Linagliptin as Add on Therapy to Empagliflozin 10 mg or 25 mg With Japanese Patients With Type 2 Diabetes Mellitus
Diabetes Mellitus, Type 2
About this trial
This is an interventional treatment trial for Diabetes Mellitus, Type 2
Eligibility Criteria
Inclusion criteria:
- Diagnosis of type 2 diabetes prior to informed consent
Male and female patients on diet and exercise regimen for at least 12 weeks prior to informed consent who are:
- drug-naïve, defined as no antidiabetic drugs for at least 12 weeks prior to informed consent or,
- pre-treated with one oral antidiabetic drug (for sulfonylurea, with up to half of the maximum approved dose) on stable dosage for at least 12 weeks prior to the informed consent (for thiazolidinedione, therapy has to be unchanged for at least 18 weeks prior to the informed consent). Individual antidiabetic drug will have to be discontinued at Visit 1.
haemoglobin A1c (HbA1c) at Visit 1 (screening)
- for patients without antidiabetic therapy : HbA1c >=8.0 to =<10.5%
- for patients with one oral antidiabetic drug : HbA1c >=7.5 to =<10.5%
- HbA1c >=7.5 to =<10.0% at Visit 4 for randomisation into the double blind treatment period
Exclusion criteria:
- Uncontrolled hyperglycaemia with a glucose level >270 mg/dL (>15.0 mmol/L) during the open label stabilisation period and placebo run in period
- Impaired renal function, defined as estimated glomerular filtration rate (eGFR) <45 mL/min/1.73m2 (modification of diet in renal disease (MDRD) formula)
- Acute coronary syndrome, stroke or transient ischemic attack (TIA) within 12 weeks prior to informed consent
- Indication of liver disease, defined by serum levels of either alanine transaminase (ALT), aspartate transaminase (AST), or alkaline phosphatase (ALP) above 3 x upper limit of normal (ULN)
Sites / Locations
- Tokai Memorial Hospital
- Japan Organization of Occupational Health and Safety Chubu Rosai Hospital
- Tokuyama Clinic
- Matsuyama Shimin Hospital
- Tanaka Int. Clinic, Ehime, DIA Med.,CV Med.
- Murakami Memorial Hp., Ehime, I.M.
- Kunisaki Makoto Clinic, Fukuoka, I.M./CV Med.
- Fukuoka Shin Mizumaki Hospital
- Shin Yukuhashi Hospital
- Hashimoto I.M., Gifu, I.M.
- Kikuchi Naika Clinic, Gunma, I.M.
- Hasegawa Internal Medicine Clinic
- Ebetsu Internal Medicine Clinic
- Hakodate Koseiin Hakodate Central General Hospital
- Iida Medical Clinic
- Kurihara Clinic
- Uehara Clinic
- Manda Memorial Hospital
- Sapporo Diabetes, Thyroid Clinic
- Japan Community Health Care Organization Hokkaido Hospital
- Ashiya Municipal Hospital
- Itabashi DIA Med. and DERM Clinic, Ibaraki, I.M.
- Namegata District General Hospital
- Hokuriku Hp., Ishikawa, I.M.
- Oikawa Clinic
- Hirano Medical Clinic
- Iwamoto Clinic, Kagawa, DIAB I.M.
- Tenpozan Clinic of I.M., Kagoshima, I.M.
- Hayashi DIA Clinic, Kanagawa, DIA Tract Med.·I.M.
- Takai Naika Clinic
- Nagatsuta Family Clinic, Kanagawa, I.M.
- Motomachi Takatsuka Naika Clinic, Kanagawa, I.M.
- Yokohama Minoru Clinic
- Morinagaueno clinic, Kumamoto, Digestive Tract I.M.
- Kumamoto University Hospital
- Jinnouchi Clinic Diabetes Care Center
- Kajiyama Clinic, Kyoto, I.M.
- Matsumoto Nakagawa Hospital
- Ota DIA I.M. Clinic, Nagano, I.M.
- Saiseikai Niigata Daini Hp., Niigata, METAB ENDO
- Tsuyama Chuo Hospital
- Yaesu Clinic, Okinawa, I.M.
- Tanaka Clinic, Okinawa, I.M.
- Umeda Oak Clinic, Osaka, I.M.
- Kinugawa CARDIOL Clinic, Osaka, I.M.
- Ikeoka Clinic, Osaka, I.M.
- Nanko Clinic, Osaka, I.M.
- OCROM Clinic
- AMC Nishi-umeda Clinic
- Shiraiwa Medical Clinic, Osaka, I.M.
- Saga Memorial Hospital
- Odayaka Life Naika Clinic, Saitama, I.M.
- Medical corporation Chisei-kai Watanabe clinic
- Medical Corporation Toujinkai Sakado Central Hospital
- SAINO Clinic,
- Hamamatsu Rosai Hospital
- Plumeria Clinic, Shizuoka, I.M.
- Wakakusa Clinic, Tochigi, I.M.
- Nihonbashi Sakura Clinic
- Fukuwa Clinic
- Nihonbashi Enomoto Internal Medicine
- Tokyo-Eki Center-building Clinic
- Tokyo Center Clinic
- Hosono Clinic
- AGE Makita Medical Clinic
- Kasai Diabetes Clinic
- New Medical Research System Clinic
- Medical Corporation Keikokai P1-Clinic
- Minamino Heart Clinic
- Shinkoiwa Ekimae Sougou Clinic
- Musashino Polyclinic
- Pedi Shiodome Clinic
- Shinagawa East one Medical Clinic
- Shimamura Kinen Hospital
- Kenkoukan Suzuki Clinic
- Honda Hidehiko Clinic
- Sakayori Clinic
- Miho Clinic
- ToCROM Clinic
- Ikebukuro Metropolitan Clinic
- Kanda Clinic, Tokyo, I.M.
- Fujikoshi Hp., Toyama, I.M.
- Clinic Sugiyama, Yamagata, I.M.
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
empagliflozin 10 mg + linagliptin 5 mg
empagliflozin 10 mg
empagliflozin 25 mg + linagliptin 5 mg
empagliflozin 25 mg
patient to receive a tablet containing low dose empagliflozin and linagliptin once daily
patient to receive a tablet containing low dose empagliflozin once daily
patient to receive a tablet containing high dose empagliflozin and linagliptin once daily
patients to receive a tablet containing high dose empagliflozin once daily