CClinicalTrials.gg
CompletedNCT01164501Updated Jun 16, 2014Results posted

Efficacy and Safety of Empagliflozin (BI 10773) in Patients With Type 2 Diabetes and Renal Impairment

A Phase 3 interventional study of BI 10773 and Placebo in Diabetes Mellitus, Type 2 and Renal Insufficiency, sponsored by Boehringer Ingelheim. Completed at 127 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-06-16.

Sponsored by Boehringer Ingelheim · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
741
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will investigate the efficacy and safety of the BI 10773 in type 2 diabetic patients with renal impairment in order to provide these data for approval for BI 10773 as an antidiabetic agent by regulatory authorities.

02

Conditions studied

  • Diabetes Mellitus, Type 2
  • Renal Insufficiency
03

In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

This study's enrollment of 741 is above the median of 43 across 1,504 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Diagnosis of type 2 diabetes mellitus prior to informed consent and an estimated glomerular filtration rate of \<90 ml/min.
  2. Male and female patients on diet and exercise regimen who are pre-treated with any antidiabetic therapy and are on the maximum tolerated dose which has been unchanged for 12 weeks prior to randomisation.
  3. HbA1c greater than or equal to 7.0% and less than or equal to 10.0% .
  4. Aged 18 years or above.
  5. Body Mass Index less than or equal to 45 kg/m2

Exclusion criteria

Exclusion criteria:

  1. Uncontrolled hyperglycaemia defined as >13.3 mmol/L after an overnight fast during placebo run-in.
  2. Impaired renal function, defined as an estimated glomerular filtration rate \<15 ml/min.
  3. Renal impairment requiring any form of chronic dialysis.
  4. Requiring acute dialysis within three months prior to informed consent.
  5. Renal transplant recipient.
  6. Myocardial infarction, stroke or Transient Ischemic Attack within three months prior to informed consent.
  7. Indication of liver disease.
  8. Bariatric surgery within the past two years.
  9. Medical history of cancer.
  10. Blood dyscrasias or any disorders causing hemolysis or unstable red blood cell.
  11. Contraindications to pre-existing background antidiabetic therapy.
  12. Treatment with anti-obesity drugs.
  13. Current treatment with systemic steroids or change in dosage of thyroid hormones within six weeks prior to informed consent or any other uncontrolled endocrine disorder except Type 2 Diabetes.
  14. Pre-menopausal women who are nursing or pregnant or are of child-bearing potential and are not practising an acceptable method of birth control.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
741 participants (actual)

Study arms

  • Experimental
    BI 10773 low dose

    BI 10773 tablets once daily

    Drug: BI 10773 · Drug: Placebo

  • Experimental
    BI 10773 high dose

    BI 10773 tablets once daily

    Drug: Placebo · Drug: BI 10773

  • Placebo comparator
    Placebo

    Placebo tablets matching BI 10773

    Drug: Placebo

Interventions

  • DrugBI 10773

    BI 10773 tablets once daily

  • DrugPlacebo

    Placebo tablets identical to BI 10773 low dose

  • DrugPlacebo

    Placebo tablets identical to BI 10773 high dose

  • DrugBI 10773

    BI 10773 tablets once daily

  • DrugPlacebo

    Placebo tablets identical to BI 10773 low dose

  • DrugPlacebo

    Placebo tablets identical to BI 10773 high dose

06

What researchers measure

Primary outcomes

  1. HbA1c Change From Baseline in Patients With Mild or Moderate Renal Impairment

    Change from baseline in HbA1c after 24 weeks, for patients with mild or moderate renal impairment. Note adjusted means are provided.

    Time frame: Baseline and 24 weeks

  2. HbA1c Change From Baseline in Patients With Mild Renal Impairment

    Change from baseline in HbA1c after 24 weeks, for patients with mild renal impairment. Note adjusted means are provided.

    Time frame: Baseline and 24 weeks

  3. HbA1c Change From Baseline in Patients With Moderate Renal Impairment

    Change from baseline in HbA1c after 24 weeks, for patients with moderate renal impairment. Note adjusted means are provided.

    Time frame: Baseline and 24 weeks

Other outcomes

  1. Hypoglycaemic Events

    Percentage of patients who experienced a hypoglycaemic event. A hypoglycaemic event was regarded as confirmed if it was documented as an adverse event with plasma glucose values \<= 70 mg/dL (\<=3.9mmol/L) measured or with a documentation that the assistance of another person to actively administer carbohydrate, glucagon or other resuscitative action had been required.

    Time frame: From first drug administration until 7 days after last trial medication intake, up to 458 days

07

Results

Posted Jun 16, 2014
Limitations and caveats
In this trial, only patients with mild or moderate renal impairment were analysed. Patients with severe or no renal impairment were not analysed.

Participant flow

Participant flow — Overall Study
MilestonePlaceboEmpa 10mgEmpa 25mg
Started32198322
Completed27888280
Not completed431042
Withdrew: Not treated201
Withdrew: Adverse event18421
Withdrew: Lack of efficacy001
Withdrew: Non compliant with protocol114
Withdrew: Lost to follow-up303
Withdrew: Patient refusal to continue,not due toae1048
Withdrew: Other reason not defined above914

Outcome measures

PrimaryHbA1c Change From Baseline in Patients With Mild or Moderate Renal Impairment

Change from baseline in HbA1c after 24 weeks, for patients with mild or moderate renal impairment. Note adjusted means are provided.

Time frame:
Baseline and 24 weeks
Reported as:
Mean · percentage of HbA1c
HbA1c Change From Baseline in Patients With Mild or Moderate Renal Impairment
percentage of HbA1cPlaceboEmpa 25mg
HbA1c Change From Baseline in Patients With Mild or Moderate Renal Impairment0.05 ± 0.04-0.46 ± 0.04
Statistical analysis
  • Placebo vs Empa 25mg · ANCOVA · p = <0.0001 (Hierarchical testing to adjust for multiple comparisons, no adjustment in p-values. Empa 25 mg versus placebo in mild or moderate renal impaired patients was the first step in the hierarchical sequence.) · Mean difference (final values): -0.51 · 95% CI -0.62 to -0.39Difference calculated as empa 25mg minus placebo
PrimaryHbA1c Change From Baseline in Patients With Mild Renal Impairment

Change from baseline in HbA1c after 24 weeks, for patients with mild renal impairment. Note adjusted means are provided.

Time frame:
Baseline and 24 weeks
Reported as:
Mean · percentage of HbA1c
HbA1c Change From Baseline in Patients With Mild Renal Impairment
percentage of HbA1cPlaceboEmpa 10mgEmpa 25mg
HbA1c Change From Baseline in Patients With Mild Renal Impairment0.06 ± 0.07-0.46 ± 0.07-0.63 ± 0.07
Statistical analysis
  • Placebo vs Empa 10mg · ANCOVA · p = <0.0001 (Hierarchical testing to adjust for multiple comparisons, no adjustment in p-values. Empa 25 mg versus placebo in mild renal impaired patients was the second step in the hierarchical sequence.) · Mean difference (final values): -0.52 · 95% CI -0.72 to -0.32Difference calculated as empa 10mg minus placebo
  • Placebo vs Empa 25mg · ANCOVA · p = <0.0001 (Hierarchical testing to adjust for multiple comparisons, no adjustment in p-values. Empa 10 mg versus placebo in mild renal impaired patients was the third step in the hierarchical sequence.) · Mean difference (final values): -0.68 · 95% CI -0.88 to -0.49Difference calculated as empa 25mg minus placebo
PrimaryHbA1c Change From Baseline in Patients With Moderate Renal Impairment

Change from baseline in HbA1c after 24 weeks, for patients with moderate renal impairment. Note adjusted means are provided.

Time frame:
Baseline and 24 weeks
Reported as:
Mean · percentage of HbA1c
HbA1c Change From Baseline in Patients With Moderate Renal Impairment
percentage of HbA1cPlaceboEmpa 25mg
HbA1c Change From Baseline in Patients With Moderate Renal Impairment0.05 ± 0.05-0.37 ± 0.05
Statistical analysis
  • Placebo vs Empa 25mg · ANCOVA · p = <0.0001 (Hierarchical testing to adjust for multiple comparisons, no adjustment in p-values. Empa 10 mg versus placebo in moderate renal impaired patients was the fourth step in the hierarchical sequence.) · Mean difference (final values): -0.42 · 95% CI -0.56 to -0.28Difference calculated as empa 25mg minus placebo
Other pre-specifiedHypoglycaemic Events

Percentage of patients who experienced a hypoglycaemic event. A hypoglycaemic event was regarded as confirmed if it was documented as an adverse event with plasma glucose values \<= 70 mg/dL (\<=3.9mmol/L) measured or with a documentation that the assistance of another person to actively administer carbohydrate, glucagon or other resuscitative action had been required.

Time frame:
From first drug administration until 7 days after last trial medication intake, up to 458 days
Reported as:
Number · percentage of participants
Hypoglycaemic Events
percentage of participantsPlaceboEmpa 10mgEmpa 25mg
Hypoglycaemic Events27.626.527.4

Adverse events

Collected over From first drug administration until 7 days after last trial medication intake, up to 458 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—44/319 (13.8%)207/319 (64.9%)
Empa 10mg—6/98 (6.1%)64/98 (65.3%)
Empa 25mg—40/321 (12.5%)187/321 (58.3%)
Most frequent serious events
Showing 10 of 117
Most frequent serious events
EventPlaceboEmpa 10mgEmpa 25mg
Acute coronary syndromeCardiac disorders0/3191/980/321
Oesophageal varices haemorrhageGastrointestinal disorders0/3191/980/321
Chest painGeneral disorders3/3191/980/321
Cholecystitis acuteHepatobiliary disorders0/3191/980/321
OsteoarthritisMusculoskeletal and connective tissue disorders0/3191/981/321
Benign prostatic hyperplasiaReproductive system and breast disorders0/3191/980/321
Aortic stenosisVascular disorders0/3191/980/321
Cardiac failureCardiac disorders3/3190/980/321
Renal failure acuteRenal and urinary disorders3/3190/983/321
Urinary tract infectionInfections and infestations2/3190/983/321
Most frequent other events
Showing 10 of 13
Most frequent other events
EventPlaceboEmpa 10mgEmpa 25mg
HypoglycaemiaMetabolism and nutrition disorders92/31927/9889/321
Upper respiratory tract infectionInfections and infestations25/31914/9835/321
Urinary tract infectionInfections and infestations39/31914/9838/321
HyperglycaemiaMetabolism and nutrition disorders41/3194/9823/321
NasopharyngitisInfections and infestations29/3196/9827/321
Back painMusculoskeletal and connective tissue disorders19/3198/9819/321
Pain in extremityMusculoskeletal and connective tissue disorders10/3198/986/321
CoughRespiratory, thoracic and mediastinal disorders25/3192/9811/321
ArthralgiaMusculoskeletal and connective tissue disorders21/3197/9813/321
HypertensionVascular disorders20/3191/9814/321

Baseline characteristics

Baseline characteristics are presented for treated patients only.

Age, Continuous
Age, Continuous(years)PlaceboEmpa 10mgEmpa 25mgTotal
Mean64.1 ± 8.763.2 ± 8.563.9 ± 9.063.9 ± 8.8
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboEmpa 10mgEmpa 25mgTotal
Female13838132308
Male18160189430
08

Study locations

127 sites
  • 1245.36.10014 Boehringer Ingelheim Investigational Site
    Anaheim, California, United States
  • 1245.36.10019 Boehringer Ingelheim Investigational Site
    Lomita, California, United States
  • 1245.36.10017 Boehringer Ingelheim Investigational Site
    Plantation, Florida, United States
  • 1245.36.10009 Boehringer Ingelheim Investigational Site
    West Palm Beach, Florida, United States
  • 1245.36.10018 Boehringer Ingelheim Investigational Site
    Honolulu, Hawaii, United States
  • 1245.36.10015 Boehringer Ingelheim Investigational Site
    Shreveport, Louisiana, United States
  • 1245.36.10021 Boehringer Ingelheim Investigational Site
    Endwell, New York, United States
  • 1245.36.10008 Boehringer Ingelheim Investigational Site
    Greenville, North Carolina, United States
  • 1245.36.10005 Boehringer Ingelheim Investigational Site
    Bethlehem, Pennsylvania, United States
  • 1245.36.10003 Boehringer Ingelheim Investigational Site
    Melrose Park, Pennsylvania, United States
  • 1245.36.10004 Boehringer Ingelheim Investigational Site
    Greer, South Carolina, United States
  • 1245.36.10012 Boehringer Ingelheim Investigational Site
    Corpus Christi, Texas, United States
  • 1245.36.10013 Boehringer Ingelheim Investigational Site
    Dallas, Texas, United States
  • 1245.36.10002 Boehringer Ingelheim Investigational Site
    Houston, Texas, United States
  • 1245.36.10007 Boehringer Ingelheim Investigational Site
    San Antonio, Texas, United States
  • 1245.36.10023 Boehringer Ingelheim Investigational Site
    Renton, Washington, United States
  • 1245.36.10011 Boehringer Ingelheim Investigational Site
    Spokane, Washington, United States
  • 1245.36.10006 Boehringer Ingelheim Investigational Site
    Tacoma, Washington, United States
  • 1245.36.20052 Boehringer Ingelheim Investigational Site
    Calgary, Alberta, Canada
  • 1245.36.20054 Boehringer Ingelheim Investigational Site
    Calgary, Alberta, Canada
  • 1245.36.20023 Boehringer Ingelheim Investigational Site
    Edmonton, Alberta, Canada
  • 1245.36.20055 Boehringer Ingelheim Investigational Site
    Edmonton, Alberta, Canada
  • 1245.36.20048 Boehringer Ingelheim Investigational Site
    Winnipeg, Manitoba, Canada
  • 1245.36.20051 Boehringer Ingelheim Investigational Site
    Mississauga, Ontario, Canada
  • 1245.36.20086 Boehringer Ingelheim Investigational Site
    Thornhill, Ontario, Canada
  • 1245.36.20053 Boehringer Ingelheim Investigational Site
    Toronto, Ontario, Canada
  • 1245.36.20056 Boehringer Ingelheim Investigational Site
    Montreal, Quebec, Canada
  • 1245.36.33001 Boehringer Ingelheim Investigational Site
    Corbeil Essonnes, France
  • 1245.36.33042 Boehringer Ingelheim Investigational Site
    Nanterre Cedex, France
  • 1245.36.33041 Boehringer Ingelheim Investigational Site
    Nice, France
  • 1245.36.33036 Boehringer Ingelheim Investigational Site
    Paris, France
  • 1245.36.33040 Boehringer Ingelheim Investigational Site
    Poitiers, France
  • 1245.36.33038 Boehringer Ingelheim Investigational Site
    Reims Cedex, France
  • 1245.36.33037 Boehringer Ingelheim Investigational Site
    Reims, France
  • 1245.36.33043 Boehringer Ingelheim Investigational Site
    Rennes, France
  • 1245.36.33044 Boehringer Ingelheim Investigational Site
    Saint Mandé, France
  • 1245.36.85201 Boehringer Ingelheim Investigational Site
    Hong Kong, Hong Kong
  • 1245.36.85204 Boehringer Ingelheim Investigational Site
    Hong Kong, Hong Kong
  • 1245.36.85205 Boehringer Ingelheim Investigational Site
    Hong Kong, Hong Kong
  • 1245.36.85206 Boehringer Ingelheim Investigational Site
    Hong Kong, Hong Kong
  • 1245.36.85202 Boehringer Ingelheim Investigational Site
    Kowloon, Hong Kong
  • 1245.36.91209 Boehringer Ingelheim Investigational Site
    Aligarh, Uttar Pradesh, India
  • 1245.36.91202 Boehringer Ingelheim Investigational Site
    Bangalore, India
  • 1245.36.91204 Boehringer Ingelheim Investigational Site
    Bangalore, India
  • 1245.36.91205 Boehringer Ingelheim Investigational Site
    Bangalore, India
  • 1245.36.91208 Boehringer Ingelheim Investigational Site
    Bangalore, India
  • 1245.36.91201 Boehringer Ingelheim Investigational Site
    Chennai, India
  • 1245.36.91214 Boehringer Ingelheim Investigational Site
    Chennai, India
  • 1245.36.91213 Boehringer Ingelheim Investigational Site
    Gurgaon, India
  • 1245.36.91203 Boehringer Ingelheim Investigational Site
    Hyderabad, India
  • 1245.36.91211 Boehringer Ingelheim Investigational Site
    Kolkata, India
  • 1245.36.91210 Boehringer Ingelheim Investigational Site
    Mangalore, India
  • 1245.36.91215 Boehringer Ingelheim Investigational Site
    Mumbai, Maharastra, India
  • 1245.36.91216 Boehringer Ingelheim Investigational Site
    Nasik, India
  • 1245.36.91212 Boehringer Ingelheim Investigational Site
    New Delhi, India
  • 1245.36.91207 Boehringer Ingelheim Investigational Site
    Pune, India
  • 1245.36.60003 Boehringer Ingelheim Investigational Site
    Johor Baru, Malaysia
  • 1245.36.60006 Boehringer Ingelheim Investigational Site
    Kelantan Kota Bahru, Malaysia
  • 1245.36.60005 Boehringer Ingelheim Investigational Site
    Kuala Lumpur, Malaysia
  • 1245.36.60009 Boehringer Ingelheim Investigational Site
    Kuala Lumpur, Malaysia
  • 1245.36.60004 Boehringer Ingelheim Investigational Site
    Pahang, Malaysia
  • 1245.36.60007 Boehringer Ingelheim Investigational Site
    Perak, Malaysia
  • 1245.36.60011 Boehringer Ingelheim Investigational Site
    Perak, Malaysia
  • 1245.36.60010 Boehringer Ingelheim Investigational Site
    Pulau Piang, Malaysia
  • 1245.36.60008 Boehringer Ingelheim Investigational Site
    Sabah, Malaysia
  • 1245.36.60001 Boehringer Ingelheim Investigational Site
    Selangor Darul Ehsan, Malaysia
  • 1245.36.31015 Boehringer Ingelheim Investigational Site
    Amersfoort, Netherlands
  • 1245.36.31004 Boehringer Ingelheim Investigational Site
    Den Haag, Netherlands
  • 1245.36.31012 Boehringer Ingelheim Investigational Site
    Geleen, Netherlands
  • 1245.36.31017 Boehringer Ingelheim Investigational Site
    Hardenberg, Netherlands
  • 1245.36.31009 Boehringer Ingelheim Investigational Site
    Maastricht, Netherlands
  • 1245.36.31002 Boehringer Ingelheim Investigational Site
    Utrecht, Netherlands
  • 1245.36.31003 Boehringer Ingelheim Investigational Site
    Zaandam, Netherlands
  • 1245.36.63008 Boehringer Ingelheim Investigational Site
    Cavite City, Philippines
  • 1245.36.63006 Boehringer Ingelheim Investigational Site
    Cebu, Philippines
  • 1245.36.63005 Boehringer Ingelheim Investigational Site
    Manila, Philippines
  • 1245.36.63007 Boehringer Ingelheim Investigational Site
    Manila, Philippines
  • 1245.36.63009 Boehringer Ingelheim Investigational Site
    Marikina, Philippines
  • 1245.36.63010 Boehringer Ingelheim Investigational Site
    Tacloban, Philippines
  • 1245.36.48006 Boehringer Ingelheim Investigational Site
    Gdansk, Poland
  • 1245.36.48003 Boehringer Ingelheim Investigational Site
    Lodz, Poland
  • 1245.36.48004 Boehringer Ingelheim Investigational Site
    Lodz, Poland
  • 1245.36.48001 Boehringer Ingelheim Investigational Site
    Lublin, Poland
  • 1245.36.48002 Boehringer Ingelheim Investigational Site
    Poznan, Poland
  • 1245.36.48007 Boehringer Ingelheim Investigational Site
    Ruda Slaska, Poland
  • 1245.36.48005 Boehringer Ingelheim Investigational Site
    Torun, Poland
  • 1245.36.35003 Boehringer Ingelheim Investigational Site
    Faro, Portugal
  • 1245.36.35002 Boehringer Ingelheim Investigational Site
    Lisboa, Portugal
  • 1245.36.35004 Boehringer Ingelheim Investigational Site
    Lisboa, Portugal
  • 1245.36.35001 Boehringer Ingelheim Investigational Site
    Vila Nova de Gaia, Portugal
  • 1245.36.70008 Boehringer Ingelheim Investigational Site
    Moscow, Russian Federation
  • 1245.36.70009 Boehringer Ingelheim Investigational Site
    Moscow, Russian Federation
  • 1245.36.70011 Boehringer Ingelheim Investigational Site
    Moscow, Russian Federation
  • 1245.36.70004 Boehringer Ingelheim Investigational Site
    St. Petersburg, Russian Federation
  • 1245.36.70006 Boehringer Ingelheim Investigational Site
    St. Petersburg, Russian Federation
  • 1245.36.70002 Boehringer Ingelheim Investigational Site
    Vsevolozhsk, Russian Federation
  • 1245.36.74011 Boehringer Ingelheim Investigational Site
    Moldava nad Bodvou, Slovakia
  • 1245.36.74013 Boehringer Ingelheim Investigational Site
    Nitra, Slovakia
  • 1245.36.74008 Boehringer Ingelheim Investigational Site
    Nove Mesto Nad Vahom, Slovakia
  • 1245.36.74012 Boehringer Ingelheim Investigational Site
    Presov, Slovakia

Showing the first 100 of 127 sites across 15 countries.

09

References and documents

Publications

  • Tuttle KR, Levin A, Nangaku M, Kadowaki T, Agarwal R, Hauske SJ, Elsasser A, Ritter I, Steubl D, Wanner C, Wheeler DC. Safety of Empagliflozin in Patients With Type 2 Diabetes and Chronic Kidney Disease: Pooled Analysis of Placebo-Controlled Clinical Trials. Diabetes Care. 2022 Jun 2;45(6):1445-1452. doi: 10.2337/dc21-2034. PubMed 35472672 ↗
  • Cherney D, Lund SS, Perkins BA, Groop PH, Cooper ME, Kaspers S, Pfarr E, Woerle HJ, von Eynatten M. The effect of sodium glucose cotransporter 2 inhibition with empagliflozin on microalbuminuria and macroalbuminuria in patients with type 2 diabetes. Diabetologia. 2016 Sep;59(9):1860-70. doi: 10.1007/s00125-016-4008-2. Epub 2016 Jun 17. PubMed 27316632 ↗
  • Barnett AH, Mithal A, Manassie J, Jones R, Rattunde H, Woerle HJ, Broedl UC; EMPA-REG RENAL trial investigators. Efficacy and safety of empagliflozin added to existing antidiabetes treatment in patients with type 2 diabetes and chronic kidney disease: a randomised, double-blind, placebo-controlled trial. Lancet Diabetes Endocrinol. 2014 May;2(5):369-84. doi: 10.1016/S2213-8587(13)70208-0. Epub 2014 Jan 24. PubMed 24795251 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 16, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01164501
Lead sponsor
Boehringer Ingelheim
Collaborators
Eli Lilly and Company
Responsible party
Sponsor
First posted
Jul 16, 2010
Start date
Jul 2010
Primary completion
Jul 2012
Completion
Jul 2012
Results posted
Jun 16, 2014
Last update
Jun 16, 2014

Study contacts

Boehringer Ingelheim
study chair · Boehringer Ingelheim
View the source record on ClinicalTrials.gov ↗

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