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Dual Add-on Therapy in Type 2 Diabetes Poorly Controlled With Metformin Monotherapy

Primary Purpose

Diabetes Mellitus, Type II

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Retagliptin, Henagliflozein, metformin XR
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Men and women, 18-75 years old (both inclusive) at time of screening visit;
  2. Subjects with T2DM with inadequate glycemic control defined as central laboratory HbA1c ≥ 7.5 and ≤ 10.5 % at the screening visit;
  3. FPG ≤ 15mmol/L at the screening visit;
  4. Stable metformin therapy for at least 8 weeks prior to screening at a dose ≥ 1500 mg per day;
  5. 19.0<BMI ≤ 40.0 kg/m2 at the screening visit;

Exclusion Criteria:

  1. Moderate or severe impairment of renal function [defined as eGFR<60mL/min/1.73 m2 (estimated by MDRD);
  2. Uncontrolled hypertension defined as systolic blood pressure (SBP) ≥ 160 mmHg and/or diastolic blood pressure (DBP) ≥ 100 mmHg;
  3. Cardiovascular diseases within 6 months of the screening visit;
  4. ALT and/or AST > 1.5 x ULN and or Total Bilirubin > 1.2 x ULN;
  5. Hemoglobin ≤ 100 g/L;
  6. CK (creatine kinase) and CK-MB > 3 x ULN;
  7. Malignancy within 5 years of the screening visit (with the exception of treated basal cell or treated squamous cell carcinoma);
  8. Administration of any antihyperglycemic therapy, other than metformin,within 2 months prior to screening;

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Retagliptin 100 mg, Henagliflozein 10 mg, plus metformin XR

    Retagliptin 100 mg, Henagliflozein 5 mg, plus metformin XR

    Retagliptin placebo, Henagliflozein 10 mg, plus metformin XR

    Retagliptin placebo, Henagliflozein 5 mg, plus metformin XR

    Retagliptin 100 mg, Henagliflozein placebo, plus metformin XR

    Arm Description

    Outcomes

    Primary Outcome Measures

    Mean change from baseline in HbA1c at Week 24
    • To compare the mean change from baseline in HbA1c achieved with concurrent addition of Retagliptin Plus Henagliflozein to metformin vs the addition of Retagliptin or Henagliflozein to metformin after 24 weeks of double-blind treatment.

    Secondary Outcome Measures

    Full Information

    First Posted
    December 9, 2020
    Last Updated
    December 9, 2020
    Sponsor
    Jiangsu HengRui Medicine Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04667143
    Brief Title
    Dual Add-on Therapy in Type 2 Diabetes Poorly Controlled With Metformin Monotherapy
    Official Title
    A Multicenter, Randomized, Double-Blind, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Retagliptin Plus Henagliflozein Added to Metformin Compared to Retagliptin or Henagliflozein in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin Alone
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 2021 (Anticipated)
    Primary Completion Date
    September 2022 (Anticipated)
    Study Completion Date
    October 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Jiangsu HengRui Medicine Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    2 weeks screening period, 4 weeks run-in period, 24 weeks double-blind treatment period, to evaluate the Safety and Efficacy of Retagliptin Plus Henagliflozein added to Metformin compared to Retagliptin or Henagliflozein in combination with Metformin in Subjects with Type 2 Diabetes who have Inadequate Glycemic Control on Metformin Alone

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Retagliptin 100 mg, Henagliflozein 10 mg, plus metformin XR
    Arm Type
    Experimental
    Arm Title
    Retagliptin 100 mg, Henagliflozein 5 mg, plus metformin XR
    Arm Type
    Experimental
    Arm Title
    Retagliptin placebo, Henagliflozein 10 mg, plus metformin XR
    Arm Type
    Experimental
    Arm Title
    Retagliptin placebo, Henagliflozein 5 mg, plus metformin XR
    Arm Type
    Experimental
    Arm Title
    Retagliptin 100 mg, Henagliflozein placebo, plus metformin XR
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Retagliptin, Henagliflozein, metformin XR
    Intervention Description
    Retagliptin-DPP4 inhibitor Henagliflozein-SGLT-2 inhibitor Metformin XR
    Primary Outcome Measure Information:
    Title
    Mean change from baseline in HbA1c at Week 24
    Description
    • To compare the mean change from baseline in HbA1c achieved with concurrent addition of Retagliptin Plus Henagliflozein to metformin vs the addition of Retagliptin or Henagliflozein to metformin after 24 weeks of double-blind treatment.
    Time Frame
    24 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Men and women, 18-75 years old (both inclusive) at time of screening visit; Subjects with T2DM with inadequate glycemic control defined as central laboratory HbA1c ≥ 7.5 and ≤ 10.5 % at the screening visit; FPG ≤ 15mmol/L at the screening visit; Stable metformin therapy for at least 8 weeks prior to screening at a dose ≥ 1500 mg per day; 19.0<BMI ≤ 40.0 kg/m2 at the screening visit; Exclusion Criteria: Moderate or severe impairment of renal function [defined as eGFR<60mL/min/1.73 m2 (estimated by MDRD); Uncontrolled hypertension defined as systolic blood pressure (SBP) ≥ 160 mmHg and/or diastolic blood pressure (DBP) ≥ 100 mmHg; Cardiovascular diseases within 6 months of the screening visit; ALT and/or AST > 1.5 x ULN and or Total Bilirubin > 1.2 x ULN; Hemoglobin ≤ 100 g/L; CK (creatine kinase) and CK-MB > 3 x ULN; Malignancy within 5 years of the screening visit (with the exception of treated basal cell or treated squamous cell carcinoma); Administration of any antihyperglycemic therapy, other than metformin,within 2 months prior to screening;

    12. IPD Sharing Statement

    Learn more about this trial

    Dual Add-on Therapy in Type 2 Diabetes Poorly Controlled With Metformin Monotherapy

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