A Phase 3 interventional study of dapagliflozin and Glimepiride in Type 2 Diabetes, sponsored by AstraZeneca. Completed at 66 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-10-14.
Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment
This study is being carried out to see if dapagliflozin in addition to glimepiride (sulphonylurea) is effective and safe in treating patients with type 2 diabetes when compared to glimepiride alone.
9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.
This study's enrollment of 597 is above the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.
Browse Diabetes Mellitus, Type 2 studies →AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.
Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
dapagliflozin 2.5mg + Glimepiride
Drug: dapagliflozin · Drug: Glimepiride · Drug: metformin hydrochloride · Drug: pioglitazone hydrochloride · Drug: Rosiglitazone
dapagliflozin 5mg + Glimepiride
Drug: dapagliflozin · Drug: Glimepiride · Drug: metformin hydrochloride · Drug: pioglitazone hydrochloride · Drug: Rosiglitazone
dapagliflozin 10mg + Glimepiride
Drug: dapagliflozin · Drug: Glimepiride · Drug: metformin hydrochloride · Drug: pioglitazone hydrochloride · Drug: Rosiglitazone
Placebo + Glimepiride
Drug: Glimepiride · Drug: metformin hydrochloride · Drug: pioglitazone hydrochloride · Drug: Rosiglitazone
tablet oral 2.5, 5, or 10 mg total daily dose once daily 48 weeks
tablet oral 2.5, 5, or 10 mg total daily dose once daily 48 weeks
Also known as: Amaryl
rescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice
Also known as: Glucophage
rescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice
Also known as: Actos
rescue medication oral dosing in accordance with the manufacturer's recommendations and clinical practice
Also known as: Avandia
Adjusted Mean Change in HbA1c Levels
To assess the efficacy of dapagliflozin compared to placebo as add-on therapy to glimepiride in improving glycemic control in participants with type 2 diabetes, as determined by the change in HbA1C levels from baseline to the end of the 24-week double-blind treatment period.
Time frame: Baseline to Week 24
Adjusted Mean Change in Body Weight
To show that dapagliflozin plus glimepiride results in greater reduction in body weight or less weight gain after 24 weeks of treatment when compared to placebo plus glimepiride.
Time frame: Baseline to Week 24
Adjusted Mean Change in 2-h Post-challenge Plasma Glucose Rise
To show that dapagliflozin plus glimepiride results in greater reductions in the 2-h post-challenge plasma glucose rise as a response to an oral glucose tolerance test (OGTT) from baseline to Week 24.
Time frame: Baseline to Week 24
Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7%
To show that dapagliflozin plus glimepiride results in a larger proportion of participants achieving a therapeutic glycemic response, defined as HbA1c \< 7% after 24 weeks of treatment, compared to placebo plus glimepiride.
Time frame: At Week 24
Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2
To show that dapagliflozin plus glimepiride results in greater reductions in body weight or less weight gain in participants with baseline BMI ≥27 kg/m2 after 24 weeks of treatment when compared to placebo plus glimepiride.
Time frame: Baseline to Week 24
Adjusted Mean Change in Fasting Plasma Glucose (FPG)
To show that dapagliflozin plus glimepiride leads to greater reductions in FPG after 24 weeks of treatment compared to placebo plus glimepiride.
Time frame: Baseline to Week 24
Enrollment: 859 (597 randomized and 592 in the Full Analysis Set) Study Start Date:April 2008 Study Completion Date:May 2010 Primary Completion Date: November 2009 (Final data collection date for primary outcome measure)
| Milestone | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Started | 154 | 145 | 151 | 146 |
| Completed | 140 | 132 | 141 | 133 |
| Not completed | 14 | 13 | 10 | 13 |
| Withdrew: Withdrawal by subject | 8 | 3 | 2 | 8 |
| Withdrew: Lost to follow-up | 0 | 1 | 1 | 0 |
| Withdrew: Death | 1 | 0 | 1 | 0 |
| Withdrew: Adverse event | 5 | 3 | 3 | 3 |
| Withdrew: Poor/non-compliance | 0 | 3 | 0 | 0 |
| Withdrew: Subject no longer meets study criteria | 0 | 2 | 0 | 2 |
| Withdrew: False treatment | 0 | 1 | 3 | 0 |
To assess the efficacy of dapagliflozin compared to placebo as add-on therapy to glimepiride in improving glycemic control in participants with type 2 diabetes, as determined by the change in HbA1C levels from baseline to the end of the 24-week double-blind treatment period.
| Percent | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Adjusted Mean Change in HbA1c Levels | -0.58 (-0.69 to -0.46) | -0.63 (-0.75 to -0.50) | -0.82 (-0.94 to -0.70) | -0.13 (-0.26 to -0.01) |
To show that dapagliflozin plus glimepiride results in greater reduction in body weight or less weight gain after 24 weeks of treatment when compared to placebo plus glimepiride.
| kg | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Adjusted Mean Change in Body Weight | -1.18 (-1.62 to -0.75) | -1.56 (-2.01 to -1.11) | -2.26 (-2.70 to -1.83) | -0.72 (-1.16 to -0.28) |
To show that dapagliflozin plus glimepiride results in greater reductions in the 2-h post-challenge plasma glucose rise as a response to an oral glucose tolerance test (OGTT) from baseline to Week 24.
| mg/dL | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Adjusted Mean Change in 2-h Post-challenge Plasma Glucose Rise | -37.5 (-46.7 to -28.3) | -32.0 (-41.5 to -22.5) | -34.9 (-43.8 to -25.9) | -6.0 (-15.8 to 3.9) |
To show that dapagliflozin plus glimepiride results in a larger proportion of participants achieving a therapeutic glycemic response, defined as HbA1c \< 7% after 24 weeks of treatment, compared to placebo plus glimepiride.
| Percentage of participants | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7% | 26.8 (20.2 to 33.3) | 30.3 (23.4 to 37.1) | 31.7 (24.7 to 38.7) | 13.0 (7.6 to 18.4) |
To show that dapagliflozin plus glimepiride results in greater reductions in body weight or less weight gain in participants with baseline BMI ≥27 kg/m2 after 24 weeks of treatment when compared to placebo plus glimepiride.
| kg | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2 | -1.17 (-1.75 to -0.59) | -1.74 (-2.34 to -1.15) | -2.47 (-3.06 to -1.88) | -0.80 (-1.38 to -0.22) |
To show that dapagliflozin plus glimepiride leads to greater reductions in FPG after 24 weeks of treatment compared to placebo plus glimepiride.
| mg/dL | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| Adjusted Mean Change in Fasting Plasma Glucose (FPG) | -16.8 (-21.7 to -12.0) | -21.2 (-26.3 to -16.2) | -28.5 (-33.4 to -23.6) | -2.0 (-6.9 to 3.0) |
Collected over Non-serious/serious adverse events on or after the first day and on or prior to the last day of the 24-week double-blind treatment period plus 4/30 days or up to follow-up visit if earlier, or up to and incl the start date of extension period if earlier.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dapagliflozin 2.5mg + Glimepiride | — | 11/154 (7.1%) | 22/154 (14.3%) |
| Dapagliflozin 5mg + Glimepiride | — | 10/145 (6.9%) | 19/145 (13.1%) |
| Dapagliflozin 10mg + Glimepiride | — | 9/151 (6%) | 18/151 (11.9%) |
| Placebo + Glimepiride | — | 7/146 (4.8%) | 15/146 (10.3%) |
| Event | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| DIABETES MELLITUSMetabolism and nutrition disorders | 0/154 | 2/145 | 0/151 | 0/146 |
| PNEUMONIAInfections and infestations | 1/154 | 0/145 | 2/151 | 0/146 |
| ANGINA PECTORISCardiac disorders | 1/154 | 1/145 | 0/151 | 0/146 |
| CORONARY ARTERY DISEASECardiac disorders | 0/154 | 1/145 | 0/151 | 0/146 |
| VERTIGOEar and labyrinth disorders | 0/154 | 1/145 | 0/151 | 0/146 |
| ARTHRITISMusculoskeletal and connective tissue disorders | 0/154 | 1/145 | 0/151 | 0/146 |
| BACK PAINMusculoskeletal and connective tissue disorders | 0/154 | 1/145 | 0/151 | 0/146 |
| NECK PAINMusculoskeletal and connective tissue disorders | 0/154 | 1/145 | 0/151 | 0/146 |
| ROTATOR CUFF SYNDROMEMusculoskeletal and connective tissue disorders | 0/154 | 1/145 | 0/151 | 0/146 |
| BENIGN BREAST NEOPLASMNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/154 | 1/145 | 0/151 | 0/146 |
| Event | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride |
|---|---|---|---|---|
| HypoglycemiaEndocrine disorders | 11/154 | 10/145 | 12/151 | 7/146 |
| NASOPHARYNGITISInfections and infestations | 3/154 | 8/145 | 5/151 | 4/146 |
| HYPERTENSIONVascular disorders | 8/154 | 2/145 | 2/151 | 6/146 |
Full Analysis Set defined as all randomized participants (as randomized) who received at least one dose of double-blind study medication, who have a non-missing baseline value and at least one post-baseline efficacy value for at least one efficacy variable during double-blind treatment period.
| Age Continuous(years) | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride | Total |
|---|---|---|---|---|---|
| Mean | 59.9 ± 10.14 | 60.2 ± 9.73 | 58.9 ± 8.32 | 60.3 ± 10.16 | 59.8 ± 9.60 |
| Sex: Female, Male(Participants) | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride | Total |
|---|---|---|---|---|---|
| Female | 77 | 71 | 85 | 74 | 307 |
| Male | 77 | 71 | 66 | 71 | 285 |
| Race/Ethnicity, Customized(Participants) | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride | Total |
|---|---|---|---|---|---|
| White | 108 | 96 | 106 | 101 | 411 |
| Asian | 46 | 46 | 45 | 44 | 181 |
| BMI(kg/m2) | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride | Total |
|---|---|---|---|---|---|
| Mean | 30.01 ± 5.120 | 29.84 ± 5.182 | 29.75 ± 5.641 | 29.74 ± 4.569 | 29.84 ± 5.135 |
| HbA1c(Percent) | Dapagliflozin 2.5mg + Glimepiride | Dapagliflozin 5mg + Glimepiride | Dapagliflozin 10mg + Glimepiride | Placebo + Glimepiride | Total |
|---|---|---|---|---|---|
| Mean | 8.11 ± 0.749 | 8.12 ± 0.781 | 8.07 ± 0.790 | 8.15 ± 0.736 | 8.11 ± 0.763 |
This study is completed, as verified in Aug 2013. You cannot join it, but the record below documents what was studied.
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AstraZeneca