A Phase 2/3 interventional study of Dapagliflozin 10 mg and Saxagliptin 2.5 mg in Type 2 Diabetes Mellitus, CKD and Albuminuria, sponsored by AstraZeneca. Completed at 112 sites in 9 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2019-08-21.
Sponsored by AstraZeneca · Phase 2/3, Interventional, and Treatment
The purpose of this clinical research study is to determine whether dapagliflozin alone or in combination with saxagliptin can decrease albuminuria and improve glycemic control in patients with Type 2 diabetes, albuminuria and renal impairment (CKD). The study is planned to randomize a total of 450 patients (150 patients per treatment arm)
121 studies on the registry are indexed under Albuminuria; 21 are open to participants now.
This study's enrollment of 459 is above the median of 73 across 96 interventional studies indexed under Albuminuria.
Browse Albuminuria 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:
Any of the following CV/Vascular Diseases within 3 month prior to signing the consent at Visit 1:
Tablets administered orally once daily for 24 weeks
Drug: Dapagliflozin 10 mg
Tablets administered orally once daily for 24 weeks
Drug: Saxagliptin 2.5 mg
Tablets administered orally once daily for 24 weeks
Drug: Matching Placebo for Dapagliflozin 10 mg and Saxagliptin 2.5mg
Tablets administered orally once daily for 24 weeks.
Also known as: Forxiga™
Tablets administered orally once daily for 24 weeks.
Also known as: Onglyza™
Tablets administered orally once daily for 24 weeks.
Adjusted Mean Change From Baseline in Glycosylated Haemoglobin (HbA1c): Comparison of Dapagliflozin 10 mg Plus Saxagliptin 2.5 mg and Placebo at Week 24
HbA1c was analysed at baseline and every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a mixed model repeated measures (MMRM) model.
Time frame: Baseline and Week 24
Adjusted Mean Percent Change From Baseline in Urine Albumin-to-Creatinine Ratio (UACR) at Week 24
UACR was analysed at baseline and every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. UACR values were first transformed to logarithms and the results were based on exponentiation of model estimates and expressed as adjusted mean percent change from baseline at Week 24.
Time frame: Baseline and Week 24
Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24
Total body weight was measured in kilograms (kg) at baseline and at Week 1 then every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. Total body weight values were first transformed to logarithms and the results were based on exponentiation of model estimates and expressed as adjusted mean percent change from baseline at Week 24.
Time frame: Baseline and Week 24
Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
FPG was analysed at baseline and Week 1 then every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model.
Time frame: Baseline and Week 24
Percentage of Patients Achieving at Least 30% Reduction in UACR at Week 24
The percentage of patients meeting the criteria of at least a 30% reduction in UACR, was analysed using a logistic regression model. If no measurement was available at Week 24 the last available post-baseline measurement was carried forward (Last Observation Carried Forward \[LOCF\]).
Time frame: From baseline up to Week 24
Percentage of Patients Achieving a Reduction in HbA1c of Less Than 7.0% at Week 24
The percentage of patients meeting the criteria of a less than 7% reduction in HbA1c, was analysed using a logistic regression model. If no measurement was available at Week 24 the last available post-baseline measurement was carried forward (LOCF). Only measurements prior to rescue or treatment discontinuation were analysed.
Time frame: From baseline to Week 24
Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24
Seated SBP was analysed at baseline, Week 1 and every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model.
Time frame: Baseline and Week 24
Adjusted Mean Change From Baseline in HbA1c: Comparison of Dapagliflozin 10 mg and Placebo at Week 24
HbA1c was analysed at baseline and every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model.
Time frame: Baseline and Week 24
Patients with Chronic Kidney Disease and Type 2 Diabetes Mellitus with micro- or macro-albuminuria and treated with ACEi or ARB were enrolled into an international, multi-centre study from 21 Sep 2015. The last patient's last visit was 18 May 2018.
| Milestone | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Started | 155 | 145 | 148 |
| Received treatment | 152 | 145 | 148 |
| Full analysis set | 152 | 144 | 148 |
| Safety analysis set | 152 | 145 | 148 |
| Completed | 150 | 137 | 143 |
| Not completed | 5 | 8 | 5 |
| Withdrew: Other | 0 | 1 | 0 |
| Withdrew: Withdrawal by subject | 2 | 3 | 4 |
| Withdrew: Screen failure | 2 | 0 | 0 |
| Withdrew: Physician decision | 0 | 1 | 0 |
| Withdrew: Lost to follow-up | 0 | 2 | 1 |
| Withdrew: Death | 1 | 1 | 0 |
HbA1c was analysed at baseline and every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a mixed model repeated measures (MMRM) model.
| Percentage of Glycoslyated HbA1c | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Placebo |
|---|---|---|
| Adjusted Mean Change From Baseline in Glycosylated Haemoglobin (HbA1c): Comparison of Dapagliflozin 10 mg Plus Saxagliptin 2.5 mg and Placebo at Week 24 | -0.85 ± 0.09 | -0.27 ± 0.09 |
UACR was analysed at baseline and every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. UACR values were first transformed to logarithms and the results were based on exponentiation of model estimates and expressed as adjusted mean percent change from baseline at Week 24.
| Percent change | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Adjusted Mean Percent Change From Baseline in Urine Albumin-to-Creatinine Ratio (UACR) at Week 24 | -39.1 ± 5.1 | -22.4 ± 6.6 | -1.8 ± 8.3 |
Total body weight was measured in kilograms (kg) at baseline and at Week 1 then every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. Total body weight values were first transformed to logarithms and the results were based on exponentiation of model estimates and expressed as adjusted mean percent change from baseline at Week 24.
| Percent change | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24 | -0.65 ± 0.55 | -1.48 ± 0.56 | -0.61 ± 0.56 |
FPG was analysed at baseline and Week 1 then every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model.
| mg/decilitre (dL) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 | -17.2 ± 5.2 | -13.1 ± 5.4 | -11.2 ± 5.5 |
The percentage of patients meeting the criteria of at least a 30% reduction in UACR, was analysed using a logistic regression model. If no measurement was available at Week 24 the last available post-baseline measurement was carried forward (Last Observation Carried Forward \[LOCF\]).
| Percentage of patients | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Percentage of Patients Achieving at Least 30% Reduction in UACR at Week 24 | 57.0 | 45.0 | 31.3 |
The percentage of patients meeting the criteria of a less than 7% reduction in HbA1c, was analysed using a logistic regression model. If no measurement was available at Week 24 the last available post-baseline measurement was carried forward (LOCF). Only measurements prior to rescue or treatment discontinuation were analysed.
| Percentage of patients | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Percentage of Patients Achieving a Reduction in HbA1c of Less Than 7.0% at Week 24 | 35.1 | 15.0 | 10.3 |
Seated SBP was analysed at baseline, Week 1 and every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model.
| Millimetre of mercury (mmHg) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24 | -8.8 ± 1.6 | -6.9 ± 1.7 | -4.1 ± 1.7 |
HbA1c was analysed at baseline and every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model.
| Percentage of Glycoslyated HbA1c | Dapagliflozin 10 mg | Placebo |
|---|---|---|
| Adjusted Mean Change From Baseline in HbA1c: Comparison of Dapagliflozin 10 mg and Placebo at Week 24 | -0.43 ± 0.09 | -0.27 ± 0.09 |
Collected over Adverse events (AEs) are reported from Day 1 of the 24-week double-blind treatment period. Non-serious AEs were included up to the last day of double-blind treatment + 4 days. Serious AEs were included up to the last day of double-blind treatment + 30 days, giving a total maximum time frame of 28 weeks.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Dapagliflozin 10 mg + Saxagliptin 2.5 mg | 1/152 (0.7%) | 12/152 (7.9%) | 12/152 (7.9%) |
| Dapagliflozin 10 mg | 1/145 (0.7%) | 12/145 (8.3%) | 18/145 (12.4%) |
| Placebo | 0/148 (0%) | 16/148 (10.8%) | 8/148 (5.4%) |
| Event | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| SyncopeNervous system disorders | 0/152 | 2/145 | 0/148 |
| Angina pectorisCardiac disorders | 0/152 | 1/145 | 2/148 |
| Myocardial infarctionCardiac disorders | 0/152 | 0/145 | 2/148 |
| Ankle fractureInjury, poisoning and procedural complications | 0/152 | 0/145 | 2/148 |
| Cerebrovascular accidentNervous system disorders | 0/152 | 0/145 | 2/148 |
| Acute kidney injuryRenal and urinary disorders | 0/152 | 0/145 | 2/148 |
| HypoglycaemiaMetabolism and nutrition disorders | 2/152 | 0/145 | 1/148 |
| Cardiac failureCardiac disorders | 0/152 | 1/145 | 0/148 |
| Ventricular extrasystolesCardiac disorders | 0/152 | 1/145 | 0/148 |
| DiarrhoeaGastrointestinal disorders | 0/152 | 1/145 | 0/148 |
| Event | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo |
|---|---|---|---|
| NasopharyngitisInfections and infestations | 10/152 | 10/145 | 6/148 |
| InfluenzaInfections and infestations | 2/152 | 8/145 | 2/148 |
Baseline characteristics are presented for all randomised patients.
| Age, Continuous(years) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 64.0 ± 9.21 | 64.7 ± 8.61 | 64.7 ± 8.53 | 64.4 ± 8.78 |
| Age, Customized(Participants) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo | Total |
|---|---|---|---|---|
| <65 years | 78 | 64 | 68 | 210 |
| >=65 years | 77 | 81 | 80 | 238 |
| Sex: Female, Male(Participants) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo | Total |
|---|---|---|---|---|
| Female | 45 | 43 | 43 | 131 |
| Male | 110 | 102 | 105 | 317 |
| Ethnicity (NIH/OMB)(Participants) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo | Total |
|---|---|---|---|---|
| Hispanic or Latino | 42 | 32 | 38 | 112 |
| Not Hispanic or Latino | 113 | 113 | 110 | 336 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Dapagliflozin 10 mg + Saxagliptin 2.5 mg | Dapagliflozin 10 mg | Placebo | Total |
|---|---|---|---|---|
| White | 77 | 55 | 64 | 196 |
| Black or African American | 8 | 7 | 11 | 26 |
| Asian | 57 | 67 | 53 | 177 |
| Native Hawaiian or other Pacific Islander | 1 | 2 | 1 | 4 |
| American Indian or Alaska Native | 0 | 1 | 1 | 2 |
| Other | 12 | 13 | 18 | 43 |
Showing the first 100 of 112 sites across 9 countries.
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This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.
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