehringer Ingelheim Investigational Site
Saint Petersburg
Ukraine5 sites
1218.50.38002 Boehringer Ingelheim Investigational Site
Kharkiv
1218.50.38001 Boehringer Ingelheim Investigational Site
Kiev
1218.50.38004 Boehringer Ingelheim Investigational Site
Kiev
1218.50.38003 Boehringer Ingelheim Investigational Site
Lviv
1218.50.38005 Boehringer Ingelheim Investigational Site
Vinnitsa
About this study
Official title: A Randomised, db, Placebo-controlled, Parallel Group Efficacy and Safety Study of BI 1356 (5mg), Administered Orally Once Daily for 18 Weeks Followed by a 34 Week Double-blind Extension Period (Placebo Patients Switched to Glimepiride) in Type 2 Diabetic Patients With Insufficient Glycaemic Control for Whom Metformin Therapy is Inappropriate (Intolerability or Contraindication)
Efficacy of BI 1356 compared to placebo in patients for whom metformin therapy is inappropriate (intolerability, contraindication). The second part of the study looks at the safety of BI 1356 in this patient population with longer term treatment in comparison to a sulfonylurea drug (glimepiride)
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Linagliptin, Linagliptin Placebo, Glimepiride
- 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.
LinagliptinDrug
5mg once daily
Linagliptin PlaceboDrug
0 mg placebo comparator for part 1 of study (to 18 weeks)
GlimepirideDrug
1-4mg for part 2 of study (weeks 19-52)
| Study group | Role | What they receive |
|---|---|---|
| Linagliptin | Experimental | 52 week treatment Receives: Drug: Linagliptin |
| Placebo | Placebo comparator | First 18 weeks of treatment Receives: Drug: Linagliptin Placebo |
| Glimepiride | Active comparator | Placebo patients switch to glimepiride week19-52 Receives: Drug: Glimepiride |
What is being measured
The primary outcome is the main question the study is designed to answer.
HbA1c Change From Baseline at Week 18 (Interim Analysis)
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the Week 0 HbA1c percent. Means are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance.
Measured: Baseline and week 18
HbA1c Change From Baseline at Week 18 (Final Analysis)
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the Week 0 HbA1c percent. Means are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance. HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the Week 0 HbA1c percent. Means are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance. The primary analysis was re-run at the completion of the study in the final study report.
Measured: Baseline and week 18
Secondary outcomes (6)
Fasting Plasma Glucose (FPG) Change From Baseline at Week 18 (Interim Analysis)
This change from baseline reflects the Week 18 FPG minus the Week 0 FPG. Means are adjusted for baseline FPG, baseline HbA1c, prior OADs and reason for metformin intolerance (Interim Analysis).
Measured: Baseline and week 18
Percentage of Patients With HbA1c<7.0 at Week 18 (Interim Analysis)
Odds ratios are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance.
Measured: Week 18
Percentage of Patients With HbA1c<6.5 at Week 18 (Interim Analysis)
Odds ratios are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance.
Measured: Week 18
Percentage of Patients With HbA1c Lowering by 0.5% at Week 18 (Interim Analysis)
Odds ratios are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance.
Measured: Week 18
The Change in HbA1c From Baseline by Visit Over Time
HbA1c is measured as a percentage. Thus, this change from baseline reflects the HbA1c percent (at weeks 6, 12, 18, 22, 26, 30, 34, 40, 46, 52) minus the Week 0 HbA1c percent.
Measured: Baseline and weeks 6,12, 18, 22, 26, 30, 34, 40, 46, 52
The Change in FPG From Baseline by Visit Over Time
This change from baseline reflects the FPG (at weeks 6, 12, 18, 22, 26, 30, 34, 40, 46, 52) minus the Week 0 FPG.
Measured: Baseline and weeks 6,12,18, 22, 26, 30, 34, 40, 46, 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Aug 2008 (estimated)
- Study startAug 2008
- Primary completionAug 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
- 227 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
- NCT00740051
- Sponsor's protocol ID
- 1218.50
- Other IDs
- 2007-007485-38
- Status last verified
- Dec 2013
- First submitted
- 21 Aug 2008
- Last updated
- 27 Jun 2014
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Barnett AH, Patel S, Harper R, Toorawa R, Thiemann S, von Eynatten M, Woerle HJ. Linagliptin monotherapy in type 2 diabetes patients for whom metformin is inappropriate: an 18-week randomized, double-blind, placebo-controlled phase III trial with a 34-week active-controlled extension. Diabetes Obes Metab. 2012 Dec;14(12):1145-54. doi: 10.1111/dom.12011. Epub 2012 Oct 1.
PubMed 22974280Johansen 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 22234149
Study at a glance
From the registry record, last updated by the sponsor on 27 Jun 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, db, Placebo-controlled, Parallel Group Efficacy and Safety Study of BI 1356 (5mg), Administered Orally Once Daily for 18 Weeks Followed by a 34 Week Double-blind Extension Period (Placebo Patients Switched to Glimepiride) in Type 2 Diabetic Patients With Insufficient Glycaemic Control for Whom Metformin Therapy is Inappropriate (Intolerability or Contraindication)
- ClinicalTrials.gov ID
- NCT00740051
- Acronym / sponsor ID
- 1218.50
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 227 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Aug 2008
- Primary completion
- Aug 2010 (actual)
- First posted
- 22 Aug 2008 (estimated)
- Results
- Posted 26 Oct 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Efficacy of BI 1356 compared to placebo in patients for whom metformin therapy is inappropriate (intolerability, contraindication). The second part of the study looks at the safety of BI 1356 in this patient population with longer term treatment in comparison to a sulfonylurea drug (glimepiride)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Linagliptin | Experimental | Drug: Linagliptin52 week treatment |
| Placebo | Placebo comparator | Drug: Linagliptin PlaceboFirst 18 weeks of treatment |
| Glimepiride | Active comparator | Drug: GlimepiridePlacebo patients switch to glimepiride week19-52 |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| Linagliptin5mg once daily | Drug | Linagliptin |
| Linagliptin Placebo0 mg placebo comparator for part 1 of study (to 18 weeks) | Drug | Placebo |
| Glimepiride1-4mg for part 2 of study (weeks 19-52) | Drug | Glimepiride |
Primary outcome
HbA1c Change From Baseline at Week 18 (Interim Analysis)
Time frame: Baseline and week 18
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the Week 0 HbA1c percent. Means are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance.
HbA1c Change From Baseline at Week 18 (Final Analysis)
Time frame: Baseline and week 18
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the Week 0 HbA1c percent. Means are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance. HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the Week 0 HbA1c percent. Means are adjusted for baseline HbA1c, prior OADs and reason for metformin intolerance. The primary analysis was re-run at the completion of the study in the final study report.
6 secondary outcomes
Fasting Plasma Glucose (FPG) Change From Baseline at Week 18 (Interim Analysis)
Time frame: Baseline and week 18
Percentage of Patients With HbA1c<7.0 at Week 18 (Interim Analysis)
Time frame: Week 18
Percentage of Patients With HbA1c<6.5 at Week 18 (Interim Analysis)
Time frame: Week 18
Percentage of Patients With HbA1c Lowering by 0.5% at Week 18 (Interim Analysis)
Time frame: Week 18
The Change in HbA1c From Baseline by Visit Over Time
Time frame: Baseline and weeks 6,12, 18, 22, 26, 30, 34, 40, 46, 52
The Change in FPG From Baseline by Visit Over Time
Time frame: Baseline and weeks 6,12,18, 22, 26, 30, 34, 40, 46, 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jun 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22974280Barnett AH, Patel S, Harper R, Toorawa R, Thiemann S, von Eynatten M, Woerle HJ. Linagliptin monotherapy in type 2 diabetes patients for whom metformin is inappropriate: an 18-week randomized, double-blind, placebo-controlled phase III trial with a 34-week active-controlled extension. Diabetes Obes Metab. 2012 Dec;14(12):1145-54. doi: 10.1111/dom.12011. Epub 2012 Oct 1.
- 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.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
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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
53 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 Linagliptin and Glimepiride in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 53 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?
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 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 53 sites in United States, Mexico, Philippines, Canada, Romania 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 26 Oct 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?
HbA1c Change From Baseline at Week 18 (Interim Analysis) (time frame: Baseline and week 18). The study lists 2 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 NCT00740051, 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 Jun 2014.