Safety and Efficacy Study of Empagliflozin and Metformin for 24 Weeks in Treatment Naive Patients With Type 2 Diabetes
Diabetes Mellitus, Type 2, Hyperglycemia
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 diet and exercise regimen who are drug-naive, defined as absence of any oral antidiabetic therapy for 12 weeks prior to randomization
- HbA1c >=7.5% and <= 12% (>=58.5 mmol/mol and <=107.7 mmol/mol)
- Body Mass Index (BMI) <= 45 kg/m2 at screening
Exclusion criteria:
- Uncontrolled hyperglycemia with a glucose level >240 mg/dl (>13.3 mmol/L) after an overnight fast during placebo run-in and confirmed by a second laboratory measurement (not on the same day)
- Any antidiabetic drug within 12 weeks prior to randomization
- Impaired renal function, defined as estimated creatinine clearance rate (eCCr) <60 ml/min (Cockcroft-Gault formula) as determined during screening and/or run-in period
- Contraindications to metformin according to the local label
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Empagliflozin low dose qd
Empagliflozin high dose qd
OL empa high dose + met 1000 mg bid
Empagliflozin low dose + met 500 mg bid
Empagliflozin low dose + met 1000 mg bid
Empagliflozin high dose + met 500 mg bid
Empagliflozin high dose + met 1000mg bid
Metformin 500 mg bid
Metformin 1000 mg bid
Empagliflozin low dose once daily
Empagliflozin high dose once daily
Open label empagliflozin high dose split twice daily + metformin 1000 mg twice daily - Patients are no longer enrolled into this arm because of change in the inclusion criteria in protocol version 2.0 all patients are now enrolled into remaining double-blind arms. Patients already enrolled in the open-label arm according to protocol version 1.0 can complete the study.
Empagliflozin low dose split twice daily + metformin 500 mg twice daily
Empagliflozin low dose split twice daily + metformin 1000 mg twice daily
Empagliflozin high dose split twice daily + metformin 500 mg twice daily
Empagliflozin high dose split twice daily + metformin 1000 mg twice daily
Metformin 500 mg twice daily
Metformin 1000 mg twice daily