Type 2 Diabetes MellitusPhase 3NCT02343926
Phase 3 Study to Compare the Efficacy and Safety of Gemigliptin and Vildagliptin as Add-on Therapy to Metformin in People With Type 2 Diabetes Inadequately Controlled With Metformin
A Phase 3 study testing GEMIGLIPTIN LS15-0444, vildagliptin and metformin in people with Type 2 Diabetes Mellitus, run by Sanofi at 1 site in Russia.
Trial summary
Primary Objective: To compare the clinical efficacy of gemigliptin and vildagliptin as add-on therapy to metformin in terms of change in Hemoglobin A1c (HbA1c) reduction. Secondary Objectives: To compare the safety and tolerability of gemigliptin and vildagliptin: Number of patients who experience at least one episode… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- GEMIGLIPTIN LS15-0444, vildagliptin and metformin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 443 participants
- Where
- 1 siteRussia
- Study dates
- Dec 2014to Apr 2016
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Patients with Type 2 diabetes mellitus.
- Patients inadequately controlled with metformin at the maximal effective and tolerated dose of metformin for at least 12 weeks or who are on a stable dose of ≥1500 mg daily for a minimum of ≥4 weeks prior to study entry.
- Signed informed consent obtained prior to any study procedures.
Who cannot join
- Patients with type 1 diabetes mellitus, gestational diabetes, or diabetes secondary to pancreatic disorders, drug or chemical agent intake.
- Male and female younger than 18 and older than 75 years old.
- Patients with HbA1c ≤7% and ≥9.5%.
- Patients with 20 kg/m^2 > body mass index (BMI) >40 kg/m^2.
- Patients with history of hypersensitivity to metformin.
- Patients with history of hypersensitivity to vildagliptin.
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- Lactose intolerance, lactase deficit, glucose-galactose malabsorption.
- Patients who have a history of acute metabolic complications such as lactic acidosis, diabetic pre-coma, diabetic ketoacidosis or hyperosmolar hyperglycemic state within 3 months before study entry.
- Patients who were treated with insulin or glucagon-like peptide-1 (GLP-1) analogue.
- Patients who have been treated by thiazolidinediones (pioglitazone) in the last 6 months.
- Use of systemic glucocorticosteroids (excluding topical application or inhaled forms) for 7 consecutive days or within more than 3 months prior to study entry.
- Patients with impaired hepatic function (alanine transaminase [ALT], aspartate transaminase [AST] activity >1.5 times the upper limit of normal [ULN]).
- Patients with impaired renal function (serum creatinine concentration >135ɥmol/l in men and >110ɥmol/l in female).
- Patients who had experienced myocardial infarction, stroke, unstable angina or coronary artery bypass surgery within 6 months prior to screening, or patients with arrhythmia requiring treatment.
- Patients with chronic heart failure II-IV functional class according to the classification of NYHA (New York Heart Association).
- Patients taking medicines of thyroid hormones, warfarin, dicoumarin or digoxin.
- Patients who took sodium channel blockers and SGLT2 inhibitors (or inhibitors sodium glucose transporters 2) in the last 6 weeks prior to study entry.
- Known history of alcohol or drug abuse within 6 months prior to screening.
- Pregnant or woman during breast feeding period.
- Women of childbearing potential not protected by effective contraceptive method of birth control.
- Men whose partners are planning pregnancy.
- History of hypersensitivity to the study drug or to a drug with a similar chemical structure.
- Use of any investigational drug within 3 months prior to study entry.
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Multicentre, National, Randomized, Parallel-group, Phase 3 Study to Compare the Efficacy and Safety of Gemigliptin and Vildagliptin as Add-on Therapy to Metformin in People With Type 2 Diabetes Inadequately Controlled With Metformin
Primary Objective:
To compare the clinical efficacy of gemigliptin and vildagliptin as add-on therapy to metformin in terms of change in Hemoglobin A1c (HbA1c) reduction.
Secondary Objectives:
To compare the safety and tolerability of gemigliptin and vildagliptin:
- Number of patients who experience at least one episode of hypoglycemia.
- Number of patients experiencing adverse event (AE), serious adverse event (SAE).
- Assessment of patients compliance defined as number tablets returned by patients.
Read the detailed description
The study consists of 2 weeks screening and 24 weeks of treatment (a total of 26 weeks).
The protocol includes a screening period of two weeks, after which they will be randomized to receive gemigliptin or vildagliptin.
Patients will be evaluated through 4 mandatory visits during the study. Visit 1: Week -2 (screening) Visit 2: Week 0 (randomization) Visit 3: Week 12 (efficacy and safety evaluation) Visit 4: Week 24 (efficacy and safety evaluation)
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- GEMIGLIPTIN LS15-0444, vildagliptin, metformin
- 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.
GEMIGLIPTIN LS15-0444Drug
Also called Zemiglo
Pharmaceutical form:tablet
Route of administration: oral
vildagliptinDrug
Also called Galvus
Pharmaceutical form:tablet
Route of administration: oral
metforminDrug
Pharmaceutical form:tablet
Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| Gemigliptin | Experimental | GEMIGLIPTIN LS15-0444 administered once a day for 24 weeks as add-on therapy to metformin Receives: Drug: GEMIGLIPTIN LS15-0444; Drug: metformin |
| Vildagliptin | Active comparator | Vildagliptin administered twice a day for 24 weeks as add-on therapy to metformin Receives: Drug: vildagliptin; Drug: metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in HbA1c
Measured: Up to Week 24
Secondary outcomes (8)
Change from baseline in fasting plasma glucose
Measured: Up to Week 24
Change from baseline in postprandial glucose
Measured: Up to Week 24
Percentage of patients achieving HbA1c <7% and <6.5%
Measured: Up to Week 24
Percentage of patients with at least one episode of hypoglycemia
Measured: Up to Week 24
Number of episode of hypoglycemia (symptomatic, asymptomatic, severe hypoglycemia)
Measured: Up to Week 24
Change from baseline in body weight
Measured: Up to Week 24
Number of adverse events
Measured: Up to Week 24
Number of serious adverse events
Measured: Up to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jan 2015 (estimated)
- Study startDec 2014
- Primary completionApr 2016
- Study completionApr 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by SanofiThe 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
- None (open label)
- Enrolment
- 443 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02343926
- Sponsor's protocol ID
- GEMIGL07185
- Other IDs
- U1111-1165-9138
- Status last verified
- May 2016
- First submitted
- 16 Jan 2015
- Last updated
- 18 May 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 May 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicentre, National, Randomized, Parallel-group, Phase 3 Study to Compare the Efficacy and Safety of Gemigliptin and Vildagliptin as Add-on Therapy to Metformin in People With Type 2 Diabetes Inadequately Controlled With Metformin
- ClinicalTrials.gov ID
- NCT02343926
- Acronym / sponsor ID
- GEMIGL07185
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 443 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Dec 2014
- Primary completion
- Apr 2016 (actual)
- Study completion
- Apr 2016 (actual)
- First posted
- 22 Jan 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To compare the clinical efficacy of gemigliptin and vildagliptin as add-on therapy to metformin in terms of change in Hemoglobin A1c (HbA1c) reduction.
Secondary Objectives:
To compare the safety and tolerability of gemigliptin and vildagliptin:
- Number of patients who experience at least one episode of hypoglycemia.
- Number of patients experiencing adverse event (AE), serious adverse event (SAE).
- Assessment of patients compliance defined as number tablets returned by patients.
Detailed description
The study consists of 2 weeks screening and 24 weeks of treatment (a total of 26 weeks).
The protocol includes a screening period of two weeks, after which they will be randomized to receive gemigliptin or vildagliptin.
Patients will be evaluated through 4 mandatory visits during the study. Visit 1: Week -2 (screening) Visit 2: Week 0 (randomization) Visit 3: Week 12 (efficacy and safety evaluation) Visit 4: Week 24 (efficacy and safety evaluation)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Gemigliptin | Experimental | Drug: GEMIGLIPTIN LS15-0444, Drug: metforminGEMIGLIPTIN LS15-0444 administered once a day for 24 weeks as add-on therapy to metformin |
| Vildagliptin | Active comparator | Drug: vildagliptin, Drug: metforminVildagliptin administered twice a day for 24 weeks as add-on therapy to metformin |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Patients with Type 2 diabetes mellitus.
- Patients inadequately controlled with metformin at the maximal effective and tolerated dose of metformin for at least 12 weeks or who are on a stable dose of ≥1500 mg daily for a minimum of ≥4 weeks prior to study entry.
- Signed informed consent obtained prior to any study procedures.
Key exclusion criteria (24 listed)
- Patients with type 1 diabetes mellitus, gestational diabetes, or diabetes secondary to pancreatic disorders, drug or chemical agent intake.
- Male and female younger than 18 and older than 75 years old.
- Patients with HbA1c ≤7% and ≥9.5%.
- Patients with 20 kg/m^2 > body mass index (BMI) >40 kg/m^2.
- Patients with history of hypersensitivity to metformin.
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 |
|---|---|---|
| GEMIGLIPTIN LS15-0444Also: ZemigloPharmaceutical form:tablet Route of administration: oral | Drug | Gemigliptin |
| vildagliptinAlso: GalvusPharmaceutical form:tablet Route of administration: oral | Drug | Vildagliptin |
| metforminPharmaceutical form:tablet Route of administration: oral | Drug | Gemigliptin, Vildagliptin |
Primary outcome
Change from baseline in HbA1c
Time frame: Up to Week 24
8 secondary outcomes
Change from baseline in fasting plasma glucose
Time frame: Up to Week 24
Change from baseline in postprandial glucose
Time frame: Up to Week 24
Percentage of patients achieving HbA1c <7% and <6.5%
Time frame: Up to Week 24
Percentage of patients with at least one episode of hypoglycemia
Time frame: Up to Week 24
Number of episode of hypoglycemia (symptomatic, asymptomatic, severe hypoglycemia)
Time frame: Up to Week 24
Change from baseline in body weight
Time frame: Up to Week 24
Number of adverse events
Time frame: Up to Week 24
Number of serious adverse events
Time frame: Up to Week 24
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 May 2016.
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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.
Clinical Sciences & Operations study director
Sanofi
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GEMIGLIPTIN LS15-0444, vildagliptin and metformin in people with Type 2 Diabetes Mellitus, run by Sanofi at 1 site in Russia.
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 24 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 18 May 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Russia. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 (time frame: Up to Week 24). 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 18 May 2016.