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Type 2 Diabetes MellitusPhase 3NCT02512068

A Phase 3, Randomized, Double-blind, Parallel-group, Comparative Study and a Phase 3, Multicenter, Open-label, Long-term Study of SYR-472 (25 mg) in Patients With Type 2 Diabetes Mellitus Complicated by Severe Renal Impairment or End-stage Renal Disease

A Phase 3 study testing Trelagliptin 25 mg in people with Type 2 Diabetes Mellitus, run by Takeda at 49 sites in Japan.

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 trelagliptin when administered at a dose of 25 mg once weekly using placebo as a control in patients with type 2 diabetes mellitus complicated by severe renal impairment or end-stage renal disease and inadequate glycemic control despite diet and/or… Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Type 2 Diabetes Mellitus
What is being tested?
Trelagliptin 25 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
107 participants
Where
49 sitesJapan
Study dates
7 Aug 2015to 24 Apr 2018
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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The participant has a diagnosis of type 2 diabetes mellitus.
  • The participant has a fasting C-peptide value of 0.6 ng/mL or higher at the start of the screening period (Week -6) and Week -2 of the screening period.
  • The participant has a hemoglobin value of 10.0 g/dL or higher at the start of the screening period (Week -6) and Week -2 of the screening period.
  • The participant has a Haemoglobin A1c (HbA1c) value of 7.0% or higher but less than 10.0% at Week -2 of the screening period. For participants undergoing hemodialysis (with End-stage Renal Disease [ESRD]), those with a glycoalbumin value of 20% or higher could be enrolled even if their HbA1c value is below 7.0% at Week -2 of the screening period.
  • <HbA1c value of 7.0% or higher but less than 10.0% at Week -2 of the screening period> The participant has an HbA1c value difference between the start of the screening period (Week -6) and Week -2 of the screening period within 10.0%* of the HbA1c value at the start of the screening period (Week -6).
  • <For participants undergoing hemodialysis (with ESRD), glycoalbumin value of 20% or higher and HbA1c value of below 7.0% at Week -2 of the screening period> The participant has a glycoalbumin difference between the start of the screening period (Week -6) and Week -2 of the screening period within 10.0% of the glycoalbumin value at the start of the screening period (Week -6).
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  • : rounded to one decimal place
  • The participant has been on a fixed diet and/or exercise therapy (if any) for at least 6 weeks prior to the start of the screening period (Week -6).
  • The participant meets any of the following:
  • The participant has not received any antidiabetic medications (including insulin preparations) from at least 6 weeks prior to the start of the screening period (Week -6).
  • The participant is being treated with one oral hypoglycemic drug* starting from at least 6 weeks prior to the start of the screening period (Week -6) at a fixed dose and regimen.
  • : any one of the following medications: mitiglinide calcium hydrate, repaglinide, acarbose, miglitol, or voglibose
  • The participant is being treated with one insulin preparation** starting from at least 6 weeks prior to the start of the screening period (Week -6) at a fixed dose and regimen (≤40 units/day) of the insulin preparation.
  • Any one of the following insulin monotherapies: mixed (short-acting or rapid-acting insulin containing no more than 30% volume), intermediate-acting, or long-acting soluble insulin preparations
  • The participant is not undergoing hemodialysis or peritoneal dialysis and has severe renal impairment [creatinine clearance (Ccr) <30 mL/min at the start of the screening period (Week -6)], or the participant is undergoing hemodialysis and has end-stage renal failure.
  • In the opinion of the investigator or sub-investigator, the initiation of hemodialysis or peritoneal dialysis at least within 12 weeks after starting the investigational product is not expected. [in cases where the participant is not undergoing hemodialysis or peritoneal dialysis (patients with severe renal impairment)]
  • The participant has been undergoing hemodialysis starting from at least 6 months prior to informed consent and, in the opinion of the investigator or sub-investigator, the participant is clinically stable. [in cases where the participant is undergoing hemodialysis (patient with end-stage renal failure)]
  • The participant is male or female and is aged 20 years or older at the time of informed consent.
  • A female participant of childbearing potential who is sexually active with a nonsterilized male partner agrees to use routinely adequate contraception from signing of informed consent until one month after the end of the study.
  • In the opinion of the investigator or sub-investigator, the participant is capable of understanding and complying with protocol requirements.
  • The participant signs and dates a written, informed consent form prior to the initiation of any study procedures.

Who cannot join

  • The participant has clinically evident hepatic impairment [e.g., aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥2.5 times the upper limit of normal or total bilirubin of ≥2.0 mg/dL at the start of the screening period (Week -6) or at Week -2 of the screening period].
  • The participant has any serious cardiac diseases, cerebrovascular disorders, or serious pancreatic or hematological diseases (e.g., participants who require inpatient treatment or are hospitalized for treatment within 24 weeks prior to the start of the screening period).
  • The participant has severe ketosis, diabetic coma or precoma, type 1 diabetes, severe infection, before or after surgery, or severe external trauma.
  • The participant has hemoglobinopathy (sickle cell disease, thalassemia, etc.).
  • The participant experienced hypoglycemia (participants with a blood glucose value of ≤70 mg/dL or hypoglycemic symptoms) within 6 weeks prior to the start of the screening period or during the screening period (at least twice per week).
  • The participant has inadequately controlled hypertension.
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  • For participants who are being treated with one antidiabetic agent, the participant was using at least two antidiabetic therapies on the day before 6 weeks prior to the start of the screening period (Week -6) (43 days prior to the start of the screening period).
  • The participant has malignancies.
  • The participant has a history of hypersensitivity or allergies to dipeptidyl peptidase 4 (DPP-4) inhibitors.
  • The participant has a history of gastrectomy or small intestinal resection.
  • The participant is a habitual drinker and consumes a daily average of more than 100 mL of alcohol.
  • The participant has a history of drug abuse (defined as the use of an illegal drug) or alcohol dependence.
  • The participant is required to take excluded medications during the study period.
  • The participant has previously received trelagliptin.
  • The participant received any other investigational products (including study drugs in a post-marketing clinical study) within 12 weeks prior to the start of the screening period.
  • The participant is participating in other clinical studies at the time of informed consent.
  • If female, the participant is pregnant or lactating or intending to become pregnant from the time of informed consent to within 1 month after the end of the study; or intending to donate ova during such time period.
  • The participant is an immediate family member of a study site employee, or is in a dependent relationship with a study site employee who is involved in the conduct of this study (e.g., spouse, parent, child, sibling) or may consent under duress.
  • The participant is hospitalized during the screening period or is deemed as requiring hospitalization during the study period by the investigator or sub-investigator, unless the hospitalization is for short-term evaluations including complete health checkups or shunt (including shunt maintenance).
  • The participant is deemed ineligible for the study for any other reason by the investigator or sub-investigator.

Trial locations and contacts

49 sites in 1 country.

49 sites in 1 country

Japan49 sites
  • Study site

    Akita

  • Study site

    Anjo, Aichi-ken

  • Study site

    Asahi, Chiba

  • Study site

    Chikushino-shi, Fukuoka

  • Study site

    Chitose, Hokkaido

  • Study site

    Fujisawa, Kanagawa

  • Study site

    Fukaya, Saitama

  • Study site

    Fukuyama, Hiroshima

  • Study site

    Hachiōji, Tokyo

  • Study site

    Hamamatsu, Shizuoka

  • Study site

    Himeji, Hyōgo

  • Study site

    Imabari, Ehime

  • Study site

    Itabashi-ku, Tokyo

  • Study site

    Kamakura, Kanagawa

  • Study site

    Kasaoka, Okayama-ken

  • Study site

    Kasuga, Fukuoka

  • Study site

    Kasukabe, Aichi-ken

  • Study site

    Kasuya-gun, Fukuoka

  • Study site

    Kawasaki, Kanagawa

  • Study site

    Kisarazu, Chiba

  • Study site

    Kitakyushu, Fukuoka

  • Study site

    Kumagaya, Saitama

  • Study site

    Kumamoto

  • Study site

    Kunitachi, Tokyo

  • Study site

    Matsuyama, Ehime

  • Study site

    Mito, Ibaragi

  • Study site

    Munakata, Fukuoka

  • Study site

    Nagano

  • Study site

    Nagoya, Aichi-ken

  • Study site

    Nakano, Nagano

  • Study site

    Niigata

  • Study site

    Niihama, Ehime

  • Study site

    Osaka

  • Study site

    Sakai, Ibaragi

  • Study site

    Sendai, Miyagi

  • Study site

    Setouchi, Okayama-ken

  • Study site

    Shimonoseki, Yamaguchi

  • Study site

    Tajimi, Gifu

  • Study site

    Takarazuka, Hyōgo

  • Study site

    Takasaki, Gunma

  • Study site

    Toyohashi, Aichi-ken

  • Study site

    Ube, Yamaguchi

  • Study site

    Ueda, Nagano

  • Study site

    Uozu, Toyama

  • Study site

    Yamagata

  • Study site

    Yatomi, Aichi-ken

  • Study site

    Yokohama, Kanagawa

  • Study site

    Yoshinogawa, Tokushima

  • Study site

    Yotsukaidō, Chiba

Other trials in Japan

About this study

Official title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Comparative Study and a Phase 3, Multicenter, Open-label, Long-term Study to Evaluate the Efficacy and Safety of SYR-472 When Orally Administered at a Dose of 25 mg Once Weekly in Patients With Type 2 Diabetes Mellitus Complicated by Severe Renal Impairment or End-stage Renal Disease

The purpose of this study is to evaluate the efficacy and safety of trelagliptin when administered at a dose of 25 mg once weekly using placebo as a control in patients with type 2 diabetes mellitus complicated by severe renal impairment or end-stage renal disease and inadequate glycemic control despite diet and/or exercise therapy (if given) or despite treatment with one antidiabetic drug in addition to diet and/or exercise therapy (if given); and to evaluate the long-term efficacy and safety of trelagliptin when administered at a dose of 25 mg once weekly to patients with type 2 diabetes mellitus complicated by severe renal impairment or end-stage renal disease.

Read the detailed description

This is a phase 3, multicenter, randomized, double-blind, placebo-controlled, parallel-group, comparative study (Treatment Period I) and a phase 3, multicenter, open-label, long-term study (Treatment Period II) to evaluate the efficacy and safety of trelagliptin when administered orally at a dose of 25 mg once weekly to patients with type 2 diabetes mellitus complicated by severe renal impairment or end-stage renal disease and inadequate glycemic control despite diet and/or exercise therapy (if given) or despite treatment with one antidiabetic drug in addition to diet and/or exercise therapy (if given).

Being tested
Trelagliptin 25 mg, Placebo
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.

  • Trelagliptin 25 mgDrug

    Also called SYR-472

    Trelagliptin 25 mg Tablets

  • PlaceboDrug

    Placebo Tablets

Study groups in NCT02512068
Study groupRoleWhat they receive
Trelagliptin 25 mgExperimentalTrelagliptin 25 mg tablet, orally, once weekly before breakfast for up to Week 52 (Period I + II)
Receives: Drug: Trelagliptin 25 mg
Placebo and Trelagliptin 25 mgExperimentalPlacebo tablet, orally, once weekly before breakfast for up to Week 12 (Period I), followed by trelagliptin 25 mg tablet, orally, once weekly before breakfast for up to Week 52 (Period II)
Receives: Drug: Trelagliptin 25 mg; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in HbA1c at the End of Treatment Period I

    Measured: Baseline (Week 0) and end of Treatment Period I (Up to Week 12)

  2. Number of Participants Who Had One or More Treatment Emergent Adverse Event (TEAE) Before the Start of Study Drug Administration in Treatment Period II

    An Adverse Event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a drug (including the study drug). It does not necessarily have to have a causal relationship with this treatment (including the study drug). An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug (including the study drug), whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. Reported data is the number of participants reporting one or more TEAEs that occurred before the start of Treatment Period II in each group.

    Measured: Up to Week 12

  3. Number of Participants Who Had One or More TEAE Occurred After 1st Dose of Trelagliptin 25 mg Tablet

    An AE is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a drug (including the study drug). It does not necessarily have to have a causal relationship with this treatment (including the study drug). An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug (including the study drug), whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. As to collect the safety data of long-term treatment with the active drug widely, the number of participants reporting one or more TEAEs that occurred after 1st dose of trelagliptin 25 mg, that is events in Period I and II for "Trelagliptin 25 mg" group and events in Period II for "Placebo and Trelagliptin 25 mg" group, was analyzed.

    Measured: Up to Week 54

Secondary outcomes (7)
  1. Changes From Baseline in HbA1c

    Reported data was the change from baseline in HbA1c at each time point.

    Measured: Baseline (Week 0) and Week 2, 4, 8, 12, and End of Treatment Period I (up to Week 12) and Period II (up to Week 52)

  2. Number of Participants Achieving <6.0%, <7.0%, and <8.0% HbA1c at the End of Treatment Period I and Period II

    Measured: At the end of Treatment Period I (Up to Week 12) and Period II (Up to Week 52)

  3. Change From Baseline in Fasting Plasma Glucose

    Reported data was the change from baseline in fasting plasma glucose at each time point.

    Measured: Baseline (Week 0) and Week 2, 4, 8, 12, and End of Treatment Period I (up to Week 12) and Period II (up to Week 52)

  4. Change From Baseline in Glycoalbumin

    Reported data was the change from baseline in glycoalbumin at each time point.

    Measured: Baseline (Week 0) and Week 2, 4, 8, 12, and End of Treatment Period I (up to Week 12) and Period II (up to Week 52)

  5. Numbers of Participants With TEAE Related to Vital Signs Before the Start of Study Drug Administration in Treatment Period II

    Number of participants with a vital sign-related TEAE classified under the System Organ Class of "investigations," was reported.

    Measured: Up to Week 12

  6. Number of Participants With Markedly Abnormal Values of 12-Lead Electrocardiogram (ECG) Parameters Before the Start of Study Drug Administration in Treatment Period II

    Here "QTcF" is corrected QT interval by Fridericia formula.

    Measured: Up to Week 12

  7. Number of Participants With Markedly Abnormal Values of Clinical Laboratory Parameters Before the Start of Study Drug Administration in Treatment Period II

    Here "U/L" is Unit/Litter, and "ULN" is Upper Limit of Normal.

    Measured: Up to Week 12

Timeline

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

  1. First posted30 Jul 2015 (estimated)
  2. Study start7 Aug 2015
  3. Primary completion24 Apr 2018
  4. Study completion24 Apr 2018

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
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
107 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02512068
Sponsor's protocol ID
SYR-472-3003
Other IDs
U1111-1172-1511, JapicCTI-152970
Status last verified
Dec 2023
First submitted
28 Jul 2015
Last updated
12 Dec 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Trelagliptin 25 mg in people with Type 2 Diabetes Mellitus, run by Takeda at 49 sites in Japan.

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 21 inclusion and 20 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 12 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in Japan. 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?

Yes. Results are posted in the registry (first posted 4 Nov 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 From Baseline in HbA1c at the End of Treatment Period I (time frame: Baseline (Week 0) and end of Treatment Period I (Up to Week 12)). The study lists 3 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 12 Dec 2023.

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