A Phase 3 interventional study of Dapagliflozin and Placebo for dapagliflozin in Type 1 Diabetes Mellitus, sponsored by AstraZeneca. Completed at 131 sites in 17 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-09-13.
Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment
The purpose of this study is to determine if adding dapagliflozin to insulin is a safe and effective therapy to improve glycemic control in patients with type 1 diabetes.
Study Classification: Safety, Efficacy and Pharmacokinetics/dynamics
10,926 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 833 is above the median of 80 across 8,368 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.
Of its 358 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:
Taking any antidiabetic medication (other than insulin), within 1 month prior to screening
Dapagliflozin 5 mg tablet orally, once daily for 52 weeks
Drug: Dapagliflozin
Dapagliflozin 10 mg tablet orally, once daily for 52 weeks
Drug: Dapagliflozin
Placebo tablet orally, once daily for 52 weeks
Drug: Placebo for dapagliflozin
Tablets
Tablets
Adjusted Mean Change in HbA1c From Baseline at Week 24
Adjusted mean change from baseline in HbA1c at Week 24 (Repeated Measures Model\[RMM\]).
Time frame: From Baseline to Week 24
Adjusted Mean Percent Change in Total Daily Insulin Dose From Baseline at Week 24
Adjusted mean change from baseline in Total Daily Insulin Dose at Week 24 (Repeated Measures Model\[RMM\])
Time frame: From Baseline to Week 24
Adjusted Mean Percent Change in Body Weight From Baseline at Week 24
Adjusted mean percent change from baseline in body weight at Week 24 (Repeated Measures Model\[RMM\])
Time frame: From Baseline to Week 24
Adjusted Mean Change in 24-hour Mean Continuous Glucose Monitoring Glucose From Baseline at Week 24
Adjusted mean change in 24-hour mean Continuous Glucose Monitoring glucose from baseline at Week 24 (Repeated Measures Model\[RMM\])
Time frame: From Baseline to Week 24
Adjusted Mean Change in 24-hour Continuous Glucose Monitoring MAGE From Baseline at Week 24
Adjusted Mean Change in 24-hour Continuous Glucose Monitoring Mean Amplitude of Glucose Excursions (MAGE) from Baseline at Week 24 (Repeated Measures Model\[RMM\])
Time frame: From Baseline to Week 24
Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose > 70 and <= 180 (mg/dL) From Baseline at Week 24
Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose \> 70 and \<= 180 (mg/dL) from Baseline at Week 24 (Repeated Measures Model\[RMM\])
Time frame: From Baseline to Week 24
Subjects With HbA1c Reduction From Baseline to Week 24 (LOCF) >= 0.5% and Without Severe Hypoglycemia Events
Subjects with HbA1c reduction from baseline to week 24 (LOCF) \>= 0.5% and without severe hypoglycemia events
Time frame: From Baseline to Week 24
The first subject was enrolled on 11 November 2014. The last subject completed the 24-week short-term treatment period 04 January 2017 and the last subject completed the study 25 August 2017. This study was conducted at 138 sites in 17 countries.
| Milestone | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Started | 277 | 296 | 260 |
| Completed 24 week period | 252 | 273 | 232 |
| Completed | 235 | 255 | 218 |
| Not completed | 42 | 41 | 42 |
| Withdrew: Subject no longer meets study criteria | 0 | 2 | 0 |
| Withdrew: Pregnancy | 2 | 2 | 1 |
| Withdrew: Lost to follow-up | 3 | 3 | 4 |
| Withdrew: Lack of efficacy | 1 | 0 | 2 |
| Withdrew: Adverse event | 11 | 14 | 9 |
| Withdrew: Withdrawal by subject | 4 | 5 | 10 |
| Withdrew: Subject request to discontinue treatment | 10 | 8 | 6 |
| Withdrew: Poor/non-compliance | 2 | 1 | 2 |
| Withdrew: Other reasons | 7 | 3 | 3 |
| Withdrew: Not entering long-term period | 2 | 3 | 5 |
Adjusted mean change from baseline in HbA1c at Week 24 (Repeated Measures Model\[RMM\]).
| Percentage of hemoglobin | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Adjusted Mean Change in HbA1c From Baseline at Week 24 | -0.45 ± 0.0537 | -0.47 ± 0.0538 | -0.03 ± 0.0540 |
Adjusted mean change from baseline in Total Daily Insulin Dose at Week 24 (Repeated Measures Model\[RMM\])
| IU | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Adjusted Mean Percent Change in Total Daily Insulin Dose From Baseline at Week 24 | -7.74 ± 1.4881 | -12.16 ± 1.4326 | 1.16 ± 1.6593 |
Adjusted mean percent change from baseline in body weight at Week 24 (Repeated Measures Model\[RMM\])
| Kg | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Adjusted Mean Percent Change in Body Weight From Baseline at Week 24 | -3.00 ± 0.2330 | -3.67 ± 0.2299 | 0.05 ± 0.2407 |
Adjusted mean change in 24-hour mean Continuous Glucose Monitoring glucose from baseline at Week 24 (Repeated Measures Model\[RMM\])
| mg/dL | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Adjusted Mean Change in 24-hour Mean Continuous Glucose Monitoring Glucose From Baseline at Week 24 | -10.28 ± 1.8862 | -12.97 ± 1.9231 | 5.06 ± 1.9320 |
Adjusted Mean Change in 24-hour Continuous Glucose Monitoring Mean Amplitude of Glucose Excursions (MAGE) from Baseline at Week 24 (Repeated Measures Model\[RMM\])
| mg/dL | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Adjusted Mean Change in 24-hour Continuous Glucose Monitoring MAGE From Baseline at Week 24 | -14.92 ± 1.9915 | -16.55 ± 2.0419 | 2.38 ± 2.0477 |
Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose \> 70 and \<= 180 (mg/dL) from Baseline at Week 24 (Repeated Measures Model\[RMM\])
| Percentage | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose > 70 and <= 180 (mg/dL) From Baseline at Week 24 | 6.98 ± 0.8824 | 8.52 ± 0.9000 | -2.13 ± 0.9032 |
Subjects with HbA1c reduction from baseline to week 24 (LOCF) \>= 0.5% and without severe hypoglycemia events
| Participants | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Responders | 127 | 129 | 65 |
Collected over Onset on or after the first date of double-blind treatment and on or prior to the last day of treatment 24-week short-term period, 28-week extension period and the 30-day folllow-up period. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dapagliflozin 5 mg + Insulin | 0/277 (0%) | 37/277 (13.4%) | 123/277 (44.4%) |
| Dapagliflozin 10 mg + Insulin | 0/296 (0%) | 40/296 (13.5%) | 118/296 (39.9%) |
| Placebo + Insulin | 1/260 (0.4%) | 30/260 (11.5%) | 99/260 (38.1%) |
| Event | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Diabetic ketoacidosisMetabolism and nutrition disorders | 10/277 | 7/296 | 3/260 |
| HypoglycaemiaMetabolism and nutrition disorders | 2/277 | 4/296 | 3/260 |
| KetoacidosisMetabolism and nutrition disorders | 2/277 | 4/296 | 0/260 |
| Ankle fractureInjury, poisoning and procedural complications | 0/277 | 1/296 | 2/260 |
| Vitreous haemorrhageEye disorders | 2/277 | 0/296 | 0/260 |
| KetosisMetabolism and nutrition disorders | 2/277 | 2/296 | 0/260 |
| Chest painGeneral disorders | 1/277 | 2/296 | 1/260 |
| Angina pectorisCardiac disorders | 1/277 | 0/296 | 1/260 |
| Hyperparathyroidism primaryEndocrine disorders | 0/277 | 0/296 | 1/260 |
| OphthalmoplegiaEye disorders | 0/277 | 0/296 | 1/260 |
| Event | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin |
|---|---|---|---|
| Viral upper respiratory tract infectionInfections and infestations | 51/277 | 46/296 | 48/260 |
| Urinary tract infectionInfections and infestations | 27/277 | 10/296 | 19/260 |
| Upper respiratory tract infectionInfections and infestations | 19/277 | 28/296 | 15/260 |
| DiarrhoeaGastrointestinal disorders | 11/277 | 21/296 | 9/260 |
| HeadacheNervous system disorders | 14/277 | 20/296 | 13/260 |
| InfluenzaInfections and infestations | 15/277 | 15/296 | 17/260 |
| GastroenteritisInfections and infestations | 15/277 | 10/296 | 8/260 |
| NauseaGastrointestinal disorders | 14/277 | 15/296 | 7/260 |
Safety Analysis Set: It consists of all subjects who received at least one dose of double-blind study medication during the short-term double-blind treatment period.
| Age, Continuous(Years) | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin | Total |
|---|---|---|---|---|
| Mean | 42.1 ± 13.94 | 43.4 ± 13.89 | 42.7 ± 13.57 | 42.7 ± 13.80 |
| Age, Customized(Participants) | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin | Total |
|---|---|---|---|---|
| < 65 years | 262 | 279 | 246 | 787 |
| Between 65 and 75 years | 15 | 16 | 14 | 45 |
| >= 75 years | 0 | 1 | 0 | 1 |
| Sex: Female, Male(Participants) | Dapagliflozin 5 mg + Insulin | Dapagliflozin 10 mg + Insulin | Placebo + Insulin | Total |
|---|---|---|---|---|
| Female | 158 | 144 | 128 | 430 |
| Male | 119 | 152 | 132 | 403 |
Showing the first 100 of 131 sites across 17 countries.
This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.
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