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Effect of Dapagliflozin on 24-hour Blood Glucose in Type 2 Diabetes Patients Inadequately Controlled With Either Metformin Or Insulin
Effect of Dapagliflozin on 24-hour Blood Glucose in 92 Type 2 Diabetes Patients Inadequately Controlled With Either Metformin Or Insulin
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Farxiga with metformin or insulin | Experimental | Farxiga with metformin (>/=1500mg/day) or insulin (>/=30 units/day) and up to 2 OAD medications |
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| Placebo with metformin or insulin | Placebo Comparator | Placebo with metformin (>/=1500mg/day) or insulin (>/=30 units/day) and up to 2 OAD medications |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Farxiga | Drug | Farxiga 10mg/day |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Change in 24-hour Mean Weighted Glucose (MWG) From Baseline to End of Treatment (Week 4) Using the Continuous Glucose Monitoring (CGM) System | Baseline to Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the 24-hour Mean Ampitude of Glucose Excursions (MAGE) From Baseline to Week 4 | Baseline to Week 4 | |
| Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose <70 mg/dL From Baseline to Week 4 - ITT Population | Baseline to Week 4 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Birmingham | Alabama | United States | |||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30222367 | Derived | Henry RR, Strange P, Zhou R, Pettus J, Shi L, Zhuplatov SB, Mansfield T, Klein D, Katz A. Effects of Dapagliflozin on 24-Hour Glycemic Control in Patients with Type 2 Diabetes: A Randomized Controlled Trial. Diabetes Technol Ther. 2018 Nov;20(11):715-724. doi: 10.1089/dia.2018.0052. Epub 2018 Sep 14. |
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226 subjects signed the informed consent form (ICF), and 132 subjects were screened to randomize a total of 100 subjects.
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| ID | Title | Description |
|---|---|---|
| FG000 | Dapagliflozin | Dapagliflozin + Metformin or Insulin |
| FG001 | Placebo | Placebo + Metformin or Insulin |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Drug |
Placebo |
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| Metformin | Drug | Metformin background therapy >/= 1500mg/day |
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| Insulin | Drug | Insulin >/= 30 units |
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| Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose Between 70 mg/dL and 180 mg/dL From Baseline to Week 4 - ITT Population | Baseline to Week 4 |
| Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose >180 mg/dL From Baseline to Week 4 - ITT Population | Baseline to Week 4 |
| Change in Fasting Plasma Glucose (FPG) From Baseline to Week 4 | Baseline to Week 4 |
| Change in 4-hour Mean Weighted Post-prandial Glucose (PPG) (After the Standardized Breakfast Meal) From Baseline to Week 4 | Baseline to Week 4 |
| Change in HbA1c From Baseline to Week 4 | Baseline to Week 4 |
| Change in Fructosamine From Baseline to Week 4 | Baseline to Week 4 |
| Change in 2-hour Mean Weighted PPG (After the Standardized Breakfast Meal) From Baseline to Week 4 | Baseline to Week 4 |
| Change in Static Insulin Secretion Rate (10^-9 Min^-1) From Baseline to Week 4 - ITT Population | Baseline to Week 4 |
| Phoenix |
| Arizona |
| United States |
| Research Site | Huntington Park | California | United States |
| Research Site | Los Angeles | California | United States |
| Research Site | Sacramento | California | United States |
| Research Site | San Diego | California | United States |
| Research Site | West Hills | California | United States |
| Research Site | Cooper City | Florida | United States |
| Research Site | Miami | Florida | United States |
| Research Site | Evanston | Illinois | United States |
| Research Site | Oxon Hill | Maryland | United States |
| Research Site | Henderson | Nebraska | United States |
| Research Site | Brooklyn | New York | United States |
| Research Site | Rochester | New York | United States |
| Research Site | Greensboro | North Carolina | United States |
| Research Site | Cincinnati | Ohio | United States |
| Research Site | Dublin | Ohio | United States |
| Research Site | Franklin | Ohio | United States |
| Research Site | Eugene | Oregon | United States |
| Research Site | Lansdale | Pennsylvania | United States |
| Research Site | Spartanburg | South Carolina | United States |
| Research Site | Bartlett | Tennessee | United States |
| Research Site | Dallas | Texas | United States |
| Research Site | Houston | Texas | United States |
| Research Site | Hurst | Texas | United States |
| Research Site | Renton | Washington | United States |
| COMPLETED |
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| NOT COMPLETED |
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100 subjects were included in the safety and ITT population. 99 subjects were included in the evaluable population. 1 subject did not meet the I/E criteria.
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| ID | Title | Description |
|---|---|---|
| BG000 | Dapagliflozin | Dapagliflozin + Metformin or Insulin |
| BG001 | Placebo | Placebo + Metformin or Insulin |
| 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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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participants |
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| BMI | Mean | Standard Deviation | kg/m^2 |
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| Hemoglobin A1c (HbA1c) | Mean | Standard Deviation | Percentage |
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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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Change in 24-hour Mean Weighted Glucose (MWG) From Baseline to End of Treatment (Week 4) Using the Continuous Glucose Monitoring (CGM) System | Posted | Least Squares Mean | Standard Error | mg/dL | Baseline to Week 4 |
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| Secondary | Change in the 24-hour Mean Ampitude of Glucose Excursions (MAGE) From Baseline to Week 4 | Posted | Least Squares Mean | Standard Error | mg/dL | Baseline to Week 4 |
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| Secondary | Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose <70 mg/dL From Baseline to Week 4 - ITT Population | Posted | Least Squares Mean | Standard Error | Change in percentage | Baseline to Week 4 |
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| Secondary | Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose Between 70 mg/dL and 180 mg/dL From Baseline to Week 4 - ITT Population | Posted | Least Squares Mean | Standard Error | Change in percentage | Baseline to Week 4 |
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| Secondary | Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose >180 mg/dL From Baseline to Week 4 - ITT Population | Posted | Least Squares Mean | Standard Error | Change in percentage | Baseline to Week 4 |
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| Secondary | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 4 | Posted | Least Squares Mean | Standard Error | mg/dL | Baseline to Week 4 |
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| Secondary | Change in 4-hour Mean Weighted Post-prandial Glucose (PPG) (After the Standardized Breakfast Meal) From Baseline to Week 4 | Posted | Least Squares Mean | Standard Error | mg/dL | Baseline to Week 4 |
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| Secondary | Change in HbA1c From Baseline to Week 4 | Posted | Least Squares Mean | Standard Error | % Alc | Baseline to Week 4 |
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| Secondary | Change in Fructosamine From Baseline to Week 4 | Posted | Least Squares Mean | Standard Error | mmol/L | Baseline to Week 4 |
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| Secondary | Change in 2-hour Mean Weighted PPG (After the Standardized Breakfast Meal) From Baseline to Week 4 | Posted | Least Squares Mean | Standard Error | mg/dL | Baseline to Week 4 |
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| Secondary | Change in Static Insulin Secretion Rate (10^-9 Min^-1) From Baseline to Week 4 - ITT Population | Posted | Least Squares Mean | Standard Error | 10^-9 min^-1 | Baseline to Week 4 |
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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 | Dapagliflozin + Metformin or Insulin | 0 | 50 | 3 | 50 | ||
| EG001 | Placebo | Placebo + Metformin or Insulin | 0 | 50 | 3 | 50 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Urinary Tract Infection | Infections and infestations | Non-systematic Assessment |
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Institution & PI agree they will not use or disclose and confidential information to third parties for a period of 10 years from receipt
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sergey Zhuplatov MD, PhD | AstraZeneca, PLL | 215-542-3222 | sergey.zhuplatov@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 |
|---|---|
| C529054 | dapagliflozin |
| D008687 | Metformin |
| D007328 | Insulin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
| D011384 | Proinsulin |
| D061385 | Insulins |
| D010187 | Pancreatic Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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| Male |
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| White |
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| American Indian and Alaska Native |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| More than one race |
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| Other |
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