Diabetes Mellitus, Type 2Phase 3NCT01243424
CAROLINA: Cardiovascular Outcome Study of Linagliptin Versus Glimepiride in Patients With Type 2 Diabetes
A Phase 3 study testing linagliptin and glimepiride in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 613 sites in 43 countries.
Trial summary
The aim of the study is to investigate the longterm impact on cardiovascular morbidity and mortality, relevant efficacy parameters (e.g., glycaemic parameters) and safety (e.g., weight and hypoglycaemia) of treatment with linagliptin in patients with type 2 diabetes at elevated cardiovascular risk receiving usual… Read more about this study
- Who is it for?
- Ages 40 to 85 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- linagliptin and glimepiride
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 6,103 participants
- Where
- 613 sitesin 43 countries
- Study dates
- 11 Nov 2010to 21 Aug 2018
- 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 40 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 diabetes
- Elevated glycosylated haemoglobin (HbA1c): 6.5 - 8.5%, inclusive, if treatment naïve or mono-/dual therapy with metformin and/or an alpha-glucosidase inhibitor; 6.5 - 7.5%, inclusive, if treatment with sulphonylurea/glinide in mono- or dual (with metformin OR an alpha-glucosidase inhibitor) therapy)
- Pre-existing cardiovascular disease OR specified diabetes end-organ damage OR age => 70 years OR two or more specified cardiovascular risk factor
- BMI =< 45kg/m²
- age between >= 40 and =< 85 years
- signed and dated written International Conference of Harmonisation( ICF)
- stable anti-diabetic background for at least 8 wks before study start
Who cannot join
- Type 1 diabetes
- Treatment with other antidiabetic drugs (e.g. rosiglitazone, pioglitazone, Glucagon-like peptide 1 (GLP-1) analogue/agonists, Dipeptidyl-peptidase IV (DPP-IV) inhibitors or any insulin) prior to informed consent (previous short term use of insulin (up to two weeks) is allowed if taken at least 8 weeks prior informed consent)
- treatment with any anti-obesity drug less than 3 months before ICF
- uncontrolled hyperglycemia
- previous or planned bariatric surgery or intervention
- current or planned system corticoid treatment
Show all 20Show fewer
- change in thyroid hormones treatment
- acute liver disease or impaired hepatic function
- pre-planned coronary artery revascularization within 6 months of ICF
- known hypersensitivity to any of the components
- Inappropriateness of glimepiride treatment for renal safety issues according to local prescribing information
- congestive heart failure class III or IV
- acute or chronic metabolic acidosis
- hereditary galactose intolerance
- alcohol or drug abuse
- participation in another trail with IMP given 2 months before Investigational Medicinal/Medical Product (IMP) start
- pre-menopausal women who are nursing or pregnant or of child-bearing potential and not willing to use acceptable method of birth control
- patients considered reliable by the investigator
- acute coronary syndrome =< 6 wks before ICF
- stroke or Transient Ischemic Attack (TIA) =< 3 months prior to ICF
Trial locations and contacts
613 sites in 43 countries.
613 sites in 43 countries
United States177 sites
Community Health Care of Manchester
Akron, Ohio, 44319
Albany Medical Center / Albany Medical College
Albany, New York, 12206
Hartwell Research Group, LLC
Anderson, South Carolina, 29621
KRK Medical Research
Arlington, Texas, 76012
OnSite Clinical Solutions, LLC
Asheville, North Carolina, 28801
Atco Medical Associates, PC
Atco, New Jersey, 08004
North Alabama Research Center, LLC
Athens, Alabama, 35611
PMI Health Research Group
Atlanta, Georgia, 30312
Atlanta Diabetes Associates
Atlanta, Georgia, 30318
Austin Center for Clinical Research
Austin, Texas, 78758
Community Medical Associates, LLC
Austintown, Ohio, 44515
American Health Network
Avon, Indiana, 46123
Office of Dr. Stephen R. Smith, MD
Baltimore, Maryland, 21234
Acadia Clinical Research, LLC
Bangor, Maine, 04401
Desert Oasis Healthcare
Bermuda Dunes, California, 92203
The Center for Clinical Trials, Inc.
Biloxi, Mississippi, 39531
Alabama Internal Medicine, PC
Birmingham, Alabama, 35235
Cahaba Research, Inc.
Birmingham, Alabama, 35242
East Coast Medical Associates
Boca Raton, Florida, 33433
Suburban Clinical Research
Bolingbrook, Illinois, 60490
PMG Research of Bristol
Bristol, Tennessee, 37620
Investigators Research Group, LLC
Brownsburg, Indiana, 46112
Burke Internal Medicine and Research
Burke, Virginia, 22015
Kernodle Clinic West
Burlington, North Carolina, 27215
Harrison Community Research Center
Cadiz, Ohio, 43907
ClinSite, LLC
Canton, Michigan, 48187
Medical Frontiers, LLC
Carlisle, Ohio, 45005
Punzi Medical Center
Carrollton, Texas, 75006
The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27517
Internal Medicine Research
Charlotte, North Carolina, 28204
Gaffney Health Services
Charlotte, North Carolina, 28205
University Diabetes and Endocrine Consultants
Chattanooga, Tennessee, 37411
Cedar-Crosse Research Center
Chicago, Illinois, 60607
John H. Stroger Jr. Hospital of Cook Country
Chicago, Illinois, 60612
Apex Medical Research
Chicago, Illinois, 60616
Summit Medical Group
Clifton, New Jersey, 07012
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Colorado Springs, Colorado, 80909
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Colorado Springs, Colorado, 80920
New England Center for Clinical Research, Inc
Cranston, Rhode Island, 02920
Dallas Diabetes and Endocrine Center
Dallas, Texas, 75230
Baylor Endocrine Center
Dallas, Texas, 75246
University of Texas Southwestern Medical Center
Dallas, Texas, 75390-8858
Todd Kazdan, DO Family Practice
Davie, Florida, 33314
Century Clinical Research, Inc
Daytona Beach, Florida, 32117
Doral Research Center
Doral, Florida, 33172
Albert F. Johary MD, PC
Dunwoody, Georgia, 30338
Durham Internal Medicine Associates
Durham, North Carolina, 27704
Riverside Clinical Research
Edgewater, Florida, 32132
USMA Clinical Research
Elizabeth, New Jersey, 07201
Central Jersey Medical Research
Elizabeth, New Jersey, 07202
Sentara Family Medicine
Elizabeth City, North Carolina, 27909
Ettrick Health Center
Ettrick, Virginia, 23803
Oregon Medical Group
Eugene, Oregon, 97401
Pharmakon Inc
Evergreen Park, Illinois, 60805
Larry D Stonesifer, MD Inc., PS
Federal Way, Washington, 98003
Apex Medical Research, AMR Inc
Flint, Michigan, 48504
MCM Clinical Research, LLC
Florence, Kentucky, 41042
Alan Graff, MD, PA
Fort Lauderdale, Florida, 33309
M & O Clinical Research, LLC
Fort Lauderdale, Florida, 33316
Edinger Medical Group and Research Center
Fountain Valley, California, 92708
American Health Network of Indiana, LLC
Franklin, Indiana, 46131
Clinical Trials of St. Jude Heritage Med. Group
Fullerton, California, 92835
Genoa Medical Center
Genoa, Ohio, 43430
Paris View Family Practice
Greenville, South Carolina, 29601
Mountain View Clinical Research
Greer, South Carolina, 29651
Harleysville Medical Associates
Harleysville, Pennsylvania, 19438
Hayden Lake Family Physicians
Hayden Lake, Idaho, 83835
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Henderson, Nevada, 89052
Eastern Research
Hialeah, Florida, 33013
Research in Miami Inc
Hialeah, Florida, 33013
Jacon Medical Research Associates, LLC
Houston, Texas, 77030
JVC Family Medicine
Houston, Texas, 77040
Clinical Trial Network
Houston, Texas, 77074
Endocrine and Psychiastry Center
Houston, Texas, 77095
Pioneer Research Solutions, Inc.
Houston, Texas, 77099
Mapleton Medical Center
Indianapolis, Indiana, 46205
American Health Network, LLC
Indianapolis, Indiana, 46254
Jacksonville Impotence Treatment Center
Jacksonville, Florida, 32223
East Coast Institute for Research, LLC
Jacksonville, Florida, 32258
Care Partners Clinical Research LLC
Jacksonville, Florida, 32277
Northeast Arkansas Baptist Clinic
Jonesboro, Arkansas, 72404
Westside Family Medical Center, PC
Kalamazoo, Michigan, 49009
Detweiler Family Medicine & Associates, PC
Lansdale, Pennsylvania, 19446
Clinical Research of South Nevada
Las Vegas, Nevada, 89121
Palm Medical Research Center
Las Vegas, Nevada, 89148
Precision Clinical Research, LLC
Lauderdale Lakes, Florida, 33319
Kentucky Diabetes Endocrinology Center
Lexington, Kentucky, 40503
Medical Investigations, Inc
Little Rock, Arkansas, 72205
Aureus Research, Inc
Little Rock, Arkansas, 72211
Tri City Medical Centers, PC
Livonia, Michigan, 48152
Long Beach Center for Clinical Research
Long Beach, California, 90807
Office of Dr. Richard S. Cherlin
Los Gatos, California, 95032
Manassas Clinical Research Center
Manassas, Virginia, 20110
Office of Dr. Craig S. Thompson, MD, LLC
Marion, Ohio, 43302
RAS Health Limited
Marion, Ohio, 43302
Advanced Medical Research, LLC
Maumee, Ohio, 43537
University of Tennessee
Memphis, Tennessee, 38163
Boise Kidney and Hypertension Institute
Meridian, Idaho, 83642
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Mesa, Arizona, 85203
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Mesa, Arizona, 85213
Crescent City Clinical Research
Metairie, Louisiana, 70006
Veritas Research Corporation
Miami, Florida, 33126
APF Research, LLC
Miami, Florida, 33134
Swiss Medical Research
Miami, Florida, 33135
University of Miami
Miami, Florida, 33136
South Miami Clinical Research
Miami, Florida, 33143
Well Pharma Medical Research
Miami, Florida, 33143
Advanced Pharma CR, LLC
Miami, Florida, 33147
AppleMed Research Group, LLC
Miami, Florida, 33155
Kendall South Medical Center, Inc
Miami, Florida, 33185
Midland Clinical Research Center
Midland, Texas, 79707
PHS Clinical Trials
Midvale, Utah, 84047
Park Nicollet Institute
Minneapolis, Minnesota, 55416
McKinley Research, LLC
Mishawaka, Indiana, 46545
Internal Medicine Center, LLC
Mobile, Alabama, 36608
Diagnostic and Medical Clinic
Mobile, Alabama, 36695
Extended Arm Physicians, Inc.
Montgomery, Alabama, 36106
American Health Network of Indiana, LLC
Muncie, Indiana, 47304
Hill Country Medical Associates
New Braunfels, Texas, 78130
Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
Advanced Research Institute, Inc
New Port Richey, Florida, 34653
Tristan Medical Enterprises, PC dba Regeneris
North Attleboro, Massachusetts, 02760
Providence Clinical Research
North Hollywood, California, 91606
Naidu Clinic
Odessa, Texas, 79761
Infinity Research Group, LLC
Oklahoma City, Oklahoma, 73103
Quality Clinical Research
Omaha, Nebraska, 68114
Sunshine Research Center
Opa-locka, Florida, 33054
South Carolina Nephrology and Hypertension Center, Inc
Orangeburg, South Carolina, 29118
Diabetes and Endocrine Center of Orlando
Orlando, Florida, 32803
Four Rivers Clinical Research, Inc
Paducah, Kentucky, 42003
Suncoast Clinical Research
Palm Harbor, Florida, 34684
Misal Khan, MD FRCS, ED, PA
Panama City, Florida, 32401
The Methodist Hospital d/b/a HMRI CCAT at Pearland
Pearland, Texas, 77584
Advanced Clinical Research
Pell City, Alaska, 35128
Iconic Clinical Trials
Pembroke Pines, Florida, 33024
Gulf Region Clinical Research Institute
Pensacola, Florida, 32514
Temple University School of Medicine
Philadelphia, Pennsylvania, 19140
Village Health Partners
Plano, Texas, 75024
Chaparral Medical Group, Inc
Pomona, California, 91767
St. John's Center for Clinical Research
Ponte Vedra Beach, Florida, 32081
PMG Research of Raleigh, LLC
Raleigh, North Carolina, 27609
ARI Clinical Trials, Inc
Redondo Beach, California, 90277
Clinical Research Partners, LLC
Richmond, Virginia, 23220
Richmond Family Practice
Richmond, Virginia, 23220
Endocrine and Metabolic Consultants
Rockville, Maryland, 20852
KMED Research
Saint Clair Shores, Michigan, 48081
Highland Clinical Research
Salt Lake City, Utah, 84124
Sun Research Institute
San Antonio, Texas, 78215
San Diego Sports Medicine and Family Health Center
San Diego, California, 92120
West Coast Research, LLC
San Ramon, California, 94582
Northeast Clinical Research of San Antonio, LLC
Schertz, Texas, 78154
Carolina Research Center, Inc
Shelby, North Carolina, 28150
Endocrine Associates of Long Island, PC
Smithtown, New York, 11787
Georgia Clinical Research, LLC
Snellville, Georgia, 30078
Premier Clinical Research
Spokane, Washington, 99204
Mercy Health Research
St Louis, Missouri, 63141
Piedmont Healthcare
Statesville, North Carolina, 28625
Tri-County Research, Inc
Sterling Heights, Michigan, 48310
Kenneth Otah and Associates
Sugar Land, Texas, 77478
Carolina Diabetes & Kidney Center
Sumter, South Carolina, 29150
University of California Los Angeles
Sylmar, California, 91342
Metabolic Institute of America
Tarzana, California, 91356
Medical Research Associates
Traverse City, Michigan, 49684
Oakland Medical Research Center
Troy, Michigan, 48085
Genova Clinical Research
Tucson, Arizona, 85704
Quality of Life Medical & Research Center
Tucson, Arizona, 85712
Trinity Clinical Research, LLC
Tullahoma, Tennessee, 37388
Castlerock Clinical Research Consultants, LLC
Tulsa, Oklahoma, 74136
Office of Dr. Terence T. Hart MD
Tuscumbia, Alabama, 35674
Matrix Research Institute
Tustin, California, 92780
Orange County Research Center
Tustin, California, 92780
Warminster Medical Associates, PC
Warminster, Pennsylvania, 18974
Metabolic Research Institute
West Palm Beach, Florida, 33401
Southgate Medical Group/ Southgate Medical Park
West Seneca, New York, 14224
Westlake Medical Research
Westlake Village, California, 91361
PMG Research of Wilmington, LLC
Wilmington, North Carolina, 28401
Pharmacotherapy Research Associates, Inc
Zanesville, Ohio, 43701
Germany39 sites
Universitätsklinikum Aachen, AöR
Aachen, 52074
Studienzentrum Klausmann
Aschaffenburg, 63739
Gemeinschaftspraxis, Asslar
Aßlar, 35614
Diabetes Schwerpunktpraxis
Bad Nauheim, 61231
Praxis Dr. Naumburger, Berlin
Berlin, 10409
emovis GmbH
Berlin, 10629
Praxis Dr. Rieker, Berlin
Berlin, 10789
IFG Institut für Gesundheitsförderung GmbH
Berlin, 12621
Dünnwaldpraxis, Köln
Cologne, 51069
MVZ DaVita Dormagen GmbH
Dormagen- Hackenbroich, 41540
Praxis Dr. Busch, Dortmund
Dortmund, 44137
GWT-TUD GmbH
Dresden, 01307
Praxis Dr. Schlecht, Eisenach
Eisenach, 99817
ZKS Südbrandenburg GmbH
Elsterwerda, 04910
Praxis Dr. Huptas, Essen
Essen, 45307
Praxis Dr. Schmidt, Flörsheim
Flörsheim, 65439
Institut für Stoffwechselforschung, Frankfurt
Frankfurt, 60322
Praxis Dr. Groeneveld, Furth im Wald
Furth im Wald, 93437
Praxis Dr. Kohlhas, Gebhardshain
Gebhardshain, 57580
Praxis Dr. Samer, Haag
Haag, 83527
Klinische Forschung Management & Services GmbH
Hamburg, 20253
Diabetologische Schwerpunktpraxis
Hamburg, 21073
Praxis Dr. Burkhardt, Hamburg
Hamburg, 22335
Diabeteszentrum Alstertal, Hamburg
Hamburg, 22391
Praxis Dr. Herrmann, Hatten
Kirchhatten, 26209
Praxis Dr. Klein, Künzing
Künzing, 94550
Praxis Dr. Nischik, Leipzig
Leipzig, 04109
Praxis Dr. Kropp, Lübeck
Lübeck, 23554
PFÜTZNER Science & Health Institute GmbH
Mainz, 55128
Diabetologische Schwerpunktpraxis
Münster, 48153
Praxis Dr. Böckmann
Neumünster, 24534
Praxis Dr. Hilgenberg
Rehburg-Loccum, 31547
Praxis Dr. Naudts, Rodgau
Rodgau/Dudenhofen, 63110
Praxis Dr. Hirschhäuser
Saarbrücken, 66121
Praxis Dr. Segner, St. Ingberg
Saint Ingbert / Oberwürzbach, 66386
Praxis Dr. Herrmann
Schwabenheim, 55270
Praxis Dr. Dietlein
Stadtbergen, 86391
Praxis Dr. Sauter
Wangen, 88239
Schwerpunktpraxis Diabetologie
Zwenkau, 04442
France24 sites
CAB Hell M, MG, Behren Les Forbach
Behren-lès-Forbach, 57460
CAB Breton Dr Nicolas
Béziers, 34500
HOP Haut Levèque, Diabéto, Pessac
Bordeaux, 33075
CAB Lemarie B, MG, Bourg des Cptes
Bourg-des-Comptes, 35890
CAB Cadinot Dr D, Broglie
Broglie, 27270
CAB Ferrier R, MG, Cannes
Cannes, 06400
CAB Jordan E, MG, Carbonne
Carbonne, 31390
CAB Merlin P, MG Castets
Castets, 40260
CAB Fonteny R, MG, Chartres
Chartres, 28000
CAB Fournier P, MG, Chartres
Chartres, 28000
CAB Martocq G, MG, Cournonterral
Cournonterral, 34660
HOP, Fort de France, Fort de France
Fort de France, 97261
CAB Le Mouel S, MG, Hinx
Hinx, 40180
CAB Pholsena, MG, La Réunion
La Réunion, 97410
CAB Bismuth M
Labarthe-sur-Lèze, 31860
CAB Zimmermann D
Louvigne de Bie, 35680
CAB Mainetti P, MG, Maintenon
Maintenon, 28130
CAB Barucq F, MG, Orthez
Orthez, 64300
CAB Mostephai M
Orthez, 64300
CAB Cassagnes JL, MG, Palau Del Vidre
Palau-del-Vidre, 66690
CAB Mercey Y, MG, St Genies des Fontaines
Saint Genies Des Fontaines, 66740
Hop St Dié des Vosges, Diabéto, St Dié des Vosges
Saint-Dié, 88187
CAB Bonneau D, MG, Thouars
Thouars, 79100
CAB Morel H, MG, Tilly sur Seulles
Tilly-sur-Seulles, 14250
India24 sites
Shree Krishna Hospital and Heart Care Centre, Ahmedabad
Ahmedabad, 380052
Diabetes care and research centre
Bangalore, 560010
Manipal Hospital
Bangalore, 560017
Bangalore Diabetes Centre (BDC)- Medisys Clinical Research
Bangalore, 560043
MS Ramaiah Memorial Hospital,
Bangalore, Karnataka, 560054
Belgaum Diabetes Centre, Belgaum
Belagavi, 590001
Swamy Diabetes Centre
Chennai, 600 028
Apollo Hospitals
Chennai, 600010
M V Hospital For Diabetes and Diabetes Research Centre
Chennai, 600013
Dr. Mohans Diabetes Speciality Centre
Chennai, 600086
CIIGMA Institute of Medical Sciences Pvt Ltd
Chhatrapati Sambhajinagar, 431001
Kovai Diabetes Speciality Centre & Hospital
Coimbatore, 641009
TOTALL Diabetes Hormone Institute
Indore, 452010
Diabetes Thyroid and Endocrine Centre
Jaipur, 302 006
Diamed Clinical Research Services Pvt. Ltd.
Jaipur, 302016
Grant Medical Foundation, Ruby Hall Clinic
Maharashtra, 411001
Global Hospital- Superspeciality & Transplant Centre
Mumbai, 400012
RHIDEM
Mumbai, 400014
K.G.N. Diabetes and Endocrine Centre
Mumbai, Maharastra, 400008
Sunil's Diabetes care and Research Centre
Nagpur, 440 010
Jahingir Clinical Development Centre
Pune, 411001
Deshmukh Clinic
Pune, 411030
Diabetes Care Center
Thiruvananthapuram, 695 010
Yalamanchi Hospitals & Research Centres Pvt Ltd.
Vijayawada, 520 002
Spain18 sites
C.A.P. Sardenya
Barcelona, 08025
CAP Les Corts
Barcelona, 08028
CAP Casanova
Barcelona, 08036
CAP Burjassot 1
Burjassot, 46100
C.S. Natahoyo
Gijón, 33212
Hospital Universitari de Girona Doctor Josep Trueta
Girona, 17007
CAP Florida
L'Hospitalet de Llobregat, 08905
Hospital de Bellvitge
L'Hospitalet de Llobregat, 08907
CAP La Roca
La Roca Del Vallés (Barcelona), 08430
Hospital General Universitario Gregorio Marañón
Madrid, 28007
C.S. El Cristo
Oviedo, 33006
C.S. Colloto
Oviedo, 33010
C.S. Vallobin-La Florida
Oviedo, 33012
ABS Pineda de Mar
Pineda de Mar, 08397
Hospital de l'Esperit Sant
Santa Coloma de Gramanet, 08923
CAP Tàrrega
Tàrrega, 25300
CS Ingeniero Joaquin Benlloch
Valencia, 46006
Hospital Clínico de Valencia
Valencia, 46010
Argentina16 sites
Instituto de Investigaciones Clínicas de Bahía Blanca
Bahía Blanca, B8000FTD
CIPREC
CABA, C1119ACN
CENUDIAB
CABA, C1440AAD
Instituto Médico Especializado
Capital Federal, C1405BCH
Consultorios Asociados de Endocrinología e Invest Clínica
Capital Federal, C1425AGC
Ilaim-Ceom
Córdoba, X5000BNB
IPAC - Clínica Privada Caraffa SRL
Córdoba, X5008KKF
Instituto Cardiovascular de Corrientes Juana Francisca Cabra
Corrientes, W3400AMZ
Hospital Italiano de La Plata
La Plata, B1900AWT
CIPADI
Mendoza, M5500EVJ
Instituto de Investigaciones Clinicas de Rosario
Rosario, S2000CVD
Instituto de Hematología y Medicina Clínica Dr. Rubén Davoli
Rosario, S2000CXP
Hospital San Bernardo
Salta, A4406CLA
Investigaciones Clinicas Tucuman
San Miguel de Tucumán, T4000ICL
Instituto de Investigaciones Biomédicas
Santa Fe, S3000FNF
Centro de Investigaciones Clínicas del Litoral
Santa Fe, S3000SWO
Netherlands16 sites
Huisartspraktijk Emmers
's-Hertogenbosch, 5235 KG
FlevoResearch
Almere Stad, 1311 RL
Academisch Medisch Centrum (AMC)
Amsterdam, 1105 AZ
Rode Kruis Ziekenhuis Beverwijk
Beverwijk, 1942 LE
Andromed Breda
Breda, 4811 SW
Noordwest Ziekenhuisgroep, location Den Helder
Den Helder, 1782 GZ
Andromed Eindhoven
Eindhoven, 5611 NV
Andromed Noord
Groningen, 9711 SG
Vasculair Onderzoek Centrum
Hoorn, 1624 NP
Maastricht Universitair Medisch Centrum
Maastricht, 6229 HX
Andromed Rotterdam
Rotterdam, 3039 BD
Rotterdam Research Institute
Rotterdam, 3039 BD
Ikazia Ziekenhuis
Rotterdam, 3083 AN
Antonius Ziekenhuis
Sneek, 8601 ZK
Andromed Oost
Velp, 6883 ES
Andromed Leiden-Zoetermeer
Zoetermeer, 2724 EK
South Korea15 sites
Korea University Ansan Hospital
Ansan, 15355
Inje University Busan Paik Hospital
Busan, 614-735
Keimyung University Dongsan Medical Center
Daegu, 700-712
National Health Insurance Service Ilsan Hospital
Goyang, 410-719
Dongguk University Ilsan Hospital
Goyang, 410-773
Inje University Ilsan Paik Hospital
Goyang, 411-706
Chonbuk National University Hospital
Jeonju, 561-712
Pusan National Univ. Hosp
Pusan, 602-739
Seoul National University Bundang Hospital
Seongnam, 463-707
Korea University Anam Hospital
Seoul, 02841
Korea University Guro Hospital
Seoul, 08308
Kangdong Sacred Heart Hospital
Seoul, 134-701
Ajou University Hospital
Suwon, 443-380
Wonju Severance Christian Hosp
Wŏnju, 220-701
Pusan National University Yangsan Hospital
Yangsan, 626-770
Taiwan15 sites
Chang-Hua Christian Hospital
Changhua, 500
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
E-Da Hospital
Kaohsiung City, 824
Far Eastern Memorial Hospital
New Taipei City, 220
China Medical University Hospital
Taichung, 40447
Taichung Veterans General Hospital
Taichung, 40705
NCKUH
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Shih-Kong Wu Ho-Shu Memorial Hospital
Taipei, 111
Taipe Veterans General Hospital
Taipei, 11217
Cheng Hsin General Hospital
Taipei, 112
Tri-Service General Hospital
Taipei, 114
Cardinal Tien Hospital
Taipei, 23137
Taipei Medical University-Shuang Ho Hospital
Taipei, 235
Mackay Memorial Hospital
Taipei, 25160
Belgium14 sites
Blankenberge - PRAC Vileyn, Geert
Blankenberge, 8370
Bonheiden - HOSP Imelda
Bonheiden, 2820
De Pinte - PRAC Hollanders, Geert
De Pinte, 9840
Retie - PRAC De Vos, Axel
Dessel, 2480
Deurne - PRAC Heyvaert, Frank
Deurne, 2100
Deurne - PRAC Verelst, Joost
Deurne, 2100
Genk - PRAC Vernijns, J.
Genk, 3600
Gozée - PRAC De Meulemeester, Marc
Gozée, 6534
Hasselt - PRAC Vantroyen, Daniel
Hasselt, 3500
Herent - PRAC Denolf, Bart
Herent, 3020
Linkebeek - PRAC Maury, Olivier
Linkebeek, 1630
Moorsel - PRAC Van Mulders, N.
Moorsel, 9310
Natoye - PRAC Balthazar, Y.
Natoye, 5360
Tremelo - PRAC Vermeersch, Lode
Tremelo, 3210
Japan14 sites
Daishinkai Medical Corporation Ookuma Hospital
Aichi, Nagoya, 462-0825
Chibanishi General Hospital
Chiba, Matsudo, 270-2251
New Tokyo Heart Clinic
Chiba, Matsudo, 271-0077
Kashinoki I.M. Clinic, Fukushima, I.M.
Fukushima, Date, 960-0418
Japan Community Health care Organization Nihonmatsu Hospital
Fukushima, Nihonmatsu, 964-8501
Iwase General Hospital
Fukushima, Sukagawa, 962-8503
Iryohojinshadan Sasaki Clinic
Hyogo, Amagasaki, 660-0827
Takasagoseibu Hospital
Hyogo, Takasago, 676-0812
Kanagawa Cardiovascular and Respiratory Center
Kanagawa, Yokohama, 236-0051
Jinnouchi Clinic Diabetes Care Center
Kumamoto, Kumamoto, 862-0976
Kumamoto Rosai Hospital
Kumamoto, Yatsushiro, 866-8533
Koga General Hospital
Miyazaki, Miyazaki, 880-0041
Saitama Medical Cooperative Association Hanyu General Hospital
Saitama, Hanyu, 348-0045
Nihon University Itabashi Hospital
Tokyo, Itabashi-ku, 173-8610
Brazil12 sites
Hospital Universitário João de Barros Barreto
Belém, 66073-000
Universidade Federal do Paraná
Curitiba, 80060-900
Hospital Geral de Goiânia Alberto Rassi
Goiânia, 74043-110
Centro de Pesquisas Clínicas Ltda
Higienópolis, 01244-030
Centro de Estudos em Diabetes e Hipertensão
Joaquim Távora, 60115-282
Irmandade Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90020-090
Centro de Pesquisas em Diabetes
Porto Alegre, 90035-170
Instituto Estadual de Diabetes e Endocrinologia
Rio de Janeiro, 20211-340
Irmandade da Santa Casa de Misericórdia de São Paulo - IPEC - Instituto de Pesquisa Clínica
Santa Cecília, 01221-020
Instituto de Molestias Cardiovasculares - IMC
São José do Rio Preto, 15015-210
Hospital das Clinicas da FMUSP
São Paulo, 05403-900
Hospital do Rim e Hipertensão - UNIFESP
Vila Clementino, 04025-011
Canada11 sites
Cambridge Cardiac Care Inc.
Cambridge, Ontario, N1R 6V6
Hamilton Medical Research Group
Hamilton, Ontario, L8M 1K7
Kings County Medical Centre
Montague, Prince Edward Island, C0A 1R0
SKDS Research Incorporated
Newmarket, Ontario, L3Y 5G8
Dynamik Research
Pointe-Claire, Quebec, H9R 3J1
IUCPQ (Laval University)
Québec, Migration Data, G1V 4G5
First Line Medical Services Ltd.
St. John's, Newfoundland and Labrador, A1E 2C2
Topsail Road Medical Clinic
St. John's, Newfoundland and Labrador, A1E 2E2
Wilderman Medical Clinic
Thornhill, Ontario, L4J 1W3
St. Michael's Hospital
Toronto, Ontario, M5C 2T2
Albion Finch Medical Centre
Toronto, Ontario, M9V 4B4
Colombia11 sites
BioMelab
Barranquilla
Centro Cientifico Asistencial Jose Luis Accini
Barranquilla
Fundacion del Caribe de Investigacion Biomedica
Barranquilla
Dexa Diabetes Servicios Médicos Ltda
Bogotá
Endocare Research Institute
Bogotá
UNIENDO Unidad Integral de Endocrinologia
Bogotá
Centro cardiovascular Aristides
Cartagena
centro de Diagnostico Cardiologico para la Investigacion Bio
Cartagena
Fundacion Cardiovascular de Colombia
El Bosque
Fundación Oftalmologica de Santander
El Bosque
Fundación Centro de Investigaciones Biomédicas Riescard
Tolima
Norway11 sites
Medi 3 AS
Ålesund, N-6002
Bodø Legesenter AS, avd. for med. studier
Bodø, N-8001
Medi 3 Innlandet AS, avd Elverum
Elverum, N-2408
Vestre Viken HF, Bærum sykehus
Gjettum, N-1346
M3 Helse AS
Hamar, N-2317
Bylegene SA
Jessheim, N-2050
Heiaklinikken
Lierskogen, N-3420
Rådhuset Spesialistsenter
Oslo, N-0160
Sandvika Spesialistsenter
Sandvika, N-1337
Grålum Legesenter
Sarpsborg, N-1727
Forusakutten - Kolibri Medical, Avd. Stavanger
Stavanger, N-4005
Georgia10 sites
Unimed Ajara LLC, Private Practice
Batumi, 6004
Central Hospital LTD 'Gormedi', Gori
Gori, 1400
L&J Clinic, Kutaisi
Kutaisi, 4600
EC Cardiology Clinic,Tbilisi
Tbilisi, 0144
National Center for Diabetes Research Ltd., Tbilisi
Tbilisi, 0159
National Institute of Endocrinology, Tbilisi
Tbilisi, 0159
Zhordania Institute of Human Reproduction, Tbilisi
Tbilisi, 0159
Medical Centre Medelite Ltd., Tbilisi
Tbilisi, 0177
Chemotherapy & Immunotherapy Clinic 'Medulla', Tbilisi
Tbilisi, 0186
JSC 'Curatio'
Zugdidi, 2100
Philippines10 sites
Asian Hospital & Medical Center
City of Muntinlupa, 1781
Center for Diabetes Care
Iloilo City, 5000
Mary Mediatrix Medical Center
Lipa City, Batangas, 4217
Philippine General Hospital
Manila, 1000
University of Santo Tomas Hospital
Manila, 1008
Manila Doctors Hospital
Manila, 1011
St. Luke's Medical Center
Quezon City, 1102
Quirino Memorial Medical Center
Quezon City, 1109
Cardinal Santos Medical Center
San Juan City, 1503
Surigao Health Specialists
Surigao City, 8400
South Africa10 sites
Dr. P. Patel
Cape Town, 7764
Dr. E. L. Janari
Cape Town, 7965
Dr. Vawda
Durban, 4091
Parklands Medical Centre
Durban, 4091
Dr. Jurgens
Krugersdorp, 1739
Dr. H. Makan
Lenasia, 1827
Dr. D. R. Lakha, Johannesburg
Lenasia, 2033
Greenacres Hospital
Port Elizabeth, 6045
Dr. M. Seeber
Pretoria, 0083
Vergelegen Medi-Clinic
Somerset West, 7130
Ukraine10 sites
Donetsk Regional Clinical Hosp, Therapy Department
Donetsk, 83003
Ivano-Frankivsk City Central Clinical Hospital
Ivano-Frankivsk, 76000
City Clinical Hospital No. 27, Kharkiv
Kharkiv, 61002
City Clinical Hospital No. 17, Kharkov
Kharkiv, 61037
Clinic for Cardiology "Sertse i sudyny", Kiev
Kiev, 01032
City Clinical Hospital No. 1, Kiev
Kiev, 02091
Poliklinika #2, Kyiv
Kyiv, 02002
City Hospital No. 5, Lvov
Lviv, 73013
Odeska zaliznichna likarnya, Odessa
Odesa, 65039
Vinnitsia Regional Endocrinology Dispensary
Vinnitsa, 21010
United Kingdom10 sites
Crouch Oak Family Practice
Addlestone, KT15 2BH
Ash Vale Health Centre, Aldershot
Ash Vale, Aldershot, GU12 5BA
Birmingham Heartlands Hospital
Birmingham, B9 5SS
Hathaway Medical Centre
Chippenham, SN14 6GT
University Hospital of North Durham
Durham, DH1 5TW
St Mary's Surgery
Ely, CB7 4HF
Gloucestershire Royal Hospital
Gloucester, GL1 3NN
James Paget University Hospital
Great Yarmouth, NR31 6LA
Morriston Hospital
Swansea, SA6 6NL
Royal Cornwall Hospital
Truro, TR1 3LJ
Hungary9 sites
Imre Magyar Hospital, Ajka
Ajka, 8400
Lausmed Kft. Outpatient Unit of Internal Medicine
Baja, 6500
Karolyi Sandor Hospital, Budapest
Budapest, 1041
Bekes County Pandy Kalman Hospital
Gyula, 5700
Erzsebet Hospital, Hodmezövasarhely
Hódmezövásárhely, 6800
Dr. Samuel Diosszilagyi Hospital and Outpatient Clinic, Mako
Makó, 6900
TaNa Med Kft.
Mosonmagyaróvár, 9200
Grof Esterhazy Hospital and Outpatient Clinic
Pápa, 8500
Tolna County Balassa Janos Hospital
Szekszárd, 7100
Italy9 sites
Ospedale "SS. Trinità"
Cagliari, 09100
Policlinico Universitario Mater Domini, Universita di Catanzaro
Catanzaro, 88100
Policlinico San Martino
Genova, 16132
Ospedale di Guastalla
Guastalla (RE), 42016
A.O.U.Policlinico G.Martino
Messina, 98125
Fondazione Centro San Raffaele del Monte Tabor
Milan, 20132
Ospedale S. Pertini
Roma, 00100
Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza
Roma, 00189
IRCCS Gruppo Multimedica
Sesto San Giovanni (MI), 20099
Russia9 sites
LLC Clinic of new technologies of medicine
Dzerzhinsky, 140091
City Clinical Hospital No. 6 of MoH of Udmurt Republic
Izhevsk, 436000
City Clinical Hospital No. 4, Moscow
Moscow, 115093
City Clinical Hospital No. 13, Moscow
Moscow, 115280
State Institution "Central Clinical Hospital of RAS", Moscow
Moscow, 117333
City Clinical Hospital No. 61, Moscow
Moscow, 119048
State Healthcare Institution, Regional hospital #2
Rostov-on-Don, 344029
Limited Liability Company "CENTER DIABET", Samara
Samara, 443067
MMU City Outpatient Clinic no. 20, Saratov
Saratov, 410018
Sweden9 sites
CTC Sahlgrenska Universitetssjukhuset
Gothenburg, 413 45
Sjukhuset, Härnösand
Härnösand, 87182
Avonova Hälsa AB
Järfälla, 177 30
Skånes universitetssjukhus, Malmö
Malmö, 20502
Dalecarlia Clinical Research Center
Rättvik, 795 30
Södra Dalarnas vårdcentral, Hedemora
Rättvik, 79530
Näsets Läkargrupp
Skanör, 239 33
Vårdcentralen Silentzvägen
Uddevalla, 451 50
S3 Clinical Research Centers
Vällingby, 162 68
Czechia8 sites
Internal & Diabetology Ambulance, Jablonec nad Nisou
Jablonec nad Nisou, 466 01
Diabetology & Internal Ambulance
Olomouc-Lazce, 779 00
Internal & Diabetology Ambulance Dr. Vrkoc, Ostrava
Ostrava, 702 00
Cardiology ambulance, Plzen
Pilsen, 301 00
Diebetology internal Ambulance
Prague, 101 00
ResTrial s.r.o.
Prague, 181 00
Internal & Diabetology Ambulance, Prostejov
Prostějov, 796 01
Hospital Strakonice, Internal Department
Strakonice, 386 29
Greece8 sites
General Hospital of Athens Evangelismos
Athens, 10676
General University Hospital "Attikon"
Haidari, Athens, 12410
Univ. Gen. Hosp. of Ioannina
Ioannina, 45500
General Hospital "Amalia Fleming"
Melissia, Athens, 15127
General Hospital of Nikaia
Nikaia, 18484
University General Hospital of Thessaloniki AHEPA
Thessaloniki, 54636
General Hopsital of Thessaloniki "Ippokrateio"
Thessaloniki, 54642
Kliniki Thermi
Thessaloniki, 57001
Malaysia8 sites
Penang Medical College
George Town, 10450
Monash University
Johor Bahru, Johor, 80100
Hospital University Sains Malaysia
Kota Bharu, 16150
Hospital Kuala Lumpur
Kuala Lumpur, 50586
University Malaya Medical Centre
Kuala Lumpur, 59100
Hospital Tengku Ampuan Afzan
Kuantan, 25100
Hospital Melaka
Malacca, 75400
Hospital Taiping
Taiping, 34000
Peru8 sites
Instituto Delgado de Investigacion Medica
Arequipa, LIMA 54
Clinica San Pedro
Huacho
Hospital Nacional Dos de Mayo
Lima, 01
Clinica Internacional
Lima, LIMA 1
Centro de Investigaciones Médicas METABOLICARE SAC
Lima, Lima 27
Clinica San Gabriel
Lima, Lima 32
Centro De Especialidades Medicas Santa Maria S.A.C
Piura
Clinica San Judas Tadeo
San Miguel, 32
Portugal8 sites
Hospital Fernando Fonseca, EPE
Amadora, 2700-276
CHLO, EPE - Hospital de Santa Cruz
Carnaxide, 2799-523
CHUC - Centro Hospitalar e Universitário de Coimbra, EPE
Coimbra, 3000-075
Centro Hospitalar da Cova da Beira Hospital Pêro da Covilhã
Covilha, 6200-251
Hospital Distrital Figueira da Foz, EPE
Figueira da Foz Municipality, 3094-001
Hospital da Luz
Lisbon, 1500-650
Centro Hospitalar São João,EPE
Porto, 4202-451
Centro Hospitalar de Entre o Douro e Vouga, E.P.E. - Hospital de São Sebastião
Santa Maria da Feira, 4520-211
Finland7 sites
Diabetesklinikka, Mehiläinen Töölö
Helsinki, 00260
Lääkärikeskus Ite
Joensuu, 80100
Lääkärikeskus Aava Kerava
Kerava, 04200
Kokkolan Lääkärikeskus
Kokkola, 67100
IteLasaretti
Kuopio, FI-70100
Terveystalo Oulu, Diapolis
Oulu, FI-90100
TYKS
Turku, FI-20520
Israel7 sites
Barzilai Medical Center
Ashkelon, 78278
Rambam Medical Center
Haifa, 31096
Edith Wolfson Medical Center, Diabetic Unit, Holon
Holon, 58100
Hadassah Medical Center, Ein-Karem
Jerusalem, 91120
Western Galilee Hospital
Nahariya, 22100
Sourasky Medical Center
Tel Aviv, 64239
The Chaim Sheba Medical Center Tel Hashomer
Tel HaShomer, 52621
Slovakia7 sites
DIASTYLE s.r.o., Diabetology Outpatient Department
Banská Bystrica, 974 01
ENDIAMED s.r.o., Dolny Kubin
Dolný Kubín, 026 01
CELL B s.r.o.
Levice, 934 01
DIA-KONTROL s.r.o.
Levice, 934 01
Funkystuff s.r.o., Nove Zamky
Nové Zámky, 940 01
Diabetologicka ambulancia MUDr. Lucia Gajdosikova s.r.o.
Považská Bystrica, 017 01
MEDIVASA s.r.o., Outpatient Clinic, Zilina
Žilina, 010 01
Romania6 sites
SC Diabol SRL, Brasov
Brasov, 500365
Nicodiab SRL, Bucharest
Bucharest, 010507
SC Medical Centre "Sanatatea Ta" SRL, Bucharest
Bucharest, 020614
Consultmed SRL, Iasi
Iași, 700547
Emergency County Clinical Hospital, Sibiu
Sibiu, 550245
Private Practice Dr. Remus Gagiu
Targoviste, 130083
Australia5 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Eastern Clinical Research Unit
East Ringwood, Victoria, 3135
Royal Brisbane & Women's Hospital-Endocrinology
Herston, Queensland, 4029
Logan Hospital
Meadowbrook, Queensland, 4131
Royal Melbourne Hospital
Parkville, Victoria, 3050
Bulgaria5 sites
Univ.Multiprofile Hospital "Dr. Georgy Stranski" EAD, Pleven
Pleven, 5800
Multiprofile Hospital for Active Treatment
Sofia, 1431
Multiprofile Hospital for Active Treatment "Zaritza Johanna"
Sofia, 1527
Military Medical Academy, Clin. Endocrinology & Metab. Dis.
Sofia, 1606
MHAT Prof Stoyan Kirkovich AD
Stara Zagora, 6000
Mexico5 sites
Hospital General de Acapulco
Acapulco, 39570
Centro de Investigacion Cardiometabolica de Aguascalientes
Aguascalientes, 20234
Instituto Nacional de Cardiologia Ignacio Chavez
Distrito Federal, 14080
Unidad de Investigacion Clinica Cardiometabolica de Occident
Guadalajara, 44150
Hospital Universitario Dr Jose Eleuterio Gonzalez
Monterrey, 64460
Serbia5 sites
Clinical Medical Center Zvezdara, Belgrade
Belgrade, 11000
Clinical Centre Nis
Niš, 18000
General Hospital Pancevo
Pančevo, 26000
General Hospital Subotica, Internal Medicine
Subotica, 24000
Clinical Hospital Center Zemun
Zemun, 11080
Chile4 sites
Consulta Privada Maria Loreto Aguirre Coveña
Providencia, 7500010
Hospital de Servicios Médicos Godoy Ltda
Providencia
Centro Medico Antulawen
Temuco
Hospital Naval Almirante Nef
Viña del Mar
Ireland4 sites
The Red House Family Practice
Co. Cork, CORK
Connolly Hospital Blanchardstown
Dublin, 15
The Palms GP Surgery
Gorey, Wexford
Fethard-on-Sea Medical Practice
Wexford, Wexford
New Zealand4 sites
Christchurch Hospital
Christchurch, 4710
RMC Medical Research Ltd
Dunedin, 9012
P3 Research, Wellington
Newtown Wellington NZ, 6021
P3 Research, Promed House
Tauranga, 3110
Switzerland4 sites
Allgemeine Medizin
Basel, 4057
FMH endocrinologia diabetologia
Bellinzona, 6500
Inselspital Bern
Bern, 3010
Dr. Pietro Gerber
Lugano, 6900
Tunisia4 sites
HOP Fattouma Bourguiba, Mint, Monastir
Monastir, 5000
HOP Hédi Chaker, Endo, Sfax
Sfax, 3029
HOP Farhat Hached, Mint, Sousse
Sousse, 4000
HOP Habib Thameur, Mint, Tunis
Tunis, 1008
Hong Kong3 sites
Alice Ho Miu Ling Nethersole Hospital
Hong Kong
Prince of Wales Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
About this study
Official title: A Multicentre, International, Randomised, Parallel Group, Double Blind Study to Evaluate Cardiovascular Safety of Linagliptin Versus Glimepiride in Patients With Type 2 Diabetes Mellitus at High Cardiovascular Risk.
The aim of the study is to investigate the longterm impact on cardiovascular morbidity and mortality, relevant efficacy parameters (e.g., glycaemic parameters) and safety (e.g., weight and hypoglycaemia) of treatment with linagliptin in patients with type 2 diabetes at elevated cardiovascular risk receiving usual care, and compare outcome against glimepiride.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- linagliptin, glimepiride, linagliptin placebo, glimepiride placebo
- 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
linagliptin tablets 5mg QD
glimepirideDrug
glimepiride over-encapsulated tablet 1-4 mg QD
linagliptin placeboDrug
linagliptin placebo
glimepiride placeboDrug
glimepiride placebo
| Study group | Role | What they receive |
|---|---|---|
| linagliptin | Experimental | patient to receive linagliptin or glimepiride placebo over encapsulated tablet Quaque die (QD) Receives: Drug: linagliptin; Drug: glimepiride placebo |
| glimepiride 1-4 mg QD | Active comparator | patient to receive glimepiride 1-4 mg or linagliptin placebo tablet Quaque die (QD) Receives: Drug: glimepiride; Drug: linagliptin placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
The First 3-point Major Adverse Cardiovascular Events (3P-MACE)
The first occurrence of any of the following Clinical Event Committee (CEC) confirmed adjudicated components of the primary composite endpoint: CV death (including fatal stroke and fatal myocardial infarction (MI)), non-fatal MI (excluding silent MI), or nonfatal stroke is presented.
Measured: From randomization until individual day of trial completion, up to 432 weeks
Secondary outcomes (19)
The First 4-point (4P)- MACE
The first key secondary endpoint was time to first occurrence of any of the following adjudicated components of the composite endpoint: CV death (including fatal stroke and fatal MI), non-fatal stroke, non-fatal MI (excluding silent MI), or hospitalisation for unstable angina pectoris.
Measured: From randomization until individual day of trial completion, up to 432 weeks
Percentage of Participants Taking Trial Medication at Trial End, Maintained Glycaemic Control (HbA1c ≤7.0%) Without Need for Rescue Medication, Without >2% Weight Gain, and Without Moderate/Severe Hypoglycaemic Episodes During Maintenance Phase
The second key secondary endpoint was a composite endpoint of treatment sustainability, defined as the percentage of patients taking trial medication at trial end, maintained glycaemic control (HbA1c ≤7.0%) without need for rescue medication, without >2% weight gain, and without moderate/severe hypoglycaemic episodes during maintenance phase.
Measured: From Visit 6 (Week 16) to Final visit (Week 432) (Maintenance Phase)
Percentage of Participants Who Were on Trial Medication at Trial End, Maintained Glycaemic Control (HbA1c ≤7.0%) Without Need for Rescue Medication, and Without >2% Weight Gain During Maintenance Phase
The third key secondary endpoint was a composite endpoint of treatment sustainability, defined as percentage of patients who were on trial medication at trial end, maintained glycaemic control (HbA1c ≤7.0%) without need for rescue medication, and without >2% weight gain during maintenance phase.
Measured: From Visit 6 (Week 16) to Final visit (Week 432) (Maintenance Phase)
Percentage of Participants With the Occurrence of at Least One Event of 3P-MACE
Percentage of participants occurrence of at least one of the following adjudicated components of CV death (including fatal stroke and fatal MI), non-fatal MI (excluding silent MI) and non-fatal stroke is presented as secondary CV endpoint.
Measured: From randomization until individual day of trial completion, up to 432 weeks
Percentage of Participants With the Occurrence of at Least One Event of 4P -MACE
Percentage of participants occurrence of at least one of the following adjudicated components of CV death (including fatal stroke and fatal MI), non-fatal MI (excluding silent MI), non-fatal stroke, and hospitalisation for unstable angina pectoris is presented as secondary CV endpoint.
Measured: From randomization until individual day of trial completion, up to 432 weeks
Percentage of Participants With Occurrence of Any of the Components of the Composite Endpoint of All Adjudication-confirmed Events
Percentage of participants with occurrence of any of the following components of the composite endpoint of all adjudication-confirmed events of:
- CV death (including fatal stroke and fatal MI)
- non-fatal MI
- non-fatal stroke
- hospitalisation for unstable angina pectoris
- TIA
- hospitalisation for heart failure
- hospitalisation for coronary revascularisation procedures (CABG, PCI)
Measured: From start of the treatment until 7 days after the end of treatment, up to 433 weeks
Time to First Occurrence of Any of the Components of the Composite Endpoint of All Adjudication-confirmed Events
Time to first occurrence of any of the following components of the composite endpoint of all adjudication-confirmed events of:
- CV death (including fatal stroke and fatal MI)
- non-fatal MI
- non-fatal stroke
- hospitalisation for unstable angina pectoris
- Transient ischaemic attack (TIA)
- hospitalisation for heart failure
- hospitalisation for coronary revascularisation procedures (CABG, PCI)
Measured: From start of the treatment until 7 days after the end of treatment, up to 433 weeks
Change From Baseline to Final Visit in Hemoglobin A1c (HbA1c)
Change from baseline to final visit in HbA1c is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Change From Baseline to Final Visit in Fasting Plasma Glucose (FPG)
Change from baseline to final visit in fasting plasma glucose (FPG) is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Change From Baseline to Final Visit Fasting Total Cholesterol, Low-density Lipoprotein (LDL) Cholesterol and High-density Lipoprotein (HDL) Cholesterol
Change from baseline to final visit in total cholesterol, low-density lipoprotein (LDL) cholesterol and high-density lipoprotein (HDL) cholesterol is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Change From Baseline to Final Visit in Triglycerides
Change from baseline to final visit in triglycerides is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Change From Baseline to Final Visit in Creatinine
Change from baseline to final visit in creatinine is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Change From Baseline to Final Visit in Estimated Glomerular Filtration Rate (eGFR)
Change from baseline to final visit in eGFR is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Change From Baseline to Final Visit in Urine Albumin Creatinine Ratio (UACR)
Change from baseline to final visit in UACR is presented as secondary diabetes-related endpoint. Least square mean is adjusted geometric mean (gMean) ratio. The Final Visit value referred to the last value obtained on-treatment.
Measured: Baseline and week 432
Percentage of Participants With Transition in Albuminuria Classes
Percentage of patients with transition in albuminuria classes is presented as secondary endpoint. Data for last value on treatment (LVOT) to baseline (base) is presented.
Measured: Baseline and week 432
Change From Baseline of Insulin Secretion Rate (ISR) at Fixed Glucose Concentration at 208 Weeks
The endpoint change from baseline of ISR at fixed glucose concentration at 208 weeks as derived from a 3-hour meal tolerance test is Beta-cell function sub-study endpoint.
Measured: Baseline and week 208
Percentage of Participants With Occurrence of Accelerated Cognitive Decline at End of Follow-up
Occurrence of accelerated cognitive decline based on regression based index (RBI) score at end of follow-up (a dichotomous outcome measure; presence or absence of accelerated cognitive decline) is Cognition sub-study endpoint.
Measured: 433 weeks
Continuous Glucose Monitoring (CGM) Sub-study: Change From Baseline in the Inter-quartile Range of Diurnal Glucose Variability (Milligrams/ Deciliter) to End of Study
Baseline data for the continuous glucose monitoring sub-study was collected and analyzed. However, the participant number was far less than original planned. The study was stopped early around week 64 (V9) due to recruitment issues and data were not pre-specified to be analyzed and reported at week 64 time point as target was with an estimated time point of 432 weeks for primary or secondary end points. Thus this endpoint was not analysed and only the baseline data collected were analysed and the results are reported in this CGM substudy endpoint.
Measured: Baseline
CGM Sub-study : Change From Baseline in the Inter-quartile Range of Diurnal Glucose Variability (Millimoles/ Litre) to End of Study
Baseline data for the continuous glucose monitoring sub-study was collected and analyzed. However, the participant number was far less than original planned. The study was stopped early around week 64 (V9) due to recruitment issues and data were not pre-specified to be analyzed and reported at week 64 time point as target was with an estimated time point of 432 weeks for primary or secondary end points. Thus this endpoint was not analysed and only the baseline data collected were analysed and the results are reported in this CGM substudy endpoint.
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2010 (estimated)
- Study start11 Nov 2010
- Primary completion21 Aug 2018
- Study completion21 Aug 2018
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 (11)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
- Who is masked
- Participant, Investigator
- Enrolment
- 6,103 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01243424
- Sponsor's protocol ID
- 1218.74
- Other IDs
- 2009-013157-15, 2009
- Status last verified
- Dec 2019
- First submitted
- 17 Nov 2010
- Last updated
- 7 Jan 2020
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Marx N, Kolkailah AA, Rosenstock J, Johansen OE, Cooper ME, Alexander JH, Toto RD, Wanner C, Espeland MA, Mattheus M, Schnaidt S, Perkovic V, Gollop ND, McGuire DK. Hypoglycemia and Cardiovascular Outcomes in the CARMELINA and CAROLINA Trials of Linagliptin: A Secondary Analysis of Randomized Clinical Trials. JAMA Cardiol. 2024 Feb 1;9(2):134-143. doi: 10.1001/jamacardio.2023.4602.
PubMed 38170502Balasubramanian P, Kernan WN, Sheth KN, Ofstad AP, Rosenstock J, Wanner C, Zinman B, Mattheus M, Marx N, Inzucchi SE. Baseline Cardiovascular Risk Factor Control in Patients With Type 2 Diabetes and Coronary Disease Versus Stroke: Secondary Analysis of Cardiovascular Outcome Trials. Stroke. 2023 Aug;54(8):2013-2021. doi: 10.1161/STROKEAHA.122.042053. Epub 2023 Jul 14.
PubMed 37449424Dar MS, Wanner C, Marx N, Ofstad AP, Mattheus M, Kaspers S, Beg SA. Cardiovascular outcomes trial data from EMPA-REG OUTCOME, CAROLINA and CARMELINA: Assessment of a novel staging system for type 2 diabetes. Diabetes Obes Metab. 2023 May;25(5):1372-1384. doi: 10.1111/dom.14989. Epub 2023 Mar 6.
PubMed 36700391Verhagen C, Janssen J, Minderhoud CA, van den Berg E, Wanner C, Passera A, Johansen OE, Biessels GJ. Chronic kidney disease and cognitive decline in patients with type 2 diabetes at elevated cardiovascular risk. J Diabetes Complications. 2022 Oct;36(10):108303. doi: 10.1016/j.jdiacomp.2022.108303. Epub 2022 Aug 31.
PubMed 36116359Verhagen C, Janssen J, Biessels GJ, Johansen OE, Exalto LG. Females with type 2 diabetes are at higher risk for accelerated cognitive decline than males: CAROLINA-COGNITION study. Nutr Metab Cardiovasc Dis. 2022 Feb;32(2):355-364. doi: 10.1016/j.numecd.2021.10.013. Epub 2021 Oct 27.
PubMed 34895804Biessels GJ, Verhagen C, Janssen J, van den Berg E, Wallenstein G, Zinman B, Espeland MA, Johansen OE. Effects of linagliptin vs glimepiride on cognitive performance in type 2 diabetes: results of the randomised double-blind, active-controlled CAROLINA-COGNITION study. Diabetologia. 2021 Jun;64(6):1235-1245. doi: 10.1007/s00125-021-05393-8. Epub 2021 Feb 9.
PubMed 33559704Rosenstock J, Kahn SE, Johansen OE, Zinman B, Espeland MA, Woerle HJ, Pfarr E, Keller A, Mattheus M, Baanstra D, Meinicke T, George JT, von Eynatten M, McGuire DK, Marx N; CAROLINA Investigators. Effect of Linagliptin vs Glimepiride on Major Adverse Cardiovascular Outcomes in Patients With Type 2 Diabetes: The CAROLINA Randomized Clinical Trial. JAMA. 2019 Sep 24;322(12):1155-1166. doi: 10.1001/jama.2019.13772.
PubMed 31536101Janssen J, van den Berg E, Zinman B, Espeland MA, Geijselaers SLC, Mattheus M, Johansen OE, Biessels GJ. HbA1c, Insulin Resistance, and beta-Cell Function in Relation to Cognitive Function in Type 2 Diabetes: The CAROLINA Cognition Substudy. Diabetes Care. 2019 Jan;42(1):e1-e3. doi: 10.2337/DC18-0914. No abstract available.
PubMed 30811335Chilton R. Linagliptin versus glimepiride add-on for the long-term treatment of Type 2 diabetes mellitus. Expert Rev Endocrinol Metab. 2013 Jul;8(4):345-349. doi: 10.1586/17446651.2013.811849.
PubMed 30736150Biessels GJ, Janssen J, van den Berg E, Zinman B, Espeland MA, Mattheus M, Johansen OE; CAROLINA(R) investigators. Rationale and design of the CAROLINA(R) - cognition substudy: a randomised controlled trial on cognitive outcomes of linagliptin versus glimepiride in patients with type 2 diabetes mellitus. BMC Neurol. 2018 Jan 15;18(1):7. doi: 10.1186/s12883-018-1014-7.
PubMed 29334906Marx N, Rosenstock J, Kahn SE, Zinman B, Kastelein JJ, Lachin JM, Espeland MA, Bluhmki E, Mattheus M, Ryckaert B, Patel S, Johansen OE, Woerle HJ. Design and baseline characteristics of the CARdiovascular Outcome Trial of LINAgliptin Versus Glimepiride in Type 2 Diabetes (CAROLINA(R)). Diab Vasc Dis Res. 2015 May;12(3):164-74. doi: 10.1177/1479164115570301. Epub 2015 Mar 15.
PubMed 25780262
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicentre, International, Randomised, Parallel Group, Double Blind Study to Evaluate Cardiovascular Safety of Linagliptin Versus Glimepiride in Patients With Type 2 Diabetes Mellitus at High Cardiovascular Risk.
- ClinicalTrials.gov ID
- NCT01243424
- Acronym / sponsor ID
- 1218.74
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 6,103 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Collaborators
- Eli Lilly and Company
- Study start
- 11 Nov 2010 (actual)
- Primary completion
- 21 Aug 2018 (actual)
- Study completion
- 21 Aug 2018 (actual)
- First posted
- 18 Nov 2010 (estimated)
- Results
- Posted 7 Jan 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the study is to investigate the longterm impact on cardiovascular morbidity and mortality, relevant efficacy parameters (e.g., glycaemic parameters) and safety (e.g., weight and hypoglycaemia) of treatment with linagliptin in patients with type 2 diabetes at elevated cardiovascular risk receiving usual care, and compare outcome against glimepiride.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| linagliptin | Experimental | Drug: linagliptin, Drug: glimepiride placebopatient to receive linagliptin or glimepiride placebo over encapsulated tablet Quaque die (QD) |
| glimepiride 1-4 mg QD | Active comparator | Drug: glimepiride, Drug: linagliptin placebopatient to receive glimepiride 1-4 mg or linagliptin placebo tablet Quaque die (QD) |
Who may qualify
- Ages
- 40 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Type 2 diabetes
- Elevated glycosylated haemoglobin (HbA1c): 6.5 - 8.5%, inclusive, if treatment naïve or mono-/dual therapy with metformin and/or an alpha-glucosidase inhibitor; 6.5 - 7.5%, inclusive, if treatment with sulphonylurea/glinide in mono- or dual (with metformin OR an alpha-glucosidase inhibitor) therapy)
- Pre-existing cardiovascular disease OR specified diabetes end-organ damage OR age => 70 years OR two or more specified cardiovascular risk factor
- BMI =< 45kg/m²
- age between >= 40 and =< 85 years
Key exclusion criteria (20 listed)
- Type 1 diabetes
- Treatment with other antidiabetic drugs (e.g. rosiglitazone, pioglitazone, Glucagon-like peptide 1 (GLP-1) analogue/agonists, Dipeptidyl-peptidase IV (DPP-IV) inhibitors or any insulin) prior to informed consent (previous short term use of insulin (up to two weeks) is allowed if taken at least 8 weeks prior informed consent)
- treatment with any anti-obesity drug less than 3 months before ICF
- uncontrolled hyperglycemia
- previous or planned bariatric surgery or intervention
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 |
|---|---|---|
| linagliptinlinagliptin tablets 5mg QD | Drug | linagliptin |
| glimepirideglimepiride over-encapsulated tablet 1-4 mg QD | Drug | glimepiride 1-4 mg QD |
| linagliptin placebolinagliptin placebo | Drug | glimepiride 1-4 mg QD |
| glimepiride placeboglimepiride placebo | Drug | linagliptin |
Primary outcome
The First 3-point Major Adverse Cardiovascular Events (3P-MACE)
Time frame: From randomization until individual day of trial completion, up to 432 weeks
The first occurrence of any of the following Clinical Event Committee (CEC) confirmed adjudicated components of the primary composite endpoint: CV death (including fatal stroke and fatal myocardial infarction (MI)), non-fatal MI (excluding silent MI), or nonfatal stroke is presented.
19 secondary outcomes
The First 4-point (4P)- MACE
Time frame: From randomization until individual day of trial completion, up to 432 weeks
Percentage of Participants Taking Trial Medication at Trial End, Maintained Glycaemic Control (HbA1c ≤7.0%) Without Need for Rescue Medication, Without >2% Weight Gain, and Without Moderate/Severe Hypoglycaemic Episodes During Maintenance Phase
Time frame: From Visit 6 (Week 16) to Final visit (Week 432) (Maintenance Phase)
Percentage of Participants Who Were on Trial Medication at Trial End, Maintained Glycaemic Control (HbA1c ≤7.0%) Without Need for Rescue Medication, and Without >2% Weight Gain During Maintenance Phase
Time frame: From Visit 6 (Week 16) to Final visit (Week 432) (Maintenance Phase)
Percentage of Participants With the Occurrence of at Least One Event of 3P-MACE
Time frame: From randomization until individual day of trial completion, up to 432 weeks
Percentage of Participants With the Occurrence of at Least One Event of 4P -MACE
Time frame: From randomization until individual day of trial completion, up to 432 weeks
Percentage of Participants With Occurrence of Any of the Components of the Composite Endpoint of All Adjudication-confirmed Events
Time frame: From start of the treatment until 7 days after the end of treatment, up to 433 weeks
Time to First Occurrence of Any of the Components of the Composite Endpoint of All Adjudication-confirmed Events
Time frame: From start of the treatment until 7 days after the end of treatment, up to 433 weeks
Change From Baseline to Final Visit in Hemoglobin A1c (HbA1c)
Time frame: Baseline and week 432
Change From Baseline to Final Visit in Fasting Plasma Glucose (FPG)
Time frame: Baseline and week 432
Change From Baseline to Final Visit Fasting Total Cholesterol, Low-density Lipoprotein (LDL) Cholesterol and High-density Lipoprotein (HDL) Cholesterol
Time frame: Baseline and week 432
Change From Baseline to Final Visit in Triglycerides
Time frame: Baseline and week 432
Change From Baseline to Final Visit in Creatinine
Time frame: Baseline and week 432
Change From Baseline to Final Visit in Estimated Glomerular Filtration Rate (eGFR)
Time frame: Baseline and week 432
Change From Baseline to Final Visit in Urine Albumin Creatinine Ratio (UACR)
Time frame: Baseline and week 432
Percentage of Participants With Transition in Albuminuria Classes
Time frame: Baseline and week 432
Change From Baseline of Insulin Secretion Rate (ISR) at Fixed Glucose Concentration at 208 Weeks
Time frame: Baseline and week 208
Percentage of Participants With Occurrence of Accelerated Cognitive Decline at End of Follow-up
Time frame: 433 weeks
Continuous Glucose Monitoring (CGM) Sub-study: Change From Baseline in the Inter-quartile Range of Diurnal Glucose Variability (Milligrams/ Deciliter) to End of Study
Time frame: Baseline
CGM Sub-study : Change From Baseline in the Inter-quartile Range of Diurnal Glucose Variability (Millimoles/ Litre) to End of Study
Time frame: Baseline
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38170502Marx N, Kolkailah AA, Rosenstock J, Johansen OE, Cooper ME, Alexander JH, Toto RD, Wanner C, Espeland MA, Mattheus M, Schnaidt S, Perkovic V, Gollop ND, McGuire DK. Hypoglycemia and Cardiovascular Outcomes in the CARMELINA and CAROLINA Trials of Linagliptin: A Secondary Analysis of Randomized Clinical Trials. JAMA Cardiol. 2024 Feb 1;9(2):134-143. doi: 10.1001/jamacardio.2023.4602.
- Derived from this study: PubMed 37449424Balasubramanian P, Kernan WN, Sheth KN, Ofstad AP, Rosenstock J, Wanner C, Zinman B, Mattheus M, Marx N, Inzucchi SE. Baseline Cardiovascular Risk Factor Control in Patients With Type 2 Diabetes and Coronary Disease Versus Stroke: Secondary Analysis of Cardiovascular Outcome Trials. Stroke. 2023 Aug;54(8):2013-2021. doi: 10.1161/STROKEAHA.122.042053. Epub 2023 Jul 14.
- Derived from this study: PubMed 36700391Dar MS, Wanner C, Marx N, Ofstad AP, Mattheus M, Kaspers S, Beg SA. Cardiovascular outcomes trial data from EMPA-REG OUTCOME, CAROLINA and CARMELINA: Assessment of a novel staging system for type 2 diabetes. Diabetes Obes Metab. 2023 May;25(5):1372-1384. doi: 10.1111/dom.14989. Epub 2023 Mar 6.
- Derived from this study: PubMed 36116359Verhagen C, Janssen J, Minderhoud CA, van den Berg E, Wanner C, Passera A, Johansen OE, Biessels GJ. Chronic kidney disease and cognitive decline in patients with type 2 diabetes at elevated cardiovascular risk. J Diabetes Complications. 2022 Oct;36(10):108303. doi: 10.1016/j.jdiacomp.2022.108303. Epub 2022 Aug 31.
- Derived from this study: PubMed 34895804Verhagen C, Janssen J, Biessels GJ, Johansen OE, Exalto LG. Females with type 2 diabetes are at higher risk for accelerated cognitive decline than males: CAROLINA-COGNITION study. Nutr Metab Cardiovasc Dis. 2022 Feb;32(2):355-364. doi: 10.1016/j.numecd.2021.10.013. Epub 2021 Oct 27.
- Derived from this study: PubMed 33559704Biessels GJ, Verhagen C, Janssen J, van den Berg E, Wallenstein G, Zinman B, Espeland MA, Johansen OE. Effects of linagliptin vs glimepiride on cognitive performance in type 2 diabetes: results of the randomised double-blind, active-controlled CAROLINA-COGNITION study. Diabetologia. 2021 Jun;64(6):1235-1245. doi: 10.1007/s00125-021-05393-8. Epub 2021 Feb 9.
- Derived from this study: PubMed 31536101Rosenstock J, Kahn SE, Johansen OE, Zinman B, Espeland MA, Woerle HJ, Pfarr E, Keller A, Mattheus M, Baanstra D, Meinicke T, George JT, von Eynatten M, McGuire DK, Marx N; CAROLINA Investigators. Effect of Linagliptin vs Glimepiride on Major Adverse Cardiovascular Outcomes in Patients With Type 2 Diabetes: The CAROLINA Randomized Clinical Trial. JAMA. 2019 Sep 24;322(12):1155-1166. doi: 10.1001/jama.2019.13772.
- Derived from this study: PubMed 30811335Janssen J, van den Berg E, Zinman B, Espeland MA, Geijselaers SLC, Mattheus M, Johansen OE, Biessels GJ. HbA1c, Insulin Resistance, and beta-Cell Function in Relation to Cognitive Function in Type 2 Diabetes: The CAROLINA Cognition Substudy. Diabetes Care. 2019 Jan;42(1):e1-e3. doi: 10.2337/DC18-0914. No abstract available.
- Derived from this study: PubMed 30736150Chilton R. Linagliptin versus glimepiride add-on for the long-term treatment of Type 2 diabetes mellitus. Expert Rev Endocrinol Metab. 2013 Jul;8(4):345-349. doi: 10.1586/17446651.2013.811849.
- Derived from this study: PubMed 29334906Biessels GJ, Janssen J, van den Berg E, Zinman B, Espeland MA, Mattheus M, Johansen OE; CAROLINA(R) investigators. Rationale and design of the CAROLINA(R) - cognition substudy: a randomised controlled trial on cognitive outcomes of linagliptin versus glimepiride in patients with type 2 diabetes mellitus. BMC Neurol. 2018 Jan 15;18(1):7. doi: 10.1186/s12883-018-1014-7.
- Derived from this study: PubMed 25780262Marx N, Rosenstock J, Kahn SE, Zinman B, Kastelein JJ, Lachin JM, Espeland MA, Bluhmki E, Mattheus M, Ryckaert B, Patel S, Johansen OE, Woerle HJ. Design and baseline characteristics of the CARdiovascular Outcome Trial of LINAgliptin Versus Glimepiride in Type 2 Diabetes (CAROLINA(R)). Diab Vasc Dis Res. 2015 May;12(3):164-74. doi: 10.1177/1479164115570301. Epub 2015 Mar 15.
- Related InfoLink provided by the sponsor.
Related trials for Diabetes Mellitus, Type 2
Not yet recruitingPhase 3
Efficacy and Safety of Once-Weekly SHR-3167 Compared With Once-Daily Insulin Glargine in Adults With Insulin-Naive Type 2 Diabetes
Type 2 Diabetes
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
Not yet recruitingPhase 3
A Study to Evaluate the Effectiveness and Safety of the Drug AZD6234 for Managing Weight in Adults Who Are Obese or Overweight. These Participants May or May Not Also Have Type 2 Diabetes
Obesity, Overweight
Not yet recruiting
Impact of Endoscopic Sleeve Gastroplasty (ESG) in Obese Adults With Type 2 Diabetes (T2D)
Type 2 Diabetes Mellitus (T2D), Obesity (BMI>30)
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
613 sites in 43 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 613 sites in 43 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 7 inclusion and 20 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 7 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 613 sites in United States, Germany, France, India, Spain and 38 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 7 Jan 2020). 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?
The First 3-point Major Adverse Cardiovascular Events (3P-MACE) (time frame: From randomization until individual day of trial completion, up to 432 weeks). 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 NCT01243424, which also lists 11 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 7 Jan 2020.