The objective of the current study is to investigate the safety and tolerability of BI 1356 (5 mg / once daily) given for 78 weeks in different modalities of treatment. The treatment modalities are determined by the treatment in the blinded trial in which every patient was included previously as BI 1356 in monotherapy (patients in 1218.16 trial), BI 1356 in combination with pioglitazone (patients in 1218.15 trial), BI 1356 added to metformin background (patients in 1218.17 trial) or BI 1356 added to a background therapy of metformin in combination with a sulphonylurea (patients in 1218.18 study)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
2,122
safety and efficacy of linagliptine 5 mg open label
efficacy and safety of the combination linagliptine and pioglitazone
1218.40.10003 Boehringer Ingelheim Investigational Site
Chula Vista, California, United States
1218.40.10014 Boehringer Ingelheim Investigational Site
Spring Valley, California, United States
1218.40.10001 Boehringer Ingelheim Investigational Site
Walnut Creek, California, United States
1218.40.10021 Boehringer Ingelheim Investigational Site
Northglenn, Colorado, United States
1218.40.10010 Boehringer Ingelheim Investigational Site
Hollywood, Florida, United States
Frequency of Patients With Adverse Events (AEs)
This includes any AEs detected during routine physical examination and electrocardiogram (ECG) procedures.
Time frame: 78 weeks
Frequency of Patients With Investigator-defined Hypoglycaemic Adverse Events
Time frame: 78 weeks
Frequency of Patients With Significant Adverse Events Based on Standardised MedDRA Query (SMQ)
As significant adverse events are considered: renal Aes (SMQ 'acute renal failure'), hypersensitivity reactions ('anaphylactic reactions' and 'angioedema'), hepatic Aes ('hepatitis, non-infectious', 'hepatic failure, fibrosis, cirrhosis and other liver damage-related conditions', 'liver-related investigations, signs and symptoms', 'cholestasis and jaundice of hepatic origin'), severe cutaneous adverse reactions ('severe cutaneous adverse reaction'), pancreatitis ('acute pancreatitis', 'chronic pancreatitis'').
Time frame: 78 weeks
Frequency of Patients With Adjudication of Cardiac and Cerebrovascular Events
Patients reported with cardiac and cerebrovascular events qualified for adjudication by the Clinical Event Committee (CEC)
Time frame: 78 weeks
Number of Patients With Abnormalities in Vital Signs
Vital sign abnormalities (any abnormalities found during PE or ECG are reported with adverse events)
Time frame: 78 weeks
Number of Patients With Abnormalities in Haematology: Eosinophils
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 10%.
Time frame: 78 weeks
Number of Patients With Abnormalities in Haematology: Haemoglobin
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than or equal to 11.5 g/dL for male and as a value less than or equal to 9.5 g/dL for female patients.
Time frame: 78 weeks
Number of Patients With Abnormalities in Haematology: Haematocrit
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than or equal to 32%.
Time frame: 78 weeks
Number of Patients With Abnormalities in Haematology: Red Blood Cell Count
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 3 \* 10\^12/L.
Time frame: 78 weeks
Number of Patients With Abnormalities in Haematology: White Blood Cell Count
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 3 \* 10\^9/L (decrease) or a value greater than 20.1 \* 10\^9/L (increase).
Time frame: 78 weeks
Number of Patients With Abnormalities in Haematology: Platelets
For this laboratory parameter, a possibly clinically significant abnormality is defined as value less than or equal to 75 \* 10\^9/L (decrease) or a value greater than or equal to 700 \* 10\^9/L (increase).
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Potassium
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 3 mmol/L (decrease) or a value greater than 5.8 mmol/L (increase).
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Uric Acid
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than 11 mg/dL for male and as a value greater than 10 mg/dL for female patients.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Triglycerides
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than 300 mg/dL.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Amylase
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than 1.5 times the upper limit of normal (ULN).
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: γ-Glutamyl-transferase (GGT)
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 3 times the ULN.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Creatinine
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 1.5 mg/dL.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Creatinine Kinase
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 3 times the ULN.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Phosphate
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 0.7 mmol/L (decrease) or a value greater than 1.7 mmol/L (increase).
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Calcium
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 1.8 mmol/L (decrease) or a value greater than 3 mmol/L (increase).
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Sodium
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 130 mmol/L (decrease) or a value greater than 160 mmol/L (increase).
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Alanine Transaminase (ALT)
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 3 times the ULN.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Aspartate Transaminase (AST)
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 3 times the ULN.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Glucose
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 54 mg/dL.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Bilirubin
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 2 mg/dL.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Alkaline Phosphatase (AP)
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 2 times the ULN.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Albumin
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value less than 2.5 g/dL.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Lactate Dehydrogenase (LDH)
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than or equal to 3 times the ULN.
Time frame: 78 weeks
Number of Patients With Abnormalities in Clinical Chemistry: Cholesterol
For this laboratory parameter, a possibly clinically significant abnormality is defined as a value greater than 300 mg/dL.
Time frame: 78 weeks
Change in HbA1c From Baseline to Week 6
Time frame: Baseline and week 6
Change in HbA1c From Baseline to Week 18
Time frame: Baseline and week 18
Change in HbA1c From Baseline to Week 30
Time frame: Baseline and week 30
Change in HbA1c From Baseline to Week 42
Time frame: Baseline and week 42
Change in HbA1c From Baseline to Week 54
Time frame: Baseline and week 54
Change in HbA1c From Baseline to Week 66
Time frame: Baseline and week 66
Change in HbA1c From Baseline to Week 78
Time frame: Baseline and week 78
Number of Patients With HbA1c<7.0% Over Time
Time frame: 78 weeks
Number of Patients With HbA1c<6.5% Over Time
Time frame: 78 weeks
Number of Patients With Lowered HbA1c by at Least 0.5% Over Time
Time frame: 78 weeks
Change in FPG From Baseline to Week 6
Time frame: Baseline and week 6
Change in FPG From Baseline to Week 18
Time frame: Baseline and week 18
Change in FPG From Baseline to Week 30
Time frame: Baseline and week 30
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
1218.40.10011 Boehringer Ingelheim Investigational Site
Miami, Florida, United States
1218.40.10016 Boehringer Ingelheim Investigational Site
Eugene, Oregon, United States
1218.40.10002 Boehringer Ingelheim Investigational Site
Greer, South Carolina, United States
1218.40.10004 Boehringer Ingelheim Investigational Site
Simpsonville, South Carolina, United States
1218.40.10005 Boehringer Ingelheim Investigational Site
Dallas, Texas, United States
...and 222 more locations
Change in FPG From Baseline to Week 42
Time frame: Baseline and week 42
Change in FPG From Baseline to Week 54
Time frame: Baseline and week 54
Change in FPG From Baseline to Week 66
Time frame: Baseline and week 66
Change in FPG From Baseline to Week 78
Time frame: Baseline and week 78