Efficacy and Safety of Dapagliflozin in Combination With Metformin in Type 2 Diabetes Patients

This study is being carried out to see if dapagliflozin as an addition to metformin is effective and safe in treating patients with type 2 diabetes when compared to glipizide (sulphonylurea) as an addition to metformin treatment...

Date First Received: April 15, 2008

Last Updated: October 20, 2008

Verified by: AstraZeneca, October 2008

Clinical Trial Phase: Phase 3 | Start Date: March 2008

Overall Status: Active, not recruiting

Estimated Enrollment: 746

Brief Summary

Official Title: “A 52-Week International, Multi-Centre, Randomised, Parallel-Group, Double-Blind, Active-Controlled, Phase III Study With a 52-Week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin in Combination With Metformin Compared With Sulphonylurea in Adult Patients With Type 2 Diabetes”

Condition Keyword(s):

This study is being carried out to see if dapagliflozin as an addition to metformin is effective and safe in treating patients with type 2 diabetes when compared to glipizide (sulphonylurea) as an addition to metformin treatment.

Study Type: Interventional

Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study

Study Primary Completion Date: February 2011

Intervention(s) in this Clinical Trial

  • Drug: dapagliflozin
    • tablet oral 2.5, 5, or 10 mg total daily dose once daily 104 weeks
  • Drug: glipizide
    • capsule oral 5, 10, or 20 mg total daily dose once or split/twice daily 104 weeks
  • Drug: metformin hydrochloride
    • tablet oral 1500, 2000, or 2500 mg total daily dose split/twice daily 114 weeks

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
    • dapagliflozin plus metformin
  • Active Comparator: 2
    • glipizide plus metformin

Outcome Measures for this Clinical Trial

Primary Measures

  • To examine whether the absolute change from baseline in HbA1c level with dapagliflozin plus metformin is non-inferior to glipizide plus metformin in patients with type 2 diabetes who have inadequate glycaemic control on metformin therapy alone
    • Time Frame: 52 weeks
      Safety Issue?: No

Secondary Measures

  • To show that dapagliflozin plus metformin reduces body weight compared to glipizide plus metformin
    • Time Frame: after 52 weeks treatment
      Safety Issue?: Yes
  • To show that dapagliflozin plus metformin treatment leads to fewer patients with hypoglycaemic events compared to glipizide plus metformin
    • Time Frame: after 52 weeks of treatment
      Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Type 2 Diabetes
  • Treated with oral anti-diabetic drug therapy therapy including Metformin for at least 8 weeks prior to enrolment
  • HbA1c >6.5% and </=10%

Exclusion Criteria:

  • Type 1 Diabetes
  • Insulin therapy within one year of enrolment
  • Renal (kidney) failure or dysfunction

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: AstraZeneca

Overall Clinical Trial Officials and Contacts

Michael A. Nauck, Prof. Dr. med. Principal Investigator Diabeteszentrum Bad Lauterberg, Germany  

Additional Information

Information obtained from ClinicalTrials.gov on November 20, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00660907

Study ID Number: D1690C00004

ClinicalTrials.gov Identifier: NCT00660907

Health Authority: Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica

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