Diabetes Mellitus, Type 2Phase 3NCT01481116
Efficacy and Safety of TAK-875 Compared to Glimepiride When Used With Metformin in Participants With Type 2 Diabetes
A Phase 3 study testing TAK-875 and Glimepiride in people with Diabetes Mellitus, Type 2, run by Takeda at 226 sites in 23 countries.
Trial summary
The purpose of this study is to determine the efficacy and safety of TAK-875, once daily (QD), plus metformin compared to glimepiride plus metformin in participants with type 2 diabetes mellitus (T2DM). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- TAK-875 and Glimepiride
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,454 participants
- Where
- 226 sitesin 23 countries
- Study dates
- Jan 2012to Apr 2014
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
- The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
- The participant is male or female and 18 years of age or older with a historical diagnosis of T2DM.
- The participant meets one of the following criteria:
- The participant has an HbA1c level ≥7.0 and <10.0%, and has been on a stable daily dose of ≥1500 mg (or documented MTD) of metformin for at least 2 months prior to Screening. This participant will immediately enter the Placebo Run-in Period, or;
- The participant has an HbA1c level ≥ 7.5 and <10.5%, and has been on a stable daily dose of <1500 mg of metformin without documented MTD for at least 2 months prior to Screening. After completing the Screening Visit, this participant will have their metformin dose immediately increased to ≥1500 mg (or MTD) for an 8-week Titration Period. Following this 8-week period, the participant must qualify for entry into the Placebo Run-in Period by completing the Week -3 procedures and having an HbA1c concentration ≥7.0 and <10.0%.
Show all 14Show fewer
- The participant has had no treatment with antidiabetic agents other than metformin within 2 months prior to Screening (Exception: if a participant has received other antidiabetic therapy for ≤7 days within the 2 months prior to Screening).
- The participant has a body mass index (BMI) of ≤45 kg/m2 at Screening.
- Participants regularly using other, non-excluded medications, must be on a stable dose for at least 4 weeks prior to Screening. However, PRN (as needed) use of prescription or over-the-counter medications is allowed at the discretion of the investigator.
- The participant is able and willing to monitor glucose with a home glucose monitor and consistently record his or her own blood glucose concentrations and complete participant diaries.
- Additional Inclusion Criteria Prior to Randomization
- The participant has an HbA1c concentration ≥7.0% and <10.0%, and a FPG ≤270 mg/dL (15.0 mmol/L) at the Week -1 Visit. (If the subject does not qualify for randomization based on these criteria, the assessment may be repeated weekly, for a maximum of 2 additional weeks).
- The participant's compliance with the single-blind study medication during the Placebo Run-in Period is at least 75% and does not exceed 125% based on tablet/capsule counts performed by the study staff.
- A female participant of childbearing potential must have a negative urine hCG pregnancy test at Baseline (Day 1) prior to Randomization and prior to administration of the first dose of double-blind study medication.
Who cannot join
- The participant has received any investigational compound within 30 days prior to Screening or has received an investigational antidiabetic drug within the 3 months prior to Screening.
- The participant has been randomized into a previous TAK-875 study
- The participant is an immediate family member, study site employee, or is in a dependant relationship with a study site employee who is involved in conduct of this study (e.g., spouse, parent, child, sibling) or may consent under duress.
- The participant donated or received any blood products within 12 weeks prior to Screening or is planning to donate blood during the study.
- The participant has a hemoglobin ≤12 g/dL (≤120 gm/L) for males and ≤10 g/dL (≤100 gm/L) for females at Screening.
- The participant has a systolic blood pressure ≥160 mm Hg or diastolic pressure ≥95 mm Hg at Screening (If the participant meets this exclusion criterion, the assessment may be repeated once at least 30 minutes after the initial measurement).
Show all 25Show fewer
- The participant has history of cancer that has been in remission for <5 years prior to Screening. A history of basal cell carcinoma or stage 1 squamous cell carcinoma of the skin is allowed.
- The participant has alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) levels >2.0x upper limit of normal (ULN) at Screening.
- The participant has a total bilirubin level greater than the ULN at Screening. Exception: if a participant has documented Gilbert's Syndrome the participant will be allowed with an elevated bilirubin level per the investigator's discretion.
- The participant has a serum creatinine ≥1.5 mg/dL(males) and ≥1.4 mg/dL(females) and/or estimated glomerular filtration rate (GFR) <60 mL/min/1.73m2 at Screening.
- The participant has uncontrolled thyroid disease.
- The participant has a history of laser treatment for proliferative diabetic retinopathy within 6 months prior to Screening.
- The participant has had gastric banding, or gastric bypass surgery within one year prior to Screening.
- The participant has a known history of infection with human immunodeficiency virus (HIV), Hepatitis B virus (HBV), or Hepatitis C virus (HCV).
- The participant had coronary angioplasty, coronary stent placement, coronary bypass surgery, myocardial infarction, unstable angina pectoris, clinically significant abnormal electrocardiogram (ECG), cerebrovascular accident or transient ischemic attack within 3 months prior to or at Screening.
- The participant has a history of hypersensitivity, allergies, or has had an anaphylactic reaction(s) to any component of TAK-875, metformin, or glimepiride.
- The participant has a history of drug abuse (defined as illicit drug use) or a history of alcohol abuse within 2 years prior to Screening.
- The participant received excluded medications prior to Screening or is expected to receive excluded medication.
- If female, the participant is pregnant (confirmed by laboratory testing, i.e., serum/urine human chorionic gonadotropin (hCG), in females of childbearing potential) or lactating or intending to become pregnant before, during, or within 1 month after participating in this study; or intending to donate ova during such time period.
- The participant is unable to understand verbal or written English or any other language for which a certified translation of the approved informed consent is available.
- The participant has any other physical or psychiatric disease or condition that in the judgment of the investigator may affect life expectancy or may make it difficult to successfully manage and follow the participant according to the protocol.
- Additional Exclusion Criteria Prior to Randomization
- The participant has received excluded medications listed in the protocol during the Placebo Run-in Period (topical and inhaled corticosteroids are allowed).
- The participant has a systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥95 mm Hg at Baseline (Day 1) (If the subject meets this exclusion criterion, the assessment may be repeated once at least 30 minutes after the initial measurement and decision will be made based on the second measurement).
- The participant has a serum creatinine ≥1.5 mg/dL(≥133µmol/L) [males] and ≥1.4 mg/dL (≥124 µmol/L) [females] and/or estimated glomerular filtration rate (GFR) <60 mL/min/1.73m2 at Visit 3 (Schedule B subjects only).
Trial locations and contacts
226 sites in 23 countries.
226 sites in 23 countries
United States46 sites
Study site
Avon, Indiana
Study site
Bradenton, Florida
Study site
Burke, Virginia
Study site
Calabash, North Carolina
Study site
Charlotte, North Carolina
Study site
Clearwater, Florida
Study site
Coral Gables, Florida
Study site
Dallas, Texas
Study site
Decatur, Georgia
Study site
Dothan, Alabama
Study site
El Paso, Texas
Study site
Elizabeth, New Jersey
Study site
Flint, Michigan
Study site
Fort Worth, Texas
Study site
Goodyear, Arizona
Study site
Greensboro, North Carolina
Study site
Greer, South Carolina
Study site
Hampton, Virginia
Study site
Hialeah, Florida
Study site
Houston, Texas
Study site
Jackson, Mississippi
Study site
Long Beach, California
Study site
Manassas, Virginia
Study site
Maumee, Ohio
Study site
Mission Hills, California
Study site
Mooresville, North Carolina
Study site
Morganton, North Carolina
Study site
Muscle Shoals, Alabama
Study site
New Braunfels, Texas
Study site
North Hollywood, California
Study site
Norwalk, California
Study site
Oklahoma City, Oklahoma
Study site
Omaha, Nebraska
Study site
Orlando, Florida
Study site
Oxon Hill, Maryland
Study site
Pembroke Pines, Florida
Study site
Phoenix, Arizona
Study site
Pismo Beach, California
Study site
Raleigh, North Carolina
Study site
Salt Lake City, Utah
Study site
San Antonio, Texas
Study site
Spartanburg, South Carolina
Study site
Spring, Texas
Study site
Tempe, Arizona
Study site
Tomball, Texas
Study site
Topeka, Kansas
Poland20 sites
Study site
Bialystok
Study site
Bydgoszcz
Study site
Gdansk
Study site
Grodzisk Mazowiecki
Study site
Kamieniec Ząbkowicki
Study site
Katowice
Study site
Łęczyca
Study site
Lodz
Study site
Lublin
Study site
Oświęcim
Study site
Parczew
Study site
Płock
Study site
Poznan
Study site
Puławy
Study site
Ruda Śląska
Study site
Rzeszów
Study site
Sopot
Study site
Torun
Study site
Wroclaw
Study site
Zgierz
Israel17 sites
Study site
Ashkelon
Study site
Beer Yaakov
Study site
Beersheba
Study site
Giv‘atayim
Study site
Hadera
Study site
Haifa
Study site
Holon
Study site
Jerusalem
Study site
Kfar Saba
Study site
Nahariya
Study site
Petah Tikva
Study site
Raanana
Study site
Ramat Gan
Study site
Rehovot
Study site
Rishon LeZiyyon
Study site
Safed
Study site
Tel Aviv
Czechia13 sites
Study site
Benátky nad Jizerou
Study site
Brno
Study site
České Budějovice
Study site
Choceň
Study site
Jindřichův Hradec
Study site
Mariánské Lázně
Study site
Olomouc
Study site
Ostrava
Study site
Ostrava - Moravska Ostrava
Study site
Ostrava - Vitkovice
Study site
Prague
Study site
Praha 4 - Krc
Study site
Znojmo
South Africa12 sites
Study site
Bloemfontein, Free State
Study site
Cape Town, Western Cape
Study site
Durban, KwaZulu-Natal
Study site
Johannesburg, Gauteng
Study site
Kempton Park, Gauteng
Study site
Krugersdorp, Gauteng
Study site
Middelburg, Mpumalanga
Study site
Port Elizabeth, Eastern Cape
Study site
Pretoria, Gauteng
Study site
Somerset West, Western Cape
Study site
Stellenbosch, Western Cape
Study site
Worcester, Western Cape
Ukraine12 sites
Study site
Dnipropetrovsk
Study site
Ivano-Frankivsk
Study site
Kharkiv
Study site
Kiev
Study site
Kyiv
Study site
Luhansk
Study site
Lviv
Study site
Mykolayiv
Study site
Poltava
Study site
Ternopil
Study site
Vinnytsia
Study site
Zaporizhzhya
United Kingdom11 sites
Study site
Bath, Somerset
Study site
Bexhill-on-Sea, East Sussex
Study site
Cardiff, Cardiff
Study site
Cheadle, Cheshire
Study site
Hull, East Riding of Yorkshire
Study site
Liverpool, Merseyside
Study site
Northwood, Middlesex
Study site
Plymouth, Devon
Study site
Swansea, South Glamorgan
Study site
Thornton-Cleveleys, Lancashire
Study site
Watford, Hertfordshire
Canada10 sites
Study site
Laval, Quebec
Study site
Longueuil, Quebec
Study site
Mirabel, Quebec
Study site
Oakville, Ontario
Study site
Ottawa, Ontario
Study site
Pointe-Claire, Quebec
Study site
Saint-Laurent, Quebec
Study site
Thornhill, Ontario
Study site
Toronto, Ontario
Study site
Victoria, British Columbia
Malaysia9 sites
Study site
Ipoh, Perak
Study site
Kuala Lumpur, Kuala Lumpur
Study site
Malacca, Melaka
Study site
Petaling Jaya, Selangor
Study site
Putrajaya, Putrajaya
Study site
Taiping, Perak
Study site
Taiping, Perak, Perak
Study site
Terengganu, Terengganu
Study site
Terengganu
Romania9 sites
Study site
Bacau
Study site
Baia Mare
Study site
Bucharest
Study site
Constanța
Study site
Iași
Study site
Oradea
Study site
Ploieşti
Study site
Târgu Mureş
Study site
Timișoara
Bulgaria8 sites
Study site
Blagoevgrad
Study site
Gabrovo
Study site
Pleven
Study site
Plovdiv
Study site
Sevlievo
Study site
Sofia
Study site
Stara Zagora
Study site
Varna
New Zealand7 sites
Study site
Auckland
Study site
Christchurch
Study site
Hamilton
Study site
Palmerston North
Study site
Rotorua
Study site
Tauranga
Study site
Wellington
Philippines7 sites
Study site
Cebu City
Study site
Davao City
Study site
Iloilo City
Study site
Lipa City
Study site
Quezon City
Study site
Tarlac City
Study site
Taytay
Russia7 sites
Study site
Kazan'
Study site
Kemerovo
Study site
Krasnoyarsk
Study site
Moscow
Study site
Novosibirsk
Study site
Saint Petersburg
Study site
Yaroslavl
Argentina6 sites
Study site
Buenos Aires, Ciudad Autonoma Buenos Aires
Study site
Ciudad Autonoma Buenos Aires, Ciudad Autonoma Buenos Aires
Study site
Córdoba, Córdoba Province
Study site
Córdoba
Study site
Corrientes, Corrientes Province
Study site
Rosario, Santa Fe Province
Estonia6 sites
Study site
Paide
Study site
Rakvere
Study site
Saku
Study site
Tallinn
Study site
Tartu
Study site
Võru
Latvia6 sites
Study site
Jelgava
Study site
Limbaži
Study site
Ogre
Study site
Riga
Study site
Talsi
Study site
Valmiera
Australia5 sites
Study site
Brookvale, New South Wales
Study site
Canberra, Australian Capital Territory
Study site
Canberra
Study site
Mosman, New South Wales
Study site
Woy Woy, New South Wales
Taiwan5 sites
Study site
Chia-Yi City
Study site
New Taipei City
Study site
Taichung
Study site
Tainan
Study site
Taipei
Lithuania4 sites
Study site
Alytus
Study site
Kaunas
Study site
Klaipėda
Study site
Vilnius
Mexico2 sites
Study site
Cuernavaca, Morelos
Study site
Mexico City, Mexico City
About this study
Official title: A Multicenter, Randomized, Double-Blind, Active-Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of TAK-875 25 mg and 50 mg Compared to Glimepiride When Used in Combination With Metformin in Subjects With Type 2 Diabetes
The purpose of this study is to determine the efficacy and safety of TAK-875, once daily (QD), plus metformin compared to glimepiride plus metformin in participants with type 2 diabetes mellitus (T2DM).
The purpose of this study is to determine the efficacy and safety of TAK-875, once daily (QD), plus metformin compared to glimepiride plus metformin in participants with type 2 diabetes mellitus (T2DM).
Read the detailed description
Type 2 diabetes mellitus (T2DM) has increased dramatically throughout the world over the past decades despite the availability of several different treatment options. Current pharmacologic treatments include insulin, thiazolidinediones, sulfonylureas, metformin, dipeptidyl-peptidase-4 (DPP-4) inhibitors, and glucagon-like peptide-1 (GLP-1) mimetics. A number of these treatments are associated with clinically important side effects such as low blood sugar (hypoglycemia), weight gainflud retention, exaggeration of pre-existent heart failure, and gastrointestinal side effects. These side effects and the disadvantages associated with many of the currently available antidiabetic agents can reduce compliance and limit their long-term use.
Insulin is a hormone that is produced by the body to regulate blood sugar (glucose). In individuals with T2DM, the insulin produced by the body does not effectively control the amount of sugar in the bloodstream. If not properly managed, T2DM may cause elevated blood sugar levels (hyperglycemia) and ultimately result in serious health problems.
In response to this problem, Takeda is developing TAK-875 (an investigational drug) as an addition to diet and exercise to improve blood sugar control in patients with T2DM. TAK-875 may affect the production of insulin and may improve how the body uses the sugar in the blood.
The aim of this study is to find out if TAK-875, when taken for approximately 2 years in combination with current diabetes medicine (called metformin), is safe and effective at helping people with T2DM control their high blood sugar when compared to glimepiride (a type of medication called a sulfonylurea). The study is being done to find out if the combination of TAK-875 plus metformin works as well as the combination of glimepiride plus metformin.
Approximately 2430 patients worldwide aged 18 or over with T2DM, will take part in this study and will be involved in the study for up to 110 or 120 weeks.
TAK-875 is being developed at Takeda Global Research and Development, Inc. as an adjunct to diet and exercise to improve glycemic control in participants with T2DM.
This study will investigate TAK-875 in participants with type 2 diabetes mellitus whose blood sugar level is inadequately controlled with metformin monotherapy.
Due to potential concerns about liver safety, on balance, the benefits of treating patients with fasiglifam (TAK-875) do not outweigh the potential risks.
For this reason, Takeda has decided voluntarily to terminate the development activities for fasiglifam.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- TAK-875, Glimepiride
- Keywords
- 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.
TAK-875Drug
TAK-875 25 mg, tablets, orally, once daily and metformin ≥1500 mg or Maximum Tolerated Dose (MTD) for up to 104 weeks.
TAK-875Drug
TAK-875 50 mg, tablets, orally, once daily and metformin ≥1500 mg or MTD for up to 104 weeks.
GlimepirideDrug
Glimepiride 1 mg, tablets, orally, once daily (up-titrated to 2 mg after 1 week of treatment. Up-titrated to a maximum of 6 mg in 2 mg increments/down titrated if recurrent (or severe) hypoglycemia occurs) and metformin ≥1500 mg or MTD for up to 104 weeks.
| Study group | Role | What they receive |
|---|---|---|
| TAK-875 25 mg QD | Experimental | Not described Receives: Drug: TAK-875 |
| TAK-875 50 mg QD | Experimental | Not described Receives: Drug: TAK-875 |
| Glimepiride 1-2 mg QD | Active comparator | Not described Receives: Drug: Glimepiride |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in HbA1c at Weeks 78 and 104
The change in the value of HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) to be collected at Weeks 78 and 104 relative to baseline.
Measured: Baseline and Weeks 78 and 104
Secondary outcomes (6)
Percentage of Participants With Hypoglycemia
Participants were provided diaries to document any hypoglycemic events that occurred between study visits. Any experience of hypoglycemic signs and symptoms (regardless of the blood glucose value by glucometer) or had a blood glucose value less than or equal to (<=) 70 milligram per deciliter (mg/dL) (3.9 millimole per liter (mmol/L) by glucometer (regardless of symptoms) were to be recorded.
Measured: Day 1 up to Weeks 78 and 104
Change From Baseline in Body Weight at Weeks 78 and 104
The change between the body weight to be collected at Weeks 78 and 104 relative to baseline.
Measured: Baseline and Weeks 78 and 104
Change From Baseline in HbA1c at Weeks 26 and 52
The change in the value of HbA1c collected at Weeks 26 and 52 relative to baseline.
Measured: Baseline and Weeks 26 and 52
Percentage of Participants With HbA1c <7%
Measured: Weeks 26, 52, 78 and 104
Percentage of Participants With HbA1c <7% for Participants Who Did Not Report Hypoglycemia
Measured: Weeks 26, 52, 78 and 104
Change From Baseline in Fasting Plasma Glucose at Weeks 26, 52, 78 and 104
The change between the fasting plasma glucose value to be collected at Weeks 26, 52, 78 and 104 relative to baseline.
Measured: Baseline and Weeks 26, 52, 78 and 104
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2011 (estimated)
- Study startJan 2012
- Primary completionMar 2014
- Study completionApr 2014
Why it stopped: Due to potential concerns about liver safety (See Detailed Description)
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
- 2,454 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Senior Medical Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01481116
- Sponsor's protocol ID
- TAK-875_304
- Other IDs
- 2011-001731-24, U1111-1124-2296, TAK-875_304CTIL, DOH-27-0512-3913, 11-057, NMRR-11-882-10318, HKCTR-1616, 262
- Status last verified
- Apr 2016
- First submitted
- 25 Nov 2011
- Last updated
- 1 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Shavadia JS, Sharma A, Gu X, Neaton J, DeLeve L, Holmes D, Home P, Eckel RH, Watkins PB, Granger CB. Determination of fasiglifam-induced liver toxicity: Insights from the data monitoring committee of the fasiglifam clinical trials program. Clin Trials. 2019 Jun;16(3):253-262. doi: 10.1177/1740774519836766. Epub 2019 Mar 18.
PubMed 30880443
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Active-Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of TAK-875 25 mg and 50 mg Compared to Glimepiride When Used in Combination With Metformin in Subjects With Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT01481116
- Acronym / sponsor ID
- TAK-875_304
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- Drug Therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Due to potential concerns about liver safety (See Detailed Description)
- Enrolment
- 2,454 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Jan 2012
- Primary completion
- Mar 2014 (actual)
- Study completion
- Apr 2014 (actual)
- First posted
- 29 Nov 2011 (estimated)
- Results
- Posted 1 Jun 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the efficacy and safety of TAK-875, once daily (QD), plus metformin compared to glimepiride plus metformin in participants with type 2 diabetes mellitus (T2DM).
The purpose of this study is to determine the efficacy and safety of TAK-875, once daily (QD), plus metformin compared to glimepiride plus metformin in participants with type 2 diabetes mellitus (T2DM).
Detailed description
Type 2 diabetes mellitus (T2DM) has increased dramatically throughout the world over the past decades despite the availability of several different treatment options. Current pharmacologic treatments include insulin, thiazolidinediones, sulfonylureas, metformin, dipeptidyl-peptidase-4 (DPP-4) inhibitors, and glucagon-like peptide-1 (GLP-1) mimetics. A number of these treatments are associated with clinically important side effects such as low blood sugar (hypoglycemia), weight gainflud retention, exaggeration of pre-existent heart failure, and gastrointestinal side effects. These side effects and the disadvantages associated with many of the currently available antidiabetic agents can reduce compliance and limit their long-term use.
Insulin is a hormone that is produced by the body to regulate blood sugar (glucose). In individuals with T2DM, the insulin produced by the body does not effectively control the amount of sugar in the bloodstream. If not properly managed, T2DM may cause elevated blood sugar levels (hyperglycemia) and ultimately result in serious health problems.
In response to this problem, Takeda is developing TAK-875 (an investigational drug) as an addition to diet and exercise to improve blood sugar control in patients with T2DM. TAK-875 may affect the production of insulin and may improve how the body uses the sugar in the blood.
The aim of this study is to find out if TAK-875, when taken for approximately 2 years in combination with current diabetes medicine (called metformin), is safe and effective at helping people with T2DM control their high blood sugar when compared to glimepiride (a type of medication called a sulfonylurea). The study is being done to find out if the combination of TAK-875 plus metformin works as well as the combination of glimepiride plus metformin.
Approximately 2430 patients worldwide aged 18 or over with T2DM, will take part in this study and will be involved in the study for up to 110 or 120 weeks.
TAK-875 is being developed at Takeda Global Research and Development, Inc. as an adjunct to diet and exercise to improve glycemic control in participants with T2DM.
This study will investigate TAK-875 in participants with type 2 diabetes mellitus whose blood sugar level is inadequately controlled with metformin monotherapy.
Due to potential concerns about liver safety, on balance, the benefits of treating patients with fasiglifam (TAK-875) do not outweigh the potential risks.
For this reason, Takeda has decided voluntarily to terminate the development activities for fasiglifam.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| TAK-875 25 mg QD | Experimental | Drug: TAK-875 |
| TAK-875 50 mg QD | Experimental | Drug: TAK-875 |
| Glimepiride 1-2 mg QD | Active comparator | Drug: Glimepiride |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
- The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
- The participant is male or female and 18 years of age or older with a historical diagnosis of T2DM.
- The participant meets one of the following criteria:
- The participant has had no treatment with antidiabetic agents other than metformin within 2 months prior to Screening (Exception: if a participant has received other antidiabetic therapy for ≤7 days within the 2 months prior to Screening).
Key exclusion criteria (25 listed)
- The participant has received any investigational compound within 30 days prior to Screening or has received an investigational antidiabetic drug within the 3 months prior to Screening.
- The participant has been randomized into a previous TAK-875 study
- The participant is an immediate family member, study site employee, or is in a dependant relationship with a study site employee who is involved in conduct of this study (e.g., spouse, parent, child, sibling) or may consent under duress.
- The participant donated or received any blood products within 12 weeks prior to Screening or is planning to donate blood during the study.
- The participant has a hemoglobin ≤12 g/dL (≤120 gm/L) for males and ≤10 g/dL (≤100 gm/L) for females at Screening.
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 |
|---|---|---|
| TAK-875TAK-875 25 mg, tablets, orally, once daily and metformin ≥1500 mg or Maximum Tolerated Dose (MTD) for up to 104 weeks. | Drug | TAK-875 25 mg QD |
| TAK-875TAK-875 50 mg, tablets, orally, once daily and metformin ≥1500 mg or MTD for up to 104 weeks. | Drug | TAK-875 50 mg QD |
| GlimepirideGlimepiride 1 mg, tablets, orally, once daily (up-titrated to 2 mg after 1 week of treatment. Up-titrated to a maximum of 6 mg in 2 mg increments/down titrated if recurrent (or severe) hypoglycemia occurs) and metformin ≥1500 mg or MTD for up to 104 weeks. | Drug | Glimepiride 1-2 mg QD |
Primary outcome
Change From Baseline in HbA1c at Weeks 78 and 104
Time frame: Baseline and Weeks 78 and 104
The change in the value of HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) to be collected at Weeks 78 and 104 relative to baseline.
6 secondary outcomes
Percentage of Participants With Hypoglycemia
Time frame: Day 1 up to Weeks 78 and 104
Change From Baseline in Body Weight at Weeks 78 and 104
Time frame: Baseline and Weeks 78 and 104
Change From Baseline in HbA1c at Weeks 26 and 52
Time frame: Baseline and Weeks 26 and 52
Percentage of Participants With HbA1c <7%
Time frame: Weeks 26, 52, 78 and 104
Percentage of Participants With HbA1c <7% for Participants Who Did Not Report Hypoglycemia
Time frame: Weeks 26, 52, 78 and 104
Change From Baseline in Fasting Plasma Glucose at Weeks 26, 52, 78 and 104
Time frame: Baseline and Weeks 26, 52, 78 and 104
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30880443Shavadia JS, Sharma A, Gu X, Neaton J, DeLeve L, Holmes D, Home P, Eckel RH, Watkins PB, Granger CB. Determination of fasiglifam-induced liver toxicity: Insights from the data monitoring committee of the fasiglifam clinical trials program. Clin Trials. 2019 Jun;16(3):253-262. doi: 10.1177/1740774519836766. Epub 2019 Mar 18.
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.
Senior Medical Director study director
Takeda
226 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing TAK-875 and Glimepiride in people with Diabetes Mellitus, Type 2, run by Takeda at 226 sites in 23 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 14 inclusion and 25 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: stopped early, as of the sponsor's last update on 1 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 226 sites in United States, Poland, Israel, Czechia, South Africa and 18 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 1 Jun 2016). 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 HbA1c at Weeks 78 and 104 (time frame: Baseline and Weeks 78 and 104). 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 NCT01481116, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jun 2016.