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Efficacy and Safety of Madalena Association in the Treatment of Type II Diabetes Mellitus

Primary Purpose

Type 2 Diabetes Mellitus

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
MADALENA ASSOCIATION
METFORMIN
EMPAGLIFLOZIN + LINAGLIPTIN
MADALENA ASSOCIATION PLACEBO
METFORMIN PLACEBO
EMPAGLIFLOZIN + LINAGLIPTIN PLACEBO
Sponsored by
EMS
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus focused on measuring Type 2 Diabetes Mellitus

Eligibility Criteria

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

Inclusion Criteria:

  • Ability to confirm voluntary participation and agree to all trial purposes by signing and dating the informed consent forms;
  • Participants with 18 years of age or greater;
  • Participants presenting the diagnosis of type II diabetes mellitus, and who did not reach the therapeutic goals of HbA1c with previous dietary, physical exercise guidance and at least 3 months with two anti-hyperglycemic agents (dual therapy);
  • HbA1c ≥ 7,5% and ≤ 10,5% and fasting blood glucose > 100 mg/dL at the screening visit;
  • BMI (body mass index) > 19 Kg/m2 and ≤ 45 Kg/m2.

Exclusion Criteria:

  • Any clinical and laboratory findings that, in the judgment of the investigator, may interfere with the safety of research participants;
  • History of alcohol abuse or illicit drug use;
  • Participation in a clinical trial in the year prior to this study;
  • Pregnancy or risk of pregnancy and lactating patients;
  • Known hypersensitivity to the formula components used during the clinical trial;
  • Type 1 diabetes mellitus;
  • Fasting blood glucose > 300 mg/dL;
  • Risk factors for volume depletion;
  • Impaired renal function and end-stage renal disease;
  • Participants with current treatment and continued for more than 15 days with systemic steroids at the time of informed consent;
  • Impaired hepatic function;
  • Medical history of pancreatic diseases that may suggest insulin deficiency;
  • Bariatric surgery in the last two years and/ or other gastrointestinal surgeries that can cause chronic malabsorption syndrome;
  • Condition that, in the investigator's judgment, may favor clinically significant changes in CPK levels;
  • Medical history of acute coronary syndrome, stroke, unstable congestive heart failure, or respiratory failure within 6 months prior to informed consent;
  • Current medical history of cancer and/ or cancer treatment in the last 5 years;
  • Medical history of metabolic acidosis and/or using drugs that may cause lactic acidosis;
  • Medical history of blood dyscrasia or any other hemolytic disorders;
  • Participants using sulfonylureas and/or insulin therapy;
  • Treatment with anti-obesity drugs for less than 2 months or with dose change in the last 2 months.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    MADALENA

    Metformin + empagliflozin + linagliptin

    Arm Description

    The study is triple-dummy. The patient must take 3 tablets once a day, as follows: 1 tablet Madalena association, oral; 1 tablet empagliflozin + linagliptin association placebo, oral; 1 tablet metformin placebo, oral.

    The patient must take 3 tablets once a day, as follows: 1 tablet Madalena association placebo, oral; 1 tablet empagliflozin + linagliptin association, oral; 1 tablet metformin, oral.

    Outcomes

    Primary Outcome Measures

    Change from baseline in glycated hemoglobin (HbA1c) levels.

    Secondary Outcome Measures

    Incidence and severity of adverse events recorded during the study.

    Full Information

    First Posted
    December 11, 2020
    Last Updated
    August 3, 2022
    Sponsor
    EMS
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04670666
    Brief Title
    Efficacy and Safety of Madalena Association in the Treatment of Type II Diabetes Mellitus
    Official Title
    National, Multicenter, Randomized, Double-blind, Triple-dummy, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Madalena Association in the Treatment of Type II Diabetes Mellitus.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 2023 (Anticipated)
    Primary Completion Date
    February 2025 (Anticipated)
    Study Completion Date
    June 2025 (Anticipated)

    3. Sponsor/Collaborators

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

    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
    The purpose of this study is to evaluate the efficacy and safety of Madalena association in the treatment of type 2 diabetes mellitus.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    270 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    MADALENA
    Arm Type
    Experimental
    Arm Description
    The study is triple-dummy. The patient must take 3 tablets once a day, as follows: 1 tablet Madalena association, oral; 1 tablet empagliflozin + linagliptin association placebo, oral; 1 tablet metformin placebo, oral.
    Arm Title
    Metformin + empagliflozin + linagliptin
    Arm Type
    Active Comparator
    Arm Description
    The patient must take 3 tablets once a day, as follows: 1 tablet Madalena association placebo, oral; 1 tablet empagliflozin + linagliptin association, oral; 1 tablet metformin, oral.
    Intervention Type
    Drug
    Intervention Name(s)
    MADALENA ASSOCIATION
    Intervention Description
    Madalena association coated tablet.
    Intervention Type
    Drug
    Intervention Name(s)
    METFORMIN
    Intervention Description
    Metformin 1000 mg extended-release tablet.
    Intervention Type
    Drug
    Intervention Name(s)
    EMPAGLIFLOZIN + LINAGLIPTIN
    Intervention Description
    Empagliflozin 10 mg + linagliptin 5 mg coated tablet.
    Intervention Type
    Other
    Intervention Name(s)
    MADALENA ASSOCIATION PLACEBO
    Intervention Description
    Madalena association placebo tablet.
    Intervention Type
    Other
    Intervention Name(s)
    METFORMIN PLACEBO
    Intervention Description
    Metformin placebo tablet.
    Intervention Type
    Other
    Intervention Name(s)
    EMPAGLIFLOZIN + LINAGLIPTIN PLACEBO
    Intervention Description
    Empagliflozin + linagliptin placebo tablet.
    Primary Outcome Measure Information:
    Title
    Change from baseline in glycated hemoglobin (HbA1c) levels.
    Time Frame
    120 days
    Secondary Outcome Measure Information:
    Title
    Incidence and severity of adverse events recorded during the study.
    Time Frame
    150 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Ability to confirm voluntary participation and agree to all trial purposes by signing and dating the informed consent forms; Participants with 18 years of age or greater; Participants presenting the diagnosis of type II diabetes mellitus, and who did not reach the therapeutic goals of HbA1c with previous dietary, physical exercise guidance and at least 3 months with two anti-hyperglycemic agents (dual therapy); HbA1c ≥ 7,5% and ≤ 10,5% and fasting blood glucose > 100 mg/dL at the screening visit; BMI (body mass index) > 19 Kg/m2 and ≤ 45 Kg/m2. Exclusion Criteria: Any clinical and laboratory findings that, in the judgment of the investigator, may interfere with the safety of research participants; History of alcohol abuse or illicit drug use; Participation in a clinical trial in the year prior to this study; Pregnancy or risk of pregnancy and lactating patients; Known hypersensitivity to the formula components used during the clinical trial; Type 1 diabetes mellitus; Fasting blood glucose > 300 mg/dL; Risk factors for volume depletion; Impaired renal function and end-stage renal disease; Participants with current treatment and continued for more than 15 days with systemic steroids at the time of informed consent; Impaired hepatic function; Medical history of pancreatic diseases that may suggest insulin deficiency; Bariatric surgery in the last two years and/ or other gastrointestinal surgeries that can cause chronic malabsorption syndrome; Condition that, in the investigator's judgment, may favor clinically significant changes in CPK levels; Medical history of acute coronary syndrome, stroke, unstable congestive heart failure, or respiratory failure within 6 months prior to informed consent; Current medical history of cancer and/ or cancer treatment in the last 5 years; Medical history of metabolic acidosis and/or using drugs that may cause lactic acidosis; Medical history of blood dyscrasia or any other hemolytic disorders; Participants using sulfonylureas and/or insulin therapy; Treatment with anti-obesity drugs for less than 2 months or with dose change in the last 2 months.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Monalisa FB Oliveira, MD
    Phone
    +551938879851
    Email
    pesquisa.clinica@ncfarma.com.br

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of Madalena Association in the Treatment of Type II Diabetes Mellitus

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