This research study of subjects with inadequately controlled type 2 diabetes mellitus (T2DM) will compare the glycemic control (measured by HbA1c) in subjects co-administered saxagliptin and dapagliflozin, in addition to metformin with or without sulfonylurea, to subjects receiving insulin glargine, in addition to metformin with or without sulfonylurea, over a treatment period of 52 weeks.
CV181-369; A 24 Week International, Open-Label Trial With a 28 Week Extension to Evaluate the Efficacy of Saxagliptin Co-administered With Dapagliflozin Compared to Insulin Glargine in Subjects With Type 2 Diabetes on Metformin With or Without Sulfonylurea Therapy
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
650
Tablets, Oral, 5mg , Once daily, 24 weeks
Tablets, Oral, 10mg , Once daily, 24 weeks
100 Units/ml solution for injection in a prefilled SoloStar pen
Tablets, Oral, ≥ 1500mg/≤ 2500mg, Once daily, 24 weeks
Research Site
Anaheim, California, United States
Research Site
Los Angeles, California, United States
Research Site
Miami, Florida, United States
Research Site
Miami, Florida, United States
Research Site
St. Petersburg, Florida, United States
Research Site
Mean Change From Baseline in HbA1c at Week 24
To examine whether the mean change from baseline in HbA1c with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU is noninferior (noninferiority margin of 0.3%) to titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment.
Time frame: Baseline and Week 24
Mean Change From Baseline in Total Body Weight at Week 24
To compare the mean change from baseline in total body weight with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU versus titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment
Time frame: Baseline and Week 24
Percentage of Subjects With Confirmed Hypoglycaemia at Week 24
Hypoglycemia defined as plasma glucose ≤70 mg/dL (3.9 mmol/L)
Time frame: Baseline and Week 24
Percentage of Subjects Achieving a Therapeutic Glycemic Response, Without Hypoglycaemia, at Week 24
To compare the percentage of subjects achieving a therapeutic glycemic response, defined as HbA1c \<7.0%, without any reported hypoglycemia, with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU versus titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment.
Time frame: Baseline and Week 24
Percentage of Subjects Achieving a Therapeutic Glycemic Response at Week 24
To examine whether the percentage of subjects achieving a therapeutic glycemic response, defined as HbA1c \<7.0%, with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU is noninferior (noninferiority margin of 10%) to titrated insulin glargine plus metformin with or without SU after 24 weeks of open-label treatment.
Time frame: Baseline and Week 24
Change From Baseline in the Mean Value of 24-hour Glucose at Week 2
Change from baseline in the mean value of 24-hour glucose readings measured by Continuous Glucose Monitoring with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin with or without SU is noninferior to titrated insulin glargine plus metformin with or without SU after 2 weeks of open-label treatment.
Time frame: Baseline and Week 2
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Norcross, Georgia, United States
Research Site
Chicago, Illinois, United States
Research Site
Lexington, Kentucky, United States
Research Site
Quincy, Massachusetts, United States
Research Site
Beavercreek, Ohio, United States
...and 30 more locations