Study To Evaluate 24 Hour Blood Sugar Control (24-hour Mean Weighted Glucose) In Subjects That Are Taking Saxagliptin 5 mg Added Onto Metformin XR 1500 XR mg Compared To Subjects Taking Metformin XR 1500 mg Up-titrated To Metformin XR 2000 mg

Overview[ - collapse ][ - ]

Purpose The purpose of this study was to compare effect of Saxagliptin as add-on to Metformin on 24-hour mean weighted glucose (MWG) to the effect of uptitrating Metformin in subjects with T2DM inadequately controlled on metformin alone.
ConditionType 2 Diabetes
InterventionDrug: Saxagliptin
Drug: Metformin XR
Drug: Placebo matching Metformin XR
Drug: Metformin XR
Drug: Placebo matching Saxagliptin
PhasePhase 3
SponsorBristol-Myers Squibb
Responsible PartyBristol-Myers Squibb
ClinicalTrials.gov IdentifierNCT00918138
First ReceivedJune 9, 2009
Last UpdatedOctober 17, 2011
Last verifiedOctober 2011

Tracking Information[ + expand ][ + ]

First Received DateJune 9, 2009
Last Updated DateOctober 17, 2011
Start DateAugust 2009
Estimated Primary Completion DateMay 2010
Current Primary Outcome MeasuresChange From Baseline in 24-Hour Mean Weighted Glucose (MWG) at Week 4 [Time Frame: Baseline, Week 4] [Designated as safety issue: No]Adjusted mean change from baseline in MWG achieved with saxagliptin 5 mg plus metformin XR versus placebo plus metformin XR at Week 24. MWG was calculated as the area under the curve (AUC) for the full 24 hours expressed as average mg/dL. Glucose measurements were collected 30 minutes before and just prior to each meal (0 minutes) and 30, 60, 120, and 180 minutes after each meal (with 1 additional measurement at 240 minutes after the evening meal), midnight, 3 AM, and at end-of-domicile visit 24 hours after the first measurement. Mean change from baseline was adjusted for baseline value.
Current Secondary Outcome Measures
  • Change From Baseline to Week 4 in 2-hour Postprandial Glucose (PPG) (2 Hours After the Evening Meal) [Time Frame: Baseline, Week 4] [Designated as safety issue: No]Adjusted mean change from baseline in 2-hour postprandial (after mealtime) plasma glucose two hours after start of the evening meal during 24-hour domicile visits evaluated both at pre-randomization (baseline) and at Week 4. Mean change from baseline was adjusted for baseline value.
  • Change From Baseline Fasting Plasma Glucose (FPG) at Week 4, Obtained Immediately Before the Morning Meal [Time Frame: Baseline, Week 4] [Designated as safety issue: No]FPG measurements were done at baseline, day 14 and 28. At baseline and day 28, the FPG value=plasma glucose value collected 30 minutes prior to the morning meal during the domicile visit.

Descriptive Information[ + expand ][ + ]

Brief TitleStudy To Evaluate 24 Hour Blood Sugar Control (24-hour Mean Weighted Glucose) In Subjects That Are Taking Saxagliptin 5 mg Added Onto Metformin XR 1500 XR mg Compared To Subjects Taking Metformin XR 1500 mg Up-titrated To Metformin XR 2000 mg
Official TitleA 4-Week, Multicenter, Randomized, Double-Blind, Phase 3b Trial to Evaluate the Efficacy of Saxagliptin in Combination With Metformin XR 1500 mg Versus Up-titrated Metformin XR to 2000 mg in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise and a Stable Dose of Metformin XR 1500 mg
Brief Summary
The purpose of this study was to compare effect of Saxagliptin as add-on to Metformin on
24-hour mean weighted glucose (MWG) to the effect of uptitrating Metformin in subjects with
T2DM inadequately controlled on metformin alone.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
ConditionType 2 Diabetes
InterventionDrug: Saxagliptin
Tablets, Oral, 5 mg, once daily, 4 weeks
Other Names:
  • BMS-477118
  • Onglyza
Drug: Metformin XR
Tablets, Oral, 1500 mg, once daily, 4 weeks
Other Names:
Glucophage XR®Drug: Placebo matching Metformin XR
Tablets, Oral, 0 mg, once daily, 4 weeks
Drug: Metformin XR
Tablets, Oral, 500 mg, once daily, 4 weeks
Other Names:
Glucophage XR®Drug: Placebo matching Saxagliptin
Tablets, Oral, 0 mg, once daily, 4 weeks
Study Arm (s)
  • Experimental: Saxagliptin + Metformin XR + matching Metformin XR placebo
    (Saxagliptin 5 mg plus Metformin XR 1500 plus matching Metformin XR 500 mg placebo)
  • Active Comparator: Metformin XR + Metformin XR + matching Saxagliptin placebo
    (Metformin XR 500 mg plus Metformin XR 1500 mg plus matching Saxagliptin 5 mg placebo)

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment219
Estimated Completion DateMay 2010
Estimated Primary Completion DateMay 2010
Eligibility Criteria
Inclusion Criteria:

- Type 2 diabetes

- 18-78 years of age

- Taking stable dose of metformin immediate release (IR) or XR ≥850 mg and ≤1500 mg as
monotherapy for at least 8 weeks prior to screening

- Glycosylated hemoglobin A1C (A1C) 7.5-11.5% at screening

- Fasting C-peptide: ≥1.0 ng/mL

- FPG≥126 mg/dl obtained at the Day -7 visit

- Body mass index (BMI): ≤ 40kg/m²

- A1C ≥ 7.0% and ≤ 11.0% obtained at the Day -7 visit for randomization

Exclusion Criteria:

- Women of childbearing potential unable or unwilling to use acceptable birth control

- Women who are pregnant or breastfeeding

- Significant cardiovascular history

- Active liver disease

- Renal impairment
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States, Argentina, Israel, Mexico

Administrative Information[ + expand ][ + ]

NCT Number NCT00918138
Other Study ID NumbersCV181-085
Has Data Monitoring CommitteeNo
Information Provided ByBristol-Myers Squibb
Study SponsorBristol-Myers Squibb
CollaboratorsAstraZeneca
Investigators Study Director: Bristol-Myers Squibb Bristol-Myers Squibb
Verification DateOctober 2011

Locations[ + expand ][ + ]

Dedicated Phase I, Inc.
Phoenix, Arizona, United States, 85013
Pacific Sleep Medicine Services (Avastra Clinical Trials)
Redlands, California, United States, 92373
Orange County Research Center
Tustin, California, United States, 92780
Clinical Research Of South Florida
Coral Gables, Florida, United States, 33134
Palm Springs Research Institute
Hialeah, Florida, United States, 33012
Healthcare Clinical Data, Inc.
North Miami, Florida, United States, 33161
River Birch Research Alliance, Llc
Blue Ridge, Georgia, United States, 30513
Jasper Clinic, Inc.
Kalamazoo, Michigan, United States, 49007
Clinilabs, Inc.
New York, New York, United States, 10019
Medpace Clinical Pharmacology Unit
Cincinnati, Ohio, United States, 45212
Clinical Trials Of Texas Inc.
San Antonio, Texas, United States, 78229
Advanced Clinical Research
West Jordan, Utah, United States, 84088
Local Institution
Capital Federal, Buenos Aires, Argentina, 1429
Local Institution
Buenos Aires, Argentina, 1425
Local Institution
Beer-Sheva, Israel, 84101
Local Institution
Holon, Israel, 58100
Local Institution
Kfar-Saba, Israel, 44281
Local Institution
Zefat, Israel, 13100
Local Institution
Monterrey, Nuevo Leon, Mexico, 64460
Local Institution
Durango, Mexico, 34075
Local Institution
Durango, Mexico, 34000