ClinicalTrials.gg
RecruitingNCT04670666Updated Dec 8, 2025

Efficacy and Safety of Madalena Association in the Treatment of Type II Diabetes Mellitus

A Phase 3 interventional study of MADALENA ASSOCIATION and METFORMIN in Type 2 Diabetes Mellitus, sponsored by EMS. Recruiting at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-08.

Sponsored by EMS · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Nov 2024; still recruiting 1 year 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
270
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of Madalena association in the treatment of type 2 diabetes mellitus.

02

Conditions studied

  • Type 2 Diabetes Mellitus

Keywords

  • Type 2 Diabetes Mellitus
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 270 is above the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

EMS is the lead sponsor of 84 studies on the registry; 21 are open to participants now.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Ability to confirm voluntary participation and agree to all trial purposes by signing and dating the forms;
  • Participants with 18 years of age or greater;
  • Participants presenting the diagnosis of type II diabetes mellitus, and who did not reach the therapeutic goals of with previous dietary, physical exercise guidance and at least 3 months with two anti-hyperglycemic agents (dual therapy);
  • HbA1c ≥ 7,5% and ≤ 10,5% and fasting blood glucose > 100 mg/dL at the screening visit;
  • (body mass index) > 19 Kg/m2 and ≤ 45 Kg/m2.

Exclusion criteria

Exclusion Criteria:

  • Any clinical and laboratory findings that, in the judgment of the investigator, may interfere with the safety of research participants;
  • History of alcohol abuse or illicit drug use;
  • Participation in a clinical trial in the year prior to this study;
  • Pregnancy or risk of pregnancy and lactating patients;
  • Known to the formula components used during the clinical trial;
  • Type 1 diabetes mellitus;
  • Fasting blood glucose > 300 mg/dL;
  • Risk factors for volume depletion;
  • Impaired renal function and end-stage renal disease;
  • Participants with current treatment and continued for more than 15 days with systemic at the time of ;
  • Impaired hepatic function;
  • Medical history of pancreatic diseases that may suggest insulin deficiency;
  • Bariatric surgery in the last two years and/ or other gastrointestinal surgeries that can cause chronic malabsorption syndrome;
  • Condition that, in the investigator's judgment, may favor changes in CPK levels;
  • Medical history of acute coronary syndrome, stroke, unstable congestive heart failure, or respiratory failure within 6 months prior to informed consent;
  • Current medical history of cancer and/ or cancer treatment in the last 5 years;
  • Medical history of metabolic acidosis and/or using drugs that may cause lactic acidosis;
  • Medical history of blood dyscrasia or any other hemolytic disorders;
  • Participants using sulfonylureas and/or insulin therapy;
  • Treatment with anti-obesity drugs for less than 2 months or with dose change in the last 2 months.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
270 participants (estimated)

Study arms

  • Experimental
    MADALENA

    The study is triple-dummy. The patient must take 3 tablets once a day, as follows: 1 tablet Madalena association, oral; 1 tablet empagliflozin + linagliptin association placebo, oral; 1 tablet metformin placebo, oral.

    Drug: MADALENA ASSOCIATION · Other: METFORMIN PLACEBO · Other: EMPAGLIFLOZIN + LINAGLIPTIN PLACEBO

  • Active comparator
    Metformin + empagliflozin + linagliptin

    The patient must take 3 tablets once a day, as follows: 1 tablet Madalena association placebo, oral; 1 tablet empagliflozin + linagliptin association, oral; 1 tablet metformin, oral.

    Drug: METFORMIN · Drug: EMPAGLIFLOZIN + LINAGLIPTIN · Other: MADALENA ASSOCIATION PLACEBO

Interventions

  • DrugMADALENA ASSOCIATION

    Madalena association coated tablet.

  • Metformin 1000 mg extended-release tablet.

  • DrugEMPAGLIFLOZIN + LINAGLIPTIN

    Drug pages: Empagliflozin · Linagliptin

    Empagliflozin 10 mg + linagliptin 5 mg coated tablet.

  • OtherMADALENA ASSOCIATION PLACEBO

    Madalena association placebo tablet.

  • OtherMETFORMIN PLACEBO

    Metformin placebo tablet.

  • OtherEMPAGLIFLOZIN + LINAGLIPTIN PLACEBO

    Empagliflozin + linagliptin placebo tablet.

06

What researchers measure

Primary outcomes

  1. Change from baseline in glycated hemoglobin (HbA1c) levels.

    Time frame: 120 days

Secondary outcomes

  1. Incidence and severity of adverse events recorded during the study.

    Time frame: 150 days

07

Study locations

1 of 1 sites recruiting
  • EMS
    Hortolândia, São Paulo, Brazil
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04670666
Lead sponsor
EMS
Responsible party
Sponsor
First posted
Dec 17, 2020
Start date
Nov 18, 2024
Primary completion
Jul 2026 (estimated)
Completion
Jun 2027 (estimated)
Last update
Dec 8, 2025

Study contacts

Monalisa FB Oliveira, MD
Contact
pesquisa.clinica@ncfarma.com.br
+551938879851

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion