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The purpose of this clinical research study is to determine whether dapagliflozin can improve (decrease) blood glucose values in patients with Type 2 diabetes and moderate renal impairment.This study will be conducted at approximately 100 centres from countries across North America and European regions. It is planned to randomize a total of 302 patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dapagliflozin | Experimental | 10 mg Tablets, Oral, Once daily, 24 weeks |
|
| Placebo | Placebo Comparator | Matching placebo to Dapagliflozin 10 mg tablet. Oral, Once daily, 24 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dapagliflozin 10 mg | Drug | Tablets administered orally once daily for 24 weeks. Randomization will be stratified by pre-enrolment anti-hyperglycemic therapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 | To compare the mean change from baseline in HbA1c between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" (142 dapaglifozin, 134 placebo) represents the number with change from baseline available at Week 24. | Baseline, Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24. | To compare the mean percent change from baseline in total body weight between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" represents the number with change from baseline available at Week 24. |
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Inclusion Criteria:
Exclusion Criteria:
Myocardial infarction, Cardiac surgery or revascularization(CABG/PTCA), Unstable angina, Unstable heart failure (HF), HF New York Heart Association (NYHA) Class IV,Transient ischemic attack (TIA) or significant cerebrovascular disease, Unstable or previously undiagnosed arrhythmia.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Huntsville | Alabama | 35801 | United States | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38770818 | Derived | Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2. | |
| 29888547 |
| Label | URL |
|---|---|
| Redacted Study Protocol | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Dapagliflozin 10mg QD | 10 mg Tablets, Oral, Once daily, 24 weeks |
| FG001 | Placebo QD | Matching Placebo, 10 mg Tablets, Oral, Once daily, 24 weeks |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jan 17, 2017 | Jun 22, 2018 |
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| Matching Placebo for Dapagliflozin | Drug | Matching Placebo for Dapagliflozin tablets administered orally once daily for 24 weeks |
|
| Baseline, Week 24 |
| Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24. | To compare the mean change from baseline in FPG between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" represents the number with change from baseline available at Week 24. | Baseline, Week 24 |
| Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24. | To compare the mean change from baseline in seated systolic blood pressure (SBP) between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" represents the number with change from baseline available at Week 24. | Baseline, Week 24 |
| Burbank |
| California |
| 91505 |
| United States |
| Research Site | Chula Vista | California | 91910 | United States |
| Research Site | Concord | California | 94520 | United States |
| Research Site | Fullerton | California | 92835-3404 | United States |
| Research Site | Huntington Beach | California | 92648 | United States |
| Research Site | Los Gatos | California | 95032 | United States |
| Research Site | Newport Beach | California | 92663 | United States |
| Research Site | Salinas | California | 93901-4446 | United States |
| Research Site | Miami | Florida | 33015 | United States |
| Research Site | Miami | Florida | 33144 | United States |
| Research Site | Miami Springs | Florida | 33166 | United States |
| Research Site | Pembroke Pines | Florida | 33027 | United States |
| Research Site | Chicago | Illinois | 60643 | United States |
| Research Site | Brownsburg | Indiana | 46112 | United States |
| Research Site | Louisville | Kentucky | 40213 | United States |
| Research Site | Monroe | Louisiana | 71203 | United States |
| Research Site | Flint | Michigan | 48504 | United States |
| Research Site | Jackson | Michigan | 39209 | United States |
| Research Site | Chesterfield | Missouri | 63017 | United States |
| Research Site | Kansas City | Missouri | 64111 | United States |
| Research Site | Chapel Hill | North Carolina | 27517 | United States |
| Research Site | Chattanooga | Tennessee | 37404 | United States |
| Research Site | Houston | Texas | 77004 | United States |
| Research Site | San Antonio | Texas | 78215 | United States |
| Research Site | San Antonio | Texas | 78224 | United States |
| Research Site | Manassas | Virginia | 20110 | United States |
| Research Site | Blagoevgrad | 2700 | Bulgaria |
| Research Site | Botevgrad | 2140 | Bulgaria |
| Research Site | Kozloduy | 3320 | Bulgaria |
| Research Site | Kyustendil | 2500 | Bulgaria |
| Research Site | Sofia | 1233 | Bulgaria |
| Research Site | Sofia | 1407 | Bulgaria |
| Research Site | Sofia | 1606 | Bulgaria |
| Research Site | Stara Zagora | 6000 | Bulgaria |
| Research Site | Red Deer | Alberta | T4N 6V7 | Canada |
| Research Site | Surrey | British Columbia | V3S 2N6 | Canada |
| Research Site | Halifax | Nova Scotia | B3H 1V7 | Canada |
| Research Site | Brampton | Ontario | L6S 0S9 | Canada |
| Research Site | Cambridge | Ontario | N1R 6V6 | Canada |
| Research Site | Concord | Ontario | L4K 4M2 | Canada |
| Research Site | Courtice | Ontario | L1E 3C3 | Canada |
| Research Site | Etobicoke | Ontario | M9R 4E1 | Canada |
| Research Site | Greater Sudbury | Ontario | P3E 6C3 | Canada |
| Research Site | Guelph | Ontario | N1H 1B1 | Canada |
| Research Site | London | Ontario | N6G 5A9 | Canada |
| Research Site | North York | Ontario | M3J 1N2 | Canada |
| Research Site | Oakville | Ontario | L6M 4H8 | Canada |
| Research Site | Toronto | Ontario | M3M 0B2 | Canada |
| Research Site | Toronto | Ontario | M4G 3E8 | Canada |
| Research Site | Québec | Quebec | G1V 4G2 | Canada |
| Research Site | Saskatoon | Saskatchewan | S7H 5M3 | Canada |
| Research Site | Cheb | 350 02 | Czechia |
| Research Site | Hořovice | 268 01 | Czechia |
| Research Site | Krnov | 794 01 | Czechia |
| Research Site | Kutná Hora | 284 30 | Czechia |
| Research Site | Ostrava | 702 00 | Czechia |
| Research Site | Prague | 104 00 | Czechia |
| Research Site | Praha Klanovice | 190 14 | Czechia |
| Research Site | Bari | 70124 | Italy |
| Research Site | Bergamo | 24127 | Italy |
| Research Site | Chieti Scalo | 66013 | Italy |
| Research Site | Milan | 20122 | Italy |
| Research Site | Naples | 80138 | Italy |
| Research Site | Padova | 35128 | Italy |
| Research Site | Pisa | 56100 | Italy |
| Research Site | San Giovanni Rotondo | 71013 | Italy |
| Research Site | Bielsko-Biala | 43-300 | Poland |
| Research Site | Bydgoszcz | 85-231 | Poland |
| Research Site | Lodz | 90-132 | Poland |
| Research Site | Mrągowo | 11-700 | Poland |
| Research Site | Ostrowiec Świętokrzyski | 27-400 | Poland |
| Research Site | Tczew | 83-110 | Poland |
| Research Site | Wroclaw | 50-403 | Poland |
| Research Site | A Coruña | 15006 | Spain |
| Research Site | Alicante | 03010 | Spain |
| Research Site | Ferrol | 15405 | Spain |
| Research Site | La Laguna (Tenerife) | 38320 | Spain |
| Research Site | Lleida | 25198 | Spain |
| Research Site | Madrid | 28007 | Spain |
| Research Site | Madrid | 28034 | Spain |
| Research Site | Málaga | 29010 | Spain |
| Research Site | Pozuelo de Alarcón | 28223 | Spain |
| Research Site | Gothenburg | 413 45 | Sweden |
| Research Site | Lund | 221 85 | Sweden |
| Research Site | Stockholm | 111 57 | Sweden |
| Research Site | Stockholm | 11324 | Sweden |
| Fioretto P, Del Prato S, Buse JB, Goldenberg R, Giorgino F, Reyner D, Langkilde AM, Sjostrom CD, Sartipy P; DERIVE Study Investigators. Efficacy and safety of dapagliflozin in patients with type 2 diabetes and moderate renal impairment (chronic kidney disease stage 3A): The DERIVE Study. Diabetes Obes Metab. 2018 Nov;20(11):2532-2540. doi: 10.1111/dom.13413. Epub 2018 Jul 10. |
| Redacted SAP | View source |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Dapagliflozin 10mg QD | 10 mg Tablets, Oral, Once daily, 24 weeks |
| BG001 | Placebo | Matching Placebo, 10 mg Tablets, Oral, Once daily, 24 weeks |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||
| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
| |||||||||||||||
| Estimated Glomular Filtration Rate (eGFR) | Mean | Standard Deviation | mL/min/1.73 m^2 |
| |||||||||||||||
| Urine Albumin-to-Creatinine Ratio (UACR) | 159/160 subjects in the Dapaglifozin group had an enrolment UACR value. | Mean | Standard Deviation | mg/g |
|
| 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 | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 | To compare the mean change from baseline in HbA1c between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" (142 dapaglifozin, 134 placebo) represents the number with change from baseline available at Week 24. | For glycaemic measurements (HbA1c and FPG), all measurements after the first dose of rescue medication were excluded. For other non-glycaemic measurements (body weight and SBP), all measurements after the first dose of rescue medication were included. | Posted | Mean | Standard Error | percent | Baseline, Week 24 |
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| Secondary | Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24. | To compare the mean percent change from baseline in total body weight between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" represents the number with change from baseline available at Week 24. | Posted | Mean | Standard Error | percent change | Baseline, Week 24 |
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| Secondary | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24. | To compare the mean change from baseline in FPG between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" represents the number with change from baseline available at Week 24. | Posted | Mean | Standard Error | mg/dL | Baseline, Week 24 |
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| Secondary | Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24. | To compare the mean change from baseline in seated systolic blood pressure (SBP) between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The "number analyzed" represents the number with change from baseline available at Week 24. | Posted | Mean | Standard Error | mmHg | Baseline, Week 24 |
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Non-serious AEs were included up to the last day of double-blind treatment + 4 days. SAEs were recorded from the time of Informed Consent through included up to the last day of double-blind treatment + 30 days (or to the end of the 3-week follow-up period, whichever came first).
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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 | Dapagliflozin 10mg QD | 10 mg Tablets, Oral, Once daily, 24 weeks | 0 | 160 | 9 | 160 | 0 | 160 |
| EG001 | Placebo | Matching Placebo, 10 mg Tablets, Oral, Once daily, 24 weeks | 0 | 161 | 14 | 161 | 0 | 161 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute coronary syndrome | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Acute myocardial infarction | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Angina pectoris | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Angina unstable | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Aortic valve incompetence | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Atrioventricular block | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Atrioventricular block complete | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Cardiac failure congestive | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Mitral valve incompetence | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Myocardial ischaemia | Cardiac disorders | MedDRA 20.0 | Systematic Assessment |
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| Gingival bleeding | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Diabetic gangrene | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Osteomyelitis chronic | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Diabetic metabolic decompensation | Metabolism and nutrition disorders | MedDRA 20.0 | Systematic Assessment |
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| Joint swelling | Musculoskeletal and connective tissue disorders | MedDRA 20.0 | Systematic Assessment |
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| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 20.0 | Systematic Assessment |
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| Small cell lung cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 20.0 | Systematic Assessment |
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| Cerebrovascular accident | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
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| Ischaemic stroke | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
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| Acquired hydrocele | Reproductive system and breast disorders | MedDRA 20.0 | Systematic Assessment |
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| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Anna Maria Langkilde, MD PhD | Global Clinical Leader-Dapagliflozin AstraZeneca | Tel: + 46 31 7761000 | ClinicalTrialTransparency@astrazeneca.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 6, 2017 | Jun 22, 2018 | SAP_001.pdf |
| 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 |
|---|---|
| C529054 | dapagliflozin |
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