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RecruitingNCT06862739GLYCO-3PUpdated Apr 17, 2026

Glycemic Control With Triple Pathway Approach Through Empagliflozin, Linagliptin and Metformin Combination

A Phase 4 interventional study of Empagliflozin+Linagliptin+Metformin in Diabetes Mellitus and Type 2 DM, sponsored by Nabiqasim Industries (Pvt) Ltd. Recruiting at 2 sites in Pakistan. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-17.

Sponsored by Nabiqasim Industries (Pvt) Ltd · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
800
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The efficacy and safety of a triple-pill combination therapy for advanced type 2 diabetes care. The study aims to assess the impact of 3 Oral Anti Diabetic (OAD) drugs on metabolic control, patient compliance, weight management, quality of life, diabetic treatment satisfaction and frequency of hypoglycemic events by combining them into a fixed-dose single pill.

Read the detailed description

This study aims to demonstrate that a poly-pill approach combining metformin, linagliptin, and empagliflozin will provide an effective and safe treatment option for managing type 2 diabetes mellitus (T2DM). By focusing on the reduction of HbA1c levels and enhancing patients' quality of life, this simplified approach is expected to streamline medication regimens, reduce pill burden, and improve treatment adherence. Furthermore, the study anticipates that this combination therapy will positively influence weight management and lower the incidence of hypoglycemic events, addressing common challenges in T2DM management. As T2DM prevalence continues to rise, especially in low- and middle-income countries, the poly-pill strategy may offer significant benefits, promoting better compliance, affordable low-in-cost treatment, and facilitating improved long-term health outcomes. Through this research, the study intends to provide strong evidence supporting the poly-pill regimen as a viable and impactful option for global T2DM management.

02

Conditions studied

  • Diabetes Mellitus
  • Type 2 DM

Keywords

  • Combination
  • empagliflozin
  • metformin
  • linagliptin
  • compliance
  • Hypoglycemic events
  • weight management
  • quality of life
  • treatment satisfaction
  • glycemic control
  • Type 2 DM
03

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients of any gender
  2. Patients aged between 18-80 years
  3. Patients having HbA1c 8 % or above
  4. Patients diagnosed with type II diabetes (more than at least 06 months)
  5. Patients already on at least 02 or more anti-diabetic agents
  6. Patients not allergic to empagliflozin, linagliptin, or metformin

Exclusion criteria

Exclusion criteria

  1. Patients with age less than 18
  2. Patients with Type-I diabetes
  3. Patients having diabetes for less than 06 months
  4. Patients on GLP-1 and GIP
  5. Patients who are pregnant or lactating females
  6. Patients with decompensated chronic liver disease (DCLD)
  7. Patients with eGFR less than 30 ml
  8. Patients with end-stage heart failure (NYHA Class 4)
  9. Patients who are allergic to empagliflozin, linagliptin, or metformin
  10. Patients who are not willing to consent
  11. Patients who are unable to give medical history
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
800 participants (estimated)

Study arms

  • Other
    Glem-Lin MXR Single pill combination study

    Empagliflozin (25 mg) Linagliptin (5 mg) Metformin XR (1000 mg) once daily combination therapy

    Combination Product: Empagliflozin+Linagliptin+Metformin

Interventions

  • Combination productEmpagliflozin+Linagliptin+Metformin

    Scarcity of local population data on triple drug combination's impact on compliance, efficacy and safety in diabetic patients

05

What researchers measure

Primary outcomes

  1. Changes in HbA1c levels

    Metabolic control

    Time frame: 03 months, 06 months

Secondary outcomes

  1. Change in scores of Quality of Life-Short Form "SF-36" questionnaire

    Improvement in quality of life (before and after treatment)

    Time frame: 06 months

  2. Changes in Diabetic Treatment Satisfaction Questionnaire "DTSQ"

    Diabetic treatment satisfaction level (before and after treatment)

    Time frame: 06 months

  3. Hypoglycemic events

    Hypoglycemic events frequency and severity of hypoglycemic events

    Time frame: 06 months

  4. Changes in body weight

    Increase or decrease in body weight

    Time frame: 03 and 06 months

06

Study locations

2 of 2 sites recruiting
  • Faisalabad clinics
    Faisalabad, Punjab Province, Pakistan
    • Ahmad Shahzad · Contact · NQmedicalaffairs@gmail.com · 0329
    • Ahmad Shahzad · Sub investigator
    • Aamir Shoukat · Sub investigator
    • Muhammad Irfan · Sub investigator
    Recruiting
  • Aap ka Clinic
    Lahore, Punjab Province, Pakistan
    • Assia Bukhari Research Coordinator, M Phil · Contact · Assia Bukhari <assia.bukhari.pk@gmail.com> · 03296922380
    • Javed Akram · Principal investigator
    • Aftab Mohsin · Sub investigator
    • Somia Iqtadar · Sub investigator
    • Muhammad Imtiaz · Sub investigator
    • Akmal Bhatty · Sub investigator
    • Azziz Ur Rehman · Sub investigator
    • Sajid Obaidullah · Sub investigator
    • Tariq Waseem · Sub investigator
    • Khalid Mahmud · Sub investigator
    • Idrees Bhatti · Sub investigator
    • Jaida Manzoor · Sub investigator
    • Rizwan Zafar · Sub investigator
    • Taj Jamshed · Sub investigator
    Recruiting
07

References and documents

08

Registry details

Key details

Study ID
NCT06862739
Lead sponsor
Nabiqasim Industries (Pvt) Ltd
Responsible party
Sponsor
First posted
Mar 6, 2025
Start date
Oct 30, 2025
Primary completion
Apr 30, 2026 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
Apr 17, 2026

Oversight

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

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