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A Dose Finding Study to Assess the Effect of LIK066 Compared to Placebo or Empagliflozin in Patients With Type 2 Diabetes Mellitus and Heart Failure

Primary Purpose

Diabetes Mellitus and Heart Failure

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LIK066
Placebo
Empagliflozin
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus and Heart Failure focused on measuring Diabetes mellitus, LIK066, Obesity, Type 2 diabetes mellitus (T2DM), Heart Failure (HF), Hypertension, Renal dysfunction, Adult-onset diabetes, Noninsulin-dependent diabetes mellitus (NIDDM), High blood sugar

Eligibility Criteria

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

Key Inclusion Criteria:

  • BMI ≥ 22kg/m^2
  • Type 2 diabetes with HbA1c between 6.5% and 10.0%
  • Documented symptomatic chronic heart failure (NYHA II-IV)
  • Plasma NT-proBNP > 300pg/ml
  • eGFR ≥ 45ml/min/1.73m^2 (calculated by MDRD)

Key Exclusion Criteria:

  • Pregnant or nursing (lactating) women
  • Type 1 diabetes, monogenic diabetes, diabetes resulting from pancreatic injury, or secondary forms of diabetes
  • History of ketoacidosis, lactic acidosis, or hyperosmolar coma
  • Symptomatic genital infection or UTI within 4 weeks of screening
  • Myocardial infarction, stroke, surgery for heart disease, percutaneous coronary intervention within 3 months of randomization
  • Unstable angina within 3 months of screening
  • Isolated right HF due to pulmonary disease
  • Patients with a mean sitting systolic blood pressure ≤ 100mmHg, at randomization
  • History of lower limb amputation
  • Diabetic foot ulcer at screening

Sites / Locations

  • Novartis Investigative Site
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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

LIK066 2.5mg

LIK066 10mg

LIK066 50mg

Empagliflozin

Placebo

Arm Description

Eligible participants randomized to this treatment arm received the LIK066 2.5mg dose regimen once daily for 36 weeks.

Eligible participants randomized to this treatment arm received the LIK066 10mg dose regimen once daily for 36 weeks.

Eligible participants randomized to this treatment arm received the LIK066 50mg dose regimen once daily for 36 weeks.

Participants randomized to this treatment arm received empagliflozin once daily for 36 weeks.

Participants randomized to this treatment arm received LIK066 matching placebo and empagliflozin matching placebo.

Outcomes

Primary Outcome Measures

Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 12
Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this primary endpoint due to early study termination. Only descriptive statistics are presented.

Secondary Outcome Measures

Change From Baseline in Glycated Hemoglobin (HbA1c) at Weeks 12 and 36
HbA1c was measured from a blood sample and analyzed using a National Glycohemoglobin Standardization Program (NGSP) certified method at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 36
FPG was measured from a blood sample after an overnight fast; patients were not allowed to eat or drink anything (except water) for at least 8 h before each study visit. Samples were analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Body Weight at Weeks 12 and 36
Body weight was measured to the nearest 0.1 kg on a calibrated scale (weight and bio-impedance measurements), provided by the sponsor. Exceptionally (e.g. if the body weight exceeded the limits of the provided scale) sites were allowed to use another scale for weight measurement as available, but during the study the same scale was to be used for the same patient. The measurement was performed with the study patient in underwear and without shoes. Indoor clothing was also acceptable, but measurements were to be done consistently (either with underwear or with indoor clothing) throughout the study. Voiding before weight measurement was required. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Body Composition Assessed by Bio-impedance (Total Body Fat Mass) at Weeks 12 and 36
Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented
Change From Baseline in Body Composition Assessed by Bio-impedance (Visceral Fat Level) at Weeks 12 and 36
Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented. Visceral fat levels were measured by Omron device. Levels ranged from 1 - 30 and are relative (not absolute) values. The Omron scale values are: 0 - 9 (normal), 10 - 14 (high) and 15 - 30 (very high). Visceral fat area ( 0 - approx. 300cm^2, 1 inch = 2.54 cm) distribution with 30 levels.
Change From Baseline in Body Composition Assessed by Bio-impedance (Lean Body Mass) at Weeks 12 and 36
Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented
Change From Baseline in Body Composition Assessed by DXA (Total Body Fat Mass) at Weeks 12 and 36
A whole body DXA scan was performed to assess Total Body Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Change From Baseline in Body Composition Assessed by DXA (Visceral Fat Mass) at Weeks 12 and 36
A whole body DXA scan was performed to assess Visceral Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Change From Baseline in Body Composition Assessed by DXA (Lean Body Mass) at Weeks 12 and 36
A whole body DXA scan was performed to assess Lean Body Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Change From Baseline in Body Composition Assessed by DXA (Total Body Water) at Weeks 12 and 36
A whole body DXA scan was performed to assess Total Body Water (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Change From Baseline in Sitting Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 12 and 36
Three sitting BP measurements were performed. At each visit, sitting BP was derived as the mean of three readings of the sitting SBP/DBP at that visit. Pre-planned statistical analyses were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Fasting Lipid Profile (Triglycerides (TG)) at Weeks 12 and 36
TG was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Fasting Lipid Profile (Lipoproteins) at Weeks 12 and 36
Lipoproteins (High Density Lipoprotein (HDL) Cholesterol, Low Density Lipoprotein (LDL) Cholesterol) were measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Fasting Lipid Profile (Total Cholesterol) at Weeks 12 and 36
Total Cholesterol was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in High Sensitive C-reactive Protein (hsCRP) at Weeks 12 and 36
hs-CRP is an inflammation biomarker. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in 24 Hour Urinary Glucose Excretion (UGE) at Weeks 12 and 36
UGE was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.
Change From Baseline in 24 Hour Sodium Excretion at Weeks 12 and 36
Sodium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.
Change From Baseline in Left Atrial Size at Weeks 12 and 36
A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in Left Atrial Volume at Weeks 12 and 36
A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis.Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Number of Participants With New York Heart Association (NYHA) Class I, II, II or IV
The NYHA Functional Classification classifies patients' heart failure according to the severity of their symptoms. The classification is as follows: Class I: no limitation of physical activity, ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath); Class II: slight limitation to physical activity, comfortable at rest, ordinary physical activity results in fatigue, palpitation or dyspnea; Class III: marked limitation of physical activity, comfortable at rest, less than ordinary activity causes fatigue, palpitation or dyspnea; Class IV: unable to carry on any physical activity without discomfort, symptoms of heart failure at rest, if any physical activity is undertaken, discomfort increases. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Number of Participants With Change From Baseline in New York Heart Association (NYHA) Class at Week 12 and 36
The change from BL in NYHA class at a given visit is a three-category ordinal variable (improved/unchanged/worsened) with the following definition: 1. Improved, if NYHA class decreases at least one level from BL; 2. Unchanged, if NYHA class is unchanged from BL; 3. Worsened, if NYHA class increases at least one level from BL. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 36
Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Change From Baseline in 24 Hour Urinary Calcium Excretion at Weeks 12 and 36
Urinary calcium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.
24 Hour Urinary Phosphate Excretion at Weeks 12 and 36
Urinary phosphate excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.
Change From Baseline in Bone Mineral Density (BMD) at Weeks 12 and 36
To evaluate bone mineral density as assessed by bone mineral content after 12 weeks and after 36 weeks of treatment. Only descriptive statistics were done.

Full Information

First Posted
May 8, 2017
Last Updated
August 9, 2019
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03152552
Brief Title
A Dose Finding Study to Assess the Effect of LIK066 Compared to Placebo or Empagliflozin in Patients With Type 2 Diabetes Mellitus and Heart Failure
Official Title
A Multi-center, Randomized, Double-blind, Parallel-group Dose-finding Study to Assess the Effect of 3 Doses of LIK066 Compared to Placebo or Empagliflozin in Type 2 Diabetes Mellitus Patients With Heart Failure
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Terminated
Why Stopped
This study terminated prematurely because of slow enrollment
Study Start Date
July 25, 2017 (Actual)
Primary Completion Date
June 6, 2018 (Actual)
Study Completion Date
June 6, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a dose-finding study to evaluate the efficacy, safety and tolerability of 3 different doses of LIK066 compared to placebo or empagliflozin in T2DM patients with heart failure
Detailed Description
The study was prematurely discontinued on 04-May-2018 due to slow enrollment that would preclude obtaining study results in a timely manner.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus and Heart Failure
Keywords
Diabetes mellitus, LIK066, Obesity, Type 2 diabetes mellitus (T2DM), Heart Failure (HF), Hypertension, Renal dysfunction, Adult-onset diabetes, Noninsulin-dependent diabetes mellitus (NIDDM), High blood sugar

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
125 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LIK066 2.5mg
Arm Type
Experimental
Arm Description
Eligible participants randomized to this treatment arm received the LIK066 2.5mg dose regimen once daily for 36 weeks.
Arm Title
LIK066 10mg
Arm Type
Experimental
Arm Description
Eligible participants randomized to this treatment arm received the LIK066 10mg dose regimen once daily for 36 weeks.
Arm Title
LIK066 50mg
Arm Type
Experimental
Arm Description
Eligible participants randomized to this treatment arm received the LIK066 50mg dose regimen once daily for 36 weeks.
Arm Title
Empagliflozin
Arm Type
Active Comparator
Arm Description
Participants randomized to this treatment arm received empagliflozin once daily for 36 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants randomized to this treatment arm received LIK066 matching placebo and empagliflozin matching placebo.
Intervention Type
Drug
Intervention Name(s)
LIK066
Intervention Description
LIK066 was supplied in different doses as tablets taken orally.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo was supplied as tablets and capsules taken orally.
Intervention Type
Drug
Intervention Name(s)
Empagliflozin
Intervention Description
Empagliflozin was supplied as capsules taken orally.
Primary Outcome Measure Information:
Title
Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 12
Description
Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this primary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12
Secondary Outcome Measure Information:
Title
Change From Baseline in Glycated Hemoglobin (HbA1c) at Weeks 12 and 36
Description
HbA1c was measured from a blood sample and analyzed using a National Glycohemoglobin Standardization Program (NGSP) certified method at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 36
Description
FPG was measured from a blood sample after an overnight fast; patients were not allowed to eat or drink anything (except water) for at least 8 h before each study visit. Samples were analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Weight at Weeks 12 and 36
Description
Body weight was measured to the nearest 0.1 kg on a calibrated scale (weight and bio-impedance measurements), provided by the sponsor. Exceptionally (e.g. if the body weight exceeded the limits of the provided scale) sites were allowed to use another scale for weight measurement as available, but during the study the same scale was to be used for the same patient. The measurement was performed with the study patient in underwear and without shoes. Indoor clothing was also acceptable, but measurements were to be done consistently (either with underwear or with indoor clothing) throughout the study. Voiding before weight measurement was required. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by Bio-impedance (Total Body Fat Mass) at Weeks 12 and 36
Description
Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by Bio-impedance (Visceral Fat Level) at Weeks 12 and 36
Description
Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented. Visceral fat levels were measured by Omron device. Levels ranged from 1 - 30 and are relative (not absolute) values. The Omron scale values are: 0 - 9 (normal), 10 - 14 (high) and 15 - 30 (very high). Visceral fat area ( 0 - approx. 300cm^2, 1 inch = 2.54 cm) distribution with 30 levels.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by Bio-impedance (Lean Body Mass) at Weeks 12 and 36
Description
Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by DXA (Total Body Fat Mass) at Weeks 12 and 36
Description
A whole body DXA scan was performed to assess Total Body Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by DXA (Visceral Fat Mass) at Weeks 12 and 36
Description
A whole body DXA scan was performed to assess Visceral Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by DXA (Lean Body Mass) at Weeks 12 and 36
Description
A whole body DXA scan was performed to assess Lean Body Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Body Composition Assessed by DXA (Total Body Water) at Weeks 12 and 36
Description
A whole body DXA scan was performed to assess Total Body Water (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Sitting Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 12 and 36
Description
Three sitting BP measurements were performed. At each visit, sitting BP was derived as the mean of three readings of the sitting SBP/DBP at that visit. Pre-planned statistical analyses were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Fasting Lipid Profile (Triglycerides (TG)) at Weeks 12 and 36
Description
TG was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Fasting Lipid Profile (Lipoproteins) at Weeks 12 and 36
Description
Lipoproteins (High Density Lipoprotein (HDL) Cholesterol, Low Density Lipoprotein (LDL) Cholesterol) were measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Fasting Lipid Profile (Total Cholesterol) at Weeks 12 and 36
Description
Total Cholesterol was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in High Sensitive C-reactive Protein (hsCRP) at Weeks 12 and 36
Description
hs-CRP is an inflammation biomarker. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in 24 Hour Urinary Glucose Excretion (UGE) at Weeks 12 and 36
Description
UGE was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in 24 Hour Sodium Excretion at Weeks 12 and 36
Description
Sodium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Left Atrial Size at Weeks 12 and 36
Description
A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Left Atrial Volume at Weeks 12 and 36
Description
A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis.Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Number of Participants With New York Heart Association (NYHA) Class I, II, II or IV
Description
The NYHA Functional Classification classifies patients' heart failure according to the severity of their symptoms. The classification is as follows: Class I: no limitation of physical activity, ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath); Class II: slight limitation to physical activity, comfortable at rest, ordinary physical activity results in fatigue, palpitation or dyspnea; Class III: marked limitation of physical activity, comfortable at rest, less than ordinary activity causes fatigue, palpitation or dyspnea; Class IV: unable to carry on any physical activity without discomfort, symptoms of heart failure at rest, if any physical activity is undertaken, discomfort increases. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 12, Week 36
Title
Number of Participants With Change From Baseline in New York Heart Association (NYHA) Class at Week 12 and 36
Description
The change from BL in NYHA class at a given visit is a three-category ordinal variable (improved/unchanged/worsened) with the following definition: 1. Improved, if NYHA class decreases at least one level from BL; 2. Unchanged, if NYHA class is unchanged from BL; 3. Worsened, if NYHA class increases at least one level from BL. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Week 12, Week 36
Title
Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 36
Description
Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame
Baseline, Week 36
Title
Change From Baseline in 24 Hour Urinary Calcium Excretion at Weeks 12 and 36
Description
Urinary calcium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.
Time Frame
Baseline, Week 12, Week 36
Title
24 Hour Urinary Phosphate Excretion at Weeks 12 and 36
Description
Urinary phosphate excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.
Time Frame
Baseline, Week 12, Week 36
Title
Change From Baseline in Bone Mineral Density (BMD) at Weeks 12 and 36
Description
To evaluate bone mineral density as assessed by bone mineral content after 12 weeks and after 36 weeks of treatment. Only descriptive statistics were done.
Time Frame
Baseline, Week 12, Week 36

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: BMI ≥ 22kg/m^2 Type 2 diabetes with HbA1c between 6.5% and 10.0% Documented symptomatic chronic heart failure (NYHA II-IV) Plasma NT-proBNP > 300pg/ml eGFR ≥ 45ml/min/1.73m^2 (calculated by MDRD) Key Exclusion Criteria: Pregnant or nursing (lactating) women Type 1 diabetes, monogenic diabetes, diabetes resulting from pancreatic injury, or secondary forms of diabetes History of ketoacidosis, lactic acidosis, or hyperosmolar coma Symptomatic genital infection or UTI within 4 weeks of screening Myocardial infarction, stroke, surgery for heart disease, percutaneous coronary intervention within 3 months of randomization Unstable angina within 3 months of screening Isolated right HF due to pulmonary disease Patients with a mean sitting systolic blood pressure ≤ 100mmHg, at randomization History of lower limb amputation Diabetic foot ulcer at screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
Novartis Investigative Site
City
Carmichael
State/Province
California
ZIP/Postal Code
95608
Country
United States
Facility Name
Novartis Investigative Site
City
Concord
State/Province
California
ZIP/Postal Code
94520
Country
United States
Facility Name
Novartis Investigative Site
City
Long Beach
State/Province
California
ZIP/Postal Code
90813
Country
United States
Facility Name
Novartis Investigative Site
City
Northridge
State/Province
California
ZIP/Postal Code
91325
Country
United States
Facility Name
Novartis Investigative Site
City
Stockton
State/Province
California
ZIP/Postal Code
95204
Country
United States
Facility Name
Novartis Investigative Site
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80906
Country
United States
Facility Name
Novartis Investigative Site
City
Bradenton
State/Province
Florida
ZIP/Postal Code
34209
Country
United States
Facility Name
Novartis Investigative Site
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Novartis Investigative Site
City
Delray Beach
State/Province
Florida
ZIP/Postal Code
33446
Country
United States
Facility Name
Novartis Investigative Site
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33312
Country
United States
Facility Name
Novartis Investigative Site
City
Gurnee
State/Province
Illinois
ZIP/Postal Code
60031
Country
United States
Facility Name
Novartis Investigative Site
City
Bogalusa
State/Province
Louisiana
ZIP/Postal Code
70427
Country
United States
Facility Name
Novartis Investigative Site
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39209
Country
United States
Facility Name
Novartis Investigative Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63128
Country
United States
Facility Name
Novartis Investigative Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
Facility Name
Novartis Investigative Site
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
Facility Name
Novartis Investigative Site
City
Columbia
State/Province
South Carolina
ZIP/Postal Code
29203
Country
United States
Facility Name
Novartis Investigative Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Novartis Investigative Site
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
Facility Name
Novartis Investigative Site
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Facility Name
Novartis Investigative Site
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
1407
Country
Argentina
Facility Name
Novartis Investigative Site
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1056ABJ
Country
Argentina
Facility Name
Novartis Investigative Site
City
Caba
State/Province
Capital Federal
ZIP/Postal Code
C1179AAB
Country
Argentina
Facility Name
Novartis Investigative Site
City
Buenos Aires
ZIP/Postal Code
C1120AAC
Country
Argentina
Facility Name
Novartis Investigative Site
City
Graz
ZIP/Postal Code
A-8036
Country
Austria
Facility Name
Novartis Investigative Site
City
Wien
ZIP/Postal Code
1090
Country
Austria
Facility Name
Novartis Investigative Site
City
Wien
ZIP/Postal Code
1130
Country
Austria
Facility Name
Novartis Investigative Site
City
Lennik
State/Province
Brussels
ZIP/Postal Code
1070
Country
Belgium
Facility Name
Novartis Investigative Site
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Facility Name
Novartis Investigative Site
City
Bonheiden
ZIP/Postal Code
2820
Country
Belgium
Facility Name
Novartis Investigative Site
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Novartis Investigative Site
City
Liege
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1233
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1309
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1709
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5A5
Country
Canada
Facility Name
Novartis Investigative Site
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5B 1W8
Country
Canada
Facility Name
Novartis Investigative Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4A 3J1
Country
Canada
Facility Name
Novartis Investigative Site
City
Sainte Foy
State/Province
Quebec
ZIP/Postal Code
G1V 4G5
Country
Canada
Facility Name
Novartis Investigative Site
City
St-Jerome
State/Province
Quebec
ZIP/Postal Code
J7Z 5T3
Country
Canada
Facility Name
Novartis Investigative Site
City
Quebec
ZIP/Postal Code
G1V 4G2
Country
Canada
Facility Name
Novartis Investigative Site
City
Krapinske toplice
ZIP/Postal Code
49 217
Country
Croatia
Facility Name
Novartis Investigative Site
City
Rijeka
ZIP/Postal Code
51000
Country
Croatia
Facility Name
Novartis Investigative Site
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Novartis Investigative Site
City
Brandys nad Labem
State/Province
Czech Republic
ZIP/Postal Code
250 01
Country
Czechia
Facility Name
Novartis Investigative Site
City
Svitavy
State/Province
Czech Republic
ZIP/Postal Code
568 25
Country
Czechia
Facility Name
Novartis Investigative Site
City
Trebic
State/Province
Czech Republic
ZIP/Postal Code
674 01
Country
Czechia
Facility Name
Novartis Investigative Site
City
Karvina
ZIP/Postal Code
73506
Country
Czechia
Facility Name
Novartis Investigative Site
City
Kolin
ZIP/Postal Code
280 20
Country
Czechia
Facility Name
Novartis Investigative Site
City
Prague 5
ZIP/Postal Code
158 00
Country
Czechia
Facility Name
Novartis Investigative Site
City
Praha
ZIP/Postal Code
12808
Country
Czechia
Facility Name
Novartis Investigative Site
City
Prerov
ZIP/Postal Code
751 52
Country
Czechia
Facility Name
Novartis Investigative Site
City
Hellerup
ZIP/Postal Code
2900
Country
Denmark
Facility Name
Novartis Investigative Site
City
Svendborg
ZIP/Postal Code
5700
Country
Denmark
Facility Name
Novartis Investigative Site
City
Bad Oeynhausen
ZIP/Postal Code
32545
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10789
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
12157
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
13347
Country
Germany
Facility Name
Novartis Investigative Site
City
Frankfurt
ZIP/Postal Code
60594
Country
Germany
Facility Name
Novartis Investigative Site
City
Halle
ZIP/Postal Code
06120
Country
Germany
Facility Name
Novartis Investigative Site
City
Hamburg
ZIP/Postal Code
20099
Country
Germany
Facility Name
Novartis Investigative Site
City
Stuttgart
ZIP/Postal Code
70378
Country
Germany
Facility Name
Novartis Investigative Site
City
Budapest
State/Province
HUN
ZIP/Postal Code
1145
Country
Hungary
Facility Name
Novartis Investigative Site
City
Budapest
ZIP/Postal Code
1134
Country
Hungary
Facility Name
Novartis Investigative Site
City
Szeged
ZIP/Postal Code
6720
Country
Hungary
Facility Name
Novartis Investigative Site
City
Szekszard
ZIP/Postal Code
7100
Country
Hungary
Facility Name
Novartis Investigative Site
City
Wilton
State/Province
Cork
Country
Ireland
Facility Name
Novartis Investigative Site
City
County Limerick
ZIP/Postal Code
V94 F858
Country
Ireland
Facility Name
Novartis Investigative Site
City
Dublin 4
Country
Ireland
Facility Name
Novartis Investigative Site
City
Bergamo
State/Province
BG
ZIP/Postal Code
24127
Country
Italy
Facility Name
Novartis Investigative Site
City
Milano
State/Province
MI
ZIP/Postal Code
20132
Country
Italy
Facility Name
Novartis Investigative Site
City
San Donato Milanese
State/Province
MI
ZIP/Postal Code
20097
Country
Italy
Facility Name
Novartis Investigative Site
City
Milano
ZIP/Postal Code
20149
Country
Italy
Facility Name
Novartis Investigative Site
City
Rimini
ZIP/Postal Code
47923
Country
Italy
Facility Name
Novartis Investigative Site
City
Cheongju si
State/Province
Chungcheongbuk Do
ZIP/Postal Code
28644
Country
Korea, Republic of
Facility Name
Novartis Investigative Site
City
Wonju
State/Province
Gangwon-Do
ZIP/Postal Code
26426
Country
Korea, Republic of
Facility Name
Novartis Investigative Site
City
Bundang Gu
State/Province
Gyeonggi Do
ZIP/Postal Code
13620
Country
Korea, Republic of
Facility Name
Novartis Investigative Site
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Novartis Investigative Site
City
Durango
ZIP/Postal Code
34000
Country
Mexico
Facility Name
Novartis Investigative Site
City
Alkmaar
ZIP/Postal Code
1815 JD
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Utrecht
ZIP/Postal Code
3584 CX
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Venlo
ZIP/Postal Code
5912 BL
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Loerenskog
ZIP/Postal Code
NO 1478
Country
Norway
Facility Name
Novartis Investigative Site
City
Oslo
ZIP/Postal Code
0372
Country
Norway
Facility Name
Novartis Investigative Site
City
Trondheim
ZIP/Postal Code
7006
Country
Norway
Facility Name
Novartis Investigative Site
City
Warszawa
ZIP/Postal Code
00-874
Country
Poland
Facility Name
Novartis Investigative Site
City
Wroclaw
ZIP/Postal Code
51-314
Country
Poland
Facility Name
Novartis Investigative Site
City
Ponce
ZIP/Postal Code
00717
Country
Puerto Rico
Facility Name
Novartis Investigative Site
City
Singapore
ZIP/Postal Code
169609
Country
Singapore
Facility Name
Novartis Investigative Site
City
Bloemfontein
State/Province
Free State
ZIP/Postal Code
9301
Country
South Africa
Facility Name
Novartis Investigative Site
City
Paarl
State/Province
Western Cape
ZIP/Postal Code
7626
Country
South Africa
Facility Name
Novartis Investigative Site
City
Worcester
ZIP/Postal Code
6850
Country
South Africa
Facility Name
Novartis Investigative Site
City
Sevilla
State/Province
Andalucia
ZIP/Postal Code
41014
Country
Spain
Facility Name
Novartis Investigative Site
City
Villamartin
State/Province
Cadiz
ZIP/Postal Code
11650
Country
Spain
Facility Name
Novartis Investigative Site
City
Valencia
State/Province
Comunidad Valenciana
ZIP/Postal Code
46010
Country
Spain
Facility Name
Novartis Investigative Site
City
Caceres
State/Province
Extremadura
ZIP/Postal Code
10003
Country
Spain
Facility Name
Novartis Investigative Site
City
Changhua
ZIP/Postal Code
50006
Country
Taiwan
Facility Name
Novartis Investigative Site
City
Taichung
ZIP/Postal Code
40447
Country
Taiwan
Facility Name
Novartis Investigative Site
City
Taipei
ZIP/Postal Code
11217
Country
Taiwan
Facility Name
Novartis Investigative Site
City
Chelmsford
State/Province
Essex
ZIP/Postal Code
CM1 7ET
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
London
State/Province
GBR
ZIP/Postal Code
EC1M 6BQ
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Sunderland
State/Province
Tyne And Wear
ZIP/Postal Code
SR4 7TP
Country
United Kingdom
Facility Name
Novartis Investigative Site
City
Birmingham
ZIP/Postal Code
B15 2TH
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Learn more about this trial

A Dose Finding Study to Assess the Effect of LIK066 Compared to Placebo or Empagliflozin in Patients With Type 2 Diabetes Mellitus and Heart Failure

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