Efficacy and Safety Study With Empagliflozin (BI 10773) vs. Placebo as add-on to Metformin or Metformin Plus Sulfonylurea Over 24 Weeks in Patients With Type 2 Diabetes
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 mellitus prior to informed consent
Male and female patients on a diet and exercise regimen who are pre-treated with immediate release metformin or immediate release metformin plus sulfonylurea (see below for minimum doses). The treatment regimen has to be unchanged for 12 weeks prior to randomisation.
Minimum dose for metformin: > or = 1500 mg/day or maximum tolerated dose or maximum dose according to local label Minimum dose for sulfonylurea: > or = half of the maximal recommended dose or maximum tolerated dose or maximum dose according to local label
- HbA1c of > or = 7.0% and < or = 11% at Visit 1 (screening) in order to be eligible for randomised treatment HbA1c of > 11% at Visit 1 (screening) in order to be eligible for the open-label treatment arm (25 mg BI 10773)
- Age> or = 18
- Body Mass Index (BM)I < or = 45 kg/m2 (Body Mass Index) at Visit 1 (Screening)
- Signed and dated written informed consent by date of Visit 1 in accordance with Good Clinical Practice (GCP) and local legislation
Exclusion criteria:
- Uncontrolled hyperglycaemia with a glucose level > 240 mg/dl (>13.3 mmol/L) after an overnight fast during placebo run-in and confirmed by a second measurement (not on the same day)
- Any other antidiabetic drug within 12 weeks prior to randomisation except those mentioned in inclusion criterion 2
- Myocardial infarction, stroke or transient ischemic attack (TIA) within 3 months prior to informed consent
- Indication of liver disease, defined by serum levels of either ALT (SGPT), AST (SGOT), or alkaline phosphatase above 3 x upper limit of normal (ULN) as determined during screening and/or run-in phase
- Impaired renal function, defined as eGFR<30 ml/min (severe renal impairment) as determined during screening and/or run-in phase
- Bariatric surgery within the past two years and other gastrointestinal surgeries that induce chronic malabsorption
- Medical history of cancer (except for basal cell carcinoma) and/or treatment for cancer within the last 5 years
- Contraindications to metformin and/or sulfonylurea according to the local label for those patients that enter the study with the respective background therapy
- Blood dyscrasias or any disorders causing haemolysis or unstable Red Blood Cell (e.g. malaria, babesiosis, haemolytic anaemia)
- Treatment with anti-obesity drugs (e.g. sibutramine, orlistat) 3 months prior to informed consent or any other treatment at the time of screening (i.e. surgery, aggressive diet regimen, etc.) leading to unstable body weight
- Current treatment with systemic steroids at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent or any other uncontrolled endocrine disorder except Typ 2 Diabetes
Pre-menopausal women (last menstruation ¿ 1 year prior to informed consent) who:
- are nursing or pregnant or
- are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study and do not agree to submit to periodic pregnancy testing during participation in the trial. Acceptable methods of birth control include tubal ligation, transdermal patch, intra uterine devices/systems (IUDs/IUSs), oral, implantable or injectable contraceptives, sexual abstinence (if acceptable by local authorities), double barrier method and vasectomised partner
- Alcohol or drug abuse within the 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to a decreased compliance to study procedures or study drug intake
- Participation in another trial with an investigational drug within 30 days prior to informed consent
- Any other clinical condition that would jeopardize patients safety while participating in this clinical trial
Sites / Locations
- 1245.23.10145 Boehringer Ingelheim Investigational Site
- 1245.23.10046 Boehringer Ingelheim Investigational Site
- 1245.23.10095 Boehringer Ingelheim Investigational Site
- 1245.23.10109 Boehringer Ingelheim Investigational Site
- 1245.23.10074 Boehringer Ingelheim Investigational Site
- 1245.23.10149 Boehringer Ingelheim Investigational Site
- 1245.23.10127 Boehringer Ingelheim Investigational Site
- 1245.23.10042 Boehringer Ingelheim Investigational Site
- 1245.23.10133 Boehringer Ingelheim Investigational Site
- 1245.23.10080 Boehringer Ingelheim Investigational Site
- 1245.23.10001 Boehringer Ingelheim Investigational Site
- 1245.23.10159 Boehringer Ingelheim Investigational Site
- 1245.23.10117 Boehringer Ingelheim Investigational Site
- 1245.23.10157 Boehringer Ingelheim Investigational Site
- 1245.23.10148 Boehringer Ingelheim Investigational Site
- 1245.23.10034 Boehringer Ingelheim Investigational Site
- 1245.23.10123 Boehringer Ingelheim Investigational Site
- 1245.23.10120 Boehringer Ingelheim Investigational Site
- 1245.23.10031 Boehringer Ingelheim Investigational Site
- 1245.23.10158 Boehringer Ingelheim Investigational Site
- 1245.23.10015 Boehringer Ingelheim Investigational Site
- 1245.23.10156 Boehringer Ingelheim Investigational Site
- 1245.23.10153 Boehringer Ingelheim Investigational Site
- 1245.23.10143 Boehringer Ingelheim Investigational Site
- 1245.23.10106 Boehringer Ingelheim Investigational Site
- 1245.23.20032 Boehringer Ingelheim Investigational Site
- 1245.23.20023 Boehringer Ingelheim Investigational Site
- 1245.23.20028 Boehringer Ingelheim Investigational Site
- 1245.23.20033 Boehringer Ingelheim Investigational Site
- 1245.23.20024 Boehringer Ingelheim Investigational Site
- 1245.23.20031 Boehringer Ingelheim Investigational Site
- 1245.23.20026 Boehringer Ingelheim Investigational Site
- 1245.23.20001 Boehringer Ingelheim Investigational Site
- 1245.23.20022 Boehringer Ingelheim Investigational Site
- 1245.23.20035 Boehringer Ingelheim Investigational Site
- 1245.23.20030 Boehringer Ingelheim Investigational Site
- 1245.23.20037 Boehringer Ingelheim Investigational Site
- 1245.23.20029 Boehringer Ingelheim Investigational Site
- 1245.23.20003 Boehringer Ingelheim Investigational Site
- 1245.23.20040 Boehringer Ingelheim Investigational Site
- 1245.23.20034 Boehringer Ingelheim Investigational Site
- 1245.23.20039 Boehringer Ingelheim Investigational Site
- 1245.23.20027 Boehringer Ingelheim Investigational Site
- 1245.23.20025 Boehringer Ingelheim Investigational Site
- 1245.23.20036 Boehringer Ingelheim Investigational Site
- 1245.23.20038 Boehringer Ingelheim Investigational Site
- 1245.23.86031 Boehringer Ingelheim Investigational Site
- 1245.23.86032 Boehringer Ingelheim Investigational Site
- 1245.23.86033 Boehringer Ingelheim Investigational Site
- 1245.23.86034 Boehringer Ingelheim Investigational Site
- 1245.23.86035 Boehringer Ingelheim Investigational Site
- 1245.23.86048 Boehringer Ingelheim Investigational Site
- 1245.23.86058 Boehringer Ingelheim Investigational Site
- 1245.23.86038 Boehringer Ingelheim Investigational Site
- 1245.23.86002 Boehringer Ingelheim Investigational Site
- 1245.23.86052 Boehringer Ingelheim Investigational Site
- 1245.23.86037 Boehringer Ingelheim Investigational Site
- 1245.23.86049 Boehringer Ingelheim Investigational Site
- 1245.23.86053 Boehringer Ingelheim Investigational Site
- 1245.23.86055 Boehringer Ingelheim Investigational Site
- 1245.23.86056 Boehringer Ingelheim Investigational Site
- 1245.23.86042 Boehringer Ingelheim Investigational Site
- 1245.23.86043 Boehringer Ingelheim Investigational Site
- 1245.23.86039 Boehringer Ingelheim Investigational Site
- 1245.23.86040 Boehringer Ingelheim Investigational Site
- 1245.23.86054 Boehringer Ingelheim Investigational Site
- 1245.23.86057 Boehringer Ingelheim Investigational Site
- 1245.23.86045 Boehringer Ingelheim Investigational Site
- 1245.23.86013 Boehringer Ingelheim Investigational Site
- 1245.23.86036 Boehringer Ingelheim Investigational Site
- 1245.23.86041 Boehringer Ingelheim Investigational Site
- 1245.23.86051 Boehringer Ingelheim Investigational Site
- 1245.23.33015 Boehringer Ingelheim Investigational Site
- 1245.23.33008 Boehringer Ingelheim Investigational Site
- 1245.23.33020 Boehringer Ingelheim Investigational Site
- 1245.23.33002 Boehringer Ingelheim Investigational Site
- 1245.23.33016 Boehringer Ingelheim Investigational Site
- 1245.23.33001 Boehringer Ingelheim Investigational Site
- 1245.23.33010 Boehringer Ingelheim Investigational Site
- 1245.23.33009 Boehringer Ingelheim Investigational Site
- 1245.23.33003 Boehringer Ingelheim Investigational Site
- 1245.23.33045 Boehringer Ingelheim Investigational Site
- 1245.23.33014 Boehringer Ingelheim Investigational Site
- 1245.23.33004 Boehringer Ingelheim Investigational Site
- 1245.23.33012 Boehringer Ingelheim Investigational Site
- 1245.23.33013 Boehringer Ingelheim Investigational Site
- 1245.23.33019 Boehringer Ingelheim Investigational Site
- 1245.23.33007 Boehringer Ingelheim Investigational Site
- 1245.23.33018 Boehringer Ingelheim Investigational Site
- 1245.23.49001 Boehringer Ingelheim Investigational Site
- 1245.23.49009 Boehringer Ingelheim Investigational Site
- 1245.23.49004 Boehringer Ingelheim Investigational Site
- 1245.23.49007 Boehringer Ingelheim Investigational Site
- 1245.23.49002 Boehringer Ingelheim Investigational Site
- 1245.23.49008 Boehringer Ingelheim Investigational Site
- 1245.23.49010 Boehringer Ingelheim Investigational Site
- 1245.23.49006 Boehringer Ingelheim Investigational Site
- 1245.23.49011 Boehringer Ingelheim Investigational Site
- 1245.23.49005 Boehringer Ingelheim Investigational Site
- 1245.23.49003 Boehringer Ingelheim Investigational Site
- 1245.23.91101 Boehringer Ingelheim Investigational Site
- 1245.23.91104 Boehringer Ingelheim Investigational Site
- 1245.23.91103 Boehringer Ingelheim Investigational Site
- 1245.23.91102 Boehringer Ingelheim Investigational Site
- 1245.23.91105 Boehringer Ingelheim Investigational Site
- 1245.23.82012 Boehringer Ingelheim Investigational Site
- 1245.23.82004 Boehringer Ingelheim Investigational Site
- 1245.23.82011 Boehringer Ingelheim Investigational Site
- 1245.23.82009 Boehringer Ingelheim Investigational Site
- 1245.23.82001 Boehringer Ingelheim Investigational Site
- 1245.23.82006 Boehringer Ingelheim Investigational Site
- 1245.23.82005 Boehringer Ingelheim Investigational Site
- 1245.23.82007 Boehringer Ingelheim Investigational Site
- 1245.23.82008 Boehringer Ingelheim Investigational Site
- 1245.23.82010 Boehringer Ingelheim Investigational Site
- 1245.23.82014 Boehringer Ingelheim Investigational Site
- 1245.23.82002 Boehringer Ingelheim Investigational Site
- 1245.23.82003 Boehringer Ingelheim Investigational Site
- 1245.23.52003 Boehringer Ingelheim Investigational Site
- 1245.23.52004 Boehringer Ingelheim Investigational Site
- 1245.23.52001 Boehringer Ingelheim Investigational Site
- 1245.23.52002 Boehringer Ingelheim Investigational Site
- 1245.23.74005 Boehringer Ingelheim Investigational Site
- 1245.23.74002 Boehringer Ingelheim Investigational Site
- 1245.23.74006 Boehringer Ingelheim Investigational Site
- 1245.23.74014 Boehringer Ingelheim Investigational Site
- 1245.23.74001 Boehringer Ingelheim Investigational Site
- 1245.23.74004 Boehringer Ingelheim Investigational Site
- 1245.23.74003 Boehringer Ingelheim Investigational Site
- 1245.23.38003 Boehringer Ingelheim Investigational Site
- 1245.23.38002 Boehringer Ingelheim Investigational Site
- 1245.23.38001 Boehringer Ingelheim Investigational Site
- 1245.23.88010 Boehringer Ingelheim Investigational Site
- 1245.23.88011 Boehringer Ingelheim Investigational Site
- 1245.23.88012 Boehringer Ingelheim Investigational Site
- 1245.23.88013 Boehringer Ingelheim Investigational Site
- 1245.23.88009 Boehringer Ingelheim Investigational Site
- 1245.23.88014 Boehringer Ingelheim Investigational Site
- 1245.23.88006 Boehringer Ingelheim Investigational Site
- 1245.23.88007 Boehringer Ingelheim Investigational Site
- 1245.23.88021 Boehringer Ingelheim Investigational Site
- 1245.23.88008 Boehringer Ingelheim Investigational Site
- 1245.23.90003 Boehringer Ingelheim Investigational Site
- 1245.23.90001 Boehringer Ingelheim Investigational Site
- 1245.23.90002 Boehringer Ingelheim Investigational Site
- 1245.23.90006 Boehringer Ingelheim Investigational Site
- 1245.23.90007 Boehringer Ingelheim Investigational Site
- 1245.23.90004 Boehringer Ingelheim Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Placebo Comparator
Experimental
Experimental
BI 10773 Arm 2
Placebo
BI 10773 open-label
BI 10773 Arm 1
BI 10773 once daily high dose
Placebo matching BI 10773
BI 10773 once daily high dose open label
BI 10773 once daily low dose