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| 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
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| 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. |
| 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
| 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. |
| 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] |
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| Female | 155 | 177 | 166 | 165 | 663 |
| Male | 165 | 146 | 169 | 163 | 643 |
Outcome Measures
| 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 ] |
More Information
| 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:
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| 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 |
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| 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 |