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Diabetes MellitusPhase 3NCT01890122

Efficacy and Safety of Alogliptin and Metformin Fixed-Dose Combination in Participants With Type 2 Diabetes

A Phase 3 study testing Alogliptin, Metformin HCl and Alogliptin and Metformin Fixed-Dose Combination (FDC) in people with Diabetes Mellitus, run by Takeda at 45 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy and safety of alogliptin and metformin fixed-dose combination (FDC) as compared with alogliptin alone or metformin alone on Type 2 Diabetes Mellitus (T2DM). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Diabetes Mellitus
What is being tested?
Alogliptin, Metformin HCl and Alogliptin and Metformin Fixed-Dose Combination (FDC)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
647 participants
Where
45 sitesin 4 countries
Study dates
Sep 2013to Oct 2015
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

  • 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.
  • Has a historical diagnosis of Type 2 diabetes mellitus (T2DM).
  • Male or female and aged 18 to 75 years, inclusive.
  • Body mass index (BMI) between 20 and 45 kg/m^2, inclusive.
  • A female of childbearing potential who is sexually active with a nonsterilized male partner agrees to use routinely adequate contraception from signing of informed consent throughout the duration of the study.
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  • Is experiencing inadequate glycemic control defined as glycosylated hemoglobin (HbA1c) concentration between 7.5% and 10%, inclusive, and has been treated with diet and exercise for at least 2 months prior to Screening. (Exception: a participant who has received any other diabetic therapy for less than 7 days in total within the 2 months prior to the screening, can be included).
  • If male, has a hemoglobin >12 g/dL (>120 g/L) at Screening or if female, has a hemoglobin >10 g/dL (>100 g/L) at Screening.
  • If male, has a serum creatinine <1.5 mg/dL at Screening or if female, has a serum creatinine <1.4 mg/dL at Screening, and estimated glomerular filtration rate (eGFR) >60 mL/min/1.73 m^2 based on calculation using the Modification of Diet in Renal Disease (MDRD) at Screening.
  • Willing and able to monitor their own blood glucose concentrations using a home glucose monitor and complete a subject diary.

Who cannot join

  • Participated in another clinical study within 90 days prior to Screening.
  • Received any investigational compound within 30 days prior to Randomization.
  • Received a dipeptidyl peptidase-4 (DPP-4) inhibitor within 3 months prior to screening.
  • History of laser treatment for proliferative diabetic retinopathy within the 6 months prior to Screening.
  • History of treatment for diabetic gastric paresis, gastric banding, or gastric bypass surgery.
  • History of diabetic ketoacidosis or hyperosmolar non-ketotic coma.
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  • Chronic pancreatitis and/or history of acute pancreatitis.
  • Systolic blood pressure >180 mm Hg and/or diastolic blood pressure >110 mm Hg at Screening.
  • History of any hemoglobinopathy or diagnosis of chronic anemia.
  • New York Heart Association Class III or IV heart failure. (Participants who are stable at Class I or II and are currently treated, are candidates for the study.)
  • History of coronary angioplasty, coronary stent placement, coronary bypass surgery, or myocardial infarction within 6 months prior to Screening.
  • History of any cancer, other than squamous cell or basal cell carcinoma of the skin, which has not been in full remission for at least 5 years prior to Screening. Participants with a history of treated cervical intraepithelial neoplasia [CIN] I or CIN II are allowed.
  • Significant clinical sign or symptom of hepatopathy, acute or chronic hepatitis, human immunodeficiency virus or alanine aminotransferase (ALT) is 2.5 times above upper limit of normal value.
  • History of angioedema in association with use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin II receptor blockers (ARB).
  • History of hypersensitivity or allergies to any DPP-4 inhibitor and/or metformin or related compounds.
  • Has used oral or systemically injected glucocorticoids (including intra-articular injection) or has used weight-loss drugs within 2 months prior to Screening. (Inhaled or topical corticosteroids were allowed.)
  • History of alcohol or substance abuse within 2 years prior to Screening.
  • Has used medicine for weight loss within 60 days prior to Screening (such as Xenical, Sibutramine, Phenylpropanolamine or similar nonprescription drugs).
  • History of organ transplantation.
  • 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 (eg, spouse, parent, child, sibling) or may consent under duress.
  • Has, in the judgment of the investigator, any major illness or debility that may prohibit the participant from completing the study.
  • If female, is pregnant 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.

Trial locations and contacts

45 sites in 4 countries.

45 sites in 4 countries

China24 sites
  • Study site

    Beijing, Beijing Municipality

  • Study site

    Beijing

  • Study site

    Changchun, Jilin

  • Study site

    Changsha, Hunan

  • Study site

    Changzhou, Jiangsu

  • Study site

    Chengdu, Sichuan

  • Study site

    Fuzhou, Fujian

  • Study site

    Guangzhou, Guangdong

  • Study site

    Guiyang, Guizhou

  • Study site

    Hengshui, Hebei

  • Study site

    Nanchang, Jiangxi

  • Study site

    Nanjing, Jiangsu

  • Study site

    Nanning, Guangxi

  • Study site

    Shanghai

  • Study site

    Shenyang, Liaoning

  • Study site

    Shijiazhuang, Hebei

  • Study site

    Shiyan, Hubei

  • Study site

    Suzhou, Jiangsu

  • Study site

    Tianjin

  • Study site

    Wenzhou, Zhejiang

  • Study site

    Wuhan, Hubei

  • Study site

    Xi’an, Shanxi

  • Study site

    Xiamen, Fujian

  • Study site

    Yueyang, Hunan

Other trials in China

Malaysia12 sites
  • Study site

    Alor Star, Kedah

  • Study site

    Alor Star, Kedah Darul Aman

  • Study site

    Bagan Serai, Perak

  • Study site

    Ipoh, Perak

  • Study site

    Johor Bahru, Johor

  • Study site

    Kampung Baharu Nilai, Negeri Sembilan

  • Study site

    Kubang Kerian, Kelantan

  • Study site

    Petaling Jaya, Selangor

  • Study site

    Putrajaya, Kuala Lumpur

  • Study site

    Seremban, Negeri Sembilan

  • Study site

    Shah Alam, Selangor

  • Study site

    Tampin, Negeri Sembilan

Other trials in Malaysia

South Korea5 sites
  • Study site

    Busan

  • Study site

    Goyang-si, Gyeonggi-do

  • Study site

    Seongnam-si, Gyeonggi-do

  • Study site

    Seoul

  • Study site

    Suwon, Gyeonggi-do

Other trials in South Korea

Taiwan4 sites
  • Study site

    Kaohsiung City

  • Study site

    New Taipei City

  • Study site

    Taichung

  • Study site

    Taipei

Other trials in Taiwan

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Determine the Efficacy and Safety of Alogliptin and Metformin Fixed Dose Combination, Alogliptin Alone, or Metformin Alone in Subjects With Type 2 Diabetes Mellitus

The purpose of this study is to evaluate the efficacy and safety of alogliptin and metformin fixed-dose combination (FDC) as compared with alogliptin alone or metformin alone on Type 2 Diabetes Mellitus (T2DM).

Read the detailed description

The drug being tested in this study is a fixed-dose combination tablet of alogliptin and metformin to treat people who have diabetes. This study will look at glycemic control in people who take alogliptin and metformin FDC compared with alogliptin or metformin alone. The study will enroll approximately 640 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the four treatment groups-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):

  • Alogliptin 12.5 mg twice daily (BID)
  • Metformin hydrochloride (HCl) 500 mg BID
  • Alogliptin 12.5 mg and Metformin HCl 500 mg FDC BID
  • Placebo (dummy inactive pill) - this is a tablet/capsule that looks like the study drug but has no active ingredient.

All participants will be asked to take 2 tablets and 1 capsule twice a day at the same time each day throughout the study. All participants will be asked to record any hypoglycemic events in a diary. This multi-center trial will be conducted in China, South Korea, Taiwan and Malaysia. The overall time to participate in this study is 34 weeks. Participants will make 11 visits to the clinic.

Being tested
Alogliptin, Metformin HCl, Alogliptin and Metformin Fixed-Dose Combination (FDC), Alogliptin Placebo, Metformin Placebo
Keywords
Drug therapy
Medical subject headings
Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AlogliptinDrug

    Also called SYR-322; Nesina

    Alogliptin tablets

  • Metformin HClDrug

    Also called Glucophage

    Metformin HCl capsules

  • Alogliptin and Metformin Fixed-Dose Combination (FDC)Drug

    Also called Kazano

    Alogliptin and metformin FDC tablets

  • Alogliptin PlaceboDrug

    Alogliptin placebo-matching tablets

  • Metformin PlaceboDrug

    Metformin placebo-matching capsules

  • Alogliptin and Metformin FDC PlaceboDrug

    Alogliptin and metformin FDC placebo-matching tablets

Study groups in NCT01890122
Study groupRoleWhat they receive
Metformin HCl 500 mgActive comparatorMetformin hydrochloride (HCl) 500 mg, capsules, orally, twice a day; alogliptin placebo-matching tablets, orally, twice a day; alogliptin and metformin HCl fixed dose combination (FDC) placebo-matching tablets, orally, twice a day for up to 26 weeks.
Receives: Drug: Metformin HCl; Drug: Alogliptin Placebo; Drug: Alogliptin and Metformin FDC Placebo
Alogliptin 12.5 mgActive comparatorAlogliptin 12.5 mg, tablets, orally, twice a day; metformin placebo-matching capsules, orally, twice a day; alogliptin and metformin HCl FDC placebo-matching tablets, orally, twice a day for up to 26 weeks.
Receives: Drug: Alogliptin; Drug: Metformin Placebo; Drug: Alogliptin and Metformin FDC Placebo
Alogliptin 12.5 mg + Metformin HCl 500 mg FDCExperimentalAlogliptin 12.5 mg and metformin HCl 500 mg FDC, tablets, orally, twice a day; alogliptin placebo-matching tablets, orally, twice a day; metformin placebo-matching capsules, orally, twice a day for up to 26 weeks.
Receives: Drug: Alogliptin and Metformin Fixed-Dose Combination (FDC); Drug: Alogliptin Placebo; Drug: Metformin Placebo
PlaceboPlacebo comparatorAlogliptin and metformin FDC placebo-matching tablets, orally, twice a day; alogliptin placebo-matching tablets, orally, twice a day; metformin placebo-matching capsules, orally, twice a day for up to 26 weeks.
Receives: Drug: Alogliptin Placebo; Drug: Metformin Placebo; Drug: Alogliptin and Metformin FDC Placebo

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) at Week 26 (or Early Termination)

    The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at Week 26 or early termination relative to baseline. Negative change indicates better glycemic control.

    Measured: Baseline and Week 26 (or Early termination)

Secondary outcomes (13)
  1. Change From Baseline in HbA1c at Weeks 4, 8, 12, 16 and 20

    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) collected at Weeks 4, 8, 12, 16 and 20 relative to baseline. Negative change indicates better glycemic control.

    Measured: Baseline and Weeks 4, 8, 12, 16 and 20

  2. Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 4, 8, 12, 16, 20 and 26

    The change between the FPG value collected at Weeks 4, 8, 12, 16, 20 and 26 relative to baseline. Negative change indicates better glycemic control.

    Measured: Baseline and Weeks 4, 8, 12, 16, 20 and 26

  3. Time to Hyperglycemic Rescue Event

    Rescue is defined as meeting one of the following criteria, confirmed by a second sample drawn within 7 days of first sample: After >1 week of treatment but prior to Week 4 visit: A single FPG ≥275 mg/dL (≥15.27 mmol/L); From the Week 4 but prior to the Week 8 visit: A single FPG ≥250 mg/dL (≥13.88 mmol/L); From the Week 8 visit but prior to the Week 12 visit: A single FPG ≥225 mg/dL (≥12.49 mmol/L); From the Week 12 visit through the end-of-treatment visit (week 26): HbA1c ≥8.5% and ≤0.5% reduction in HbA1c from baseline. Time to hyperglycemic rescue was censored if the participant did not experience a hyperglycemic rescue event.

    Measured: From the date of randomization through Week 26

  4. Percentage of Participants Requiring Hyperglycemic Rescue

    Rescue is defined as meeting one of the following criteria, confirmed by a second sample drawn within 7 days of first sample: After >1 week of treatment but prior to Week 4 visit: A single FPG ≥275 mg/dL (≥15.27 mmol/L); From the Week 4 but prior to the Week 8 visit: A single FPG ≥250 mg/dL (≥13.88 mmol/L); From the Week 8 visit but prior to the Week 12 visit: A single FPG ≥225 mg/dL (≥12.49 mmol/L); From the Week 12 visit through the end-of-treatment visit (week 26): HbA1c ≥8.5% and ≤0.5% reduction in HbA1c from baseline.

    Measured: Baseline up to Week 26

  5. Percentage of Participants With Marked Hyperglycemia

    Marked hyperglycemia is defined as FPG level ≥200 mg/dL (11.1 mmol/L).

    Measured: Baseline up to Week 26

  6. Change From Baseline in Body Weight at Weeks 12 and 26

    Change in participant's body weight at Weeks 12 and 26 relative to baseline.

    Measured: Baseline and Weeks 12 and 26

  7. Percentage of Participants With Glycosylated Hemoglobin ≤6.5%

    Clinical response at Week 26 will be 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) ≤6.5%.

    Measured: Week 26

  8. Percentage of Participants With Glycosylated Hemoglobin ≤7.0%

    Clinical response at Week 26 will be 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) ≤7%.

    Measured: Week 26

  9. Percentage of Participants With Glycosylated Hemoglobin ≤7.5%

    Clinical response at Week 26 will be 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) ≤7.5%.

    Measured: Week 26

  10. Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥0.5%

    Clinical response at Week 26 will be assessed by the percentage of participants with a decrease from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) of ≥0.5%.

    Measured: Baseline and Week 26

  11. Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥1.0%

    Clinical response at Week 26 will be assessed by the percentage of participants with a decrease from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) of ≥1.0%.

    Measured: Baseline and Week 26

  12. Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥1.5%

    Clinical response at Week 26 will be assessed by the percentage of participants with a decrease from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) of ≥1.5%.

    Measured: Baseline and Week 26

  13. Percentage of Participants With a Decrease in Glycosylated Hemoglobin ≥2.0%

    Clinical response at Week 26 will be assessed by the percentage of participants with a decrease from Baseline in HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) of ≥2.0%.

    Measured: Baseline and Week 26

Timeline

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

  1. First posted1 Jul 2013 (estimated)
  2. Study startSep 2013
  3. Primary completionSep 2015
  4. Study completionOct 2015

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
Factorial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
647 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01890122
Sponsor's protocol ID
SYR-322MET_303
Other IDs
U1111-1139-0497, NMRR-12-799-12754, CTR20130254, 1036022140
Status last verified
Oct 2016
First submitted
26 Jun 2013
Last updated
28 Nov 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alogliptin, Metformin HCl and Alogliptin and Metformin Fixed-Dose Combination (FDC) in people with Diabetes Mellitus, run by Takeda at 45 sites in 4 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 10 inclusion and 22 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 28 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in China, Malaysia, South Korea, 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 28 Nov 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 Glycosylated Hemoglobin (HbA1c) at Week 26 (or Early Termination) (time frame: Baseline and Week 26 (or Early termination)). 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 28 Nov 2016.

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