Type 2 Diabetes MellitusPhase 4NCT01864174
Phase 4: Investigational Study to Evaluate Metformin XR Monotherapy Versus Metformin IR Monotherapy in Subjects With Type 2 Diabetes
A Phase 4 study testing Metformin XR and Metformin IR in people with Type 2 Diabetes Mellitus, run by Bristol-Myers Squibb at 156 sites in 10 countries.
Trial summary
The purpose of this study is determine if Metformin XR monotherapy in subjects with type 2 diabetes is non-inferior to Metformin IR monotherapy Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Metformin XR and Metformin IR
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,736 participants
- Where
- 156 sitesin 10 countries
- Study dates
- 20 Jun 2013to 1 Jun 2016
- Phase
- Phase 4
- 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
- Men and women, aged ≥18 years old at time of enrollment
- Treatment naive subjects with type 2 diabetes mellitus with inadequate glycemic (HbA1c ≥7.0% and ≤9.2% obtained at screening visit) control on diet and exercise alone
- Women must have a negative serum or urine test within 24 hours prior to start of investigational product
Who cannot join
- History of ketoacidosis, lactic acidosis or hyperosmolar non-ketonic coma
- Symptoms of poorly controlled diabetes, including but not limited to marked polyuria and polydipsia with >10% weight loss during last 3 months
- Serum creatinine ≥1.50 mg/dL (133 μmol/L) for male subjects; serum creatinine ≥1.40 mg/dL (124 μmol/L for female subjects)
Trial locations and contacts
156 sites in 10 countries.
156 sites in 10 countries
United States39 sites
White Oak Family Physicians, Pa
Asheboro, North Carolina, 27203
Central Alabama Research
Birmingham, Alabama, 35209
Holston Medical Group
Bristol, Tennessee, 37620
Metrolina Internal Medicine
Charlotte, North Carolina, 28204
Cedar-Crosse Research Ctr
Chicago, Illinois, 60607
Medical Research Unlimited, Inc.
Cincinnati, Ohio, 45242
Clinical Research Advantage
Colorado Springs, Colorado, 80906
Clinical Research Advantage
Colorado Springs, Colorado, 80909
Colorado Springs Family Practice
Colorado Springs, Colorado, 80909
Clinical Research Advantage, Inc/Co Springs Health Partners, Briar
Colorado Springs, Colorado, 80920
Columbia Medical Practice
Columbia, Maryland, 21045
Dallas Diabetes & Endocrine Center
Dallas, Texas, 75230
Centennial Medical Group
Elkridge, Maryland, 21075
Clinical Research Advantage, Inc./Family Medicine Associates
Evansville, Indiana, 47725
Integrated Medical Group Pc / Fleetwood Medical Assoc.
Fleetwood, Pennsylvania, 19522
Palmetto Clinical Trial Services Llc
Fountain Inn, South Carolina, 29644
Marin Endocrine Care And Research, Inc.
Greenbrae, California, 94904
Solutions Through Advanced Research, Inc.
Jacksonville, Florida, 32258
Family Care Partners
Jacksonville, Florida, 32277
Torrance Clinical Research Institute Inc.
Lomita, California, 90717
Actca
Los Angeles, California, 90017
National Research Institute
Los Angeles, California, 90057
Clini Res Advantage Desert Clin Res, Llc
Mesa, Arizona, 85213
R. Srinivasan, M.D., Inc.
Monterey Park, California, 91754
American Health Network Of In Llc
Muncie, Indiana, 47304
Terence T. Hart, Md
Muscle Shoals, Alabama, 35662
Ny Clinical Trials
New York, New York, 10018
Lion Research
Norman, Oklahoma, 73069
Lynn Institute of Norman
Norman, Oklahoma, 73069
Diabetes Medical Center Of California
Northridge, California, 91325
Valley Clinical Trials
Northridge, California, 91325
Omega Research Consultants, Llc
Orlando, Florida, 32804
Palm Harbor Medical Associates
Palm Harbor, Florida, 34684
Clinical Res Advantage Central
Phoenix, Arkansas, 85020
Drs. Rodbard And Dempsey
Rockville, Maryland, 20852
Center For Clinical Trials Of Sacramento, Inc.
Sacramento, California, 95823
Covenant Clinical Research, Pa
San Antonio, Texas, 78229
Gulfcoast Medical Research Center, Llc
Tampa, Florida, 33607
Independence Family Medicine
Virginia Beach, Virginia, 23455
Hungary21 sites
Local Institution
Budapest, 100036
Local Institution
Budapest, 1033
Local Institution
Budapest, 1083
Local Institution
Budapest, 1097
Local Institution
Budapest, 1183
Local Institution
Budapest, 1212
Local Institution
Csorna, 9300
Local Institution
Debrecen, 4025
Local Institution
Hodmezvasarhely, Csongrád megye, 6800
Local Institution
Kecskemét, 6000
Local Institution
Mosonmagyaróvár, 9200
Local Institution
Nagykanizsa, 8800
Local Institution
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
Local Institution
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4405
Local Institution
Orosháza, 5900
Local Institution
Pécs, Baranya, 7623
Local Institution
Sátoraljaújhely, Borsod-Abauj Zemplen county, 3980
Local Institution
Székesfehérvár, 8000
Local Institution
Szentes, 6600
Local Institution
Szigetvár, Baranya, 7900
Local Institution
Szobathely, H-9700
Puerto Rico16 sites
Local Institution
Caguas, PR, 00725
Fb Med Research, Psc
Caguas, 00725
Local Institution
Carolina, PR, 00983
Policlinica Dr. Luis Rodriguez
Carolina, 00983
Local Institution
Las Lomas, San Juan, 00921
Luis Rivera-Colon, Md
Las Lomas, San Juan, 00921
Local Institution
Ponce, 00716
Ponce School Of Medicine
Ponce, 00716
Local Institution
Ponce, 00717
Research & Cardiovascular Corp
Ponce, 00717
Local Institution
Rio Grande, PR, 00745
Caparra Internal Med Res Ctr
Rio Grande, 00745
Altamira Family Medicine And Research Institute
San Juan, 00920
Local Institution
San Juan, 00920
Local Institution
San Juan, 00926-2832
The Office Of Miguel Sosa-Padilla, Md
San Juan, 00926
Romania15 sites
Local Institution
Alba Iulia, 510053
Local Institution
Bacau, 600114
Local Institution
Bacau, 600164
Local Institution
Baia Mare, 430123
Local Institution
Brasov, 500283
Local Institution
Brasov, 500365
Local Institution
Bucharest, 010507
Local Institution
Bucharest, 011234
Local Institution
Bucharest, 014461
Local Institution
Bucharest, 050538
Local Institution
Bucharest, 050722
Local Institution
Constanța, 900675
Local Institution
Ploieşti, 100683
Local Institution
Satu Mare, 440055
Local Institution
Tg Mures, 540142
South Africa12 sites
Local Institution
Brits, North West, 0250
Local Institution
Cape Town, Western Cape, 7460
Local Institution
Durban, KwaZulu-Natal, 4091
Local Institution
Lyttelton, Gauteng, 0157
Local Institution
Mthatha, Eastern Cape, 5099
Local Institution
Phoenix, Durban, KwaZulu-Natal, 4068
Local Institution
Port Elizabeth, Eastern Cape, 6014
Local Institution
Potchefstroom, 2531
Local Institution
Pretoria, Gauteng, 0002
Local Institution
Pretoria, Gauteng, 0101
Local Institution
Welkom, Free State, 9460
Local Institution
Worcester, Western Cape, 6850
United Kingdom12 sites
Local Institution
Addlestone, KT15 2BH
Local Institution
Bath, BA1 3NG
Local Institution
Cardenden Fife, KY5 0JE
Local Institution
Carmarthen, CAT, SA31 2AF
Local Institution
Chippenham, Wiltshire, SN15 2SB
Local Institution
Chippenham, WLT, SN14 6GT
Local Institution
Dundee, DD2 5NH
Local Institution
Dundee, DD4 6RD
Local Institution
Fife, FIF, KY14 7AW
Local Institution
Manchester, M23 9LT
Local Institution
Monifieth, AFO, DD5 4LX
Local Institution
Nuneaton, CV10 7DJ
Canada11 sites
Local Institution
Brampton, Ontario, L6T 0G1
Local Institution
Burlington, Ontario, L7M 4YI
Local Institution
Collingwood, Ontario, L9Y 1W3
Local Institution
Edmonton, Alberta, T5A 4L8
Local Institution
London, Ontario, N6H 0G6
Local Institution
London, N5W 6A2
Local Institution
Newmarket, Ontario, L3Y 5G8
Local Institution
Québec, Quebec, G1N 4V3
Local Institution
Toronto, Ontario, M9V 4B4
Local Institution
Toronto, Ontario, M9W 4L6
Local Institution
Winnipeg, Manitoba, R2V 4W3
Czechia10 sites
Local Institution
Brno, 636 00
Local Institution
České Budějovice, 370 01
Local Institution
Krnov, 794 01
Local Institution
Liberec, 460 01
Local Institution
Litomyšl, 570 14
Local Institution
Nový Jičín, 741 01
Local Institution
Ostrava-Kunčice, 719 00
Local Institution
Prague, 100 00
Local Institution
Prague, 11694
Local Institution
Prague, 15000
Germany10 sites
Local Institution
Aschaffenburg, Bavaria, 63739
Local Institution
Berlin, 12157
Local Institution
Heidelberg, 69115
Local Institution
Leipzig, Saxony, 04249
Local Institution
Leipzig
Local Institution
Löhne, 32584
Local Institution
Münster, North Rhine-Westphalia, 48145
Local Institution
Myen, 56727
Local Institution
Papenburg, D-26871
Local Institution
Pirna, 01796
Poland10 sites
Local Institution
Bialystok, 15-276
Local Institution
Bialystok, 15-435
Local Institution
Gdansk, Pomeranian Voivodeship, 80-546
Local Institution
Katowice, Silesian Voivodeship, 40-752
Local Institution
Krakow, 31-024
Local Institution
Krakow, 31261
Local Institution
Lublin, 20-090
Local Institution
Lublin, 20-538
Local Institution
Poznan, 61-655
Local Institution
Zamość
About this study
Official title: A 24-Week International, Multi-center, Randomized, Parallel-group, Double-blind Trial to Evaluate Metformin Extended Release Monotherapy Compared to Metformin Immediate Release Monotherapy in Adults Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise
The purpose of this study is determine if Metformin XR monotherapy in subjects with type 2 diabetes is non-inferior to Metformin IR monotherapy
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Metformin XR, Metformin IR, Placebo matching with Metformin XR, Placebo matching with Metformin IR
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Metformin XRDrug
Also called Glucophage XR
Metformin IRDrug
Also called Glucophage
Placebo matching with Metformin XRDrug
Placebo matching with Metformin IRDrug
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Metformin XR and Placebo matching with Metformin XR | Active comparator | Metformin Extended Release (XR) 500 mg tablets (500-2000 mg per day) by mouth twice daily (BID) for 24 weeks
Placebo matching with Metformin XR 0 mg tablets by mouth twice daily (BID) for 24 weeks Receives: Drug: Metformin XR; Drug: Placebo matching with Metformin XR |
| Arm 2: Metformin IR and Placebo matching with Metformin IR | Active comparator | Metformin Immediate Release (IR) 500 mg tablets (500-2000 mg per day) by mouth twice daily (BID) for 24 weeks
Placebo matching with Metformin IR 0 mg tablets by mouth twice daily (BID) for 24 weeks Receives: Drug: Metformin IR; Drug: Placebo matching with Metformin IR |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adjusted Mean Change From Baseline in HbA1c
Mean change in glycated hemoglobin (HbA1c) from baseline to Week 24 in the double-blind treatment period.
Measured: Baseline and Week 24
Number of Participants With Death, Serious Adverse Events (SAEs), SAEs Related to Study Therapy, SAEs Leading to Discontinuation, Adverse Events (AEs) Related to Study Therapy, and AEs Leading to Discontinuation
SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. Treatment-related=having certain, probable, possible, or missing relationship to study drug. All listed events are treatment emergent, which is defined as nonserious and serious AEs with an onset from Day 1 of the double-blind treatment up to and including 4 days and 30 days respectively, after the last dose date of double-blind study. randomized.
Measured: Date of first dose (Day 1) up to 30 post last dose of study drug (approx. 28 weeks)
Secondary outcomes (3)
Mean Change in Fasting Plasma Glucose (FPG)
The mean change in fasting plasma glucose (FPG) from baseline to Week 24 in the double-blind treatment period was assessed. The lack of glycemic control criteria for initiation of rescue medication during Week 12 to Week 24 was having a FPG > 200 mg/dL (11.1 mmol/L). mg/dL = milligrams per deciliter; mmol/L = millimole per Liter
Measured: Baseline and Week 24
Mean Change in Mean Daily Glucose (MDG)
The mean change in Mean Daily Glucose (MDG) from baseline to Week 24 in the double-blind treatment period was assessed. Prior to the Day 1 visit (between Week -1 and Day 1) and in the week before the Week 24/Study Termination and Rescue or Early Treatment Termination visit, participants performed 7-point finger stick blood glucose monitoring (before and 2 hours after 3 meals per day, and at bedtime) for 3 consecutive days in order to determine their MDG.
Measured: Baseline and Week 24
Percent of Participants With HbA1c < 7%
Percent of participants achieving a therapeutic glycemic response (defined as HbA1c < 7.0%) at Week 24 in the double-blind treatment period.
Measured: Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 May 2013 (estimated)
- Study start20 Jun 2013
- Primary completion1 Jun 2016
- Study completion1 Jun 2016
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.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,736 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01864174
- Sponsor's protocol ID
- CV181-206
- Other IDs
- 2012-004531-23
- Status last verified
- Nov 2019
- First submitted
- 24 May 2013
- Last updated
- 29 Nov 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 24-Week International, Multi-center, Randomized, Parallel-group, Double-blind Trial to Evaluate Metformin Extended Release Monotherapy Compared to Metformin Immediate Release Monotherapy in Adults Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise
- ClinicalTrials.gov ID
- NCT01864174
- Acronym / sponsor ID
- CV181-206
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,736 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 20 Jun 2013 (actual)
- Primary completion
- 1 Jun 2016 (actual)
- Study completion
- 1 Jun 2016 (actual)
- First posted
- 29 May 2013 (estimated)
- Results
- Posted 21 Jul 2017
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 determine if Metformin XR monotherapy in subjects with type 2 diabetes is non-inferior to Metformin IR monotherapy
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm 1: Metformin XR and Placebo matching with Metformin XR | Active comparator | Drug: Metformin XR, Drug: Placebo matching with Metformin XRMetformin Extended Release (XR) 500 mg tablets (500-2000 mg per day) by mouth twice daily (BID) for 24 weeks Placebo matching with Metformin XR 0 mg tablets by mouth twice daily (BID) for 24 weeks |
| Arm 2: Metformin IR and Placebo matching with Metformin IR | Active comparator | Drug: Metformin IR, Drug: Placebo matching with Metformin IRMetformin Immediate Release (IR) 500 mg tablets (500-2000 mg per day) by mouth twice daily (BID) for 24 weeks Placebo matching with Metformin IR 0 mg tablets by mouth twice daily (BID) for 24 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Men and women, aged ≥18 years old at time of enrollment
- Treatment naive subjects with type 2 diabetes mellitus with inadequate glycemic (HbA1c ≥7.0% and ≤9.2% obtained at screening visit) control on diet and exercise alone
- Women must have a negative serum or urine test within 24 hours prior to start of investigational product
Key exclusion criteria (3 listed)
- History of ketoacidosis, lactic acidosis or hyperosmolar non-ketonic coma
- Symptoms of poorly controlled diabetes, including but not limited to marked polyuria and polydipsia with >10% weight loss during last 3 months
- Serum creatinine ≥1.50 mg/dL (133 μmol/L) for male subjects; serum creatinine ≥1.40 mg/dL (124 μmol/L for female subjects)
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 |
|---|---|---|
| Metformin XRAlso: Glucophage XR | Drug | Arm 1: Metformin XR and Placebo matching with Metformin XR |
| Metformin IRAlso: Glucophage | Drug | Arm 2: Metformin IR and Placebo matching with Metformin IR |
| Placebo matching with Metformin XR | Drug | Arm 1: Metformin XR and Placebo matching with Metformin XR |
| Placebo matching with Metformin IR | Drug | Arm 2: Metformin IR and Placebo matching with Metformin IR |
Primary outcome
Adjusted Mean Change From Baseline in HbA1c
Time frame: Baseline and Week 24
Mean change in glycated hemoglobin (HbA1c) from baseline to Week 24 in the double-blind treatment period.
Number of Participants With Death, Serious Adverse Events (SAEs), SAEs Related to Study Therapy, SAEs Leading to Discontinuation, Adverse Events (AEs) Related to Study Therapy, and AEs Leading to Discontinuation
Time frame: Date of first dose (Day 1) up to 30 post last dose of study drug (approx. 28 weeks)
SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. Treatment-related=having certain, probable, possible, or missing relationship to study drug. All listed events are treatment emergent, which is defined as nonserious and serious AEs with an onset from Day 1 of the double-blind treatment up to and including 4 days and 30 days respectively, after the last dose date of double-blind study. randomized.
3 secondary outcomes
Mean Change in Fasting Plasma Glucose (FPG)
Time frame: Baseline and Week 24
Mean Change in Mean Daily Glucose (MDG)
Time frame: Baseline and Week 24
Percent of Participants With HbA1c < 7%
Time frame: Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS clinical trial educational resourceLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
156 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Metformin XR and Metformin IR in people with Type 2 Diabetes Mellitus, run by Bristol-Myers Squibb at 156 sites in 10 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 3 inclusion and 3 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 29 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 156 sites in United States, Hungary, Puerto Rico, Romania, South Africa and 5 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 21 Jul 2017). 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?
Adjusted Mean Change From Baseline in HbA1c (time frame: Baseline and Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 29 Nov 2019.