Safety and Efficacy of Dapagliflozin in Triple Therapy to Treat Subjects With Type 2 Diabetes

This study is currently recruiting participants.
Verified November 2012 by Bristol-Myers Squibb
Sponsor:
Collaborator:
AstraZeneca
Information provided by (Responsible Party):
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT01646320
First received: July 18, 2012
Last updated: March 28, 2013
Last verified: November 2012
  Purpose

The purpose of this study is to learn if BMS-512148 (Dapagliflozin) as part of a triple combination therapy can improve (decrease) hemoglobin A1c in patients with type 2 diabetes after 24 weeks of treatment compared to a 2 drug oral antidiabetic therapy. The safety of this treatment will also be studied.


Condition Intervention Phase
Type 2 Diabetes
Drug: Dapagliflozin
Drug: Placebo matching with Dapagliflozin
Drug: Saxagliptin
Drug: Metformin immediate release (IR)
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Therapy With Dapagliflozin Added to Saxagliptin in Combination With Metformin Compared to Therapy With Placebo Added to Saxagliptin in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin and Saxagliptin

Resource links provided by NLM:


Further study details as provided by Bristol-Myers Squibb:

Primary Outcome Measures:
  • Mean change from baseline in Glycosylated hemoglobin (HbA1c) [ Time Frame: Baseline (Day 1) ] [ Designated as safety issue: No ]
  • Mean change from baseline in Glycosylated hemoglobin (HbA1c) [ Time Frame: Week 24 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Mean change from baseline in fasting plasma glucose (FPG) [ Time Frame: Baseline (Day 1) and Week 24 ] [ Designated as safety issue: No ]
  • Mean change from baseline in 2-hour post-prandial glucose during a liquid meal tolerance test (2-h MTT) [ Time Frame: Baseline (Day 1) and Week 24 ] [ Designated as safety issue: No ]
  • Mean change from baseline in total body weight [ Time Frame: Baseline (Day 1) and Week 24 ] [ Designated as safety issue: No ]
  • Percent of subjects achieving a therapeutic glycemic response, defined as a HbA1c < 7.0% [ Time Frame: Week 24 ] [ Designated as safety issue: No ]

Estimated Enrollment: 280
Study Start Date: January 2012
Estimated Study Completion Date: October 2015
Estimated Primary Completion Date: May 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm1: Dapagliflozin (10 mg) + Saxagliptin + Metformin IR Drug: Dapagliflozin
Tablets, Oral, 10 mg, Once daily, Up to 52 weeks
Drug: Saxagliptin
Tablets, Oral, 5 mg, Once daily, Up to 52 weeks
Other Name: Onglyza
Drug: Metformin immediate release (IR)
Tablets, Oral, ≥ 1500 mg, Twice daily, Up to 52 weeks
Experimental: Arm 2: Placebo + Saxagliptin + Metformin IR Drug: Placebo matching with Dapagliflozin
Tablets, Oral, 0 mg, Once daily, Up to 52 weeks
Drug: Saxagliptin
Tablets, Oral, 5 mg, Once daily, Up to 52 weeks
Other Name: Onglyza
Drug: Metformin immediate release (IR)
Tablets, Oral, ≥ 1500 mg, Twice daily, Up to 52 weeks

Detailed Description:

Prior to randomization, all eligible subjects will receive open-label treatment with Saxagliptin 5mg and Metformin IR during the 16-week open-label treatment period.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Males and females, ≥ 18 years old, with type 2 diabetes with inadequate glycemic control HbA1c ≥ 7.5% - ≤ 11.5%
  • Stable dose of Metformin for at least 8 weeks
  • C-peptide ≥ 1.0 ng/mL
  • Body Mass Index ≤ 45.0 kg/m2

Exclusion Criteria:

  • Estimated Glomerular Filtration Rate (eGFR) < 60 mL/min/1.73m2 or serum creatinine (Scr) ≥ 1.5 mg/dL in males or ≥ 1.4 mg/dL in females
  • Aspartate aminotransferase (AST) and /or Alanine aminotransferase (ALT) > 3.0 times the upper limit of normal (ULN)
  • Serum total bilirubin > 2.5 x ULN
  • Systolic blood pressure (SBP) ≥ 160 mmHg and/or Diastolic blood pressure (DBP) ≥ 100mmHg
  • Cardiovascular disease within 3 months of the screening visit
  • Currently unstable or serious cardiovascular, renal, hepatic, hematological, oncological, endocrine, psychiatric, or rheumatic diseases
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01646320

Contacts
Contact: For participation information at a USA site use a phone number below. For site information outside the USA please email: Clinical.Trials@bms.com
Contact: First line of email MUST contain NCT# & Site#. Only trial sites that are recruiting have contact information at this time.

  Hide Study Locations
Locations
United States, Arizona
Clinical Research Advantage Inc/Desert Clinical Research Llc Recruiting
Mesa, Arizona, United States, 85213
Contact: Gerald Shockey, Site 0004     480-898-1300        
Elite Clinical Studies, Llc Recruiting
Phoenix, Arizona, United States, 85018
Contact: Joseph Lillo, Site 0094     602-788-3437        
Stonecreek Medical Associates, Pc/Clinical Research Advantag Recruiting
Phoenix, Arizona, United States, 85028
Contact: Thomas Bauch, Site 0006     602-386-3480        
United States, Arkansas
Local Institution Not yet recruiting
Little Rock, Arkansas, United States, 72205
Contact: Site 0099            
United States, California
Cassidy Medical Group/Clinical Research Advantage Recruiting
Vista, California, United States, 92083
Contact: Terry Haas, Site 0002     760-477-7882        
United States, Florida
Palm Springs Research Institute Recruiting
Hialeah, Florida, United States, 33012
Contact: Farid Marquez, Site 0021     305-827-3335        
International Research Associates, Llc Recruiting
Miami, Florida, United States, 33183
Contact: Cristian Breton, Site 0034     305-670-8830        
Local Institution Not yet recruiting
Oviedo, Florida, United States, 32765
Contact: Site 0098            
United States, Nebraska
Local Institution Not yet recruiting
Fremont, Nebraska, United States, 68025
Contact: Site 0005            
United States, North Carolina
Metrolina Internal Medicine Recruiting
Charlotte, North Carolina, United States, 28204
Contact: Latimer Taylor, Site 0012     704-374-0030        
United States, Ohio
Sterling Research Grp, Ltd. Recruiting
Cincinnati, Ohio, United States
Contact: Curtis Taylor, Site 0038     513-381-4100        
United States, Texas
Sam Clinical Research Center Recruiting
San Antonio, Texas, United States, 78229
Contact: Sam Miller, Site 0033            
United States, Virginia
Tidewater Integrated Medical Research Recruiting
Virginia Beach, Virginia, United States, 23454
Contact: Gregory Haase, Site 0092     757-233-9280        
Czech Republic
Local Institution Recruiting
Pardubice, Czech Republic, 530 02
Contact: Site 0047            
Local Institution Recruiting
Praha 10, Czech Republic, 100 00
Contact: Site 0089            
Local Institution Recruiting
Praha 4, Czech Republic, 149 00
Contact: Site 0081            
Mexico
Local Institution Recruiting
Guadalajara, Jalisco, Mexico, 44670
Contact: Site 0077            
Local Institution Recruiting
Zapopan, Jalisco, Mexico, 45116
Contact: Site 0095            
Local Institution Recruiting
Zapopan, Jalisco, Mexico, 45200
Contact: Site 0074            
Local Institution Recruiting
Monterrey, Nuevo Leon, Mexico, 64020
Contact: Site 0075            
Local Institution Recruiting
Monterrey, Nuevo Leon, Mexico, 64460
Contact: Site 0076            
Local Institution Recruiting
Monterrey, Nuevo Leon, Mexico, 64460
Contact: Site 0078            
Local Institution Recruiting
Aguascalientes, Mexico, 20127
Contact: Site 0096            
Poland
Local Institution Not yet recruiting
Bialystok, Poland, 15-435
Contact: Site 0080            
Local Institution Not yet recruiting
Poznan, Poland, 61-655
Contact: Site 0067            
Local Institution Not yet recruiting
Szczecin, Poland, 71-455
Contact: Site 0064            
Local Institution Not yet recruiting
Warszawa, Poland, 03-003
Contact: Site 0065            
Local Institution Not yet recruiting
Warszawa, Poland, 01-868
Contact: Site 0068            
Local Institution Recruiting
Zory, Poland, 44-240
Contact: Site 0069            
Romania
Local Institution Not yet recruiting
Bucharest, Romania, 010825
Contact: Site 0073            
Local Institution Not yet recruiting
Bucharest, Romania, 070208
Contact: Site 0052            
Local Institution Not yet recruiting
Constanta, Romania, 900591
Contact: Site 0053            
Local Institution Not yet recruiting
Constanta, Romania, 900591
Contact: Site 0051            
Local Institution Not yet recruiting
Craiova, Romania, 200349
Contact: Site 0054            
Local Institution Not yet recruiting
Galati, Romania, 800098
Contact: Site 0050            
Russian Federation
Local Institution Not yet recruiting
Kursk, Russian Federation, 305035
Contact: Site 0063            
Local Institution Not yet recruiting
Moscow, Russian Federation, 119034
Contact: Site 0072            
Local Institution Not yet recruiting
Saint-petersburg, Russian Federation, 191015
Contact: Site 0056            
Local Institution Not yet recruiting
Saint-Petersburg, Russian Federation, 194044
Contact: Site 0093            
Local Institution Not yet recruiting
St. Petersburg, Russian Federation, 195257
Contact: Site 0062            
Local Institution Not yet recruiting
St. Petersburg, Russian Federation, 197136
Contact: Site 0060            
Local Institution Not yet recruiting
St. Petersburg, Russian Federation, 194044
Contact: Site 0059            
Local Institution Not yet recruiting
St.petersburg, Russian Federation, 179089
Contact: Site 0058            
Local Institution Not yet recruiting
St.petersburg, Russian Federation, 195112
Contact: Site 0061            
Local Institution Not yet recruiting
Yaroslaval, Russian Federation, 150062
Contact: Site 0055            
Turkey
Local Institution Not yet recruiting
Ankara, Turkey, 06500
Contact: Site 0049            
Local Institution Not yet recruiting
Antalya, Turkey, 07070
Contact: Site 0048            
Local Institution Not yet recruiting
Istanbul, Turkey, 34390
Contact: Site 0039            
Local Institution Suspended
Istanbul, Turkey, 34398
Local Institution Not yet recruiting
Izmir, Turkey, 35340
Contact: Site 0045            
United Kingdom
Local Institution Recruiting
Portsmouth, Hants, United Kingdom, PO3 6LY
Contact: Site 0083            
Local Institution Recruiting
Newport, Isle of Wight, United Kingdom, PO30 5TG
Contact: Site 0090            
Local Institution Not yet recruiting
Liverpool, Merseyside, United Kingdom, L7 8XP
Contact: Site 0085            
Local Institution Recruiting
Chippenham, Wiltshire, United Kingdom, SN15 1HP
Contact: Site 0091            
Local Institution Recruiting
Bedfordshire, United Kingdom, SG19 3JR
Contact: Site 0086            
Local Institution Recruiting
London, United Kingdom, W6 7HY
Contact: Site 0088            
Sponsors and Collaborators
Bristol-Myers Squibb
AstraZeneca
Investigators
Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
  More Information

Additional Information:
No publications provided

Responsible Party: Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT01646320     History of Changes
Other Study ID Numbers: MB102-129, 2011-006324-20
Study First Received: July 18, 2012
Last Updated: March 28, 2013
Health Authority: United States: Food and Drug Administration
United States: Institutional Review Board
Canada: Health Canada
Mexico: Federal Commission for Protection Against Health Risks

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Saxagliptin
Metformin
Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions
Dipeptidyl-Peptidase IV Inhibitors
Protease Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on May 16, 2013