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.
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
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.
- Conditions
- Diabetes Mellitus, Type 2
- 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 group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks. Receives: Drug: Placebo to alogliptin |
| Alogliptin Monotherapy | Experimental | Participants received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks. Receives: Drug: Alogliptin |
| Metformin | Other | Participants 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 Therapy | Experimental | Participants 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 |
| Pioglitazone | Other | Participants 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 Therapy | Experimental | Participants 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.
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)
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.
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.
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.
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.
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
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
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
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
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
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.
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.
- First posted3 Feb 2011 (estimated)
- Study startDec 2010
- Primary completionDec 2011
- Study completionDec 2011
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 Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 506 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Professor Study Chair, Study chair, Takeda
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 22 Mar 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT01289119
- Acronym / sponsor ID
- SYR-322_02
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- Type 2 Diabetes Mellitus, Drug Therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 506 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Dec 2010
- Primary completion
- Dec 2011 (actual)
- Study completion
- Dec 2011 (actual)
- First posted
- 3 Feb 2011 (estimated)
- Results
- Posted 22 Mar 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of 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).
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo to alogliptinParticipants received alogliptin placebo-matching tablets, orally once daily for up to 16 weeks. |
| Alogliptin Monotherapy | Experimental | Drug: AlogliptinParticipants received alogliptin 25 mg tablets, orally, once daily for up to 16 weeks. |
| Metformin | Other | Drug: Placebo to alogliptin, Drug: MetforminParticipants 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. |
| Metformin + Alogliptin Add-on Therapy | Experimental | Drug: Alogliptin, Drug: MetforminParticipants 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. |
| Pioglitazone | Other | Drug: Placebo to alogliptin, Drug: PioglitazoneParticipants 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. |
| Pioglitazone + Alogliptin Add-on Therapy | Experimental | Drug: Alogliptin, Drug: PioglitazoneParticipants 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. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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.
Key exclusion criteria (5 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AlogliptinAlso: SYR-322Alogliptin tablets | Drug | Alogliptin Monotherapy, Metformin + Alogliptin Add-on Therapy, Pioglitazone + Alogliptin Add-on Therapy |
| Placebo to alogliptinAlogliptin placebo-matching tablets. | Drug | Metformin, Pioglitazone, Placebo |
| MetforminAlso: Fortamet, Glucophage, GlumetzaStable metformin dose | Drug | Metformin, Metformin + Alogliptin Add-on Therapy |
| PioglitazoneAlso: ActosStable pioglitazone dose | Drug | Pioglitazone, Pioglitazone + Alogliptin Add-on Therapy |
Primary outcome
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Time frame: Baseline and Week 16.
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.
11 secondary outcomes
Change From Baseline in HbA1c Over Time
Time frame: Baseline and Weeks 4, 8 and 12.
Change From Baseline in Fasting Plasma Glucose Over Time
Time frame: Baseline and Weeks 4, 8, 12 and 16.
Percentage of Participants With Marked Hyperglycemia
Time frame: Randomization to Week 16.
Change From Baseline in Body Weight
Time frame: Baseline and Weeks 8 and 16.
Percentage of Participants With HbA1c ≤6.5% at Week 16
Time frame: Week 16
Percentage of Participants With HbA1c ≤7.0% at Week 16
Time frame: Week 16
Percentage of Participants With HbA1c ≤7.5% at Week 16
Time frame: Week 16
Percentage of Participants With a Decrease in HbA1c ≥ 0.5%
Time frame: Baseline and Week 16
Percentage of Participants With a Decrease in HbA1c ≥1.0%
Time frame: Baseline and Week 16
Percentage of Participants With a Decrease in HbA1c ≥1.5%
Time frame: Baseline and Week 16.
Percentage of Participants With a Decrease in HbA1c ≥2.0%
Time frame: Baseline and Week 16.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Mar 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38837240El-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.
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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.
Professor Study Chair study chair
Takeda
21 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Alogliptin, Metformin and 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.