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Diabetes Mellitus, Type 2Phase 2NCT00885118

4 Weeks Treatment With Empagliflozin (BI 10773) in Japanese Type 2 Diabetic Patients (T2DM)

A Phase 2 study testing BI 10773 in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 5 sites in Japan.

Completed

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

Official record
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Trial summary

The objective of this trial is to evaluate the pharmacodynamics, pharmacokinetics, safety, and tolerability of once daily oral administration of BI 10773 administered for 28 days in Japanese patients with T2DM. Read more about this study

Who is it for?
Ages 20 to 70 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
BI 10773
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
5 sitesJapan
Study dates
Apr 2009to Oct 2009
Phase
Phase 2
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 20 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Japanese male or female patients with T2DM treated with diet and exercise alone or with one hypoglycaemic drug other than glitazones.
  • Hemoglobin A1c (HbA1c) at screening (Visit 1)
  • For patients treated with 1 other oral antidiabetic drug: HbA1c between 6.5% and 9.0%.
  • For patients not treated with any antidiabetic drug: HbA1c between 7.0% and 10.0%.
  • Age between 20 and 70 years
  • Body mass index (BMI) between18.0 and 40.0 kg/m2
  • Signed and dated written informed consent before admission to the trial in accordance with the Good Clinical Practice (GCP) and the local legislation.

Who cannot join

  • Antidiabetic treatment with insulin or glitazones within 3 months before obtaining informed consent or with more than 1 oral hypoglycaemic agent at the time of informed consent
  • Fasted blood glucose of >240 mg/dL (>13.3 mmol/L) or a randomly determined blood glucose level of >400 mg/dL (22.2 mmol/L) on 2 consecutive days during wash-out period.
  • Myocardial infarction, stroke, or transient ischaemic attack within 6 months before informed consent.
  • Clinically relevant concomitant diseases other than T2DM, hyperlipidaemia, and medically treated hypertension before the first administration such as
  • Renal insufficiency (calculated estimated glomerular filtration rate <60)
  • Cardiac insufficiency of New York Heart Association (NYHA) II-IV or other known cardiovascular diseases including hypertension of >160/95 mmHg,
Show all 15Show fewer
  • Neurological disorders (such as epilepsy) or psychiatric disorders
  • Acute or clinically relevant chronic infections (e.g., human immunodeficiency virus, hepatitis, repeated urogenital infections)
  • Any gastrointestinal, hepatic, respiratory, endocrine, or immunological disorder
  • Patients under treatment with any concomitant medication except for the following drugs at the time of informed consent.:
  • Statins.
  • Antihypertensives (diuretics not allowed)
  • alpha-Blockers for benign prostate hypertrophy
  • Occasional use of acetylsalicylic acid, ibuprofen, or paracetamol
  • Additional inclusion/exclusion criteria apply

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Japan5 sites
  • 1245.15.003 Boehringer Ingelheim Investigational Site

    Hachioji, Tokyo

  • 1245.15.002 Boehringer Ingelheim Investigational Site

    Koganei, Tokyo

  • 1245.15.001 Boehringer Ingelheim Investigational Site

    Nakano-ku, Tokyo

  • 1245.15.005 Boehringer Ingelheim Investigational Site

    Suita, Osaka

  • 1245.15.004 Boehringer Ingelheim Investigational Site

    Yokohama, Kanagawa

Other trials in Japan

About this study

Official title: A Phase II, Randomised, Double-blind, Placebo-controlled, Multiple Dose Study to Evaluate Pharmacodynamics, Pharmacokinetics, Safety, and Tolerability of Once Daily Oral Administration of BI 10773 (1 mg, 5 mg, 10 mg, and 25 mg) for 28 Days in Japanese Patients With Type 2 Diabetes Mellitus

The objective of this trial is to evaluate the pharmacodynamics, pharmacokinetics, safety, and tolerability of once daily oral administration of BI 10773 administered for 28 days in Japanese patients with T2DM.

Being tested
Placebo (middle dose), Placebo, BI 10773, Placebo (high dose), Placebo (low dose)
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.

  • Placebo (middle dose)Drug

    Placebo tablets once a day

  • PlaceboDrug

    Placebo tablets once a day

  • BI 10773Drug

    BI 10773 middle dose tablets once a day

  • BI 10773Drug

    BI 10773 high dose tablets once a day

  • BI 10773Drug

    BI 10773 middle dose tablets once a day

  • Placebo (high dose)Drug

    Placebo tablets once a day

  • BI 10773Drug

    BI 10773 low dose tablets once a day

  • Placebo (low dose)Drug

    Placebo tablets once a day

Study groups in NCT00885118
Study groupRoleWhat they receive
BI 10773 low dose quaque die (QD)Experimentalpatient to receive a BI 10773 low dose tablet and a placebo tablet once daily
Receives: Drug: BI 10773; Drug: Placebo (low dose)
BI 10773 mid-low dose QDExperimentalpatient to receive a BI 10773 middle dose tablet and a placebo tablet once daily
Receives: Drug: Placebo (middle dose); Drug: BI 10773
BI 10773 mid-high dose QDExperimentalpatient to receive two tablets of BI 10773 middle dose once daily
Receives: Drug: BI 10773
BI 10773 high dose QDExperimentalpatient to receive a BI 10773 high dose tablet and a placebo tablet once daily
Receives: Drug: BI 10773; Drug: Placebo (high dose)
PlaceboPlacebo comparatorpatient to receive two tablets of placebo once daily
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Urine Glucose Excretion

    Change from baseline in Urine glucose excretion to 28 days

    Measured: baseline and 28 days

  2. Change From Baseline in Fasting Plasma Glucose

    Change from baseline in Fasting plasma glucose to 28 days

    Measured: baseline and 28 days

  3. Change From Baseline in 8-point Glucose

    Change from baseline in 8-point glucose to 27 days

    Measured: baseline and 27 days

Secondary outcomes (27)
  1. Change From Baseline in HbA1c

    Change from baseline in HbA1c to 28 days

    Measured: baseline and 28 days

  2. Change From Baseline in Fructosamine

    Change from baseline in Fructosamine to 28 days

    Measured: baseline and 28 days

  3. Change From Baseline in 1,5-anhydroglucitol

    Change from baseline in 1,5-anhydroglucitol to 28 days

    Measured: baseline and 28 days

  4. Change From Baseline in Fasting Insulin

    Change from baseline in Fasting insulin to 28 days

    Measured: baseline and 28 days

  5. Change From Baseline in the Area Under the Curve of Plasma Glucose Levels Until 4 Hours After Intake of a Standardised Food (Meal Tolerance Test)

    Change from baseline in the area under the curve of plasma glucose levels until 4 hours after intake of a standardised food (meal tolerance test) to 28 days

    Measured: baseline and 28 days

  6. Change From Baseline in the Area Under the Curve of Glucagon Levels Until 4 Hours After Intake of a Standardised Food (Meal Tolerance Test)

    Change from baseline in the area under the curve of glucagon levels until 4 hours after intake of a standardised food (meal tolerance test) to 28 days

    Measured: baseline and 28 days

  7. Change From Baseline in the Area Under the Curve of Insulin Levels Until 4 Hours After Intake of a Standardised Food (Meal Tolerance Test)

    Change from baseline in the area under the curve of insulin levels until 4 hours after intake of a standardised food (meal tolerance test) to 28 days

    Measured: baseline and 28 days

  8. AUCτ,1

    Area under the concentration-time curve of the analyte in plasma after administration of the first dose over a uniform dosing interval τ

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  9. AUC0-tz

    area under the concentration-time curve of the analyte in plasma over the time interval from 0 to last quantifiable plasma concentration

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  10. AUC0-∞

    area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  11. Cmax

    maximum measured concentration of the analyte in plasma

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  12. t1/2

    terminal half-life of the analyte in plasma

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  13. CL/F

    apparent clearance of the analyte in plasma after extravascular administration

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  14. Vz/F

    apparent volume of distribution during the terminal phase λz following an extravascular dose

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration

  15. Ae0-24

    amount of the analyte that is eliminated in urine over the time interval 0 to 24

    Measured: 0-5, 5-12, 12-24 hour after first drug administration

  16. fe0-24

    fraction of the analyte excreted unchanged in urine from time interval 0 to 24

    Measured: 0-5, 5-12, 12-24 hour after first drug administration

  17. CLR,0-24

    renal clearance of the analyte in plasma after extravascular administration - based on 0-24 hours data

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min, 0-5h, 5-12h, 12-24h after first drug administration

  18. AUCτ,ss

    area under the concentration-time curve of the analyte in plasma over a uniform dosing interval τ at steady state

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h after last drug administration

  19. Cmax,ss

    maximum measured concentration of the analyte in plasma at steady state

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h, 36h 48h, 72h after last drug administration

  20. t1/2,ss

    terminal half-life of the analyte in plasma at steady state

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h, 36h 48h, 72h after last drug administration

  21. CL/F,ss

    apparent clearance of the analyte in plasma after extravascular administration at steady state

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h, 36h 48h, 72h after last drug administration

  22. Vz/F,ss

    apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h, 36h 48h, 72h after last drug administration

  23. RA,Cmax

    accumulation ratios of the analyte in plasma after 28 doses (once daily) over a uniform dosing interval τ, based on Cmax

    Measured: Predose, 15min, 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration, and predose, 15min, 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h after last drug administration

  24. RA,AUC

    accumulation ratios of the analyte in plasma after 28 doses (once daily) over a uniform dosing interval τ, based on AUCτ

    Measured: Predose, 15min, 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 23h55min after first drug administration, and predose, 15min, 30min, 45min, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h after last drug administration

  25. Ae0-24,ss

    amount of the analyte that is eliminated in urine at steady state over the time interval 0 to 24

    Measured: 0-5, 5-12, 12-24 hour after last drug administration

  26. fe0-24,ss

    fraction of the analyte excreted unchanged in urine at steady state from time interval 0 to 24

    Measured: 0-5, 5-12, 12-24 hour after last drug administration

  27. CLR,ss

    renal clearance of the analyte at steady state determined over the dosing interval τ

    Measured: Predose and 15 minutes (min), 30min, 45min, 1 hour (h), 1.5h, 2h, 2.5h, 3h, 4h, 6h, 8h, 10h, 12h, 16h, 24h, 0-5h, 5-12h, 12-24h after last drug administration

Timeline

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

  1. First posted21 Apr 2009 (estimated)
  2. Study startApr 2009
  3. Primary completionOct 2009

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00885118
Sponsor's protocol ID
1245.15
Status last verified
Nov 2014
First submitted
20 Apr 2009
Last updated
25 Nov 2014

Publications

  • Tuttle KR, Levin A, Nangaku M, Kadowaki T, Agarwal R, Hauske SJ, Elsasser A, Ritter I, Steubl D, Wanner C, Wheeler DC. Safety of Empagliflozin in Patients With Type 2 Diabetes and Chronic Kidney Disease: Pooled Analysis of Placebo-Controlled Clinical Trials. Diabetes Care. 2022 Jun 2;45(6):1445-1452. doi: 10.2337/dc21-2034.

    PubMed 35472672
  • Yasui A, Lee G, Hirase T, Kaneko T, Kaspers S, von Eynatten M, Okamura T. Empagliflozin Induces Transient Diuresis Without Changing Long-Term Overall Fluid Balance in Japanese Patients With Type 2 Diabetes. Diabetes Ther. 2018 Apr;9(2):863-871. doi: 10.1007/s13300-018-0385-5. Epub 2018 Feb 27.

    PubMed 29488164
  • Kanada S, Koiwai K, Taniguchi A, Sarashina A, Seman L, Woerle HJ. Pharmacokinetics, pharmacodynamics, safety and tolerability of 4 weeks' treatment with empagliflozin in Japanese patients with type 2 diabetes mellitus. J Diabetes Investig. 2013 Nov 27;4(6):613-7. doi: 10.1111/jdi.12110. Epub 2013 Jun 25.

    PubMed 24843716
  • Riggs MM, Staab A, Seman L, MacGregor TR, Bergsma TT, Gastonguay MR, Macha S. Population pharmacokinetics of empagliflozin, a sodium glucose cotransporter 2 inhibitor, in patients with type 2 diabetes. J Clin Pharmacol. 2013 Oct;53(10):1028-38. doi: 10.1002/jcph.147. Epub 2013 Aug 13.

    PubMed 23940010

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 10773 in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 5 sites in Japan.

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 7 inclusion and 15 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 25 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Japan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 16 Jun 2014). 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 Urine Glucose Excretion (time frame: baseline and 28 days). The study lists 3 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 NCT00885118, which also lists 4 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 25 Nov 2014.

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