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The purpose of this study was to compare effect of Saxagliptin as add-on to Metformin on 24-hour mean weighted glucose (MWG) to the effect of uptitrating Metformin in subjects with T2DM inadequately controlled on metformin alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Saxagliptin + Metformin XR + matching Metformin XR placebo | Experimental | (Saxagliptin 5 mg plus Metformin XR 1500 plus matching Metformin XR 500 mg placebo) |
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| Metformin XR + Metformin XR + matching Saxagliptin placebo | Active Comparator | (Metformin XR 500 mg plus Metformin XR 1500 mg plus matching Saxagliptin 5 mg placebo) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saxagliptin | Drug | Tablets, Oral, 5 mg, once daily, 4 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in 24-Hour Mean Weighted Glucose (MWG) at Week 4 | Adjusted mean change from baseline in MWG achieved with saxagliptin 5 mg plus metformin XR versus placebo plus metformin XR at Week 24. MWG was calculated as the area under the curve (AUC) for the full 24 hours expressed as average mg/dL. Glucose measurements were collected 30 minutes before and just prior to each meal (0 minutes) and 30, 60, 120, and 180 minutes after each meal (with 1 additional measurement at 240 minutes after the evening meal), midnight, 3 AM, and at end-of-domicile visit 24 hours after the first measurement. Mean change from baseline was adjusted for baseline value. | Baseline, Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline to Week 4 in 2-hour Postprandial Glucose (PPG) (2 Hours After the Evening Meal) | Adjusted mean change from baseline in 2-hour postprandial (after mealtime) plasma glucose two hours after start of the evening meal during 24-hour domicile visits evaluated both at pre-randomization (baseline) and at Week 4. Mean change from baseline was adjusted for baseline value. | Baseline, Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Participants With Confirmed Hypoglycemia Events During the Treatment Period | 'Confirmed' = recorded on the hypoglycemia AE case report form with a fingerstick for glucose <= 50 mg/dL and associated symptoms. | AEs: up to last treatment day (LTD) +1 day or last visit day (LVD), whichever came last ; SAEs: up to LTD +30 days or LVD + 30 days, whichever came last. Mean duration of exposure=27.7 days for Saxa 5 mg + Met XR 1500 mg, and 28.3 days for Met 2000 mg. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dedicated Phase I, Inc. | Phoenix | Arizona | 85013 | United States | ||
| Pacific Sleep Medicine Services (Avastra Clinical Trials) |
219 participants were enrolled; 126 entered single-blind dietary/exercise/metformin extended release (XR) lead-in period (either 4- or 8-weeks long, based on pre-enrollment metformin dose). 33 participants did not enter treatment period (22 no longer met study criteria, 7 withdrew consent, 2 lost to follow-up, 1 adverse event, and 1 other reason).
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| ID | Title | Description |
|---|---|---|
| FG000 | Saxagliptin 5 mg + Metformin XR 1500 mg | saxagliptin 5 mg plus metformin XR 1500 plus matching metformin XR 500 mg placebo |
| FG001 | Metformin 2000 mg | metformin XR 500 mg plus metformin XR 1500 mg plus matching saxagliptin 5 mg placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Metformin XR | Drug | Tablets, Oral, 1500 mg, once daily, 4 weeks |
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| Placebo matching Metformin XR | Drug | Tablets, Oral, 0 mg, once daily, 4 weeks |
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| Metformin XR | Drug | Tablets, Oral, 500 mg, once daily, 4 weeks |
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| Placebo matching Saxagliptin | Drug | Tablets, Oral, 0 mg, once daily, 4 weeks |
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| Change From Baseline Fasting Plasma Glucose (FPG) at Week 4, Obtained Immediately Before the Morning Meal | FPG measurements were done at baseline, day 14 and 28. At baseline and day 28, the FPG value=plasma glucose value collected 30 minutes prior to the morning meal during the domicile visit. | Baseline, Week 4 |
| Participants With Reported Hypoglycemic Adverse Events During Treatment Period | Hypoglycemic events are based upon the Saxagliptin Predefined List of Events, which includes hypoglycemia, blood glucose decreased, and hypoglycemic unconsciousness. The Hypoglycemic events occurred in less than 5% of the participants and hence do not appear in the adverse events module. | AEs: up to last treatment day (LTD) +1 day or last visit day (LVD), whichever came last ; SAEs: up to LTD +30 days or LVD + 30 days, whichever came last. Mean duration of exposure=27.7 days for Saxa 5 mg + Met XR 1500 mg, and 28.3 days for Met 2000 mg. |
| Redlands |
| California |
| 92373 |
| United States |
| Orange County Research Center | Tustin | California | 92780 | United States |
| Clinical Research Of South Florida | Coral Gables | Florida | 33134 | United States |
| Palm Springs Research Institute | Hialeah | Florida | 33012 | United States |
| Healthcare Clinical Data, Inc. | North Miami | Florida | 33161 | United States |
| River Birch Research Alliance, Llc | Blue Ridge | Georgia | 30513 | United States |
| Jasper Clinic, Inc. | Kalamazoo | Michigan | 49007 | United States |
| Clinilabs, Inc. | New York | New York | 10019 | United States |
| Medpace Clinical Pharmacology Unit | Cincinnati | Ohio | 45212 | United States |
| Clinical Trials Of Texas Inc. | San Antonio | Texas | 78229 | United States |
| Advanced Clinical Research | West Jordan | Utah | 84088 | United States |
| Local Institution | Buenos Aires | Buenos Aires | 1425 | Argentina |
| Local Institution | Capital Federal | Buenos Aires | 1429 | Argentina |
| Local Institution | Beersheba | 84101 | Israel |
| Local Institution | Holon | 58100 | Israel |
| Local Institution | Kfar Saba | 44281 | Israel |
| Local Institution | Safed | 13100 | Israel |
| Local Institution | Durango | Durango | 34000 | Mexico |
| Local Institution | Durango | Durango | 34075 | Mexico |
| Local Institution | Monterrey | Nuevo León | 64460 | Mexico |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Saxagliptin 5 mg + Metformin XR 1500 mg | saxagliptin 5 mg plus metformin XR 1500 plus matching metformin XR 500 mg placebo |
| BG001 | Metformin 2000 mg | metformin XR 500 mg plus metformin XR 1500 mg plus matching saxagliptin 5 mg placebo |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Age, Customized | Number | participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participant |
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| Race/Ethnicity, Customized | Number | Participant |
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| Age categorization Females Only | Number | participants |
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| Weight | Mean | Standard Deviation | kg |
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| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
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| BMI Categorization | Number | Participants |
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| Glycosylated Hemoglobin (A1C) | Mean | Standard Deviation | percentage |
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| Fasting Plasma Glucose (FPG) | The fasting value is collected at time -30 minutes prior to morning meal | Mean | Standard Deviation | mg/dL |
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| FPG Categorization | The fasting value is collected at time -30 minutes prior to morning meal | Number | participants |
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| 120-minute postprandial glucose (PPG) | The 120-minute value is collected 120 minutes after start of evening meal | Mean | Standard Deviation | mg/dL |
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| 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 | Change From Baseline in 24-Hour Mean Weighted Glucose (MWG) at Week 4 | Adjusted mean change from baseline in MWG achieved with saxagliptin 5 mg plus metformin XR versus placebo plus metformin XR at Week 24. MWG was calculated as the area under the curve (AUC) for the full 24 hours expressed as average mg/dL. Glucose measurements were collected 30 minutes before and just prior to each meal (0 minutes) and 30, 60, 120, and 180 minutes after each meal (with 1 additional measurement at 240 minutes after the evening meal), midnight, 3 AM, and at end-of-domicile visit 24 hours after the first measurement. Mean change from baseline was adjusted for baseline value. | Randomized participants who had both baseline and Week 4 assessments. | Posted | Mean | Standard Error | mg/dL | Baseline, Week 4 |
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| Secondary | Change From Baseline to Week 4 in 2-hour Postprandial Glucose (PPG) (2 Hours After the Evening Meal) | Adjusted mean change from baseline in 2-hour postprandial (after mealtime) plasma glucose two hours after start of the evening meal during 24-hour domicile visits evaluated both at pre-randomization (baseline) and at Week 4. Mean change from baseline was adjusted for baseline value. | Randomized participants who had both baseline and Week 4 assessments. | Posted | Mean | Standard Error | mg/dL | Baseline, Week 4 |
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| Secondary | Change From Baseline Fasting Plasma Glucose (FPG) at Week 4, Obtained Immediately Before the Morning Meal | FPG measurements were done at baseline, day 14 and 28. At baseline and day 28, the FPG value=plasma glucose value collected 30 minutes prior to the morning meal during the domicile visit. | Randomized participants who had both baseline and Week 4 assessments. Last Observation Carried Forward (LOCF). | Posted | Mean | Standard Error | mg/dL | Baseline, Week 4 |
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| Other Pre-specified | Participants With Confirmed Hypoglycemia Events During the Treatment Period | 'Confirmed' = recorded on the hypoglycemia AE case report form with a fingerstick for glucose <= 50 mg/dL and associated symptoms. | Treated participants | Posted | Number | participants | AEs: up to last treatment day (LTD) +1 day or last visit day (LVD), whichever came last ; SAEs: up to LTD +30 days or LVD + 30 days, whichever came last. Mean duration of exposure=27.7 days for Saxa 5 mg + Met XR 1500 mg, and 28.3 days for Met 2000 mg. |
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| Other Pre-specified | Participants With Reported Hypoglycemic Adverse Events During Treatment Period | Hypoglycemic events are based upon the Saxagliptin Predefined List of Events, which includes hypoglycemia, blood glucose decreased, and hypoglycemic unconsciousness. The Hypoglycemic events occurred in less than 5% of the participants and hence do not appear in the adverse events module. | Posted | Number | participants | AEs: up to last treatment day (LTD) +1 day or last visit day (LVD), whichever came last ; SAEs: up to LTD +30 days or LVD + 30 days, whichever came last. Mean duration of exposure=27.7 days for Saxa 5 mg + Met XR 1500 mg, and 28.3 days for Met 2000 mg. |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Metformin 2000 mg | Metformin XR 500 mg plus Metformin XR 1500 mg plus matching Saxagliptin 5 mg placebo | 0 | 47 | 0 | 47 | ||
| EG001 | Saxagliptin 5 mg + Metformin XR 1500 mg | Saxagliptin 5 mg plus Metformin XR 1500 plus matching Metformin XR 500 mg placebo | 1 | 46 | 3 | 46 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| DEATH | General disorders | MedDRA 13 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 13 | Systematic Assessment |
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Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Boaz Hirschberg | AstraZeneca Pharmaceuticals | ClinicalTrialTransparency@astrazeneca.com |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C502994 | saxagliptin |
| D008687 | Metformin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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| >=65 years |
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| Male |
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| Black/African American |
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| Not Hispanic/ Not Latino |
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| Not Reported |
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| > 50 years |
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| >= 30 kg/m^2 |
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| >= 126 mg/dL to < 150 mg/dL |
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| >= 150 mg/dL to < 220 mg/dL |
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| >= 220 mg/dL to < 300 mg/dL |
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| Adjusted Change from Baseline |
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Estimate = adjusted mean change for saxagliptin 5 mg + metformin 1500 mg - adjusted mean change for metformin 2000 mg |
| No |
| Superiority or Other |
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