Type 2 Diabetes MellitusPhase 3NCT00885378
Efficacy and Safety Study of Saxagliptin + Metformin Immediate Release (IR) Versus Metformin IR Alone in Type 2 Diabetes Mellitus
A Phase 3 study testing Saxagliptin plus metformin IR in people with Type 2 Diabetes Mellitus, run by AstraZeneca at 41 sites in 4 countries.
Trial summary
The purpose of this study is to compare the reduction in hemoglobin A1C (A1C) for participants taking saxagliptin in combination with metformin immediate release (IR) versus metformin IR alone. Read more about this study
- Who is it for?
- Ages 18 to 78 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Saxagliptin plus metformin IR
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 166 participants
- Where
- 41 sitesin 4 countries
- Study dates
- May 2009to Feb 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 78 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 diabetes
- 18-78 years of age
- Taking stable twice daily (BID) dosing of metformin IR (at least 1500 mg) for at least 8 weeks
- A1C: 7-10%
- C-peptide: ≥ 0.8 ng/mL
- Body mass index (BMI): ≤45 kg/m^2
Who cannot join
- Women of childbearing potential unable or unwilling to use acceptable birth control
- Women who are pregnant or breastfeeding
- Fasting plasma glucose (FPG) >270 mg/dL
- Significant cardiovascular history
- Symptoms of poorly controlled diabetes
- History of diabetic ketoacidosis or hyperosmolar nonketotic coma
Show all 14Show fewer
- Insulin therapy within one year of screening
- Cardiovascular even within the prior 6 months
- New York Heart Association Stage III/IV congestive heart failure and/or known left ventricular ejection fraction <=40%
- Significant history of renal or hepatic disease
- History of a psychiatric disorder, alcohol or drug abuse within the previous year
- Treatment with potent CYP3A4 inhibitors or inducers
- Immunocompromised participants
- Active liver disease or clinically significant abnormal hepatic, renal , endocrine, metabolic, or hematological screening tests
Trial locations and contacts
41 sites in 4 countries.
41 sites in 4 countries
United States25 sites
Community Health Care Of Manchester
Akron, Ohio, 44319
Central Florida Clinical Trials, Inc.
Altamonte Springs, Florida, 32701
Midwest Regional Research, Inc.
Bellbrook, Ohio, 45305
Family Care Associates Of Nw Florida
Chipley, Florida, 32428
John Muir Physician Network Clinical Research Center
Concord, California, 94520
Clinical Therapeutics Corporation
Coral Gables, Florida, 33134
Williamette Valley Clinical Studies
Eugene, Oregon, 97404
Integrated Medical Group Pc/Fleetwood Clinical Research
Fleetwood, Pennsylvania, 19522
Southland Clinical Research Center, Inc.
Fountain Valley, California, 92708
Village Family Practice
Houston, Texas, 77024
Wells Institute For Health Awareness
Kettering, Ohio, 45429
Holston Medical Group
Kingsport, Tennessee, 37660
Torrance Clinical Research
Lomita, California, 90717
Nextphase Clinical Trials, Inc.
Miami, Florida, 33145
Newark Physician Associates
Newark, Ohio, 43055
Integris Family Care South
Oklahoma City, Oklahoma, 73170
Southwest Clinical Research Centers, Llc
Pearland, Texas, 77584
Middle Georgia Drug Study Center, Llc
Perry, Georgia, 31069
Jackson Clinic
Rolling Fork, Mississippi, 39159
Jolene K. Berg, Md., Dgd Research, Inc.
San Antonio, Texas, 78229
Ritchken & First M.D.'S
San Diego, California, 92117
Louisiana Heart Center Research
Slidell, Louisiana, 70458
Southeastern Research Associates, Inc
Taylors, South Carolina, 29687
Tidewater Integrated Medical Research
Virginia Beach, Virginia, 23454
Integris Family Care Yukon
Yukon, Oklahoma, 73099
Germany7 sites
Local Institution
Ludwigshafen, 67067
Local Institution
Magdeberg, 39112
Local Institution
Pirna, 01796
Local Institution
Saarbrücken, 66119
Local Institution
Saarlouis, 66740
Local Institution
Tann, 36142
Local Institution
Wüstensachsen, 36115
Hungary5 sites
Local Institution
Balatonfüred, Hungary, 8230
Local Institution
Budapest, 1036
Local Institution
Eger, 3300
Local Institution
Szigetvár, 7900
Local Institution
Zalaegerszeg, 8900
Puerto Rico4 sites
Local Institution
Ponce, 00716
Local Institution
San Juan, 00909
Local Institution
San Juan, 00920
Local Institution
San Juan, 00926
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 3 Trial to Evaluate the Efficacy and Safety of 2.5 mg Saxagliptin, Twice Daily, in Combination With Metformin IR in Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin IR Alone
The purpose of this study is to compare the reduction in hemoglobin A1C (A1C) for participants taking saxagliptin in combination with metformin immediate release (IR) versus metformin IR alone.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Saxagliptin plus metformin IR, Placebo plus metformin IR
- 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.
Saxagliptin plus metformin IRDrug
Also called BMS-477118, Onglyza
Tablets, Oral, 2.5 mg, Twice daily, 12 weeks
Placebo plus metformin IRDrug
Tablets, Oral, Placebo, Twice daily, 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| Saxagliptin plus metformin IR | Active comparator | Not described Receives: Drug: Saxagliptin plus metformin IR |
| Placebo plus metformin IR | Placebo comparator | Not described Receives: Drug: Placebo plus metformin IR |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Hemoglobin A1C (A1c) and Change From Baseline to Week 12
Mean change was adjusted for baseline.
Measured: Baseline, Week 12
Secondary outcomes (3)
Mean Baseline and Change From Baseline in Fasting Plasma Glucose (FPG)
Mean change was adjusted for baseline.
Measured: Baseline, Week 12
Percentage of Participants Achieving a Therapeutic Glycemic Response (A1C < 7.0%) at Week 12
Adjusted for baseline. Calculated using the method by Zhang et al. (Zhang M, Tsiatis A, Davidian M. Improving efficiency of inference in randomized clinical trials using auxiliary covariates. Biometrics. Published online on January 11, 2008; Digital Object Identifier: 10.1111/j.1541-0420.2007.00976.x.)
Measured: Week 12
Percentage of Participants Achieving a Therapeutic Glycemic Response (A1C <= 6.5%) at Week 12
Adjusted for baseline. Calculated using the method by Zhang et al. (Zhang M, Tsiatis A, Davidian M. Improving efficiency of inference in randomized clinical trials using auxiliary covariates. Biometrics. Published online on January 11, 2008; Digital Object Identifier: 10.1111/j.1541-0420.2007.00976.x.)
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Apr 2009 (estimated)
- Study startMay 2009
- Primary completionFeb 2010
- Study completionFeb 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 (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 AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 166 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00885378
- Sponsor's protocol ID
- CV181-080
- Other IDs
- EUDRACT #: 2009-010224-25
- Status last verified
- May 2015
- First submitted
- 21 Apr 2009
- Last updated
- 1 Jun 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
White JL, Buchanan P, Li J, Frederich R. A randomized controlled trial of the efficacy and safety of twice-daily saxagliptin plus metformin combination therapy in patients with type 2 diabetes and inadequate glycemic control on metformin monotherapy. BMC Endocr Disord. 2014 Feb 24;14:17. doi: 10.1186/1472-6823-14-17.
PubMed 24565221
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 3 Trial to Evaluate the Efficacy and Safety of 2.5 mg Saxagliptin, Twice Daily, in Combination With Metformin IR in Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin IR Alone
- ClinicalTrials.gov ID
- NCT00885378
- Acronym / sponsor ID
- CV181-080
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 166 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- May 2009
- Primary completion
- Feb 2010 (actual)
- Study completion
- Feb 2010 (actual)
- First posted
- 22 Apr 2009 (estimated)
- Results
- Posted 16 Dec 2011
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 compare the reduction in hemoglobin A1C (A1C) for participants taking saxagliptin in combination with metformin immediate release (IR) versus metformin IR alone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Saxagliptin plus metformin IR | Active comparator | Drug: Saxagliptin plus metformin IR |
| Placebo plus metformin IR | Placebo comparator | Drug: Placebo plus metformin IR |
Who may qualify
- Ages
- 18 to 78 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Type 2 diabetes
- 18-78 years of age
- Taking stable twice daily (BID) dosing of metformin IR (at least 1500 mg) for at least 8 weeks
- A1C: 7-10%
- C-peptide: ≥ 0.8 ng/mL
Key exclusion criteria (14 listed)
- Women of childbearing potential unable or unwilling to use acceptable birth control
- Women who are pregnant or breastfeeding
- Fasting plasma glucose (FPG) >270 mg/dL
- Significant cardiovascular history
- Symptoms of poorly controlled diabetes
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 |
|---|---|---|
| Saxagliptin plus metformin IRAlso: BMS-477118, OnglyzaTablets, Oral, 2.5 mg, Twice daily, 12 weeks | Drug | Saxagliptin plus metformin IR |
| Placebo plus metformin IRTablets, Oral, Placebo, Twice daily, 12 weeks | Drug | Placebo plus metformin IR |
Primary outcome
Mean Hemoglobin A1C (A1c) and Change From Baseline to Week 12
Time frame: Baseline, Week 12
Mean change was adjusted for baseline.
3 secondary outcomes
Mean Baseline and Change From Baseline in Fasting Plasma Glucose (FPG)
Time frame: Baseline, Week 12
Percentage of Participants Achieving a Therapeutic Glycemic Response (A1C < 7.0%) at Week 12
Time frame: Week 12
Percentage of Participants Achieving a Therapeutic Glycemic Response (A1C <= 6.5%) at Week 12
Time frame: Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24565221White JL, Buchanan P, Li J, Frederich R. A randomized controlled trial of the efficacy and safety of twice-daily saxagliptin plus metformin combination therapy in patients with type 2 diabetes and inadequate glycemic control on metformin monotherapy. BMC Endocr Disord. 2014 Feb 24;14:17. doi: 10.1186/1472-6823-14-17.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
41 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Saxagliptin plus metformin IR in people with Type 2 Diabetes Mellitus, run by AstraZeneca at 41 sites in 4 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 6 inclusion and 14 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 1 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 41 sites in United States, Germany, Hungary, Puerto Rico. 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 16 Dec 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?
Mean Hemoglobin A1C (A1c) and Change From Baseline to Week 12 (time frame: Baseline, Week 12). 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 NCT00885378, 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 1 Jun 2015.