Safety and Efficacy of Linagliptin (BI 1356) Plus Metform... | NCT00798161 | Trialant
NCT00798161
Sponsor
Boehringer Ingelheim
Status
Completed
Last Update Posted
Jan 28, 2014Estimated
Enrollment
857Actual
Phase
Phase 3
Conditions
Diabetes Mellitus, Type 2
Interventions
BI 1356
BI 1356 + metformin
Bi 1356 + metformin
Metformin
metformin
matching placebo
Countries
Canada
Croatia
Estonia
France
Germany
India
Lithuania
Mexico
Netherlands
Romania
Russia
Sweden
Tunisia
Ukraine
Protocol Section
Identification Module
NCT ID
NCT00798161
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
1218.46
Secondary IDs
ID
Type
Description
Link
2008-001640-40
EudraCT Number
EudraCT
Brief Title
Safety and Efficacy of Linagliptin (BI 1356) Plus Metformin in Type 2 Diabetes, Factorial Design
Official Title
A Phase III Randomised, Double-blind, Placebo-controlled Parallel Group Study to Compare the Efficacy and Safety of Twice Daily Administration of the Free Combination of BI 1356 2.5 mg + Metformin 500 mg, or of BI 1356 2.5 mg + Metformin 1000 mg, With the Individual Components of Metformin (500 mg or 1000 mg Twice Daily), and BI 1356 (5.0 mg Once Daily) Over 24 Weeks in Drug Naive or Previously Treated (4 Weeks Wash-out and 2 Weeks Placebo run-in) Type 2 Diabetic Patients With Insufficient Glycaemic Control
Acronym
Not provided
Organization
Boehringer IngelheimINDUSTRY
Status Module
Record Verification Date
Dec 2013
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Dec 2008
Primary Completion Date
May 2010Actual
Completion Date
Not provided
First Submitted Date
Nov 24, 2008
First Submission Date that Met QC Criteria
Nov 24, 2008
First Posted Date
Nov 25, 2008Estimated
Results Waived
Not provided
Results First Submitted Date
May 20, 2011
Results First Submitted that Met QC Criteria
Jul 11, 2011
Results First Posted Date
Aug 4, 2011Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Dec 11, 2013
Last Update Posted Date
Jan 28, 2014Estimated
Sponsor/Collaborators Module
Responsible Party, by Official Title
Not provided
Lead Sponsor
Boehringer IngelheimINDUSTRY
Collaborators
Not provided
Oversight Module
No data available
No data is available for this block.
Description Module
Brief Summary
The objective of the randomised part of the study is to investigate the efficacy and safety of BI 1356 plus metformin compared to BI 1356 or metformin alone given for 24 weeks to drug naive or previously treated (4 weeks wash-out, 2 weeks placebo run-in) type 2 diabetic patients with insufficient glycaemic control. For the open-label part of the study the objective is to estimate the efficacy and safety of BI 1356 and metformin in type 2 diabetic patients with very poor glycaemic control for 24 weeks
Detailed Description
Not provided
Conditions Module
Conditions
Diabetes Mellitus, Type 2
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
857Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
BI 1356 + metformin
Experimental
BI 1356 low dose + metformin 500 mg, twice daily
Drug: BI 1356 + metformin
matching placebo
Placebo Comparator
matching placebo
Drug: matching placebo
BI 1356+ Metformin
Experimental
BI 1356 low dose + metformin 1000 mg, twice daily
Drug: Bi 1356 + metformin
Metformin
Active Comparator
Metformin 500 mg, twice daily
Drug: Metformin
metformin
Active Comparator
Metformin 1000 mg, twice daily
Drug: metformin
BI 1356
Experimental
BI 1356 high dose, once daily
Drug: BI 1356
Interventions
Name
Type
Description
Arm Group Labels
Other Names
BI 1356
Drug
BI 1356 high dose tablet, once daily
BI 1356
BI 1356 + metformin
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
HbA1c Change From Baseline at Week 24
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
Baseline and week 24
Secondary Outcomes
Measure
Description
Time Frame
HbA1c Change From Baseline at Week 6
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 6 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
Baseline and week 6
HbA1c Change From Baseline at Week 12
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion criteria:
Patients with type 2 diabetes (drug naive or pre-treated) with insufficient glycaemic control (HbA1c higher or equal than 7.5 to less than 11.0 %), with very poor glycaemic control (HbA1c higher or equal than 11.0 %) who are not eligible for randomisation to be included in the open-label arm
Exclusion criteria:
Myocardial infarction, stroke or transient ischemic attack (TIA), unstable or acute congestive heart failure, impaired hepatic function, treatment with rosiglitazone or pioglitazone, with a GLP1 analogue, with insulin, with anti-obesity drugs, with systemic steroids, renal failure or impairment, gastric bypass
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
80 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Boehringer Ingelheim
Boehringer Ingelheim
Study Chair
Locations
Facility
Status
City
State
ZIP
Country
Contacts
1218.46.11005 Boehringer Ingelheim Investigational Site
Calgary
Alberta
Canada
1218.46.11003 Boehringer Ingelheim Investigational Site
Lv Q, Shen J, Miao L, Ye B, Schepers C, Plat A, Shi Y. Early Combination Therapy with Linagliptin and Metformin in People with Type 2 Diabetes Improves Glycemic Control to HbA1c </= 6.5% without Increasing Hypoglycemia: Pooled Analysis of Two Randomized Clinical Trials. Diabetes Ther. 2020 Jun;11(6):1317-1330. doi: 10.1007/s13300-020-00819-9. Epub 2020 Apr 23.
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
Baseline and week 12
HbA1c Change From Baseline at Week 18
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
Baseline and week 18
FPG Change From Baseline at Week 24
This change from baseline reflects the Week 24 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
Baseline and week 24
FPG Change From Baseline at Week 2
This change from baseline reflects the Week 2 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
Baseline and week 2
FPG Change From Baseline at Week 6
This change from baseline reflects the Week 6 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
Baseline and week 6
FPG Change From Baseline at Week 12
This change from baseline reflects the Week 12 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
Baseline and week 12
FPG Change From Baseline at Week 18
This change from baseline reflects the Week 18 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
Baseline and week 18
Percentage of Patients With HbA1c <7.0% at Week 24
The percentage of patients with an HbA1c value below 7% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 7%.
Baseline and Week 24
Percentage of Patients With HbA1c<7.0 at Week 24
The percentage of patients with an HbA1c value below 7% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 7%.
Baseline and Week 24
Percentage of Patients With HbA1c <6.5% at Week 24
The percentage of patients with an HbA1c value below 6.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 6.5%. Only patients with baseline HbA1c =< 6.5%
Baseline and Week 24
Percentage of Patients With HbA1c < 6.5% at Week 24
The percentage of patients with an HbA1c value below 6.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 6.5%
Baseline and Week 24
Percentage of Patients With HbA1c Lowering by 0.5% at Week 24
The percentage of patients with an HbA1c reduction from baseline greater than 0.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c reduction less than 0.5%.
Baseline and week 24
Adjusted Means for 2h Post-Prandial Glucose (PPG) Change From Baseline at Week 24
This change from baseline reflects the Week 24 2h PPG minus the baseline 2h PPG. Means are treatment adjusted for baseline HbA1c, baseline 2h PPG and previous anti-diabetic medication.
Baseline and week 24
HbA1c Change From Baseline at Week 24 for Open-label Patients
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the baseline HbA1c percentage. Mean is unadjusted.
Baseline and week 24
FPG Change From Baseline at Week 24 for Open-label Patients
This change from baseline reflects the Week 24 FPG minus the baseline FPG. Mean is unadjusted.
Baseline and week 24
Use of Rescue Therapy
The use of rescue therapy (SUs, thiazolidinediones [TZDs], or insulin) was permitted only during the randomised treatment period of the trial (i.e. Visits 3 to 7), and was to be administered only if a patient had a 'confirmed' glucose level after an overnight fast.
24 weeks
Edmonton
Alberta
Canada
1218.46.11002 Boehringer Ingelheim Investigational Site
Red Deer
Alberta
Canada
1218.46.11006 Boehringer Ingelheim Investigational Site
Vancouver
British Columbia
Canada
1218.46.11008 Boehringer Ingelheim Investigational Site
Winnipeg
Manitoba
Canada
1218.46.11004 Boehringer Ingelheim Investigational Site
Hamilton
Ontario
Canada
1218.46.11007 Boehringer Ingelheim Investigational Site
Oakville
Ontario
Canada
1218.46.11009 Boehringer Ingelheim Investigational Site
Oshawa
Ontario
Canada
1218.46.11010 Boehringer Ingelheim Investigational Site
Toronto
Ontario
Canada
1218.46.38502 Boehringer Ingelheim Investigational Site
Karlovac
Croatia
1218.46.38503 Boehringer Ingelheim Investigational Site
Krapinske Toplice
Croatia
1218.46.38504 Boehringer Ingelheim Investigational Site
Osijek
Croatia
1218.46.38505 Boehringer Ingelheim Investigational Site
Rijeka
Croatia
1218.46.38501 Boehringer Ingelheim Investigational Site
Sisak
Croatia
1218.46.38506 Boehringer Ingelheim Investigational Site
Zagreb
Croatia
1218.46.37202 Boehringer Ingelheim Investigational Site
Pärnu
Estonia
1218.46.37201 Boehringer Ingelheim Investigational Site
Tallinn
Estonia
1218.46.37203 Boehringer Ingelheim Investigational Site
Tallinn
Estonia
1218.46.3303D Boehringer Ingelheim Investigational Site
Aire Sur l'Aadour
France
1218.46.3308B Boehringer Ingelheim Investigational Site
Bischheim
France
1218.46.3305A Boehringer Ingelheim Investigational Site
Bourges
France
1218.46.3304F Boehringer Ingelheim Investigational Site
Bousse
France
1218.46.3306D Boehringer Ingelheim Investigational Site
Carresse-Cassaber
France
1218.46.3308C Boehringer Ingelheim Investigational Site
Gambsheim
France
1218.46.3305D Boehringer Ingelheim Investigational Site
Garchizy
France
1218.46.3301A Boehringer Ingelheim Investigational Site
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
BG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
BG006
L2.5+M1000BID (Open Label)
Open label set: Linagliptin 2.5mg + Metformin 1000mg BID
BG007
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00072
BG001144
BG002147
BG003142
BG004143
BG005143
BG00666
BG007857
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
Years
Title
Denominators
Categories
Title
Measurements
BG00055.7± 11.0
BG00152.9± 10.4
BG00255.2± 10.6
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00036
BG00162
BG002
Body Mass Index (BMI) continuous
Mean
Standard Deviation
kg/m^2
Title
Denominators
Categories
Title
Measurements
BG00028.62± 5.17
BG00128.92± 4.83
BG002
Glycosylated Hemoglobin A1 (HbA1C)
Mean
Standard Deviation
Percent
Title
Denominators
Categories
Title
Measurements
BG0008.67± 0.95
BG0018.66± 0.90
BG002
Fasting plasma glucose (FPG)
Mean
Standard Deviation
mg/dL
Title
Denominators
Categories
Title
Measurements
BG000203.7± 51.2
BG001191.2± 46.9
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
HbA1c Change From Baseline at Week 24
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
The Full Analysis Set (FAS) included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Last observation carried forward (LOCF) was used as the imputation rule.
Posted
Mean
Standard Error
Percent
Baseline and week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003
Title
Denominators
Categories
Title
Measurements
OG0000.13± 0.11
OG001-0.64± 0.08
OG002-1.07± 0.08
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
hierarchical testing, no adjustment of p-values
Mean Difference (Final Values)
-0.58
Standard Error of the Mean
0.11
95
-0.79
-0.36
No
Superiority or Other
OG002
OG005
Secondary
HbA1c Change From Baseline at Week 6
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 6 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
The Full Analysis Set (FAS) included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Last observation carried forward (LOCF) was used as the imputation rule.
Posted
Mean
Standard Error
Percent
Baseline and week 6
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
Secondary
HbA1c Change From Baseline at Week 12
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
The Full Analysis Set (FAS) included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Last observation carried forward (LOCF) was used as the imputation rule.
Posted
Mean
Standard Error
Percent
Baseline and week 12
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
Secondary
HbA1c Change From Baseline at Week 18
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.
The Full Analysis Set (FAS) included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Last observation carried forward (LOCF) was used as the imputation rule.
Posted
Mean
Standard Error
Percent
Baseline and week 18
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
Secondary
FPG Change From Baseline at Week 24
This change from baseline reflects the Week 24 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
This population includes the FAS using the LOCF imputation, with the further restriction of patients with a baseline and post-baseline FPG value.
Posted
Mean
Standard Error
mg/dL
Baseline and week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
FPG Change From Baseline at Week 2
This change from baseline reflects the Week 2 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
This population includes the FAS using the LOCF imputation, with the further restriction of patients with a baseline and post-baseline FPG value.
Posted
Mean
Standard Error
mg/dL
Baseline and week 2
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
FPG Change From Baseline at Week 6
This change from baseline reflects the Week 6 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
This population includes the FAS using the LOCF imputation, with the further restriction of patients with a baseline and post-baseline FPG value.
Posted
Mean
Standard Error
mg/dL
Baseline and week 6
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
FPG Change From Baseline at Week 12
This change from baseline reflects the Week 12 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
This population includes the FAS using the LOCF imputation, with the further restriction of patients with a baseline and post-baseline FPG value.
Posted
Mean
Standard Error
mg/dL
Baseline and week 12
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
FPG Change From Baseline at Week 18
This change from baseline reflects the Week 18 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.
This population includes the FAS using the LOCF imputation, with the further restriction of patients with a baseline and post-baseline FPG value.
Posted
Mean
Standard Error
mg/dL
Baseline and week 18
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
Percentage of Patients With HbA1c <7.0% at Week 24
The percentage of patients with an HbA1c value below 7% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 7%.
FAS treated and randomised patients with baseline HbA1c >= 7.0%. Non-completers were considered as failure imputation (NCF).
Posted
Number
percentage of patients
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
Percentage of Patients With HbA1c<7.0 at Week 24
The percentage of patients with an HbA1c value below 7% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 7%.
The FAS included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Non-completers were considered as failure imputation (NCF).
Posted
Number
percentage of patients
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
Percentage of Patients With HbA1c <6.5% at Week 24
The percentage of patients with an HbA1c value below 6.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 6.5%. Only patients with baseline HbA1c =< 6.5%
FAS treated and randomised patients with baseline HbA1c >= 6.5%. Non-completers were considered as failure imputation (NCF).
Posted
Number
percentage of patients
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
Percentage of Patients With HbA1c < 6.5% at Week 24
The percentage of patients with an HbA1c value below 6.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c above 6.5%
The FAS included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Non-completers were considered as failure imputation (NCF).
Posted
Number
percentage of patients
Baseline and Week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
Percentage of Patients With HbA1c Lowering by 0.5% at Week 24
The percentage of patients with an HbA1c reduction from baseline greater than 0.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c reduction less than 0.5%.
The FAS included all treated and randomised patients with a baseline and at least one on-treatment HbA1c measurement available. Non-completers were considered as failure imputation (NCF).
Posted
Number
percentage of patients
Baseline and week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
Secondary
Adjusted Means for 2h Post-Prandial Glucose (PPG) Change From Baseline at Week 24
This change from baseline reflects the Week 24 2h PPG minus the baseline 2h PPG. Means are treatment adjusted for baseline HbA1c, baseline 2h PPG and previous anti-diabetic medication.
Meal tolerance test (MTT) set (patients with adequate MTT results available at the beginning and end of the randomised treatment period)
Posted
Mean
Standard Error
mg/dL
Baseline and week 24
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Secondary
HbA1c Change From Baseline at Week 24 for Open-label Patients
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the baseline HbA1c percentage. Mean is unadjusted.
The open label set (OLS) included all patients with baseline HbA1c too high to be randomised and were assigned open-label medication, also with an on treatment HbA1c value. The Open label Set (OLS) included all patients treated with at least one dose on open-label L2.5+M1000 medication.
FPG Change From Baseline at Week 24 for Open-label Patients
This change from baseline reflects the Week 24 FPG minus the baseline FPG. Mean is unadjusted.
The open label set (OLS) included all patients with baseline HbA1c too high to be randomised and were assigned open-label medication, also with a baseline on treatment HbA1c value. The Open label Set (OLS) included all patients treated with at least one dose on open-label L2.5+M1000 medication.
The use of rescue therapy (SUs, thiazolidinediones [TZDs], or insulin) was permitted only during the randomised treatment period of the trial (i.e. Visits 3 to 7), and was to be administered only if a patient had a 'confirmed' glucose level after an overnight fast.
Percentage of patients requiring rescue therapy
Posted
Number
percentage of participants
24 weeks
ID
Title
Description
OG000
Placebo
Patients treated with matching placebo
OG001
M500BID
Patients treated with Metformin 500mg BID
OG002
M1000BID
Patients treated with Metformin 1000mg BID
OG003
Lina5
Patients treated with Linagliptin 5mg OD
OG004
L2.5+M500BID
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
Time Frame
Day of first dose until day of last dose plus 7 days
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Placebo
Patients treated with matching placebo
1
72
20
72
EG001
M500 BID
Patients treated with Metformin 500 mg BID
3
144
27
144
EG002
M1000 BID
Patients treated with Metformin 1000 mg bis in die (BID)
6
147
27
147
EG003
Lina 5
Patients treated with Linagliptin 5 mg once daily (OD)
3
142
31
142
EG004
L2.5+M500 BID
Patients treated with Linagliptin 2.5 mg + Metformin 500 mg bis in die (BID)
2
143
31
143
EG005
L2.5 + M1000 BID
Patients treated with Linagliptin 2.5 mg + Metformin 1000 mg bis in die (BID)
2
143
36
143
EG006
OL: L2.5+M1000 BID
Open label set: Linagliptin 2.5 mg + Metformin 1000 mg bis in die (BID)
1
66
18
66
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Thrombocytopenia
Blood and lymphatic system disorders
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG0030 affected142 at risk
EG0040 affected143 at risk
EG0050 affected143 at risk
EG0060 affected66 at risk
Angina pectoris
Cardiac disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Angina unstable
Cardiac disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Bradycardia
Cardiac disorders
EG0001 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Cardiac failure congestive
Cardiac disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Left ventricular failure
Cardiac disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Myocardial infarction
Cardiac disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Myocardial ischaemia
Cardiac disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Hyperparathyroidism primary
Endocrine disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Haemorrhoids
Gastrointestinal disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Erysipelas
Infections and infestations
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Malaria
Infections and infestations
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG003
Plasmodium falciparum infection
Infections and infestations
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG003
Urinary tract infection
Infections and infestations
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG003
Femoral neck fracture
Injury, poisoning and procedural complications
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Hyperglycaemia
Metabolism and nutrition disorders
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG003
Rotator cuff syndrome
Musculoskeletal and connective tissue disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Bile duct cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG003
Breast cancer stage III
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Hodgkin's disease
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Haematuria
Renal and urinary disorders
EG0000 affected72 at risk
EG0011 affected144 at risk
EG0020 affected147 at risk
EG003
Nephrolithiasis
Renal and urinary disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Renal colic
Renal and urinary disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0021 affected147 at risk
EG003
Hypertension
Vascular disorders
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Abortion induced
Surgical and medical procedures
MedDRA 13.0
Systematic Assessment
EG0000 affected72 at risk
EG0010 affected144 at risk
EG0020 affected147 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Diarrhoea
Gastrointestinal disorders
MedDRA 13.0
Systematic Assessment
EG0002 affected72 at risk
EG0013 affected144 at risk
EG0028 affected147 at risk
EG0035 affected142 at risk
EG0047 affected143 at risk
EG00511 affected143 at risk
EG0064 affected66 at risk
Nasopharyngitis
Infections and infestations
MedDRA 13.0
Systematic Assessment
EG0001 affected72 at risk
EG0014 affected144 at risk
EG0024 affected147 at risk
EG003
Glomerular filtration rate decreased
Investigations
MedDRA 13.0
Systematic Assessment
EG0004 affected72 at risk
EG0014 affected144 at risk
EG0023 affected147 at risk
EG003
Hyperglycaemia
Metabolism and nutrition disorders
MedDRA 13.0
Systematic Assessment
EG00010 affected72 at risk
EG00111 affected144 at risk
EG0023 affected147 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA 13.0
Systematic Assessment
EG0002 affected72 at risk
EG0010 affected144 at risk
EG0025 affected147 at risk
EG003
Hypertension
Vascular disorders
MedDRA 13.0
Systematic Assessment
EG0004 affected72 at risk
EG0015 affected144 at risk
EG0024 affected147 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 13.0
Systematic Assessment
EG0002 affected72 at risk
EG0013 affected144 at risk
EG0023 affected147 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.
Point of Contact
Title
Organization
Phone
Extension
Email
Boehringer Ingelheim Call Center
Boehringer Ingelheim Pharmaceuticals
1-800-243-0127
clintriage.rdg@boehringer-ingelheim.com
ID
Term
D003924
Diabetes Mellitus, Type 2
Ancestor Terms
ID
Term
D003920
Diabetes Mellitus
D044882
Glucose Metabolism Disorders
D008659
Metabolic Diseases
D009750
Nutritional and Metabolic Diseases
D004700
Endocrine System Diseases
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
D000069476
Linagliptin
D008687
Metformin
Ancestor Terms
ID
Term
D011687
Purines
D006574
Heterocyclic Compounds, 2-Ring
D000072471
Heterocyclic Compounds, Fused-Ring
D006571
Heterocyclic Compounds
D011799
Quinazolines
D001645
Biguanides
D006146
Guanidines
D000578
Amidines
D009930
Organic Chemicals
Browse Leaves
Not provided
Browse Branches
Not provided
3 subjects
FG0052 subjects
FG0060 subjects
4 subjects
FG0050 subjects
FG0060 subjects
2 subjects
FG0053 subjects
FG0061 subjects
2 subjects
FG0054 subjects
FG0065 subjects
56.2
± 10.8
BG00455.6± 11.2
BG00556.4± 10.7
BG00653.5± 11.1
BG00755.2± 10.8
69
BG00362
BG00470
BG00566
BG00640
BG007405
Male
BG00036
BG00182
BG00278
BG00380
BG00473
BG00577
BG00626
BG007452
29.52
± 5.31
BG00328.95± 4.67
BG00429.66± 5.31
BG00528.55± 4.80
BG00628.81± 4.93
BG00729.07± 4.97
8.52
± 0.87
BG0038.70± 0.97
BG0048.71± 0.95
BG0058.68± 1.03
BG00611.84± 1.42
BG0078.91± 1.31
192.3
± 52.8
BG003195.3± 50.2
BG004198.6± 60.2
BG005196.9± 51.2
BG006261.8± 80.9
BG007200.2± 57.3
135
OG004137
OG005140
-0.45
± 0.08
OG004-1.22± 0.08
OG005-1.59± 0.08
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
hierarchical testing, no adjustment of p-values
Median Difference (Final Values)
-0.51
Standard Error of the Mean
0.11
95
-0.73
-0.30
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
hierarchical testing, no adjustment of p-values
Mean Difference (Final Values)
-0.77
Standard Error of the Mean
0.11
95
-0.99
-0.55
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
hierarchical testing, no adjustment of p-values
Mean Difference (Final Values)
-1.14
Standard Error of the Mean
0.11
95
-1.36
-0.92
No
Superiority or Other
L2.5+M500BID
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG0000.03± 0.08
OG001-0.45± 0.05
OG002-0.61± 0.05
OG003-0.36± 0.06
OG004-0.86± 0.05
OG005-1.00± 0.05
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.41
Standard Error of the Mean
0.08
95
-0.56
-0.26
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.38
Standard Error of the Mean
0.08
95
-0.53
-0.23
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs Linagliptin 2.5mg with metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.50
Standard Error of the Mean
0.08
95
-0.65
-0.35
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.64
Standard Error of the Mean
0.08
95
-0.79
-0.48
No
Superiority or Other
L2.5+M500BID
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG0000.16± 0.11
OG001-0.61± 0.07
OG002-0.95± 0.07
OG003-0.42± 0.07
OG004-1.13± 0.07
OG005-1.37± 0.07
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.51
Standard Error of the Mean
0.10
95
-0.72
-0.31
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.42
Standard Error of the Mean
0.10
95
-0.63
-0.22
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.71
Standard Error of the Mean
0.11
95
-0.92
-0.51
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.95
Standard Error of the Mean
0.10
95
-1.16
-0.75
No
Superiority or Other
L2.5+M500BID
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG0000.16± 0.12
OG001-0.66± 0.08
OG002-1.06± 0.08
OG003-0.45± 0.08
OG004-1.17± 0.08
OG005-1.54± 0.08
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.51
Standard Error of the Mean
0.11
95
-0.73
-0.29
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.47
Standard Error of the Mean
0.11
95
-0.69
-0.26
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-0.72
Standard Error of the Mean
0.11
95
-0.94
-0.49
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-1.08
Standard Error of the Mean
0.11
95
-1.30
-0.86
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00061
OG001136
OG002132
OG003134
OG004135
OG005136
Title
Denominators
Categories
Title
Measurements
OG00010.2± 5.3
OG001-15.8± 3.5
OG002-32.2± 3.6
OG003-8.6± 3.6
OG004-33.2± 3.5
OG005-49.4± 3.5
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
0.0005
Mean Difference (Final Values)
-17.4
Standard Error of the Mean
5.0
95
-27.2
-7.6
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
0.0006
Mean Difference (Final Values)
-17.2
Standard Error of the Mean
5.0
95
-27.1
-7.3
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-24.6
Standard Error of the Mean
5.0
95
-34.4
-14.8
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. linagliptin 2.5mg with metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-40.8
Standard Error of the Mean
5.0
95
-50.6
-31.0
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00061
OG001136
OG002132
OG003134
OG004135
OG005136
Title
Denominators
Categories
Title
Measurements
OG0005.3± 4.3
OG001-19.6± 2.9
OG002-21.8± 2.9
OG003-13.0± 2.9
OG004-34.5± 2.9
OG005-38.6± 2.9
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
0.0003
Mean Difference (Final Values)
-14.9
Standard Error of the Mean
4.1
95
-22.9
-6.8
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-16.8
Standard Error of the Mean
4.1
95
-24.9
-8.8
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-21.5
Standard Error of the Mean
4.1
95
-29.5
-13.4
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-25.6
Standard Error of the Mean
4.1
95
-33.6
-17.6
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00061
OG001136
OG002132
OG003134
OG004135
OG005136
Title
Denominators
Categories
Title
Measurements
OG0006.2± 4.7
OG001-20.8± 3.2
OG002-31.6± 3.2
OG003-10.8± 3.2
OG004-38.7± 3.2
OG005-48.3± 3.2
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-17.9
Standard Error of the Mean
4.5
95
-26.7
-9.1
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
0.0002
Mean Difference (Final Values)
-16.8
Standard Error of the Mean
4.5
95
-25.6
-7.9
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-27.9
Standard Error of the Mean
4.5
95
-36.7
-19.1
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-37.6
Standard Error of the Mean
4.5
95
-46.4
-28.8
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00061
OG001136
OG002132
OG003134
OG004135
OG005136
Title
Denominators
Categories
Title
Measurements
OG0008.9± 5.0
OG001-21.8± 3.3
OG002-31.9± 3.4
OG003-8.4± 3.4
OG004-36.2± 3.4
OG005-49.9± 3.3
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
0.0024
Mean Difference (Final Values)
-14.4
Standard Error of the Mean
4.7
95
-23.7
-5.1
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
0.0002
Mean Difference (Final Values)
-18.0
Standard Error of the Mean
4.8
95
-27.4
-8.7
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-27.8
Standard Error of the Mean
4.7
95
-37.1
-18.5
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-41.5
Standard Error of the Mean
4.7
95
-50.8
-32.2
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00061
OG001136
OG002132
OG003134
OG004135
OG005136
Title
Denominators
Categories
Title
Measurements
OG0007.3± 5.1
OG001-13.7± 3.4
OG002-30.3± 3.5
OG003-9.2± 3.4
OG004-34.6± 3.4
OG005-48.1± 3.4
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-20.9
Standard Error of the Mean
4.8
95
-30.4
-11.4
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
0.0003
Mean Difference (Final Values)
-17.9
Standard Error of the Mean
4.9
95
-27.4
-8.3
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-25.4
Standard Error of the Mean
4.9
95
-35.0
-15.9
No
Superiority or Other
OG003
OG005
Linagliptin 5 mg vs. Linagliptin 2.5 mg with Metformin 1000 mg
ANCOVA
<0.0001
Mean Difference (Final Values)
-39.0
Standard Error of the Mean
4.9
95
-48.5
-29.4
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001140
OG002137
OG003135
OG004136
OG005138
Title
Denominators
Categories
Title
Measurements
OG00010.8± 0
OG00118.6± 0
OG00230.7± 0
OG00310.4± 0
OG00430.1± 0
OG00553.6± 0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
0.0062
Odds Ratio (OR)
2.372
95
1.278
4.402
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
4.163
95
2.343
7.397
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
4.854
95
2.363
9.973
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
17.094
95
8.238
35.471
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG00010.8
OG00119.1
OG00231.2
OG00310.4
OG00430.7
OG00554.3
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG0003.1± 0
OG0015.0± 0
OG00212.3± 0
OG0033.7± 0
OG00413.1± 0
OG00527.1± 0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
0.0102
Odds Ratio (OR)
3.465
95
1.342
8.943
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
0.0004
Odds Ratio (OR)
3.521
95
1.747
7.094
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
0.0053
Odds Ratio (OR)
4.521
95
1.564
13.069
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
11.947
95
4.314
33.080
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG0003.1
OG0015.0
OG00212.3
OG0033.7
OG00413.1
OG00527.1
L2.5+M500BID
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG00065
OG001141
OG002138
OG003135
OG004137
OG005140
Title
Denominators
Categories
Title
Measurements
OG00029.2± 0
OG00146.1± 0
OG00265.9± 0
OG00342.2± 0
OG00471.5± 0
OG00581.4± 0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
3.181
95
1.903
5.316
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
0.0027
Odds Ratio (OR)
2.382
95
1.352
4.196
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
3.622
95
2.153
6.093
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
Regression, Logistic
The odds-ratio is based on a logistic regression model including baseline HbA1c and previous antidiabetic medication.
<0.0001
Odds Ratio (OR)
6.529
95
3.724
11.445
No
Superiority or Other
Patients treated with Linagliptin 2.5mg+ Metformin 500mg BID
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID
Units
Counts
Participants
OG0006
OG00115
OG00214
OG00312
OG00410
OG00512
Title
Denominators
Categories
Title
Measurements
OG000-35.4± 23.2
OG001-82.9± 14.4
OG002-87.2± 14.8
OG003-35.3± 16.1
OG004-86.0± 17.5
OG005-109.2± 16.2
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG001
OG004
Metformin 500mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
0.8893
Mean Difference (Final Values)
-3.2
Standard Error of the Mean
22.7
95
-48.5
42.2
No
Superiority or Other
OG002
OG005
Metformin 1000mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
0.3234
Mean Difference (Final Values)
-22.0
Standard Error of the Mean
22.1
95
-66.2
22.2
No
Superiority or Other
OG003
OG004
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 500mg
ANCOVA
0.0373
Mean Difference (Final Values)
-50.8
Standard Error of the Mean
23.8
95
-98.5
-3.1
No
Superiority or Other
OG003
OG005
Linagliptin 5mg vs. Linagliptin 2.5mg with Metformin 1000mg
ANCOVA
0.0018
Mean Difference (Final Values)
-73.9
Standard Error of the Mean
22.7
95
-119.3
-28.6
No
Superiority or Other
65
Title
Denominators
Categories
Title
Measurements
OG000-3.19± 2.04
55
Title
Denominators
Categories
Title
Measurements
OG000-73.58± 70.94
OG005
L2.5+M1000BID
Patients treated with Linagliptin 2.5mg+ Metformin 1000mg BID