The purpose of this study is to determine the safety and efficacy of alogliptin, once daily (QD), compared to diet and exercise, sulfonylurea, metformin and a combination of sulfonylurea and metformin for treating subjects with type 2 diabetes.
Of the approximately 19 million people in the United States who have been diagnosed with diabetes mellitus, 90% to 95% have type 2 diabetes mellitus. The prevalence of type 2 diabetes mellitus varies among racial and ethnic populations and has been shown to increase with age, obesity, family history, history of gestational diabetes, and physical inactivity. Over the next decade, a disproportionate increase in the elderly population will result in a marked increase in diabetic patients, placing an ever-increasing burden on families and the health care system. In response to this problem, Takeda Global Research \& Development Center, Inc. is developing SYR-322 (alogliptin), a selective, orally available inhibitor of the enzyme dipeptidyl peptidase IV. Dipeptidyl peptidase IV is thought to be primarily responsible for the in vivo degradation of 2 peptide hormones released in response to nutrient ingestion, namely glucagon-like peptide-1 and glucose-dependent insulinotropic peptide. Individuals who want to participate in this study will be required to provide written informed consent. Study participation is anticipated to be about 14 Weeks. Multiple procedures will occur at each visit which may include blood collection, urine collection, vital signs including sitting and standing blood pressure and pulse, body height and weight, physical examinations and electrocardiograms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
265
Alogliptin 6.25 mg, tablets, orally, once daily for up to 12 weeks
Alogliptin 12.5 mg, tablets, orally, once daily for up to 12 weeks.
Alogliptin 25 mg, tablets, orally, once daily for up to 12 weeks.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Day 85.
The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at day 85 or final visit and glycosylated hemoglobin collected at baseline.
Time frame: Baseline and Day 85.
Change From Baseline in Glycosylated Hemoglobin at Day 43.
The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at day 43 and glycosylated hemoglobin collected at baseline.
Time frame: Baseline and Day 43.
Change From Baseline in Fasting Plasma Glucose (Day 43).
The change between the value of fasting plasma glucose collected at day 43 and fasting plasma glucose collected at baseline.
Time frame: Baseline and Day 43
Change From Baseline in Fasting Plasma Glucose (Day 85).
The change between the value of fasting plasma glucose collected at day 85 or final visit and fasting plasma glucose collected at baseline.
Time frame: Baseline and Day 85.
Change From Baseline in Fasting Fructosamine (Day 43).
The change between the value of fasting fructosamine collected at day 43 and fasting fructosamine collected at baseline.
Time frame: Baseline and Day 43.
Change From Baseline in Fasting Fructosamine (Day 85).
The change between the value of fasting fructosamine collected at day 85 or final visit and fasting fructosamine collected at baseline.
Time frame: Baseline and Day 85.
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Alogliptin 50 mg, tablets, orally, once daily for up to 12 weeks.
Alogliptin 100 mg, tablets, orally, once daily for up to 12 weeks.
Alogliptin placebo-matching tablets, orally, once daily for up to 12 weeks.
Change From Baseline in Total Cholesterol (Day 43).
The change between the value of cholesterol collected at day 43 and cholesterol collected at baseline.
Time frame: Baseline and Day 43
Change From Baseline in Total Cholesterol (Day 85).
The change between the value of cholesterol collected at day 85 or final visit and cholesterol collected at baseline.
Time frame: Baseline and Day 85.
Change From Baseline in High-Density Lipoprotein Cholesterol (Day 43).
The change between high-density lipoprotein cholesterol collected at day 43 and high-density lipoprotein cholesterol collected at baseline.
Time frame: Baseline and Day 43.
Change From Baseline in High-Density Lipoprotein Cholesterol (Day 85).
The change between high-density lipoprotein cholesterol collected at day 85 or final visit and high-density lipoprotein cholesterol collected at baseline.
Time frame: Baseline and Day 85.
Change From Baseline in Low-Density Lipoprotein Cholesterol (Day 43).
The change between low-density lipoprotein cholesterol collected at day 43 and low-density lipoprotein cholesterol collected at baseline.
Time frame: Baseline and Day 43.
Change From Baseline in Low-Density Lipoprotein Cholesterol (Day 85).
The change between low-density lipoprotein cholesterol collected at day 85 or final visit and low-density lipoprotein cholesterol collected at baseline.
Time frame: Baseline and Day 85.
Change From Baseline in Triglycerides (Day 43).
The change between triglycerides collected at day 43 and triglycerides collected at baseline.
Time frame: Baseline and Day 43.
Change From Baseline in Triglycerides (Day 85).
The change between triglycerides collected at day 85 or final visit and triglycerides collected at baseline.
Time frame: Baseline and Day 85.
Mean Percent Incidence of Marked Hyperglycemia (Fasting Plasma Glucose ≥ 200 mg/dL).
The incidence of marked hyperglycemia occurring in participants with a fasting plasma glucose value greater than or equal to 200 mg per dL during study. Overall mean obtained by weighting the hyperglycemia percent incidence values at each time point by number of days in between visits. Mean percent incidence of marked hyperglycemia at each time point is the percent of self-monitored blood glucose measurements greater than or equal to 200 mg per dL, calculated per participant and then averaged across population.
Time frame: 85 Days.