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Diabetes Mellitus, Type 2Phase 3NCT01289119

Efficacy and Safety of Alogliptin in Participants With Type 2 Diabetes

A Phase 3 study testing Alogliptin, Metformin and Pioglitazone in people with Diabetes Mellitus, Type 2, run by Takeda at 21 sites in 3 countries.

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 purpose of the study is to determine the efficacy of alogliptin compared to placebo when given alone or as add-on therapy to metformin or add-on to pioglitazone (with or without metformin). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
Alogliptin, Metformin and Pioglitazone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
506 participants
Where
21 sitesin 3 countries
Study dates
Dec 2010to Dec 2011
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has a historical diagnosis of Type 2 Diabetes Mellitus.
  • Has a body mass index between acceptable range.
  • Is experiencing inadequate glycemic control.
  • Body weight keeps constant.
  • Females of childbearing potential and males who are sexually active agree to use routinely adequate contraception from signing of informed consent throughout the duration of the study and for 30 days after last dose.

Who cannot join

  • Has participated in another clinical study within the past 90 days or has received any investigational compound within 30 days prior to randomization.
  • Has a systolic blood pressure beyond the acceptable range at Screening visit.
  • Has New York Heart Association Class III or IV heart failure regardless of therapy.
  • Has any major illness or debility that in the investigator's opinion prohibits the subject from completing the study.
  • Has a history of hypersensitivity or allergies to any DPP-4 inhibitor.

Trial locations and contacts

21 sites in 3 countries.

21 sites in 3 countries

China19 sites
  • Study site

    Beijing, Beijing Municipality

  • Study site

    Changchun, Jilin

  • Study site

    Changsha, Hunan

  • Study site

    Fuzhou, Fujian

  • Study site

    Guangzhou, Guangdong

  • Study site

    Haikou, Hainan

  • Study site

    Hangzhou, Zhejiang

  • Study site

    Harbin, Heilongjiang

  • Study site

    Jinan, Shandong

  • Study site

    Jingzhou, Hubei

  • Study site

    Kunming, Yunnan

  • Study site

    Nanchang, Jiangxi

  • Study site

    Shanghai, Shanghai Municipality

  • Study site

    Shenyang, Liaoning

  • Study site

    Shiyan, Hubei

  • Study site

    Tianjin, Tianjin Municipality

  • Study site

    Wuxi, Jiangsu

  • Study site

    Xi’an, Shanxi

  • Study site

    Xiamen, Fujian

Other trials in China

Hong Kong1 site
  • Study site

    Hong Kong, Hong Kong

Other trials in Hong Kong

Taiwan1 site
  • Study site

    Taipei County

Other trials in Taiwan

About this study

Official title: An International, Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Determine the Efficacy and Safety of SYR-322 When Used in Subjects With Type 2 Diabetes

The purpose of the study is to determine the efficacy of alogliptin compared to placebo when given alone or as add-on therapy to metformin or add-on to pioglitazone (with or without metformin).

Read the detailed description

Diabetes is a chronic illness associated with microvascular complications such as nephropathy (kidney disease), retinopathy (eye damage) and neuropathy (nervous system damage). Diabetes is also associated with macrovascular complications including cardiovascular disease (heart disease), stroke and peripheral vascular disease (narrowing or blockage of blood vessels). These complications are associated with reduced quality of life and increased morbidity and mortality.

Takeda is developing SYR-322 (alogliptin) for improvement of glycemic control in patients with Type 2 diabetes mellitus.

Evaluations of alogliptin and its clinical efficacy have been conducted in multiple countries including the United States and Japan. This study will be conducted as a multi-center clinical trial in order to validate the efficacy and safety of alogliptin on type 2 diabetes population within Asia.

Participants who qualified for the study were stratified into 1 of the 3 therapy groups based upon their background antidiabetic therapy before being randomized 1:1 to receive either alogliptin 25 mg once daily or matching placebo once daily.

  • Monotherapy group - patients who had been treated with diet and exercise for at least 2 months prior to screening.
  • Add-on to metformin therapy group - patients who had been treated with metformin for at least 3 months and at a stable dose (≥1000 mg/day) for at least 8 weeks prior to screening.
  • Add-on to pioglitazone therapy group - patients who had been treated with a stable dose of pioglitazone alone or in combination with metformin at a stable dose for at least 8 weeks prior to screening.
Being tested
Alogliptin, Placebo to alogliptin, Metformin, Pioglitazone
Keywords
Type 2 Diabetes Mellitus, Drug Therapy
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.

  • AlogliptinDrug

    Also called SYR-322

    Alogliptin tablets

  • Placebo to alogliptinDrug

    Alogliptin placebo-matching tablets.

  • MetforminDrug

    Also called Fortamet, Glucophage, Glumetza

    Stable metformin dose

  • PioglitazoneDrug

    Also called Actos

    Stable pioglitazone dose

Study groups in NCT01289119
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.
Receives: Drug: Placebo to alogliptin
Alogliptin MonotherapyExperimentalParticipants received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks.
Receives: Drug: Alogliptin
MetforminOtherParticipants continued to receive their stable dose of metformin (≥1000 mg/day) and also received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.
Receives: Drug: Placebo to alogliptin; Drug: Metformin
Metformin + Alogliptin Add-on TherapyExperimentalParticipants continued to receive their stable dose of metformin (≥1000 mg/day) and also received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks.
Receives: Drug: Alogliptin; Drug: Metformin
PioglitazoneOtherParticipants continued to receive their stable dose of pioglitazone with or without metformin, and also received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks.
Receives: Drug: Placebo to alogliptin; Drug: Pioglitazone
Pioglitazone + Alogliptin Add-on TherapyExperimentalParticipants continued to receive their stable dose of pioglitazone with or without metformin and also received alogliptin, 25 mg tablets orally once daily for up to 16 weeks.
Receives: Drug: Alogliptin; Drug: Pioglitazone

What is being measured

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

  1. Change From Baseline in Glycosylated Hemoglobin (HbA1c)

    The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at Week 16. Least squares means are derived from an analysis of covariance (ANCOVA) model with treatment as a fixed effect, and baseline HbA1c as a covariate for the monotherapy, baseline HbA1c with baseline metformin dose as covariates for the metformin therapy, baseline HbA1c with baseline metformin therapy status and baseline pioglitazone dose as covariates for the pioglitazone therapy.

    Measured: Baseline and Week 16.

Secondary outcomes (11)
  1. Change From Baseline in HbA1c Over Time

    The change from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) at Weeks 4, 8 and 12. Least squares means are derived from an analysis of covariance (ANCOVA) model with treatment as a fixed effect, and baseline HbA1c as a covariate for the monotherapy, baseline HbA1c with baseline metformin dose as covariates for the metformin therapy, baseline HbA1c with baseline metformin therapy status and baseline pioglitazone dose as covariates for the pioglitazone therapy.

    Measured: Baseline and Weeks 4, 8 and 12.

  2. Change From Baseline in Fasting Plasma Glucose Over Time

    The change from Baseline in fasting plasma glucose (FPG) at Weeks 4, 8, 12 and 16. Least squares means are derived from an ANCOVA model with treatment as a fixed effect, and baseline FPG as a covariate for the monotherapy, baseline FPG with baseline metformin dose as covariates for the metformin therapy, baseline FPG with baseline metformin therapy status and baseline pioglitazone dose as covariates for the pioglitazone therapy.

    Measured: Baseline and Weeks 4, 8, 12 and 16.

  3. Percentage of Participants With Marked Hyperglycemia

    Marked Hyperglycemia was defined as fasting plasma glucose greater than or equal to 200 mg/dL (11.1 mmol/L).

    Measured: Randomization to Week 16.

  4. Change From Baseline in Body Weight

    The change between body weight measured at Baseline and body weight measured at Weeks 8 and 16. The least squares means are derived from an ANCOVA model with treatment as a fixed effect, and baseline body weight as a covariate for the monotherapy, baseline body weight with baseline metformin dose as covariates for the add-on to metformin therapy, baseline body weight with baseline metformin therapy status and baseline pioglitazone dose as covariates for the add-on to pioglitazone therapy.

    Measured: Baseline and Weeks 8 and 16.

  5. Percentage of Participants With HbA1c ≤6.5% at Week 16

    Clinical response was assessed by the percentage of participants with HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) less than or equal to 6.5% at Week 16.

    Measured: Week 16

  6. Percentage of Participants With HbA1c ≤7.0% at Week 16

    Clinical response was assessed by the percentage of participants with HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) less than or equal to 7.0% at Week 16.

    Measured: Week 16

  7. Percentage of Participants With HbA1c ≤7.5% at Week 16

    Clinical response was assessed by the percentage of participants with HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) less than or equal to 7.5% at Week 16.

    Measured: Week 16

  8. Percentage of Participants With a Decrease in HbA1c ≥ 0.5%

    Clinical response was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 0.5% at Week 16.

    Measured: Baseline and Week 16

  9. Percentage of Participants With a Decrease in HbA1c ≥1.0%

    Clinical response was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1.0% at Week 16.

    Measured: Baseline and Week 16

  10. Percentage of Participants With a Decrease in HbA1c ≥1.5%

    Clinical response was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 1.5% at Week 16.

    Measured: Baseline and Week 16.

  11. Percentage of Participants With a Decrease in HbA1c ≥2.0%

    Clinical response was assessed by the percentage of participants with a decrease from Baseline in HbA1c of greater than or equal to 2.0% at Week 16.

    Measured: Baseline and Week 16.

Timeline

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

  1. First posted3 Feb 2011 (estimated)
  2. Study startDec 2010
  3. Primary completionDec 2011
  4. Study completionDec 2011

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
506 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01289119
Sponsor's protocol ID
SYR-322_02
Other IDs
U1111-1118-3681, SYR-322_308
Status last verified
Feb 2013
First submitted
1 Feb 2011
Last updated
22 Mar 2013
Data monitoring committee
No

Publications

  • El-Damanawi R, Stanley IK, Staatz C, Pascoe EM, Craig JC, Johnson DW, Mallett AJ, Hawley CM, Milanzi E, Hiemstra TF, Viecelli AK. Metformin for preventing the progression of chronic kidney disease. Cochrane Database Syst Rev. 2024 Jun 4;6(6):CD013414. doi: 10.1002/14651858.CD013414.pub2.

    PubMed 38837240

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alogliptin, Metformin and Pioglitazone in people with Diabetes Mellitus, Type 2, run by Takeda at 21 sites in 3 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 5 inclusion and 5 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 22 Mar 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in China, Hong Kong, Taiwan. 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 22 Mar 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Glycosylated Hemoglobin (HbA1c) (time frame: Baseline and Week 16.). 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 NCT01289119, 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 22 Mar 2013.

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