Type 2 Diabetes MellitusPhase 4NCT02471404
Efficacy and Safety of Dapagliflozin and Dapagliflozin Plus Saxagliptin in Combination With Metformin in Type 2 Diabetes Patients Compared With Sulphonylurea
A Phase 4 study testing Dapagliflozin, Saxagliptin and Glimepiride in people with Type 2 Diabetes Mellitus and Inadequate Glycaemic Control, run by AstraZeneca at 173 sites in 5 countries.
Trial summary
This study is being carried out to see if dapagliflozin and dapagliflozin plus saxagliptin as an addition to metformin is effective and safe in treating patients with type 2 diabetes when compared to glimepiride (sulphonylurea) as an addition to metformin treatment. Read more about this study
- Who is it for?
- Ages 18 to 74 years
- Conditions the study is for
- Type 2 Diabetes Mellitus, Inadequate Glycaemic Control
- What is being tested?
- Dapagliflozin, Saxagliptin and Glimepiride
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 939 participants
- Where
- 173 sitesin 5 countries
- Study dates
- 21 Sep 2015to 13 Mar 2017
- 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 to 74 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Is male or female and ≥18 and <75 years old at time of informed consent.
- Has a HbA1c of ≥7.5% and ≤10.5% based on central laboratory results from Visit 1, with individual need for therapy escalation.
- Currently treated with a stable maximum tolarated dose (MTD) (≥1500 mg/day) of metformin therapy for at least 8 weeks prior to Enrolment visit.
- Has a BMI of ≤45 kg/m2 at Enrolment visit.
- Has a C-peptide laboratory value of ≥1.0 ng/mL (0.33 nmol/L; 333.3 pmol/L) based on central laboratory results from Visit 1.
- Main, Exclusion Criteria:
Show all 10Show fewer
- Clinically diagnosed with Type I diabetes, known diagnosis of maturity onset diabetes of the young (MODY), or secondary diabetes mellitus or known presence of glutamate decarboxylase 65 (GAD65) antibodies.
- Patients who, in the judgment of the Investigator, may be at risk for dehydration or volume depletion that may affect the patient's safety and/or the interpretation of efficacy or safety data.
- Clinically significant cardiovascular disease or procedure within 3 months prior to Enrolment or expected to require coronary revascularization procedure during the course of the study.
- Concomitant treatment with loop diuretics
Who cannot join
None listed.
Trial locations and contacts
173 sites in 5 countries.
173 sites in 5 countries
Germany111 sites
Research Site
Aschaffenburg, 63739
Research Site
Bad Homburg, 61348
Research Site
Bad Mergentheim, 97980
Research Site
Bad Nauheim, 61231
Research Site
Bad Neuenahr-Ahrweiler, 53474
Research Site
Bad Oeynhausen, 32545
Research Site
Bad Reichenhall, 83435
Research Site
Berlin, 10115
Research Site
Berlin, 10409
Research Site
Berlin, 10629
Research Site
Berlin, 10787
Research Site
Berlin, 12627
Research Site
Berlin, 13125
Research Site
Berlin, 13597
Research Site
Bochum, 44787
Research Site
Bochum, 44869
Research Site
Bonn, 53179
Research Site
Bünde, 32257
Research Site
Cologne, 51069
Research Site
Daaden, 57567
Research Site
Darmstadt, 64295
Research Site
Datteln, 45711
Research Site
Deggingen, 73326
Research Site
Dippoldiswalde, 01744
Research Site
Dortmund, 44137
Research Site
Dresden, 01309
Research Site
Duisburg, 47179
Research Site
Erfurt, 99085
Research Site
Erlangen, 91052
Research Site
Eschweiler, 52249
Research Site
Essen, 45136
Research Site
Essen, 45355
Research Site
Essen, 45359
Research Site
Frankfurt, 60594
Research Site
Frankfurt, 60596
Research Site
Frankfurt am Main, 60594
Research Site
Freiburg im Breisgau, 79106
Research Site
Freiburg im Breisgau, 79110
Research Site
Freudenstadt, 72250
Research Site
Gelnhausen, 63571
Research Site
Giengen an der Brenz, 89537
Research Site
Goch, 47574
Research Site
Göttingen, 37073
Research Site
Grevesmühlen, 23936
Research Site
Großheirath, 96269
Research Site
Hamburg, 20246
Research Site
Hamburg, 21073
Research Site
Hamburg, 21109
Research Site
Hamburg, 22041
Research Site
Hamburg, 22391
Research Site
Hamburg, 22607
Research Site
Hamelin, 31785
Research Site
Hanover, 30625
Research Site
Heidelberg, 69115
Research Site
Herne, 44653
Research Site
Hildesheim, 31139
Research Site
Hof, 95030
Research Site
Höhenkirchen, 85635
Research Site
Hohenmölsen, 06679
Research Site
Jerichow, 39319
Research Site
Kallstadt, 67169
Research Site
Karlsruhe, 76199
Research Site
Kassel, 34117
Research Site
Kiel-Kronshagen, 24119
Research Site
Köthen, 06366
Research Site
Leipzig, 04103
Research Site
Leipzig, 04109
Research Site
Lichtenfels, 96215
Research Site
Lingen, 49808
Research Site
Löhne, 32584
Research Site
Ludwigshafen, 67059
Research Site
Magdeburg, 39120
Research Site
Mannheim, 68161
Research Site
Mannheim, 68163
Research Site
Marburg, 35037
Research Site
Marl, 45770
Research Site
Meine, 38527
Research Site
Meißen, 01662
Research Site
Mühldorf A. Inn, 84453
Research Site
München, 80339
Research Site
München, 80809
Research Site
München, 81477
Research Site
Münster, 48143
Research Site
Münster, 48153
Research Site
Neumünster, 24534
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Neuwied Am Rhein, 56564
Research Site
Oldenburg, 23758
Research Site
Papenburg, 26871
Research Site
Pirna, 01796
Research Site
Rehburg-Loccum, 31547
Research Site
Rehlingen-Siersburg, 66780
Research Site
Reinfeld, 23858
Research Site
Remagen, 53424
Research Site
Rhaunen, 55624
Research Site
Rodgau-Dudenhofen, 63110
Research Site
Saarlouis, 66740
Research Site
Schwabenheim, 55270
Research Site
Speyer, 67346
Research Site
Stadtbergen, 86391
Research Site
Stolberg, 52222
Research Site
Straubing, 94315
Research Site
Stuttgart, 70199
Research Site
Sulzbach, 92237
Research Site
Trier, 54290
Research Site
Villingen-Schwenningen, 78048
Research Site
Wahlstedt, 23812
Research Site
Wangen, 88239
Research Site
Weinheim, 69469
Research Site
Westerkappeln, 49492
Research Site
Wetzlar, 35584
Research Site
Witten, 58455
Slovakia21 sites
Research Site
Banská Bystrica, 974 01
Research Site
Bratislava, 81108
Research Site
Bratislava, 833 01
Research Site
Košice, 040 01
Research Site
Košice, 04011
Research Site
Košice
Research Site
Levice, 934 01
Research Site
Levice, 934 05
Research Site
Lučenec, 984 01
Research Site
Malacky, 901 01
Research Site
Námestovo, 029 01
Research Site
Nové Zámky, 94001
Research Site
Považská Bystrica, 017 01
Research Site
Považská Bystrica, 017 26
Research Site
Prievidza, 971 01
Research Site
Púchov, 020 01
Research Site
Rimavská Sobota, 979 01
Research Site
Sabinov, 083 01
Research Site
Trenčín, 911 01
Research Site
Trnava, 917 01
Research Site
Vrútky, 038 61
Hungary17 sites
Research Site
Ács, 2941
Research Site
Budapest, 1106
Research Site
Budapest, 1171
Research Site
Budapest, 1213
Research Site
Csongrád, 6640
Research Site
Debrecen, 4025
Research Site
Esztergom, 2500
Research Site
Hatvan, 3000
Research Site
Kisvárda, 4600
Research Site
Komárom, 2921
Research Site
Miskolc, 3529
Research Site
Mosonmagyaróvár, 9200
Research Site
Nyíregyháza, 4405
Research Site
Orosháza-Szentetornya, 5900
Research Site
Pécs, 7623
Research Site
Polgár, 4090
Research Site
Székesfehérvár, 8000
Poland14 sites
Research Site
Bochnia, 32-700
Research Site
Bydgoszcz, 85-231
Research Site
Chrzanów, 32-500
Research Site
Gdansk, 80-286
Research Site
Koluszki, 95-040
Research Site
Krakow, 31-567
Research Site
Legnica, 59-220
Research Site
Lodz, 90-132
Research Site
Mrągowo, 11-700
Research Site
Ostrowiec Świętokrzyski, 27-400
Research Site
Poznan, 61655
Research Site
Sobótka, 55-050
Research Site
Wierzchosławice, 33-122
Research Site
Wroclaw, 54-144
Czechia10 sites
Research Site
Hodonín, 695 01
Research Site
Hradec Králové, 500 05
Research Site
Jílové u Prahy, 254 01
Research Site
Ostrava - Belsky Les, 700 30
Research Site
Pardubice, 530 02
Research Site
Plzen - Severni Predmesti, 301 00
Research Site
Praha Klanovice, 190 14
Research Site
Přelouč, 535 01
Research Site
Uherské Hradiště, 686 01
Research Site
Zlín, 760 01
About this study
Official title: A 52-Week, Multi-Centre, Randomised, Parallel-Group, Double-Blind, Active Controlled, Phase IV Study to Evaluate the Safety and Efficacy of Dapagliflozin or Dapagliflozin Plus Saxagliptin Compared With Sulphonylurea All Given as Add-on Therapy to Metformin in Adult Patients With Type 2 Diabetes Who Have Inadequate Glycaemic Control on Metformin Monotherapy
This study is being carried out to see if dapagliflozin and dapagliflozin plus saxagliptin as an addition to metformin is effective and safe in treating patients with type 2 diabetes when compared to glimepiride (sulphonylurea) as an addition to metformin treatment.
- Being tested
- Dapagliflozin, Saxagliptin, Glimepiride, Placebo for dapagliflozin, Placebo for saxagliptin
- Keywords
- Diabetes Mellitus Type 2,, metformin,, saxagliptin,, dapagliflozin,, glimepiride,, inadequate glycaemic control
- 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.
DapagliflozinDrug
Also called Forxiga
10 mg, orally Green, plain, diamond-shaped, film-coated tablet
SaxagliptinDrug
Also called Onglyza™
5 mg, orally Plain, yellow, biconvex, round, film-coated tablet
GlimepirideDrug
Also called Amaryl
1, 2, or 4 mg, orally Opaque gray capsule
Placebo for dapagliflozinDrug
Does not contain active ingredient, orally Green, plain, diamond-shaped, film-coated tablet
Placebo for saxagliptinDrug
Does not contain active ingredient, orally Plain, yellow, biconvex, round, film-coated tablet
Placebo for glimepirideDrug
Does not contain active ingredient, orally. Opaque gray capsule
| Study group | Role | What they receive |
|---|---|---|
| Dapagliflozin+metformin | Active comparator | Dapagliflozin + saxagliptin placebo + glimepiride placebo + metformin Receives: Drug: Dapagliflozin; Drug: Placebo for saxagliptin; Drug: Placebo for glimepiride |
| Dapagliflozin+saxagliptin+metformin | Active comparator | Dapagliflozin + saxagliptin + glimepiride placebo+ metformin Receives: Drug: Dapagliflozin; Drug: Saxagliptin; Drug: Placebo for glimepiride |
| Glimepiride+metformin | Active comparator | Glimepiride + dapagliflozin placebo + saxagliptin placebo + metformin Receives: Drug: Glimepiride; Drug: Placebo for dapagliflozin; Drug: Placebo for saxagliptin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Haemoglobin A1c (HbA1c) From Baseline to Week 52
Change in HbA1c from baseline (week 0) to week 52.
Measured: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Secondary outcomes (5)
Patients With at Least One Episode of Confirmed Hypoglycaemia
Percentage of patients reporting at least 1 episode of hypoglycaemia (symptomatic + blood glucose <=50 mg/dL) during the double-blind treatment period
Measured: Up to Week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Change in Total Body Weight From Baseline at Week 52
Change in body weight from baseline (week 0) to week 52
Measured: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Change in Fasting Plasma Glucose (FPG) From Baseline to Week 52
Change in FPG from baseline (week 0) to week 52
Measured: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Time to Rescue
The time to rescue (from first dose date after randomisation to start of rescue medication or discontinuation due to lack of glycaemic control) during the 52 week double blind treatment period
Measured: Over the 52 week treatment period
Number of Patients Rescued
Number (%) of patients rescued.
Measured: Over the 52 week treatment period
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2015 (estimated)
- Study start21 Sep 2015
- Primary completion13 Mar 2017
- Study completion13 Mar 2017
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 Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe 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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 939 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02471404
- Sponsor's protocol ID
- D1689C00014
- Status last verified
- Mar 2019
- First submitted
- 11 Jun 2015
- Last updated
- 26 Mar 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Muller-Wieland D, Kellerer M, Cypryk K, Skripova D, Rohwedder K, Johnsson E, Garcia-Sanchez R, Kurlyandskaya R, Sjostrom CD, Jacob S, Seufert J, Dronamraju N, Csomos K. Efficacy and safety of dapagliflozin or dapagliflozin plus saxagliptin versus glimepiride as add-on to metformin in patients with type 2 diabetes. Diabetes Obes Metab. 2018 Nov;20(11):2598-2607. doi: 10.1111/dom.13437. Epub 2018 Jul 16.
PubMed 29947099
Study at a glance
From the registry record, last updated by the sponsor on 26 Mar 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 52-Week, Multi-Centre, Randomised, Parallel-Group, Double-Blind, Active Controlled, Phase IV Study to Evaluate the Safety and Efficacy of Dapagliflozin or Dapagliflozin Plus Saxagliptin Compared With Sulphonylurea All Given as Add-on Therapy to Metformin in Adult Patients With Type 2 Diabetes Who Have Inadequate Glycaemic Control on Metformin Monotherapy
- ClinicalTrials.gov ID
- NCT02471404
- Acronym / sponsor ID
- D1689C00014
- Keywords
- Diabetes Mellitus Type 2,, metformin,, saxagliptin,, dapagliflozin,, glimepiride,, inadequate glycaemic control
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 939 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 21 Sep 2015 (actual)
- Primary completion
- 13 Mar 2017 (actual)
- Study completion
- 13 Mar 2017 (actual)
- First posted
- 15 Jun 2015 (estimated)
- Results
- Posted 26 Mar 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is being carried out to see if dapagliflozin and dapagliflozin plus saxagliptin as an addition to metformin is effective and safe in treating patients with type 2 diabetes when compared to glimepiride (sulphonylurea) as an addition to metformin treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dapagliflozin+metformin | Active comparator | Drug: Dapagliflozin, Drug: Placebo for saxagliptin, Drug: Placebo for glimepirideDapagliflozin + saxagliptin placebo + glimepiride placebo + metformin |
| Dapagliflozin+saxagliptin+metformin | Active comparator | Drug: Dapagliflozin, Drug: Saxagliptin, Drug: Placebo for glimepirideDapagliflozin + saxagliptin + glimepiride placebo+ metformin |
| Glimepiride+metformin | Active comparator | Drug: Glimepiride, Drug: Placebo for dapagliflozin, Drug: Placebo for saxagliptinGlimepiride + dapagliflozin placebo + saxagliptin placebo + metformin |
Who may qualify
- Ages
- 18 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Is male or female and ≥18 and <75 years old at time of informed consent.
- Has a HbA1c of ≥7.5% and ≤10.5% based on central laboratory results from Visit 1, with individual need for therapy escalation.
- Currently treated with a stable maximum tolarated dose (MTD) (≥1500 mg/day) of metformin therapy for at least 8 weeks prior to Enrolment visit.
- Has a BMI of ≤45 kg/m2 at Enrolment visit.
- Has a C-peptide laboratory value of ≥1.0 ng/mL (0.33 nmol/L; 333.3 pmol/L) based on central laboratory results from Visit 1.
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| DapagliflozinAlso: Forxiga10 mg, orally Green, plain, diamond-shaped, film-coated tablet | Drug | Dapagliflozin+metformin, Dapagliflozin+saxagliptin+metformin |
| SaxagliptinAlso: Onglyza™5 mg, orally Plain, yellow, biconvex, round, film-coated tablet | Drug | Dapagliflozin+saxagliptin+metformin |
| GlimepirideAlso: Amaryl1, 2, or 4 mg, orally Opaque gray capsule | Drug | Glimepiride+metformin |
| Placebo for dapagliflozinDoes not contain active ingredient, orally Green, plain, diamond-shaped, film-coated tablet | Drug | Glimepiride+metformin |
| Placebo for saxagliptinDoes not contain active ingredient, orally Plain, yellow, biconvex, round, film-coated tablet | Drug | Dapagliflozin+metformin, Glimepiride+metformin |
| Placebo for glimepirideDoes not contain active ingredient, orally. Opaque gray capsule | Drug | Dapagliflozin+metformin, Dapagliflozin+saxagliptin+metformin |
Primary outcome
Change in Haemoglobin A1c (HbA1c) From Baseline to Week 52
Time frame: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Change in HbA1c from baseline (week 0) to week 52.
5 secondary outcomes
Patients With at Least One Episode of Confirmed Hypoglycaemia
Time frame: Up to Week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Change in Total Body Weight From Baseline at Week 52
Time frame: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Change in Fasting Plasma Glucose (FPG) From Baseline to Week 52
Time frame: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Time to Rescue
Time frame: Over the 52 week treatment period
Number of Patients Rescued
Time frame: Over the 52 week treatment period
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Mar 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29947099Muller-Wieland D, Kellerer M, Cypryk K, Skripova D, Rohwedder K, Johnsson E, Garcia-Sanchez R, Kurlyandskaya R, Sjostrom CD, Jacob S, Seufert J, Dronamraju N, Csomos K. Efficacy and safety of dapagliflozin or dapagliflozin plus saxagliptin versus glimepiride as add-on to metformin in patients with type 2 diabetes. Diabetes Obes Metab. 2018 Nov;20(11):2598-2607. doi: 10.1111/dom.13437. Epub 2018 Jul 16.
- d1689c00014\_SAP\_RedactedLink provided by the sponsor.
- d1689c00014\_CSP\_RedactedLink 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.
The record lists no contact. Use the official record to reach the sponsor.
173 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Dapagliflozin, Saxagliptin and Glimepiride in people with Type 2 Diabetes Mellitus and Inadequate Glycaemic Control, run by AstraZeneca at 173 sites in 5 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 0 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 26 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 173 sites in Germany, Slovakia, Hungary, Poland, Czechia. 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 26 Mar 2019). 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 in Haemoglobin A1c (HbA1c) From Baseline to Week 52 (time frame: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis). 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 NCT02471404, 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 26 Mar 2019.