Full Text View
Tabular View
No Study Results Posted
Related Studies
Efficacy and Safety of Alogliptin Plus Metformin Compared to Glipizide Plus Metformin in Subjects With Type 2 Diabetes Mellitus
This study is currently recruiting participants.
Verified by Takeda Global Research & Development Center, Inc., September 2009
First Received: March 4, 2009   Last Updated: September 1, 2009   History of Changes
Sponsored by: Takeda Global Research & Development Center, Inc.
Information provided by: Takeda Global Research & Development Center, Inc.
ClinicalTrials.gov Identifier: NCT00856284
  Purpose

The purpose of this study is to determine the safety and effectiveness of adding alogliptin compared to glipizide with metformin in diabetic subjects.


Condition Intervention Phase
Type 2 Diabetes Mellitus
Drug: Alogliptin and metformin
Drug: Glipizide and metformin
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title: A Multicenter, Randomized, Double-Blind, Active-Controlled Study to Evaluate the Durability of the Efficacy and Safety of Alogliptin Compared to Glipizide When Used in Combination With Metformin in Subjects With Type 2 Diabetes

Resource links provided by NLM:


Further study details as provided by Takeda Global Research & Development Center, Inc.:

Primary Outcome Measures:
  • Change from Baseline in Glycosylated Hemoglobin. [ Time Frame: Week 52 or Week 104. ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change from Baseline in Glycosylated Hemoglobin. [ Time Frame: Weeks 4, 8, 12, 16, 20, 26, 39, 65, 78, and 91. ] [ Designated as safety issue: No ]
  • Change from Baseline in Fasting Plasma Glucose. [ Time Frame: Weeks 2, 4, 8, 12, 16, 20, 26, 39, 52, 65, 78, 91, and 104. ] [ Designated as safety issue: No ]
  • Incidence of Glycosylated Hemoglobin less than or equal to 6.5% [ Time Frame: Weeks 26, 52, 78, and 104. ] [ Designated as safety issue: No ]
  • Incidence of Glycosylated Hemoglobin less than to 7.0% [ Time Frame: Weeks 26, 52, 78, and 104. ] [ Designated as safety issue: No ]
  • Change from Baseline in Body Weight [ Time Frame: Weeks 12, 26, 39, 52, 65, 78, 91, and 104. ] [ Designated as safety issue: No ]

Estimated Enrollment: 2445
Study Start Date: April 2009
Estimated Study Completion Date: April 2013
Estimated Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Alogliptin and metformin
Alogliptin 12.5 mg, tablets, orally, once daily, Glipizide placebo-matching tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks.
2: Experimental Drug: Alogliptin and metformin
Alogliptin 25 mg, tablets, orally, once daily, Glipizide placebo-matching tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks.
3: Active Comparator Drug: Glipizide and metformin
Glipizide 5 mg, tablets, orally, once daily, Alogliptin placebo-matching tablets, orally, once daily and the maximum tolerated dose of metformin (1500 mg to 3300 mg daily) for up to 104 weeks.

Detailed Description:

For patients diagnosed with type 2 diabetes mellitus, metformin is the usual first-line therapy in addition to diet control and exercise. For those patients with inadequate glycemic control with metformin monotherapy or experiencing serious side effects of metformin, sulfonylurea is a popular choice as a second-line oral antidiabetic treatment.

Alogliptin is a dipeptidyl peptidase-4 inhibitor currently being developed by Takeda for use in patients with type 2 diabetes mellitus.

This study is designed to further explore the durability of efficacy and safety of alogliptin compared to glipizide in type 2 diabetes mellitus subjects whose blood sugar level is inadequately controlled with metformin therapy.

The duration of this study will be approximately 2 years.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Has a diagnosis of type 2 diabetes mellitus.
  • Must be inadequately controlled on a stable daily dose of ≥1500 mg (or documented maximum tolerated dose) of metformin for at least 2 months prior to Screening.
  • No treatment with antidiabetic agents other than metformin for 2 months prior to Screening.
  • Has body mass index within 23kg/m2 and 45kg/m2.
  • Has fasting C-peptide concentration at least 0.8 ng.
  • If regularly using non-excluded medications, must be on a stable dose at least 4 wks prior to screening.
  • Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant, lactating or intends to donate ova from Screening throughout the duration of the study.
  • Must be able and willing to monitor their blood glucose concentrations with a home monitor, and comply with protocol requirements including scheduled clinic appointments.

Exclusion Criteria:

  • Systolic blood pressure greater than or equal to 150 mmHg and/or diastolic pressure greater than or equal to 90.
  • Hemoglobin less than or equal to 12 g/dL for males and less than or equal to 10 g/dL for females.
  • Alanine aminotransferase greater than or equal to 2.5 times the upper limit of normal.
  • Serum creatinine greater than or equal to 1.5 mg/dL for males and 1.4 for females, or calculated creatinine clearance less than or equal to 50 L/min.
  • Males intending to impregnate others or donate sperm before, during or within 1 month after participating in the study.
  • A history of cancer other than squamous or basal cell carcinoma of the skin that has not been in full remission for at least 5 yrs.
  • A history of laser treatment for diabetic retinopathy within 6 months of screening.
  • Treated for diabetic gastric paresis, gastric banding, or gastric bypass.
  • New York Heart Association Class III or IV heart failure.
  • History of coronary angioplasty, coronary stent placement, coronary bypass surgery, myocardial infarction, stroke or transient ischemic attack within 3 months prior to screening.
  • Known history of human immunodeficiency virus, hepatitis B or C.
  • Alcohol or substance abuse within 2 years prior to screening.
  • Is required to take or intends to continue taking any disallowed medication, any prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:

    • Any investigational drug within 30 days
    • Any investigational diabetic drug within 3 months
    • Any antidiabetic drug in the dipeptidyl peptidase-4 inhibitors or glucagon-like peptide-1 mimetics classes anytime other than metformin
    • Prior treatment with alogliptin.
    • Weight-loss drugs
    • Investigational antidiabetics
    • Oral or systemically injected glucocorticoids
  • A hypersensitivity allergy or anaphylactic reaction to any dipeptidyl peptidase-4 drug, metformin or glipizide.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00856284

Contacts
Contact: Takeda Study Registration Call Center 800-778-2860 medicalinformation@tpna.com

  Show 190 Study Locations
Sponsors and Collaborators
Takeda Global Research & Development Center, Inc.
Investigators
Study Director: Vice President Biological Sciences Takeda Global Research & Development Center, Inc.
  More Information

No publications provided

Responsible Party: Takeda Global Research & Development Center, Inc. ( Sr. VP, Clinical Science )
Study ID Numbers: SYR-322_305, 2008-007444-34, U1111-1111-7397
Study First Received: March 4, 2009
Last Updated: September 1, 2009
ClinicalTrials.gov Identifier: NCT00856284     History of Changes
Health Authority: United States: Food and Drug Administration;   Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica;   Austria: Ethikkommission;   Brazil: National Committee of Ethics in Research;   Brazil: National Health Surveillance Agency;   Chile: Instituto de Salud Publica de Chile;   Dominican Republic: Secretaría del Estado de Salud Pública y Asistencia Social (SESPAS);   Hong Kong: Department of Health;   Hong Kong: Joint CUHK-NTEC Clinical Research Ethics Committee;   Hungary: National Institute of Pharmacy;   Israel: Ethics Commission;   Italy: Ministry of Health;   Malaysia: Ministry of Health;   Mexico: Ethics Committee;   Mexico: Federal Commission for Protection Against Health Risks;   Mexico: Federal Commission for Sanitary Risks Protection;   New Zealand: Health and Disability Ethics Committees;   Peru: General Directorate of Pharmaceuticals, Devices, and Drugs;   Peru: Ministry of Health;   Philippines: Department of Health;   Philippines: Bureau of Food and Drugs;   Poland: Ministry of Health;   Romania: Ethics Committee;   Russia: Ministry of Health and Social Development of the Russian Federation;   South Africa: Department of Health;   South Korea: Institutional Review Board;   South Korea: Korea Food and Drug Administration (KFDA);   Spain: Ethics Committee;   Spain: Ethics Committee;   Thailand: Ethical Committee;   Thailand: Ministry of Public Health;   Ukraine: Ministry of Health;   United Kingdom: Research Ethics Committee

Keywords provided by Takeda Global Research & Development Center, Inc.:
Diabetes Mellitus
Drug Therapy
Hyperinsulinism
Hyperglycemia
Glucose Intolerance

Study placed in the following topic categories:
Metabolic Diseases
Glipizide
Glucose Intolerance
Metformin
Diabetes Mellitus
Endocrine System Diseases
Hyperinsulinism
Hyperglycemia
Hypoglycemic Agents
Diabetes Mellitus, Type 2
Endocrinopathy
Glucose Metabolism Disorders
Metabolic Disorder

Additional relevant MeSH terms:
Hypoglycemic Agents
Glipizide
Metabolic Diseases
Physiological Effects of Drugs
Metformin
Diabetes Mellitus, Type 2
Diabetes Mellitus
Endocrine System Diseases
Glucose Metabolism Disorders
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 10, 2009