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Study Results
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A Phase 3 Study of BMS-477118 in Combination With Metformin in Subjects With Type 2 Diabetes Who Are Not Controlled With Diet and Exercise
This study has been completed.
Study NCT00327015   Information provided by Bristol-Myers Squibb

First Received on May 15, 2006.   Last Updated on August 4, 2010   History of Changes
Results First Received: August 17, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Investigator);   Primary Purpose: Treatment
Condition: Diabetes
Interventions: Drug: Saxagliptin
Drug: Metformin
Drug: Placebo
Drug: pioglitazone

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Saxagliptin 5 mg + Metformin The Saxagliptin 5 mg + Metformin group includes data from participants randomized to receive coadministration of blinded, fixed-dose saxagliptin 5 mg oral tablets and metformin IR 500 mg. Metformin Immediate Release (IR) was titrated, as tolerated, in increments of 500 mg up to a maximum of 2000 mg daily dose.
Saxagliptin 10 mg + Metformin The Saxagliptin 10 mg + Metformin group includes data from participants randomized to receive coadministration of blinded, fixed-dose saxagliptin 10 mg oral tablets and metformin IR 500 mg. Metformin IR was titrated, as tolerated, in increments of 500 mg up to a maximum of 2000 mg daily dose.
Saxagliptin 10 mg The Saxagliptin 10 mg group includes data from participants randomized to receive coadministration of blinded, fixed-dose saxagliptin 10 mg oral tablets and placebo resembling metformin.
Metformin The Metformin group includes data from participants randomized to receive coadministration of metformin IR 500 mg. Metformin IR was titrated, as tolerated, in increments of 500 mg up to a maximum of 2000 mg daily dose and placebo resembling saxagliptin.

Participant Flow:   Overall Study
    Saxagliptin 5 mg + Metformin     Saxagliptin 10 mg + Metformin     Saxagliptin 10 mg     Metformin  
STARTED     320     323     335     328  
Completed Study Without Being Rescued     179     177     113     144  
COMPLETED     229     231     209     219  
NOT COMPLETED     91     92     126     109  
Lack of Efficacy                 18                 18                 35                 29  
Withdrawal of Consent by Subject                 20                 24                 28                 25  
Lost to Follow-up                 22                 23                 29                 22  
Adverse Event                 14                 10                 14                 14  
Subject no longer meets study criteria                 4                 2                 8                 7  
Poor/Noncompliance                 11                 8                 4                 5  
Physician Decision                 0                 1                 3                 2  
Death                 1                 2                 2                 3  
Pregnancy                 0                 2                 1                 1  
Administrative Reason by Sponsor                 1                 2                 2                 1  



  Baseline Characteristics
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Reporting Groups
  Description
Saxagliptin 5 mg + Metformin The Saxagliptin 5 mg + Metformin group includes data from participants randomized to receive coadministration of blinded, fixed-dose saxagliptin 5 mg oral tablets and metformin IR 500 mg. Metformin Immediate Release (IR) was titrated, as tolerated, in increments of 500 mg up to a maximum of 2000 mg daily dose.
Saxagliptin 10 mg + Metformin The Saxagliptin 10 mg + Metformin group includes data from participants randomized to receive coadministration of blinded, fixed-dose saxagliptin 10 mg oral tablets and metformin IR 500 mg. Metformin IR was titrated, as tolerated, in increments of 500 mg up to a maximum of 2000 mg daily dose.
Saxagliptin 10 mg The Saxagliptin 10 mg group includes data from participants randomized to receive coadministration of blinded, fixed-dose saxagliptin 10 mg oral tablets and placebo resembling metformin.
Metformin The Metformin group includes data from participants randomized to receive coadministration of metformin IR 500 mg. Metformin IR was titrated, as tolerated, in increments of 500 mg up to a maximum of 2000 mg daily dose and placebo resembling saxagliptin.

Baseline Measures
    Saxagliptin 5 mg + Metformin     Saxagliptin 10 mg + Metformin     Saxagliptin 10 mg     Metformin     Total  
Number of Participants  
[units: participants]
  320     323     335     328     1306  
Age  
[units: years]
Mean ± Standard Deviation
  51.95  ± 10.43     52.08  ± 11.59     52.09  ± 10.17     51.83  ± 10.74     51.99  ± 10.73  
Gender  
[units: participants]
         
Female     155     177     166     165     663  
Male     165     146     169     163     643  



  Outcome Measures
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1.  Primary:   Change From Baseline in Hemoglobin A1c (A1C) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy   [ Time Frame: Baseline, Week 24 ]

2.  Primary:   Change From Baseline in A1C at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy   [ Time Frame: Baseline, Week 24 ]

3.  Secondary:   Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy   [ Time Frame: Baseline, Week 24 ]

4.  Secondary:   Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy   [ Time Frame: Baseline, Week 24 ]

5.  Secondary:   Percentage of Participants Achieving A1C < 7% at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy   [ Time Frame: Week 24 ]

6.  Secondary:   Percentage of Participants Achieving A1C < 7% at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy   [ Time Frame: Week 24 ]

7.  Secondary:   Changes From Baseline in Postprandial Glucose (PPG) Area Under the Curve (AUC) Response to an Oral Glucose Tolerance Test (OGTT) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy   [ Time Frame: Baseline, Week 24 ]

8.  Secondary:   Changes From Baseline in Postprandial Glucose (PPG) Area Under the Curve (AUC) Response to an Oral Glucose Tolerance Test (OGTT) at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy   [ Time Frame: Baseline, Week 24 ]

9.  Secondary:   Percentage of Participants Achieving A1C ≤6.5% at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy   [ Time Frame: Week 24 ]

10.  Secondary:   Percentage of Participants Achieving A1C ≤6.5% at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy   [ Time Frame: Week 24 ]

11.  Secondary:   Percentage of Participants Requiring Rescue or Discontinuation at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy   [ Time Frame: Week 24 ]

12.  Secondary:   Percentage of Participants Requiring Rescue or Discontinuation at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy   [ Time Frame: Week 24 ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: BMS Study Director
Organization: Bristol-Myers Squibb
e-mail: clinical.trials@bms.com


Publications:
Publications automatically indexed to this study:

Responsible Party: Study Director, Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT00327015     History of Changes
Other Study ID Numbers: CV181-039
Study First Received: May 15, 2006
Results First Received: August 17, 2009
Last Updated: August 4, 2010
Health Authority: United States: Food and Drug Administration