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Phase 3 N=1,363 Randomized Double-blind Treatment

Efficacy and Safety of Empagliflozin (BI 10773) / Linagliptin (BI 1356) Fixed Dose Combination in Treatment naïve and Metformin Treated Type 2 Diabetes Patients

Diabetes Mellitus, Type 2

Enrolled (actual)
1,363
Serious AEs
5.4%
Results posted
Apr 2015
Primary outcome: Primary: Change From Baseline in Glycosylated Hemoglobin (HbA1c) for Metformin Background Patients — -1.19; -1.08; -0.62; -0.66 % change from baseline — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
high dose FDC (Drug); BI 10773 high dose (Drug); high dose FDC placebo (Drug); low dose FDC placebo (Drug); high dose BI 10773 placebo (Drug); low dose FDC (Drug); BI 10773 low dose (Drug); linagliptin (Drug); linagliptin placebo (Drug); BI 10773 low dose placebo (Drug); low dose BI 10773 placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Boehringer Ingelheim
Primary completion
Sep 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Glycosylated Hemoglobin (HbA1c) for Metformin Background Patients
-1.19; -1.08; -0.62; -0.66; -0.70 <0.0001 sig
PRIMARY
Change From Baseline in Glycosylated Hemoglobin (HbA1c) for Treatment Naive Patients
-1.08; -1.24; -0.95; -0.83; -0.67 0.1785
SECONDARY
Change From Baseline in Fasting Plasma Glucose at Week 24 for Metformin Background Patients
-35.25; -32.18; -18.83; -20.84; -13.05 <0.0001 sig
SECONDARY
Change From Baseline in Fasting Plasma Glucose at Week 24 for Treatment Naive Patients
-29.55; -28.21; -24.24; -22.39; -5.92 0.1605
SECONDARY
Change From Baseline in Body Weight for Metformin Background Patients
-2.99; -2.60; -3.18; -2.53; -0.69 0.6604
SECONDARY
Change From Baseline in Body Weight for Treatment Naive Patients
-2.00; -2.74; -2.13; -2.27; -0.78 0.8010
SECONDARY
Occurrence of Treat to Target Efficacy Response for Metformin Background Patients
61.8; 57.8; 32.6; 28.0; 36.1 <0.0001 sig
SECONDARY
Occurrence of Treat to Target Efficacy Response for Treatment Naive Patients
55.4; 62.3; 41.5; 38.8; 32.3 0.0224 sig

Summary

This trial will evaluate use of BI 10773/linagliptin once daily (qd) fixed dose combination (FDC) in treatment naïve and metformin treated patients with type 2 diabetes mellitus to support approval by regulatory authorities.

Eligibility Criteria

Inclusion criteria

  • Diagnosis of type 2 diabetes mellitus prior to informed consent
  • Male and female patients on diet and exercise regimen who are drug-naïve (defined as absence of any oral antidiabetic therapy, glucagon like peptide-1 analog or insulin for 12 weeks prior to randomization) or pre-treated with metformin (=1500 mg/day or on the maximum tolerated dose or the maximum dose according to local label) unchanged for 12 weeks prior to randomisation.
  • Glycosylated hemoglobin (HbA1c) = 7.0% and = 10.5% (= 53.0 mmol/mol and = 91.3 mmol/mol) at Visit 1 (screening)

Exclusion criteria

  • Uncontrolled hyperglycemia with a glucose level >240 mg/dl (>13.3 mmol/L) after an overnight fast during placebo run-in and confirmed by a second measurement (not on the same day).
  • Any other antidiabetic drug within 12 weeks prior to randomization (except metformin background therapy as defined via inclusion criterion 2)
  • Acute coronary syndrome (non-ST elevation myocardial infarction, ST elevation myocardial infarction and unstable angina pectoris), stroke or (transient ischemic attack) TIA within 3 months prior to informed consent
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01422876). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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