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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.

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

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
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

  • Research Site

    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

Other trials in Germany

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

Other trials in Slovakia

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

Other trials in Hungary

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

Other trials in Poland

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

Other trials in Czechia

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 groups in NCT02471404
Study groupRoleWhat they receive
Dapagliflozin+metforminActive comparatorDapagliflozin + saxagliptin placebo + glimepiride placebo + metformin
Receives: Drug: Dapagliflozin; Drug: Placebo for saxagliptin; Drug: Placebo for glimepiride
Dapagliflozin+saxagliptin+metforminActive comparatorDapagliflozin + saxagliptin + glimepiride placebo+ metformin
Receives: Drug: Dapagliflozin; Drug: Saxagliptin; Drug: Placebo for glimepiride
Glimepiride+metforminActive comparatorGlimepiride + 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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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.

  1. First posted15 Jun 2015 (estimated)
  2. Study start21 Sep 2015
  3. Primary completion13 Mar 2017
  4. Study completion13 Mar 2017

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
939 participants (actual)
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
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

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.

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