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Clinical Trial Details

Trial ID: L5126
Source ID: NCT00736879
Associated Drug: Dapagliflozin
Title: Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes
Acronym:
Status: COMPLETED
Study Results: YES
Results: https://ClinicalTrials.gov/show/NCT00736879/results
Conditions: Type 2 Diabetes Mellitus
Interventions: DRUG: Dapagliflozin|DRUG: Placebo
Outcome Measures: Primary: Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 Last Observation Carried Forward (LOCF) - All Randomized Participants, Adjusted mean change in HbA1c from baseline at Week 24, or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available was determined(LOCF). HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication (metformin) was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c values were obtained at enrollment, lead-in, and at Day 1, Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period., Baseline (Day 1), Week 24 | Secondary: Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (LOCF) - Randomized Participants, Adjusted mean change in total body weight from baseline at Week 24, or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available LOCF was determined. Data after rescue medication (metformin) was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight was measured in kilograms (kg) at qualification, lead-in, Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 during double-blind period., Baseline (Day 1), Week 24|Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (LOCF) - Randomized Participants, Adjusted mean change in fasting plasma glucose (FPG) from baseline at Week 24 (LOCF) was determined. Data after rescue medication (metformin) was excluded from this analysis. FPG was measured as milligrams per deciliter (mg/dL) by a central laboratory at qualification, lead-in, Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 during double-blind period. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication., Baseline (Day 1), Week 24|Adjusted Mean Change From Baseline in Effect on 2-hour Post Liquid Meal Glucose at Week 24 (LOCF) - Randomized Participants, Liquid meal tolerance tests (MTTs) were scheduled to occur at Day 1 visit (MTT was to be completed 2 hours prior to first dose of treatment) and at Week 24 / End of treatment visit, or Rescue visit for participants meeting criteria for rescue due to lack of glycemic control. At Week 24, study treatment was given 1 hour before MTT was administered. Participant fasted for at least 10 hours (h) prior to both visits and abstained from tobacco, alcohol, and caffeine for 24 h prior to the MTT. The liquid meal supplement was administered over 10 minutes, starting immediately after Time 0 blood sample was drawn. Blood samples for post-liquid meal Glucose were obtained at 30, 60, 120, and 180 minutes after ingesting the liquid supplement. Glucose was measured in milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of double-blind study medication., Baseline (Day 1), Week 24|Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response at Week 24 (LOCF) - Randomized Participants, Therapeutic glycemic response was defined as HbA1c less than 7.0%. n=Number of participants with HBA1c less than (\<) 7 % at Week 24, last observation carried forward (LOCF) while N=number of randomized participants with non-missing baseline and Week 24 (LOCF) values. Percent=n/N and was adjusted for Baseline HbA1c. Data after rescue medication (metformin) was excluded from this analysis. HbA1c was measured as a percent of hemoglobin., Baseline (Day 1), Week 24|Adjusted Mean Change From Baseline in Waist Circumference at Week 24 (LOCF) - Randomization Participants, Adjusted mean waist circumference values from baseline to Week 24 (or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available, last observation carried forward, (LOCF) was determined. Data after rescue medication (metformin) was excluded from this analysis. Waist circumference was measured centimeters (cm) and obtained at lead-in, Day 1, and Week 24 of the double-blind period. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication., Baseline (Day 1), Week 24|Number of Participants With Deaths, Serious AEs (SAEs), Adverse Events (AEs), Discontinuation Due to AEs, During the 12 Week Double Blind Period, Including Data After Rescue - All Treated Participants, Medical Dictionary for Regulatory Activities (MedDRA), version 12.1 AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug as per the investigator. Baseline to last dose plus 4 days for AEs, plus 30 days for SAEs. Data after rescue included., Day 1 of Double Blind Period to end of Week 24 Plus 30 days|Number of Participants With Adverse Events of Special Interest During the 12 Week Double Blind Period - All Treated Participants, Participants with AEs of hypoglycemia, cardiac/vascular disorders, renal impairment or failure, volume depletion (hypotension/dehydration/hypovolemia), fractures, urinary stones, and other reports suggestive of genital infection or urinary tract infection (UTI) were summarized using MedDRA version 12.1. Data after rescue included for all AEs of special interest except hypoglycemia; hypoglycemia AEs were prior to rescue. Major hypoglycemic episode: symptomatic requiring 3rd party assistance due to severe impairment in consciousness or behavior with a glucose value \< 54 mg/dL and prompt recovery after glucose/glucagon; Minor: either symptomatic with glucose measurement \< 63 mg/dL, regardless of need for 3rd party assistance, or asymptomatic with glucose \< 63 mg/dL that does not qualify as major; Other: suggestive but not meeting criteria for major or minor., Baseline to last dose plus 4 days in 12 Week Double Blind Period|Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure at Week 24, Including Data After Rescue - Treated Participants, Blood pressure values were obtained on Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 in the double blind period, after the participant was seated for quietly for 5 minutes; the same arm (right or left) was used consistently through out the study. Measurements were taken at least 10 hours after the last ingestion of caffeine, alcohol, or nicotine. Blood pressure was measured in millimeters of mercury (mmHg). Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication., Baseline (Day 1), Week 24|Mean Change From Baseline in Seated Heart Rate at Week 24 - Treated Participants, Heart rate values were obtained after the participant was seated for quietly for 5 minutes; the same arm (right or left) was used consistently through out the study. Measurements were taken at least 10 hours after the last ingestion of caffeine, alcohol, or nicotine. Heart rate was measured in beats per minute (bpm). Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication., Baseline (Day 1), Week 24|Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 24 (LOCF) - Treated Participants, 12-Lead electrocardiograms (ECGs) were performed at Day -14 and Week 24/End of treatment visit (last observation carried forward) on participants who were supine. ECGs were assessed by the investigator. Baseline (BL) was Day -14 for this parameter., Week 24|Number of Participants With Marked Laboratory Abnormalities in 24 Week Double Blind Treatment Period - Treated Participants, Safety laboratory measurements were obtained at Day 1, Weeks 1, 2, 4, 8, 12, 20, and 24 in the double blind Period. Baseline was defined as the last assessment prior to the start of the first dose of the double-blind study medication. Data included from baseline up to and including the last day of treatment plus 4 days. Data after rescue was also included. Abbreviations; Pretreatment (PreRX); grams per deciliter (g/dL); upper limit of normal (ULN); milliequivalent per liter (mEq/L); greater than (\>) less than (\<); Units per liter (U/L), alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP); blood urea nitrogen (BUN). Marked abnormality Low (High) defined: hemoglobin \<6 (\>18 females or \>20 males) g/dL; hematocrit \<20% ( \>55% females or \>60% males); BUN (\>60 mg/dL) or Urea \>21.4 mmol/L; creatinine (\>=1.5\*preRX, \>=2.5 mg/dL); AST and ALT \>3\*ULN; bilirubin \>1.5\*ULN; ALP \>1.5\*ULN., Baseline to Week 24/end of treatment plus 4 days
Sponsor/Collaborators: Sponsor: AstraZeneca | Collaborators: Bristol-Myers Squibb
Gender: ALL
Age: ADULT, OLDER_ADULT
Phases: PHASE3
Enrollment: 497
Study Type: INTERVENTIONAL
Study Designs: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, INVESTIGATOR)|Primary Purpose: TREATMENT
Start Date: 2008-09-22
Completion Date: 2009-12-29
Results First Posted: 2014-05-02
Last Update Posted: 2017-04-20
Locations: Dedicated Clinical Research, Litchfield Park, Arizona, 85340, United States|43rd Medical Associates, P.C., Phoenix, Arizona, 85051, United States|Clinical Research Advantage, Inc., Tempe, Arizona, 85282, United States|Valley Research, Fresno, California, 93720, United States|Marina Raikhel, Md, Faafp, Lomita, California, 90717, United States|Richard S. Cherlin, Md, Los Gatos, California, 95032, United States|Orange County Research Center, Tustin, California, 92780, United States|Family Physicians Of Greeley, Greeley, Colorado, 80634, United States|Coastal Connecticut Research, Llc, New London, Connecticut, 06320, United States|Central Florida Clinical Trials, Inc., Altamonte Springs, Florida, 32701, United States|Westside Center For Clinical Research, Jacksonville, Florida, 32205, United States|Panhandle Family Care Associates, Marianna, Florida, 32446, United States|Endocrine Research Solutions, Inc., Roswell, Georgia, 30076, United States|Belzoni Clinical Research, Belzoni, Mississippi, 39038, United States|R-Research, Hamilton, New Jersey, 08690, United States|Internist Associates Of Central New York, Syracuse, New York, 13210, United States|Southgate Medical Group, West Seneca, New York, 14224, United States|Down East Medical Associates, Pa, Morehead City, North Carolina, 28557, United States|James J. Brown, Md, Akron, Ohio, 44319, United States|Integris Family Care South, Oklahoma, Oklahoma, 73170, United States|Southeastern Research Associates, Inc., Taylors, South Carolina, 29687, United States|Abbott Clinical Research Group, Inc, San Antonio, Texas, 78224, United States|Avastra Clinical Trials, Midvale, Utah, 84047, United States|Optimum Clinical Research, Inc., Salt Lake City, Utah, 84102, United States|Capital Clinical Research Center, Olympia, Washington, 98502, United States|Stephen G. Danley, Do, Spokane, Washington, 99216, United States|Local Institution, Calgary, Alberta, T3C 3P1, Canada|Local Institution, Coquitlam, British Columbia, V3K 3V9, Canada|Local Institution, Winnipeg, Manitoba, R3E 3P4, Canada|Local Institution, Bathurst, New Brunswick, E2A 4X7, Canada|Local Institution, Ajax, Ontario, L1S 7J5, Canada|Local Institution, Toronto, Ontario, M9W 4L6, Canada|Local Institution, Waterloo, Ontario, N2T 2Z6, Canada|Local Institution, Drummondville, Quebec, J2B 7T1, Canada|Local Institution, L'Ancienne Lorette, Quebec, G2E 2X1, Canada|Local Institution, St-Leonard, Quebec, H1S 3A9, Canada|Local Institution, Ahmedabad, 380 015, India|Local Institution, Bangalore, 560 043, India|Local Institution, Bangalore, 560 052, India|Local Institution, Jaipur, 302001, India|Local Institution, Jaipur, 302016, India|Local Institution, Df, Distrito Federal, 11800, Mexico|Local Institution, Guadalajara, Jalisco, 44670, Mexico|Local Institution, Monterrey, Nuevo Leon, 64060, Mexico|Local Institution, Merida, Yucatan, 97070, Mexico|Local Institution, Durango, 34000, Mexico|Local Institution, Mexico City, 06700, Mexico|Local Institution, Veracruz, 91910, Mexico|Local Institution, Ponce, 00716, Puerto Rico|Local Institution, Ponce, 00717, Puerto Rico|Local Institution, Kursk, 305035, Russian Federation|Local Institution, Saint-Petersburg, 191015, Russian Federation|Local Institution, Saratov, 410012, Russian Federation|Local Institution, Smolensk, 214018, Russian Federation|Local Institution, St. Petersburg, 195112, Russian Federation|Local Institution, St. Petersburg, 195257, Russian Federation|Local Institution, St. Petersburg, 197341, Russian Federation|Local Institution, St.Petersburg, 197022, Russian Federation|Local Institution, Benoni, Gauteng, 1501, South Africa|Local Institution, Soweto, Gauteng, 1818, South Africa|Local Institution, Paarl, Western Cape, 7646, South Africa|Local Institution, Tygerberg, Western Cape, 7505, South Africa
URL: https://clinicaltrials.gov/show/NCT00736879