Diabetes MellitusPhase 4GLYCO-3PNCT06862739
Glycemic Control With Triple Pathway Approach Through Empagliflozin, Linagliptin and Metformin Combination
A Phase 4 study testing Empagliflozin+Linagliptin+Metformin in people with Diabetes Mellitus and Type 2 DM, run by Nabiqasim Industries (Pvt) Ltd at 2 sites in Pakistan.
Trial summary
The efficacy and safety of a triple-pill combination therapy for advanced type 2 diabetes care. The study aims to assess the impact of 3 Oral Anti Diabetic (OAD) drugs on metabolic control, patient compliance, weight management, quality of life, diabetic treatment satisfaction and frequency of hypoglycemic events by… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Diabetes Mellitus, Type 2 DM
- What is being tested?
- Empagliflozin+Linagliptin+Metformin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 800 participants
- Where
- 2 sitesPakistan
- Study dates
- 30 Oct 2025to 30 Jun 2026
- Phase
- Phase 4
- Are there results?
- Not yet: the study is under way
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 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients of any gender
- Patients aged between 18-80 years
- Patients having HbA1c 8 % or above
- Patients diagnosed with type II diabetes (more than at least 06 months)
- Patients already on at least 02 or more anti-diabetic agents
- Patients not allergic to empagliflozin, linagliptin, or metformin
Who cannot join
- Patients with age less than 18
- Patients with Type-I diabetes
- Patients having diabetes for less than 06 months
- Patients on GLP-1 and GIP
- Patients who are pregnant or lactating females
- Patients with decompensated chronic liver disease (DCLD)
Show all 11Show fewer
- Patients with eGFR less than 30 ml
- Patients with end-stage heart failure (NYHA Class 4)
- Patients who are allergic to empagliflozin, linagliptin, or metformin
- Patients who are not willing to consent
- Patients who are unable to give medical history
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan2 sites, 2 recruiting
- Recruiting
Faisalabad clinics
Faisalabad, Punjab Province
Ahmad Shahzad, 0329, NQmedicalaffairs@gmail.com
Ahmad Shahzad
- Recruiting
Aap ka Clinic
Lahore, Punjab Province
Assia Bukhari Research Coordinator, M Phil, 03296922380, Assia Bukhari <assia.bukhari.pk@gmail.com>
Javed Akram
About this study
Official title: Glycemic Control With Triple Pathway Approach Through Empagliflozin-Linagliptin-Metformin
The efficacy and safety of a triple-pill combination therapy for advanced type 2 diabetes care. The study aims to assess the impact of 3 Oral Anti Diabetic (OAD) drugs on metabolic control, patient compliance, weight management, quality of life, diabetic treatment satisfaction and frequency of hypoglycemic events by combining them into a fixed-dose single pill.
Read the detailed description
This study aims to demonstrate that a poly-pill approach combining metformin, linagliptin, and empagliflozin will provide an effective and safe treatment option for managing type 2 diabetes mellitus (T2DM). By focusing on the reduction of HbA1c levels and enhancing patients' quality of life, this simplified approach is expected to streamline medication regimens, reduce pill burden, and improve treatment adherence. Furthermore, the study anticipates that this combination therapy will positively influence weight management and lower the incidence of hypoglycemic events, addressing common challenges in T2DM management. As T2DM prevalence continues to rise, especially in low- and middle-income countries, the poly-pill strategy may offer significant benefits, promoting better compliance, affordable low-in-cost treatment, and facilitating improved long-term health outcomes. Through this research, the study intends to provide strong evidence supporting the poly-pill regimen as a viable and impactful option for global T2DM management.
- Conditions
- Diabetes Mellitus, Type 2 DM
- Being tested
- Empagliflozin+Linagliptin+Metformin
- Keywords
- Combination, empagliflozin, metformin, linagliptin, compliance, Hypoglycemic events, weight management, quality of life, treatment satisfaction, glycemic control, Type 2 DM
- Medical subject headings
- Diabetes Mellitus, Patient Compliance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Empagliflozin+Linagliptin+MetforminCombination product
Scarcity of local population data on triple drug combination's impact on compliance, efficacy and safety in diabetic patients
| Study group | Role | What they receive |
|---|---|---|
| Glem-Lin MXR Single pill combination study | Other | Empagliflozin (25 mg) Linagliptin (5 mg) Metformin XR (1000 mg)
once daily combination therapy Receives: Combination Product: Empagliflozin+Linagliptin+Metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in HbA1c levels
Metabolic control
Measured: 03 months, 06 months
Secondary outcomes (4)
Change in scores of Quality of Life-Short Form "SF-36" questionnaire
Improvement in quality of life (before and after treatment)
Measured: 06 months
Changes in Diabetic Treatment Satisfaction Questionnaire "DTSQ"
Diabetic treatment satisfaction level (before and after treatment)
Measured: 06 months
Hypoglycemic events
Hypoglycemic events frequency and severity of hypoglycemic events
Measured: 06 months
Changes in body weight
Increase or decrease in body weight
Measured: 03 and 06 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2025
- Study start30 Oct 2025
- Primary completion30 Apr 2026 (estimated)
- Study completion30 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes MellitusStudies of the same condition, open and under way.
- 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
- Not applicable
- Intervention model
- Single group
- Model description
- 1
- Masking
- None (open label)
- Enrolment
- 800 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nabiqasim Industries (Pvt) Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06862739
- Sponsor's protocol ID
- NQ/DY/GLX/CT-001
- Acronym
- GLYCO-3P
- Status last verified
- Apr 2026
- First submitted
- 19 Feb 2025
- Last updated
- 17 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Glycemic Control With Triple Pathway Approach Through Empagliflozin-Linagliptin-Metformin
- ClinicalTrials.gov ID
- NCT06862739
- Acronym / sponsor ID
- GLYCO-3P / NQ/DY/GLX/CT-001
- Conditions
- Diabetes Mellitus, Type 2 DM
- Keywords
- Combination, empagliflozin, metformin, linagliptin, compliance, Hypoglycemic events, weight management, quality of life
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 800 participants (estimated)
- Lead sponsor
- Nabiqasim Industries (Pvt) LtdIndustry (pharma, biotech, devices)
- Study start
- 30 Oct 2025 (actual)
- Primary completion
- 30 Apr 2026 (estimated)
- Study completion
- 30 Jun 2026 (estimated)
- First posted
- 6 Mar 2025 (actual)
- 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.
The efficacy and safety of a triple-pill combination therapy for advanced type 2 diabetes care. The study aims to assess the impact of 3 Oral Anti Diabetic (OAD) drugs on metabolic control, patient compliance, weight management, quality of life, diabetic treatment satisfaction and frequency of hypoglycemic events by combining them into a fixed-dose single pill.
Detailed description
This study aims to demonstrate that a poly-pill approach combining metformin, linagliptin, and empagliflozin will provide an effective and safe treatment option for managing type 2 diabetes mellitus (T2DM). By focusing on the reduction of HbA1c levels and enhancing patients' quality of life, this simplified approach is expected to streamline medication regimens, reduce pill burden, and improve treatment adherence. Furthermore, the study anticipates that this combination therapy will positively influence weight management and lower the incidence of hypoglycemic events, addressing common challenges in T2DM management. As T2DM prevalence continues to rise, especially in low- and middle-income countries, the poly-pill strategy may offer significant benefits, promoting better compliance, affordable low-in-cost treatment, and facilitating improved long-term health outcomes. Through this research, the study intends to provide strong evidence supporting the poly-pill regimen as a viable and impactful option for global T2DM management.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- 1
| Arm | Type | Receives |
|---|---|---|
| Glem-Lin MXR Single pill combination study | Other | Combination Product: Empagliflozin+Linagliptin+MetforminEmpagliflozin (25 mg) Linagliptin (5 mg) Metformin XR (1000 mg) once daily combination therapy |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patients of any gender
- Patients aged between 18-80 years
- Patients having HbA1c 8 % or above
- Patients diagnosed with type II diabetes (more than at least 06 months)
- Patients already on at least 02 or more anti-diabetic agents
Key exclusion criteria (11 listed)
- Patients with age less than 18
- Patients with Type-I diabetes
- Patients having diabetes for less than 06 months
- Patients on GLP-1 and GIP
- Patients who are pregnant or lactating females
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 |
|---|---|---|
| Empagliflozin+Linagliptin+MetforminScarcity of local population data on triple drug combination's impact on compliance, efficacy and safety in diabetic patients | Combination product | Glem-Lin MXR Single pill combination study |
Primary outcome
Changes in HbA1c levels
Time frame: 03 months, 06 months
Metabolic control
4 secondary outcomes
Change in scores of Quality of Life-Short Form "SF-36" questionnaire
Time frame: 06 months
Changes in Diabetic Treatment Satisfaction Questionnaire "DTSQ"
Time frame: 06 months
Hypoglycemic events
Time frame: 06 months
Changes in body weight
Time frame: 03 and 06 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Apr 2026.
- Screening for Diabetes in AdultsLink provided by the sponsor.
- IDF diabetes atlas 2021 Pakistan's rankingLink provided by the sponsor.
- Health system performance for people with diabetes in LMICsLink provided by the sponsor.
- Role of obesity in Type 2 DiabetesLink provided by the sponsor.
- Individual participant dataSharing planned: No
Related trials for Diabetes Mellitus
Not yet recruitingPhase 3
Efficacy and Safety of Once-Weekly SHR-3167 Compared With Once-Daily Insulin Glargine in Adults With Insulin-Naive Type 2 Diabetes
Type 2 Diabetes
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Effects of Lean Pork Loin Intake on Protein Homeostasis and Glucose Regulation in Prediabetic Adults
Hyperglycaemia (Non Diabetic), Prediabetes
Recruiting
PAW-Hydrogel for Chronic Wound Healing
Diabetic Foot Ulcer (DFU), Pressure Ulcer (PU)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
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.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Empagliflozin+Linagliptin+Metformin in people with Diabetes Mellitus and Type 2 DM, run by Nabiqasim Industries (Pvt) Ltd at 2 sites in Pakistan.
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 6 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 17 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Pakistan. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in HbA1c levels (time frame: 03 months, 06 months). 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 17 Apr 2026.