Type 2 Diabetes MellitusPhase 3ENDURENCT00856284
Efficacy and Safety of Alogliptin Plus Metformin Compared to Glipizide Plus Metformin in Patients With Type 2 Diabetes Mellitus
A Phase 3 study testing Alogliptin, Metformin and Glipizide in people with Type 2 Diabetes Mellitus, run by Takeda at 261 sites in 32 countries.
Trial summary
The purpose of this study is to determine the safety and effectiveness of adding alogliptin, once daily (QD), compared to glipizide with metformin in diabetic patients. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Alogliptin, Metformin and Glipizide
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,639 participants
- Where
- 261 sitesin 32 countries
- Study dates
- Mar 2009to Oct 2012
- 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
Who may be able to join
- Has a diagnosis of type 2 diabetes mellitus.
- Must meet one of the following:
- Has been inadequately controlled on a stable daily dose of ≥1500 mg (or documented maximum tolerated dose) of metformin for at least 2 months prior to Screening.
- Has been inadequately controlled (as defined by a glycosylated hemoglobin 7.5 - 10%, inclusive) on metformin <1500 mg without documented maximum tolerated dose.
- No treatment with antidiabetic agents other than metformin within 2 months prior to Screening (for Schedule A)/Pre-Screening (for Schedule B).
- Has body mass index within 23 kg/m^2 and 45 kg/m^2 unless the patient is Asian or of Asian descent, for whom the allowable body mass index will be ≥ 20 kg/m^2 and ≤ 35 kg/m^2, inclusive.
Show all 10Show fewer
- Has fasting C-peptide concentration at least 0.8 ng.
- If regularly using non-excluded medications, must be on a stable dose at least 4 weeks prior to Screening/Pre-screening.
- Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant, lactating or intends to donate ova from Screening throughout the duration of the study.
- Must be able and willing to monitor their blood glucose concentrations with a home monitor, and comply with protocol requirements including scheduled clinic appointments.
Who cannot join
- Systolic blood pressure greater than or equal to 150 mmHg and/or diastolic pressure greater than or equal to 90.
- Hemoglobin less than or equal to 12 g/dL for males and less than or equal to 10 g/dL for females at Screening Visit.
- Alanine aminotransferase greater than or equal to 2.5 times the upper limit of normal at Screening Visit.
- Serum creatinine greater than or equal to 1.5 mg/dL for males and 1.4 for females, or calculated creatinine clearance less than 60 L/min.
- Males intending to impregnate others or donate sperm before, during or within 1 month after participating in the study.
- A history of cancer other than squamous or basal cell carcinoma of the skin that has not been in full remission for at least 5 years.
Show all 21Show fewer
- A history of laser treatment for diabetic retinopathy within 6 months of screening.
- Treated for diabetic gastric paresis, gastric banding, or gastric bypass.
- New York Heart Association Class III or IV heart failure.
- History of coronary angioplasty, coronary stent placement, coronary bypass surgery, myocardial infarction, stroke or transient ischemic attack within 3 months prior to screening.
- Known history of human immunodeficiency virus, hepatitis B or C.
- Alcohol or substance abuse within 2 years prior to screening.
- Is required to take or intends to continue taking any disallowed medication, any prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:
- Any investigational drug within 30 days
- Any investigational diabetic drug within 3 months
- Any antidiabetic drug in the dipeptidyl peptidase-4 inhibitors or glucagon-like peptide-1 mimetics classes within 90 days prior to Screening other than metformin
- Prior treatment with alogliptin.
- Weight-loss drugs
- Oral or systemically injected glucocorticoids
- A hypersensitivity allergy or anaphylactic reaction to any dipeptidyl peptidase-4 drug, metformin or glipizide.
- Has a documented history or concurrent signs of significant thyroid disease (eg, autoimmune thyroid diseases such as Graves disease and Hashimoto thyroiditis or active thyroid nodules).
Trial locations and contacts
261 sites in 32 countries.
261 sites in 32 countries
United States94 sites
Study site
Addison, Illinois
Study site
Albuquerque, New Mexico
Study site
Anaheim, California
Study site
Anderson, South Carolina
Study site
Ann Arbor, Michigan
Study site
Arlington, Texas
Study site
Artesia, California
Study site
Arvada, Colorado
Study site
Augusta, Georgia
Study site
Bangor, Maine
Study site
Beachwood, Ohio
Study site
Bloomington, Indiana
Study site
Brooksville, Florida
Study site
Carrollton, Texas
Study site
Charleston, South Carolina
Study site
Chicago, Illinois
Study site
Chico, California
Study site
Cincinnati, Ohio
Study site
City of Saint Peters, Missouri
Study site
Colorado Springs, Colorado
Study site
Dallas, Texas
Study site
Dayton, Ohio
Study site
Elkridge, Maryland
Study site
Evansville, Indiana
Study site
Fargo, North Dakota
Study site
Flint, Michigan
Study site
Fort Worth, Texas
Study site
Greer, South Carolina
Study site
Hampton, Virginia
Study site
Havertown, Pennsylvania
Study site
Houston, Texas
Study site
Hurst, Texas
Study site
Indianapolis, Indiana
Study site
Katy, Texas
Study site
Las Vegas, Nevada
Study site
Lewisburg, West Virginia
Study site
Lexington, Kentucky
Study site
Los Alamitos, California
Study site
Marrero, Louisiana
Study site
Medford, Oregon
Study site
Mesa, Arizona
Study site
Midvale, Utah
Study site
Milwaukee, Wisconsin
Study site
Mishawaka, Indiana
Study site
Mission Viejo, California
Study site
Montgomery, Alabama
Study site
Munfordville, Kentucky
Study site
Muscle Shoals, Alabama
Study site
National City, California
Study site
New Port Richey, Florida
Study site
New Tazewell, Tennessee
Study site
New Windsor, New York
Study site
New York, New York
Study site
Norman, Oklahoma
Study site
Norristown, Pennsylvania
Study site
North Dartmouth, Massachusetts
Study site
North Miami Beach, Florida
Study site
Northridge, California
Study site
Ocala, Florida
Study site
Oklahoma City, Oklahoma
Study site
Omaha, Nebraska
Study site
Opa-locka, Florida
Study site
Orlando, Florida
Study site
Oxon Hill, Maryland
Study site
Pell City, Alabama
Study site
Peoria, Arizona
Study site
Philadelphia, Pennsylvania
Study site
Phoenix, Arizona
Study site
Picayune, Mississippi
Study site
Pismo Beach, California
Study site
Pittsburgh, Pennsylvania
Study site
Rapid City, South Dakota
Study site
Ridgefield, Connecticut
Study site
Riverside, California
Study site
Rochester, New York
Study site
Roseville, California
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Sacramento, California
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San Antonio, Texas
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San Diego, California
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Santa Monica, California
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Savannah, Georgia
Study site
Sierra Vista, Arizona
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South Bend, Indiana
Study site
Spring, Texas
Study site
Springfield, Missouri
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St Louis, Missouri
Study site
Tempe, Arizona
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Temple, Texas
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Tipton, Pennsylvania
Study site
Tucson, Arizona
Study site
Tustin, California
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Waterbury, Connecticut
Study site
Willoughby Hills, Ohio
Study site
Zanesville, Ohio
Israel14 sites
Study site
Ashkelon, Southern District
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Beersheba, Southern District
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Hadera, Haifa District
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Haifa, Haifa District
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Holon, Tel Aviv
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Jerusalem, Jerusalem
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Kfar Saba, Center District
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Kfar Saba, Central District
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Matan, Central District
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Nahariya, Northern District
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Petah Tikva, Central District
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Safed, Northern District
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Safed
Study site
Tel Aviv, Tel Aviv
Canada12 sites
Study site
Brampton, Ontario
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Collingwood, Ontario
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Corunna, Ontario
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Etobichoke, Ontario
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Etobicoke, Ontario
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Granby, Quebec
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Mississauga, Ontario
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Montreal, Quebec
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Smith Falls, Ontario
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Smiths Falls, Ontario
Study site
St. John's, Newfoundland and Labrador
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Toronto, Ontario
Ukraine10 sites
Study site
Dnepropertovsk
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Dnipropetrovsk
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Donetsk
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Kharkiv
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Kyiv
Study site
Lviv
Study site
Vinnytsa
Study site
Vinnytsia
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Zaporizhye
Study site
Zaporizhzhya
Hungary9 sites
Study site
Budapest, Budapest
Study site
Gyula, Bekes County
Study site
Kalocsa, Bács-Kiskun county
Study site
Makó, Csongrád megye
Study site
Miskolc, Borsod-Abauj Zemplen county
Study site
Nyíregyháza, Szabolcs-Szatmár-Bereg
Study site
Pécs, Baranya
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Szentes, Csongrád megye
Study site
Zalaegerszeg, Zala County
India8 sites
Study site
Bangalore, Karnataka
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Belagavi, Karnataka
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Bhopal, Madhya Pradesh
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Hyderabad, Andhra Pradesh
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Karnāl, Haryana
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Mumbai, Maharashtra
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Patna, Bihar
Study site
Trichy, Tamil Nadu
Latvia8 sites
Study site
Daugavpils
Study site
Liepāja
Study site
Limbaži
Study site
Ogre
Study site
Riga
Study site
Talsi
Study site
Tukums
Study site
Valmiera
New Zealand8 sites
Study site
Auckland
Study site
Christchurch
Study site
Hamilton
Study site
Otahuhu
Study site
Palmerston North
Study site
Takapuna
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Tauranga
Study site
Wellington
Germany7 sites
Study site
Kelkheim, Hesse
Study site
Mainz, Rhineland-Palatinate
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Münster, North Rhine-Westphalia
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Neuwied, Rhineland-Palatinate
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Offenbach, Hesse
Study site
Potsdam, Brandenburg
Study site
Rhaunen, Rhineland-Palatinate
Lithuania7 sites
Study site
Alytus
Study site
Kaunas
Study site
Kėdainiai
Study site
Klaipėda
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Palanga
Study site
Panevezys
Study site
Vilnius
Malaysia7 sites
Study site
Ipoh
Study site
Kajang
Study site
Kota Bharu
Study site
Kuala Terengganu
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Kuantan
Study site
Malacca
Study site
Taiping
Poland7 sites
Study site
Bytom
Study site
Gniewkowo
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Krakow
Study site
Radom
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Rzeszów
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Tychy
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Warsaw
Russia7 sites
Study site
Arkhangelsk
Study site
Irkutsk
Study site
Moscow
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Saint Petersburg
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Samara
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Smolensk
Study site
Yaroslavl
United Kingdom7 sites
Study site
Aintree-Liverpool
Study site
Bath
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Bournemouth
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Dundee
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London
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Stevenage
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Swansea
Mexico6 sites
Study site
Guadalajara, Jalisco
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Huixquilucan Edo. de Mexico
Study site
Mexico City, Mexico City
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Mexico City
Study site
Monterrey, Nuevo León
Study site
Tlalnepantla, Edo de Mexico
Romania6 sites
Study site
Bacau
Study site
Bucharest
Study site
Galati
Study site
Oradea
Study site
Sibiu
Study site
Târgu Mureş
South Africa6 sites
Study site
Cape Town, Western Cape
Study site
Durban, KwaZulu-Natal
Study site
Johannesburg, Gauteng
Study site
Port Elizabeth, Eastern Cape
Study site
Pretoria, Gauteng
Study site
Tongaat, KwaZulu-Natal
Brazil5 sites
Study site
Brasília - DF, Planalto Central
Study site
Fortaleza
Study site
Mogi das Cruzes, São Paulo
Study site
Recife, Pernambuco
Study site
São Paulo, São Paulo
Australia4 sites
Study site
Garran, Australian Capital Territory
Study site
Herston, Queensland
Study site
Nedlands, Western Australia
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Wollongong, New South Wales
Thailand4 sites
Study site
Amphure Muang
Study site
Bangkok
Study site
Chiang Mai
Study site
Khon Kaen
Hong Kong3 sites
Study site
Kowloon, Kowloon
Study site
Pok Fu Lam, Southern District
Study site
Wong Tai Sin, Kowloon
Italy3 sites
Study site
Milan, Milan
Study site
Perugia, Perugia
Study site
Pistoia, Pistoia
Peru3 sites
Study site
Chiclayo, Lambayeque
Study site
Ica
Study site
Lima, San Juan de Miraflores
South Korea3 sites
Study site
Daegu, Yeongnam
Study site
Daejeon, Hoseo
Study site
Gwangju, Honam
Spain3 sites
Study site
Alicante
Study site
Barcelona, Catalonia
Study site
Santiago de Compostela, Galicia
Chile2 sites
Study site
Providencia, Santiago Metropolitan
Study site
Santiago, Santiago Metropolitan
About this study
Official title: A Multicenter, Randomized, Double-Blind, Active-Controlled Study to Evaluate the Durability of the Efficacy and Safety of Alogliptin Compared to Glipizide When Used in Combination With Metformin in Subjects With Type 2 Diabetes
The purpose of this study is to determine the safety and effectiveness of adding alogliptin, once daily (QD), compared to glipizide with metformin in diabetic patients.
Read the detailed description
For patients diagnosed with type 2 diabetes mellitus, metformin is the usual first-line therapy in addition to diet control and exercise. For those patients with inadequate glycemic control with metformin monotherapy or experiencing serious side effects of metformin, sulfonylurea is a popular choice as a second-line oral antidiabetic treatment.
Alogliptin is a dipeptidyl peptidase-4 inhibitor currently being developed by Takeda for use in patients with type 2 diabetes mellitus.
This study is designed to further explore the durability of efficacy and safety of alogliptin compared to glipizide in type 2 diabetes mellitus patients whose blood sugar level is inadequately controlled with metformin therapy.
The duration of this study will be approximately 2 years.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Alogliptin, Metformin, Glipizide
- Keywords
- Diabetes Mellitus, Drug Therapy, Hyperinsulinism, Hyperglycemia, Glucose Intolerance
- Medical subject headings
- Diabetes Mellitus, Type 2, Diabetes Mellitus, Hyperinsulinism, Hyperglycemia, Glucose Intolerance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AlogliptinDrug
Also called SYR-322, Nesina
Alogliptin tablets
MetforminDrug
Also called Glucophage
Metformin tablets
GlipizideDrug
Also called Glucotrol
Glipizide tablets
| Study group | Role | What they receive |
|---|---|---|
| Metformin + Alogliptin 12.5 mg | Experimental | Alogliptin 12.5 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. Receives: Drug: Alogliptin; Drug: Metformin |
| Metformin + Alogliptin 25 mg | Experimental | Alogliptin 25 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. Receives: Drug: Alogliptin; Drug: Metformin |
| Metformin + Glipizide | Active comparator | Glipizide 5 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. After at least 2 weeks of treatment but prior to Week 20, participants with persistent hyperglycemia (fasting plasma glucose ≥250 mg/dL) underwent a dose titration of glipizide up to 20 mg in 5-mg increments in 4-week intervals. Receives: Drug: Metformin; Drug: Glipizide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 52
The change from Baseline to Week 52 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The least squares (LS) means are from an analysis of covariance (ANCOVA) model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.
Measured: Baseline and Week 52
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 104
The change from Baseline to Week 104 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The least squares (LS) means are from an analysis of covariance (ANCOVA) model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.
Measured: Baseline and Week 104
Secondary outcomes (5)
Change From Baseline in Glycosylated Hemoglobin at Other Time Points
The change from Baseline over time in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). LS means are from an ANCOVA model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.
Measured: Baseline and Weeks 4, 8, 12, 16, 20, 26, 39, 65, 78, and 91.
Change From Baseline in Fasting Plasma Glucose Over Time
The change from Baseline in fasting plasma glucose (FPG) was assessed at Weeks 2, 4, 8, 12, 16, 20, 26, 39, 52, 65, 78, 91, and 104. LS means are from an ANCOVA model with treatment, study schedule, and geographic region as class variables, and Baseline FPG and Baseline metformin dose as covariates.
Measured: Baseline and Weeks 2, 4, 8, 12, 16, 20, 26, 39, 52, 65, 78, 91, and 104.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 6.5%
The percentage of participants with HbA1c less than or equal to 6.5% at Weeks 26, 52, 78, and 104. Participants who did not complete the scheduled Week 104 visit were assessed based on their response at the time of discontinuation.
Measured: Weeks 26, 52, 78, and 104.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 7.0%
Percentage of participants with HbA1c ≤ 7.0% at Weeks 26, 52, 78, and 104. Participants who did not complete the scheduled Week 104 visit were assessed based on their response at the time of discontinuation.
Measured: Weeks 26, 52, 78, and 104.
Change From Baseline in Body Weight Over Time
LS Means are from an ANCOVA model with treatment, study schedule and geographic region as class variables, and Baseline weight and Baseline metformin dose as covariates.
Measured: Baseline and Weeks 12, 26, 39, 52, 65, 78, 91, and 104.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Mar 2009 (estimated)
- Study startMar 2009
- Primary completionOct 2012
- Study completionOct 2012
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 (1)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by TakedaThe 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
- Who is masked
- Participant, Investigator
- Enrolment
- 2,639 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00856284
- Sponsor's protocol ID
- SYR-322_305
- Other IDs
- 2008-007444-34, U1111-1111-7397, HKCTR-862, DOH-27-0709-2825, 09/H0703/66, NMRR-09-203-3590, 2008
- Acronym
- ENDURE
- Status last verified
- Sep 2013
- First submitted
- 4 Mar 2009
- Last updated
- 3 Dec 2013
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Gordon J, McEwan P, Hurst M, Puelles J. The Cost-Effectiveness of Alogliptin Versus Sulfonylurea as Add-on Therapy to Metformin in Patients with Uncontrolled Type 2 Diabetes Mellitus. Diabetes Ther. 2016 Dec;7(4):825-845. doi: 10.1007/s13300-016-0206-7. Epub 2016 Oct 27.
PubMed 27787778
Study at a glance
From the registry record, last updated by the sponsor on 3 Dec 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Active-Controlled Study to Evaluate the Durability of the Efficacy and Safety of Alogliptin Compared to Glipizide When Used in Combination With Metformin in Subjects With Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT00856284
- Acronym / sponsor ID
- ENDURE / SYR-322_305
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Diabetes Mellitus, Drug Therapy, Hyperinsulinism, Hyperglycemia, Glucose Intolerance
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,639 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Mar 2009
- Primary completion
- Oct 2012 (actual)
- Study completion
- Oct 2012 (actual)
- First posted
- 5 Mar 2009 (estimated)
- Results
- Posted 3 Dec 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the safety and effectiveness of adding alogliptin, once daily (QD), compared to glipizide with metformin in diabetic patients.
Detailed description
For patients diagnosed with type 2 diabetes mellitus, metformin is the usual first-line therapy in addition to diet control and exercise. For those patients with inadequate glycemic control with metformin monotherapy or experiencing serious side effects of metformin, sulfonylurea is a popular choice as a second-line oral antidiabetic treatment.
Alogliptin is a dipeptidyl peptidase-4 inhibitor currently being developed by Takeda for use in patients with type 2 diabetes mellitus.
This study is designed to further explore the durability of efficacy and safety of alogliptin compared to glipizide in type 2 diabetes mellitus patients whose blood sugar level is inadequately controlled with metformin therapy.
The duration of this study will be approximately 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Metformin + Alogliptin 12.5 mg | Experimental | Drug: Alogliptin, Drug: MetforminAlogliptin 12.5 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. |
| Metformin + Alogliptin 25 mg | Experimental | Drug: Alogliptin, Drug: MetforminAlogliptin 25 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. |
| Metformin + Glipizide | Active comparator | Drug: Metformin, Drug: GlipizideGlipizide 5 mg, tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks. After at least 2 weeks of treatment but prior to Week 20, participants with persistent hyperglycemia (fasting plasma glucose ≥250 mg/dL) underwent a dose titration of glipizide up to 20 mg in 5-mg increments in 4-week intervals. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Has a diagnosis of type 2 diabetes mellitus.
- Must meet one of the following:
- No treatment with antidiabetic agents other than metformin within 2 months prior to Screening (for Schedule A)/Pre-Screening (for Schedule B).
- Has body mass index within 23 kg/m^2 and 45 kg/m^2 unless the patient is Asian or of Asian descent, for whom the allowable body mass index will be ≥ 20 kg/m^2 and ≤ 35 kg/m^2, inclusive.
- Has fasting C-peptide concentration at least 0.8 ng.
Key exclusion criteria (21 listed)
- Systolic blood pressure greater than or equal to 150 mmHg and/or diastolic pressure greater than or equal to 90.
- Hemoglobin less than or equal to 12 g/dL for males and less than or equal to 10 g/dL for females at Screening Visit.
- Alanine aminotransferase greater than or equal to 2.5 times the upper limit of normal at Screening Visit.
- Serum creatinine greater than or equal to 1.5 mg/dL for males and 1.4 for females, or calculated creatinine clearance less than 60 L/min.
- Males intending to impregnate others or donate sperm before, during or within 1 month after participating in the study.
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 |
|---|---|---|
| AlogliptinAlso: SYR-322, NesinaAlogliptin tablets | Drug | Metformin + Alogliptin 12.5 mg, Metformin + Alogliptin 25 mg |
| MetforminAlso: GlucophageMetformin tablets | Drug | Metformin + Alogliptin 12.5 mg, Metformin + Alogliptin 25 mg, Metformin + Glipizide |
| GlipizideAlso: GlucotrolGlipizide tablets | Drug | Metformin + Glipizide |
Primary outcome
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 52
Time frame: Baseline and Week 52
The change from Baseline to Week 52 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The least squares (LS) means are from an analysis of covariance (ANCOVA) model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 104
Time frame: Baseline and Week 104
The change from Baseline to Week 104 in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound). The least squares (LS) means are from an analysis of covariance (ANCOVA) model with treatment, study schedule, and geographic region as class variables, and Baseline metformin dose and Baseline HbA1c as covariates.
5 secondary outcomes
Change From Baseline in Glycosylated Hemoglobin at Other Time Points
Time frame: Baseline and Weeks 4, 8, 12, 16, 20, 26, 39, 65, 78, and 91.
Change From Baseline in Fasting Plasma Glucose Over Time
Time frame: Baseline and Weeks 2, 4, 8, 12, 16, 20, 26, 39, 52, 65, 78, 91, and 104.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 6.5%
Time frame: Weeks 26, 52, 78, and 104.
Percentage of Participants With Glycosylated Hemoglobin Less Than or Equal to 7.0%
Time frame: Weeks 26, 52, 78, and 104.
Change From Baseline in Body Weight Over Time
Time frame: Baseline and Weeks 12, 26, 39, 52, 65, 78, 91, and 104.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Dec 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27787778Gordon J, McEwan P, Hurst M, Puelles J. The Cost-Effectiveness of Alogliptin Versus Sulfonylurea as Add-on Therapy to Metformin in Patients with Uncontrolled Type 2 Diabetes Mellitus. Diabetes Ther. 2016 Dec;7(4):825-845. doi: 10.1007/s13300-016-0206-7. Epub 2016 Oct 27.
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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.
Medical Director, Clinical Science study director
Takeda
261 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Alogliptin, Metformin and Glipizide in people with Type 2 Diabetes Mellitus, run by Takeda at 261 sites in 32 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 10 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 3 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 261 sites in United States, Israel, Canada, Ukraine, Hungary and 27 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 3 Dec 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 (HbA1c) at Week 52 (time frame: Baseline and Week 52). 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 NCT00856284, which also lists 1 linked publication.
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 3 Dec 2013.