To demonstrate that efficacy of Gosogliptin as Monotherapy and in Combination with Metformin is non-inferior to efficacy of Vildagliptin as Monotherapy and in combination with Metformin in the effects on glycosilated hemoglobin (HbA1c) at Week 12 and Week 36 compared to baseline (Week 0).
* Screening of patients at Week -2 * Training for all complying patients in Diabetes Program School at Week -1 with glucometer and patient diary distribution for SMBG * Randomization in one of two groups in the ratio 1:1. * The 1st stage includes 12 weeks of monotherapy with Gosogliptin or Vildagliptin. * The 2nd stage includes 24 weeks of combination therapy with Gosogliptin and Metformin or Vildagliptin and Metformin. * Follow-up period of 4 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
299
20 mg per day, dose titration to 30 mg per day at Week 4 as required Administration: orally
50 mg per day, dose titration to 100 mg per day at Week 4 as required (50 mg twice a day) Administration: orally
1000 mg per day starting Week 12 (500 mg twice a day), dose titration to 2000 mg per day at Week 16 as required (1000 mg twice a day). Administration: orally
Mean change of HbA1c
Gosogliptin treatment group vs. Vildagliptin treatment group
Time frame: at Weeks 12 and 36 from baseline
HbA1c level of ≤7%
Percent of patients who reach the target HbA1c
Time frame: at Weeks 12 and 36 from baseline
Hypoglycemic episodes
Incidence of hypoglycemic episodes during the monotherapy and in combination with Metformin
Time frame: up to 36 week
Fasting plasma glucose
Change of fasting plasma glucose from baseline
Time frame: at Weeks 12 and 36
Change of Body Mass
Change of Body Mass from baseline
Time frame: at Weeks 12 and 36
Adverse event
AE rate
Time frame: up to 40 week
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