A Phase 3 interventional study of Dapagliflozin and Placebo for dapagliflozin in Type 1 Diabetes Mellitus, sponsored by AstraZeneca. Completed at 137 sites in 13 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-03-05.
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
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 815 is above the median of 80 across 8,367 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 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 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
Other: Placebo for dapagliflozin
Tablets
Tablets
Adjusted Mean Change From Baseline in HbA1c at Week 24
To compare the change from baseline in HbA1c between dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
Time frame: Baseline and 24 weeks
Adjusted Mean Percentage Change From Baseline in Total Daily Insulin Dose at Week 24
To compare the percent change from baseline in total daily insulin dose with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
Time frame: Baseline and 24 weeks
Adjusted Mean Percentage Change From Baseline in Body Weight at Week 24
To compare the percentage change from baseline in body weight with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
Time frame: Baseline and 24 weeks
Adjusted Mean Change From Baseline in 24-hour Continuous Glucose Monitoring (CGM) Mean Value at Week 24
To compare the change from baseline in mean value of 24-hour glucose readings obtained from CGM with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
Time frame: Baseline and 24 weeks
Adjusted Mean Change From Baseline in 24-hour CGM Mean Amplitude of Glycemic Excursion (MAGE) Value at Week 24
To compare the change from baseline in mean amplitude of glucose excursions (MAGE) of 24-hour glucose readings obtained from CGM with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
Time frame: Baseline and 24 weeks
Change From Baseline in the Percent of 24-hour Glucose Readings Obtained From CGM That Falls Within the Target Range of > 70 mg/dL and <= 180 mg/dL (%) at Week 24
To compare the change from baseline in the percent of 24-hour glucose readings obtained from CGM that falls within the target range of \>70 mg/dL and \<=180 mg/dL with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
Time frame: Baseline and 24 weeks
Percentage of Subjects With HbA1c Reduction From Baseline to Week 24 Last Observation Carried Forward (LOCF) >= 0.5% and Without Severe Hypoglycemia Events at Week 24
To compare dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin for the proportion of subjects achieving an HbA1c reduction from baseline to Week 24 visit \>=0.5% without severe hypoglycemia events
Time frame: Baseline and 24 weeks
The results on this form are from the 24 week short-term double-blind treatment period. This study was conducted at 148 centers in 13 countries from 8 July 2015 to 2 Sep 2017.
| Milestone | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Started | 271 | 270 | 272 |
| Completed | 244 | 245 | 239 |
| Not completed | 27 | 25 | 33 |
| Withdrew: Adverse event | 17 | 11 | 11 |
| Withdrew: Withdrawal by subject | 5 | 5 | 14 |
| Withdrew: Lost to follow-up | 2 | 3 | 1 |
| Withdrew: Protocol violation | 1 | 1 | 1 |
| Withdrew: Discontinued due to dka/hypoglycemia | 2 | 5 | 4 |
| Withdrew: Pregnancy | 0 | 0 | 2 |
To compare the change from baseline in HbA1c between dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
| HbA1c (%) | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Adjusted Mean Change From Baseline in HbA1c at Week 24 | -0.34 (-0.43 to -0.25) | -0.39 (-0.48 to -0.30) | 0.03 (-0.06 to 0.12) |
To compare the percent change from baseline in total daily insulin dose with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
| Percentage change | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Adjusted Mean Percentage Change From Baseline in Total Daily Insulin Dose at Week 24 | -8.73 (-11.09 to -6.31) | -9.05 (-11.43 to -6.60) | 2.29 (-0.41 to 5.06) |
To compare the percentage change from baseline in body weight with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
| Percentage change | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Adjusted Mean Percentage Change From Baseline in Body Weight at Week 24 | -3.22 (-3.76 to -2.69) | -3.76 (-4.29 to -3.22) | -0.02 (-0.57 to 0.54) |
To compare the change from baseline in mean value of 24-hour glucose readings obtained from CGM with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
| mg/dL | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Adjusted Mean Change From Baseline in 24-hour Continuous Glucose Monitoring (CGM) Mean Value at Week 24 | -6.46 (-10.04 to -2.87) | -10.54 (-14.14 to -6.94) | 9.20 (5.57 to 12.83) |
To compare the change from baseline in mean amplitude of glucose excursions (MAGE) of 24-hour glucose readings obtained from CGM with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
| mg/dL | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Adjusted Mean Change From Baseline in 24-hour CGM Mean Amplitude of Glycemic Excursion (MAGE) Value at Week 24 | -10.17 (-13.90 to -6.45) | -9.68 (-13.44 to -5.93) | -0.33 (-4.12 to 3.46) |
To compare the change from baseline in the percent of 24-hour glucose readings obtained from CGM that falls within the target range of \>70 mg/dL and \<=180 mg/dL with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment
| % of readings | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Change From Baseline in the Percent of 24-hour Glucose Readings Obtained From CGM That Falls Within the Target Range of > 70 mg/dL and <= 180 mg/dL (%) at Week 24 | 5.92 (4.32 to 7.52) | 7.60 (5.98 to 9.21) | -3.10 (-4.73 to -1.47) |
To compare dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin for the proportion of subjects achieving an HbA1c reduction from baseline to Week 24 visit \>=0.5% without severe hypoglycemia events
| Participants | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Number of Responders | 105 | 111 | 54 |
Collected over All adverse events (AEs), including serious adverse events (SAEs), were collected from the time informed consent was signed throughout the treatment period (through week 24).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| DAPA 5 MG + INS | 0/271 (0%) | 18/271 (6.6%) | 79/271 (29.2%) |
| DAPA 10 MG + INS | 0/270 (0%) | 7/270 (2.6%) | 77/270 (28.5%) |
| PLA + INS | 0/272 (0%) | 5/272 (1.8%) | 63/272 (23.2%) |
| Event | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Diabetic ketoacidosisMetabolism and nutrition disorders | 7/271 | 3/270 | 0/272 |
| HypoglycemiaMetabolism and nutrition disorders | 3/271 | 0/270 | 1/272 |
| Hypoglycaemic seizureNervous system disorders | 2/271 | 0/270 | 0/272 |
| Cerebral haemorrhageNervous system disorders | 0/271 | 1/270 | 0/272 |
| ComaNervous system disorders | 0/271 | 1/270 | 0/272 |
| Diabetic hyperglycaemic comaNervous system disorders | 0/271 | 1/270 | 0/272 |
| SeizureNervous system disorders | 0/271 | 1/270 | 0/272 |
| Femur fractureInjury, poisoning and procedural complications | 0/271 | 1/270 | 0/272 |
| Subarachnoid haemorrhageInjury, poisoning and procedural complications | 0/271 | 1/270 | 0/272 |
| Cardiac arrestCardiac disorders | 0/271 | 1/270 | 0/272 |
| Event | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS |
|---|---|---|---|
| Viral upper respiratory tract infectionInfections and infestations | 39/271 | 44/270 | 42/272 |
| PollakiuriaRenal and urinary disorders | 22/271 | 14/270 | 6/272 |
| Upper respiratory tract infectionInfections and infestations | 16/271 | 12/270 | 12/272 |
| HeadacheNervous system disorders | 10/271 | 15/270 | 10/272 |
| ThirstGeneral disorders | 6/271 | 14/270 | 1/272 |
| Age, Continuous(Years) | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS | Total |
|---|---|---|---|---|
| Mean | 42.7 ± 13.35 | 42.4 ± 12.80 | 43.0 ± 13.73 | 42.7 ± 13.29 |
| Sex: Female, Male(Participants) | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS | Total |
|---|---|---|---|---|
| Female | 153 | 149 | 153 | 455 |
| Male | 118 | 121 | 119 | 358 |
| Race/Ethnicity, Customized(Participants) | DAPA 5 MG + INS | DAPA 10 MG + INS | PLA + INS | Total |
|---|---|---|---|---|
| White | 210 | 219 | 208 | 637 |
| Black or African-American | 4 | 7 | 1 | 12 |
| Asian | 57 | 44 | 59 | 160 |
| Other | 0 | 0 | 4 | 4 |
Showing the first 100 of 137 sites across 13 countries.
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