The objective of the current study is to investigate the efficacy, safety and tolerability of linagliptin (5 mg / once daily) compared to placebo given over 12 weeks in drug naive or previously treated type 2 diabetic patients with moderate to severe renal impairment and insufficient glycaemic control. In addition safety in this patient population with longer term (40 week) treatment in comparison to sulfonylurea drug (glimepiride).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
241
1-4 mg daily after 12 weeks
Placebo mach to 5 mg linagliptin first 12 weeks of treatment once daily
Placebo maching Glimepiride 1-4 mg after 12 weeks of treatment
HbA1c Change From Baseline to Week 12
HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c, renal function impairment and prior use of antidiabetic agents.
Time frame: Baseline and week 12
HbA1c Change From Baseline Over Time
HbA1c is measured as a percentage. Thus, this change from baseline reflects the HbA1c percent over time minus the baseline HbA1c percent. This outcome measure only provides descriptive statistics without any modelling.
Time frame: Baseline, week 4, week 8, week 12, week 16, week 20, week 24, week 28, week 34, week 40, week 46, week 52
Fasting Plasma Glucose (FPG) Change From Baseline to Week 12
This change from baseline reflects the Week 12 FPG minus the baseline FPG. Means are treatment-adjusted for baseline HbA1c, baseline FPG and prior use of insulin, week repeated within patient and week by treatment interaction.
Time frame: Baseline and week 12
Fasting Plasma Glucose (FPG) Change From Baseline Over Time
This change from baseline reflects the FPG over time minus the baseline FPG. This outcome measure only provides descriptive statistics without any modelling.
Time frame: Baseline, week 4, week 8, week 12, week 20, week 24, week 28, week 34, week 40, week 46, week 52
Percentage of Patients With HbA1c <7.0%
The percentage of patients with an HbA1c value below 7% at week 12 and week 52 were calculated for each treatment arm. If a patient did not have an HbA1c value at week 12 or 52 respectively, they were considered a failure, so HbA1c above 7%.
Time frame: Baseline, week 12 and week 52
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Placebo mach to 5 mg linagliptin once daily after 12 weeks
5 mg once daily
1218.64.10007 Boehringer Ingelheim Investigational Site
Chula Vista, California, United States
1218.64.10018 Boehringer Ingelheim Investigational Site
Pembroke Pines, Florida, United States
1218.64.10016 Boehringer Ingelheim Investigational Site
Decatur, Georgia, United States
1218.64.10015 Boehringer Ingelheim Investigational Site
Boise, Idaho, United States
1218.64.10002 Boehringer Ingelheim Investigational Site
Chicago, Illinois, United States
1218.64.10004 Boehringer Ingelheim Investigational Site
Flint, Michigan, United States
1218.64.10006 Boehringer Ingelheim Investigational Site
Kansas City, Missouri, United States
1218.64.10003 Boehringer Ingelheim Investigational Site
The Bronx, New York, United States
1218.64.10013 Boehringer Ingelheim Investigational Site
Philadelphia, Pennsylvania, United States
1218.64.10020 Boehringer Ingelheim Investigational Site
Philadelphia, Pennsylvania, United States
...and 42 more locations
Percentage of Patients With HbA1c <6.5%
The percentage of patients with an HbA1c value below 6.5% at week 12 and week 52 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 12 or 52 respectively they were considered a failure, so HbA1c above 6.5%.
Time frame: Baseline, week 12 and week 52
Percentage of Patients Who Have a HbA1c Lowering by at Least 0.5%
The percentage of patients with an HbA1c reduction of ≥0.5% at week 12 and week 52 from baseline was calculated for each treatment arm. If a patient did not have an HbA1c value at week 12 or 52 respectively they were considered a failure, so HbA1c reduction less than 0.5%.
Time frame: Baseline, week 12 and week 52
Plasma Concentration of Linagliptin at Trough
Trough levels of concentration of Linagliptin in plasma.
Time frame: Week 12, 24 and 52