The aim of this study is to investigate the impact of the combination therapy of linagliptin and metformin at submaximal doses in reduction of Glycosylated haemoglobin (HbA1c) and metformin pre-specified gastro-intestinal (GI) side effects in treatment naive patients of with type 2 diabetes mellitus.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
689
Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) After 14 Weeks Treatment
Adjusted mean change in HbA1c from baseline at Week 14 was analysed using an ANCOVA model. The Model included treatment and continuous baseline HbA1c.
Time frame: Baseline and 14 weeks
Composite Endpoint of Occurrence of Treat to Target Efficacy Response, That is an HbA1c Under Treatment of <7.0% After 14 Weeks of Treatment, on no Occurrence of Moderate or Severe Gastrointestinal (GI) Side Effects During 14 Weeks of Treatment
The proportion of patients who achieved all the targets in a composite endpoint (HbA1c below 7.0% after 14 weeks of treatment; no occurrence of pre-specified moderate or severe gastrointestinal (GI) side effects of metformin, as assessed by the investigators during 14 weeks of treatment)
Time frame: 14 weeks
Occurence of Metformin Pre-specified Moderate to Severe GI Side Effects Assessed by Investigators During 14 Weeks of Treatment
Proportion of patients who experienced at least one metformin pre-specified moderate or severe GI side effect during 14 weeks
Time frame: 14 weeks
Change From Baseline in Fasting Plasma Glucose (FPG) After 14 Weeks of Treatment
Means are adjusted by treatment, continuous baseline HbA1c and continuous baseline fasting plasma glucose.
Time frame: Baseline and 14 weeks
Metformin Pre-specified GI Symptom Intensity Score Assessed by Investigators During 14 Weeks of Treatment
Patients could experience multiple events, therefore, multiple answers were possible for each patient.
Time frame: 14 weeks
Metformin Pre-specified GI Symptom Intensity Score Assessed by Patients During 14 Weeks of Treatment
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metformin tablets 500 mg
linagliptin tablets 5mg
1218.60.90001 Boehringer Ingelheim Investigational Site
Dhaka, Bangladesh
1218.60.90002 Boehringer Ingelheim Investigational Site
Dhaka, Bangladesh
1218.60.90003 Boehringer Ingelheim Investigational Site
Dhaka, Bangladesh
1218.60.32001 Boehringer Ingelheim Investigational Site
Genk, Belgium
1218.60.32005 Boehringer Ingelheim Investigational Site
Ham, Belgium
1218.60.32002 Boehringer Ingelheim Investigational Site
Hasselt, Belgium
1218.60.32004 Boehringer Ingelheim Investigational Site
Natoye, Belgium
1218.60.32003 Boehringer Ingelheim Investigational Site
Tremelo, Belgium
1218.60.20009 Boehringer Ingelheim Investigational Site
Calgary, Alberta, Canada
1218.60.20003 Boehringer Ingelheim Investigational Site
Burnaby, British Columbia, Canada
...and 80 more locations
The intensity of the GI side effects was also assessed by the patients using VAS scaled from 0 to 10; higher scores indicate more severe events. Means are adjusted by treatment and continuous baseline HbA1c.
Time frame: 14 weeks
Composite Endpoint of Occurrence of Treat to Target Efficacy Response, That is an HbA1c Under Treatment of <6.5% After 14 Weeks of Treatment, and no Occurrence of Moderate or Severe Metformin Pre-specified GI Side Effects Assessed by Investigators
The proportion of patients who achieved all the targets in a composite endpoint (HbA1c below 6.5% after 14 weeks of treatment; no occurrence of pre-specified moderate or severe GI side effects of metformin, as assessed by the investigators during 14 weeks of treatment).
Time frame: 14 weeks
Occurrence of Relative Efficacy Response (HbA1c Lowering by at Least 0.5% After 14 Weeks of Treatment)
The proportion of patients who achieved a relative efficacy response (HbA1c lowering by at least 0.5% after 14 weeks of treatment).
Time frame: 14 weeks
Occurrence of Relative Efficacy Response (HbA1c Lowering by at Least 0.8% After 14 Weeks of Treatment)
The proportion of patients who achieved a relative efficacy response (HbA1c lowering by at least 0.8% after 14 weeks of treatment).
Time frame: 14 weeks
Composite Endpoint of Occurence of Relative Efficacy Response (HbA1c Lowering by at Least 0.5% After 14 Weeks of Treatment) and no Occurence of Moderate and Severe Metformin Pre-specified GI Side Effects Assessed by the Investigators During 14 Weeks
The proportion of patients who achieved all the targets in a composite endpoint (HbA1c lowered by at least 0.5% after 14 weeks of treatment; no occurrence of pre-specified moderate or severe GI side effects of metformin, as assessed by the investigators during 14 weeks of treatment).
Time frame: 14 weeks
Change From Baseline in Body Weight by Visit at Week 14
Means are adjusted by treatment, continuous baseline HbA1c and continuous baseline weight
Time frame: Baseline and 14 weeks
Composite Endpoint of Occurrence of Relative Efficacy Response (HbA1c Lowering by at Least 0.8% After 14 Weeks of Treatment) and no Occurrence of Moderate and Severe Metformin Pre-specified GI Side Effects Assessed by Investigators During 14 Weeks
The proportion of patients who achieved all the targets in a composite endpoint (HbA1c lowered by at least 0.8% after 14 weeks of treatment; no occurrence of pre-specified moderate or severe GI side effects of metformin, as assessed by the investigators during 14 weeks of treatment).
Time frame: 14 weeks
Change From Baseline in HbA1c Over Time
Means are adjusted by treatment and continuous baseline HbA1c
Time frame: Baseline, 2 weeks and 8 weeks