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To Assess Safety of Fixed Dose Combination of Dapagliflozin and Saxagliptin in Type 2 Diabetes Mellitus Patients

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 4
Locations
India
Study Type
Interventional
Intervention
dapagliflozin and saxagliptin
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

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

Inclusion criteria:

For inclusion in the study subjects should fulfil the following criteria:

  1. Provision of signed and dated, written informed consent prior to any study specific procedures according to local Indian procedure.
  2. Male and female patients aged > 18 and above
  3. Documented history of type 2 diabetes mellitus with HbA1c level >7.0% and ≤ 10% at screening visit
  4. Patients who are on a stable dose of antidiabetic drugs (including on Metformin dose between 1000-2000mg) in the past 3 months
  5. Female subjects must be 1 year post-menopausal, surgically sterile, or using an acceptable method of contraception (an acceptable method of contraception is defined as a barrier method in conjunction with a spermicide) for the duration of the study (from the time they sign consent) to prevent pregnancy. In addition, oral contraceptives, approved contraceptive implant, long-term injectable contraception, intrauterine device, or tubal ligation are allowed. Oral contraception alone is not acceptable; additional barrier methods in conjunction with spermicide must be used.

Exclusion criteria:

  1. Known allergies or contraindication to the contents of the IP, dapagliflozin or saxagliptin tablets.
  2. Active participation in another clinical study with IP and/or investigational device
  3. For women only - currently pregnant (confirmed with positive pregnancy test) or breast-feeding.
  4. Type 1 diabetes mellitus.
  5. Treatment with a SGLT2 inhibitor, GLP-1 agonist or DPP4 inhibitors at Visit 1 or 2
  6. Patients with moderate to severe renal impairment (eGFR persistently <45 mL/min/1.73 m2 by CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) formula or end-stage renal disease (ESRD) or 'Unstable or rapidly progressing renal disease
  7. Patients with severe hepatic impairment (Child-Pugh class C)
  8. History of pancreatitis or pancreatic surgery
  9. Patients with a history of any malignancy
  10. Patients with any of the following CV/Vascular Diseases within 3 months prior to signing the consent at enrolment, as assessed by the investigator:

    • Myocardial infarction.
    • Cardiac surgery or revascularization (CABG/PTCA).
    • Unstable angina.
    • Transient ischemic attack (TIA) or significant cerebrovascular disease.
    • Unstable or previously undiagnosed arrhythmia.
  11. History of heart failure
  12. Severe uncontrolled hypertension defined as systolic blood pressure ≥180 mm Hg and/or diastolic blood pressure ≥110 mm Hg at any visit up to randomisation
  13. History of diabetic ketoacidosis
  14. Any acute/chronic systemic infections
  15. Recurrent urogenital infections
  16. Patients at risk for volume depletion as judged by the investigator
  17. Any condition which, in the judgment of the Investigator, may render the patient unable to complete the study or which may pose a significant risk to the patient or patient suspected or with confirmed poor protocol or medication compliance

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

dapagliflozin and saxagliptin

Arm Description

Singe arm once daily fixed dose combination of Dapa/Saxa 10 mg/5 mg administered orally

Outcomes

Primary Outcome Measures

To assess the safety of fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) patients
Number, frequency and percentages of incidence of adverse events (AEs) and serious adverse events (SAEs)

Secondary Outcome Measures

To assess the efficacy of fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) patients
Mean change in Glycated haemoglobin (HbA1c) from baseline to 6 months

Full Information

First Posted
June 4, 2020
Last Updated
May 4, 2023
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT04445714
Brief Title
To Assess Safety of Fixed Dose Combination of Dapagliflozin and Saxagliptin in Type 2 Diabetes Mellitus Patients
Official Title
A Prospective, Multicenter, Phase -IV Study to Assess the Safety of Fixed Dose Combination of Dapagliflozin and Saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
April 7, 2021 (Actual)
Primary Completion Date
March 14, 2023 (Actual)
Study Completion Date
March 14, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca

4. Oversight

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

5. Study Description

Brief Summary
A prospective, multicenter, phase -IV study to assess the safety of fixed dose combination of dapagliflozin and saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) patients.
Detailed Description
During the study, an AstraZeneca representative/delegate will have regular contacts with the study site, including visits to site for the site monitoring and source data verification activities. Electronic Case Report Forms (eCRF) will be used for data collection and query handling. The investigator will sign the completed electronic Case Report Forms. A copy of the completed electronic Case Report Forms will be archived at the study site. Authorized representatives of AstraZeneca or delegate, a regulatory authority, or an Ethics Committee may perform audits or inspections at the center's. Number and percentages of Incidence of adverse events will be presented, stratified by age/gender/baseline medications. Annualised event rate shall also be presented in addition to the incidence rate during the study. Mean change in HbA1C from baseline to 6 months for patients will be analysed using paired t test / Wilcoxon signed-rank test at 5% level of significance.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
dapagliflozin and saxagliptin
Arm Type
Other
Arm Description
Singe arm once daily fixed dose combination of Dapa/Saxa 10 mg/5 mg administered orally
Intervention Type
Drug
Intervention Name(s)
dapagliflozin and saxagliptin
Other Intervention Name(s)
QTERN Tablet
Intervention Description
Combination of dapagliflozin and saxagliptin tablet once daily fixed dose combination of Dapa/Saxa 10 mg/5 mg administered orally
Primary Outcome Measure Information:
Title
To assess the safety of fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) patients
Description
Number, frequency and percentages of incidence of adverse events (AEs) and serious adverse events (SAEs)
Time Frame
6 Months
Secondary Outcome Measure Information:
Title
To assess the efficacy of fixed dose combination of dapagliflozin + saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) patients
Description
Mean change in Glycated haemoglobin (HbA1c) from baseline to 6 months
Time Frame
6 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: For inclusion in the study subjects should fulfil the following criteria: Provision of signed and dated, written informed consent prior to any study specific procedures according to local Indian procedure. Male and female patients aged > 18 and above Documented history of type 2 diabetes mellitus with HbA1c level >7.0% and ≤ 10% at screening visit Patients who are on a stable dose of antidiabetic drugs (including on Metformin dose between 1000-2000mg) in the past 3 months Female subjects must be 1 year post-menopausal, surgically sterile, or using an acceptable method of contraception (an acceptable method of contraception is defined as a barrier method in conjunction with a spermicide) for the duration of the study (from the time they sign consent) to prevent pregnancy. In addition, oral contraceptives, approved contraceptive implant, long-term injectable contraception, intrauterine device, or tubal ligation are allowed. Oral contraception alone is not acceptable; additional barrier methods in conjunction with spermicide must be used. Exclusion criteria: Known allergies or contraindication to the contents of the IP, dapagliflozin or saxagliptin tablets. Active participation in another clinical study with IP and/or investigational device For women only - currently pregnant (confirmed with positive pregnancy test) or breast-feeding. Type 1 diabetes mellitus. Treatment with a SGLT2 inhibitor, GLP-1 agonist or DPP4 inhibitors at Visit 1 or 2 Patients with moderate to severe renal impairment (eGFR persistently <45 mL/min/1.73 m2 by CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) formula or end-stage renal disease (ESRD) or 'Unstable or rapidly progressing renal disease Patients with severe hepatic impairment (Child-Pugh class C) History of pancreatitis or pancreatic surgery Patients with a history of any malignancy Patients with any of the following CV/Vascular Diseases within 3 months prior to signing the consent at enrolment, as assessed by the investigator: Myocardial infarction. Cardiac surgery or revascularization (CABG/PTCA). Unstable angina. Transient ischemic attack (TIA) or significant cerebrovascular disease. Unstable or previously undiagnosed arrhythmia. History of heart failure Severe uncontrolled hypertension defined as systolic blood pressure ≥180 mm Hg and/or diastolic blood pressure ≥110 mm Hg at any visit up to randomisation History of diabetic ketoacidosis Any acute/chronic systemic infections Recurrent urogenital infections Patients at risk for volume depletion as judged by the investigator Any condition which, in the judgment of the Investigator, may render the patient unable to complete the study or which may pose a significant risk to the patient or patient suspected or with confirmed poor protocol or medication compliance
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr Anil Bhansali
Organizational Affiliation
Post Graduate Institute of Medical Education & Research, Chandigarh
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr K P Singh
Organizational Affiliation
Fortis Hospital Mohali
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Indira Pattnaik
Organizational Affiliation
Sparsh Hospitals & Critical Care (P) Ltd, Bhubaneswar
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Sandeep Kumar Gupta
Organizational Affiliation
M V Hospital &Research centre Lucknow
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Faraz Farishta
Organizational Affiliation
Thumbay Hospital New Life Hyderabad
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr Girithara Jayaram Naidu
Organizational Affiliation
KG Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Bangalore
ZIP/Postal Code
560017
Country
India
Facility Name
Research Site
City
Bhubaneswar
ZIP/Postal Code
751007
Country
India
Facility Name
Research Site
City
Chandigarh
ZIP/Postal Code
160012
Country
India
Facility Name
Research Site
City
Coimbatore
ZIP/Postal Code
641018
Country
India
Facility Name
Research Site
City
Hyderabad
ZIP/Postal Code
500024
Country
India
Facility Name
Research Site
City
Kolkata
ZIP/Postal Code
700020
Country
India
Facility Name
Research Site
City
Lucknow
ZIP/Postal Code
226003
Country
India
Facility Name
Research Site
City
Mohali
ZIP/Postal Code
160062
Country
India
Facility Name
Research Site
City
New Delhi
ZIP/Postal Code
110076
Country
India

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.'
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

To Assess Safety of Fixed Dose Combination of Dapagliflozin and Saxagliptin in Type 2 Diabetes Mellitus Patients

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