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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01042977
Registration number
NCT01042977
Ethics application status
Date submitted
5/01/2010
Date registered
6/01/2010
Date last updated
17/02/2014
Titles & IDs
Public title
Efficacy and Safety in Patients With Type 2 Diabetes Mellitus and Cardiovascular Disease
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Scientific title
A 24-week, Multicentre, Randomised, Double-blind,Age-stratified, Placebo Controlled Phase III Study With an 80-week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin 10 mg Once Daily in Patients With T2DM and Cardiovascular Disease, Who Exhibit Inadequate Glycaemic Control on Usual Care
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Secondary ID [1]
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D1690C00019
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 Diabetes Mellitus
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Cardiovascular Disease
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Inadequate Glycaemic Control
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Condition category
Condition code
Metabolic and Endocrine
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Dapagliflozin
Treatment: Drugs - Placebo
Experimental: 1 - dapagliflozin 10 mg tablet
Placebo comparator: 2 - matching placebo tablet
Treatment: Drugs: Dapagliflozin
10 mg tablet, oral, once daily, 24- week treatment and 80-week extension period
Treatment: Drugs: Placebo
matching placebo tablet, oral, once daily, 24- week treatment and 80-week extension period
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Adjusted Mean Change in HbA1c Levels
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Assessment method [1]
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To compare the glycemic efficacy of dapagliflozin 10 mg versus placebo when added to usual care in type 2 diabetes patients with cardiovascular disease, measured as the mean change in HbA1c from baseline to week 24.
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Timepoint [1]
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Baseline to Week 24
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Primary outcome [2]
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Proportion of Responders Meeting All Criteria of a 3-item Endpoint of Clinical Benefit
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Assessment method [2]
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To compare the clinical benefit of dapagliflozin 10 mg versus placebo when added to usual care in type 2 diabetes patients with cardiovascular disease at week 24, measured as the proportion of responders for a 3-item endpoint of clinical benefit, defined as an absolute drop of 0.5% or more from baseline HbA1c, and a relative drop of 3% or more from baseline for total body weight, and an absolute drop of 3 mmHg or more from baseline in seated systolic blood pressure.
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Timepoint [2]
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Baseline to Week 24
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Secondary outcome [1]
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Adjusted Mean Percent Change in Body Weight
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Assessment method [1]
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To compare the mean percent change in body weight from baseline to week 24 between dapagliflozin 10 mg versus placebo.
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Timepoint [1]
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Baseline to Week 24
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Secondary outcome [2]
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Proportion of Participants With a Reduction From Baseline of 5% or More in Body Weight in Participants With Baseline BMI =27 kg/m²
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Assessment method [2]
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To compare the proportion of participants with BMI baseline =27 kg/m2 with a reduction from baseline of 5% or more in body weight with dapagliflozin 10 mg versus placebo from baseline to week 24. Least Squares Mean represents the percent of participants adjusted for baseline body weight and age stratum.
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Timepoint [2]
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Baseline to Week 24
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Secondary outcome [3]
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Adjusted Mean Change in Systolic Blood Pressure at Week 8 (LOCF)
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Assessment method [3]
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To compare the mean change in seated systolic blood pressure from baseline to week 8 between dapagliflozin 10 mg versus placebo.
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Timepoint [3]
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Baseline to Week 8
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Secondary outcome [4]
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Adjusted Mean Change in Seated Systolic Blood Pressure at Week 24 (LOCF)
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Assessment method [4]
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To compare the mean change in seated systolic blood pressure from baseline to week 24 between dapagliflozin 10 mg versus placebo.
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Timepoint [4]
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Baseline to Week 24
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Secondary outcome [5]
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Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) at Week 8 (LOCF) in Participants With Baseline SBP>=130 mmHg
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Assessment method [5]
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To compare the mean change in seated systolic blood pressure (SBP) in participants with baseline seated SBP =130 mmHg achieved with dapagliflozin versus placebo from baseline to week 8.
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Timepoint [5]
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Baseline to Week 8
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Eligibility
Key inclusion criteria
* Type 2 diabetes mellitus.
* Cardiovascular disease
* Uninterrupted anti-diabetic treatment for at least 8 weeks before enrolment
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Minimum age
45
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients with type 1 diabetes or diabetes insipidus
* Patients with 3 or more oral anti-hyperglycaemic drugs with or without insulin and/or poorly controlled diabetes
* Any clinically significant illness, which would compromise the patient's safety and their participation in the study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2012
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Sample size
Target
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Accrual to date
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Final
964
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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Research Site - Blacktown
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Research Site - Broadmeadow
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Research Site - Herston
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- Blacktown
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- Broadmeadow
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- Hornsby
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- Wollongong
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- Carina Heights
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- Kippa-ring
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- Adelaide
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- Bedford Park
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- Keswick
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- Box Hill
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Recruitment postcode(s) [11]
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- Heidelberg
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Recruitment postcode(s) [12]
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- Herston
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Recruitment outside Australia
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Alabama
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Zielona Gora
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AstraZeneca
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Address
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Commercial sector/industry
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Bristol-Myers Squibb
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is carried out to assess whether dapagliflozin improves glycemic control, decreases fasting plasma glucose levels, body weight and blood pressure when added to patient's existing medications and how it compares with their usual treatment without added dapagliflozin. Safety data will be collected and analysed to confirm that treatment with dapagliflozin is safe and well tolerated in patients who have diabetes and cardiovascular disease
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Trial website
https://clinicaltrials.gov/study/NCT01042977
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr. Lawrence A Leiter, MD
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Address
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Division of Endocrinology & Metabolism, St Michael's Hospital
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01042977
Download to PDF