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Efficacy and Safety of Empagliflozin Versus Sitagliptin in Patients With Type 2 Diabetes

Primary Purpose

Diabetes Mellitus, Type 2

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Empagliflozin
Placebo
Sitagliptin
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2

Eligibility Criteria

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

Inclusion criteria:

Inclusion criteria:

  • Diagnosis of type 2 diabetes mellitus.
  • Male and female patients on diet and exercise regimen who are:
  • Treatment-naïve, defined as absence of any oral antidiabetic therapy for 12 weeks prior to randomisation.

or

  • Pre-treated with immediate release metformin unchanged for 10 weeks prior to randomisation. Minimum dose for metformin: >=1500 mg/day or maximum tolerated dose or maximum dose according to local label.
  • HbA1c of >= 7.5 % and <= 10.5 % at Visit 1 and 3.
  • Age >= 18 yrs.

Exclusion criteria:

  • Uncontrolled hyperglycaemia with a glucose level >270 mg/dL (>15 mmol/L) after an overnight fast during dose stabilisation (if applicable) and/or placebo run-in.
  • Any other antidiabetic drug within 12 weeks prior to randomisation (applicable to treatment-naïve patients).
  • Any other antidiabetic drug within 10 weeks prior to randomisation except metformin (applicable to patients on background treatment with metformin).
  • Acute coronary syndrome (non-STEMI, STEMI and unstable angina pectoris), stroke or TIA within 3 months prior to informed consent.
  • Indication of liver disease.
  • Moderate to severe renal impairment.
  • Bariatric surgery within the past two years.
  • Treatment with anti-obesity drugs 3 months prior to informed consent.
  • Current treatment with systemic steroids at time of informed consent or any other uncontrolled endocrine disorder except type 2 diabetes mellitus.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Empagliflozin

    Sitagliptin

    Arm Description

    Empagliflozin once daily

    Sitagliptin once daily

    Outcomes

    Primary Outcome Measures

    The change from baseline in HbA1c after 52 weeks of treatment.

    Secondary Outcome Measures

    The change in bodyweight (kg) from baseline after 52 weeks of treatment
    The change in Systolic Blood Pressure (SBP) from baseline after 52 weeks of treatment
    The coefficient of durability of HbA1c response between 24 weeks and 52 weeks of treatment
    The change in Diastolic Blood Pressure (DBP) from baseline after 52 weeks of treatment

    Full Information

    First Posted
    November 8, 2013
    Last Updated
    October 24, 2014
    Sponsor
    Boehringer Ingelheim
    Collaborators
    Eli Lilly and Company
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01984606
    Brief Title
    Efficacy and Safety of Empagliflozin Versus Sitagliptin in Patients With Type 2 Diabetes
    Official Title
    A Phase IIIb Randomised, Double-blind, Active-controlled, Parallel Group, Efficacy and Safety Study of Once Daily Oral Administration of Empagliflozin 25 mg Compared to Sitagliptin 100 mg During 52 Weeks in Type 2 Diabetes Mellitus Patients Who Are Treatment-naïve or on Treatment With Metformin With Insufficient Glycaemic Control
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2014
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    January 2015 (undefined)
    Primary Completion Date
    February 2017 (Anticipated)
    Study Completion Date
    February 2017 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim
    Collaborators
    Eli Lilly and Company

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to assess safety and efficacy of empagliflozin compared to sitagliptin in patients with type 2 diabetes mellitus who are treatment-naive or on treatment with metformin and have insufficient glycaemic control. The study will assess non-inferiority of empagliflozin to sitagliptin with regards to HbA1c.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    Double
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Empagliflozin
    Arm Type
    Experimental
    Arm Description
    Empagliflozin once daily
    Arm Title
    Sitagliptin
    Arm Type
    Active Comparator
    Arm Description
    Sitagliptin once daily
    Intervention Type
    Drug
    Intervention Name(s)
    Empagliflozin
    Intervention Description
    Empagliflozin once daily
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo matching empagliflozin
    Intervention Type
    Drug
    Intervention Name(s)
    Sitagliptin
    Intervention Description
    Sitagliptin once daily
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo matching sitagliptin
    Primary Outcome Measure Information:
    Title
    The change from baseline in HbA1c after 52 weeks of treatment.
    Time Frame
    Baseline and week 52
    Secondary Outcome Measure Information:
    Title
    The change in bodyweight (kg) from baseline after 52 weeks of treatment
    Time Frame
    Baseline and week 52
    Title
    The change in Systolic Blood Pressure (SBP) from baseline after 52 weeks of treatment
    Time Frame
    Baseline and week 52
    Title
    The coefficient of durability of HbA1c response between 24 weeks and 52 weeks of treatment
    Time Frame
    Week 24 and week 52
    Title
    The change in Diastolic Blood Pressure (DBP) from baseline after 52 weeks of treatment
    Time Frame
    Baseline and week 52

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion criteria: Inclusion criteria: Diagnosis of type 2 diabetes mellitus. Male and female patients on diet and exercise regimen who are: Treatment-naïve, defined as absence of any oral antidiabetic therapy for 12 weeks prior to randomisation. or Pre-treated with immediate release metformin unchanged for 10 weeks prior to randomisation. Minimum dose for metformin: >=1500 mg/day or maximum tolerated dose or maximum dose according to local label. HbA1c of >= 7.5 % and <= 10.5 % at Visit 1 and 3. Age >= 18 yrs. Exclusion criteria: Uncontrolled hyperglycaemia with a glucose level >270 mg/dL (>15 mmol/L) after an overnight fast during dose stabilisation (if applicable) and/or placebo run-in. Any other antidiabetic drug within 12 weeks prior to randomisation (applicable to treatment-naïve patients). Any other antidiabetic drug within 10 weeks prior to randomisation except metformin (applicable to patients on background treatment with metformin). Acute coronary syndrome (non-STEMI, STEMI and unstable angina pectoris), stroke or TIA within 3 months prior to informed consent. Indication of liver disease. Moderate to severe renal impairment. Bariatric surgery within the past two years. Treatment with anti-obesity drugs 3 months prior to informed consent. Current treatment with systemic steroids at time of informed consent or any other uncontrolled endocrine disorder except type 2 diabetes mellitus.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Boehringer Ingelheim
    Organizational Affiliation
    Boehringer Ingelheim
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of Empagliflozin Versus Sitagliptin in Patients With Type 2 Diabetes

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