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18-week add-on to Metformin Comparison of Saxagliptin and Sitagliptin in Adult Patients With Type 2 Diabetes (T2D)

Primary Purpose

Type 2 Diabetes

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
saxagliptin
sitagliptin
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes focused on measuring Type 2 diabetes, metformin

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosed with type 2 diabetes
  • Treatment with metformin alone on stable doses of 1500 mg or higher per day for at least 8 weeks

Exclusion Criteria:

  • Type 1 diabetes, history of diabetic ketoacidosis or hyperosmolar non-ketotic coma
  • Insulin therapy within one year
  • Previous treatment with DPP-4 inhibitor

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

1

2

Arm Description

saxagliptin add-on to metformin

sitagliptin add-on to metformin

Outcomes

Primary Outcome Measures

Hemoglobin A1c (HbA1c) Change From Baseline to Week 18
Adjusted mean change from baseline in HbA1c achieved with saxagliptin added on to metformin versus sitagliptin added on to metformin at Week 18 (Per Protocol Analysis Set). HbA1c is a continuous measure, the change from baseline for each participant is calculated as the Week 18 value minus the baseline value.

Secondary Outcome Measures

Proportion of Patients Achieving Therapeutic Glycaemic Response Defined as HbA1c <= 6.5% at Week 18
Proportion of Patients Achieving Therapeutic Glycaemic Response Defined as HbA1c <= 6.5% at Week 18 (Full Analysis Set)
Fasting Plasma Glucose Change From Baseline to Week 18 (mg/dL)
Adjusted mean change from baseline in Fasting Plasma Glucose achieved with saxagliptin added on to metformin versus sitagliptin added on to metformin at Week 18 (Full Analysis Set). Fasting Plasma Glucose is a continuous measure, the change from baseline for each participant is calculated as the Week 18 (LOCF) value minus the baseline value.
Fasting Plasma Glucose Change From Baseline to Week 18 (mmol/L)
Adjusted mean change from baseline in Fasting Plasma Glucose achieved with saxagliptin added on to metformin versus sitagliptin added on to metformin at Week 18 (Full Analysis Set). Fasting Plasma Glucose is a continuous measure, the change from baseline for each participant is calculated as the Week 18 (LOCF) value minus the baseline value.

Full Information

First Posted
April 23, 2008
Last Updated
March 5, 2010
Sponsor
AstraZeneca
Collaborators
Bristol-Myers Squibb
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1. Study Identification

Unique Protocol Identification Number
NCT00666458
Brief Title
18-week add-on to Metformin Comparison of Saxagliptin and Sitagliptin in Adult Patients With Type 2 Diabetes (T2D)
Official Title
18-wk, International, Multi-centre, Randomized, Parallel-group, Double-Blind, Active-Controlled Phase IIIb Study to Evaluate the Efficacy and Safety of Saxagliptin in Combination With Metformin in Comparison With Sitagliptin in Combination With Metformin in Adult Patients With T2D Who Have Inadequate Glycaemic Control on Metformin Alone
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
April 2008 (undefined)
Primary Completion Date
March 2009 (Actual)
Study Completion Date
March 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
AstraZeneca
Collaborators
Bristol-Myers Squibb

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Saxagliptin is a new investigational medication being developed for treatment of type 2 diabetes. This study is designed to assess the efficacy and tolerability of saxagliptin in addition to metformin and compare to sitagliptin in addition with metformin.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes
Keywords
Type 2 diabetes, metformin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
822 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
saxagliptin add-on to metformin
Arm Title
2
Arm Type
Active Comparator
Arm Description
sitagliptin add-on to metformin
Intervention Type
Drug
Intervention Name(s)
saxagliptin
Other Intervention Name(s)
Onglyza
Intervention Description
tablet, per oral, once daily
Intervention Type
Drug
Intervention Name(s)
sitagliptin
Other Intervention Name(s)
Januvia
Intervention Description
capsule, per oral, once daily
Primary Outcome Measure Information:
Title
Hemoglobin A1c (HbA1c) Change From Baseline to Week 18
Description
Adjusted mean change from baseline in HbA1c achieved with saxagliptin added on to metformin versus sitagliptin added on to metformin at Week 18 (Per Protocol Analysis Set). HbA1c is a continuous measure, the change from baseline for each participant is calculated as the Week 18 value minus the baseline value.
Time Frame
Baseline, Week 18
Secondary Outcome Measure Information:
Title
Proportion of Patients Achieving Therapeutic Glycaemic Response Defined as HbA1c <= 6.5% at Week 18
Description
Proportion of Patients Achieving Therapeutic Glycaemic Response Defined as HbA1c <= 6.5% at Week 18 (Full Analysis Set)
Time Frame
Week 18 (Last Observation Carried Forward)
Title
Fasting Plasma Glucose Change From Baseline to Week 18 (mg/dL)
Description
Adjusted mean change from baseline in Fasting Plasma Glucose achieved with saxagliptin added on to metformin versus sitagliptin added on to metformin at Week 18 (Full Analysis Set). Fasting Plasma Glucose is a continuous measure, the change from baseline for each participant is calculated as the Week 18 (LOCF) value minus the baseline value.
Time Frame
Baseline, Week 18 (Last Observation Carried Forward)
Title
Fasting Plasma Glucose Change From Baseline to Week 18 (mmol/L)
Description
Adjusted mean change from baseline in Fasting Plasma Glucose achieved with saxagliptin added on to metformin versus sitagliptin added on to metformin at Week 18 (Full Analysis Set). Fasting Plasma Glucose is a continuous measure, the change from baseline for each participant is calculated as the Week 18 (LOCF) value minus the baseline value.
Time Frame
Baseline, Week 18 (Last Observation Carried Forward)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosed with type 2 diabetes Treatment with metformin alone on stable doses of 1500 mg or higher per day for at least 8 weeks Exclusion Criteria: Type 1 diabetes, history of diabetic ketoacidosis or hyperosmolar non-ketotic coma Insulin therapy within one year Previous treatment with DPP-4 inhibitor
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
André Scheen, Professor
Organizational Affiliation
Clinical Pharmacology Unit, Liege, Belgium
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Peter Öhman, MD, PhD
Organizational Affiliation
AstraZeneca, Wilmington, USA
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Deborah Price, MSc
Organizational Affiliation
AstraZeneca, Wilmington, USA
Official's Role
Study Chair
Facility Information:
Facility Name
Research Site
City
Lanus
State/Province
Buenos Aires
Country
Argentina
Facility Name
Research Site
City
Mar Del Plata
State/Province
Buenos Aires
Country
Argentina
Facility Name
Research Site
City
Buenos Aires
Country
Argentina
Facility Name
Research Site
City
Caba
Country
Argentina
Facility Name
Research Site
City
Capital Federal
Country
Argentina
Facility Name
Research Site
City
Ciudad de Buenos Aires
Country
Argentina
Facility Name
Research Site
City
Cordoba
Country
Argentina
Facility Name
Research Site
City
Rosario
Country
Argentina
Facility Name
Research Site
City
Santa Fe
Country
Argentina
Facility Name
Research Site
City
Aalst
Country
Belgium
Facility Name
Research Site
City
Bonheiden
Country
Belgium
Facility Name
Research Site
City
Brugge
Country
Belgium
Facility Name
Research Site
City
Genk
Country
Belgium
Facility Name
Research Site
City
Gozee
Country
Belgium
Facility Name
Research Site
City
Hasselt
Country
Belgium
Facility Name
Research Site
City
Liege
Country
Belgium
Facility Name
Research Site
City
Saint-medard
Country
Belgium
Facility Name
Research Site
City
Sint-gillis-waas
Country
Belgium
Facility Name
Research Site
City
Tessenderlo
Country
Belgium
Facility Name
Research Site
City
Thuillies
Country
Belgium
Facility Name
Research Site
City
Aalborg
Country
Denmark
Facility Name
Research Site
City
Arhus
Country
Denmark
Facility Name
Research Site
City
Christiansfeld
Country
Denmark
Facility Name
Research Site
City
Farso
Country
Denmark
Facility Name
Research Site
City
Gentofte
Country
Denmark
Facility Name
Research Site
City
Hobro
Country
Denmark
Facility Name
Research Site
City
Kolding
Country
Denmark
Facility Name
Research Site
City
Rodovre
Country
Denmark
Facility Name
Research Site
City
Viborg
Country
Denmark
Facility Name
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City
Angers
Country
France
Facility Name
Research Site
City
Chateau Gontier
Country
France
Facility Name
Research Site
City
Corbeil Essonnes
Country
France
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Research Site
City
La Seyne Sur Mer
Country
France
Facility Name
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City
Laval
Country
France
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Le Lavandou
Country
France
Facility Name
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City
Montrevault
Country
France
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Saint Cyr
Country
France
Facility Name
Research Site
City
Tierce
Country
France
Facility Name
Research Site
City
Toulon
Country
France
Facility Name
Research Site
City
Witry Les Reims
Country
France
Facility Name
Research Site
City
Bergamo
State/Province
BG
Country
Italy
Facility Name
Research Site
City
Foggia
State/Province
FG
Country
Italy
Facility Name
Research Site
City
Chiavari
State/Province
GE
Country
Italy
Facility Name
Research Site
City
Genova
State/Province
GE
Country
Italy
Facility Name
Research Site
City
Rozzano
State/Province
MI
Country
Italy
Facility Name
Research Site
City
Olbia
State/Province
OT
Country
Italy
Facility Name
Research Site
City
Padova
State/Province
PD
Country
Italy
Facility Name
Research Site
City
Pordenone
State/Province
PN
Country
Italy
Facility Name
Research Site
City
Mercato San Severino
State/Province
SA
Country
Italy
Facility Name
Research Site
City
Siena
State/Province
SI
Country
Italy
Facility Name
Research Site
City
Mexico
State/Province
D.f.
Country
Mexico
Facility Name
Research Site
City
Guadalajara
State/Province
Jalisco
Country
Mexico
Facility Name
Research Site
City
Monterrey
Country
Mexico
Facility Name
Research Site
City
Alesund
Country
Norway
Facility Name
Research Site
City
Elverum
Country
Norway
Facility Name
Research Site
City
Halden
Country
Norway
Facility Name
Research Site
City
Hamar
Country
Norway
Facility Name
Research Site
City
Lierskogen
Country
Norway
Facility Name
Research Site
City
Lillehammer
Country
Norway
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City
Oslo
Country
Norway
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Research Site
City
Sandvika
Country
Norway
Facility Name
Research Site
City
Strommen
Country
Norway
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Research Site
City
Svelvik
Country
Norway
Facility Name
Research Site
City
Benoni
State/Province
Gauteng
Country
South Africa
Facility Name
Research Site
City
Johannesburg
State/Province
Gauteng
Country
South Africa
Facility Name
Research Site
City
Cape Town
State/Province
Western Cape
Country
South Africa
Facility Name
Research Site
City
Bloemfontein
Country
South Africa
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Research Site
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Cape Town
Country
South Africa
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Durban
Country
South Africa
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Johannesburg
Country
South Africa
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City
Kwa Zulu Natal
Country
South Africa
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Research Site
City
Pretoria
Country
South Africa
Facility Name
Research Site
City
Boras
Country
Sweden
Facility Name
Research Site
City
Degeberga
Country
Sweden
Facility Name
Research Site
City
Finspang
Country
Sweden
Facility Name
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City
Goteborg
Country
Sweden
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City
Jonkoping
Country
Sweden
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City
Odeshog
Country
Sweden
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Research Site
City
Orebro
Country
Sweden
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City
Pitea
Country
Sweden
Facility Name
Research Site
City
Rattvik
Country
Sweden
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Research Site
City
Skanor
Country
Sweden
Facility Name
Research Site
City
Timra
Country
Sweden
Facility Name
Research Site
City
Trollhattan
Country
Sweden
Facility Name
Research Site
City
Uddevalla
Country
Sweden
Facility Name
Research Site
City
Umea
Country
Sweden

12. IPD Sharing Statement

Learn more about this trial

18-week add-on to Metformin Comparison of Saxagliptin and Sitagliptin in Adult Patients With Type 2 Diabetes (T2D)

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