Trial | Phase | Enrollment | Study Type | Start Date | Status |
Can Dapagliflozin Preserve Structure and Function in Transplanted Kidneys? [NCT05788276] | Phase 4 | 330 participants (Anticipated) | Interventional | 2023-05-02 | Recruiting |
A Registry-based, Randomised, Double-blind, Placebo-Controlled Cardiovascular Outcomes Trial to Evaluate the Effect of Dapagliflozin on Cardiometabolic Outcomes in Patients Without Diabetes With Acute Myocardial Infarction at Increased Risk for Subsequent [NCT04564742] | Phase 3 | 4,017 participants (Actual) | Interventional | 2020-12-22 | Completed |
Characterization of the Kinetics of Renal Glucose Reabsorption in Response to Dapagliflozin in Healthy Subjects and in Subjects With Type 2 Diabetes Mellitus [NCT01165268] | Phase 1 | 24 participants (Actual) | Interventional | 2010-08-31 | Completed |
Inhibition of Urinary Angiotensinogen and the Reduction of Blood Pressure by SGLT2 Inhibition in Patients With Type 2 Diabetes [NCT02796170] | Phase 4 | 11 participants (Actual) | Interventional | 2016-03-31 | Completed |
A Randomized, Open-label, Multiple-dose, Crossover Study to Investigate the Pharmacokinetic and Pharmacodynamic Drug-Drug Interaction of Evogliptin 5 mg and Empagliflozin 25 mg or Dapagliflozin 10 mg After Oral Administration in Healthy Male Adults [NCT03766724] | Phase 1 | 42 participants (Actual) | Interventional | 2018-11-22 | Completed |
A Two Arm, Open Label, Pilot Study to Evaluate the Safety and Efficacy of the Combined Use of Once Daily 10mg Dapagliflozin and Once Weekly 1.0mg Semaglutide in Kidney Transplant Recipients [NCT05938712] | Phase 2 | 20 participants (Anticipated) | Interventional | 2023-10-24 | Recruiting |
SGLT-2 Inhibition and Cardiovascular Disease. Metabolomics Study of Potential Factors Involved in Cardio- and Nephroprotection [NCT03919656] | Phase 4 | 60 participants (Anticipated) | Interventional | 2019-05-31 | Not yet recruiting |
Pharmacodynamics, Pharmacokinetics, Safety and Tolerability of Ultra Low Doses of Dapagliflozin in Healthy Subjects [NCT01135446] | Phase 1 | 35 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Randomized Study of the Effects of Dapagliflozin+Saxagliptin in Addition to Metformin Versus Single Addition Saxagliptin or Dapagliflozin on Glucose Metabolism in Patients With DM2 Poorly Controlled With Metformin [NCT03714594] | Phase 2 | 48 participants (Actual) | Interventional | 2018-07-24 | Completed |
Dapagliflozin in Non Alcoholic Fatty Liver Disease Associated Cirrhosis and Its Role in Preventing Development of Chronic Kidney Disease. A Randomized Controlled Trial. [NCT05849220] | | 144 participants (Anticipated) | Interventional | 2023-05-15 | Not yet recruiting |
Dapagliflozin Effect on FunctiOnal Mitral Regurgitation and Myocardial Fibrosis (DEFORM): a Multicenter Randomized Controlled Trial [NCT05848102] | Phase 4 | 166 participants (Anticipated) | Interventional | 2022-12-23 | Recruiting |
A Prospective, Multicenter, Phase -IV Study to Assess the Safety of Fixed Dose Combination of Dapagliflozin and Saxagliptin in Indian Type 2 Diabetes Mellitus (T2D) Patients [NCT04445714] | Phase 4 | 200 participants (Actual) | Interventional | 2021-04-07 | Completed |
Administration of the SGLT-2 Inhibitor Dapagliflozin in the Patients With Amyloid Cardiomyopathy: a Pilot Study [NCT05795400] | | 40 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
Observational Retrospective Cohort Study to Evaluate the Benefits, Documented in Experimental Settings, of Treatment With DAPAGLIFLOZIN in Normal Clinical Practice, in Subjects With Type 2 Diabetes [NCT05418946] | | 1,400 participants (Anticipated) | Observational | 2022-06-30 | Not yet recruiting |
Study to Evaluate the Effect of Dapagliflozin on the Incidence of Worsening Heart Failure or Cardiovascular Death in Patients With Chronic Heart Failure With Reduced Ejection Fraction [NCT03036124] | Phase 3 | 4,744 participants (Actual) | Interventional | 2017-02-08 | Completed |
Evaluating the Effect of Dapagliflozin, an SGLT-2 Inhibitor, on the Counterregulatory Response to Hypoglycemia in Individuals With Type 1 Diabetes [NCT03704818] | Phase 1 | 22 participants (Actual) | Interventional | 2018-10-08 | Active, not recruiting |
MaasFlex: Double-Blind, Randomized, Phase IV, Mechanistic, Placebo-Controlled, Cross-Over, Single-Center Study to Evaluate the Effects of 2 Weeks Dapagliflozin Treatment on Nocturnal Substrate Oxidation, Glucose Metabolism and Muscle Mitochondrial Functio [NCT03721874] | Phase 4 | 16 participants (Actual) | Interventional | 2019-04-30 | Completed |
Early Treatment of Heart Failure: a Non-Interventional Observational Study of Italian Patients With Heart Failure and Initiated on Dapagliflozin [NCT05250011] | | 252 participants (Actual) | Observational | 2022-04-19 | Active, not recruiting |
Preservation of Beta Cell Function in Pre-diabetes in Subject With Impaired Fasting Glucose (IFG) and Impaired Glucose Tolerance (IGT) [NCT02969798] | | 700 participants (Anticipated) | Interventional | 2014-01-01 | Recruiting |
Dapagliflozin During Exercise for the Prevention of Hypoglycaemia in Type 1 Diabetes [NCT03537131] | Phase 2 | 9 participants (Actual) | Interventional | 2018-06-02 | Terminated(stopped due to Temporary halt due to COVID-19 pandemic) |
DAPAgliflozine to Attenuate Cardiac RemOdeling afTEr aCuTe myOcardial Infarction [NCT05764057] | Phase 3 | 450 participants (Anticipated) | Interventional | 2023-06-12 | Recruiting |
Effects of Dapagliflozin on the Incretin Sensitivity of the Pancreatic Beta Cell [NCT02420392] | | 30 participants (Actual) | Interventional | 2015-02-28 | Completed |
A Phase III, Randomised, Multicentre, Double-blind Study to Evaluate the Efficacy, Safety, and Tolerability of Zibotentan/Dapagliflozin Compared to Dapagliflozin Alone in Participants With Chronic Kidney Disease and High Proteinuria [NCT06087835] | Phase 3 | 1,500 participants (Anticipated) | Interventional | 2023-11-07 | Recruiting |
Does Glycated Hemoglobin Variability in Type 2 Diabetes Differ Depending on the Diabetes Treatment Threshold Used in the Qatari Population: Implication on Diabetes Complication Risk? [NCT02879409] | | 150 participants (Anticipated) | Interventional | 2016-11-30 | Active, not recruiting |
A Single-center, Randomized, Double-blind, Placebo-controlled Study to Evaluate Microvascular Disease After 12 Weeks of Therapy With Sodium-glucose Co-transporter 2 Inhibitor Compared to Placebo in Symptomatic Women With Non-obstructive Coronary Artery Di [NCT05762952] | Phase 1 | 40 participants (Anticipated) | Interventional | 2023-05-24 | Recruiting |
A Double-blind, Randomized, Parallel Group, Phase IV Study to Investigate the Effects of DAPAgliflozin on CARDiac Substrate Uptake, Myocardial Efficiency and Myocardial Contractile Work in Type 2 Diabetes Patients [NCT03387683] | Phase 4 | 53 participants (Actual) | Interventional | 2018-02-28 | Completed |
Therapeutic Efficacy and Safety of Sitagliptin, Dapagliflozin and Lobeglitazone in Patients With Type 2 Diabetes Mellitus Inadequately Controlled on Glimepiride and Metformin. [NCT02338921] | Phase 4 | 78 participants (Actual) | Interventional | 2015-01-31 | Completed |
DAPAMAAST: A Double-blind, Randomized, Phase IV, Mechanistic, Placebo-controlled, Cross-over, Single-center Study to Evaluate the Effects of 5 Weeks Dapagliflozin Treatment on Insulin Sensitivity in Skeletal Muscle in Type 2 Diabetes Mellitus Patients. [NCT03338855] | Phase 4 | 26 participants (Actual) | Interventional | 2018-03-05 | Completed |
Pharmacokinetics and Dialyzability of Dapagliflozin in Dialysis Patients: on Behalf of the DARE-ESKD Trial [NCT05343078] | Phase 4 | 5 participants (Actual) | Interventional | 2022-04-25 | Completed |
A Study to Evaluate the Effect of Dapagliflozin on Renal Outcomes and Cardiovascular Mortality in Patients With Chronic Kidney Disease [NCT03036150] | Phase 3 | 4,304 participants (Actual) | Interventional | 2017-02-02 | Completed |
A Prospective, Open, Multicenter, Clinical Study of Huangqi Guizhi Wuwu Decoction in Treating Diabetic Nephropathy (Stage CKD2-4) [NCT05418465] | | 100 participants (Anticipated) | Interventional | 2022-01-26 | Recruiting |
Dapagliflozin Effect on Rheumatic Mitral Stenosis [NCT05618223] | Phase 3 | 36 participants (Anticipated) | Interventional | 2022-12-01 | Not yet recruiting |
Effect of Glucagon Receptor Antagonism on Ketogenesis in SGLT-2i Treated Subjects With T1D [NCT04545411] | Phase 1/Phase 2 | 12 participants (Actual) | Interventional | 2021-02-22 | Completed |
Metformin And Cardiovascular Effectiveness vs SGLT2 (MACES) [NCT03627039] | | 20,000 participants (Anticipated) | Observational | 2018-09-01 | Active, not recruiting |
Hepato-renal Regulation of Water Conservation in Heart Failure Patients With SGLT-2 Inhibitor Treatment [NCT04080518] | Phase 4 | 40 participants (Actual) | Interventional | 2019-11-11 | Completed |
An Open-label, Randomized, Multiple-dose, Crossover Study to Evaluate Drug-drug Interaction Following Oral Administration of Gemigliptin and Dapagliflozin or Empagliflozin in Healthy Adult Volunteers [NCT03565458] | Phase 1 | 48 participants (Actual) | Interventional | 2018-04-05 | Active, not recruiting |
Efficacy and Safety of Dapagliflozin in Patients With Chronic Kidney Disease Stage 4-5 Under Integrated CKD Care Program: An Investigator-led, Randomized, Open-label, Blinded-endpoint, Multicenter Study [NCT05196347] | Phase 3 | 225 participants (Anticipated) | Interventional | 2022-03-01 | Not yet recruiting |
Evaluation of the Safety and Efficacy of SGLT2 Inhibitors in Pre-diabetic Patients: A Randomized Trial [NCT05914857] | Phase 2 | 120 participants (Anticipated) | Interventional | 2023-12-20 | Not yet recruiting |
A 52-Week International, Multi-centre, Randomised, Parallel-group, Double-blind, Active-controlled, Phase III Study With a 156-Week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin in Combination With Metformin Compared With Sulphonyl [NCT00660907] | Phase 3 | 1,217 participants (Actual) | Interventional | 2008-03-31 | Completed |
Effect of Dapagliflozin on Submaximal Exercise Tolerance in Heart Failure [NCT04956809] | Phase 2 | 3 participants (Actual) | Interventional | 2021-10-22 | Completed |
A 24-week National Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase III Trial in India to Evaluate the Efficacy and Safety of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycaemic Contr [NCT01257412] | Phase 3 | 375 participants (Anticipated) | Interventional | 2012-01-31 | Suspended(stopped due to FSI delayed until 15 January 2013) |
Effect of Dapagliflozin on Nighttime Blood Pressure in Type 2 Diabetes [NCT03887416] | Phase 4 | 225 participants (Anticipated) | Interventional | 2019-04-12 | Recruiting |
An Open Label, Randomized, Two-period, Crossover Study to Assess the Effect of Food on Fixed Dose Combination Dapagliflozin/Metformin Tablet (5 mg/1000 mg) in Healthy Male and Female Volunteers [NCT01156246] | Phase 1 | 18 participants (Actual) | Interventional | 2010-06-30 | Completed |
A Prospective, Randomized, Open Label, Parallel, 16-week Study to Explore and Evaluate the Therapeutic Effects of Liraglutid, Dapagliflozin and Acarbose on the Cognitive Function, Olfactory Function, and Odor-induced Brain Activation in Overweight/Obese P [NCT03961659] | | 87 participants (Anticipated) | Interventional | 2019-05-31 | Recruiting |
A Multi-center, Randomized, Double-Blind, Active-controlled, Phase 3, Study to Evaluate the Efficacy and Safety of DWP16001 add-on to Metformin in Patients With T2DM Inadequately Controlled on Metformin [NCT05505994] | Phase 3 | 298 participants (Anticipated) | Interventional | 2022-09-30 | Not yet recruiting |
A Two-arm, Open-label, Single-sequence, Multiple Oral Dosings, Crossover Clinical Trial to Evaluate the Safety and the Pharmacokinetic Interaction of THP-00101 and THP-00102 in Healthy Adult Volunteers [NCT06063109] | Phase 1 | 51 participants (Actual) | Interventional | 2023-10-09 | Completed |
A Multicenter, Register-based, Randomized, Controlled Trial Comparing Dapagliflozin With Metformin Treatment in Early Stage Type 2 Diabetes Patients by Assessing Mortality and Macro- and Microvascular Complications [NCT03982381] | Phase 4 | 2,067 participants (Actual) | Interventional | 2019-09-05 | Active, not recruiting |
A 26 Week, Multicenter, Randomized, Placebo-Controlled, Double-Blind, Parallel Group, Phase 3 Trial With a 26 Week Safety Extension Period Evaluating the Safety and Efficacy of Dapagliflozin 5 and 10 mg, and Saxagliptin 2.5 and 5 mg in Pediatric Patients [NCT03199053] | Phase 3 | 256 participants (Actual) | Interventional | 2017-10-11 | Active, not recruiting |
An Open-label, Randomized, Single-dose, Crossover Study to Evaluate the Pharmacokinetics, Safety and Tolerability of DA-2811 in Healthy Subjects [NCT04473417] | Phase 1 | 60 participants (Actual) | Interventional | 2020-08-04 | Completed |
Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus [NCT03249506] | | 25,358 participants (Actual) | Observational | 2016-05-12 | Completed |
A Study to Assess the Renoprotective Effects of the SGLT2 Inhibitor Dapagliflozin in Non-Diabetic Patients With Proteinuria: a Randomized Double Blind 6-Weeks Cross-Over Trial [NCT03190694] | Phase 2 | 50 participants (Anticipated) | Interventional | 2017-11-12 | Active, not recruiting |
Randomized, Placebo Controlled, Crossover Clinical Study to Analyse the Effect of Dapagliflozin on Microvascular and Macrovascular Circulation and Total Body Sodium Content [NCT02383238] | Phase 3 | 59 participants (Actual) | Interventional | 2014-03-31 | Completed |
Effect of Dapagliflozin on the Progression From Prediabetes to T2DM in Subjects With Myocardial Infarction [NCT03658031] | Phase 3 | 576 participants (Anticipated) | Interventional | 2019-03-01 | Not yet recruiting |
A Multicenter, Double-blind, Placebo-controlled, Randomized, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of YYC405-T Added to Metformin and Dapagliflozin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control [NCT05226897] | Phase 3 | 256 participants (Anticipated) | Interventional | 2021-07-12 | Active, not recruiting |
A 52-week International, Multicenter, Randomized, Double-Blind, Active-Controlled, Parallel Group, Phase 3bTrial With a Blinded 104-week Long -Term Extension Period to Evaluate the Efficacy and Safety of Saxagliptin Co-administered With Dapagliflozin in C [NCT02419612] | Phase 3 | 444 participants (Actual) | Interventional | 2015-08-14 | Completed |
Effects of SGLT2 Inhibitor on Markers of Inflammation, Atherosclerosis and Left Ventricular Strain in Diabetic Patients With Coronary Artery Disease [NCT03398577] | Phase 4 | 61 participants (Anticipated) | Interventional | 2018-02-01 | Not yet recruiting |
Obesity Treatment to Improve Diabetes [NCT05390307] | | 60 participants (Anticipated) | Interventional | 2023-04-01 | Recruiting |
Effect of Dapagliflozin on Secondary Mitral Regurgitation in Patients With Left Ventricular Dysfunction [NCT05849766] | Phase 3 | 150 participants (Anticipated) | Interventional | 2023-04-27 | Recruiting |
Comparative Study of Dapagliflozin Versus Glibenclamide Effect on Endothelial Function of Coronary Artery Disease Patients [NCT02919345] | Phase 4 | 98 participants (Actual) | Interventional | 2017-01-31 | Completed |
A Randomised Trial Examining Therapy to Maintain Remission in Dilated Cardiomyopathy [NCT06091475] | | 50 participants (Anticipated) | Interventional | 2023-10-20 | Not yet recruiting |
Sodium-glucose Cotransporter 2 Inhibitor, Aldosterone Antagonist, or Both for Heart Failure With Preserved Ejection Fraction: a Two-centre Randomised Three-treatment Three-period Crossover Trial [NCT05676684] | Phase 2/Phase 3 | 108 participants (Anticipated) | Interventional | 2022-09-15 | Recruiting |
Efficacy and Safety of Dapagliflozin for the Hospital Management of Patients With Type 2 Diabetes: a Prospective, Open-label, Non-inferiority Randomized Trial [NCT05457933] | Phase 4 | 250 participants (Actual) | Interventional | 2022-07-29 | Completed |
Effect of Dapagliflozin vs Sitagliptin on Liver Fat Accumulation and Body Composition in Patients With Diabetes Mellitus and Liver Transplantation: a Randomized Controlled Trial [NCT05042505] | | 100 participants (Anticipated) | Interventional | 2022-01-01 | Recruiting |
Stratified Treatment to Ameliorate Diastolic Left Ventricular Stiffness in Heart Failure With Preserved Ejection Fraction. A 35-week, Single-center, Prospective, Double-blind, Controlled, Randomized, 2x2 Crossover, Interventional Phase II Study, Investiga [NCT04475042] | Phase 2 | 26 participants (Anticipated) | Interventional | 2020-07-01 | Recruiting |
Food-effect Bioavailability of Gemigliptin and Dapagliflozin 50/10 mg Fixed Dose Combination Film-coated Tablet Under Fed and Fasting Conditions in Healthy Volunteers [NCT05105698] | Phase 1 | 28 participants (Anticipated) | Interventional | 2022-01-01 | Not yet recruiting |
Dapagliflozin and Measures of Cardiovascular Autonomic Function in Patients With Type 2 Diabetes (T2D) [NCT02973477] | Phase 4 | 45 participants (Actual) | Interventional | 2017-01-12 | Completed |
Effect of Dapagliflozin on Hepatic and Renal Glucose Metabolism Subjects (11038) [NCT02981966] | Phase 4 | 32 participants (Actual) | Interventional | 2019-05-23 | Active, not recruiting |
Randomized, Double-blind, Placebo-controlled, Single-center Phase 1 Study to Explore the Safety and Pharmacokinetics of DAPAglifozin as Add-on to Intravenous Insulin-infusion in Adolescents and Adults With Type 1 Diabetes [NCT02325206] | Phase 1 | 36 participants (Actual) | Interventional | 2014-12-31 | Completed |
Sodium-glucose Linked Transporter 2 (SGLT-2) Inhibitors in Recurrent Ascites: a Pilot RCT [NCT05014594] | Phase 2 | 44 participants (Anticipated) | Interventional | 2021-09-03 | Recruiting |
Effect of Short-term Dapagliflozin on Renal Function After Heart Catheterization or Percutaneous Coronary Intervention in Patients With Chronic Kidney Disease [NCT05225077] | Phase 4 | 600 participants (Anticipated) | Interventional | 2022-01-01 | Recruiting |
Multicenter Prospective Cohort Study of the Hypoglycemic Efficacy, Weight Control, and Safety in Newly-diagnosed Type 2 Diabetes: Triple Combination Therapy Using Metformin, Saxagliptin Plus Dapagliflozin Versus Premixed Insulin [NCT03700801] | Phase 4 | 130 participants (Anticipated) | Interventional | 2018-10-31 | Not yet recruiting |
A Single-centre, Parallel-cohort, Randomized, Open-label, Two-period, Cross-over, Bioequivalence Study of the Fixed Dose Combination of Dapagliflozin/Metformin XR Relative to Co-administration of the Individual Components in Two Cohorts of Healthy Chinese [NCT04856007] | Phase 1 | 80 participants (Actual) | Interventional | 2021-04-12 | Completed |
A Multicenter, Double-blind, Placebo-controlled, Randomized, Parallel, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Evogliptin When Added to Ongoing Metformin and Dapagliflozin Combination Therapy in Patients With Type 2 Diabetes Who Ha [NCT04170998] | Phase 3 | 283 participants (Actual) | Interventional | 2020-01-02 | Completed |
A Multicenter, Randomized, Double-Blind, Parallel, Active-Controlled Phase III Study on Metformin Combined With THR-1442 or Dapagliflozin in T2DM [NCT05159882] | Phase 3 | 390 participants (Anticipated) | Interventional | 2021-04-15 | Recruiting |
Effects of SGLT-2 Inhibition With Dapagliflozin on Myocardial Fibrosis and Inflammation as Assessed by Cardiac MRI With T1- and T2-mapping in Patients With Type-2 Diabetes [NCT03782259] | Phase 4 | 62 participants (Actual) | Interventional | 2019-02-26 | Completed |
Impact of Dapagliflozin on Intestinal Microbiota Composition and on the Metabolites Derived From the Intestinal Microbiota in Non-diabetic Chronic Renal Failure Patients [NCT05965440] | | 50 participants (Anticipated) | Interventional | 2023-10-02 | Recruiting |
Dapagliflozin Evaluation on Atrial Fibrillation Patients Followed Cox Maze IV Procedure: Prospective Randomized Trial (DETAIL-CMIV) [NCT05816733] | Phase 4 | 348 participants (Anticipated) | Interventional | 2023-09-01 | Recruiting |
Intraclass Safety and Efficacy Comparison Among SGLT-2 Inhibitors in Elderly Patients With Type 2 Diabetes. A Pragmatic, Phase IV, Multicenter, Open-label, Randomised Controlled Trial. [NCT04796428] | Phase 4 | 1,167 participants (Anticipated) | Interventional | 2021-06-30 | Not yet recruiting |
A 28-week, Multi-center Randomized, Double-blind, Placebo-controlled Study to Evaluate the Potential of Dapagliflozin Plus Exenatide in Combination With High-dose Intensive Insulin Therapy Compared to Placebo in Obese Insulin-resistant Patients With Type [NCT03419624] | Phase 3 | 13 participants (Actual) | Interventional | 2018-02-19 | Terminated(stopped due to Delay in patient enrolment) |
Comparative Study of Dapagliflozin Versus Glimepiride Effect on Insulin Regulated Aminopeptidase (IRAP) and Interleukin-34 (IL-34) in Patient With Type 2 Diabetes Mellitus [NCT04240171] | | 60 participants (Actual) | Observational [Patient Registry] | 2020-12-01 | Completed |
Assessment of the Renin-angiotensin-aldosterone System (RAAS) and Antidiuretic Function in Patients With Type 2 Diabetes Before and During Treatment With Sodium-glucose Co-transporter 2 Inhibitors (SGLT2i): the GliRACo 1 Study [NCT03917758] | | 30 participants (Anticipated) | Interventional | 2018-10-10 | Recruiting |
DOUBLE PRO-TECT Alport: A Confirmatory, Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial to Assess the Effect of Dapagliflozin on the Progression of Chronic Kidney Disease in Adolescents and Young Adult Patients With Alport Syndrom [NCT05944016] | Phase 3 | 102 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
Reduction of Peritoneal Glucose Uptake With Use of SGLT2 in Humans Undergoing Peritoneal Dialysis Treatment. A Proof of Concept Phase 2a Clinical Trial. [NCT05250752] | Phase 2 | 10 participants (Anticipated) | Interventional | 2021-11-18 | Enrolling by invitation |
TreatIng Microalbuminuria Over 24 Weeks in Subjects With or Without Type 2 Diabetes or HYpertension [NCT05268926] | Phase 2 | 9 participants (Actual) | Interventional | 2022-02-03 | Terminated(stopped due to Due to a delayed start-up and delayed patient inclusion in combination with new available scientific data, continuation of the clinical study no longer serves a scientific purpose.) |
Effect of Dapagliflozin at Discharge on Hospital Re-Admissions in Patients With Acutely Decompensated Heart Failure: A Randomized Controlled Study [NCT04249778] | Phase 4 | 105 participants (Actual) | Interventional | 2020-07-29 | Completed |
The Potential Beneficial Effects of SGLT2 Inhibitors in Patients With Acute Decompensated Heart Failure During Ventilator Weaning: a Prospective Multicenter Cohort Study. [NCT06142474] | Phase 3 | 450 participants (Anticipated) | Interventional | 2022-10-10 | Recruiting |
Adolescent Type 1 Diabetes Treatment With SGLT2i for hyperglycEMia & hyPerfilTration Trial [NCT04333823] | Phase 3 | 100 participants (Anticipated) | Interventional | 2020-12-11 | Active, not recruiting |
A 24-week, Single Centre, Randomized, Parallel-group, Double-blind, Placebo Controlled Phase II Study With an Optional 28-week Open-label Extension to Evaluate the Efficacy on Body Weight of Dapagliflozin 10 mg Once Daily in Combination With Exenatide 2 m [NCT02313220] | Phase 2 | 50 participants (Actual) | Interventional | 2014-12-31 | Completed |
Comparison of Canagliflozin vs. Alternative Antihyperglycemic Treatments on Risk of Heart Failure Hospitalization and Amputation for Patients With Type 2 Diabetes Mellitus and the Subpopulation With Established Cardiovascular Disease [NCT03492580] | | 714,582 participants (Actual) | Observational | 2018-02-22 | Completed |
The Effect of Early Inpatient Initiation of Dapagliflozin on the Health-related Quality of Life of Patients With Heart Failure With All Range of Ejection Fraction: a Local Registry [NCT05759000] | | 100 participants (Anticipated) | Observational [Patient Registry] | 2023-04-09 | Not yet recruiting |
A Pilot Study to Evaluate Biomarkers and Safety of Dapagliflozin Concomitant With Neoadjuvant Therapy for Patient With HER2-negative Early-stage Breast Cancer and Hyperinsulinemia [NCT05989347] | Phase 1 | 20 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
Efficacy and Safety of Dapagliflozin in Polycystic Ovary Syndrome: a Multicentre, Randomized, Placebo-controlled Trial [NCT04213677] | Phase 3 | 165 participants (Actual) | Interventional | 2020-03-20 | Completed |
Quantifying Uric Acid Excretion With RDEA3170, Febuxostat and Dapagliflozin [NCT03316131] | Phase 2 | 36 participants (Actual) | Interventional | 2017-10-25 | Completed |
A Randomized Controlled Clinical Trial to Assess the Effect of Dapagliflozin on Renal and Cardiovascular Outcomes in Patients With Severe Chronic Kidney Disease [NCT05374291] | Phase 3 | 1,500 participants (Anticipated) | Interventional | 2022-11-08 | Enrolling by invitation |
Pharmacokinetic Drug Interaction Study of Dapagliflozin and Glimepiride or Sitagliptin in Healthy Subjects [NCT00842556] | Phase 1 | 18 participants (Actual) | Interventional | 2009-03-31 | Completed |
Value of SGLT2 Inhibitor (Dapagliflozin) as an Added Therapy in Diabetic Patients With Heart Failure With Reduced Ejection Fraction; Randomized Controlled Clinical Trial [NCT04304560] | Phase 2 | 60 participants (Anticipated) | Interventional | 2020-03-31 | Not yet recruiting |
A 24-week, Multicentre, Randomised, Double-blind, Age-stratified, Placebo Controlled, Phase III Study With a 80-week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin 10 mg Once Daily in Pts With T2DM, CV Disease and Hypertension Who E [NCT01031680] | Phase 3 | 922 participants (Actual) | Interventional | 2010-02-28 | Completed |
SGLT2 Inhibition in Addition to Lifestyle Intervention and Risk for Complications in Subtypes of Patients With Prediabetes - a Randomized, Placebo Controlled, Multi-center Trial [NCT06054035] | Phase 4 | 182 participants (Anticipated) | Interventional | 2023-10-15 | Not yet recruiting |
A Long Term Open Label Study to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy or Combination Therapies With Anti-diabetic Drugs in Japanese Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control [NCT01294436] | Phase 3 | 728 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Study of the Effects of Dapagliflozin on Ambulatory Aortic Pressure, Arterial Stiffness and Urine Albumin Excretion in Patients With Type 2 Diabetes [NCT02887677] | Phase 4 | 85 participants (Actual) | Interventional | 2016-10-31 | Terminated(stopped due to On February 2019 Astra-Zeneca Greece decided to stop the financial support of the study.) |
Characterization of the Kinetics of Renal Glucose Reabsorption in Response to Dapagliflozin in Healthy Subjects and in Subjects With Type 2 Diabetes Mellitus [NCT00726505] | Phase 1 | 1 participants (Actual) | Interventional | 2009-06-30 | Terminated |
The Effect of Sodium Glucose Co-transporter 2 (SGLT2)-Inhibitors on Sleep Disordered Breathing in Heart Failure Patients [NCT04640493] | Phase 2 | 20 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
The Safety of Dapagliflozin in Hemodialysis Patients With Heart Failure [NCT05141552] | | 20 participants (Anticipated) | Interventional | 2022-01-03 | Recruiting |
A 24-week International, Randomized, Parallel-group, Double-blind, Placebo-controlled Phase III Study With a 80-week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin Therapy When Added to the Therapy of Patients With Type 2 Diabetes W [NCT00673231] | Phase 3 | 1,240 participants (Actual) | Interventional | 2008-04-30 | Completed |
A Multicenter, Randomized, Double-blind, Double-dummy, Active-controlled, Parallel Group, Phase 3 Trial to Evaluate the Efficacy and Safety of Dual add-on Therapy With Gemigliptin 50 mg and Dapagliflozin 10 mg Added to Metformin Compared to add-on Therapy [NCT04255238] | Phase 3 | 468 participants (Anticipated) | Interventional | 2020-06-30 | Not yet recruiting |
Pharmacokinetic Drug Interaction Study of Dapagliflozin and Valsartan or Simvastatin in Healthy Subjects [NCT00839683] | Phase 1 | 24 participants (Actual) | Interventional | 2009-02-28 | Completed |
Acute Reno-Cardiac Action of Dapagliflozin In Advanced Heart Failure Patients on Heart Transplant Waiting List: a Multicenter, Double-blind, Randomized Clinical Trial. [NCT04782245] | Phase 2 | 0 participants (Actual) | Interventional | 2022-09-30 | Withdrawn(stopped due to New recommandations) |
EPIK-B4: A Phase II, Multicenter, Randomized, Open-label, Active-controlled Study to Assess the Safety and Efficacy of Dapagliflozin + Metformin XR Versus Metformin XR During Treatment With Alpelisib (BYL719) in Combination With Fulvestrant in Participant [NCT04899349] | Phase 2 | 2 participants (Actual) | Interventional | 2022-04-06 | Terminated(stopped due to Study was early terminated due to slow recruitment and emerging data showing that prophylactic use of metformin may prevent or reduce the incidence of all-grades alpelisib-related hyperglycemia. The decision was not driven by safety concerns) |
A 24-week International, Multicenter, Randomized, Open-Label, Active-Controlled, Parallel Group, Phase 3b Trial With a 28-week Extension to Evaluate the Efficacy and Safety of Saxagliptin Co-administered With Dapagliflozin Compared to Insulin Glargine in [NCT02551874] | Phase 3 | 650 participants (Actual) | Interventional | 2015-10-20 | Completed |
A Randomised, 3-Period, 3-Treatment, Single-dose, Open-label, Single-center, Crossover Study to Assess the Fed-state Bioequivalence of a Triple Fixed-Combination Drug Product of 2.5 mg Saxagliptin / 5 mg Dapagliflozin / 1000 mg Metformin XR and 5 mg Saxag [NCT03169959] | Phase 1 | 85 participants (Actual) | Interventional | 2017-05-29 | Completed |
Efficacy and Safety of Dapagliflozin Compared to Pioglitazone in Diabetic and Non-diabetic Patients With Non-alcoholic Steatohepatitis [NCT05254626] | Phase 4 | 100 participants (Anticipated) | Interventional | 2022-08-01 | Recruiting |
A Randomized, Single-dose, Open-label, Single-center, Crossover Study to Assess the Fed- and Fasted State Bioequivalence of Fixed-Dose Combination Tablets of Saxagliptin / Dapagliflozin / Metformin XR and Dapagliflozin / Metformin XR Relative to Individua [NCT03138356] | Phase 1 | 126 participants (Actual) | Interventional | 2017-05-25 | Completed |
Effect of the Administration of the Combination of Dapagliflozin Plus Metformin XR Versus Monotherapies on Anthropometric Indicators in Patients With Grade 1 Obesity. [NCT03710460] | Phase 4 | 33 participants (Anticipated) | Interventional | 2019-07-30 | Recruiting |
A 52-Week, Multi-Centre, Randomised, Parallel-Group, Double-Blind, Active Controlled, Phase IV Study to Evaluate the Safety and Efficacy of Dapagliflozin or Dapagliflozin Plus Saxagliptin Compared With Sulphonylurea All Given as Add-on Therapy to Metformi [NCT02471404] | Phase 4 | 939 participants (Actual) | Interventional | 2015-09-21 | Completed |
Targeting Pancreatic Cancer With Sodium Glucose Transporter 2 (SGLT2) Inhibition [NCT04542291] | Phase 1 | 15 participants (Actual) | Interventional | 2021-02-25 | Completed |
The Effect of Short-term Insulin Intensive Therapy Based on the Application of Insulin Pump and Real-time Dynamic Glucose Monitoring Technology on Reversing the Newly Diagnosed Type 2 Diabetes [NCT06127433] | Phase 4 | 210 participants (Anticipated) | Interventional | 2023-03-07 | Recruiting |
Bioequivalence Study of Dapagliflozin 10 mg Film-coated Tablet Produced by PT Dexa Medica in Comparison With the Comparator Drug (Forxiga® 10 mg Film-Coated Tablet, Manufactured by AstraZeneca Pharmaceuticals LP, USA for AstraZeneca Pharmaceuticals Co. Lt [NCT06127212] | | 24 participants (Actual) | Interventional | 2023-03-08 | Completed |
Dapagliflozin Cardiovascular Effects on Patients at End-stage Renal Disease [NCT05685394] | Phase 4 | 80 participants (Anticipated) | Interventional | 2023-01-24 | Recruiting |
Impact of DApagliflozin on Cardiac Function Following Anterior Myocardial Infarction in Non-Diabetic Patients - DACAMI (a Randomized Controlled Clinical Trial) [NCT05424315] | Phase 2/Phase 3 | 100 participants (Actual) | Interventional | 2021-10-01 | Completed |
Effect of the SGLT-2 Inhibitor Dapagliflozin on Impaired Awareness of Hypoglycemia in Type 1 Diabetes [NCT03556033] | Phase 2 | 15 participants (Actual) | Interventional | 2018-11-23 | Completed |
An Open-label, Randomized, Single-dose Crossover Study to Evaluate the Pharmacokinetics, Safety and Tolerability of IN-C009 in Healthy Subjects [NCT05066516] | Phase 1 | 48 participants (Actual) | Interventional | 2020-06-25 | Completed |
Randomized, Double-blind, Placebo-controlled Trial on the Effectiveness and Safety of Dapagliflozin for Blood Glucose Control During Glucocorticoid Treatment for Acute Exacerbation COPD [NCT02253121] | Phase 4 | 46 participants (Actual) | Interventional | 2015-02-28 | Completed |
Alfapump® DSR Feasibility Study in Subjects With Persistent Congestion Due to Heart Failure, Resistant to Loop Diuretic Treatment [NCT04882358] | | 24 participants (Anticipated) | Interventional | 2021-05-27 | Active, not recruiting |
A Bioequivalence Study of 2.5-mg Saxagliptin/5-mg Dapagliflozin and 5-mg Saxagliptin/10-mg Dapagliflozin Fixed Dose Combination Tablets Relative to Coadministration of Their Respective Individual Components in Healthy Subjects and a Characterization of th [NCT02060201] | Phase 1 | 72 participants (Actual) | Interventional | 2014-02-28 | Completed |
A Multicenter, Randomized, Active-controlled, Parallel Group, Open-label, Phase 4 Trial to Evaluate the Efficacy on Glycemic Variability and Safety of Gemigliptin 50mg q.d., Versus Dapagliflozin 10mg q.d. Added to Subjects With Type 2 Diabetes Who Have In [NCT03202563] | Phase 4 | 71 participants (Actual) | Interventional | 2017-08-09 | Completed |
Effects of DAPAgliflozin on Cardiopulmonary Exercise Capacity and Hemodynamics in Pulmonary Arterial Hypertension: A Double Blind Randomized Trial. (DAPAH-trial) [NCT05179356] | Phase 2 | 52 participants (Anticipated) | Interventional | 2023-01-01 | Recruiting |
Dapagliflozin After Transcatheter Aortic Valve Implantation [NCT04696185] | Phase 4 | 1,020 participants (Anticipated) | Interventional | 2021-01-27 | Recruiting |
Polypill Versus Metformin in New Onset Type 2 Diabetes: a Low Dose Triple Therapy Polypill Versus Metformin for Glycaemic Control in Newly Diagnosed Type 2 Diabetes [NCT05833958] | Phase 2 | 334 participants (Anticipated) | Interventional | 2024-01-31 | Not yet recruiting |
Dapagliflozin in Patients With Critical Illness: A Randomized Controlled Trial [NCT05558098] | Phase 3 | 507 participants (Actual) | Interventional | 2022-11-01 | Completed |
Clinical Investigation of Cardioprotective Effect of Early Administration of Sodium-glucose Cotransport-2 Inhibitors in Patients With Acute Myocardial Infarction [NCT06009874] | | 80 participants (Anticipated) | Interventional | 2023-10-31 | Recruiting |
SGLT2 Inhibitors As First Line Therapy to Prevent Renal Decline in Type 2 Diabetes [NCT05345327] | Phase 3 | 994 participants (Anticipated) | Interventional | 2023-01-01 | Recruiting |
Effect of Adjuvant Dapagliflozin on Improving the Treatment of Congestion in Patients With Acute Heart Failure (DAPA-RESPONSE-AHF) [NCT05406505] | Phase 2/Phase 3 | 87 participants (Actual) | Interventional | 2022-04-25 | Completed |
Clinical Value of Adding Dapagliflozin in Patients With Nephrotic Syndrome [NCT06026787] | Phase 4 | 60 participants (Actual) | Interventional | 2022-08-01 | Completed |
Sodium-glucose Transport 2 Inhibitors (SGLT2i) in Heart Failure Reduced Ejection Fraction (HFrEF) Patients [NCT06065280] | | 80 participants (Anticipated) | Interventional | 2022-09-01 | Recruiting |
Effect of Dapagliflozin on Metabolomics and Cardiac Mechanics in Chronic Kidney Disease [NCT05719714] | Phase 1/Phase 2 | 60 participants (Anticipated) | Interventional | 2023-11-01 | Recruiting |
Dapagliflozin Effects on Mayor Adverse Cardiovascular Events in Patients With Acute Myocardial Infarction (DAPA-AMI). Randomized Clinical Trial [NCT04717986] | | 188 participants (Actual) | Interventional | 2021-01-26 | Completed |
Efficacy of Dapagliflozin in Diabetes Associated Peripheral Neuropathy: A Randomized Placebo Controlled Trial [NCT05162690] | Phase 2/Phase 3 | 40 participants (Anticipated) | Interventional | 2022-05-01 | Recruiting |
Study of the Effect of Dapagliflozin on the Pharmacokinetics of Warfarin or Digoxin in Healthy Subjects [NCT00904176] | Phase 1 | 30 participants (Actual) | Interventional | 2009-06-30 | Completed |
A Randomized, Double-Blinded, Placebo-controlled, Single-center Phase 1 Pilot Study to Explore the Effect of DAPAglifozin and Stress ( i.v. ACTH) on the Development of DKA After Insulin Withdrawal in Adolescent and Adult Subjects With T1D [NCT04234867] | Phase 1 | 2 participants (Actual) | Interventional | 2022-05-18 | Terminated(stopped due to slow recruitment) |
Cardio-Protective of Effect of Saxagliptin and Dapagliflozin Combination on Endothelial Progenitor Cells in Patients With Type 2 Diabetes [NCT03660683] | Phase 4 | 15 participants (Actual) | Interventional | 2018-10-22 | Terminated(stopped due to Sponsor did not want to continue funding the study) |
Mechanistic Study of the Systolic Blood Pressure Lowering Effect of Dapagliflozin in Type 2 Diabetes [NCT02372955] | Phase 4 | 21 participants (Anticipated) | Interventional | 2015-02-28 | Recruiting |
Exploring the Association Between Phthalates Exposure, Measured Through Their Urinary Metabolites, and Renal Function Impairment in Individuals With TYpe 2 Diabetes - SGLT2 Subprotocol [NCT04242758] | Phase 4 | 30 participants (Actual) | Interventional | 2019-06-04 | Active, not recruiting |
A Randomized, Open-Label, Parallel-group, Multiple-Dose Study to Evaluate the Potential Pharmacokinetic Interaction and Pharmacodynamic Effects on Renal Parameters of Bumetanide (1mg) and Dapagliflozin (10 mg) When Co-administered in Healthy Subjects [NCT00930865] | Phase 1 | 42 participants (Actual) | Interventional | 2009-07-31 | Completed |
A Single-dose Cross-over Study to Assess Direct and Indirect Effects of Dapagliflozin on Pancreatic Alpha and Beta Cells in Patients With Type 2 Diabetes [NCT02765204] | Phase 4 | 15 participants (Actual) | Interventional | 2016-03-31 | Completed |
The Effect of a SGLT2 Inhibitor on Glucose Flux, Lipolysis and Exercise in Type 2 Diabetes [NCT04219124] | Phase 4 | 9 participants (Actual) | Interventional | 2018-09-20 | Completed |
Impact of Dapagliflozin on DIAstolic Dysfunction in Type 2 Diabetic Patients: The IDDIA Study [NCT02751398] | Phase 4 | 60 participants (Actual) | Interventional | 2016-08-18 | Completed |
Clinical Efficacy of SGLT-2 Inhibitor After Stent Implantation in Patients With Coronary Heart Disease and Diabetes Mellitus:a Prospective Cohort Study [NCT05333159] | | 1,424 participants (Anticipated) | Observational | 2021-09-01 | Recruiting |
Dapagliflozin and Hydrochlorothiazide Treatment in Recurring Kidney Stone Patients - a Randomised Single Center Cross-over Study [NCT05443932] | Phase 4 | 32 participants (Anticipated) | Interventional | 2024-03-04 | Not yet recruiting |
A Pilot Study of the Efficacy and Safety of BMS-512148 on Glycemic Control in Subjects With Type 2 Diabetes Treated Aggressively But Not Controlled on Combination Antihyperglycemic Therapy With Metformin and/or Thiazolidinedione (TZD) and Insulin. [NCT00357370] | Phase 2/Phase 3 | 163 participants (Actual) | Interventional | 2006-10-31 | Completed |
International, Multicentre, Parallel-group, Randomised, Double-blind, Placebo-controlled, Phase III Study Evaluating the Effect of Dapagliflozin on Exercise Capacity in Heart Failure Patients With Preserved Ejection Fraction [NCT03877224] | Phase 3 | 504 participants (Actual) | Interventional | 2019-04-04 | Completed |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise [NCT00528372] | Phase 3 | 1,067 participants (Actual) | Interventional | 2007-09-30 | Completed |
Effect of Sodium Glucose Cotransporter-2 Inhibitors on Metabolic, Hormonal and Clinical Parameters in Infertile Women With Polycystic Ovary Syndrome [NCT05601336] | Phase 3 | 200 participants (Anticipated) | Interventional | 2022-01-15 | Recruiting |
A Phase 2b, Randomised, Double-Blind, Active Controlled, Multi Centre Study to Evaluate the Efficacy, Safety and Tolerability of Oral AZD9977 and Dapagliflozin Treatment in Patients With Heart Failure and Chronic Kidney Disease [NCT04595370] | Phase 2 | 153 participants (Actual) | Interventional | 2021-01-26 | Completed |
Assessment of Dapagliflozin on Vascular Health in Patients With Type 2 Diabetes [NCT05139914] | Phase 4 | 50 participants (Anticipated) | Interventional | 2022-05-31 | Recruiting |
A Two Part Phase IIa/b Multicentre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group Dose-ranging Study to Assess Efficacy, Safety, and Tolerability of the Combination of Zibotentan and Dapagliflozin, and Dapagliflozin Monotherapy Versus Place [NCT05516498] | Phase 2 | 195 participants (Anticipated) | Interventional | 2022-10-31 | Recruiting |
A Two Part, Open Label, Randomized, Phase I Bioequivalence Study Comparing the Fixed Dose Combination Dapagliflozin/Metformin IR Tablet (2.5 mg/850 mg or 5 mg/1000 mg) vs. the Free Combination of Dapagliflozin and Metformin IR Tablets, in Healthy Voluntee [NCT01055691] | Phase 1 | 120 participants (Actual) | Interventional | 2010-01-31 | Completed |
Semaglutide and Dapagliflozin in Diabetic Patients With Different Pathophysiology [NCT04451837] | Phase 2 | 200 participants (Anticipated) | Interventional | 2020-09-10 | Active, not recruiting |
Evaluation and Intervention of Cognitive Function in Patients With Diabetes Mellitus. [NCT05262257] | Early Phase 1 | 120 participants (Anticipated) | Interventional | 2022-04-01 | Not yet recruiting |
A Pragmatic Randomized Trial to Evaluate the Comparative Effectiveness Between Dapagliflozin and Standard of Care in Type 2 Diabetes Patients (DECIDE Study) [NCT02616666] | Phase 4 | 632 participants (Actual) | Interventional | 2016-08-25 | Active, not recruiting |
Impact on Atrial Remodeling of Dapaglifozin in Patients With Heart Failure . [NCT04707352] | Phase 3 | 162 participants (Actual) | Interventional | 2021-02-08 | Completed |
A 6-Month, Randomized, Double-Blind Study to Evaluate the Effect of Dapagliflozin on EChOcardiographic Measures of CarDiac StructurE and Function in Patients With Chronic Kidney Disease [NCT05359263] | Phase 2 | 222 participants (Anticipated) | Interventional | 2022-06-08 | Recruiting |
A Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin 10 mg in Combination With Metformin as Initial Therapy as Compared With Dapagliflozin 10 mg Monotherapy and Metf [NCT00859898] | Phase 3 | 1,093 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 2 Trial to Evaluate the Effects of Dapagliflozin on Insulin Resistance and Insulin Secretion in Subjects With Type 2 Diabetes [NCT00831779] | Phase 2 | 116 participants (Actual) | Interventional | 2009-04-30 | Completed |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Thiazolidinedione Therapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Con [NCT00683878] | Phase 3 | 972 participants (Actual) | Interventional | 2008-07-31 | Completed |
Short and Intermediate Term Effect of Dapagliflozin on Left Ventricular Remodeling in Anterior STEMI Patients [NCT05957887] | Phase 3 | 120 participants (Anticipated) | Interventional | 2022-04-15 | Recruiting |
SGLT2 INHIBITION AND STIMULATION OF ENDOGENOUS GLUCOSE PRODUCTION [EGP]: Can the Glucagon-like Peptide-1 [GLP-1] Receptor Agonist, Exenatide, Prevent the Increase in EGP in Response to Dapagliflozin-induced Increase in Glucosuria [NCT03331289] | Phase 4 | 107 participants (Actual) | Interventional | 2018-02-28 | Completed |
A Double-blind, Randomized, Four-period Crossover Study to Assess the Effects of Single Oral Dose Dapagliflozin Administration on QTc Interval Compared to Placebo, Using AVELOX™ (Moxifloxacin) as a Positive Control, in Healthy Male Volunteers Age 18 to 45 [NCT00688493] | Phase 1 | 36 participants (Actual) | Interventional | 2007-07-31 | Completed |
Effects of Dapagliflozin on Hyperlipidemia, Glycemic Control and Insulin Resistance in Type 2 Diabetic Patients (DAPHNIS Study) [NCT02577159] | Phase 4 | 50 participants (Anticipated) | Interventional | 2015-07-01 | Active, not recruiting |
A 24-Week,Int.,Rand.,Double-blind,Parallel-group,Multi-centre, Plac.-Controlled Phase III Study With a 24-Wk Ext.Per.to Eval.the Efficacy and Safety of Dapagliflozin in Comb.With Glimepiride (a Sulphonylurea) in Subjects With Type2 Diab.Who Have Inadeq. G [NCT00680745] | Phase 3 | 597 participants (Actual) | Interventional | 2008-04-30 | Completed |
"Treating to Reduce Albuminuria and Normalize Hemodynamic Function in Focal ScLerosis With dApagliflozin Trial Effects: The TRANSLATE Study" [NCT02585804] | Phase 4 | 10 participants (Actual) | Interventional | 2015-09-30 | Completed |
A Phase 2b Randomized, Double-blind, Placebo-controlled, Study to Evaluate the Efficacy and Safety of MEDI3506 in Subjects With Diabetic Kidney Disease [NCT04170543] | Phase 2 | 609 participants (Actual) | Interventional | 2019-11-18 | Completed |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Subjects With Type 2 Diabetes With Inadequately Controlled Hypertension on an Angiotensin-Converting Enzyme [NCT01137474] | Phase 3 | 2,996 participants (Actual) | Interventional | 2010-07-31 | Completed |
A Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Metformin as Initial Therapy as Compared With Dapagliflozin Monotherapy and Metformin Monoth [NCT00643851] | Phase 3 | 994 participants (Actual) | Interventional | 2008-06-30 | Completed |
Efficacy of Exenatide-LAR Alone and in Combination With Dapagliflozin in Overweight/Obese, Insulin Treated Patients With Uncontrolled Type 2 Diabetes [NCT02811484] | Phase 4 | 0 participants (Actual) | Interventional | 2016-06-30 | Withdrawn(stopped due to Inability to enroll due to the widespread use of both classes of drugs in patients with T2DM, including those on concomitant insulin therapy.) |
The Effects of SGLT Inhibition on Diabetic Cardiomyopathy [NCT04200586] | Phase 4 | 30 participants (Anticipated) | Interventional | 2020-04-09 | Active, not recruiting |
Effect of Dapagliflozin, Metformin and Physical Activity on Glucose Variability, Body Composition and Cardiovascular Risk in Pre-diabetes [NCT02695810] | Phase 2 | 120 participants (Actual) | Interventional | 2016-02-24 | Completed |
Comparative Effectiveness of Dapagliflozin Versus DPP-4 Inhibitors on a Composite Endpoint of HbA1c, Body Weight, and Blood Pressure Reduction: A Nationwide Real World Italian Multicentric Study [NCT04304430] | | 11,206 participants (Actual) | Observational | 2018-10-18 | Completed |
Randomized, Open Prospective Study of the Effect of SGLT-2 Inhibitor Dapagliflozin on Glycemic Variability in Patients With Diabetes Mellitus Type 2 [NCT02719756] | Phase 4 | 100 participants (Anticipated) | Interventional | 2016-04-30 | Not yet recruiting |
DAPAgliflozin Sodium Water glucosE EffecTs in Patients at High Cardiovascular Risk [NCT04258371] | Phase 2 | 50 participants (Anticipated) | Interventional | 2020-02-10 | Recruiting |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy in Asian Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exerci [NCT01095653] | Phase 3 | 1,179 participants (Actual) | Interventional | 2010-06-30 | Completed |
Effects of SGLT-2 Inhibitor Dapagliflozin on Hormonal Glucose Regulation and Ketogenesis in Patients With Type 1 Diabetes - a Randomised, Placebo-controlled, Open-label, Cross-over Intervention Study [NCT04035031] | Phase 3 | 13 participants (Actual) | Interventional | 2020-01-09 | Completed |
Effect of Chronic Exenatide Therapy on Beta Cell Function and Insulin Sensitivity in Type 2 Diabetes Mellitus (T2DM) [NCT02981069] | Phase 4 | 90 participants (Actual) | Interventional | 2017-12-15 | Completed |
Effects of SGLT2 Inhibitors on Islet Cell Function and Insulin Sensitivity in Patients of Type 2 Diabetes Mellitus [NCT04014192] | Phase 4 | 40 participants (Anticipated) | Interventional | 2019-09-01 | Recruiting |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Metformin in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformi [NCT00528879] | Phase 3 | 915 participants (Actual) | Interventional | 2007-09-30 | Completed |
Safety and Efficacy of Adding Dapagliflozin and Furosemide in Diabetic Patients (Type 2) With Decompensated Heart Failure With Reduced Ejection Fraction (HFrEF) [NCT04385589] | Phase 4 | 100 participants (Actual) | Interventional | 2020-05-01 | Completed |
Study of the Absolute Oral Bioavailability of Dapagliflozin in Healthy Subjects [NCT00908271] | Phase 1 | 7 participants (Actual) | Interventional | 2009-07-31 | Completed |
Evaluation of the Tubular Effects of Dapagliflozin Using 1HNMR Spectroscopy [NCT02798757] | Phase 4 | 50 participants (Actual) | Interventional | 2016-06-30 | Completed |
A Randomized, Double - Blind, Placebo - Controlled Trial to Investigate the Effect of Dapagliflozin on Ischemia Reperfusion Induced Endothelial Dysfunction of the Forearm Vasculature in Healthy Male Subjects [NCT05217654] | Phase 1 | 32 participants (Anticipated) | Interventional | 2022-02-18 | Recruiting |
A Randomized, Multicenter, Double-blind, Parallel-group, Active-control Study of the Efficacy and Safety of Sparsentan for the Treatment of Immunoglobulin A Nephropathy [NCT03762850] | Phase 3 | 380 participants (Anticipated) | Interventional | 2018-12-11 | Active, not recruiting |
Effect of Dapagliflozin on the Recurrence of Atrial Tachyarrhythmia in Patients Undergoing Catheter Ablation of Atrial Fibrillation - A Randomized Open-Label Phase III Trial [NCT06111443] | Phase 2/Phase 3 | 196 participants (Anticipated) | Interventional | 2023-12-01 | Active, not recruiting |
Acute Effects of Sodium GlucOse Co-Transporter 2 (SGLT2) Inhibition on Hepatic Glucose and Energy Metabolism [NCT02558270] | Phase 2 | 20 participants (Anticipated) | Interventional | 2016-06-30 | Recruiting |
Effect of Dapagliflozin, a Sodium Glucose Co-transporter 2 Inhibitor, on Vascular Functions in Patients With Type 2 Diabetes Compared to Gliclazide [NCT02610088] | Phase 4 | 32 participants (Actual) | Interventional | 2015-11-30 | Completed |
A Multicenter, Randomized, Double-Blind, Placebo Controlled, Parallel Group, Phase III Trial to Evaluate the Safety and Efficacy of Dapagliflozin as Monotherapy in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Diet and Exercise [NCT00736879] | Phase 3 | 497 participants (Actual) | Interventional | 2008-09-22 | Completed |
Effects of Single Doses of Liraglutide and Dapagliflozin on Hyperglycemia and Ketogenesis in Type 1 Diabetes [NCT02777073] | Phase 3 | 2 participants (Actual) | Interventional | 2016-03-31 | Completed |
Comparison of the Effects of Dapagliflozin and Gemigliptin on Ketone Metabolism and Cardiac Remodeling in Type 2 Diabetes [NCT05194592] | Phase 4 | 122 participants (Anticipated) | Interventional | 2022-01-07 | Recruiting |
A Multicenter, Double-Blind, Placebo-Controlled, Parallel Group, Randomized, Phase 2/3 Trial to Evaluate the Glycemic Efficacy, Renal Safety, Pharmacokinetics, and Pharmacodynamics of Dapagliflozin in Subjects With Type 2 Diabetes Mellitus and Moderate Re [NCT00663260] | Phase 2/Phase 3 | 631 participants (Actual) | Interventional | 2008-06-30 | Completed |
Effect of Anti-diabetic Drugs on Glycemic Variability. A Comparison Between Gliclazide MR (Modified Release) and Dapagliflozin on Glycemic Variability Measured by Continuous Glucose Monitoring (CGM) in Patients With Uncontrolled Type 2 Diabetes [NCT02925559] | Phase 4 | 135 participants (Actual) | Interventional | 2016-10-31 | Completed |
A Placebo-Controlled, Ascending Multiple-Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Dapagliflozin in Diabetic Japanese Subjects [NCT00538174] | Phase 1 | 36 participants (Actual) | Interventional | 2007-11-30 | Completed |
An Open-label, Multi-centre, Drug-drug Interaction Study to Assess the Effect of Voglibose (0.2 mg Tid) on the Pharmacokinetics, Safety and Tolerability of Single Oral Administration of Dapagliflozin (10 mg) in Japanese Patients With Type 2 Diabetes [NCT01055652] | Phase 1 | 28 participants (Actual) | Interventional | 2010-01-31 | Completed |
Effectiveness of the Treatment With Dapagliflozin and Metformin Compared to Metformin Monotherapy for Weight Loss on Diabetic and Prediabetic Patients With Obesity Class III [NCT03968224] | Phase 2/Phase 3 | 90 participants (Anticipated) | Interventional | 2018-07-07 | Recruiting |
Effect of Rifampin on the Pharmacokinetics of Dapagliflozin in Healthy Subjects [NCT01068756] | Phase 1 | 14 participants (Actual) | Interventional | 2010-03-31 | Terminated |
Effects of Continuous Subcutaneous Insulin Infusion and Oral Hypoglycemic Drugs on Testosterone Levels in Type 2 Diabetes Patients [NCT03982238] | Phase 4 | 74 participants (Actual) | Interventional | 2019-06-15 | Completed |
An Open-label, Randomised, Two-period Crossover Study to Assess the Effect of Dapagliflozin on Percent Inhibition of Glucose Re-absorption When Administered Once a Day (10 mg OD) Versus Twice a Day (5 mg BID) in Healthy Male and Female Volunteers [NCT01072578] | Phase 1 | 16 participants (Actual) | Interventional | 2010-02-28 | Completed |
Effectiveness of Once-weekly Exenatide (BCise) Plus Dapagliflozin on 24 Hour Glucose Variability Measured by CGM. A Proof of Concept. [NCT03970044] | Phase 4 | 67 participants (Actual) | Interventional | 2019-07-02 | Completed |
A Double-Blind, Randomized, 2-Way Crossover Study to Compare the Pharmacodynamics of Canagliflozin 300 mg Versus Dapagliflozin 10 mg in Healthy Subjects [NCT01877889] | Phase 1 | 60 participants (Actual) | Interventional | 2013-07-31 | Completed |
forREAL: FORXIGA (DAPAGLIFLOZIN PROPANEDIOL MONOHYDRATE) PRESCRIPTION EVENT MONITORING PROGRAM [NCT01944618] | | 5,000 participants (Anticipated) | Observational | 2013-10-31 | Terminated(stopped due to "Participant Data obtained to 30Sep2015:~Baseline data: 447 6 month data: 253 Program terminated: recruitment target not met. No analysis will be provided.") |
Evaluation of the Effect of Sodium-Glucose Cotransporter-2 (SGLT2) Inhibitors on Diabetic Retinopathy in Patients With Type 2 Diabetes Mellitus [NCT05310916] | Phase 3 | 60 participants (Anticipated) | Interventional | 2022-06-06 | Recruiting |
An International, Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Study Evaluating the Efficacy and Safety of Dapagliflozin in Respiratory Failure in Patients With COVID-19 [NCT04350593] | Phase 3 | 1,250 participants (Actual) | Interventional | 2020-04-22 | Completed |
An Observational Cross-sectional Study and a Double-blind Placebo Controlled Randomised Controlled Trial to Assess the Effect of Dapagliflozin on Myocardial Calcium-handling in Patients With Heart Failure- The DAPA-MEMRI Trial. [NCT04591639] | | 160 participants (Anticipated) | Interventional | 2020-08-19 | Recruiting |
Assessment of the Renoprotective Effect of Dapagliflozin in Non-Diabetic Patients With Nephrotic Syndrome. [NCT05966818] | Phase 4 | 90 participants (Anticipated) | Interventional | 2023-08-01 | Not yet recruiting |
An Exploratory Phase 2 Study to Assess the Effect of Dapagliflozin on Glomerular Filtration Rate (GFR) in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic and Blood Pressure (BP) Control [NCT00976495] | Phase 2 | 154 participants (Actual) | Interventional | 2009-10-31 | Completed |
Effects of Dapagliflozin, an SGLT2 Inhibitor, on Hemodynamic Parameters, Target Organ Damage and Obesity Profile in Resistant Hypertensive Subjects [NCT03089333] | Phase 4 | 16 participants (Actual) | Interventional | 2016-07-31 | Completed |
Pharmacokinetic Drug Interaction Study With Dapagliflozin and Glimepiride in Healthy Subjects [NCT00562250] | Phase 1 | 11 participants (Actual) | Interventional | 2008-05-31 | Completed |
DAPASALT: An Open Label, Phase IV, Mechanistic, Study to Evaluate the Natriuretic Effect of 2-Week Dapagliflozin Treatment in Type 2 Diabetes Mellitus Patients With Impaired Renal Function [NCT04620590] | Phase 4 | 17 participants (Anticipated) | Interventional | 2021-04-20 | Recruiting |
Effects of Dapagliflozin on Hypotensive Patients With Depressed Left Ventricular Ejection Fraction After Sacubitril/Valsartan Therapy [NCT04575675] | Phase 4 | 78 participants (Actual) | Interventional | 2020-05-29 | Completed |
Dapagliflozin And Pulmonary Artery Hemodynamics in Heart Failure With Reduced Ejection Fraction Patients With CardioMEMS® [NCT04570865] | Phase 4 | 100 participants (Anticipated) | Interventional | 2020-12-01 | Not yet recruiting |
Clinical Trial to Compare the Pharmacokinetics, Safety and Tolerability of the FDC of Gemigliptin/Dapagliflozin 50/10 mg to Each Component of Gemigliptin 50 mg and Dapagliflozin 10 mg [NCT04544319] | Phase 1 | 44 participants (Anticipated) | Interventional | 2020-10-31 | Not yet recruiting |
Efficacy and Safety of Dapagliflozin in Children With Proteinuric Chronic Kidney Disease : a Prospective, Randomized, Placebo-controlled Trial [NCT04531397] | Phase 4 | 0 participants (Actual) | Interventional | 2021-01-01 | Withdrawn(stopped due to lack of funding) |
A 24 Week, Multicenter, Randomized, Double-Blind, Parallel Group, Phase 3 Trial With a 28 Week Long Term Safety Extension Period Evaluating the Safety and Efficacy of Dapagliflozin 10 mg in T2DM Patients Aged 10-24 Years [NCT02725593] | Phase 3 | 72 participants (Actual) | Interventional | 2016-06-22 | Completed |
Long Term Clinical Efficacy of Sodium-glucose Cotransporter-2 (SGLT-2) Inhibitor in Cystinurics [NCT05058859] | Phase 2 | 10 participants (Anticipated) | Interventional | 2024-08-01 | Not yet recruiting |
The Effect of Dapagliflozin on the Short-term Prognosis of Patients With Acute Myocardial Infarction [NCT05050500] | Phase 4 | 300 participants (Anticipated) | Interventional | 2023-05-08 | Recruiting |
Evaluation of the Cardiac and Metabolic Effects of Dapagliflozin in Heart Failure With Preserved Ejection Fraction (CAMEO-DAPA): A Phase II, Prospective, Double-Blind Study [NCT04730947] | Phase 2 | 38 participants (Actual) | Interventional | 2021-02-24 | Completed |
The Effect of SGLT-2 Inhibitors on Epicardial Adipose Tissue and Cardiac Function in T2DM Patients With CAD (EpiCAD) [NCT06128096] | | 360 participants (Anticipated) | Observational | 2022-06-01 | Recruiting |
Preoperative Sodium Glucose Cotransporter 2 Inhibitors for Prevention of Postoperative Acute Kidney Injury in Cardiac Surgery Patients - a Randomized, Placebo-controlled, Multi-centre, Phase IV Clinical Trial [NCT05590143] | Phase 4 | 784 participants (Anticipated) | Interventional | 2023-06-09 | Recruiting |
International, Multicentre, Parallel-group, Randomised, Double-blind, Placebo-controlled, Phase III Study Evaluating the Effect of Dapagliflozin on Exercise Capacity in Heart Failure Patients With Reduced Ejection Fraction [NCT03877237] | Phase 3 | 313 participants (Actual) | Interventional | 2019-04-09 | Completed |
Cardiometabolic Effects of Dapagliflozin in Heart Failure With Reduced or Mildly Reduced Ejection Fraction: an Exploratory Study [NCT05420285] | Phase 2 | 40 participants (Anticipated) | Interventional | 2022-06-26 | Recruiting |
Response of Gut Microbiota in Type 2 Diabetes to Hypoglycemic Agents [NCT04287387] | Phase 4 | 180 participants (Anticipated) | Interventional | 2020-03-02 | Not yet recruiting |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Combination With Metformin in Asian Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Me [NCT01095666] | Phase 3 | 1,484 participants (Actual) | Interventional | 2010-06-30 | Completed |
Acute Effects of Sodium-glucose Cotransporter-2 Inhibition on Renal Oxygenation and Autonomic Function in Type 1 Diabetes [NCT04193566] | Phase 4 | 30 participants (Actual) | Interventional | 2020-02-01 | Completed |
A Multicentre Randomised Open-Label Crossover 2-Period 2 Treatment Clinical Trial to Evaluate Effect of Dapagliflozin 10 mg Once Daily on the Quality of Life in Patients With Type 2 Diabetes [NCT02719132] | Phase 4 | 0 participants (Actual) | Interventional | 2016-07-31 | Withdrawn |
The Echocardiographic Left Ventricular Functional Changes of Uncontrolled Diabetes by the Intervention of Dapagliflozin Treatment Trial (ELUCIDATE) [NCT03871621] | Phase 4 | 76 participants (Actual) | Interventional | 2019-04-01 | Completed |
Impact of Sodium-glucose Cotransporter Type 2 Inhibitors on the Course of Cardiorenal Syndrome in Acute Decompensation of Chronic Heart Failure [NCT04778787] | Phase 4 | 370 participants (Actual) | Interventional | 2021-01-01 | Completed |
A 24 Week Monocentric Prospective Randomized, Placebo-controlled Trial to Evaluate Efficacy of Combination of Exenatide and Dapagliflozin Compared to Dapagliflozin and Placebo and Its Effects on Hepatic, Myocardial and Pancreatic Fat Distribution in Patie [NCT03007329] | Phase 4 | 34 participants (Actual) | Interventional | 2017-03-08 | Completed |
A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 2 Trial to Evaluate the Efficacy and Safety of Dapagliflozin as Monotherapy in Japanese Subjects With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control [NCT00972244] | Phase 2 | 417 participants (Actual) | Interventional | 2009-08-31 | Completed |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Subjects With Type 2 Diabetes With Inadequately Controlled Hypertension on an Angiotensin-Converting Enzyme [NCT01195662] | Phase 3 | 2,245 participants (Actual) | Interventional | 2010-10-31 | Completed |
A Double-blind, Placebo-controlled, Randomized, Multiple-dose Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Bms-512148 in Diabetic Subjects [NCT00162305] | Phase 2 | 47 participants (Actual) | Interventional | 2005-04-30 | Completed |
A Multicenter, Adaptive, Randomized Controlled Platform Trial of the Safety and Efficacy of Antithrombotic and Additional Strategies in Hospitalized Adults With COVID-19 [NCT04505774] | Phase 4 | 880 participants (Actual) | Interventional | 2020-09-04 | Active, not recruiting |
Efficacy and Safety of Dapagliflozin in Non-diabetic Children With Proteinuria [NCT04534270] | Phase 4 | 23 participants (Actual) | Interventional | 2020-07-06 | Completed |
Bioavailability Study of Two Prototype Fixed Dose Combination (FDC) Formulations of 10 mg Dapagliflozin and 1000 mg Metformin Extended Release (XR) Tablet Relative to Dapagliflozin 10 mg Tablet and Glucophage® XR 2 X 500 mg Tablets Coadministered to Healt [NCT01002807] | Phase 1 | 15 participants (Actual) | Interventional | 2009-11-30 | Completed |
A 24-week,Multi-centre,Int.,Double-blind,Rand.,Parallel-group,Plac.-Controlled,Phase III Study With a 78-week Ext.Per. to Evaluate the Effect of Dapagliflozin in Combination With Metformin on Body Weight in Subjects With Type2 Diabetes Mellitus Who Have I [NCT00855166] | Phase 3 | 182 participants (Actual) | Interventional | 2009-02-28 | Completed |
Effects of Sodium-glucose Co-transporter-2 Inhibitors on the Cognitive Function in Type 2 Diabetic Patient [NCT04304261] | Phase 3 | 100 participants (Anticipated) | Interventional | 2020-04-01 | Recruiting |
Therapeutic Confirmatory Study to Evaluate the Efficacy and Safety of DWP16001 in Combination With Metformin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Alone [NCT04634500] | Phase 3 | 200 participants (Actual) | Interventional | 2020-11-18 | Completed |
The Impact Of Sodium-Glucose Cotransporter 2 Inhibitors on Metabolic Dysfunction -Associated Steatotic Liver Disease In Patients With Type 2 Diabetes Mellitus [NCT06117137] | Phase 3 | 150 participants (Anticipated) | Interventional | 2023-11-15 | Not yet recruiting |
Randomized Controlled Pilot Trial Of Dapagliflozin In Alzheimer's Disease [NCT03801642] | Phase 1/Phase 2 | 48 participants (Actual) | Interventional | 2019-01-29 | Completed |
Activation of Autophagy and Suppression of Apoptosis by Dapagliflozin Attenuates Inflammatory Bowel Disease [NCT05986136] | Phase 2/Phase 3 | 50 participants (Anticipated) | Interventional | 2023-08-20 | Recruiting |
A 24-week Randomised, Double-blind, Parallel-group, Multi-centre, Placebo-controlled Phase III Trial to Evaluate the Efficacy and Safety of Dapagliflozin as Monotherapy in Japanese Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Di [NCT01294423] | Phase 3 | 261 participants (Actual) | Interventional | 2011-02-28 | Completed |
The Pharmacodynamics, Pharmacokinetics, and Safety of Dapagliflozin in Type 2 Diabetic Subjects With Mild, Moderate, and Severe Renal Impairment [NCT00554450] | Phase 1 | 40 participants (Actual) | Interventional | 2006-03-31 | Completed |
A 24-week, Multicentre, Randomised, Double-blind,Age-stratified, Placebo Controlled Phase III Study With an 80-week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin 10 mg Once Daily in Patients With T2DM and Cardiovascular Disease, Wh [NCT01042977] | Phase 3 | 964 participants (Actual) | Interventional | 2010-03-31 | Completed |
Comparison of Dapagliflozin (DAPA) and Once-weekly Exenatide (EQW), Co-administered or Alone, DAPA/ Glucophage (DAPA/MET ER) and Phentermine/Topiramate (PHEN/TPM) ER on Metabolic Profiles and Body Composition in Obese PCOS Women [NCT02635386] | Phase 3 | 119 participants (Actual) | Interventional | 2016-03-22 | Completed |
Efficacy and Mechanisms of Dapagliflozin in Promoting Kidney Function and Cardiovascular Health in Kidney Transplant Recipients [NCT06140537] | Phase 4 | 80 participants (Anticipated) | Interventional | 2023-12-01 | Not yet recruiting |
Effectiveness and Tolerability of Novel, Initial Triple Combination Therapy With Xigduo (Dapagliflozin Plus Metformin) and Saxagliptin vs. Conventional Stepwise add-on Therapy in Drug-naïve Patients With Type 2 Diabetes [NCT02946632] | Phase 3 | 104 participants (Anticipated) | Interventional | 2016-12-31 | Not yet recruiting |
A Randomized, Unicenter, Parallel Study of the Effect of Dapagliflozin on Central Blood Pressure Reduction Compared to Glimepiride in Adult Subjects With Type 2 Diabetes Mellitus and Inadequate Glycemic Control. [NCT02919059] | Phase 4 | 159 participants (Anticipated) | Interventional | 2016-12-13 | Recruiting |
Pharmacokinetic Drug Interaction Study With Dapagliflozin and Metformin in Healthy Subjects [NCT00546741] | Phase 1 | 18 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Phase 2b Multicentre, Randomised, Double-Blind, Active-Controlled, Parallel Group Dose-Ranging Study to Assess the Efficacy, Safety and Tolerability of Zibotentan and Dapagliflozin in Patients With Chronic Kidney Disease With Estimated Glomerular Filtra [NCT04724837] | Phase 2 | 542 participants (Actual) | Interventional | 2021-04-28 | Completed |
DAPA-LVH - Does Dapagliflozin Regress Left Ventricular Hypertrophy In Patients With Type 2 Diabetes? [NCT02956811] | Phase 4 | 66 participants (Actual) | Interventional | 2017-02-14 | Completed |
A 24-week, Multicentre, Randomised, Double-Blind, Placebo-Controlled, International Phase III Study With a 28-week Extension Period to Evaluate the Safety and Efficacy of Dapagliflozin 10mg Once Daily in Patients With Type 2 Diabetes Who Have Inadequate G [NCT01392677] | Phase 3 | 311 participants (Actual) | Interventional | 2011-10-31 | Completed |
The Effect of Early Administration of Dapagliflozin in ST Elevation Myocardial Infarction Patients Presenting With Left Ventricular Systolic Dysfunction [NCT05045274] | | 300 participants (Anticipated) | Interventional | 2021-12-31 | Not yet recruiting |
Effect of Dapagliflozin on the Blood Pressure Variability and the Ambulatory Arterial Stiffness Index in Individuals With Stage I Hypertension Without Diabetes Mellitus [NCT03592667] | Phase 4 | 20 participants (Anticipated) | Interventional | 2019-02-14 | Recruiting |
SGLT2 Inhibitor TrEatment iN Patients Awaiting cOronary arTery bYpass Surgery to Reduce Post-opErative Atrial Fibrillation and Kidney Injury (STENOTYPE Trial) [NCT05852704] | Phase 4 | 800 participants (Anticipated) | Interventional | 2023-10-02 | Not yet recruiting |
Dapagliflozin in Type 2 Diabetes Patients in Routine Internal Medicine and Endocrinology Outpatient Clinical Care; a Retrospective Cohort Study From Turkey [NCT03407196] | | 1,683 participants (Actual) | Observational | 2017-05-24 | Completed |
An Investigation Into the Effect of Dapagliflozin on Ketogenesis in Type 1 Diabetes [NCT02962492] | Phase 4 | 80 participants (Anticipated) | Interventional | 2016-11-30 | Not yet recruiting |
Effects Of Sodium Glucose Cotranspoter 2 Inhibitors On Heart And Kidneys In Fabry Disease Patients; A Prospective, Randomized, Double-Blind, Placebo- Controlled Study. [NCT05710367] | Phase 2 | 46 participants (Anticipated) | Interventional | 2023-08-31 | Not yet recruiting |
A Multicenter, Double-Blind, Placebo-Controlled, Parallel Group, Randomized, Phase III Study to Evaluate the Glycemic Efficacy and Renal Safety of Dapagliflozin in Patients With Type 2 Diabetes Mellitus and Moderate Renal Impairment (CKD 3A) Who Have Inad [NCT02413398] | Phase 3 | 321 participants (Actual) | Interventional | 2015-06-15 | Completed |
Dapagliflozin Effects on Coronary Calcium and Epicardial Fat Assessed by Cardiotomography [NCT05998525] | Phase 3 | 54 participants (Actual) | Interventional | 2021-06-21 | Completed |
Pilot Clinical Trial of Neoadjuvant SGLT2 Inhibition in High-Risk Localized Prostate Cancer [NCT04887935] | Phase 1 | 24 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
A Phase 1 Clinical Trial to Compare and Evaluate Safety and Pharmacokinetic Characteristics After Administration of SID1903 (Fixed-dose Combination of Dapagliflozin and Sitagliptin) or Loose Combination in Healthy Adult Volunteers [NCT05236998] | Phase 1 | 45 participants (Actual) | Interventional | 2021-11-03 | Completed |
Clinical Outcomes of Dapagliflozin in Acute Heart Failure, a Randomized Controlled Trial [NCT06012279] | Phase 4 | 110 participants (Anticipated) | Interventional | 2023-08-01 | Recruiting |
A Phase 2b Randomised, Double-Blind, Placebo-Controlled, Multi-Centre, Dose-Ranging Study of AZD5718 in Participants With Proteinuric Chronic Kidney Disease [NCT04492722] | Phase 2 | 613 participants (Actual) | Interventional | 2020-10-01 | Terminated(stopped due to The Sponsor decided to terminate the study early due to lack of efficacy. There were no safety concerns related to the study.) |
Effect of Dapagliflozin for Remission of Type 2 Diabetes Mellitus: A Multicenter, Randomized, Placebo-Controlled Trial [NCT04004793] | Phase 4 | 328 participants (Actual) | Interventional | 2020-08-15 | Active, not recruiting |
SGLT2 Inhibition (Dapagliflozin) in Diabetic and Non-diabetic Hemodialysis Patients With and Without Residual Urine Volume: a Prospective Randomized, Placebo-controlled, Double-blinded Phase II Trial [NCT05179668] | Phase 2 | 108 participants (Anticipated) | Interventional | 2022-10-01 | Recruiting |
Assessment of Safety and Efficacy of Sodium Glucose Co-transporter 2 Inhibitors Among Lupus Nephritis Patients [NCT06113900] | Phase 1/Phase 2 | 50 participants (Anticipated) | Interventional | 2023-12-01 | Not yet recruiting |
An International, Double-blind, Randomised, Placebo-Controlled Phase III Study to Evaluate the Effect of Dapagliflozin on Reducing CV Death or Worsening Heart Failure in Patients With Heart Failure With Preserved Ejection Fraction (HFpEF) [NCT03619213] | Phase 3 | 6,263 participants (Actual) | Interventional | 2018-08-27 | Completed |
Head-to-head Comparison of Quadruple Combination Therapy With Empagliflozin and Dapagliflozin in Patients With Poorly Controlled Type 2 Diabetes (T2D) Despite Three Existing Oral Antidiabetic Drugs (OAD) [NCT03748810] | | 600 participants (Actual) | Observational [Patient Registry] | 2016-01-01 | Completed |
Dapagliflozin Effect on FunctiOnal Mitral Regurgitation and Myocardial Remodeling [NCT05606718] | Phase 4 | 98 participants (Anticipated) | Interventional | 2022-04-01 | Recruiting |
Dapagliflozin in the Prevention of Post-Coronary Intervention Acute Kidney Injury [NCT05435235] | Phase 4 | 250 participants (Anticipated) | Interventional | 2023-08-31 | Suspended(stopped due to Laboratory UNGAL) |
A 16-week, Multicentre, Randomised, Double-Blind, Placebo-Controlled Phase III Study to Evaluate the Safety and Efficacy of Dapagliflozin 2.5 mg BID, 5 mg BID and 10 mg QD Versus Placebo in Patients With Type 2 Diabetes Who Are Inadequately Controlled on [NCT01217892] | Phase 3 | 400 participants (Actual) | Interventional | 2010-11-30 | Completed |
A Randomized Controlled Trial on SGLT2 Inhibitor in Lupus Nephritis Patients With Chronic Kidney Disease [NCT06155604] | Phase 2 | 150 participants (Anticipated) | Interventional | 2023-12-01 | Not yet recruiting |
An 8-week, Single Centre, Randomized, Parallel-group, Double-blind, Placebo Controlled Phase IV Study to Evaluate Dapagliflozin 10 mg Once Daily Effects on Insulin Resistance in Subjects With Type 2 Diabetes Mellitus [NCT02426541] | Phase 4 | 55 participants (Actual) | Interventional | 2015-03-23 | Completed |
A Bioequivalence Study of the Fixed Dose Combination Dapagliflozin/Metformin Tablet (5 mg/850 mg) Relative to a 5 mg Dapagliflozin Tablet and an 850 mg Metformin (Glucophage® Marketed in Canada by Sanofi-Aventis) Tablet Co-Administered to Healthy Subjects [NCT01535677] | Phase 1 | 71 participants (Actual) | Interventional | 2013-04-30 | Completed |
A 28-week, Multicenter, Randomized, Double-Blind, Active-Controlled, Phase 3 Study With a 24-week Extension Phase Followed by a 52-week Extension Phase to Evaluate the Efficacy and Safety of Simultaneous Administration of Exenatide Once Weekly 2 mg and Da [NCT02229396] | Phase 3 | 695 participants (Actual) | Interventional | 2014-09-04 | Completed |
A Randomized Study to Evaluate the Metabolic Responses of Adding Dapagliflozin Versus Sitagliptin to Chinese Patients With Type 2 Diabetes Inadequately Controlled With Insulin Therapy (DISTINCTION Study) [NCT03959501] | Phase 4 | 60 participants (Actual) | Interventional | 2017-08-16 | Completed |
DAPASALT: An Open Label, Phase IV, Mechanistic, Three-Arm Study to Evaluate the Natriuretic Effect of 2-Week Dapagliflozin Treatment in Type 2 Diabetes Mellitus Patients With Either Preserved or Impaired Renal Function and Non-Diabetics With Impaired Rena [NCT03152084] | Phase 4 | 24 participants (Actual) | Interventional | 2017-07-12 | Terminated(stopped due to Poor recruitment.) |
Pilot Study to Evaluate the Effect of Inflammation in Heart Failure [NCT05330013] | Phase 2 | 0 participants (Actual) | Interventional | 2022-06-23 | Withdrawn(stopped due to PI left NIH) |
Real World Observation of SGLT2 Inhibitors on Clinical Outcomes and Left Ventricular Remodeling in Type 2 Diabetic Patients With Acute Myocardial Infarction, a Prospective, Multi-center Registry Study [NCT05770687] | | 1,000 participants (Anticipated) | Observational | 2020-08-01 | Recruiting |
Short-term Effects of Dapagliflozin on Fasting and Postprandial Glucose Homeostasis in Male Type 1 Diabetes Patients. [NCT02211742] | Phase 4 | 12 participants (Actual) | Interventional | 2014-08-31 | Completed |
Multicenter, Randomized, Controlled Trial to Assess the Efficacy of Sodium Glucose Cotransporter-2 Inhibitor add-on Treatment in Patients With Severe Tricuspid Regurgitation [NCT05686616] | | 72 participants (Anticipated) | Interventional | 2022-04-13 | Recruiting |
Effectiveness of Dapagliflozin + Saxagliptin to Revert From a Basal-bolus Insulin Treatment (BBIT) Regimen to a Basal Supported Oral Therapy (BOT) in Patients With Type 2 Diabetes [NCT02965443] | Phase 4 | 4 participants (Actual) | Interventional | 2018-02-02 | Terminated(stopped due to Low patient recruitment) |
A Prospective, Randomized Study of Infusate 2.0 Direct Sodium Removal (DSR) Treatment in Subjects With Chronic Heart Failure (CHF) Induced Persistent Congestion, Resistant to Loop Diuretic Treatment. [NCT05965934] | Phase 1/Phase 2 | 33 participants (Anticipated) | Interventional | 2023-07-07 | Recruiting |
Replication of the DAPA-CKD (Chronic Kidney Disease) Trial in Healthcare Claims Data [NCT04882813] | | 87,727 participants (Actual) | Observational | 2020-12-13 | Completed |
Effect of SGLT2 Inhibition on Aging-related Biomarkers in Older Obese Adults With Pre-diabetes [NCT04401904] | Phase 1/Phase 2 | 20 participants (Actual) | Interventional | 2020-06-25 | Active, not recruiting |
Effect of Dapagliflozin Administration on Metabolic Syndrome, Insulin Sensitivity, and Insulin Secretion [NCT02113241] | Phase 2/Phase 3 | 24 participants (Actual) | Interventional | 2014-04-30 | Completed |
Effects of Perioperative Dapagliflozin on Type 2 Diabetic Patients Undergoing Cardiac Surgery [NCT05621551] | Phase 4 | 178 participants (Anticipated) | Interventional | 2022-11-11 | Recruiting |
Triple Therapy for Type 1 Diabetes With Insulin, Semaglutide, and Dapagliflozin [NCT03899402] | Phase 2/Phase 3 | 114 participants (Anticipated) | Interventional | 2019-05-01 | Recruiting |
Comparative Effectiveness and Safety of Four Second Line Pharmacological Strategies in Type 2 Diabetes Study [NCT05220917] | | 781,430 participants (Anticipated) | Observational | 2021-08-01 | Active, not recruiting |
A Multi-centre, Randomised, Double-blind, Placebo-controlled Trial to Determine the Effect of Dapagliflozin 10mg Once Daily on Cardiovascular Outcomes in Haemodialysis for Patients With End Stage Renal Disease (ESRD) [NCT04764097] | Phase 2/Phase 3 | 0 participants (Actual) | Interventional | 2021-06-30 | Withdrawn(stopped due to Lack of funding and similar competing study being conducted in Europe.) |
Efficacy, Mechanisms and Safety of SGLT2 Inhibitors in Kidney Transplant Recipients: The INFINITI Study [NCT04965935] | Phase 3 | 52 participants (Anticipated) | Interventional | 2021-07-15 | Recruiting |
A Multicenter, Double-blind, Active-controlled, Randomized, Parallel, Phase IV Clinical Trial to Evaluate the Efficacy and Safety of DA-2811 When Added to Ongoing Metformin Monotherapy in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control [NCT05743907] | Phase 4 | 232 participants (Anticipated) | Interventional | 2023-02-28 | Not yet recruiting |
Effect of Dapagliflozin on Insulin Secretion and Insulin Sensitivity in Patients With Prediabetes [NCT02700334] | Phase 4 | 24 participants (Actual) | Interventional | 2016-10-31 | Completed |
Effect of Sodium-Glucose Co-transporter 2 Inhibitors on Kidney Disease Progression and Bone Mineral Metabolism in Non-diabetic Patients With Chronic Kidney Disease [NCT05735197] | Phase 4 | 100 participants (Actual) | Interventional | 2022-11-10 | Active, not recruiting |
SGLT-2 Inhibition Using Dapagliflozin During and After Physical Exercise - Effects on Glycemic Variability, Hormonal Regulators of Glucose Homeostasis and Ketone Body in Type 1 Diabetes - a Randomized, Placebo-controlled, Open-label, Cross-over Interventi [NCT04049110] | Phase 3 | 39 participants (Actual) | Interventional | 2020-08-25 | Completed |
Study of the Effect of Vildagliptin Versus Dapagliflozin on Glucagon Response to Mixed Meal in Metformin-treated Subjects With Type 2 Diabetes [NCT02475070] | Phase 4 | 28 participants (Actual) | Interventional | 2016-01-31 | Completed |
Remission Evaluation of a Metabolic Intervention in Type 2 Diabetes With Forxiga [NCT02561130] | Phase 4 | 154 participants (Actual) | Interventional | 2015-12-31 | Completed |
mulTi-Arm Therapeutic Study in Pre-ICu Patients Admitted With Covid-19 - Experimental Drugs and Mechanisms (TACTIC-E) [NCT04393246] | Phase 2/Phase 3 | 454 participants (Actual) | Interventional | 2020-07-03 | Completed |
A Randomized, 2-period, 2-treatment, Single-dose, Crossover Study to Assess the Bioequivalence of the Fixed Dose Combination (FDC) of Dapagliflozin 10 mg and Sitagliptin 100 mg, and Dapagliflozin 10 mg and Sitagliptin 100 mg Administered as Individual Tab [NCT05266404] | Phase 1 | 46 participants (Actual) | Interventional | 2022-03-21 | Completed |
A Randomized, Open-label Study of Dapagliflozin in Patients With or Without Type 2 Diabetes Admitted With Acute Heart Failure [NCT04298229] | Phase 3 | 240 participants (Actual) | Interventional | 2020-04-01 | Completed |
A 16-wk, Uni-center, Randomized, Double-blind, Parallel, Phase 3b Trial to Evaluate Efficacy of Saxagliptin + Dapagliflozin vs.Dapagliflozin With Regard to EGP in T2DM With Insufficient Glycemic Control on Metformin+/-Sulfonylurea Therapy [NCT02613897] | | 56 participants (Actual) | Interventional | 2016-01-31 | Completed |
A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Phase 2 Trial to Evaluate the Safety and Efficacy of BMS-512148 as Monotherapy in Subjects With Type 2 Diabetes Mellitus Who Are Treatment Naive And Have Inadequate Glycemic Cont [NCT00263276] | Phase 2 | 389 participants (Actual) | Interventional | 2005-12-31 | Completed |
Natriuretic-ureothelic Adaptation of Body Fluid Homeostasis During SGLT-2 Inhibition and/or Mineralocorticoid Receptor Modulation in Patients With Chronic Kidney Disease. A 4-arm, Double-blind, Double-dummy, Parallel-group, Phase 2 Study to Investigate th [NCT05884866] | Phase 2 | 150 participants (Anticipated) | Interventional | 2023-05-08 | Recruiting |
Ketone Monitoring in T1D: Effect of SGLT2i During Usual Care and With Insulin Deficiency [NCT05541484] | Phase 4 | 20 participants (Anticipated) | Interventional | 2022-10-14 | Recruiting |
An Open Label Randomized Control Trial to Compare the Safety and Efficacy of Dapagliflozin Plus Metformin Versus Sitagliptin Plus Metformin for Treatment of Diabetes in Patients With Compensated and Stable Decompensated Cirrhosis [NCT06147518] | | 240 participants (Anticipated) | Interventional | 2023-12-20 | Not yet recruiting |
A Bioequivalence Study of Fixed-dose Combination Tablet of 5 Milligrams Saxagliptin/10 Milligrams Dapagliflozin Relative to Their Respective Individual Components Coadministered to Healthy Subjects in the Fasted State [NCT02223065] | Phase 1 | 36 participants (Actual) | Interventional | 2014-09-30 | Completed |
Study of the Cardio Renal Effects of SGLT2 Inhibitors Among Diabetic and Non-diabetic Lupus Nephritis Patients [NCT05748925] | Phase 4 | 100 participants (Actual) | Interventional | 2022-10-01 | Active, not recruiting |
A Multicenter, Double-blind, Placebo-controlled, Randomized, Parallel, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Dapagliflozin When Added to Ongoing Metformin and Evogliptin Combination Therapy in Patients With Type 2 Diabetes Who Ha [NCT04356742] | Phase 3 | 198 participants (Actual) | Interventional | 2020-05-26 | Completed |
Targeting Pediatric Brain Tumors With Sodium Glucose Cotransporter 2 Inhibitors (SGLT2i) [NCT05521984] | Phase 1 | 20 participants (Anticipated) | Interventional | 2023-04-03 | Recruiting |
Clinical Study to Evaluate the Possible Efficacy of Dapagliflozin and Atorvastatin in Patients With Major Depressive Disorders [NCT05792540] | Phase 2 | 75 participants (Anticipated) | Interventional | 2023-06-06 | Recruiting |
Evaluating the Short-term Renal and Systemic Effects of Dapagliflozin in Non-diabetic Patients With Stage IV CKD at Risk of ESKD Because of Severe Renal Insufficiency and Persistent Proteinuria: A Prospective, Randomized, Double-blind, Placebo-controlled, [NCT04794517] | Phase 2 | 32 participants (Anticipated) | Interventional | 2021-11-08 | Recruiting |
A Single Center, Randomized, Open Label, Parallel Group, Phase 3 Study to Evaluate the Efficacy of Dapagliflozin in Subjects With Nonalcoholic Fatty Liver Disease [NCT05308160] | Phase 3 | 75 participants (Anticipated) | Interventional | 2021-06-28 | Recruiting |
An Investigation Into The Anti-hypertensive And Potential Anti-inflammatory Actions Of Dapagliflozin [NCT02433678] | Phase 4 | 52 participants (Actual) | Interventional | 2015-11-30 | Completed |
EFFECT OF ADDING DAPAGLIFLOZIN TO ALLOGRAFT DYSFUNCTION OF RENAL TRANSPLANTED PATIENTS: A Prospective, Randomized, Single-blinded, Placebo- Controlled Study. [NCT04743453] | Phase 4 | 220 participants (Anticipated) | Interventional | 2021-08-17 | Recruiting |
Dapagliflozin to Prevent Atrial Fibrillation Recurrence After Transcatheter Pulmonary Venous Isolation. [NCT04780438] | Early Phase 1 | 350 participants (Anticipated) | Interventional | 2021-09-01 | Not yet recruiting |
An Open-label, Randomized, Crossover Study of Comparative Pharmacokinetics and Bioequivalence of Dapagliflozin + Metformin Modified Release Film-coated Tablets, 10 mg + 1000 mg (AstraZeneca AB, Sweden) Versus the Combined Use of Forxiga™ (Dapagliflozin), [NCT02722239] | Phase 1 | 40 participants (Actual) | Interventional | 2016-03-30 | Completed |
Effect of Dapagliflozin on Blood Pressure Variability in Patients With Prediabetes and Prehypertension Without Pharmacological Treatment [NCT03006471] | Phase 4 | 30 participants (Actual) | Interventional | 2016-03-30 | Completed |
Does Dapagliflozin Provide Additional Health Benefits To Dietary Counseling For Weight Loss? [NCT03180489] | Phase 2 | 62 participants (Actual) | Interventional | 2017-05-03 | Completed |
A Multicenter Randomized Exploratory Clinical Trial to Evaluate the Effect of Bone Metabolism and the Efficacy of Evogliptin and Dapagliflozin for Blood Sugar in the Menopause Female Patients With Osteopenia and Type 2 Diabetes [NCT04706637] | Phase 4 | 120 participants (Anticipated) | Interventional | 2021-02-01 | Not yet recruiting |
Does Dapagliflozin Augment The Favorable Adaptation To Endurance Exercise Training? [NCT02371187] | Phase 2 | 37 participants (Actual) | Interventional | 2015-06-30 | Completed |
A Randomized, Double-Blind, Placebo-controlled, Single-center, Phase 1 Inpatient Pilot Study to Explore the Safety and Efficacy of DAPAglifozin as Add-on to Day and Night Closed-loop Control in Patients Type 1 Diabetes (T1D) [NCT02987738] | Phase 1 | 30 participants (Actual) | Interventional | 2017-02-09 | Completed |
The Effect of Dapagliflozin on Inflammation and Endothelial Function [NCT02608905] | Phase 4 | 17 participants (Actual) | Interventional | 2015-11-30 | Terminated(stopped due to Due to difficulty with enrollment of subjects) |
THE UNIVERSITY of OTTAWA DAPAGLIFLOZIN in STEMI RANDOMIZED CLINICAL TRIAL [NCT06174753] | Phase 3 | 256 participants (Anticipated) | Interventional | 2024-02-29 | Not yet recruiting |
Dapagliflozin in Patients With Atrial Fibrillation [NCT05174052] | Phase 3 | 28 participants (Anticipated) | Interventional | 2022-06-01 | Recruiting |
Evaluation of Changes in Pancreatic Fat Content Using Advanced MR Sequences in Diabetics on Dapagliflozin Therapy [NCT05797935] | Phase 4 | 50 participants (Actual) | Interventional | 2021-08-01 | Completed |
Sodium Glucose Cotransporter-2 Inhibitor DAPAgliflozin Versus Thiazide Diuretic in Patients With Heart Failure and Diuretic RESISTance: a Multi-centre, Open-label, Randomised Controlled Clinical Trial [NCT04860011] | Phase 3 | 61 participants (Actual) | Interventional | 2021-04-27 | Active, not recruiting |
Potential Use of Dapaglifozin to Avoid Acute Kindey Injury (AKI) to Chronic Kidney Disease (CKD) Transition: DAKI-CKD Study [NCT05713851] | Phase 2/Phase 3 | 100 participants (Anticipated) | Interventional | 2023-01-01 | Recruiting |
PREVENTion With Sglt-2 Inhibition of Acute Kidney Injury in Intensive Care [NCT05468203] | Phase 3 | 3,000 participants (Anticipated) | Interventional | 2023-11-29 | Recruiting |
Replication of the Dapagliflozin Effect on Cardiovascular Events (DECLARE)-TIMI 58 Diabetes Trial in Healthcare Claims [NCT04215523] | | 49,790 participants (Actual) | Observational | 2019-07-08 | Completed |
A Clinical Pharmacology and Long Term Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of Dapagliflozin Therapy in Combination With Insulin in Japanese Subjects With Type 1 Diabetes Who Have Inadequate Glycemic Control [NCT02582840] | Phase 1 | 42 participants (Actual) | Interventional | 2015-10-31 | Completed |
Paradoxical Stimulation of Hepatic Glucose Production With Dapagliflozin (P2) [NCT02984644] | Phase 3 | 30 participants (Actual) | Interventional | 2017-09-06 | Completed |
Use of Combination Empagliflozin/Linagliptin or Dapagliflozin/Saxagliptin vs Empagliflozin or Dapagliflozin Alone, Subclinical Inflammation of the Genito-urinary Tract and Risk of Infections. [NCT04735042] | | 60 participants (Anticipated) | Observational | 2020-10-07 | Recruiting |
Dapagliflozin Effect on Erythropoiesis and Physical Fitness in Patients With Type 2 Diabetes - a Randomized, Partly Double-blinded, Controlled, Three Armed, Parallel Group, Exploratory Study [NCT03423355] | Phase 4 | 0 participants (Actual) | Interventional | 2021-09-30 | Withdrawn(stopped due to change in sponsor) |
DAPARHT: DAPAgliflozin for Renal Protection in Heart Transplant Recipients [NCT05321706] | Phase 3 | 430 participants (Anticipated) | Interventional | 2022-06-08 | Recruiting |
Empagliflozin and Dapagliflozin in Patients Hospitalized for Acute Decompensated Heart Failure (EMPATHY) - a Phase III Trial. [NCT05776043] | Phase 3 | 1,364 participants (Anticipated) | Interventional | 2022-03-15 | Recruiting |
A Multicenter, Randomized, Double-Blind, Parallel Group, Placebo-Controlled Trial to Evaluate the Effect of In-Hospital Initiation of Dapagliflozin on Clinical Outcomes in Patients Who Have Been Stabilized During Hospitalization for Acute Heart Failure DA [NCT04363697] | Phase 4 | 2,400 participants (Anticipated) | Interventional | 2020-09-24 | Recruiting |
Dapagliflozin As Additional Treatment To Liraglutide And Insulin In Patients With Type 1 Diabetes. A Randomized Clinical Trial [NCT02518945] | Phase 3 | 30 participants (Anticipated) | Interventional | 2015-08-31 | Completed |
A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase III Study to Evaluate the Efficacy and Safety of Pioglitazone 15mg or Pioglitazone 30mg Add-on in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin and Dapaglif [NCT04885712] | Phase 3 | 378 participants (Actual) | Interventional | 2021-05-28 | Completed |
A Single-Dose, Bioequivalence, Pivotal Study of Two Formulations of Dapagliflozin 10 mg Tablets Under Fed Conditions [NCT04881006] | Phase 1 | 30 participants (Actual) | Interventional | 2020-12-10 | Completed |
Effects of Dapagliflozin on Biomarkers, Symptoms and Functional Status in Patients With PRESERVED Ejection Fraction Heart Failure [NCT03030235] | Phase 4 | 324 participants (Actual) | Interventional | 2017-03-01 | Completed |
A Clinical Pharmacology and Long Term Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of Dapagliflozin Therapy in Combination With Insulin in Japanese Subjects With Type 1 Diabetes Who Have Inadequate Glycemic Control [NCT02582814] | Phase 3 | 151 participants (Actual) | Interventional | 2015-10-26 | Completed |
Effects of Dapagliflozin Compared With Glimepiride on Body Composition in Patients With Type 2 Diabetes Inadequately Controlled With Metformin [NCT02564926] | Phase 4 | 125 participants (Actual) | Interventional | 2016-01-05 | Completed |
Effects of dapaglifloziN Therapy on Myocardial Perfusion Reserve in Prediabetic Patients With Stable coronarY Artery Disease (ENTRY Trial) [NCT04330079] | Phase 4 | 2 participants (Actual) | Interventional | 2020-05-21 | Terminated(stopped due to Slow enrollment. (Difficulty in selecting subjects)) |
Effects of SGLT2 Inhibitor on Type 2 Diabetic Patients Undergoing Cardiac Surgery [NCT04340908] | Phase 4 | 500 participants (Anticipated) | Interventional | 2021-01-01 | Recruiting |
An Exploratory Phase II/III, Randomized, Double-blind, Placebo Controlled, Parallel Design Study to Evaluate the Efficacy, Safety and Pharmacodynamics of Dapagliflozin and Dapagliflozin in Combination With Saxagliptin in CKD Patients With Type 2 Diabetes [NCT02547935] | Phase 2/Phase 3 | 459 participants (Actual) | Interventional | 2015-09-21 | Completed |
A Two Part Bioequivalence Study to Compare Two Fixed Dose Combination (FDC) Tablets of Dapagliflozin/Metformin XR 5/500 mg (Part 1) and 10/1000 mg (Part 2) Manufactured at Two Different Plants (Humacao, Puerto Rico and Mount Vernon, US) in Healthy Subject [NCT03216278] | Phase 1 | 284 participants (Actual) | Interventional | 2017-09-26 | Completed |
SGLT2 Inhibitors Between Reno Protective Effects and Impact on Bone and Mineral Disease Among Diabetic and Non- Diabetic Lupus Nephritis Patients [NCT05704088] | Phase 4 | 100 participants (Actual) | Interventional | 2022-10-08 | Active, not recruiting |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Asian Subjects With T2DM and Inadequate Glycemic Control on Metformin and Saxagliptin (DS Navigation) [NCT03608358] | Phase 3 | 41 participants (Actual) | Interventional | 2019-02-27 | Terminated(stopped due to Sponsor decided to stop commercialization of QTERNMet/Qtrilmet and to stop all related ongoing activities/studies for business reasons.) |
A 26-week International, Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3bTrial With a Blinded 26-week Long -Term Extension Period to Evaluate the Efficacy and Safety of Saxagliptin Co-administered With Dapagliflozin in Co [NCT02284893] | Phase 3 | 461 participants (Actual) | Interventional | 2014-09-09 | Completed |
Regulation of Hepatic and Peripheral Glucose Metabolism: Protocol IVA. Effect of Plasma Glucose Reduction by Selective SLGT2 Inhibition on Mitochondrial Dysfunction and Impaired Insulin Signaling/Sensitivity in T2DM [NCT01439854] | | 18 participants (Actual) | Interventional | 2011-03-31 | Completed |
Effects of Dapagliflozin and Metformin on Vascular Function in Newly-Diagnosed Treatment-Naive Type 2 Diabetes- A Randomised Controlled Trial (DMVascular Study) [NCT05440591] | Phase 4 | 150 participants (Anticipated) | Interventional | 2019-04-01 | Recruiting |
A Comparison of Postprandial Glucose After a Mixed Meal Tolerance Test, and the Metabolic Effects of Insulin Withdrawal in a Crossover Study of the Dual Systemic SGLT1 and SGLT2 Inhibitor YG1699, and the Selective SGLT2 Inhibitor Dapagliflozin in Subjects [NCT04956263] | Phase 2 | 19 participants (Actual) | Interventional | 2021-06-17 | Completed |
Single-center, Randomized, Controlled Study to Evaluate the Effects of a Six-month Treatment With Renal Glucose Transport Inhibitor (SGLT2i) Drugs on Markers of Senescence, Inflammation and Tubulointerstitial Damage in the Kidney of Patients With Chronic [NCT05998837] | Phase 2/Phase 3 | 34 participants (Anticipated) | Interventional | 2021-04-13 | Recruiting |
A Randomized, Double-blind, Comparator-controlled Trial to Assess the Effect of 12-week Treatment With Dapagliflozin Versus Gliclazide on Renal Physiology and Biomarkers in Metformin-treated Patients With Type 2 Diabetes Mellitus [NCT02682563] | Phase 4 | 44 participants (Actual) | Interventional | 2016-02-29 | Completed |
Safety and Efficacy of Dapagliflozin in Adult Patients With a Systemic Right Ventricle [NCT05717257] | Phase 4 | 50 participants (Anticipated) | Interventional | 2022-08-01 | Recruiting |
Does Dapagliflozin Promote Favorable Health Benefits That Are Independent Of Weight Loss? [NCT02520518] | Phase 2 | 9 participants (Actual) | Interventional | 2015-08-31 | Terminated(stopped due to Designed a new modified/simplified protocol see NCT 03180489) |
Protocol 2: Elucidation of Mechanisms Responsible for the Increase in EGP Following SGLT2 Inhibition: Decrease in Plasma Glucose Conc or Change in Islet Hormone (Glucagon/Insulin) Secretion [NCT02592421] | Phase 3 | 30 participants (Actual) | Interventional | 2015-10-23 | Completed |
Effects of Sodium-Glucose Cotransporter 2 Inhibition on the Mechanisms of Cardiac Damage in the Diabetic Patient With Heart Failure With Preserved Ejection Fraction [NCT04739215] | Phase 4 | 62 participants (Anticipated) | Interventional | 2021-01-15 | Recruiting |
Dapagliflozin on Cholesterol Metabolism in DM2: Dissecting Its Effect on Dyslipidemia by Using Stable Isotope Based Cholesterol and Glucose Fluxes [NCT03074630] | Phase 4 | 12 participants (Actual) | Interventional | 2016-05-31 | Completed |
SGLT2 INHIBITION AND STIMULATIION OF ENDOGENOUS GLUCOSE PRODUCTION Significance - PROTOCOL 3: Role of the Renal Nerves in the Increase in EGP in Response to Glucosuria [NCT03168295] | Phase 4 | 34 participants (Actual) | Interventional | 2016-10-31 | Completed |
A Multi-Center, Randomized, Double-Blind, Active-Controlled , Parallel Group, Phase III Trial to Evaluate the Safety and Efficacy of Saxagliptin 5mg Co-administered With Dapagliflozin 5mg Compared to Saxagliptin 5mg or Dapagliflozin 5mg All Given as Add-o [NCT02681094] | Phase 3 | 905 participants (Actual) | Interventional | 2016-02-26 | Completed |
Investigating the Protective Effect of Newer Antidiabetic Drugs on Cognitive Decline in Diabetic Patients [NCT05347459] | | 100 participants (Anticipated) | Observational | 2022-03-02 | Recruiting |
A 16-week Multicenter, Randomized, Parallel-group, Double-blind, Placebo-controlled Phase IV Study With a 36-week Extension Period to Evaluate the Efficacy and Safety of Dapagliflozin Therapy When Added to the Therapy of Japanese Patients With Type 2 Diab [NCT02157298] | Phase 4 | 266 participants (Actual) | Interventional | 2014-06-30 | Completed |
Dapagliflozin to Prevent the Incidence of Contrast Induced Nephropathy After Heart Catheterization and Percutaneous Coronary Intervention [NCT04806633] | Early Phase 1 | 1,722 participants (Anticipated) | Interventional | 2021-04-01 | Not yet recruiting |
A Randomized, Parallel-Arm, Double-Blind Study of Efficacy and Safety of Dulaglutide When Added to SGLT2 Inhibitors in Patients With Type 2 Diabetes Mellitus [NCT02597049] | Phase 3 | 424 participants (Actual) | Interventional | 2015-11-30 | Completed |
Effect of Sodium-dependent Glucose Transporters 2 Inhibitor Dapagliflozin on Ventricular Arrhythmia in Patients With Heart Failure. [NCT05550441] | Phase 4 | 120 participants (Anticipated) | Interventional | 2022-11-15 | Not yet recruiting |
Effect of Metformin, Dapagliflozin, Fixed Combination of Metformin and Pioglitazone in Overweighted Patients With Newly Diagnosed Type 2 Diabetes [NCT05591235] | Phase 3 | 60 participants (Anticipated) | Interventional | 2022-11-30 | Not yet recruiting |
A 24-week, Multicentre, Randomised, Double-Blind, Placebo-Controlled, Parallel-Group, International Phase III Study With 24 Week Extension to Evaluate the Safety and Efficacy of Dapagliflozin 10 mg/Day in Patients With Type 2 Diabetes Who Have Inadequate [NCT00984867] | Phase 3 | 833 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Single-dose, Open-label, Randomized, 3 Period, 3 Treatment Crossover Study to Evaluate the Pharmacokinetics of Saxagliptin 5 mg and Dapagliflozin 10 mg When Coadministered to Fasted Healthy Subjects [NCT01662999] | Phase 1 | 42 participants (Actual) | Interventional | 2012-08-31 | Completed |
A Phase III, Multicenter, Randomized, Double-Blind, Active-Comparator Controlled Clinical Trial to Study the Safety and Efficacy of the Addition of Sitagliptin Compared With the Addition of Dapagliflozin in Subjects With Type 2 Diabetes Mellitus and Mild [NCT02532855] | Phase 3 | 614 participants (Actual) | Interventional | 2015-10-20 | Completed |
The Effects of Dapagliflozin on HDL Particles Subtypes and Reverse Cholesterol Transport in Type 2 Diabetic Patients. A 12 Weeks Randomized Placebo-controlled Phase IV Study [NCT02327039] | Phase 4 | 33 participants (Actual) | Interventional | 2015-03-31 | Completed |
Effects of DPP4 Inhibitor Versus SGLT2 Inhibitor on Ischemic Burden in Stable Ischemic Heart Disease Patients [NCT03178591] | Phase 4 | 43 participants (Actual) | Interventional | 2014-10-31 | Completed |
Research Into the Effect of SGLT2 Inhibition on Left Ventricular Remodeling in Patients With Heart Failure and Diabetes Mellitus [NCT02397421] | Phase 4 | 56 participants (Actual) | Interventional | 2015-03-31 | Completed |
A Phase 1 Clinical Trial to Compare and Evaluate the Safety and Pharmacokinetic Characteristics After Administration of Fixed-dose Combination of DW6012 and Loose-combination of Each Component in Healthy Adult Volunteers [NCT05403281] | Phase 1 | 41 participants (Actual) | Interventional | 2021-11-05 | Completed |
Evaluation of the Efficacy of Combination of Dapagliflozin and Lobeglitazone on Glucose Concentrations and Body Fat in Patients With Type 2 Diabetes [NCT05915949] | Phase 4 | 99 participants (Anticipated) | Interventional | 2022-01-01 | Recruiting |
The Effect of Sodium-glucose Cotransporter (SGLT) 2 Inhibitors on Cystine Stone Formation: A Preliminary Study [NCT04818034] | Phase 2 | 10 participants (Anticipated) | Interventional | 2025-05-02 | Recruiting |
Use of Dapagliflozin to Reduce Burden of Atrial Fibrillation in Patients Undergoing Catheter Ablation of Symptomatic Atrial Fibrillation (DAPA-AF) Prospective, Randomized, Multicenter, Placebo-Controlled Trial [NCT04792190] | Phase 4 | 25 participants (Actual) | Interventional | 2021-07-27 | Completed |
Impact of Dapagliflozin on Vascular Function in Chronic Kidney Disease Patients [NCT04930549] | Phase 2 | 54 participants (Anticipated) | Interventional | 2021-12-31 | Not yet recruiting |
A Randomized, Multi-Center, Parallel Group, Single-Dose, Pharmacokinetics and Pharmacodynamics Study of Dapagliflozin in Children and Adolescents Aged 10 to 17 Years With Type 2 Diabetes Mellitus [NCT01525238] | Phase 1 | 53 participants (Actual) | Interventional | 2012-07-01 | Completed |
A Multicenter, Randomized, Double-Blind, Placebo-controlled, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Dapagliflozin as an Add-on to Insulin Therapy in Subjects With Type 1 Diabetes Mellitus - Study Two [NCT02460978] | Phase 3 | 815 participants (Actual) | Interventional | 2015-07-08 | Completed |
Alpelisib, Fulvestrant and Dapagliflozin for the Treatment of HR+, HER2 -, PIK3CA Mutant Metastatic Breast Cancer [NCT05025735] | Phase 2 | 25 participants (Anticipated) | Interventional | 2021-08-25 | Recruiting |
Randomized, Double-blind, Multicenter, National, Phase III Clinical Trial to Evaluate the Efficacy and Safety of Lima Association in the Control of Type II Diabetes Mellitus [NCT03766750] | Phase 3 | 0 participants (Actual) | Interventional | 2021-12-31 | Withdrawn(stopped due to Sponsor decision) |
Effect of Dapagliflozin on Left Ventricular Remodeling in Patients With Acute Myocardial Infarction [NCT04783870] | Phase 4 | 60 participants (Anticipated) | Interventional | 2021-03-03 | Recruiting |
A Randomized, Double-Blind, Placebo-controlled, Parallel Group, Phase 2 Trial to Explore the Safety, Pharmacokinetics and Pharmacodynamics of Dapagliflozin as an Add-on to Insulin Therapy in Subjects With Type 1 Diabetes Mellitus [NCT01498185] | Phase 2 | 171 participants (Actual) | Interventional | 2012-02-29 | Completed |
A Multicenter, Randomized, Open-label, Two-arm, Phase 4 Study to Evaluate the Effect of Add-on Pioglitazone or Dapagliflozin in Subjects With Type 2 Diabetes Mellitus Inadequately Controlled by Dipeptidyl Peptidase-4 Inhibitor and Metformin Therapy [NCT03499704] | Phase 4 | 133 participants (Actual) | Interventional | 2020-02-11 | Active, not recruiting |
Dapagliflozin Effect on Cardiovascular Events A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Effect of Dapagliflozin 10 mg Once Daily on the Incidence of Cardiovascular Death, Myocardial Infarction or Ischemic Stroke in [NCT01730534] | Phase 3 | 17,190 participants (Actual) | Interventional | 2013-04-25 | Completed |
A Study to Assess the Effects of the Endothelin Receptor Antagonist Zibotentan and the SGLT2 Inhibitor Dapagliflozin in Patients With Type 2 Diabetes and Elevated Albuminuria: a Randomized Double Blind Cross-Over Trial [NCT05570305] | Phase 2 | 38 participants (Anticipated) | Interventional | 2022-10-06 | Enrolling by invitation |
The Hepato-protective Effect of Dapagliflozin in Type 2 Diabetes Mellitus Patients (T2DM) With Nonalcoholic Fatty Liver Disease (NAFLD) [NCT05459701] | Phase 4 | 50 participants (Anticipated) | Interventional | 2022-05-01 | Recruiting |
Acute Effect of Dapagliflozin vs Empagliflozin Administration on Flow Mediated Dilation in Patients With Type 2 Diabetes Mellitus [NCT04195243] | Phase 3 | 24 participants (Anticipated) | Interventional | 2019-12-02 | Not yet recruiting |
Efficacy and Safety of Dapagliflozin in Non-alcoholic Steatohepatitis: a Multicentre, Randomized, Placebo-controlled Trial [NCT03723252] | Phase 3 | 148 participants (Anticipated) | Interventional | 2019-03-20 | Active, not recruiting |
Acute Effect of Empagliflozin vs Dapagliflozin vs Placebo Administration Over Pulse Wave Velocity in Patients With Type Two Diabetes [NCT05109949] | Phase 3 | 72 participants (Actual) | Interventional | 2020-03-30 | Active, not recruiting |
A Single-Dose, Bioequivalence, Pivotal Study of Two Formulations of Dapagliflozin 10 mg Tablets Under Fasting Conditions [NCT04880993] | Phase 1 | 30 participants (Actual) | Interventional | 2020-12-14 | Completed |
A Two-arm, Open-label, Single-sequence, Multiple Oral Dosings, Cross-over Design Clinical Trial to Evaluate the Safety and Pharmacokinetic Interaction of ATB-1011 and ATB-1012 in Healthy Adult Volunteers [NCT04856969] | Phase 1 | 38 participants (Actual) | Interventional | 2021-03-30 | Completed |
Effect of the Antidiabetic Drug DAPAgliflozin on the Coronary Macrovascular and MICROvascular Function in Type 2 Diabetic Patients [NCT05392959] | Phase 4 | 100 participants (Anticipated) | Interventional | 2022-06-06 | Recruiting |
A Two Part Bioequivalence Study to Compare Two Fixed Dose Combination Tablets of Dapagliflozin/Metformin XR 5/500 mg (Part 1) and 10/1000 mg (Part 2) Manufactured at Two Different Plants in Healthy Subjects Under Fasting and Fed Conditions [NCT02637037] | Phase 1 | 80 participants (Actual) | Interventional | 2015-12-21 | Completed |
Sodium Glucose Co-Transporter 2 (SGLT2) Inhibition Improves Left Ventricular Function and Reduces Adverse Left-Ventricular Remodeling in High-Risk Patients With Microvascular Obstruction (MVO) Following ST-elevation Myocardial Infarction (STEMI). [NCT05305911] | Phase 2 | 80 participants (Anticipated) | Interventional | 2022-08-03 | Recruiting |
Evaluation of the Effect of Dapagliflozin on Cardiac Remodeling in Post Myocardial Infarction Patients [NCT05335629] | | 60 participants (Anticipated) | Interventional | 2022-09-01 | Recruiting |
A 24-week Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 3 Trial to Evaluate Efficacy and Safety of Dapagliflozin Added to Therapy of Asian Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control on Insulin [NCT02096705] | Phase 3 | 477 participants (Actual) | Interventional | 2014-03-31 | Completed |
Dapagliflozin Effect in Cognitive Impairment in Stroke Trial [NCT05565976] | Phase 2/Phase 3 | 270 participants (Anticipated) | Interventional | 2020-08-01 | Recruiting |
Combined Effects of SGLT2 Inhibition and GLP-1 Receptor Agonism on Food Intake, Body Weight and Central Satiety and Reward Circuits in Obese T2DM Patients [NCT03361098] | Phase 4 | 65 participants (Actual) | Interventional | 2017-09-18 | Completed |
Effect of Sodium Glucose Co-transporter 2 (SGLT2) Inhibitor on Systemic and Renal Endothelial Function in Patients With Type 2 Diabetes Mellitus Without History of Coronary Artery Disease (SOCCER Trial) [NCT02501616] | Phase 4 | 22 participants (Anticipated) | Interventional | 2014-12-31 | Recruiting |
The Effect of Sodium Glucose Co-transporter 2 Inhibitor (Dapagliflozin) on Weight Loss in Non-diabetic Adults With Obesity: Triple-blinded, Randomized, Placebo-controlled Trial. [NCT06000462] | Phase 2/Phase 3 | 150 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
Study on the Effect of Dapagliflozin on Myocardial Insulin Sensitivity and Perfusion [NCT03313752] | Phase 3 | 52 participants (Anticipated) | Interventional | 2017-12-01 | Recruiting |
Therapeutic Effect of Dapagliflozin Combined With CSII on Newly Diagnosed Type 2 Diabetes Mellitus With Continuous Glucose Monitoring System [NCT04120623] | Phase 4 | 100 participants (Anticipated) | Interventional | 2019-10-01 | Not yet recruiting |
A Multicenter, Randomized, Double-Blind, Active Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Add-On Therapy With Saxagliptin and Dapagliflozin Added to Metformin Compared to Add-On Therapy With Saxagliptin in Combinatio [NCT01606007] | Phase 3 | 1,282 participants (Actual) | Interventional | 2012-07-31 | Completed |
Effects of Dapagliflozin on Lipoprotein Kinetics in Patients With Type 2 Diabetes [NCT03269058] | Phase 4 | 28 participants (Anticipated) | Interventional | 2017-12-20 | Recruiting |
Sodium-Glucose Cotransporter-2 Inhibitor for Acute Cardiorenal Syndrome: A Feasibility Study [NCT06111768] | Phase 2 | 60 participants (Anticipated) | Interventional | 2023-12-31 | Not yet recruiting |
Multicentre Prospective Open Label Clinical Study to Evaluate the Effect of Personalized Therapy on Patients With Immunoglobulin A Nephropathy. [NCT04662723] | Phase 4 | 878 participants (Anticipated) | Interventional | 2023-05-01 | Recruiting |
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Therapy With Dapagliflozin Added to Saxagliptin in Combination With Metformin Compared to Therapy With Placebo Added to Saxag [NCT01646320] | Phase 3 | 320 participants (Actual) | Interventional | 2012-09-30 | Completed |
Effects of Dapagliflozin on Blood Volume Status and Vascular Function in Clinically Compensated Heart Failure Patients After an Acute Heart Failure Event. [NCT04869124] | Phase 4 | 80 participants (Anticipated) | Interventional | 2021-02-15 | Recruiting |
A Multicenter, Randomized, Double-Blind, Placebo-controlled, Parallel Group, Phase 3 Study to Evaluate the Efficacy and Safety of Dapagliflozin as an Add-on to Insulin Therapy in Subjects With Type 1 Diabetes Mellitus [NCT02268214] | Phase 3 | 833 participants (Actual) | Interventional | 2014-11-11 | Completed |
A 24-Week, Multicenter, Randomized, Parallel-group, Open-label, Active Controlled Phase IV Study to Assess the Efficacy and Safety of Dapagliflozin as Monotherapy Compared With Acarbose in Drug-Naive Patients With Type 2 Diabetes Mellitus (T2DM) in China [NCT03344341] | Phase 4 | 304 participants (Actual) | Interventional | 2017-12-15 | Terminated(stopped due to Study overall progress behind of scheduled timeline. Study was terminated early due to company decision.) |
Therapeutic Response of Sodium-glucose Co-transporter Type-2 Inhibitor in Non-diabetic MAFLD Patients: a Pilot Study [NCT05782972] | Phase 4 | 50 participants (Anticipated) | Interventional | 2023-03-11 | Recruiting |
A Study Comparing Exposure of Semaglutide and Dapagliflozin Dosed Orally as Mono-components Versus in a Fixed-dose Combination [NCT05429593] | Phase 1 | 152 participants (Actual) | Interventional | 2022-06-22 | Completed |
Effects of Dapagliflozin on Epicardial Fat in Subjects With Type 2 Diabetes [NCT02235298] | Phase 4 | 100 participants (Actual) | Interventional | 2015-09-30 | Completed |
A Prospective, Randomized, Double-blind, Multicenter Study on the Association Between Dapagliflozin-induced Improvement and Anemia in Heart Failure Patients (ADIDAS) [NCT04707261] | Phase 4 | 1,990 participants (Anticipated) | Interventional | 2021-08-06 | Recruiting |
The Effect of Dapagliflozin on Ultrafiltration Among Peritoneal Dialysis Patients [NCT04923295] | | 20 participants (Actual) | Interventional | 2021-06-02 | Completed |
Effect of Dapagliflozin on 24-hour Blood Glucose in T2DM Patients Inadequately Controlled With Either Metformin Or Insulin [NCT02429258] | Phase 4 | 226 participants (Actual) | Interventional | 2015-05-31 | Completed |
Effect of Dapagliflozin on Cardio-Metabolic Risk Factors in Patients With Type-2 Diabetes [NCT03377335] | Phase 4 | 186 participants (Anticipated) | Interventional | 2017-12-22 | Active, not recruiting |
A Phase 1, Open-label Study With Two Independent Parts: Collecting Samples for Metabolites in Safety Testing Analysis of Zibotentan After Repeated Administration (Part 1); and a Randomised, Cross-over, Three Period, Three-treatment, Single Dose Study to A [NCT04991571] | Phase 1 | 27 participants (Actual) | Interventional | 2021-07-29 | Completed |
Dose Rationale for Dapagliflozin and Empagliflozin in Paediatric Heart Failure: a Phase II.a Pharmacokinetics, Ease-of-swallow, Safety and Proof-of-concept Study Among Children 6-18 Years of Age [NCT06012266] | Phase 2 | 12 participants (Anticipated) | Interventional | 2024-01-31 | Not yet recruiting |
Retrospective and Multicenter Study of Real-world Evidence With SGLT2i (Dapagliflozin) and DPP4i (Sitagliptin) in Type 2 Diabetes Patients in Spain [NCT04149067] | | 1,080 participants (Actual) | Observational | 2017-06-05 | Completed |
Dapagliflozin Effect on Symptoms and Biomarkers in Patients With Heart Failure [NCT02653482] | Phase 4 | 263 participants (Actual) | Interventional | 2016-03-03 | Completed |
National, Multicenter, Randomized, Double-blind, Triple-dummy, Phase III Clinical Trial to Evaluate the Efficacy and Safety of LID104 in the Treatment of Type II Diabetes Mellitus [NCT05886088] | Phase 3 | 597 participants (Anticipated) | Interventional | 2024-02-29 | Not yet recruiting |
A Multicenter, Randomized, Double-Blind, Placebo Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Triple Therapy With Saxagliptin Added to Dapagliflozin in Combination With Metformin Compared to Therapy With Placebo Added t [NCT01619059] | Phase 3 | 315 participants (Actual) | Interventional | 2012-06-30 | Completed |
An Open-Label, Non-randomized, Multi-center Pilot Study to Evaluate the Safety and Efficacy of 4-week, Daily Oral Use of Dapagliflozin 10mg Tablet in Adults With a Fontan Circulation [NCT05741658] | Phase 4 | 29 participants (Anticipated) | Interventional | 2023-11-08 | Enrolling by invitation |
Effect of Farxiga on Renal Function and Size in Type 2 Diabetic Patients With Hyperfiltration [NCT02911792] | Phase 4 | 72 participants (Actual) | Interventional | 2016-12-20 | Completed |
A Phase I, Randomized, Double-blind, Placebo- and Active-controlled, Single- and Multiple-ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Properties of DWP16001 Following Oral Administration in Healthy Male V [NCT03364985] | Phase 1 | 123 participants (Actual) | Interventional | 2017-12-03 | Completed |
Effect of Dapagliflozin on Glycemic Variability as an add-on Therapy in Subjects With Type 2 Diabetes Mellitus With in Inadequate Glycemic Control in Insulin: a Multicenter, Placebo-controlled, Double-blind, Randomized Study [NCT02459353] | Phase 4 | 86 participants (Actual) | Interventional | 2015-08-31 | Completed |
"A Randomized, Open-label, Single Dose, Two-way Crossover Phase 1 Study to Evaluate the Pharmacokinetics and the Safety After Administration of BR3003 and Co-administration of BR3003B and BR3003C in Healthy Volunteers." [NCT05411965] | Phase 1 | 48 participants (Actual) | Interventional | 2022-04-28 | Completed |
A Double-blind Randomized Placebo-controlled, Parallel-group 12 Week Study to Investigate the Effects of Omega-3 Carboxylic Acids and Dapagliflozin on Liver Fat Content in Type 2 Diabetic Patients; EFFECT II [NCT02279407] | Phase 2 | 223 participants (Actual) | Interventional | 2015-01-31 | Completed |
A Randomized Study Evaluating Dapagliflozin and Metformin, Alone and in Combination, in Overweight Women With a Recent History of Gestational Diabetes Mellitus: Effects on Anthropometric Measurements and Cardiometabolic Abnormalities [NCT02338193] | Phase 3 | 69 participants (Actual) | Interventional | 2015-09-22 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00357370 (6) [back to overview] | Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <=6.5% at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2 |
NCT00357370 (6) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2 |
NCT00357370 (6) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2 |
NCT00357370 (6) [back to overview] | Adjusted Mean Total Daily Dose of Insulin (TDDI) Change From Baseline at Week 12 (LOCF), Including Data After Up-titration of Insulin) - Cohort 2 |
NCT00357370 (6) [back to overview] | Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2 |
NCT00357370 (6) [back to overview] | Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) Decrease From Baseline >= 0.5% at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2 |
NCT00528372 (17) [back to overview] | Number of Participants With Laboratory Test Results Meeting the Criteria for Marked Laboratory Abnormality (Short-term and Long-term Periods) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF]): Group 2 |
NCT00528372 (17) [back to overview] | Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1c] <7.0%) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528372 (17) [back to overview] | Adjusted Percentage of Participants Who Achieved Hemoglobin A1c [HbA1c] ≤6.5% (Last Observation Carried Forward [LOCF]) |
NCT00528372 (17) [back to overview] | Number of Participants With Adverse Events (AE), Hypoglycemia, Related AEs, Death as Outcome, Related Serious AEs (SAEs), SAEs and AEs Leading to Discontinuation, and Hypoglycemia Leading to Discontinuation (Short-term + Long-term Periods) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF]): Group 1 |
NCT00528372 (17) [back to overview] | Number of Participants With Elevated Levels of Liver Enzymes on Laboratory Test Results (Short-term and Long-term Periods) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose Levels at Week 1 (Last Observation Carried Forward [LOCF]): Group 1 |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose Levels at Week 1 (Last Observation Carried Forward [LOCF]): Group 2 |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 (Last Observation Carried Forward [LOCF]) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline to Week 24 in Fasting Plasma Glucose Levels (Last Observation Carried Forward [LOCF]): Group 2 |
NCT00528372 (17) [back to overview] | Number of Participants With Changes From Baseline in Electrocardiogram (ECG) Findings (Last Observation Carried Forward {LOCF]) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline to Week 24 in Fasting Plasma Glucose Levels (Last Observation Carried Forward [LOCF]): Group 1 |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline to Week 24 in Total Body Weight in Patients With Baseline Body Mass Index ≥27 kg/m^2 (Last Observation Carried Forward) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline to Week 24 in Hemoglobin A1C (HbA1c) (Last Observation Carried Forward [LOCF]): Group 1 |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c) in Patients With Baseline HbA1c ≥9.0% (Last Observation Carried Forward [LOCF]) |
NCT00528372 (17) [back to overview] | Adjusted Mean Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c) (Last Observation Carried Forward [LOCF]): Group 2 |
NCT00528879 (15) [back to overview] | Number of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Number of Participants With Laboratory Test Results Meeting the Criteria for Laboratory Abnormality |
NCT00528879 (15) [back to overview] | Number of Participants With Orthostatic Hypotension |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight at Week 24 in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Adjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00528879 (15) [back to overview] | Mean Changes From Baseline in Seated Diastolic Blood Pressure |
NCT00528879 (15) [back to overview] | Mean Changes From Baseline in Seated Systolic Blood Pressure |
NCT00528879 (15) [back to overview] | Number of Participants With Adverse Events (AEs), Hypoglycemia Events, Related AEs, Death as Outcome, Serious AEs (SAEs), Related SAEs, SAEs Leading to Discontinuation, AEs Leading to Discontinuation, and Hypoglycemia Events Leading to Discontinuation |
NCT00528879 (15) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00643851 (6) [back to overview] | Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00643851 (6) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) in Subjects With Baseline Body Mass Index (BMI) ≥ 27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00643851 (6) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) in Subjects With Baseline HbA1c ≥ 9% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00643851 (6) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00643851 (6) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00643851 (6) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00660907 (4) [back to overview] | Adjusted Mean Change in Body Weight |
NCT00660907 (4) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT00660907 (4) [back to overview] | Proportion of Participants With Body Weight Reduction of at Least 5% |
NCT00660907 (4) [back to overview] | Proportion of Participants With at Least One Episode of Hypoglycemia |
NCT00663260 (3) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00663260 (3) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF] |
NCT00663260 (3) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00673231 (6) [back to overview] | Proportion of Participants With Lack of Glycemic Control |
NCT00673231 (6) [back to overview] | Proportion of Participants With Calculated Mean Daily Insulin Dose Reduction |
NCT00673231 (6) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT00673231 (6) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) |
NCT00673231 (6) [back to overview] | Adjusted Mean Change in Calculated Mean Daily Insulin Dose |
NCT00673231 (6) [back to overview] | Adjusted Mean Change in Body Weight |
NCT00680745 (6) [back to overview] | Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7% |
NCT00680745 (6) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT00680745 (6) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) |
NCT00680745 (6) [back to overview] | Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2 |
NCT00680745 (6) [back to overview] | Adjusted Mean Change in Body Weight |
NCT00680745 (6) [back to overview] | Adjusted Mean Change in 2-h Post-challenge Plasma Glucose Rise |
NCT00683878 (7) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00683878 (7) [back to overview] | Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00683878 (7) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00683878 (7) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) Among Subjects With Baseline Body Mass Index (BMI) ≥ 27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00683878 (7) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00683878 (7) [back to overview] | Adjusted Mean Change From Baseline in 120-minute Post-challenge Plasma Glucose (PPG) (mg/dL) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00683878 (7) [back to overview] | Adjusted Mean Change From Baseline in Waist Circumference (cm) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT00736879 (12) [back to overview] | Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 24 (LOCF) - Treated Participants |
NCT00736879 (12) [back to overview] | Number of Participants With Marked Laboratory Abnormalities in 24 Week Double Blind Treatment Period - Treated Participants |
NCT00736879 (12) [back to overview] | Number of Participants With Deaths, Serious AEs (SAEs), Adverse Events (AEs), Discontinuation Due to AEs, During the 12 Week Double Blind Period, Including Data After Rescue - All Treated Participants |
NCT00736879 (12) [back to overview] | Number of Participants With Adverse Events of Special Interest During the 12 Week Double Blind Period - All Treated Participants |
NCT00736879 (12) [back to overview] | Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure at Week 24, Including Data After Rescue - Treated Participants |
NCT00736879 (12) [back to overview] | Mean Change From Baseline in Seated Heart Rate at Week 24 - Treated Participants |
NCT00736879 (12) [back to overview] | Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response at Week 24 (LOCF) - Randomized Participants |
NCT00736879 (12) [back to overview] | Adjusted Mean Change From Baseline in Waist Circumference at Week 24 (LOCF) - Randomization Participants |
NCT00736879 (12) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 Last Observation Carried Forward (LOCF) - All Randomized Participants |
NCT00736879 (12) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (LOCF) - Randomized Participants |
NCT00736879 (12) [back to overview] | Adjusted Mean Change From Baseline in Effect on 2-hour Post Liquid Meal Glucose at Week 24 (LOCF) - Randomized Participants |
NCT00736879 (12) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (LOCF) - Randomized Participants |
NCT00831779 (2) [back to overview] | Adjusted Mean Change From Baseline in Insulin Secretion at Week 12 (Last Observation Carried Forward [LOCF]) |
NCT00831779 (2) [back to overview] | Adjusted Mean Percent Change From Baseline in Insulin Sensitivity at Week 12 (Last Observation Carried Forward [LOCF]) |
NCT00855166 (7) [back to overview] | Adjusted Mean Change in Body Fat Mass |
NCT00855166 (7) [back to overview] | Adjusted Mean Change in Total Body Weight |
NCT00855166 (7) [back to overview] | Adjusted Mean Change in Waist Circumference |
NCT00855166 (7) [back to overview] | Adjusted Percent Change in Bone Mineral Density (BMD) at Femoral Neck |
NCT00855166 (7) [back to overview] | Adjusted Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-4) |
NCT00855166 (7) [back to overview] | Adjusted Percent Change in Bone Mineral Density (BMD) at Total Hip |
NCT00855166 (7) [back to overview] | Proportion of Participants With Body Weight Decrease ≥5% |
NCT00859898 (12) [back to overview] | Number of Participants With Marked Laboratory Abnormalities (Not Including Liver Function) in 24 Week Double Blind Treatment Period, Including Data After Rescue - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Number of Participants With Marked Laboratory Abnormalities in Liver Function in 24 Week Double Blind Treatment Period, Including Data After Rescue - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 24 (LOCF) - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 (Last Observation Carried Forward) - Randomized Treated Participants |
NCT00859898 (12) [back to overview] | Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Discontinuation Due to AEs, During the 12 Week Double Blind Period, Including Data After Rescue - All Treated Participants |
NCT00859898 (12) [back to overview] | Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure at Week 24 - Treated Participants |
NCT00859898 (12) [back to overview] | The Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (LOCF) - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Percent Adjusted for Baseline HbA1c of Participants Achieving a Therapeutic Glycemic Response at Week 24 (LOCF) - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Mean Change From Baseline in Seated Heart Rate at Week 24 - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Adjusted Mean Change From Baseline in HbA1C at Week 24 (LOCF) in Participants Whose Baseline HbA1C Category ≥9.0% |
NCT00859898 (12) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (LOCF) - Randomized, Treated Participants |
NCT00859898 (12) [back to overview] | Number of Participants With Adverse Events of Special Interest During the 12 Week Double Blind Period - All Treated Participants |
NCT00972244 (3) [back to overview] | Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7% |
NCT00972244 (3) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose |
NCT00972244 (3) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT00976495 (4) [back to overview] | Adjusted Percent Change From Baseline in Glomerular Filtration Rate (GFR) at Week 12 (Modified Last Observation Carried Forward [MLOCF]) |
NCT00976495 (4) [back to overview] | Adjusted Mean Change From Baseline in Daytime (0900 to 2100 Hours) Ambulatory Systolic Blood Pressure (ASBP) at Week 12 (Last Observation Carried Forward [LOCF]) |
NCT00976495 (4) [back to overview] | Adjusted Mean Change From Baseline in 24-Hour Ambulatory Systolic Blood Pressure (ASBP) at Week 12 (Last Observation Carried Forward [LOCF]) |
NCT00976495 (4) [back to overview] | Adjusted Mean Change From Baseline in Nighttime (0100 to 0600 Hours) Ambulatory Systolic Blood Pressure (ASBP) at Week 12 (Last Observation Carried Forward [LOCF]) |
NCT00984867 (7) [back to overview] | Adjusted Mean Change in Body Weight |
NCT00984867 (7) [back to overview] | Proportion of Participants Achieving a Therapeutic Glycemic Response Defined as a Reduction in HbA1c of ≥0.7% Compared to Baseline |
NCT00984867 (7) [back to overview] | Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) in Participants With Baseline SBP>=130 mmHg |
NCT00984867 (7) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT00984867 (7) [back to overview] | Adjusted Mean Change in HbA1c in Participants With Baseline HbA1c ≥8% |
NCT00984867 (7) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) |
NCT00984867 (7) [back to overview] | Adjusted Mean Change in 2-hour Post Liquid Meal Glucose Rise |
NCT01031680 (6) [back to overview] | Proportion of Participants With a Reduction From Baseline of 5% or More in Body Weight in Participants With Baseline BMI ≥27 kg/m² |
NCT01031680 (6) [back to overview] | Proportion of Responders Meeting All Criteria of a 3-item Endpoint of Clinical Benefit |
NCT01031680 (6) [back to overview] | Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) at Week 24 (LOCF) |
NCT01031680 (6) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT01031680 (6) [back to overview] | Adjusted Mean Percent Change in Body Weight |
NCT01031680 (6) [back to overview] | Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) |
NCT01042977 (7) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT01042977 (7) [back to overview] | Proportion of Responders Meeting All Criteria of a 3-item Endpoint of Clinical Benefit |
NCT01042977 (7) [back to overview] | Proportion of Participants With a Reduction From Baseline of 5% or More in Body Weight in Participants With Baseline BMI ≥27 kg/m² |
NCT01042977 (7) [back to overview] | Adjusted Mean Percent Change in Body Weight |
NCT01042977 (7) [back to overview] | Adjusted Mean Change in Systolic Blood Pressure at Week 8 (LOCF) |
NCT01042977 (7) [back to overview] | Adjusted Mean Change in Seated Systolic Blood Pressure at Week 24 (LOCF) |
NCT01042977 (7) [back to overview] | Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) at Week 8 (LOCF) in Participants With Baseline SBP>=130 mmHg |
NCT01095653 (5) [back to overview] | Adjusted Mean Change From Baseline in 2-hour Post Liquid Meal Glucose (PLMG) (mg/dL) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095653 (5) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095653 (5) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095653 (5) [back to overview] | Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095653 (5) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095666 (5) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095666 (5) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095666 (5) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095666 (5) [back to overview] | Adjusted Mean Change From Baseline in 2-hour Post Meal Glucose (PMG) (mg/dL) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01095666 (5) [back to overview] | Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01137474 (6) [back to overview] | Adjusted Mean Change From Baseline in Serum Uric Acid Levels at Week 12 |
NCT01137474 (6) [back to overview] | Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure at Week 12 |
NCT01137474 (6) [back to overview] | Adjusted Mean Change in 24-Hour Ambulatory Diastolic Blood Pressure at Week 12 (Last Observation Carried Forward [LOCF]) |
NCT01137474 (6) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin (HbA1c) at Week 12 |
NCT01137474 (6) [back to overview] | Adjusted Mean Change From Baseline in 24-Hour Ambulatory Systolic Blood Pressure at Week 12 (Last Observation Carried Forward) |
NCT01137474 (6) [back to overview] | Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (BP) at Week 12 |
NCT01195662 (11) [back to overview] | Adjusted Mean Change From Baseline in Serum Uric Acid at Week 12 in Double-Blind Treatment Period - Randomized Participants |
NCT01195662 (11) [back to overview] | Number of Participants With Deaths,Serious Adverse Events (SAEs), Adverse Events (AEs), Hypoglycemia Events, Discontinuation Due to AEs, SAEs and Hypoglycemia, During the 12 Week Double Blind Period, Including Data After Rescue |
NCT01195662 (11) [back to overview] | Proportion of Participants With Orthostatic Hypotension at Baseline and Week 12, Including Data After Rescue |
NCT01195662 (11) [back to overview] | Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 12 (LOCF), Including Data After Rescue |
NCT01195662 (11) [back to overview] | Number of Participants With Marked Chemistry Laboratory Abnormalities in 12 Week Double Blind Treatment Period, Including Data After Rescue |
NCT01195662 (11) [back to overview] | Number of Participants With Elevated Liver Laboratory Tests in Participants Treated With Double Blind 10 mg Dapagliflozin or Placebo , Including Data After Rescue |
NCT01195662 (11) [back to overview] | Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure for 12 Week Double-Blind Treatment Period - Randomized Participants |
NCT01195662 (11) [back to overview] | Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure (DBP) for 12 Week Double-Blind Treatment Period - Randomized Participants |
NCT01195662 (11) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) for 12 Week Double-Blind Treatment Period - Randomized Participants |
NCT01195662 (11) [back to overview] | Adjusted Mean Change From Baseline in 24-hr Ambulatory Diastolic Blood Pressure at Week 12 (LOCF) |
NCT01195662 (11) [back to overview] | Adjusted Mean Change From Baseline in 24-hour Ambulatory Systolic Blood Pressure at Week 12 Last Observation Carried Forward (LOCF) |
NCT01217892 (5) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT01217892 (5) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) From Baseline to Week 16 |
NCT01217892 (5) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) From Baseline to Week 1 |
NCT01217892 (5) [back to overview] | Proportion of Participants With HbA1c<7.0% at Week 16, in Participants Who Had HbA1c ≥7.0% at Baseline. |
NCT01217892 (5) [back to overview] | Adjusted Percent Change in Body Weight |
NCT01294423 (3) [back to overview] | Adjusted Mean Change in Body Weight |
NCT01294423 (3) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) |
NCT01294423 (3) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT01294436 (14) [back to overview] | Mean Change in Magnesium |
NCT01294436 (14) [back to overview] | Mean Change in Seated Diastolic Blood Pressure |
NCT01294436 (14) [back to overview] | Mean Change in Seated Heart Rate |
NCT01294436 (14) [back to overview] | Mean Change in Blood Urea Nitrogen (BUN) |
NCT01294436 (14) [back to overview] | Mean Change in Alanine Aminotransferase (ALT) |
NCT01294436 (14) [back to overview] | Mean Change in Body Weight |
NCT01294436 (14) [back to overview] | Mean Change in Aspartate Aminotransferase (AST) |
NCT01294436 (14) [back to overview] | Mean Change in HbA1c Levels |
NCT01294436 (14) [back to overview] | Mean Change in Serum Uric Acid |
NCT01294436 (14) [back to overview] | Mean Change in Seated Systolic Blood Pressure |
NCT01294436 (14) [back to overview] | Mean Change in Hematocrit |
NCT01294436 (14) [back to overview] | Proportion of Participants With At Least One Episode of Hypoglycemia |
NCT01294436 (14) [back to overview] | Proportion of Participants With Adverse Events |
NCT01294436 (14) [back to overview] | Proportion of Participants With Serious Adverse Events |
NCT01392677 (5) [back to overview] | Adjusted Mean Change From Baseline in FPG |
NCT01392677 (5) [back to overview] | Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure |
NCT01392677 (5) [back to overview] | Adjusted Mean Change From Baseline in HbA1c Levels |
NCT01392677 (5) [back to overview] | Proportion of Participants With HbA1c Value < 7.0% at Week 24 (LOCF) |
NCT01392677 (5) [back to overview] | Adjusted Mean Change From Baseline in Total Body Weight |
NCT01439854 (2) [back to overview] | Change in Mitochondrial Function |
NCT01439854 (2) [back to overview] | Change in Insulin Sensitivity |
NCT01498185 (8) [back to overview] | Dapagliflozin Pharmacokinetic Parameters on Day 7 - Maximum Observed Plasma Concentration (Cmax) |
NCT01498185 (8) [back to overview] | Dapagliflozin Pharmacokinetic Parameters on Day 7 - Time of Maximum Observed Plasma Concentration (Tmax) |
NCT01498185 (8) [back to overview] | Pharmacokinetic Parameters on Day 7 - Ratio of Metabolite (RM) to Parent AUC[TAU] |
NCT01498185 (8) [back to overview] | Mean Change From Baseline in 7-Point Glucose Monitoring (7-PGM) at Day 7 |
NCT01498185 (8) [back to overview] | Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Area Under the Concentration-Time Curve in One Dosing Interval (AUC[TAU]) |
NCT01498185 (8) [back to overview] | Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Maximum Observed Plasma Concentration (Cmax) |
NCT01498185 (8) [back to overview] | Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Time of Maximum Observed Plasma Concentration (Tmax) |
NCT01498185 (8) [back to overview] | Dapagliflozin Pharmacokinetic Parameters on Day 7 - Area Under the Concentration-Time Curve in One Dosing Interval (AUC[TAU]) |
NCT01525238 (20) [back to overview] | Geometric Mean of Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of Dapagliflozin |
NCT01525238 (20) [back to overview] | Geometric Mean of Area Under the Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-T)] of Dapagliflozin 3-O-Glucuronide |
NCT01525238 (20) [back to overview] | Geometric Mean of Area Under the Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-T)] of Dapagliflozin |
NCT01525238 (20) [back to overview] | Mean Plasma Half-life (T-HALF) of Dapagliflozin |
NCT01525238 (20) [back to overview] | Geometric Mean of Maximum Observed Plasma Concentration (Cmax) of Dapagliflozin 3-O-Glucuronide |
NCT01525238 (20) [back to overview] | Geometric Mean of Maximum Observed Plasma Concentration (Cmax) of Dapagliflozin |
NCT01525238 (20) [back to overview] | Geometric Mean of Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of Dapagliflozin 3-O-Glucuronide |
NCT01525238 (20) [back to overview] | Number of Participants With Vital Sign Abnormalities, Electrocardiogram (ECG) Abnormalities, or Physical Examination Abnormalities Following Study Drug Administration. |
NCT01525238 (20) [back to overview] | Number of Participants With Marked Urinalysis Abnormalities |
NCT01525238 (20) [back to overview] | Number of Participants With Marked Hematology Laboratory Abnormalities |
NCT01525238 (20) [back to overview] | Number of Participants With Marked Abnormalities in Other Chemistry Testing |
NCT01525238 (20) [back to overview] | Mean Fasting Plasma Glucose Concentrations at Pre-dose on Day 1 and on Day 2 After an 8-hr Fasting |
NCT01525238 (20) [back to overview] | Median Time of Maximum Observed Plasma Concentration (Tmax) of Dapagliflozin 3-O-Glucuronide |
NCT01525238 (20) [back to overview] | Median Time of Maximum Observed Plasma Concentration (Tmax) of Dapagliflozin |
NCT01525238 (20) [back to overview] | Mean Total Amount of Glucose Excreted in Urine Over 24 Hours |
NCT01525238 (20) [back to overview] | Mean Change in Fasting Plasma Glucose From Baseline Until Day 2 |
NCT01525238 (20) [back to overview] | Mean Plasma Half-life (T-HALF) of Dapagliflozin 3-O-Glucuronide |
NCT01525238 (20) [back to overview] | Geometric Mean of Apparent Clearance After Extravascular Administration (CL/F) of Dapagliflozin |
NCT01525238 (20) [back to overview] | Geometric Mean of Apparent Volume of Distribution at Terminal Phase After Extravascular Administration (Vz/F) of Dapagliflozin |
NCT01525238 (20) [back to overview] | Number of Participants With Marked Serum Chemistry Abnormalities |
NCT01606007 (5) [back to overview] | Adjusted Mean Change From Baseline in Body Weight at Week 24 |
NCT01606007 (5) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT01606007 (5) [back to overview] | Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01606007 (5) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 |
NCT01606007 (5) [back to overview] | Adjusted Mean Change From Baseline in 2-hour Post Prandial Glucose (PPG) From a Liquid Meal Tolerance Test (MTT) at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01619059 (4) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 |
NCT01619059 (4) [back to overview] | Adjusted Mean Change From Baseline in 2-hour Post Prandial Glucose (PPG) From a Liquid Meal Tolerance Test (MTT) at Week 24 |
NCT01619059 (4) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 |
NCT01619059 (4) [back to overview] | Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01646320 (5) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF]) |
NCT01646320 (5) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 |
NCT01646320 (5) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 |
NCT01646320 (5) [back to overview] | Adjusted Mean Change From Baseline in Body Weight at Week 24 |
NCT01646320 (5) [back to overview] | Adjusted Mean Change From Baseline in 120-minute Postprandial Glucose (PPG) at Week 24 |
NCT01662999 (26) [back to overview] | Plasma Apparent Clearance (CLT/F) of a Single Dose of Dapagliflozin Versus CLT/F of Dapagliflozin When Co-administered With Saxagliptin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Mean Change From Baseline in Temperature - Safety Population |
NCT01662999 (26) [back to overview] | Mean Change From Baseline in Respiration Rate - Safety Population |
NCT01662999 (26) [back to overview] | Mean Change From Baseline in Heart Rate - Safety Population |
NCT01662999 (26) [back to overview] | Maximum Observed Plasma Concentration (Cmax) of Dapagliflozin From a Single Dose of Dapagliflozin Versus Cmax of Dapagliflozin From Co-administered Saxagliptin Plus Dapagliflozin - Pharmacokinetic Evaluable Population |
NCT01662999 (26) [back to overview] | Maximum Observed Concentration (Cmax) of a Single Dose of 5 mg Saxagliptin Versus Cmax of Saxagliptin When Co-administered With 10 mg Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Half-life (T-HALF) of Dapagliflozin From a Single Dose of Dapagliflozin Versus T-Half of Dapagliflozin When Co-administered With Saxagliptin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Cmax of the Saxagliptin Total Active Moiety From a Single Dose of 5 mg Saxagliptin Versus Cmax of Saxagliptin Total Active Moiety When Saxagliptin Was Co-administered With 10 mg Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Cmax of 5-Hydroxy (5-OH) Saxagliptin From a Single Dose Saxagliptin Versus Cmax of 5-OH When Saxagliptin Was Co-administered With Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | AUC(INF) of Saxagliptin From a Single Dose of 5 mg Saxagliptin Versus AUC(INF) of Saxagliptin When Co-administered With 10 mg Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | AUC(INF) of 5-OH Saxagliptin From a Single Dose Saxagliptin Versus AUC(INF) of 5-OH When Saxagliptin Was Co-administered With Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | AUC(0-T) of Saxagliptin From Single Dose 5 mg Saxagliptin Versus AUC(0-T) of Saxagliptin When Co-administered With 10 mg Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | AUC(0-T) of 5-OH Saxagliptin From Single Dose Saxagliptin Versus AUC(0-T) of 5-OH From Saxagliptin Co-administered With Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration AUC(0-T) of Dapagliflozin From a Single Dose of 10 mg Dapagliflozin Versus AUC(0-T) for Dapagliflozin When Co-administered With 5 mg Saxagliptin |
NCT01662999 (26) [back to overview] | Area Under the Concentration-time Curve (AUC) From Time Zero to Infinity [AUC(INF)] of Dapagliflozin From a Single Dose of Dapagliflozin Versus AUC (INF) of Dapagliflozin When Co-administered With Saxagliptin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Time of Maximum Observed Plasma Concentration (Tmax) of Dapagliflozin From a Single Dose of 10 mg Dapagliflozin Versus Tmax of Dapagliflozin When Co-administered With 5 mg Saxagliptin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | AUC(INF) and AUC(0-T) of the Saxagliptin Total Active Moiety From a Single Dose 5 mg Saxagliptin Versus AUC(INF) and AUC(0-T) of Saxagliptin Total Active Moiety When Saxagliptin Was Co-administered With 10 mg Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Tmax of Saxagliptin, 5-OH Saxagliptin, Saxagliptin Total Active Moiety From a Single Dose of Saxagliptin Versus Tmax of Saxagliptin, 5-OH, Saxagliptin Total Active Moiety When Saxagliptin Was Co-administered With Dapagliflozin - PK Evaluable Population |
NCT01662999 (26) [back to overview] | Number of Participants With Marked Urinalysis Laboratory Abnormalities - Safety Population |
NCT01662999 (26) [back to overview] | Number of Participants With Marked Hematology Laboratory Abnormalities - Safety Population |
NCT01662999 (26) [back to overview] | Number of Participants With Marked Chemistry Laboratory Abnormalities - Safety Population |
NCT01662999 (26) [back to overview] | Number of Participants With Deaths, Serious Adverse Events, Adverse Events, or Discontinuations Due to Adverse Events - Safety Population |
NCT01662999 (26) [back to overview] | Number of Participants With Change From Baseline in ECG Interval - Safety Population |
NCT01662999 (26) [back to overview] | Metabolite to Parent Molar Ratios (MR) of Cmax, AUC(INF), and AUC(0-T) of 5-OH Saxagliptin and Saxagliptin From a Single Dose 5 mg Saxagliptin Versus MR of Saxagliptin and 5-OH When Saxagliptin Was Co-administered With 10 mg Dapagliflozin - PK Evaluable |
NCT01662999 (26) [back to overview] | Mean Change From Baseline in Systolic and Diastolic Blood Pressure - Safety Population |
NCT01662999 (26) [back to overview] | Half-life (T-HALF) of Saxagliptin, and 5-OH Saxagliptin From Single Dose 5 mg Saxagliptin Versus T-HALF of Saxagliptin and 5-OH From Co-administered Saxagliptin With 10 mg Dapagliflozin - PK Evaluable Population |
NCT02096705 (4) [back to overview] | Adjusted Mean Change in Absolute Calculated Mean Total Daily Dose of Insulin (TDDI) From Baseline to Week 24 |
NCT02096705 (4) [back to overview] | Adjusted Mean Change in Body Weight From Baseline to Week 24 |
NCT02096705 (4) [back to overview] | Adjusted Mean Change in Fasting Plasma Glucose (FPG) From Baseline to Week 24 |
NCT02096705 (4) [back to overview] | Adjusted Mean Change in HbA1c From Baseline to Week 24 |
NCT02113241 (24) [back to overview] | Alanine Aminotransferase (ALT) at Week 12. |
NCT02113241 (24) [back to overview] | Waist Circumference at Week 12. |
NCT02113241 (24) [back to overview] | Glucose at Minute 90 at Week 12. |
NCT02113241 (24) [back to overview] | Triglycerides Levels at Week 12. |
NCT02113241 (24) [back to overview] | Insulinogenic Index (Total Insulin Secretion) at Week 12. |
NCT02113241 (24) [back to overview] | Fat Mass at Week 12. |
NCT02113241 (24) [back to overview] | Glucose at Minute 120 at Week 12. |
NCT02113241 (24) [back to overview] | Glucose Levels at Minute 0 at Week 12. |
NCT02113241 (24) [back to overview] | Glucose at Minute 30 at Week 12. |
NCT02113241 (24) [back to overview] | Glucose at Minute 60 at Week 12. |
NCT02113241 (24) [back to overview] | AUC of Insulin at Week 12. |
NCT02113241 (24) [back to overview] | AUC of Glucose at Week 12. |
NCT02113241 (24) [back to overview] | Low Density Lipoproteins (c-LDL) at Week 12 |
NCT02113241 (24) [back to overview] | Aspartate Aminotransferase (AST) at Week 12. |
NCT02113241 (24) [back to overview] | High Density Lipoprotein (c-HDL) Levels at Week 12. |
NCT02113241 (24) [back to overview] | Matsuda Index (Total Insulin Sensitivity) at Week 12. |
NCT02113241 (24) [back to overview] | Stumvoll Index (First Phase of Insulin Secretion) at Week 12. |
NCT02113241 (24) [back to overview] | Systolic Blood Pressure at Week 12. |
NCT02113241 (24) [back to overview] | Total Cholesterol at Week 12 |
NCT02113241 (24) [back to overview] | Body Weight at Week 12. |
NCT02113241 (24) [back to overview] | Creatinine at Week 12. |
NCT02113241 (24) [back to overview] | Diastolic Blood Pressure at Week 12. |
NCT02113241 (24) [back to overview] | Body Mass Index at Week 12 |
NCT02113241 (24) [back to overview] | Uric Acid at Week 12. |
NCT02157298 (5) [back to overview] | Total Body Weight |
NCT02157298 (5) [back to overview] | Total Mean Daily Insulin Dose |
NCT02157298 (5) [back to overview] | Proportion of Participants With Mean Daily Insulin Dose Reduction of Greater Than or Equal 10% |
NCT02157298 (5) [back to overview] | Adjusted Mean Change in HbA1c Levels |
NCT02157298 (5) [back to overview] | Fasting Plasma Glucose |
NCT02223065 (6) [back to overview] | Dapagliflozin AUC From Time 0 Extrapolated to Infinite Time (AUC[0-inf]) |
NCT02223065 (6) [back to overview] | Dapagliflozin AUC From Time 0 to Time of the Last Quantifiable Concentration (AUC[0-T]) |
NCT02223065 (6) [back to overview] | Dapagliflozin Maximum Observed Concentrations (Cmax) |
NCT02223065 (6) [back to overview] | Saxagliptin AUC From Time 0 Extrapolated to Infinite Time (AUC[0-inf]) |
NCT02223065 (6) [back to overview] | Saxagliptin AUC From Time 0 to Time of the Last Quantifiable Concentration (AUC[0-T]) |
NCT02223065 (6) [back to overview] | Saxagliptin Maximum Observed Concentrations (Cmax) |
NCT02229396 (8) [back to overview] | Change in Body Weight From Baseline to Week 28 |
NCT02229396 (8) [back to overview] | Change in Fasting Plasma Glucose From Baseline to Week 2 |
NCT02229396 (8) [back to overview] | Change in Fasting Plasma Glucose From Baseline to Week 28 |
NCT02229396 (8) [back to overview] | Change in HbA1c From Baseline to Week 28 |
NCT02229396 (8) [back to overview] | Change From Baseline to Week 28 in 2-hour Postprandial Glucose After a Standard Meal Tolerance Test |
NCT02229396 (8) [back to overview] | Percentage of Patients Achieving Weight Loss ≥5.0% at Week 28 |
NCT02229396 (8) [back to overview] | Percentage of Patients Achieving HbA1c <7% at Week 28 |
NCT02229396 (8) [back to overview] | Change in Systolic Blood Pressure From Baseline to Week 28 |
NCT02235298 (2) [back to overview] | Left Ventricular Mass (LVM) |
NCT02235298 (2) [back to overview] | Epicardial Fat Thickness |
NCT02268214 (6) [back to overview] | Adjusted Mean Percent Change in Total Daily Insulin Dose From Baseline at Week 24 |
NCT02268214 (6) [back to overview] | Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose > 70 and <= 180 (mg/dL) From Baseline at Week 24 |
NCT02268214 (6) [back to overview] | Adjusted Mean Change in HbA1c From Baseline at Week 24 |
NCT02268214 (6) [back to overview] | Adjusted Mean Change in 24-hour Mean Continuous Glucose Monitoring Glucose From Baseline at Week 24 |
NCT02268214 (6) [back to overview] | Adjusted Mean Change in 24-hour Continuous Glucose Monitoring MAGE From Baseline at Week 24 |
NCT02268214 (6) [back to overview] | Adjusted Mean Percent Change in Body Weight From Baseline at Week 24 |
NCT02279407 (2) [back to overview] | Change From Baseline to Week 12 in % Liver Fat as Assessed by MRI (Comparison Versus Placebo) |
NCT02279407 (2) [back to overview] | Change From Baseline to Week 12 in % Liver Fat (Comparison Between Active Treatment Groups) |
NCT02284893 (4) [back to overview] | Mean Change in HbA1c |
NCT02284893 (4) [back to overview] | Mean Change in Total Body Weight |
NCT02284893 (4) [back to overview] | Percent of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0% |
NCT02284893 (4) [back to overview] | Mean Change in Fasting Plasma Glucose (FPG) |
NCT02338193 (16) [back to overview] | Waist Circumference (WC) |
NCT02338193 (16) [back to overview] | Waist- to -Hip Ratio (WHR; Measure of Central Adiposity) |
NCT02338193 (16) [back to overview] | Waist-to-height Ratio (WHtR) |
NCT02338193 (16) [back to overview] | Body Mass Index (BMI) |
NCT02338193 (16) [back to overview] | Change in Body Weight |
NCT02338193 (16) [back to overview] | Change in Percent Body Weight |
NCT02338193 (16) [back to overview] | Diastolic Blood Pressure (DBP) |
NCT02338193 (16) [back to overview] | Fasting Blood Glucose (FBG) |
NCT02338193 (16) [back to overview] | Fasting Insulin Sensitivity (HOMA-IR) |
NCT02338193 (16) [back to overview] | First Phase Insulin Secretion (IGI/HOMA-IR) |
NCT02338193 (16) [back to overview] | Liver Enzymes |
NCT02338193 (16) [back to overview] | Matsuda Sensitivity Index (SI OGTT) |
NCT02338193 (16) [back to overview] | Mean Blood Glucose (MBG) During an OGTT |
NCT02338193 (16) [back to overview] | Systolic Blood Pressure (SBP) |
NCT02338193 (16) [back to overview] | Total Cholesterol Levels (CHOL) |
NCT02338193 (16) [back to overview] | Triglyceride (TRG) Levels |
NCT02371187 (5) [back to overview] | Change From Baseline of Insulin Sensitivity at Week 12 |
NCT02371187 (5) [back to overview] | Change From Baseline of Fat Free Mass at Week 12 |
NCT02371187 (5) [back to overview] | Change From Baseline of Respiratory Exchange Ratio at Week 12 |
NCT02371187 (5) [back to overview] | Change From Baseline of Maximal Oxygen Uptake at Week 12 |
NCT02371187 (5) [back to overview] | Change From Baseline of Maximal Aerobic Enzyme Activities in Skeletal Muscle at Week 12 |
NCT02413398 (4) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24. |
NCT02413398 (4) [back to overview] | Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24. |
NCT02413398 (4) [back to overview] | Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24. |
NCT02413398 (4) [back to overview] | Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 |
NCT02419612 (8) [back to overview] | Percentage of Subjects With Treatment Intensification During the 156-Week Short-term Plus Long-Term Treatment Period. |
NCT02419612 (8) [back to overview] | Change From Baseline in Total Body Weight at Week 52 |
NCT02419612 (8) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) at Week 52 |
NCT02419612 (8) [back to overview] | Change From Baseline in Systolic Blood Pressure (SBP) at Week 52 |
NCT02419612 (8) [back to overview] | Time to Treatment Intensification During the 156-Week Short-term Plus Long-Term Treatment Period. |
NCT02419612 (8) [back to overview] | Percentage of Subjects With Treatment Intensification During the 52-week Short-term Treatment Period |
NCT02419612 (8) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0%, at Week 52 |
NCT02419612 (8) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0%, at Week 156 |
NCT02426541 (3) [back to overview] | Adjusted Change From Baseline in Skeletal Muscle Insulin-stimulated Gluocose Uptake |
NCT02426541 (3) [back to overview] | Adjusted Change in Liver Insulin-stimulated Glucose Uptake From Baseline to Week 8 |
NCT02426541 (3) [back to overview] | Adjusted Change in Adipose Tissue Insulin-stimulated Glucose Uptake |
NCT02429258 (11) [back to overview] | Change in 4-hour Mean Weighted Post-prandial Glucose (PPG) (After the Standardized Breakfast Meal) From Baseline to Week 4 |
NCT02429258 (11) [back to overview] | Change in 24-hour Mean Weighted Glucose (MWG) From Baseline to End of Treatment (Week 4) Using the Continuous Glucose Monitoring (CGM) System |
NCT02429258 (11) [back to overview] | Change in 2-hour Mean Weighted PPG (After the Standardized Breakfast Meal) From Baseline to Week 4 |
NCT02429258 (11) [back to overview] | Change in the 24-hour Mean Ampitude of Glucose Excursions (MAGE) From Baseline to Week 4 |
NCT02429258 (11) [back to overview] | Change in Fructosamine From Baseline to Week 4 |
NCT02429258 (11) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 4 |
NCT02429258 (11) [back to overview] | Change in HbA1c From Baseline to Week 4 |
NCT02429258 (11) [back to overview] | Change in Static Insulin Secretion Rate (10^-9 Min^-1) From Baseline to Week 4 - ITT Population |
NCT02429258 (11) [back to overview] | Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose Between 70 mg/dL and 180 mg/dL From Baseline to Week 4 - ITT Population |
NCT02429258 (11) [back to overview] | Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose >180 mg/dL From Baseline to Week 4 - ITT Population |
NCT02429258 (11) [back to overview] | Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose <70 mg/dL From Baseline to Week 4 - ITT Population |
NCT02433678 (14) [back to overview] | Changes in Expression of Inflammatory Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02433678 (14) [back to overview] | Difference in the Percent Change in Fasting Nuclear Factor Kappa-light-chain-enhancer of Activated B Cells Activation (DNA Binding Activity) in Mononuclear Cells Before and After Dapagliflozin Use |
NCT02433678 (14) [back to overview] | Changes in Expression of Inflammatory Mediators |
NCT02433678 (14) [back to overview] | Changes in Expression of Inflammatory Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02433678 (14) [back to overview] | Changes in Expression of Inflammatory Mediators |
NCT02433678 (14) [back to overview] | Changes in Expression of Inflammatory Mediators |
NCT02433678 (14) [back to overview] | Changes in Expression of Inflammatory Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02433678 (14) [back to overview] | Change in Hypertension Mediators |
NCT02460978 (6) [back to overview] | Adjusted Mean Change From Baseline in 24-hour CGM Mean Amplitude of Glycemic Excursion (MAGE) Value at Week 24 |
NCT02460978 (6) [back to overview] | Change From Baseline in the Percent of 24-hour Glucose Readings Obtained From CGM That Falls Within the Target Range of > 70 mg/dL and <= 180 mg/dL (%) at Week 24 |
NCT02460978 (6) [back to overview] | Adjusted Mean Percentage Change From Baseline in Total Daily Insulin Dose at Week 24 |
NCT02460978 (6) [back to overview] | Adjusted Mean Percentage Change From Baseline in Body Weight at Week 24 |
NCT02460978 (6) [back to overview] | Adjusted Mean Change From Baseline in HbA1c at Week 24 |
NCT02460978 (6) [back to overview] | Adjusted Mean Change From Baseline in 24-hour Continuous Glucose Monitoring (CGM) Mean Value at Week 24 |
NCT02471404 (6) [back to overview] | Change in Fasting Plasma Glucose (FPG) From Baseline to Week 52 |
NCT02471404 (6) [back to overview] | Time to Rescue |
NCT02471404 (6) [back to overview] | Patients With at Least One Episode of Confirmed Hypoglycaemia |
NCT02471404 (6) [back to overview] | Change in Haemoglobin A1c (HbA1c) From Baseline to Week 52 |
NCT02471404 (6) [back to overview] | Number of Patients Rescued |
NCT02471404 (6) [back to overview] | Change in Total Body Weight From Baseline at Week 52 |
NCT02475070 (2) [back to overview] | Incretin Hormones |
NCT02475070 (2) [back to overview] | Glucagon Response to Meal |
NCT02520518 (3) [back to overview] | Change From Baseline in Perception of Satiety at Week 12 |
NCT02520518 (3) [back to overview] | Change From Baseline in Perception of Hunger at Week 12 |
NCT02520518 (3) [back to overview] | Change From Baseline in Blood Pressure at Week 12 |
NCT02532855 (10) [back to overview] | Change From Baseline in A1C at Week 24 |
NCT02532855 (10) [back to overview] | Change From Baseline in 2-hr Postprandial Glucose (PPG) at Week 24 |
NCT02532855 (10) [back to overview] | Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT02532855 (10) [back to overview] | Change From Baseline in Glucagon Area Under the Curve (AUC0-120 Minutes) at Week 24 |
NCT02532855 (10) [back to overview] | Percentage of Participants Who Experienced One or More Adverse Events |
NCT02532855 (10) [back to overview] | Change From Baseline in Incremental 2-hour (2-hr) Postprandial Glucose Excursion (PPGE) at Week 24 |
NCT02532855 (10) [back to overview] | Change From Baseline in Insulin AUC0-120 Minutes at Week 24 |
NCT02532855 (10) [back to overview] | Change From Baseline in Postprandial Insulin AUC0-120 Minutes to Glucagon AUC0-120 Minutes Ratio at Week 24 |
NCT02532855 (10) [back to overview] | Percentage of Participants Who Discontinued Study Drug Due to an AE |
NCT02532855 (10) [back to overview] | Percentage of Participants With A1C <7% (53 mmol/Mol) at Week 24 |
NCT02547935 (8) [back to overview] | Adjusted Mean Percent Change From Baseline in Urine Albumin-to-Creatinine Ratio (UACR) at Week 24 |
NCT02547935 (8) [back to overview] | Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT02547935 (8) [back to overview] | Percentage of Patients Achieving at Least 30% Reduction in UACR at Week 24 |
NCT02547935 (8) [back to overview] | Percentage of Patients Achieving a Reduction in HbA1c of Less Than 7.0% at Week 24 |
NCT02547935 (8) [back to overview] | Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24 |
NCT02547935 (8) [back to overview] | Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24 |
NCT02547935 (8) [back to overview] | Adjusted Mean Change From Baseline in HbA1c: Comparison of Dapagliflozin 10 mg and Placebo at Week 24 |
NCT02547935 (8) [back to overview] | Adjusted Mean Change From Baseline in Glycosylated Haemoglobin (HbA1c): Comparison of Dapagliflozin 10 mg Plus Saxagliptin 2.5 mg and Placebo at Week 24 |
NCT02551874 (6) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response at Week 24 |
NCT02551874 (6) [back to overview] | Percentage of Subjects With Confirmed Hypoglycaemia at Week 24 |
NCT02551874 (6) [back to overview] | Percentage of Subjects Achieving a Therapeutic Glycemic Response, Without Hypoglycaemia, at Week 24 |
NCT02551874 (6) [back to overview] | Change From Baseline in the Mean Value of 24-hour Glucose at Week 2 |
NCT02551874 (6) [back to overview] | Mean Change From Baseline in HbA1c at Week 24 |
NCT02551874 (6) [back to overview] | Mean Change From Baseline in Total Body Weight at Week 24 |
NCT02561130 (9) [back to overview] | Glycated Hemoglobin (HbA1C) |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Diabetes Relapse Without Overt Hyperglycemia Off Diabetes Drugs |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Drug-free Diabetes Remission in the Experimental Group Compared to the Control Group |
NCT02561130 (9) [back to overview] | Number of Participants With Non-severe Symptomatic Hypoglycemic Episodes |
NCT02561130 (9) [back to overview] | Number of Participants With Severe Hypoglycemic Episodes |
NCT02561130 (9) [back to overview] | Percentage of Weight Loss From Baseline |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Drug-free HbA1C < 6.0% |
NCT02561130 (9) [back to overview] | Change in Waist Circumference From Baseline |
NCT02561130 (9) [back to overview] | Number of Participants Achieving Drug-free Diabetes Remission |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Diastolic Blood Pressure (DBP) at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Body Mass Index (BMI) at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Fasting Blood Sugar (FBS) at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Adinopectin at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Changes From Baseline in Total Body Fat Mass by DXA Scan |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in HbA1c at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in High Sensitivity C-Reactive Protein (hsCRP) at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Changes From Baseline in Percentage of Total Body Fat Assessed by DXA Scan |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Waist Circumference at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Visceral to Subcutaneous Adipose Tissue Ratio at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Visceral Adipose Tissue (VAT) Area at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Total Body Weight at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Systolic Blood Pressure (SBP) at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Subcutaneous Adipose Tissue (SAT) Area at Week 52 |
NCT02564926 (15) [back to overview] | Adjusted Mean Change in Lean Body Mass at Week 52 |
NCT02582814 (17) [back to overview] | Adjusted Percent Change From Baseline in Body Weight |
NCT02582814 (17) [back to overview] | Adjusted Change From Baseline in Post-prandial Glucose Measured by 6-point SMBG |
NCT02582814 (17) [back to overview] | Adjusted Change From Baseline in HbA1c |
NCT02582814 (17) [back to overview] | Adjusted Change From Baseline in Glycoalbumin |
NCT02582814 (17) [back to overview] | Adjusted Change From Baseline in Average Daily Glucose Measured by 6-point SMBG |
NCT02582814 (17) [back to overview] | Vital Signs (Heart Rate) |
NCT02582814 (17) [back to overview] | Overall Adverse Event Summary |
NCT02582814 (17) [back to overview] | Adjusted Change From Baseline in SBP in Subjects With Baseline SBP/DBP >= 140/90 mmHg |
NCT02582814 (17) [back to overview] | Proportion of Subjects Achieving HbA1c Reduction of 0.5 Percent |
NCT02582814 (17) [back to overview] | Hypoglycemia |
NCT02582814 (17) [back to overview] | Clinical Laboratory Measures, Urine Test Results (Any Marked Abnormality) |
NCT02582814 (17) [back to overview] | ECGs |
NCT02582814 (17) [back to overview] | Diabetic Ketoacidosis (DKA) |
NCT02582814 (17) [back to overview] | Vital Signs (Blood Pressure) |
NCT02582814 (17) [back to overview] | Adjusted Percent Change From Baseline in Total Daily Insulin Dose |
NCT02582814 (17) [back to overview] | Proportion of Subjects Achieving HbA1c < 7.0 Percent |
NCT02582814 (17) [back to overview] | Proportion of Subjects Achieving HbA1c Reduction of 0.5 Percent Without Severe Hypoglycemia |
NCT02582840 (15) [back to overview] | Daily Basal Insulin (IU) Percent Change From Baseline to Day 7 - Pharmacodynamic (PD) Set |
NCT02582840 (15) [back to overview] | Daily Bolus Insulin (IU) Percent Change From Baseline to Day 7 - Pharmacodynamic (PD) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin 3-O-Glucuronide Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration AUC(0-T) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin 3-O-Glucuronide Maximum Observed Plasma Concentration (Cmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin 3-O-Glucuronide Minimum Observed Plasma Concentration (Cmin) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration AUC(0-T) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin Maximum Observed Plasma Concentration (Cmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin Minimum Observed Plasma Concentration (Cmin) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin Ratio of Metabolite to Parent AUC of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin Time of Maximum Observed Plasma Concentration (Tmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | Fasting Plasma Glucose (FPG) (mg/dL) Change From Baseline to Day 7 - Pharmacodynamic (PD) Set |
NCT02582840 (15) [back to overview] | Seated Systolic Blood Pressure (mmHG) Change From Baseline to Day 7 - Pharmacodynamic (PD) Set |
NCT02582840 (15) [back to overview] | Total Daily Insulin (IU) Percent Change From Baseline to Day 7 - Pharmacodynamic (PD) Set |
NCT02582840 (15) [back to overview] | Dapagliflozin 3-O-Glucuronide Time of Maximum Observed Plasma Concentration (Tmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set |
NCT02582840 (15) [back to overview] | 24-hour Urinary Glucose (g/24h) Mean Change From Baseline on Day 7 - Pharmacodynamic (PD) Set |
NCT02592421 (4) [back to overview] | Change in Plasma Insulin During Measurement of EGP |
NCT02592421 (4) [back to overview] | Change in Plasma Glucose Concentration |
NCT02592421 (4) [back to overview] | Change in Glucagon During EGP Measurement |
NCT02592421 (4) [back to overview] | Change in Endogenous Glucose Production (EGP) |
NCT02597049 (11) [back to overview] | Change From Baseline in Fasting Serum Glucose (Central Laboratory) at 24 Weeks |
NCT02597049 (11) [back to overview] | Rate of Hypoglycemic Events Adjusted Per 30 Days |
NCT02597049 (11) [back to overview] | Percentage of Participants With HbA1c <7% |
NCT02597049 (11) [back to overview] | Number of Participants With Adjudicated Cardiovascular (CV) Events |
NCT02597049 (11) [back to overview] | Change From Baseline in Fasting Glucagon at 24 Weeks |
NCT02597049 (11) [back to overview] | Change From Baseline in Body Weight at 24 Weeks |
NCT02597049 (11) [back to overview] | Change From Baseline in 6-Point Self-Monitored Plasma Glucose (SMPG) Profile at 24 Weeks |
NCT02597049 (11) [back to overview] | Number of Participants With Adjudicated Acute Pancreatitis Events |
NCT02597049 (11) [back to overview] | Number of Participants Requiring Rescue Therapy Due to Severe Persistent Hyperglycemia |
NCT02597049 (11) [back to overview] | Change From Baseline in the HbA1c at 24 Weeks (Efficacy Estimand) |
NCT02597049 (11) [back to overview] | Change From Baseline in Hemoglobin A1c (HbA1c) at 24 Weeks (Treatment-regimen Estimand) |
NCT02613897 (9) [back to overview] | Change in Lipid Oxidation |
NCT02613897 (9) [back to overview] | HBA1c |
NCT02613897 (9) [back to overview] | Mean Oral Glucose Tolerance Test (OGTT) |
NCT02613897 (9) [back to overview] | Change in BMI |
NCT02613897 (9) [back to overview] | Change in Free Fatty Acids (FFA) |
NCT02613897 (9) [back to overview] | Change in Body Weight |
NCT02613897 (9) [back to overview] | Change in Fasting Plasma Glucagon (FPG) |
NCT02613897 (9) [back to overview] | Change in Endogenous Glucose Production (EGP) |
NCT02613897 (9) [back to overview] | Change in Glucose Oxidation |
NCT02635386 (23) [back to overview] | Matsuda Sensitivity Index Derived From the OGTT(SI OGTT) |
NCT02635386 (23) [back to overview] | OGTT Mean Blood Glucose (MBG) |
NCT02635386 (23) [back to overview] | Oral Disposition (Insulin Sensitivity-insulin Secretion) Index |
NCT02635386 (23) [back to overview] | Total Body Fat (%) by DEXA |
NCT02635386 (23) [back to overview] | Total Cholesterol Levels |
NCT02635386 (23) [back to overview] | Total Fat Mass (kg) Evaluated by DEXA |
NCT02635386 (23) [back to overview] | Total Testosterone Concentrations |
NCT02635386 (23) [back to overview] | Triglyceride (TRG) Levels |
NCT02635386 (23) [back to overview] | Trunk/Leg Fat Ratio by DEXA |
NCT02635386 (23) [back to overview] | Waist-to-Height Ratio (WHtR) |
NCT02635386 (23) [back to overview] | Waist-to-Hip Ratio (WHR) |
NCT02635386 (23) [back to overview] | Corrected First Phase Insulin Secretion (IGI/HOMA-IR) |
NCT02635386 (23) [back to overview] | Dehydroepiandrosterone Sulfate (DHEA-S) Levels |
NCT02635386 (23) [back to overview] | Diastolic Blood Pressure (DBP) |
NCT02635386 (23) [back to overview] | Fasting Blood Glucose |
NCT02635386 (23) [back to overview] | Fasting Insulin Sensitivity (HOMA-IR) |
NCT02635386 (23) [back to overview] | Free Androgen Index (FAI) |
NCT02635386 (23) [back to overview] | Change in Percent Body Weight |
NCT02635386 (23) [back to overview] | Central Adiposity (Waist Circumference) |
NCT02635386 (23) [back to overview] | Body Mass Index (BMI) |
NCT02635386 (23) [back to overview] | Android-Gynoid Ratio (AGR) as Determined by DEXA |
NCT02635386 (23) [back to overview] | Absolute Body Weight |
NCT02635386 (23) [back to overview] | Systolic Blood Pressure (SBP) |
NCT02637037 (7) [back to overview] | Time to Reach Maximum Plasma Concentration (t Max) |
NCT02637037 (7) [back to overview] | Apparent Volume of Distribution During the Terminal Phase After Extravascular Administration [Vz/F] |
NCT02637037 (7) [back to overview] | Apparent Total Body Clearance After Extravascular Administration Estimated as Dose Divided by AUC [CL/F] |
NCT02637037 (7) [back to overview] | Area Under Plasma Concentration-time Curve [AUC] Under Fasted or Fed State |
NCT02637037 (7) [back to overview] | AUC From Time Zero to Time of Last Quantifiable Concentration [AUC (0-t)] Under Fasted or Fed State. |
NCT02637037 (7) [back to overview] | Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve [t½λz] |
NCT02637037 (7) [back to overview] | Observed Maximum Plasma Concentration [Cmax] Under Fasted or Fed State |
NCT02653482 (11) [back to overview] | Difference in the Average of the 6- and 12-week Mean N-terminal Pro B-type Natriuretic Peptide (NTproBNP). |
NCT02653482 (11) [back to overview] | Percentage of Patients That Achieve a ≥ 5-point Increase in Heart Failure Disease Specific Quality of Life (Assessed Using Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS)) or a ≥ 20% Decrease in NTproBNP Over 12 Weeks |
NCT02653482 (11) [back to overview] | Percentage of Patients With a ≥ 5-point Increase in Kansas City Cardiomyopathy Questionnaire - Overall Summary Score (KCCQ-OS) and a ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide (NTproBNP) |
NCT02653482 (11) [back to overview] | Change in 6 Minute Walk Score Over 12 Weeks. |
NCT02653482 (11) [back to overview] | Change in Brain Natriuretic Peptide (BNP) Over 12 Weeks. |
NCT02653482 (11) [back to overview] | Change in Hemoglobin A1c (HbA1c) Over 12 Weeks. |
NCT02653482 (11) [back to overview] | Change in Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS) Over 12 Weeks. |
NCT02653482 (11) [back to overview] | Percentage of Patients With a ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide (NTproBNP) |
NCT02653482 (11) [back to overview] | Change in Weight Over 12 Weeks |
NCT02653482 (11) [back to overview] | Change in Systolic Blood Pressure Over 12 Weeks |
NCT02653482 (11) [back to overview] | Percentage of Patients With a ≥ 5-point Increase in Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS) |
NCT02681094 (4) [back to overview] | Change in Total Body Weight at 24 Weeks |
NCT02681094 (4) [back to overview] | Change in Fasting Plasma Glucose at 24 Weeks |
NCT02681094 (4) [back to overview] | Change From Baseline in HbA1c at Week 24 |
NCT02681094 (4) [back to overview] | Proportion of Participants Achieving HbA1c <7.0% at 24 Weeks |
NCT02682563 (10) [back to overview] | Fractional Excretion of Glucose in % of Filtered Glucose |
NCT02682563 (10) [back to overview] | Body Weight |
NCT02682563 (10) [back to overview] | Effective Renal Plasma Flow (ERPF) in ml/Min |
NCT02682563 (10) [back to overview] | Fractional Excretion of Potassium in % of Filtered Potassium |
NCT02682563 (10) [back to overview] | Fractional Excretion of Sodium in % of Filtered Sodium |
NCT02682563 (10) [back to overview] | Glomerular Filtration Rate (GFR) in ml/Min |
NCT02682563 (10) [back to overview] | Kidney Injury Molecule-1 (KIM-1) in ng/mmol |
NCT02682563 (10) [back to overview] | Neutrophil Gelatinase-associated Lipocalin (NGAL) |
NCT02682563 (10) [back to overview] | Systolic Blood Pressure |
NCT02682563 (10) [back to overview] | Urinary Albumin-Creatinine Ratio in mg/mmol |
NCT02700334 (17) [back to overview] | Insulin Sensitivity |
NCT02700334 (17) [back to overview] | Postprandial Glucose |
NCT02700334 (17) [back to overview] | Systolic Blood Pressure |
NCT02700334 (17) [back to overview] | Total Cholesterol |
NCT02700334 (17) [back to overview] | Total Insulin Secretion |
NCT02700334 (17) [back to overview] | Uric Acid |
NCT02700334 (17) [back to overview] | First Phase of Insulin Secretion |
NCT02700334 (17) [back to overview] | Fasting Glucose |
NCT02700334 (17) [back to overview] | Diastolic Blood Pressure |
NCT02700334 (17) [back to overview] | Creatinine |
NCT02700334 (17) [back to overview] | Body Weight |
NCT02700334 (17) [back to overview] | Body Mass Index |
NCT02700334 (17) [back to overview] | Aspartate Aminotransferase (AST) |
NCT02700334 (17) [back to overview] | Alanine Aminotransferase (ALT) |
NCT02700334 (17) [back to overview] | Triglycerides |
NCT02700334 (17) [back to overview] | Glycosylated Hemoglobin |
NCT02700334 (17) [back to overview] | High Density Lipoprotein Cholesterol (HDL-c) |
NCT02722239 (5) [back to overview] | Maximum Concentration (Cmax). |
NCT02722239 (5) [back to overview] | Bioequivalence Consideration: 90% Confidence Intervals for the Test:Reference Geometric Least Squares Mean Ratios |
NCT02722239 (5) [back to overview] | "Area Under the Concentration - Time Curve (AUC0-t)" |
NCT02722239 (5) [back to overview] | "Area Under the Concentration - Time Curve (AUC0-∞)" |
NCT02722239 (5) [back to overview] | Adverse Events |
NCT02725593 (4) [back to overview] | Percentage of Participants With Baseline Glycated Haemoglobin (HbA1c) >= 7% Who Achieved HbA1c Level < 7% at Week 24 |
NCT02725593 (4) [back to overview] | Adjusted Change From Baseline in Glycated Haemoglobin (HbA1c) at Week 24 |
NCT02725593 (4) [back to overview] | Percentage of Participants Who Required Glycemic Rescue Medication or Permanently Discontinued Treatment Due to Lack of Glycemic Control |
NCT02725593 (4) [back to overview] | Adjusted Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 |
NCT02796170 (2) [back to overview] | Change in Blood Pressure From Baseline to 6 Weeks Measured by ABPM |
NCT02796170 (2) [back to overview] | Change in Urinary AGT Levels From Baseline to 6 Weeks |
NCT02911792 (1) [back to overview] | GFR (Glomerular Filtration Rate) Change After Treatment |
NCT02973477 (4) [back to overview] | Changes in Measures of Heart Rate Variability (HRV) Using Dapagliflozin vs Active Comparator Glimepiride. |
NCT02973477 (4) [back to overview] | Changes in Measures of Cardiac Autonomic Reflex Testing (CARTs) |
NCT02973477 (4) [back to overview] | Changes in Measure of Heart Rate Variability Using Dapagliflozin vs Active Comparator Glimepiride. |
NCT02973477 (4) [back to overview] | Change in B-type Natriuretic Peptide With Each Intervention as a Measure of Left Ventricular Function |
NCT02981069 (5) [back to overview] | Change in Endogenous Glucose Production (EGP) After 16 Weeks of Treatment With Each Study Drug. |
NCT02981069 (5) [back to overview] | Change in Endogenous Glucose Production (EGP) After Acute Exposure to a Single Dose and Again After 16 Weeks of Treatment |
NCT02981069 (5) [back to overview] | Change in Fasting Plasma Glucose (FPG) Concentration |
NCT02981069 (5) [back to overview] | Change in Plasma Glucagon Concentration |
NCT02981069 (5) [back to overview] | Change in Plasma Insulin Concentration |
NCT02981966 (2) [back to overview] | Renal Glucose Production Measurement of Change |
NCT02981966 (2) [back to overview] | Endogenous Glucose Production Measurement |
NCT02984644 (12) [back to overview] | Change in Plasma Insulin Concentrations: Study 1 |
NCT02984644 (12) [back to overview] | Change in Plasma Glucose Using a Pancreatic Clamp: Study 3 |
NCT02984644 (12) [back to overview] | Change in Plasma Glucose Measurement Using a Glucose Clamp: Study 2 |
NCT02984644 (12) [back to overview] | Change in Glucagon: Study 1 |
NCT02984644 (12) [back to overview] | Change in Glucagon Using Pancreatic Clamp: Study 3 |
NCT02984644 (12) [back to overview] | Change in EGP: Study 1 |
NCT02984644 (12) [back to overview] | Change in EGP With Pancreatic Clamp: Study 3 |
NCT02984644 (12) [back to overview] | Change in EGP With Glucose Clamp: Study 2 |
NCT02984644 (12) [back to overview] | Change in Glucagon Using Glucose Clamp: Study 2 |
NCT02984644 (12) [back to overview] | Plasma Insulin Concentrations During Measurement of EGP Plus Glucose Clamp: Study 2 |
NCT02984644 (12) [back to overview] | Measurement of the Change in Plasma Glucose (mg/dL): Study 1 |
NCT02984644 (12) [back to overview] | Change in Plasma Insulin While Using Pancreatic Clamp: Study 3 |
NCT03006471 (33) [back to overview] | 24-hours Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Coefficient of Variation of 24-hours, Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Number of Participants With a Dipper Reverse Circadian Blood Pattern at Week 12 |
NCT03006471 (33) [back to overview] | Number of Participants With a Nondipper Circadian Blood Pressure Pattern at Week 12 |
NCT03006471 (33) [back to overview] | Number of Participants With Prediabetes at Week 12 |
NCT03006471 (33) [back to overview] | Number of Participants With Prediabetes Plus Prehypertension at Week 12 |
NCT03006471 (33) [back to overview] | 24-hours Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Coefficient of Variation Nighttime, Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Average Real Variability of Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Average Real Variability of Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Body Mass Index at Week 12 |
NCT03006471 (33) [back to overview] | Fasting Plasma Glucose Levels at Week 12 |
NCT03006471 (33) [back to overview] | Body Weight at Week 12 |
NCT03006471 (33) [back to overview] | Coefficient of Variation Daytime, Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Number of Participants With Prehypertension at Week 12 |
NCT03006471 (33) [back to overview] | Coefficient of Variation Daytime, Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Office of Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Office Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Systolic Blood Pressure Weighted Standard Deviation at Week 12 |
NCT03006471 (33) [back to overview] | Glycated Hemoglobin A1c (A1C) at Week 12 |
NCT03006471 (33) [back to overview] | Nighttime Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Coefficient of Variation Nighttime, Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Nighttime Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Nighttime Mean Arterial Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Nocturnal Hypertensive Load at Week 12 |
NCT03006471 (33) [back to overview] | Number of Participants With a Dipper Circadian Blood Pressure Pattern at Week 12 |
NCT03006471 (33) [back to overview] | 2-hours Plasma Glucose After a Oral Glucose Tolerance Test at Week 12 |
NCT03006471 (33) [back to overview] | Coefficient of Variation of 24-hours, Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Daytime Diastolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Daytime Hypertensive Load at Week 12 |
NCT03006471 (33) [back to overview] | Daytime Mean Arterial Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Daytime Systolic Blood Pressure at Week 12 |
NCT03006471 (33) [back to overview] | Diastolic Blood Pressure Weighted Standard Deviation at Week 12 |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Proportion of Patients With ≥ 5 Point Increase in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CS) and ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide(NTproBNP) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on N-terminal Pro B-type Natriuretic Peptide (NTproBNP) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Hemoglobin A1c |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Heart Failure Related Health Status Using the Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Heart Failure Related Health Status Using the Kansas City Cardiomyopathy Questionnaire Clinical Summary Summary Score (KCCQ-CS) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Brain Natriuretic Peptide (BNP) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on 6 Minute Walk Test Distance |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Weight |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on the Proportion of Patients With a ≥ 5 Point Increase in KCCQ Clinical Summary Score (KCCQ-CS) and KCCQ Overall Summary Score (KCCQ-OS) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on the Proportion of Patients With a ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide (NTproBNP) |
NCT03030235 (11) [back to overview] | Effect of Dapagliflozin, as Compared With Placebo, on Systolic Blood Pressure |
NCT03036124 (6) [back to overview] | Subjects Included in the Composite Endpoint of CV Death or Hospitalization Due to Heart Failure. |
NCT03036124 (6) [back to overview] | Subjects Included in the Composite Endpoint of ≥50% Sustained Decline in eGFR, ESRD or Renal Death. |
NCT03036124 (6) [back to overview] | Events Included in the Composite Endpoint of Recurrent Hospitalizations Due to Heart Failure and CV Death. |
NCT03036124 (6) [back to overview] | Change From Baseline in the KCCQ Total Symptom Score |
NCT03036124 (6) [back to overview] | Subjects Included in the Endpoint of All-cause Mortality. |
NCT03036124 (6) [back to overview] | Subjects Included in the Composite Endpoint of CV Death, Hospitalization Due to Heart Failure or Urgent Visit Due to Heart Failure. |
NCT03036150 (4) [back to overview] | Time to the First Occurrence of Either of the Components of the Composite: CV Death or Hospitalization for Heart Failure. |
NCT03036150 (4) [back to overview] | Time to the First Occurrence of Any of the Components of the Composite: ≥50% Sustained Decline in eGFR or Reaching ESRD or Renal Death. |
NCT03036150 (4) [back to overview] | Time to the First Occurrence of Any of the Components of the Composite: ≥50% Sustained Decline in eGFR or Reaching ESRD or CV Death or Renal Death. |
NCT03036150 (4) [back to overview] | Time to Death From Any Cause. |
NCT03074630 (7) [back to overview] | Change in Peripheral Insulin Sensitivity |
NCT03074630 (7) [back to overview] | Change in Plasma HDL Cholesterol |
NCT03074630 (7) [back to overview] | Change in Plasma LDL Cholesterol |
NCT03074630 (7) [back to overview] | Change in Plasma Triglycerides |
NCT03074630 (7) [back to overview] | Change in Total Cholesterol |
NCT03074630 (7) [back to overview] | Urinary Glucose Excretion |
NCT03074630 (7) [back to overview] | Change in Plasma FFA |
NCT03152084 (17) [back to overview] | Change in Extracellular Volume From End of Treatment to End of Follow-up |
NCT03152084 (17) [back to overview] | Change in 24-hour Sodium Excretion From Baseline to Start of Treatment |
NCT03152084 (17) [back to overview] | Change in 24-hour Glucose Excretion From Baseline to Start of Treatment |
NCT03152084 (17) [back to overview] | Pharmacokinetics of Dapagliflozin on Day 4 and Day 14 |
NCT03152084 (17) [back to overview] | Number of Patients With AEs and SAEs |
NCT03152084 (17) [back to overview] | Change in 24-hour Urine Albumin:Creatinine Ratio (UACR) |
NCT03152084 (17) [back to overview] | Change in 24-hour Sodium Excretion From Baseline to End of Treatment and From End of Treatment to Follow-up |
NCT03152084 (17) [back to overview] | Change in Plasma Volume From End of Treatment to End of Follow-up |
NCT03152084 (17) [back to overview] | Change in Plasma Volume From Baseline to Start of Treatment |
NCT03152084 (17) [back to overview] | Change in Plasma Volume From Baseline to End of Treatment |
NCT03152084 (17) [back to overview] | Change in 24-hour Glucose Excretion From Baseline to End of Treatment |
NCT03152084 (17) [back to overview] | Change in 24-hour Glucose Excretion From End of Treatment to Follow-up |
NCT03152084 (17) [back to overview] | Change in Mean 24-hour Systolic Blood Pressure From End of Treatment to End of Follow-up |
NCT03152084 (17) [back to overview] | Change in Mean 24-hour Systolic Blood Pressure From Baseline to Start of Treatment |
NCT03152084 (17) [back to overview] | Change in Mean 24-hour Systolic Blood Pressure From Baseline to End of Treatment |
NCT03152084 (17) [back to overview] | Change in Extracellular Volume From Baseline to Start of Treatment |
NCT03152084 (17) [back to overview] | Change in Extracellular Volume From Baseline to End of Treatment |
NCT03168295 (6) [back to overview] | Change in Endogenous Glucose Production (EGP) |
NCT03168295 (6) [back to overview] | Change in Endogenous Glucose Production (EGP) |
NCT03168295 (6) [back to overview] | Change in Fasting Plasma Glucose |
NCT03168295 (6) [back to overview] | Change in Fasting Plasma Glucose |
NCT03168295 (6) [back to overview] | Change in Fasting Plasma Insulin |
NCT03168295 (6) [back to overview] | Change in Fasting Plasma Insulin |
NCT03180489 (4) [back to overview] | Change From Baseline in Perception of Satiety at Week 12 |
NCT03180489 (4) [back to overview] | Change From Baseline in Perception of Hunger at Week 12 |
NCT03180489 (4) [back to overview] | Change From Baseline in Insulin Sensitivity at Week 12 Via Oral Glucose Tolerance Test |
NCT03180489 (4) [back to overview] | Change From Baseline in Blood Pressure at Week 12 |
NCT03316131 (7) [back to overview] | Change From Baseline in Urinary Excretion of Serum UA (sUA) on Day 7 |
NCT03316131 (7) [back to overview] | Change From Baseline in Peak Urinary Excretion of Uric Acid (UA) on Day 7 |
NCT03316131 (7) [back to overview] | Change From Baseline in Area Under Plasma Concentration Time Curve From Time Zero to the Time of Last Measurable Concentration (AUClast) on Day 7 |
NCT03316131 (7) [back to overview] | Change From Baseline in Area Under Plasma Concentration Time Curve Over a Dosing Interval (24 Hours) (AUCτ) on Day 7 |
NCT03316131 (7) [back to overview] | Change From Baseline in Plasma Concentration (Cmax) on Day 7 |
NCT03316131 (7) [back to overview] | Change From Baseline in Time of Last Measurable Concentration (Tlast) on Day 7 |
NCT03316131 (7) [back to overview] | Change From Baseline in Time to Reach Maximum Observed Concentration (Tmax) on Day 7 |
NCT03331289 (1) [back to overview] | Change in EGP From Baseline to Post-oral Glucose Load. |
NCT03338855 (8) [back to overview] | Body Composition (Fat Mass and Lean Mass) After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | 24-Hour Energy Expenditure After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | 24-Hour RER After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | Body Composition (Total Mass) After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | Change in Respiratory Exchange Ratio (RER) From Fasted State to Insulin Stimulated State After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | Corrected Glucose Disposal Rate (cGDR) Measured as Change in Rate of Disposal (Delta RD) Basal vs High Insulin After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | Fibroblast Growth Factor 21 (FGF21) Area Under the Curve (AUC) in Plasma After 5 Weeks of Treatment |
NCT03338855 (8) [back to overview] | Change in Endogenous Glucose Production (EGP) After 5 Weeks of Treatment |
NCT03387683 (2) [back to overview] | Adjusted Mean Change From Baseline in Global Longitudinal Strain of the Left Ventricle (GLSLV) at End of Treatment. |
NCT03387683 (2) [back to overview] | Adjusted Mean Change From Baseline in Myocardial Efficiency at End of Treatment. |
NCT03619213 (7) [back to overview] | Subjects Included in the Endpoint of All-cause Mortality |
NCT03619213 (7) [back to overview] | Change From Baseline in the KCCQ Total Symptom Score at 8 Months |
NCT03619213 (7) [back to overview] | Subjects Included in the Composite Endpoint of CV Death, Hospitalization Due to Heart Failure or Urgent Visit Due to Heart Failure. |
NCT03619213 (7) [back to overview] | Subjects Included in the Composite Endpoint of CV Death, Hospitalization Due to Heart Failure or Urgent Visit Due to Heart Failure for LVEF <60% Subpopulation |
NCT03619213 (7) [back to overview] | Events Included in the Composite Endpoint of CV Death or Recurrent Heart Failure Event (Hospitalization Due to Heart Failure or Urgent Heart Failure Visit) for LVEF <60% Subpopulation |
NCT03619213 (7) [back to overview] | Events Included in the Composite Endpoint of CV Death or Recurrent Heart Failure Event (Hospitalization Due to Heart Failure or Urgent Heart Failure Visit) |
NCT03619213 (7) [back to overview] | Subjects Included in the Endpoint of Cardiovascular Death |
NCT03660683 (14) [back to overview] | Arterial Stiffness - Augmentation Index |
NCT03660683 (14) [back to overview] | Serum Insulin Level |
NCT03660683 (14) [back to overview] | Serum Glucose |
NCT03660683 (14) [back to overview] | Serum Glucose |
NCT03660683 (14) [back to overview] | Renal Function |
NCT03660683 (14) [back to overview] | CD 34+ Cell Migratory Function |
NCT03660683 (14) [back to overview] | CD 34+ Cell Fraction |
NCT03660683 (14) [back to overview] | Blood Biochemistries |
NCT03660683 (14) [back to overview] | Arterial Stiffness - Augmentation Pressure |
NCT03660683 (14) [back to overview] | Arterial Stiffness |
NCT03660683 (14) [back to overview] | Urine Exosome Assay |
NCT03660683 (14) [back to overview] | Appetite Controlling Hormone |
NCT03660683 (14) [back to overview] | Fasting Lipid Profile |
NCT03660683 (14) [back to overview] | CD 34+ Cell Gene Expression |
NCT03782259 (6) [back to overview] | Extracellular Volume Fraction (ECV) |
NCT03782259 (6) [back to overview] | hsCRP |
NCT03782259 (6) [back to overview] | Fasting Glucose |
NCT03782259 (6) [back to overview] | HbA1C |
NCT03782259 (6) [back to overview] | Global Myocardial Strain |
NCT03782259 (6) [back to overview] | T2 Relaxation Time |
NCT03877224 (4) [back to overview] | Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Total Symptom Score (KCCQ-TSS) at Week 16 (Higher Scores Represent Less HF Symptom Frequency and Burden) |
NCT03877224 (4) [back to overview] | Change From Baseline in 6-minute Walk Distance (6MWD) at Week 16 (Larger Distances Represent Better Functional Capacity) |
NCT03877224 (4) [back to overview] | Change From Baseline at the End of the Study in the Total Time Spent in Light to Vigorous Physical Activity, as Assessed Using a Wearable Activity Monitor (Accelerometer). |
NCT03877224 (4) [back to overview] | Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Physical Limitation Score (KCCQ-PLS) at Week 16 (Higher Scores Represent Less Physical Limitation Due to HF) |
NCT03877237 (4) [back to overview] | Change From Baseline in 6-minute Walk Distance (6MWD) at Week 16 (Larger Distances Represent Better Functional Capacity). |
NCT03877237 (4) [back to overview] | Change From Baseline at the End of the Study in the Total Time Spent in Light to Vigorous Physical Activity, as Assessed Using a Wearable Activity Monitor (Accelerometer). |
NCT03877237 (4) [back to overview] | Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Total Symptom Score (KCCQ-TSS) at Week 16 (Higher Scores Represent Less HF Symptom Frequency and Burden). |
NCT03877237 (4) [back to overview] | Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Physical Limitation Score (KCCQ-PLS) at Week 16 (Higher Scores Represent Less Physical Limitation Due to HF) |
NCT04249778 (14) [back to overview] | Number of Participants With Non-fatal Myocardial Infarction (MI) |
NCT04249778 (14) [back to overview] | Number of Participants With Acute Kidney Injury |
NCT04249778 (14) [back to overview] | Number of Participants Dying From Cardiovascular Reasons |
NCT04249778 (14) [back to overview] | Serum Magnesium |
NCT04249778 (14) [back to overview] | Number of Participants With Hospital Admissions, Emergency Department Visits, Urgent Clinic Visits for Heart Failure (HF) and Death After Admission With Acute Decompensated Heart Failure (ADHF) |
NCT04249778 (14) [back to overview] | Weight |
NCT04249778 (14) [back to overview] | Systolic Blood Pressure |
NCT04249778 (14) [back to overview] | N-terminal (NT)-Pro Hormone BNP (NT-proBNP) Levels |
NCT04249778 (14) [back to overview] | Left Atrial Volume Index (LAVI) |
NCT04249778 (14) [back to overview] | Kansas City Cardiomyopathy Questionnaire (KCCQ) Score |
NCT04249778 (14) [back to overview] | Hemoglobin A1C (HbA1c) Level |
NCT04249778 (14) [back to overview] | Chronic Heart Failure Questionnaire - Self-Administered Standardized Format (CHQ-SAS) Score |
NCT04249778 (14) [back to overview] | 6-Minute Walk Distance (6MWD) |
NCT04249778 (14) [back to overview] | Number of Participants With Stroke |
NCT04350593 (7) [back to overview] | Improving Clinical Recovery: Hierarchical Composite Outcome Measure Including Death From Any Cause Through Day 30, New/Worsened Organ Dysfunction, Clinical Status at Day 30 and Hospital Discharge Before Day 30 and Alive at Day 30. |
NCT04350593 (7) [back to overview] | Time to Death From Any Cause |
NCT04350593 (7) [back to overview] | Time to Composite of Acute Kidney Injury or Initiation of Renal Replacement Therapy, or Death From Any Cause |
NCT04350593 (7) [back to overview] | Time to Hospital Discharge |
NCT04350593 (7) [back to overview] | Total Number of Days Alive, Not in the ICU, and Free From Respiratory Decompensation Requiring Initiation of Mechanical Ventilation (Includes Invasive or Non-invasive Ventilation, CPAP, or BiPAP) |
NCT04350593 (7) [back to overview] | Prevention of COVID-19 Complications or Death: During the 30-day Treatment Period, Time to First Occurrence of New/Worsened Organ Dysfunction During Index Hospitalization or Death From Any Cause. |
NCT04350593 (7) [back to overview] | Total Number of Days Alive and Free From Respiratory Decompensation Requiring Initiation of Mechanical Ventilation (Includes Invasive or Non-invasive Ventilation, CPAP, or BiPAP) |
NCT04492722 (5) [back to overview] | Change From Baseline in Reduction of Urine ACR to Week 12 |
NCT04492722 (5) [back to overview] | Change From Baseline in 24-hours Mean Systolic Blood Pressure to Week 12 |
NCT04492722 (5) [back to overview] | Change From Baseline in Reduction of Urine Albumin to Creatinine Ratio (ACR) to Week 20 |
NCT04492722 (5) [back to overview] | Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) to Week 12 |
NCT04492722 (5) [back to overview] | Number of Participants With Adverse Events and Serious Adverse Events |
NCT04542291 (9) [back to overview] | Changes in Total Fat Volume in Visceral Fat Area as Assessed by CT-based Body Composition |
NCT04542291 (9) [back to overview] | Changes in Ketones |
NCT04542291 (9) [back to overview] | Tolerability as Measured by Number of Participants With Related Adverse Events |
NCT04542291 (9) [back to overview] | Changes in Total Skeletal Muscle Volume in Visceral Fat Area as Assessed by CT-based Body Composition |
NCT04542291 (9) [back to overview] | Changes in Total Muscle to Fat Ratio in Visceral Fat Area as Assessed by CT-based Body Composition |
NCT04542291 (9) [back to overview] | Changes in HbA1c |
NCT04542291 (9) [back to overview] | Changes in Plasma Glucose |
NCT04542291 (9) [back to overview] | Changes in CA19-9 |
NCT04542291 (9) [back to overview] | Changes in CT-quantified Tumor Size |
NCT04730947 (9) [back to overview] | Change in Body Weight |
NCT04730947 (9) [back to overview] | Change in Total Blood Volume |
NCT04730947 (9) [back to overview] | Change in Mean Pulmonary Arterial Pressure (PA) at Maximal Exercise |
NCT04730947 (9) [back to overview] | Change in Right Atrial (RA) Pressure at Rest |
NCT04730947 (9) [back to overview] | Change in Plasma Volume |
NCT04730947 (9) [back to overview] | Change in Right Atrial (RA) Pressure at Maximal Exercise |
NCT04730947 (9) [back to overview] | Change in Mean Pulmonary Arterial Pressure (PA) at Rest |
NCT04730947 (9) [back to overview] | Pulmonary Capillary Wedge Pressure (PCWP) at Rest |
NCT04730947 (9) [back to overview] | Pulmonary Capillary Wedge Pressure (PCWP) at Maximal Exercise |
NCT04899349 (5) [back to overview] | Overall Response Rate (ORR) With Confirmed Response Based on Local Investigator Assessment as Per RECIST 1.1. |
NCT04899349 (5) [back to overview] | Clinical Benefit Rate (CBR) With Confirmed Response Based on Local Investigator Assessment as Per RECIST 1.1 |
NCT04899349 (5) [back to overview] | Progression-free Survival (PFS) Based on Local Investigator Assessment |
NCT04899349 (5) [back to overview] | Number of Participants With Dose Modifications |
NCT04899349 (5) [back to overview] | Number of Participants With Hyperglycemia Grade ≥ 3 Over the First Eight Weeks of Alpelisib Plus Fulvestrant Treatment |
Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <=6.5% at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2
Therapeutic glycemic response is defined as HbA1c <=6.5%. Data after insulin uptitration was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00357370)
Timeframe: From Baseline to Week 12
Intervention | Participants (Number) |
---|
Placebo | 0 |
Dapagliflozin 10 mg | 1 |
Dapagliflozin 20 mg | 0 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2
Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Data after insulin uptitration was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 6, 8, 10, and 12 in the double-blind period. (NCT00357370)
Timeframe: From Baseline to Week 12
Intervention | mg/dL (Mean) |
---|
Placebo | 17.80 |
Dapagliflozin 10 mg | 2.36 |
Dapagliflozin 20 mg | -9.64 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after insulin uptitration was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 6, 8, 10, and 12 in the double-blind period. (NCT00357370)
Timeframe: From Baseline to Week 12
Intervention | % of hemoglobin (Mean) |
---|
Placebo | 0.09 |
Dapagliflozin 10 mg | -0.61 |
Dapagliflozin 20 mg | -0.69 |
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Adjusted Mean Total Daily Dose of Insulin (TDDI) Change From Baseline at Week 12 (LOCF), Including Data After Up-titration of Insulin) - Cohort 2
Baseline TDDI was reduced by 50% prior to treatment, except 2 subjects. TDDI could be up-titrated according to prespecified criteria at Weeks 4, 6, 8, 10 and 12 in the double-blind period. (NCT00357370)
Timeframe: From Baseline to Week 12
Intervention | units/day (Mean) |
---|
Placebo | 1.69 |
Dapagliflozin 10 mg | -1.35 |
Dapagliflozin 20 mg | -0.83 |
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Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2
Therapeutic glycemic response is defined as HbA1c <7.0%. Data after insulin uptitration was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00357370)
Timeframe: From Baseline to Week 12
Intervention | Participants (Number) |
---|
Placebo | 1 |
Dapagliflozin 10 mg | 3 |
Dapagliflozin 20 mg | 1 |
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Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) Decrease From Baseline >= 0.5% at Week 12 (Last Observation Carried Forward [LOCF]) - Cohort 2
Therapeutic glycemic response is defined as HbA1c decrease from baseline >= 0.5% at Week 12. Data after insulin uptitration was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00357370)
Timeframe: From Baseline to Week 12
Intervention | Participants (Number) |
---|
Placebo | 3 |
Dapagliflozin 10 mg | 15 |
Dapagliflozin 20 mg | 15 |
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Number of Participants With Laboratory Test Results Meeting the Criteria for Marked Laboratory Abnormality (Short-term and Long-term Periods)
Baseline was defined as the last assessment prior to the start of the first dose of the double-blind study medication. Data included from baseline up to and including the last day of treatment plus 4 days. Data after rescue were also included. ULN=upper limit of normal; preRX=pretreatment. Phosphorus, inorganic (high) defined as >=5.6 mg/dL for ages 17-65 years or >=5.1 mg/dL for ages >=66. (NCT00528372)
Timeframe: Baseline to Week 102 (end of Long-term Period)
Intervention | Participants (Number) |
---|
| Hematocrit (>55%) | Hematocrit (>60%) | Hemoglobin (>18 g/dL) | Glucose ( >350 mg/dL) | Glucose (<54 mg/dL) | Creatine kinase (>5*ULN) | Creatine kinase (>10*ULN) | Calcium, total (<7.5 mg/dL) | Bicarbonate (<=13 mEq/L) | Potassium, serum (>=6 mEqL) | Sodium, serum (<130 mEq/L) | Sodium, serum (>150 mEq/L) | Phosphorus, inorganic (high) | Albumin/creatinine ratio (>1800 mg/g) | Creatinine (>=1.5 preRX creatinine) |
---|
Group 1: Dapagliflozin Placebo | 0 | 0 | 0 | 2 | 0 | 1 | 0 | 3 | 0 | 3 | 1 | 1 | 2 | 0 | 0 |
,Group 1: Dapagliflozin, 10 mg AM | 2 | 1 | 4 | 0 | 0 | 1 | 1 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 1 |
,Group 1: Dapagliflozin, 10 mg PM | 4 | 1 | 6 | 0 | 0 | 2 | 1 | 1 | 0 | 1 | 1 | 0 | 2 | 0 | 1 |
,Group 1: Dapagliflozin, 2.5 mg AM | 1 | 0 | 3 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 1 | 0 | 1 | 1 |
,Group 1: Dapagliflozin, 2.5 mg PM | 2 | 0 | 2 | 0 | 2 | 1 | 1 | 3 | 0 | 4 | 0 | 1 | 0 | 0 | 1 |
,Group 1: Dapagliflozin, 5 mg AM | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 2 |
,Group 1: Dapagliflozin, 5 mg PM | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 2 | 0 | 1 | 0 | 0 | 3 | 0 | 1 |
,Group 2: Dapagliflozin, 10 mg AM | 4 | 1 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 2 | 0 | 1 |
,Group 2: Dapagliflozin, 5 mg AM | 2 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
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Adjusted Mean Change in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF]): Group 2
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined). Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication.Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. (NCT00528372)
Timeframe: From Baseline to Week 24 (end of Short-term Period)
Intervention | Kilograms (Mean) |
---|
Group 2: Dapagliflozin, 5 mg AM | -2.06 |
Group 2: Dapagliflozin, 10 mg AM | -1.90 |
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Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1c] <7.0%) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. If no Week 24 assessment was available, HbA1c was recorded from the last postbaseline measurement prior to Week 24. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. Thus, only key safety and efficacy analyses were performed for Group 2. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Percentage of participants (Number) |
---|
Group 1: Dapagliflozin Placebo AM & PM | 31.6 |
Group 1: Dapagliflozin, 2.5 mg AM | 41.3 |
Group 1: Dapagliflozin, 5 mg AM | 44.2 |
Group 1: Dapagliflozin, 10 mg AM | 50.8 |
Group 1: Dapagliflozin, 2.5 mg PM | 51.4 |
Group 1: Dapagliflozin, 5 mg PM | 44.0 |
Group 1: Dapagliflozin, 10 mg PM | 51.6 |
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Adjusted Percentage of Participants Who Achieved Hemoglobin A1c [HbA1c] ≤6.5% (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. If no Week 24 assessment was available, HbA1c was recorded from the last postbaseline measurement prior to Week 24. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. Thus, only key safety and efficacy analyses were performed for Group 2. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Percentage of participants (Number) |
---|
Group 1: Dapagliflozin Placebo AM & PM | 14.5 |
Group 1: Dapagliflozin, 2.5 mg AM | 27.2 |
Group 1: Dapagliflozin, 5 mg AM | 26.6 |
Group 1: Dapagliflozin, 10 mg AM | 23.1 |
Group 1: Dapagliflozin, 2.5 mg PM | 33.4 |
Group 1: Dapagliflozin, 5 mg PM | 25.8 |
Group 1: Dapagliflozin, 10 mg PM | 26.0 |
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Adjusted Mean Change in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF]): Group 1
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Because the primary focus of the entire dapagliflozin program was on morning dosing in a population with HbA1c ≥7% and ≤10%, only data on AM dosing were summarized. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined). Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528372)
Timeframe: From Baseline to Week 24 (end of Short-term Period)
Intervention | Kilograms (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | -2.19 |
Group 1: Dapagliflozin, 2.5 mg AM | -3.25 |
Group 1: Dapagliflozin, 5 mg AM | -2.83 |
Group 1: Dapagliflozin, 10 mg AM | -3.16 |
Group 1: Dapagliflozin, 2.5 mg PM | -3.82 |
Group 1: Dapagliflozin, 5 mg PM | -3.55 |
Group 1: Dapagliflozin, 10 mg PM | -3.05 |
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Number of Participants With Elevated Levels of Liver Enzymes on Laboratory Test Results (Short-term and Long-term Periods)
Data after rescue was included. AST=aspartate aminotransferase; ALT=alanine aminotransferase; ALP=alkaline phosphatase. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. Thus, only key safety and efficacy analyses were performed for Group 2. (NCT00528372)
Timeframe: Day 1 to Week 102 (end of Long-term Period)
Intervention | Participants (Number) |
---|
| AST >3*ULN (n=75, 65, 62, 70, 67, 67, 74, 34, 37)) | AST >5*ULN (n=75, 65, 62, 70, 67, 67, 74) | ALT >3*ULN (n=75, 65, 62, 70, 67, 67, 74) | ALT >5*ULN (n=75, 65, 62, 70, 67, 67, 74) | Bilirubin >1.5 ULN (n=75, 65, 62, 70, 67, 67, 74) | Bilirubin >2*ULN (n=75, 65, 62, 70, 67, 67, 74) | ALP >1.5*ULN (n=75, 65, 62, 70, 67, 67, 74) |
---|
Group 1: Dapagliflozin Placebo AM & PM | 0 | 0 | 1 | 0 | 2 | 0 | 4 |
,Group 1: Dapagliflozin, 10 mg AM | 0 | 0 | 1 | 0 | 0 | 0 | 1 |
,Group 1: Dapagliflozin, 10 mg PM | 4 | 0 | 0 | 0 | 0 | 0 | 2 |
,Group 1: Dapagliflozin, 2.5 mg AM | 1 | 0 | 1 | 1 | 0 | 0 | 3 |
,Group 1: Dapagliflozin, 2.5 mg PM | 5 | 2 | 0 | 0 | 2 | 1 | 4 |
,Group 1: Dapagliflozin, 5 mg AM | 1 | 0 | 2 | 0 | 1 | 0 | 1 |
,Group 1: Dapagliflozin, 5 mg PM | 1 | 0 | 0 | 0 | 1 | 0 | 3 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose Levels at Week 1 (Last Observation Carried Forward [LOCF]): Group 1
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Because the primary focus of the entire dapagliflozin program was on morning dosing in a population with HbA1c ≥7% and ≤10%, only data on AM dosing were summarized. Data after rescue medication was excluded from this analysis. Fasting plasma glucose was measured by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528372)
Timeframe: Baseline to Week 1 (end of Short-term Period)
Intervention | mg/dL (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | -2.4 |
Group 1: Dapagliflozin, 2.5 mg AM | -2.9 |
Group 1: Dapagliflozin, 5 mg AM | -16.4 |
Group 1: Dapagliflozin, 10 mg AM | -16.1 |
Group 1: Dapagliflozin, 2.5 mg PM | -14.4 |
Group 1: Dapagliflozin, 5 mg PM | -18.6 |
Group 1: Dapagliflozin, 10 mg PM | -20.3 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose Levels at Week 1 (Last Observation Carried Forward [LOCF]): Group 2
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Because the primary focus of the entire dapagliflozin program was on morning dosing in a population with HbA1c ≥7% and ≤10%, only data on AM dosing were summarized. Data after rescue medication was excluded from this analysis. Fasting plasma glucose was measured by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528372)
Timeframe: Baseline to Week 1
Intervention | mg/dL (Mean) |
---|
Group 2: Dapagliflozin, 5 mg AM | -54.3 |
Group 2: Dapagliflozin, 10 mg AM | -74.3 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. If no Week 24 assessment was available, HbA1c was recorded from the last postbaseline measurement prior to Week 24. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. Thus, only key safety and efficacy analyses were performed for Group 2. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Percent (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | -0.21 |
Group 1: Dapagliflozin, 2.5 mg AM | -0.58 |
Group 1: Dapagliflozin, 5 mg AM | -0.73 |
Group 1: Dapagliflozin, 10 mg AM | -0.88 |
Group 1: Dapagliflozin, 2.5 mg PM | -0.81 |
Group 1: Dapagliflozin, 5 mg PM | -0.76 |
Group 1: Dapagliflozin, 10 mg PM | -0.80 |
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Adjusted Mean Change From Baseline to Week 24 in Fasting Plasma Glucose Levels (Last Observation Carried Forward [LOCF]): Group 2
Group 2 was an exploratory group, included to obtain initial efficacy and safety data. No comparator arm was included. Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Data after rescue medication were excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. If no Week 24 assessment was available, glucose levels were recorded from the last postbaseline measurement prior to Week 24. For rescued participants, measurements obtained after initiation of rescue medication was not considered in calculating the endpoint. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | mg/dL (Mean) |
---|
Group 2: Dapagliflozin, 5 mg AM | -77. |
Group 2: Dapagliflozin, 10 mg AM | -84.3 |
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Number of Participants With Changes From Baseline in Electrocardiogram (ECG) Findings (Last Observation Carried Forward {LOCF])
12-Lead ECGs were performed at entry into lead-in period Day -7 visit and Week 24/end of treatment visit (LOCF) on participants who were supine. ECGs were assessed by the investigator. Baseline was Day -7 for this parameter, and data after rescue were included.The Week 102 value is the last observation, regardless of rescue prior to Week 102 if no Week 102 measurement was available. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. Thus, only key safety and efficacy analyses were performed for Group 2. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Participants (Number) |
---|
| Baseline: Normal/Week 24: Normal | Baseline: Normal/Week 24: Abnormal | Baseline: Normal/Week 24: Not reported | Baseline: Abnormal/Week 24: Normal | Baseline: Abnormal/Week 24: Abnormal | Baseline: Abnormal/Week 24: Not reported | Baseline: Not reported/Week 24: Normal | Basline: Not reported/Week 24: Abnormal | Baseline: Not reported/Week 24: Not reported |
---|
Group 1: Dapagliflozin Placebo AM & PM | 38 | 6 | 0 | 5 | 18 | 0 | 0 | 0 | 8 |
,Group 1: Dapagliflozin, 10 mg AM | 31 | 1 | 0 | 6 | 17 | 0 | 0 | 0 | 15 |
,Group 1: Dapagliflozin, 10 mg PM | 35 | 10 | 0 | 10 | 11 | 0 | 0 | 0 | 10 |
,Group 1: Dapagliflozin, 2.5 mg AM | 36 | 3 | 0 | 2 | 17 | 0 | 0 | 0 | 7 |
,Group 1: Dapagliflozin, 2.5 mg PM | 33 | 3 | 0 | 4 | 17 | 0 | 0 | 0 | 10 |
,Group 1: Dapagliflozin, 5 mg AM | 32 | 5 | 0 | 3 | 11 | 0 | 0 | 0 | 13 |
,Group 1: Dapagliflozin, 5 mg PM | 33 | 6 | 0 | 4 | 14 | 0 | 0 | 0 | 11 |
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Adjusted Mean Change From Baseline to Week 24 in Fasting Plasma Glucose Levels (Last Observation Carried Forward [LOCF]): Group 1
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. Because the primary focus of the entire dapagliflozin program was on morning dosing in a population with HbA1c ≥7% and ≤10%, only data on AM dosing were summarized in secondary efficacy analyses. Data after rescue medication were excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. If no Week 24 assessment was available, glucose levels were recorded from the last postbaseline measurement prior to Week 24. For rescued participants, measurements obtained after initiation of rescue medication was not considered in calculating the endpoint. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | mg/dL (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | -4.1 |
Group 1: Dapagliflozin, 2.5 mg AM | -15.2 |
Group 1: Dapagliflozin, 5 mg AM | -24.1 |
Group 1: Dapagliflozin, 10 mg AM | -28.8 |
Group 1: Dapagliflozin, 2.5 mg PM | -25.6 |
Group 1: Dapagliflozin, 5 mg PM | -27.3 |
Group 1: Dapagliflozin, 10 mg PM | -29.6 |
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Adjusted Mean Change From Baseline to Week 24 in Total Body Weight in Patients With Baseline Body Mass Index ≥27 kg/m^2 (Last Observation Carried Forward)
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available) was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. Thus, only key safety and efficacy analyses were performed for Group 2. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Kilograms (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | -2.43 |
Group 1: Dapagliflozin, 2.5 mg AM | -3.43 |
Group 1: Dapagliflozin, 5 mg AM | -2.91 |
Group 1: Dapagliflozin, 10 mg AM | -3.39 |
Group 1: Dapagliflozin, 2.5 mg PM | -4.30 |
Group 1: Dapagliflozin, 5 mg PM | -3.70 |
Group 1: Dapagliflozin, 10 mg PM | -3.39 |
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Adjusted Mean Change From Baseline to Week 24 in Hemoglobin A1C (HbA1c) (Last Observation Carried Forward [LOCF]): Group 1
HbA1c was measured by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. If no Week 24 assessment was available, the last postbaseline measurement prior to Week 24 was used. For rescued participants, measurements obtained after initiation of rescue medication were not considered in calculating the primary endpoint. Evening dosing groups were summarized as exploratory endpoints. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Percent (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | -0.23 |
Group 1: Dapagliflozin, 2.5 mg AM | -0.58 |
Group 1: Dapagliflozin, 5 mg AM | -0.77 |
Group 1: Dapagliflozin, 10 mg AM | -0.89 |
Group 1: Dapagliflozin, 2.5 mg PM | -0.83 |
Group 1: Dapagliflozin, 5 mg PM | -0.79 |
Group 1: Dapagliflozin, 10 mg PM | -0.79 |
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Adjusted Mean Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c) in Patients With Baseline HbA1c ≥9.0% (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using a sequential testing procedure and are presented in hierarchical order. If no Week 24 assessment was available, HbA1c was recorded from the last postbaseline measurement prior to Week 24. HbA1c was measured as % of hemoglobin by a central laboratory. The population included randomized patients who received treatment and had baseline HbA1c >9.0%. Data after rescue medication were excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of double-blind study drug. In cases where time of the first dose or assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study drug. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered exploratory, included to obtain initial data. No comparator arm was included. Thus, only key safety and efficacy analyses were performed in Group 2. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Percent (Mean) |
---|
Group 1: Dapagliflozin Placebo AM & PM | 0.19 |
Group 1: Dapagliflozin, 2.5 mg AM | -1.26 |
Group 1: Dapaglifozon, 5 mg AM | -2.00 |
Group 1: Dapagliflozin, 10 mg AM | -2.04 |
Group 1: Dapagliflozin, 2.5 mg PM | -1.35 |
Group 1: Dapagliflozin, 5 mg PM | -1.53 |
Group 1: Dapagliflozin, 10 mg PM | -1.21 |
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Adjusted Mean Change From Baseline to Week 24 in Hemoglobin A1c (HbA1c) (Last Observation Carried Forward [LOCF]): Group 2
HbA1c was measured by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. If no Week 24 assessment was available, the last postbaseline measurement prior to Week 24 was used. For rescued participants, measurements obtained after initiation of rescue medication were not considered in calculating the primary endpoint. Group 2 (patients with enrollment baseline HbA1c >10% and ≤2%) was considered an exploratory group, included to obtain initial efficacy and safety data for these patients. No comparator arm was included. (NCT00528372)
Timeframe: Baseline to Week 24 (end of Short-term Period)
Intervention | Percent (Mean) |
---|
Group 2: Dapagliflozin, 5 mg AM | -2.88 |
Group 2: Dapagliflozin, 10 mg AM | -2.66 |
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Number of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])
12-Lead electrocardiograms (ECGs) were performed at entry into lead-in period Day -7 visit and Week 24/dnd of treatment visit (LOCF) on participants who were supine. ECGs were assessed by the investigator. Baseline was Day -7 for this parameter. Data after rescue included.The Week 102 value is the last observation, regardless of rescue prior to Week 102 if no Week 102 measurement was available. (NCT00528879)
Timeframe: Baseline to Week 102
Intervention | Participants (Number) |
---|
| Baseline normal/Week 102 normal | Baseline normal/Week 102 abnormal | Baseline normal/Week 102 not reported | Baseline abnormal/Week 102 normal | Baseline abnormal/Week 102 abnormal | Baseline abnormal/Week 102 not reported | Baseline not reported/Week 102 normal | Baseline not reportedl/Week 102 abnormal | Baseline not reported/Week 102 not reported |
---|
Dapagliflozin, 10 mg + Metformin | 82 | 8 | 9 | 10 | 25 | 1 | 0 | 0 | 0 |
,Dapagliflozin, 2.5 mg + Metformin | 80 | 14 | 6 | 11 | 24 | 2 | 0 | 0 | 0 |
,Dapagliflozin, 5 mg + Metformin | 79 | 9 | 5 | 20 | 20 | 3 | 1 | 0 | 0 |
,Placebo + Metformin | 74 | 7 | 9 | 17 | 26 | 3 | 1 | 0 | 0 |
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Number of Participants With Laboratory Test Results Meeting the Criteria for Laboratory Abnormality
BUN=blood urea nitrogen; preRX=pretreatment; ULN=upper limit of normal; AST=aspartate aminotransferase; ALT=alanine aminotransferase; ALP=alkaline phosphatase. Phosphorus, inorganic (low): ages 17-65 years, ≤1.8 mg/dL; ages≥66 years, ≤2.1 mg/dL. Phosphorus, inorganic (high): ages 17-65 years, ≥5.6 mg/dL; ages≥66 years, ≥5.6 mg/dL. Phosphorus, inorganic (low) ≤1.8 mg/dL if age 17-65 or ≤2.1 mg/dL if age ≥66. Calcium, total (high): ≥1 mg/dL from ULN and ≥0.5 mg/dL from preRx value. (NCT00528879)
Timeframe: Day 1 to Week 102
Intervention | Participants (Number) |
---|
| Hematocrit >55% | Hemoglobin >18 g/dL | BUN ≥60 mg/d or Urea>21.4 mmol/L | Creatinine ≥1.5 preRX creatinine | Creatinine ≥2.5 mg/dL | Glucose >350 mg/dL | Creatine kinase >5*ULN | Creatine kinase >10*ULN | Calcium, total <7.5 mg/dL | Calcium, total (high) | Potassium, serum ≥6 MEQ/L | Magnesium, serum <1 mEq/L | Sodium, serum <130 mEq/L | Sodium, serum >150 mEq/L | Phosphorus, inorganic (high) | Phosphorus, inorganic (low) | Albumin/creatinine ratio >1800 mg/g | AST elevation 3*ULN | ALT elevation 3*ULN | ALT elevation 5*ULN | Total bilirubin elevation >1.5*ULN | Total bilirubin elevation >2*ULN | ALP elevation >1.5*ULN |
---|
Dapagliflozin, 10 mg + Metformin | 3 | 5 | 1 | 2 | 0 | 1 | 3 | 1 | 0 | 0 | 2 | 1 | 0 | 0 | 5 | 0 | 1 | 2 | 2 | 0 | 4 | 1 | 2 |
,Dapagliflozin, 2.5 mg + Metformin | 2 | 4 | 0 | 3 | 0 | 0 | 2 | 0 | 1 | 0 | 3 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 3 | 0 | 1 | 0 | 5 |
,Dapagliflozin, 5 mg + Metformin | 2 | 1 | 0 | 4 | 1 | 0 | 3 | 2 | 2 | 0 | 3 | 0 | 3 | 1 | 2 | 0 | 3 | 3 | 2 | 1 | 1 | 0 | 0 |
,Placebo + Metformin | 1 | 1 | 0 | 2 | 0 | 2 | 2 | 1 | 4 | 2 | 6 | 1 | 1 | 0 | 1 | 1 | 2 | 0 | 1 | 0 | 2 | 0 | 5 |
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Number of Participants With Orthostatic Hypotension
Orthostatic hypotension was defined as a decrease from supine to standing blood pressure of >20 mm Hg in systolic blood pressure or >10 mm Hg in diastolic blood pressure. (NCT00528879)
Timeframe: From Baseline to Week 102
Intervention | Participants (Number) |
---|
| Baseline (n=121, 127, 124, 126) | Week 1 (n=126, 121, 119, 114) | Week 12 (n=123, 128, 127, 125) | Week 24 (n=116, 114, 118, 121) | Week 50 (n=103, 115, 109,112) | Week 102 (n=71, 76, 87, 94) |
---|
Dapagliflozin, 10 mg + Metformin | 4 | 19 | 5 | 3 | 6 | 3 |
,Dapagliflozin, 2.5 mg + Metformin | 4 | 26 | 8 | 6 | 6 | 1 |
,Dapagliflozin, 5 mg + Metformin | 4 | 21 | 4 | 5 | 7 | 1 |
,Placebo + Metformin | 3 | 28 | 6 | 10 | 10 | 1 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Data after rescue medication was excluded from this analysis. Fasting plasma glucose was measured by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528879)
Timeframe: From Baseline to Week 1
Intervention | mg/dL (Mean) |
---|
Placebo + Metformin | 1.2 |
Dapagliflozin, 2.5 mg + Metformin | -6.0 |
Dapagliflozin, 5 mg + Metformin | -12.0 |
Dapagliflozin, 10 mg + Metformin | -16.5 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Data after rescue medication was excluded from this analysis. Fasting plasma glucose was measured as milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Placebo + Metformin | -6.0 |
Dapagliflozin, 2.5 mg + Metformin | -17.8 |
Dapagliflozin, 5 mg + Metformin | -21.5 |
Dapagliflozin, 10 mg + Metformin | -23.5 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted for baseline HbA1c. HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication were excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Percent (Mean) |
---|
Placebo + Metformin | -0.31 |
Dapagliflozin, 2.5 mg + Metformin | -0.69 |
Dapagliflozin, 5 mg + Metformin | -0.71 |
Dapagliflozin, 10 mg + Metformin | -0.88 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. HbA1c was measured as percent of hemoglobin by a central laboratory. The population included those randomized participants who received treatment and had a baseline HbA1c > 9.0%. Data after rescue medication were excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Percent (Mean) |
---|
Placebo + Metformin | -0.53 |
Dapagliflozin, 2.5 mg + Metformin | -1.21 |
Dapagliflozin, 5 mg + Metformin | -1.37 |
Dapagliflozin, 10 mg + Metformin | -1.32 |
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Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Kilograms (Mean) |
---|
Placebo + Metformin | -0.89 |
Dapagliflozin, 2.5 mg + Metformin | -2.21 |
Dapagliflozin, 5 mg + Metformin | -3.04 |
Dapagliflozin, 10 mg + Metformin | -2.86 |
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Adjusted Mean Change From Baseline in Total Body Weight at Week 24 in Participants With Baseline Body Mass Index (BMI) ≥27 kg/m^2 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined.) Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in Periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Kilograms (Mean) |
---|
Placebo + Metformin | -1.01 |
Dapagliflozin, 2.5 mg + Metformin | -2.39 |
Dapagliflozin, 5 mg + Metformin | -3.21 |
Dapagliflozin, 10 mg + Metformin | -3.09 |
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Adjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Percent adjusted for baseline HbA1c. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Percentage of participants (Number) |
---|
Placebo + Metformin | 13.8 |
Dapagliflozin, 2.5 mg + Metformin | 20.7 |
Dapagliflozin, 5 mg + Metformin | 14.5 |
Dapagliflozin, 10 mg + Metformin | 25.2 |
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Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Percent adjusted for baseline HbA1c. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Percentage of participants (Number) |
---|
Placebo + Metformin | 25.9 |
Dapagliflozin, 2.5 mg + Metformin | 33.0 |
Dapagliflozin, 5 mg + Metformin | 37.5 |
Dapagliflozin, 10 mg + Metformin | 40.6 |
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Mean Changes From Baseline in Seated Diastolic Blood Pressure
Blood pressure values were obtained after the participant was seated quietly for 5 minutes; at least 8 hours after the last ingestion of caffeine, alcohol, or nicotine; and in the same arm (right or left) consistently through out the study. Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528879)
Timeframe: From Baseline to Week 102
Intervention | mm Hg (Mean) |
---|
| Week 12 (n=125, 129, 129, 126) | Week 24 (n=119, 119, 122, 122) | Week 50 (n=105, 116, 111, 113) | Week 102 (n=72, 78, 88, 94) |
---|
Dapagliflozin, 10 mg + Metformin | -1.0 | -1.8 | -1.2 | -1.2 |
,Dapagliflozin, 2.5 mg + Metformin | -1.3 | -1.8 | -0.2 | -0.1 |
,Dapagliflozin, 5 mg + Metformin | -2.3 | -2.5 | -2.4 | -1.5 |
,Placebo + Metformin | -0.9 | -0.1 | 0.1 | -1.0 |
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Mean Changes From Baseline in Seated Systolic Blood Pressure
Blood pressure values were obtained after the participant was seated quietly for 5 minutes; at least 8 hours after the last ingestion of caffeine, alcohol, or nicotine; and in the same arm (right or left) consistently through out the study. Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00528879)
Timeframe: From Baseline to Week 102
Intervention | mm Hg (Mean) |
---|
| Week 12 (n=125, 129, 129, 126) | Week 24 (n=119, 119, 122, 122) | Week 50 (n=105, 116, 111, 113) | Week 102 (n=72, 78, 88, 94) |
---|
Dapagliflozin, 10 mg + Metformin | -3.0 | -5.1 | -1.9 | -0.3 |
,Dapagliflozin, 2.5 mg + Metformin | -1.6 | -2.1 | -0.1 | 0.7 |
,Dapagliflozin, 5 mg + Metformin | -4.0 | -4.3 | -2.1 | -1.1 |
,Placebo + Metformin | -0.1 | -0.2 | 1.0 | 1.5 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT00528879)
Timeframe: From Baseline to Week 24
Intervention | Percent (Mean) |
---|
Placebo + Metformin | -0.30 |
Dapagliflozin, 2.5 mg + Metformin | -0.67 |
Dapagliflozin, 5 mg + Metformin | -0.70 |
Dapagliflozin, 10 mg + Metformin | -0.84 |
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Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Percent adjusted for baseline HbA1c. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. Mean and standard error for percentage of participants estimated by modified logistic regression model. (NCT00643851)
Timeframe: From Baseline to Week 24
Intervention | Percentage of participants (Mean) |
---|
Dapagliflozin 5 mg + Metformin XR | 52.4 |
Dapagliflozin 5 mg | 22.5 |
Metformin XR | 34.6 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) in Subjects With Baseline Body Mass Index (BMI) ≥ 27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00643851)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
Dapagliflozin 5 mg + Metformin XR | -3.04 |
Dapagliflozin 5 mg | -2.88 |
Metformin XR | -1.47 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) in Subjects With Baseline HbA1c ≥ 9% at Week 24 (Last Observation Carried Forward [LOCF])
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT00643851)
Timeframe: From Baseline to Week 24
Intervention | % of hemoglobin (Mean) |
---|
Dapagliflozin 5 mg + Metformin XR | -3.01 |
Dapagliflozin 5 mg | -1.67 |
Metformin XR | -1.82 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 in the double-blind period. (NCT00643851)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Dapagliflozin 5 mg + Metformin XR | -61.0 |
Dapagliflozin 5 mg | -42.0 |
Metformin XR | -33.6 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double- blind period. (NCT00643851)
Timeframe: From Baseline to Week 24
Intervention | % of hemoglobin (Mean) |
---|
Dapagliflozin 5 mg + Metformin XR | -2.05 |
Dapagliflozin 5 mg | -1.19 |
Metformin XR | -1.35 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00643851)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
Dapagliflozin 5 mg + Metformin XR | -2.66 |
Dapagliflozin 5 mg | -2.61 |
Metformin XR | -1.29 |
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Adjusted Mean Change in Body Weight
To assess the effect of dapagliflozin plus metformin compared to glipizide plus metformin on body weight after 52 weeks double-blind treatment. (NCT00660907)
Timeframe: Baseline to Week 52
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin Plus Metformin | -3.22 |
Glipizide Plus Metformin | 1.44 |
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Adjusted Mean Change in HbA1c Levels
To assess the effect of dapagliflozin plus metformin compared to glipizide plus metformin on the absolute change from baseline in HbA1c level after 52 weeks double-blind treatment in patients with type 2 diabetes who have inadequate glycaemic control on 1500 mg/day or higher doses of metformin therapy alone. (NCT00660907)
Timeframe: Baseline to Week 52
Intervention | percent (Least Squares Mean) |
---|
Dapagliflozin Plus Metformin | -0.52 |
Glipizide Plus Metformin | -0.52 |
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Proportion of Participants With Body Weight Reduction of at Least 5%
To evaluate the effect of dapagliflozin plus metformin compared to glipizide plus metformin on body weight assessed by a reduction after 52 weeks of at least 5% compared to baseline. Least Squares Mean represents the percent of participants adjusted for baseline value. (NCT00660907)
Timeframe: Baseline to Week 52
Intervention | Percentage of participants (Least Squares Mean) |
---|
Dapagliflozin Plus Metformin | 33.3 |
Glipizide Plus Metformin | 2.5 |
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Proportion of Participants With at Least One Episode of Hypoglycemia
To assess the effect of dapagliflozin plus metformin treatment compared to glipizide plus metformin on the occurrence of hypoglycemic events. Least Squares Mean represents the percent of participants adjusted for HbA1c baseline value. (NCT00660907)
Timeframe: Baseline to Week 52
Intervention | Percentage of participants (Least Squares Mean) |
---|
Dapagliflozin Plus Metformin | 3.5 |
Glipizide Plus Metformin | 40.8 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00663260)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
Placebo | 0.27 |
Dapagliflozin 5 mg | -1.54 |
Dapagliflozin 10 mg | -1.89 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF]
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 in the double-blind period. (NCT00663260)
Timeframe: From Baseline to Week 24
Intervention | % of hemoglobin (Mean) |
---|
Placebo | -0.32 |
Dapagliflozin 5 mg | -0.41 |
Dapagliflozin 10 mg | -0.44 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 in the double-blind period (NCT00663260)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Placebo | 8.4 |
Dapagliflozin 5 mg | -5.2 |
Dapagliflozin 10 mg | -0.6 |
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Proportion of Participants With Lack of Glycemic Control
Participants with lack of glycemic control or insulin up-titration for failing to achieve pre-specified glycemic targets (NCT00673231)
Timeframe: Baseline to Week 24
Intervention | Participants (Number) |
---|
Placebo | 54 |
Dapagliflozin 2.5mg | 22 |
Dapagliflozin 5mg | 24 |
Dapagliflozin 10mg | 19 |
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Proportion of Participants With Calculated Mean Daily Insulin Dose Reduction
To examine whether treatment with dapagliflozin in combination with insulin leads to higher percentage of participants with calculated mean daily insulin dose reduction from baseline to week 24 (i.e. reduction >= 10%) as compared to placebo added to insulin treatment. (NCT00673231)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Placebo | 11.0 |
Dapagliflozin 2.5mg | 18.1 |
Dapagliflozin 5mg | 16.8 |
Dapagliflozin 10mg | 19.7 |
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Adjusted Mean Change in HbA1c Levels
To assess the efficacy of 2.5 mg, 5 mg and 10 mg dapagliflozin compared to placebo as add-on therapy to insulin in improving glycaemic control in participants with type 2 diabetes who have inadequate glycaemic control on ≥ 30 IU injectable insulin daily for at least 8 weeks prior to enrolment, as determined by the change in HbA1c levels from baseline to Week 24, excluding data after insulin up-titration. (NCT00673231)
Timeframe: Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Placebo | -0.30 |
Dapagliflozin 2.5mg | -0.75 |
Dapagliflozin 5mg | -0.82 |
Dapagliflozin 10mg | -0.90 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG)
To examine whether treatment with dapagliflozin in combination with insulin is superior in reducing Fasting Plasma Glucose (FPG) as compared to placebo added to insulin treatment after 24 weeks of treatment, excluding data after insulin up-titration. (NCT00673231)
Timeframe: Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Placebo | 3.3 |
Dapagliflozin 2.5mg | -12.5 |
Dapagliflozin 5mg | -18.8 |
Dapagliflozin 10mg | -21.7 |
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Adjusted Mean Change in Calculated Mean Daily Insulin Dose
To examine whether treatment with dapagliflozin in combination with insulin leads to a lower absolute calculated mean daily insulin dose as compared to placebo added to insulin treatment alone, from baseline to week 24, including data after insulin up-titration. (NCT00673231)
Timeframe: Baseline to Week 24
Intervention | IU/day (Least Squares Mean) |
---|
Placebo | 5.08 |
Dapagliflozin 2.5mg | -1.80 |
Dapagliflozin 5mg | -0.61 |
Dapagliflozin 10mg | -1.16 |
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Adjusted Mean Change in Body Weight
To examine whether treatment with dapagliflozin in combination with insulin is superior in reducing body weight or causing less weight gain as compared to placebo added to insulin treatment after 24 weeks of treatment (LOCF), excluding data after insulin up-titration. (NCT00673231)
Timeframe: Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Placebo | 0.02 |
Dapagliflozin 2.5mg | -0.98 |
Dapagliflozin 5mg | -0.98 |
Dapagliflozin 10mg | -1.67 |
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Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7%
To show that dapagliflozin plus glimepiride results in a larger proportion of participants achieving a therapeutic glycemic response, defined as HbA1c < 7% after 24 weeks of treatment, compared to placebo plus glimepiride. (NCT00680745)
Timeframe: At Week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Dapagliflozin 2.5mg + Glimepiride | 26.8 |
Dapagliflozin 5mg + Glimepiride | 30.3 |
Dapagliflozin 10mg + Glimepiride | 31.7 |
Placebo + Glimepiride | 13.0 |
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Adjusted Mean Change in HbA1c Levels
To assess the efficacy of dapagliflozin compared to placebo as add-on therapy to glimepiride in improving glycemic control in participants with type 2 diabetes, as determined by the change in HbA1C levels from baseline to the end of the 24-week double-blind treatment period. (NCT00680745)
Timeframe: Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Dapagliflozin 2.5mg + Glimepiride | -0.58 |
Dapagliflozin 5mg + Glimepiride | -0.63 |
Dapagliflozin 10mg + Glimepiride | -0.82 |
Placebo + Glimepiride | -0.13 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG)
To show that dapagliflozin plus glimepiride leads to greater reductions in FPG after 24 weeks of treatment compared to placebo plus glimepiride. (NCT00680745)
Timeframe: Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 2.5mg + Glimepiride | -16.8 |
Dapagliflozin 5mg + Glimepiride | -21.2 |
Dapagliflozin 10mg + Glimepiride | -28.5 |
Placebo + Glimepiride | -2.0 |
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Adjusted Mean Change in Body Weight for Participants With Baseline Body Mass Index (BMI)≥27 kg/m2
To show that dapagliflozin plus glimepiride results in greater reductions in body weight or less weight gain in participants with baseline BMI ≥27 kg/m2 after 24 weeks of treatment when compared to placebo plus glimepiride. (NCT00680745)
Timeframe: Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin 2.5mg + Glimepiride | -1.17 |
Dapagliflozin 5mg + Glimepiride | -1.74 |
Dapagliflozin 10mg + Glimepiride | -2.47 |
Placebo + Glimepiride | -0.80 |
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Adjusted Mean Change in Body Weight
To show that dapagliflozin plus glimepiride results in greater reduction in body weight or less weight gain after 24 weeks of treatment when compared to placebo plus glimepiride. (NCT00680745)
Timeframe: Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin 2.5mg + Glimepiride | -1.18 |
Dapagliflozin 5mg + Glimepiride | -1.56 |
Dapagliflozin 10mg + Glimepiride | -2.26 |
Placebo + Glimepiride | -0.72 |
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Adjusted Mean Change in 2-h Post-challenge Plasma Glucose Rise
To show that dapagliflozin plus glimepiride results in greater reductions in the 2-h post-challenge plasma glucose rise as a response to an oral glucose tolerance test (OGTT) from baseline to Week 24. (NCT00680745)
Timeframe: Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 2.5mg + Glimepiride | -37.5 |
Dapagliflozin 5mg + Glimepiride | -32.0 |
Dapagliflozin 10mg + Glimepiride | -34.9 |
Placebo + Glimepiride | -6.0 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | % of hemoglobin (Mean) |
---|
PLACEBO + Pioglitazone | -0.42 |
Dapagliflozin 5MG + Pioglitazone | -0.82 |
Dapagliflozin 10MG + Pioglitazone | -0.97 |
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Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Percent adjusted for baseline HbA1c. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. Mean and standard error for percentage of participants were estimated by modified logistic regression model. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | Percentage of participants (Mean) |
---|
PLACEBO + Pioglitazone | 22.4 |
Dapagliflozin 5MG + Pioglitazone | 32.5 |
Dapagliflozin 10MG + Pioglitazone | 38.8 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
PLACEBO + Pioglitazone | 1.64 |
Dapagliflozin 5MG + Pioglitazone | 0.09 |
Dapagliflozin 10MG + Pioglitazone | -0.14 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) Among Subjects With Baseline Body Mass Index (BMI) ≥ 27 kg/m^2 at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight among subjects with baseline body mass index (BMI) ≥ 27 kg/m^2 at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 of the double-blind period. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
PLACEBO + Pioglitazone | 1.83 |
Dapagliflozin 5MG + Pioglitazone | 0.26 |
Dapagliflozin 10MG + Pioglitazone | -0.07 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
PLACEBO + Pioglitazone | -5.5 |
Dapagliflozin 5MG + Pioglitazone | -24.9 |
Dapagliflozin 10MG + Pioglitazone | -29.6 |
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Adjusted Mean Change From Baseline in 120-minute Post-challenge Plasma Glucose (PPG) (mg/dL) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. In post oral glucose tolerance test (OGTT), glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. PPG measurements were obtained on Day 1 and week 24 in the double-blind period. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
PLACEBO + Pioglitazone | -14.1 |
Dapagliflozin 5MG + Pioglitazone | -65.1 |
Dapagliflozin 10MG + Pioglitazone | -67.5 |
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Adjusted Mean Change From Baseline in Waist Circumference (cm) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in waist circumference at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Waist circumference measurements were obtained during the qualification and lead-in periods and on Day 1 and Week 24 of the double-blind period. (NCT00683878)
Timeframe: From Baseline to Week 24
Intervention | cm (Mean) |
---|
PLACEBO + Pioglitazone | 1.38 |
Dapagliflozin 5MG + Pioglitazone | 0.52 |
Dapagliflozin 10MG + Pioglitazone | -0.17 |
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Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 24 (LOCF) - Treated Participants
12-Lead electrocardiograms (ECGs) were performed at Day -14 and Week 24/End of treatment visit (last observation carried forward) on participants who were supine. ECGs were assessed by the investigator. Baseline (BL) was Day -14 for this parameter. (NCT00736879)
Timeframe: Week 24
Intervention | participants (Number) |
---|
| Normal at BL, Normal at Week 24 (N=68, 72, 74, 68) | Abnormal BL, Normal at Week 24(N=68, 72, 74, 68) | Normal BL, Abnormal at Week 24(N=68, 72, 74, 68) | Abnormal BL, Abnormal at Week 24(N=68, 72, 74, 68) | Reported at BL, Not Reported at Week 24 |
---|
1mg Dapagliflozin | 38 | 5 | 3 | 23 | 3 |
,2.5 mg Dapagliflozin | 43 | 4 | 4 | 14 | 9 |
,5 mg Dapagliflozin | 38 | 7 | 1 | 16 | 6 |
,Placebo | 34 | 10 | 4 | 16 | 4 |
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Number of Participants With Marked Laboratory Abnormalities in 24 Week Double Blind Treatment Period - Treated Participants
Safety laboratory measurements were obtained at Day 1, Weeks 1, 2, 4, 8, 12, 20, and 24 in the double blind Period. Baseline was defined as the last assessment prior to the start of the first dose of the double-blind study medication. Data included from baseline up to and including the last day of treatment plus 4 days. Data after rescue was also included. Abbreviations; Pretreatment (PreRX); grams per deciliter (g/dL); upper limit of normal (ULN); milliequivalent per liter (mEq/L); greater than (>) less than (<); Units per liter (U/L), alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP); blood urea nitrogen (BUN). Marked abnormality Low (High) defined: hemoglobin <6 (>18 females or >20 males) g/dL; hematocrit <20% ( >55% females or >60% males); BUN (>60 mg/dL) or Urea >21.4 mmol/L; creatinine (>=1.5*preRX, >=2.5 mg/dL); AST and ALT >3*ULN; bilirubin >1.5*ULN; ALP >1.5*ULN. (NCT00736879)
Timeframe: Baseline to Week 24/end of treatment plus 4 days
Intervention | participants (Number) |
---|
| Hematocrit High >55% (N=68, 72, 74, 67) | Hemoglobin High >18 g/dL(N=68, 72, 74, 67) | Creatinine High >=1.5*PreRX(N=68, 72, 74, 67) | AST 3*ULN (N=68, 72, 74, 67) | ALT 3*ULN (N=68, 72, 74, 67) | ALT 5*ULN (N=68, 72, 74, 67) | AST or ALT >3*ULN (N=68, 72, 74, 67) | AST or ALT >5*ULN (N=68, 72, 74, 67) | Total bilirubin >1.5*ULN (N=68, 72, 74, 67) | Total bilirubin >2*ULN (N=68, 72, 74, 67) | ALP >1.5*ULN (N=68, 72, 74, 67) | ALP >3*ULN (N=68, 72, 74, 67) | Glucose >350 mg/dL (N=68, 72, 74, 67) | Creatinine Kinase > 5X ULN (N=68, 72, 74, 67) | Calcium <7.5 mg/dL (N=68, 72, 74, 67) | Calcium (mg/dL) >=1 vs ULN and >=0.5 vs baseline | Potassium >= 6 meq/L (N=68, 72, 74, 67) | Magnesium <1 meq/L (N=68, 72, 74, 67) | Sodium <130 meq/L (N=68, 72, 74, 67) | Sodium >150 meq/L (N=68, 72, 74, 67) | Sodium < 120 meq/L |
---|
1mg Dapagliflozin | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 3 | 0 | 1 | 3 | 2 | 0 | 0 | 1 | 1 | 0 | 0 |
,2.5 mg Dapagliflozin | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 0 |
,5 mg Dapagliflozin | 0 | 1 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
,Placebo | 0 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 |
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Number of Participants With Deaths, Serious AEs (SAEs), Adverse Events (AEs), Discontinuation Due to AEs, During the 12 Week Double Blind Period, Including Data After Rescue - All Treated Participants
Medical Dictionary for Regulatory Activities (MedDRA), version 12.1 AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug as per the investigator. Baseline to last dose plus 4 days for AEs, plus 30 days for SAEs. Data after rescue included. (NCT00736879)
Timeframe: Day 1 of Double Blind Period to end of Week 24 Plus 30 days
Intervention | participants (Number) |
---|
| Death | Serious Adverse Event (SAE) | Related SAE | Adverse Event (AE) | Related Adverse Event | Discontinued due to AE |
---|
Dapagliflozin 1mg | 0 | 2 | 2 | 42 | 5 | 1 |
,Dapagliflozin 2.5 mg | 0 | 2 | 0 | 43 | 9 | 1 |
,Dapagliflozin 5 mg | 0 | 0 | 0 | 39 | 5 | 0 |
,Placebo | 0 | 0 | 0 | 41 | 8 | 0 |
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Number of Participants With Adverse Events of Special Interest During the 12 Week Double Blind Period - All Treated Participants
Participants with AEs of hypoglycemia, cardiac/vascular disorders, renal impairment or failure, volume depletion (hypotension/dehydration/hypovolemia), fractures, urinary stones, and other reports suggestive of genital infection or urinary tract infection (UTI) were summarized using MedDRA version 12.1. Data after rescue included for all AEs of special interest except hypoglycemia; hypoglycemia AEs were prior to rescue. Major hypoglycemic episode: symptomatic requiring 3rd party assistance due to severe impairment in consciousness or behavior with a glucose value < 54 mg/dL and prompt recovery after glucose/glucagon; Minor: either symptomatic with glucose measurement < 63 mg/dL, regardless of need for 3rd party assistance, or asymptomatic with glucose < 63 mg/dL that does not qualify as major; Other: suggestive but not meeting criteria for major or minor. (NCT00736879)
Timeframe: Baseline to last dose plus 4 days in 12 Week Double Blind Period
Intervention | participants (Number) |
---|
| Cardiac Disorders AEs | Vascular Disorders AEs | Hypoglycemia AEs (excluding data after rescue) | Major hypoglycemic episode | Minor hypoglycemic episode | Other hypoglycemic episode | AE Suggestive of Genital Infection | AE Suggestive of UTI | AE of Renal Impairment (creatinine increased) | AE of Hypotension | AE of Fracture | AE of Urinary Stones |
---|
1mg Dapagliflozin | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 3 | 0 | 0 | 0 | 0 |
,2.5 mg Dapagliflozin | 4 | 2 | 1 | 0 | 0 | 1 | 5 | 1 | 0 | 0 | 0 | 1 |
,5 mg Dapagliflozin | 0 | 1 | 1 | 0 | 0 | 1 | 2 | 2 | 0 | 1 | 0 | 0 |
,Placebo | 0 | 4 | 0 | 0 | 0 | 0 | 2 | 1 | 2 | 0 | 3 | 1 |
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Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure at Week 24, Including Data After Rescue - Treated Participants
Blood pressure values were obtained on Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 in the double blind period, after the participant was seated for quietly for 5 minutes; the same arm (right or left) was used consistently through out the study. Measurements were taken at least 10 hours after the last ingestion of caffeine, alcohol, or nicotine. Blood pressure was measured in millimeters of mercury (mmHg). Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | mmHg (Mean) |
---|
| Systolic Blood Pressure (n=65, 68, 65, 62) | Diastolic Blood Pressure (n=65, 68, 65, 62) |
---|
Dapagliflozin 1mg | -3.7 | -1.1 |
,Dapagliflozin 2.5 mg | -3.1 | -2.0 |
,Dapagliflozin 5 mg | -4.6 | -1.9 |
,Placebo | 0.8 | 0.2 |
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Mean Change From Baseline in Seated Heart Rate at Week 24 - Treated Participants
Heart rate values were obtained after the participant was seated for quietly for 5 minutes; the same arm (right or left) was used consistently through out the study. Measurements were taken at least 10 hours after the last ingestion of caffeine, alcohol, or nicotine. Heart rate was measured in beats per minute (bpm). Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | bpm (Mean) |
---|
Placebo | -1.3 |
1mg Dapagliflozin | -2.0 |
2.5 mg Dapagliflozin | -1.6 |
5 mg Dapagliflozin | -1.4 |
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Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response at Week 24 (LOCF) - Randomized Participants
Therapeutic glycemic response was defined as HbA1c less than 7.0%. n=Number of participants with HBA1c less than (<) 7 % at Week 24, last observation carried forward (LOCF) while N=number of randomized participants with non-missing baseline and Week 24 (LOCF) values. Percent=n/N and was adjusted for Baseline HbA1c. Data after rescue medication (metformin) was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | Adjusted Percentage of participants (Number) |
---|
Placebo | 34.6 |
Dapagliflozin 1mg | 53.6 |
Dapagliflozin 2.5 mg | 43.4 |
Dapagliflozin 5 mg | 49.1 |
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Adjusted Mean Change From Baseline in Waist Circumference at Week 24 (LOCF) - Randomization Participants
Adjusted mean waist circumference values from baseline to Week 24 (or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available, last observation carried forward, (LOCF) was determined. Data after rescue medication (metformin) was excluded from this analysis. Waist circumference was measured centimeters (cm) and obtained at lead-in, Day 1, and Week 24 of the double-blind period. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | cm (Mean) |
---|
Placebo | -1.70 |
Dapagliflozin 1mg | -2.50 |
Dapagliflozin 2.5 mg | -2.31 |
Dapagliflozin 5 mg | -3.17 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 Last Observation Carried Forward (LOCF) - All Randomized Participants
Adjusted mean change in HbA1c from baseline at Week 24, or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available was determined(LOCF). HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication (metformin) was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c values were obtained at enrollment, lead-in, and at Day 1, Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | Percent Hemoglobin (Mean) |
---|
Placebo | 0.02 |
Dapagliflozin 1mg | -0.68 |
Dapagliflozin 2.5 mg | -0.72 |
Dapagliflozin 5 mg | -0.82 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (LOCF) - Randomized Participants
Adjusted mean change in fasting plasma glucose (FPG) from baseline at Week 24 (LOCF) was determined. Data after rescue medication (metformin) was excluded from this analysis. FPG was measured as milligrams per deciliter (mg/dL) by a central laboratory at qualification, lead-in, Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 during double-blind period. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | mg/dL (Mean) |
---|
Placebo | 4.1 |
Dapagliflozin 1mg | -11.0 |
Dapagliflozin 2.5 mg | -21.6 |
Dapagliflozin 5 mg | -28.5 |
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Adjusted Mean Change From Baseline in Effect on 2-hour Post Liquid Meal Glucose at Week 24 (LOCF) - Randomized Participants
Liquid meal tolerance tests (MTTs) were scheduled to occur at Day 1 visit (MTT was to be completed 2 hours prior to first dose of treatment) and at Week 24 / End of treatment visit, or Rescue visit for participants meeting criteria for rescue due to lack of glycemic control. At Week 24, study treatment was given 1 hour before MTT was administered. Participant fasted for at least 10 hours (h) prior to both visits and abstained from tobacco, alcohol, and caffeine for 24 h prior to the MTT. The liquid meal supplement was administered over 10 minutes, starting immediately after Time 0 blood sample was drawn. Blood samples for post-liquid meal Glucose were obtained at 30, 60, 120, and 180 minutes after ingesting the liquid supplement. Glucose was measured in milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of double-blind study medication. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | mg/dL (Mean) |
---|
Placebo | 8.81 |
Dapagliflozin 1mg | -33.3 |
Dapagliflozin 2.5 mg | -39.3 |
Dapagliflozin 5 mg | -51.8 |
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Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (LOCF) - Randomized Participants
Adjusted mean change in total body weight from baseline at Week 24, or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available LOCF was determined. Data after rescue medication (metformin) was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight was measured in kilograms (kg) at qualification, lead-in, Day 1, Weeks 1, 2, 4, 8, 12, 16, 20, and 24 during double-blind period. (NCT00736879)
Timeframe: Baseline (Day 1), Week 24
Intervention | kg (Mean) |
---|
Placebo | -0.96 |
Dapagliflozin 1mg | -2.69 |
Dapagliflozin 2.5 mg | -2.64 |
Dapagliflozin 5 mg | -2.69 |
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Adjusted Mean Change From Baseline in Insulin Secretion at Week 12 (Last Observation Carried Forward [LOCF])
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Measurements were obtained during the randomization visit and Week 12 in the double-blind period. (NCT00831779)
Timeframe: From Baseline to Week 12
Intervention | mU/L*min (Mean) |
---|
Placebo + Background Anti-Diabetes Medication | -12.73 |
Dapagliflozin 5 mg + Background Anti-Diabetes Medication | 15.39 |
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Adjusted Mean Percent Change From Baseline in Insulin Sensitivity at Week 12 (Last Observation Carried Forward [LOCF])
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Measurements were obtained during the randomization visit and Week 12 in the double-blind period. (NCT00831779)
Timeframe: From Baseline to Week 12
Intervention | % Change of Baseline Insulin Sensitivity (Mean) |
---|
Placebo + Background Anti-Diabetes Medication | -9.99 |
Dapagliflozin 5 mg + Background Anti-Diabetes Medication | 7.98 |
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Adjusted Mean Change in Body Fat Mass
To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 24 weeks of double-blind treatment on total body fat mass measured by dual energy X-ray absorptiometry. (NCT00855166)
Timeframe: Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Placebo Plus Metformin | -0.74 |
Dapagliflozin Plus Metformin | -2.22 |
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Adjusted Mean Change in Total Body Weight
To evaluate the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin on total body weight after 24 weeks of oral administration of double-blind treatment. (NCT00855166)
Timeframe: Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Placebo Plus Metformin | -0.88 |
Dapagliflozin Plus Metformin | -2.96 |
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Adjusted Mean Change in Waist Circumference
To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 24 weeks of double-blind treatment on waist circumference. (NCT00855166)
Timeframe: Baseline to Week 24
Intervention | cm (Least Squares Mean) |
---|
Placebo Plus Metformin | -0.99 |
Dapagliflozin Plus Metformin | -2.51 |
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Adjusted Percent Change in Bone Mineral Density (BMD) at Femoral Neck
To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 102 weeks of double-blind treatment on Bone Mineral Density at femoral neck as measured by Dual Energy X-ray Absorptiometry. (NCT00855166)
Timeframe: Baseline to Week 102
Intervention | Percent (Least Squares Mean) |
---|
Placebo Plus Metformin | 0.09 |
Dapagliflozin Plus Metformin | -0.85 |
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Adjusted Percent Change in Bone Mineral Density (BMD) at Lumbar Spine (L1-4)
To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 102 weeks of double-blind treatment on Bone Mineral Density at lumbar spine (L1-4) as measured by Dual Energy X-ray Absorptiometry. (NCT00855166)
Timeframe: Baseline to Week 102
Intervention | Percent (Least Squares Mean) |
---|
Placebo Plus Metformin | 0.47 |
Dapagliflozin Plus Metformin | 0.69 |
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Adjusted Percent Change in Bone Mineral Density (BMD) at Total Hip
To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 102 weeks of double-blind treatment on Bone Mineral Density at total hip as measured by Dual Energy X-ray Absorptiometry. (NCT00855166)
Timeframe: Baseline to Week 102
Intervention | Percent (Least Squares Mean) |
---|
Placebo Plus Metformin | -0.37 |
Dapagliflozin Plus Metformin | -0.82 |
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Proportion of Participants With Body Weight Decrease ≥5%
To assess the effect of dapagliflozin 10 mg daily in combination with metformin compared to placebo in combination with metformin after 24 weeks of double-blind treatment on body weight decrease ≥5%. Least Squares Mean represents the percent of participants adjusted for body weight baseline value. (NCT00855166)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Placebo Plus Metformin | 4.3 |
Dapagliflozin Plus Metformin | 30.6 |
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Number of Participants With Marked Laboratory Abnormalities (Not Including Liver Function) in 24 Week Double Blind Treatment Period, Including Data After Rescue - Randomized, Treated Participants
Laboratory samples: Qualification and Lead-In Periods, Day 1, Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of Double-Blind Period. Baseline (BL)=last assessment prior to start of first dose of double-blind study medication. Data after rescue included. Pretreatment (PreRX); grams per deciliter (g/dL); upper limit of normal (ULN); milliequivalent per liter (mEq/L); Units per liter (U/L), blood urea nitrogen (BUN). Marked abnormality Low (High) defined: hemoglobin <6 (>18 females or >20 males) g/dL; hematocrit <20% ( >55% females or >60% males); creatinine (>=1.5*preRX, >=2.5 mg/dL); glucose <54 (>350) mg/dL; creatine kinase (>5*ULN);calcium <7.5 (>=1 mg/dL from ULN and >= 0.5mg/dL from PreRX); sodium <130 or < 120 male/female (>150 mEq/L; potassium <=2.5 (>=6.0) mEq/L; bicarbonate <= 13 mEq/L; inorganic phosphorus: <=1.8 if age 17-65 or <=2.1 if age >=66, (>=5.6 if age 17-65 or >=5.1) mg/dL if age >=66; albumin <=2 (>6) g/dL; urine albumin(alb) / creatinine (creat) ratio (>1800 mg/g) (NCT00859898)
Timeframe: Baseline to Week 24/end of treatment plus 4 days
Intervention | participants (Number) |
---|
| Hematocrit High > 55% (N=209, 218, 206) | Hemoglobin High >18 g/dL(N=209, 218, 207) | Creatinine >1.5*PreRX (N=209, 218, 207) | Glucose High > 350 mg/dL (N=209, 218, 207) | Albumin low or high (N=209, 218, 207) | Calcium Low <7.5mg/dL (N=209, 218, 207) | Calcium High >=1mg/dL+ULN (N=209, 218, 207) | Bicarbonate Low <=13mEq/L (N=209, 218, 207) | Potassium High >=6 mEq/L (N=209, 218, 207) | Sodium Low <130 mEq/L (N=209, 218, 207) | Sodium High >150 mEq/L (N=209, 218, 207) | Sodium Low <120 mEq/L (N=209, 218, 207) | inorganic phosphorus (high)(N=209, 218, 207) | Urine albumin/creat ratio (high)(N=209, 218, 206) |
---|
Dapagliflozin | 4 | 4 | 2 | 2 | 0 | 2 | 2 | 0 | 3 | 2 | 5 | 1 | 13 | 3 |
,Dapagliflozin + Metformin XR | 1 | 5 | 8 | 1 | 0 | 1 | 0 | 3 | 2 | 2 | 5 | 0 | 7 | 0 |
,Metformin XR | 1 | 1 | 5 | 3 | 0 | 1 | 0 | 0 | 6 | 2 | 2 | 0 | 3 | 1 |
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Number of Participants With Marked Laboratory Abnormalities in Liver Function in 24 Week Double Blind Treatment Period, Including Data After Rescue - Randomized, Treated Participants
Safety laboratory measurements were obtained during the Qualification and Lead-In Periods and on Day 1 of the Double-Blind Period and at Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24. BL was defined as the last assessment prior to the start of the first dose of the double-blind study medication. Data included from BL up to and including the last day of treatment plus 30 days. Liver function abnormality criteria: FDA Guidance for Industry: Premarketing Clinical Evaluation (July 2009). Data after rescue was also included. Abbreviations: Pretreatment (PreRX), upper limit of normal (ULN); greater than (>) less than (<); Units per liter (U/L), alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP). Marked abnormality Low (High) defined: ALP, AST and ALT (>3*ULN); bilirubin (>2*ULN if PreRX <= ULN; >3*ULN if PreRX > ULN); AST or ALT plus (+) bilirubin elevation: AST or ALT >3*ULN and bilirubin >1.5*ULN within 14 days on or after ALT elevation. (NCT00859898)
Timeframe: Baseline to Week 24/end of treatment plus 30 days
Intervention | participants (Number) |
---|
| AST >3*ULN (N=210, 219, 208) | AST >5*ULN (N=210, 219, 208) | ALT >3*ULN (N=210, 219, 208) | ALT >5*ULN (N=210, 219, 208) | ALT >10*ULN (N=210, 219, 208) | AST or ALT > 3*ULN (N=210, 219, 208) | AST or ALT > 5*ULN (N=210, 219, 208) | AST or ALT > 10*ULN (N=210, 219, 208) | Total bilirubin >1.5*ULN (N=210, 219, 207) | AST or ALT + Bilirubin (High) (N=210, 219, 208) | ALP >1.5*ULN (N=210, 219, 208) | ALP >3*ULN (N=210, 219, 208) |
---|
Dapagliflozin | 3 | 1 | 4 | 1 | 0 | 5 | 1 | 0 | 2 | 0 | 4 | 0 |
,Dapagliflozin + Metformin XR | 2 | 0 | 2 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 5 | 0 |
,Metformin XR | 2 | 1 | 7 | 2 | 1 | 7 | 2 | 1 | 1 | 1 | 3 | 1 |
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Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 24 (LOCF) - Randomized, Treated Participants
12-Lead electrocardiograms (ECGs) were performed at entry into Lead-In Period Day -7 visit and Week 24/End of treatment visit (last observation carried forward) on participants who were supine. ECGs were assessed by the investigator. Baseline (BL) was Day -7 for this parameter. Data after rescue included. (NCT00859898)
Timeframe: Week 24
Intervention | participants (Number) |
---|
| Normal at BL, Normal at Week 24 (N=211, 219, 208) | Abnormal BL, Normal at Week 24 (N=211, 219, 208) | Normal BL, Abnormal at Week 24 (N=211, 219, 208) | Abnormal BL, Abnormal at Week 24 (N=211, 219, 208) | Normal at BL, Not Reported at Week 24 | Abnormal at BL, Not Reported at Week 24 | Not Reported at BL, Abnormal at Week 24 |
---|
Dapagliflozin | 107 | 13 | 8 | 68 | 15 | 8 | 0 |
,Dapagliflozin + Metformin XR | 101 | 15 | 18 | 53 | 19 | 5 | 0 |
,Metformin XR | 94 | 22 | 9 | 59 | 15 | 8 | 1 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24 (Last Observation Carried Forward) - Randomized Treated Participants
Adjusted mean change in HbA1c from baseline at Week 24 (or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available, ie, last observation carried forward (LOCF) was determined. HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the Qualification and Lead-In Periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the Double-Blind Period. (NCT00859898)
Timeframe: Week 24
Intervention | Percent of hemoglobin (Mean) |
---|
Dapagliflozin + Metformin XR | -1.98 |
Dapagliflozin | -1.45 |
Metformin XR | -1.44 |
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Number of Participants With Adverse Events (AEs), Serious AEs (SAEs), Discontinuation Due to AEs, During the 12 Week Double Blind Period, Including Data After Rescue - All Treated Participants
Medical Dictionary for Regulatory Activities (MedDRA), version 12.1 AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug as per the investigator. Events captured from baseline to last dose plus 4 days for AEs, plus 30 days for SAEs during the Double Blind 12 Week Period. Data after rescue included. (NCT00859898)
Timeframe: Day 1 of Double Blind Period to end of Week 24 Plus 30 days
Intervention | participants (Number) |
---|
| Adverse Event (AE) | Related Adverse Event | Serious Adverse Event (SAE) | Related SAE | Discontinued due to AE | Deaths | Discontinued due to SAE |
---|
Dapagliflozin | 132 | 47 | 5 | 1 | 9 | 0 | 1 |
,Dapagliflozin + Metformin XR | 126 | 34 | 3 | 0 | 4 | 0 | 0 |
,Metformin XR | 118 | 32 | 4 | 1 | 8 | 1 | 1 |
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Mean Change From Baseline in Seated Systolic and Diastolic Blood Pressure at Week 24 - Treated Participants
Measurements were taken during the Qualification and Lead-In Periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 in the Double Blind Period. Blood pressure values were obtained: after the participant was seated quietly for 5 minutes; at least 8 hours after the last ingestion of caffeine, alcohol, or nicotine; and in the same arm (right or left) consistently through out the study. Systolic and Diastolic pressures were measured in millimeters of mercury (mmHg). Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00859898)
Timeframe: Week 24
Intervention | mmHg (Mean) |
---|
| Systolic (N=182, 185, 179) | Diastolic (N=182, 185, 179) |
---|
Dapagliflozin | -4.0 | -1.9 |
,Dapagliflozin + Metformin XR | -3.3 | -1.8 |
,Metformin XR | -1.2 | 0.0 |
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The Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (LOCF) - Randomized, Treated Participants
Adjusted mean change from baseline in total body weight at Week 24 (or the last post-baseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight was measured in kilograms (kg). Body weight measurements were obtained during the Qualification and Lead-In Periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the Double-Blind Period. (NCT00859898)
Timeframe: Week 24
Intervention | kg (Mean) |
---|
Dapagliflozin + Metformin XR | -3.33 |
Dapagliflozin | -2.73 |
Metformin XR | -1.36 |
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Percent Adjusted for Baseline HbA1c of Participants Achieving a Therapeutic Glycemic Response at Week 24 (LOCF) - Randomized, Treated Participants
Therapeutic glycemic response was defined as HbA1c less than 7.0%. n=Number of participants with HBA1c less than (<) 7 % at Week 24, last observation carried forward (LOCF) while N=number of randomized participants with non-missing baseline and Week 24 (LOCF) values. Percent=n/N and was adjusted for Baseline HbA1c. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT00859898)
Timeframe: Week 24
Intervention | Percent of participants (Number) |
---|
Dapagliflozin + Metformin XR | 46.6 |
Dapagliflozin | 31.7 |
Metformin XR | 35.5 |
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Mean Change From Baseline in Seated Heart Rate at Week 24 - Randomized, Treated Participants
Measurements were taken during the Qualification and Lead-In Periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 in the Double Blind Period. Heart rate values were obtained: after the participant was seated quietly for 5 minutes; at least 8 hours after the last ingestion of caffeine, alcohol, or nicotine; and in the same arm (right or left) consistently throughout the study. Heart rate was measured in beats per minute (bpm). Data after rescue were also included. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00859898)
Timeframe: Week 24
Intervention | bpm (Mean) |
---|
Dapagliflozin + Metformin XR | 0.6 |
Dapagliflozin | -0.1 |
Metformin XR | 0.5 |
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Adjusted Mean Change From Baseline in HbA1C at Week 24 (LOCF) in Participants Whose Baseline HbA1C Category ≥9.0%
HbA1c was measured as percent of hemoglobin by a central laboratory. The population included those randomized, treated participants whose Baseline HbA1c was greater than, equal to (>=) 9.0%. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. (NCT00859898)
Timeframe: Week 24
Intervention | Percent of Hemoglobin (Mean) |
---|
Dapagliflozin + Metformin XR | -2.59 |
Dapagliflozin | -2.14 |
Metformin XR | -2.05 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (LOCF) - Randomized, Treated Participants
Data after rescue medication was excluded from this analysis. FPG was measured as milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the Qualification and Lead-In Periods and on Day 1 and Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 of the Double-Blind Period. (NCT00859898)
Timeframe: Week 24
Intervention | mg/dL (Mean) |
---|
Dapagliflozin + Metformin XR | -60.4 |
Dapagliflozin | -46.4 |
Metformin XR | -34.8 |
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Number of Participants With Adverse Events of Special Interest During the 12 Week Double Blind Period - All Treated Participants
Participants with AEs of hypoglycemia, cardiac/vascular disorders, renal impairment or failure, volume depletion (hypotension/dehydration/hypovolemia), fractures, urinary stones, and other reports suggestive of genital infection or urinary tract infection (UTI) were summarized using MedDRA version 13.0. Data after rescue included for all special AEs except hypoglycemia (excluded data after rescue). Major hypoglycemic episode: symptomatic requiring 3rd party assistance due to severe impairment in consciousness or behavior with a glucose value < 54 mg/dL and prompt recovery after glucose/glucagon; Minor: either symptomatic with glucose measurement < 63 mg/dL, regardless of need for 3rd party assistance, or asymptomatic with glucose < 63 mg/dL that does not qualify as major; Other: suggestive but not meeting criteria for major or minor. (NCT00859898)
Timeframe: Baseline to last dose plus 4 days in 12 Week Double Blind Period
Intervention | participants (Number) |
---|
| Cardiac Disorder AEs | Vascular Disorder AEs | Hypoglycemia AEs (excluding data after rescue) | Hypoglycemia Major Episode | Hypoglycemia Minor Episode | Hypoglycemia Other Episode | AEs Suggestive of Genital Infection | AEs Suggestive of UTI | AEs of Renal Impairment or Failure | AEs of Hypotension | AEs of Syncope | AEs of Fracture | AEs of Urinary Stones |
---|
Dapagliflozin | 3 | 10 | 2 | 0 | 0 | 2 | 28 | 24 | 4 | 1 | 1 | 1 | 0 |
,Dapagliflozin + Metformin XR | 3 | 4 | 7 | 0 | 1 | 6 | 18 | 16 | 2 | 0 | 0 | 2 | 0 |
,Metformin XR | 5 | 8 | 6 | 0 | 1 | 5 | 5 | 9 | 1 | 0 | 0 | 0 | 1 |
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Proportion of Participants Achieving Glycemic Response Defined as HbA1c <7%
Proportion of participants achieving therapeutic glycemic response defined as glycosylated hemoglobin <7%, after 12 weeks of double-blind therapy (NCT00972244)
Timeframe: At Week 12
Intervention | Percentage of participants (Number) |
---|
1mg Dapagliflozin | 1.7 |
2.5mg Dapagliflozin | 9.3 |
5mg Dapagliflozin | 5.2 |
10mg Dapagliflozin | 9.6 |
Placebo | 1.9 |
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Adjusted Mean Change in Fasting Plasma Glucose
Change in fasting plasma glucose from baseline to Week 12 or the last post-baseline measurement prior to Week 12, if no Week 12 assessment is available. (NCT00972244)
Timeframe: Baseline to Week 12
Intervention | mg/dL (Least Squares Mean) |
---|
1mg Dapagliflozin | -16.63 |
2.5mg Dapagliflozin | -19.97 |
5mg Dapagliflozin | -23.49 |
10mg Dapagliflozin | -31.92 |
Placebo | 9.45 |
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Adjusted Mean Change in HbA1c Levels
The primary efficacy endpoint is the absolute change in HbA1c from baseline to Week 12 or the last post-baseline measurement prior to Week 12, if no Week 12 assessment is available. (NCT00972244)
Timeframe: Baseline to Week 12
Intervention | percent (Least Squares Mean) |
---|
1mg Dapagliflozin | -0.12 |
2.5mg Dapagliflozin | -0.10 |
5mg Dapagliflozin | -0.37 |
10mg Dapagliflozin | -0.44 |
Placebo | 0.35 |
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Adjusted Percent Change From Baseline in Glomerular Filtration Rate (GFR) at Week 12 (Modified Last Observation Carried Forward [MLOCF])
Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. If no Week 12 measurement was available, the last available post-baseline measurement obtained on or after Day 23 was used regardless of rescue medication. Measurements were obtained during radomization visit, and Week 12 in the double-blind period by a central laboratory. (NCT00976495)
Timeframe: From Baseline to Week 12
Intervention | % Change of Baseline GFR (Mean) |
---|
Placebo | -2.92 |
Dapagliflozin 10 mg | -10.76 |
Hydrochlorothiazide 25 mg | -3.40 |
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Adjusted Mean Change From Baseline in Daytime (0900 to 2100 Hours) Ambulatory Systolic Blood Pressure (ASBP) at Week 12 (Last Observation Carried Forward [LOCF])
Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Measurements were obtained during lead-in, and Week 12 in the double-blind period. (NCT00976495)
Timeframe: From Baseline to Week 12
Intervention | mmHg (Mean) |
---|
Placebo | -1.55 |
Dapagliflozin 10 mg | -5.93 |
Hydrochlorothiazide 25 mg | -6.83 |
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Adjusted Mean Change From Baseline in 24-Hour Ambulatory Systolic Blood Pressure (ASBP) at Week 12 (Last Observation Carried Forward [LOCF])
Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Measurements were obtained during lead-in, and Week 12 in the double-blind period. (NCT00976495)
Timeframe: From Baseline to Week 12
Intervention | mmHg (Mean) |
---|
Placebo | -0.88 |
Dapagliflozin 10 mg | -3.28 |
Hydrochlorothiazide 25 mg | -6.55 |
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Adjusted Mean Change From Baseline in Nighttime (0100 to 0600 Hours) Ambulatory Systolic Blood Pressure (ASBP) at Week 12 (Last Observation Carried Forward [LOCF])
Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Measurements were obtained during lead-in, and Week 12 in the double-blind period. (NCT00976495)
Timeframe: From Baseline to Week 12
Intervention | mmHg (Mean) |
---|
Placebo | -0.61 |
Dapagliflozin 10 mg | -0.45 |
Hydrochlorothiazide 25 mg | -7.76 |
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Adjusted Mean Change in Body Weight
To compare the change in total body weight achieved with dapagliflozin versus placebo from baseline to week 24. (NCT00984867)
Timeframe: Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Placebo | -0.26 |
Dapagliflozin | -2.14 |
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Proportion of Participants Achieving a Therapeutic Glycemic Response Defined as a Reduction in HbA1c of ≥0.7% Compared to Baseline
To compare the proportion of participants achieving a therapeutic glycaemic response, defined as a reduction in HbA1c of ≥0.7% compared to baseline, with dapagliflozin versus placebo at week 24. Least Squares Mean represents the percent of participants adjusted for HbA1c baseline value. (NCT00984867)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Placebo | 16.6 |
Dapagliflozin | 35.3 |
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Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) in Participants With Baseline SBP>=130 mmHg
To compare the change in seated systolic blood pressure (SBP) in participants with baseline seated SBP >=130 achieved with dapagliflozin versus placebo from baseline to week 8. (NCT00984867)
Timeframe: Baseline to Week 8
Intervention | mmHg (Least Squares Mean) |
---|
Placebo | -5.12 |
Dapagliflozin | -5.98 |
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Adjusted Mean Change in HbA1c Levels
To compare the change from baseline in HbA1c after 24 weeks treatment (LOCF) between dapagliflozin and placebo in patients with type 2 diabetes who are inadequately controlled on sitagliptin alone or on sitagliptin plus metformin. (NCT00984867)
Timeframe: Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Placebo | 0.04 |
Dapagliflozin | -0.45 |
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Adjusted Mean Change in HbA1c in Participants With Baseline HbA1c ≥8%
To compare the change in HbA1c in participants with baseline HbA1c ≥8% achieved with dapagliflozin versus placebo from baseline to week 24. (NCT00984867)
Timeframe: Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Placebo | 0.03 |
Dapagliflozin | -0.80 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG)
To compare the change in FPG achieved with dapagliflozin versus placebo from baseline to week 24. (NCT00984867)
Timeframe: Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Placebo | 3.81 |
Dapagliflozin | -24.11 |
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Adjusted Mean Change in 2-hour Post Liquid Meal Glucose Rise
To compare the change in 2-hour post liquid meal glucose rise achieved with dapagliflozin versus placebo from baseline to week 24. (NCT00984867)
Timeframe: Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Placebo | -6.84 |
Dapagliflozin | -21.65 |
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Proportion of Participants With a Reduction From Baseline of 5% or More in Body Weight in Participants With Baseline BMI ≥27 kg/m²
To compare the proportion of participants with BMI baseline ≥27 kg/m2 with a reduction from baseline of 5% or more in body weight with dapagliflozin 10 mg versus placebo from baseline to week 24. Least Squares Mean represents the percent of participants adjusted for baseline body weight and age stratum. (NCT01031680)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Experimental | 16.5 |
Placebo Comparator | 4.0 |
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Proportion of Responders Meeting All Criteria of a 3-item Endpoint of Clinical Benefit
To compare the clinical benefit of dapagliflozin 10 mg versus placebo when added to usual care in type 2 diabetes patients with cardiovascular disease and hypertension at week 24, measured as the proportion of responders for a 3-item endpoint of clinical benefit, defined as an absolute drop of 0.5% or more from baseline HbA1c, and a relative drop of 3% or more from baseline for total body weight, and an absolute drop of 3 mmHg or more from baseline in seated systolic blood pressure. (NCT01031680)
Timeframe: Baseline to week 24
Intervention | Percentage of participants (Number) |
---|
Experimental | 11.7 |
Placebo Comparator | 0.9 |
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Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) at Week 24 (LOCF)
To compare the mean change in seated systolic blood pressure from baseline to week 24 between dapagliflozin 10 mg versus placebo. (NCT01031680)
Timeframe: Baseline to Week 24
Intervention | mmHg (Least Squares Mean) |
---|
Experimental | -2.99 |
Placebo Comparator | -1.03 |
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Adjusted Mean Change in HbA1c Levels
To compare the glycemic efficacy of dapagliflozin 10 mg versus placebo when added to usual care in type 2 diabetes patients with cardiovascular disease and hypertension, measured as the mean change in HbA1c from baseline to week 24. (NCT01031680)
Timeframe: Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Experimental | -0.38 |
Placebo Comparator | 0.08 |
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Adjusted Mean Percent Change in Body Weight
To compare the mean percent change in body weight from baseline to week 24 between dapagliflozin 10 mg versus placebo. (NCT01031680)
Timeframe: Baseline to Week 24
Intervention | Percentage of Body Weight (Least Squares Mean) |
---|
Experimental | -2.56 |
Placebo Comparator | -0.30 |
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Adjusted Mean Change in Seated Systolic Blood Pressure (SBP)
To compare the mean change in seated systolic blood pressure from baseline to week 8 between dapagliflozin 10 mg versus placebo. (NCT01031680)
Timeframe: Baseline to Week 8
Intervention | mmHg (Least Squares Mean) |
---|
Experimental | -2.96 |
Placebo Comparator | -0.99 |
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Adjusted Mean Change in HbA1c Levels
To compare the glycemic efficacy of dapagliflozin 10 mg versus placebo when added to usual care in type 2 diabetes patients with cardiovascular disease, measured as the mean change in HbA1c from baseline to week 24. (NCT01042977)
Timeframe: Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Dapagliflozin | -0.33 |
Placebo | 0.07 |
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Proportion of Responders Meeting All Criteria of a 3-item Endpoint of Clinical Benefit
To compare the clinical benefit of dapagliflozin 10 mg versus placebo when added to usual care in type 2 diabetes patients with cardiovascular disease at week 24, measured as the proportion of responders for a 3-item endpoint of clinical benefit, defined as an absolute drop of 0.5% or more from baseline HbA1c, and a relative drop of 3% or more from baseline for total body weight, and an absolute drop of 3 mmHg or more from baseline in seated systolic blood pressure. (NCT01042977)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Number) |
---|
Dapagliflozin | 10.0 |
Placebo | 1.9 |
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Proportion of Participants With a Reduction From Baseline of 5% or More in Body Weight in Participants With Baseline BMI ≥27 kg/m²
To compare the proportion of participants with BMI baseline ≥27 kg/m2 with a reduction from baseline of 5% or more in body weight with dapagliflozin 10 mg versus placebo from baseline to week 24. Least Squares Mean represents the percent of participants adjusted for baseline body weight and age stratum. (NCT01042977)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Dapagliflozin | 18.4 |
Placebo | 4.8 |
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Adjusted Mean Percent Change in Body Weight
To compare the mean percent change in body weight from baseline to week 24 between dapagliflozin 10 mg versus placebo. (NCT01042977)
Timeframe: Baseline to Week 24
Intervention | Percentage of Body Weight (Least Squares Mean) |
---|
Dapagliflozin | -2.53 |
Placebo | -0.61 |
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Adjusted Mean Change in Systolic Blood Pressure at Week 8 (LOCF)
To compare the mean change in seated systolic blood pressure from baseline to week 8 between dapagliflozin 10 mg versus placebo. (NCT01042977)
Timeframe: Baseline to Week 8
Intervention | mmHg (Least Squares Mean) |
---|
Dapagliflozin | -1.85 |
Placebo | 0.86 |
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Adjusted Mean Change in Seated Systolic Blood Pressure at Week 24 (LOCF)
To compare the mean change in seated systolic blood pressure from baseline to week 24 between dapagliflozin 10 mg versus placebo. (NCT01042977)
Timeframe: Baseline to Week 24
Intervention | mmHg (Least Squares Mean) |
---|
Dapagliflozin | -2.70 |
Placebo | 0.32 |
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Adjusted Mean Change in Seated Systolic Blood Pressure (SBP) at Week 8 (LOCF) in Participants With Baseline SBP>=130 mmHg
To compare the mean change in seated systolic blood pressure (SBP) in participants with baseline seated SBP ≥130 mmHg achieved with dapagliflozin versus placebo from baseline to week 8. (NCT01042977)
Timeframe: Baseline to Week 8
Intervention | mmHg (Least Squares Mean) |
---|
Dapagliflozin | -5.33 |
Placebo | -1.89 |
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Adjusted Mean Change From Baseline in 2-hour Post Liquid Meal Glucose (PLMG) (mg/dL) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Post Liquid Meal Glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. PLMG measurements were obtained on Day 1 and week 24 in the double-blind period. (NCT01095653)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Placebo | 1.08 |
Dapagliflozin 5 mg | -46.8 |
Dapagliflozin 10 mg | -54.9 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT01095653)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Placebo | 2.5 |
Dapagliflozin 5 mg | -25.1 |
Dapagliflozin 10 mg | -31.6 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT01095653)
Timeframe: From Baseline to Week 24
Intervention | % of hemoglobin (Mean) |
---|
Placebo | -0.29 |
Dapagliflozin 5 mg | -1.04 |
Dapagliflozin 10 mg | -1.11 |
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Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Percent adjusted for baseline HbA1c. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. Mean and standard error for percentage of participants were estimated by modified logistic regression model. (NCT01095653)
Timeframe: From Baseline to Week 24
Intervention | Percentage of participants (Mean) |
---|
Placebo | 21.3 |
Dapagliflozin 5 mg | 42.6 |
Dapagliflozin 10 mg | 49.8 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 of the double-blind period. (NCT01095653)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
Placebo | -0.27 |
Dapagliflozin 5 mg | -1.64 |
Dapagliflozin 10 mg | -2.25 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT01095666)
Timeframe: From Baseline to Week 24
Intervention | % of hemoglobin (Mean) |
---|
Placebo + Metformin | -0.23 |
Dapagliflozin 5 mg + Metformin | -0.82 |
Dapagliflozin 10 mg + Metformin | -0.85 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Fasting plasma glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 in the double-blind period. (NCT01095666)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Placebo + Metformin | 0.5 |
Dapagliflozin 5 mg + Metformin | -21.6 |
Dapagliflozin 10 mg + Metformin | -26.6 |
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Adjusted Mean Change From Baseline in Total Body Weight (kg) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Adjusted mean change from baseline in total body weight at Week 24 (or the last postbaseline measurement prior to Week 24 if no Week 24 assessment was available was determined. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 1, 2, 4, 8, 12, 16, 20, and 24 of the double-blind period. (NCT01095666)
Timeframe: From Baseline to Week 24
Intervention | kg (Mean) |
---|
Placebo + Metformin | -0.74 |
Dapagliflozin 5 mg + Metformin | -1.84 |
Dapagliflozin 10 mg + Metformin | -2.56 |
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Adjusted Mean Change From Baseline in 2-hour Post Meal Glucose (PMG) (mg/dL) at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Post Meal Glucose was measured as milligrams per deciliter(mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. PMG measurements were obtained on Day 1 and week 24 in the double-blind period. (NCT01095666)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Placebo + Metformin | -15.5 |
Dapagliflozin 5 mg + Metformin | -57.8 |
Dapagliflozin 10 mg + Metformin | -64.6 |
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Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Secondary endpoints were tested using sequential testing procedure and are presented in hierarchical order. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. Percentage of participants were estimated by modified logistic regression model, adjusted for baseline HbA1c. (NCT01095666)
Timeframe: From Baseline to Week 24
Intervention | Percentage of Participants (Number) |
---|
Placebo + Metformin | 17.5 |
Dapagliflozin 5 mg + Metformin | 32.9 |
Dapagliflozin 10 mg + Metformin | 33.0 |
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Adjusted Mean Change From Baseline in Serum Uric Acid Levels at Week 12
Central laboratory serum uric acid levels will be determined at the Enrollment, Day -28, Day 1, and at Week 4, 8, 12, and 13 visits. All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis. (NCT01137474)
Timeframe: From Baseline to Week 12
Intervention | mg/dL (Mean) |
---|
Placebo | 0.05 |
Dapagliflozin 10 mg | -0.27 |
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Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure at Week 12
All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis. (NCT01137474)
Timeframe: From Baseline to Week 12
Intervention | mm Hg (Mean) |
---|
Placebo | -4.79 |
Dapagliflozin 10 mg | -5.79 |
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Adjusted Mean Change in 24-Hour Ambulatory Diastolic Blood Pressure at Week 12 (Last Observation Carried Forward [LOCF])
Ambulatory blood pressure monitoring was performed twice during the study, at baseline and at the end of study, for a duration of 24 hours each time. If the patient met the criteria for rescue due to hypertension, a second monitoring was performed prior to the first dose of rescue medication. Initiation of the 24-hour ambulatory blood pressure monitoring began between 6 and 11 am to ensure trough blood pressure measurements were obtained. Patients were instructed to withhold all medication on the morning of the study visit and to bring their medications to the visit with them. (NCT01137474)
Timeframe: From Baseline to Week 12
Intervention | mm Hg (Mean) |
---|
Placebo | -5.53 |
Dapagliflozin 10 mg | -6.15 |
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Adjusted Mean Change From Baseline in Hemoglobin (HbA1c) at Week 12
HbA1c was measured as percent of hemoglobin by a central laboratory. All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis. SD=standard deviation. (NCT01137474)
Timeframe: From Baseline to Week 12
Intervention | Percent (Mean) |
---|
Placebo | -0.10 |
Dapagliflozin 10 mg | -0.56 |
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Adjusted Mean Change From Baseline in 24-Hour Ambulatory Systolic Blood Pressure at Week 12 (Last Observation Carried Forward)
Ambulatory blood pressure monitoring was performed twice during the study, at baseline and at the end of study, for a duration of 24-hrs each time. If the patient met the criteria for rescue due to hypertension, a second monitoring was performed prior to the first dose of rescue medication. Initiation of the 24-hr ambulatory blood pressure monitoring began between 6 and 11 am to ensure trough blood pressure measurements were obtained. Patients were instructed to withhold all medication on the morning of the study visit and to bring their medications to the visit with them. (NCT01137474)
Timeframe: From Baseline to Week 12
Intervention | mm Hg (Mean) |
---|
Placebo | -6.73 |
Dapagliflozin 10 mg | -9.62 |
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Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (BP) at Week 12
Seated BP was to be measured at every visit. Data after rescue medication was excluded. The patient first rested for at least 10 minutes in the seated position. Seated blood BP was determined from the mean of 3 replicated measurements obtained at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were to be obtained (total=5) and incorporated into the calculated mean for systolic BP and diastolic BP. For the initial BP recording, BP was measured in both arms. If the BP was higher in 1 arm, that arm was used for BP measurement. If there was no difference in BP measurements between arms, the dominant arm was used for all future BP measurements. All randomized participants who received at least 1 dose of study drug and who had nonmissing baseline and at least 1 postbaseline value during the double-blind treatment period were used for analysis. SD=standard deviation. (NCT01137474)
Timeframe: From Baseline to Week 12
Intervention | mm Hg (Mean) |
---|
Dapagliflozin 10 mg | -10.40 |
Placebo | -7.34 |
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Adjusted Mean Change From Baseline in Serum Uric Acid at Week 12 in Double-Blind Treatment Period - Randomized Participants
Adjusted mean change in serum uric acid from baseline at Week 12 was calculated. Serum uric acid was measured in milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Serum uric acid measurements were obtained at qualification and lead-in (Day -28) periods, and at Day 1, Weeks 4, 8, and 12, in the double-blind period but only the change from baseline at Week 12 was considered a secondary endpoint and is presented. (NCT01195662)
Timeframe: Baseline, Week 12
Intervention | mg/dL (Mean) |
---|
Placebo Matching Dapagliflozin | -0.03 |
Dapagliflozin 10 mg | -0.43 |
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Number of Participants With Deaths,Serious Adverse Events (SAEs), Adverse Events (AEs), Hypoglycemia Events, Discontinuation Due to AEs, SAEs and Hypoglycemia, During the 12 Week Double Blind Period, Including Data After Rescue
Medical Dictionary for Regulatory Activities (MedDRA), version 15.1 AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Related=having certain, probable, possible, or missing relationship to study drug as per the investigator. Events captured from baseline to last double blind dose plus 4 days for AEs, plus 30 days for SAEs during the Double Blind 12 Week Period. Only hypoglycemia reported as an SAE is included in AE/SAE categories . All reported hypoglycemia events within 4 days of last day of treatment are included as hypoglycemic events. (NCT01195662)
Timeframe: Baseline to last dose of 12 weeks of double blind medication plus 30 days if SAE or plus 4 days if AE/hypoglycemic event
Intervention | participants (Number) |
---|
| Deaths | SAEs | Related SAEs | AEs | Hypoglycemia AEs | Related AEs | Discontinued due to AE | Discontinued due to SAE | Discontinued due to Hypoglycemia |
---|
Dagagliflozin 5 mg (Arm Discontinued With Amendment 8) | 0 | 1 | 0 | 60 | 2 | 8 | 2 | 1 | 0 |
,Dapagliflozin 10 mg | 0 | 6 | 0 | 98 | 13 | 15 | 1 | 0 | 0 |
,Placebo Matching Dapagliflozin | 0 | 2 | 1 | 93 | 6 | 12 | 4 | 1 | 0 |
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Proportion of Participants With Orthostatic Hypotension at Baseline and Week 12, Including Data After Rescue
Orthostatic hypotension was defined as a decrease from supine to standing of > 20 mmHg in systolic BP or >10 mmHg in diastolic BP. Proportion was calculated from number of participants with orthostatic hypotension (n) divided by the number of treated participants (N). n/N presented as a percent (%). Baseline was Day 1 of the double blind Period. Measurements for orthostatic hypotension were taken on Day 1 and at Week 12 visit and does not reflect AEs reported by the investigator. (NCT01195662)
Timeframe: Baseline (Day 1), Week 12
Intervention | Percent of Participants (Number) |
---|
| Baseline n/N (2/220, 2/222) | Week 12 n/N (4/199, 7/203) |
---|
Dapagliflozin 10 mg | 0.9 | 3.4 |
,Placebo Matching Dapagliflozin | 0.9 | 2.0 |
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Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 12 (LOCF), Including Data After Rescue
12-Lead electrocardiograms (ECGs) were performed at Enrollment, Day 1 of Double Blind Period and Week 12/End of treatment visit (last observation carried forward) on participants who were supine. ECGs were assessed by the investigator as normal or abnormal. Baseline (BL) was Day 1 prior to dosing or last observation prior to dosing. (NCT01195662)
Timeframe: Baseline, Week 12
Intervention | participants (Number) |
---|
| Baseline normal/Week 12 normal | Baseline normal/Week 12 abnormal | Baseline normal/ Week 12 not reported | Baseline abnormal/Week 12 normal | Baselline abnormal/Week 12 abnormal | Baseline abnormal/Week 12 not reported | Baseline not reported/Week 12 normal | Baseline not reported/Week 12 abnormal | Baseline not reported/Week 12 not reported |
---|
Dapagliflozin 10 mg | 130 | 10 | 0 | 22 | 50 | 0 | 0 | 0 | 13 |
,Placebo Matching Dapagliflozin | 137 | 9 | 0 | 10 | 48 | 0 | 0 | 0 | 20 |
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Number of Participants With Marked Chemistry Laboratory Abnormalities in 12 Week Double Blind Treatment Period, Including Data After Rescue
Samples obtained: Day 1, Weeks 4, 8,12 in Double Blind Period. Baseline: last assessment prior to start of first dose of double-blind treatment. Pretreatment (PreRX); grams per deciliter (g/dL); upper limit of normal (ULN); milliequivalent per liter (mEq/L); greater than (>) less than (<); Units per liter (U/L), Marked abnormality Low (High): hemoglobin <6 (>18 females or >20 males) g/dL; creatinine (>=1.5*preRX, >=2.5 mg/dL); glucose < 54 or (> 350) mg/dL; albumin <= 2 or (> 6) g/dL; creatine kinase >5*ULN; albumin/creatinine ratio (>1800 mg/G); calcium <7.5 (>1 and >0.5 from PreRX) mg/dL; bicarbonate <=13 meq/dL; potassium <=2.5 (>6) meq/L; magnesium <1 (>4) mEq/L; sodium < 130 mEq/L (>150 mEq/L; phosphorus (>=5.6 mg/dL age 17-65, >=5.1 is >=66 years); Albumin/creatinine ratio (>1800 mg/g). Note: Hepatic tests are presented separately in next outcome measure. (NCT01195662)
Timeframe: Baseline (Day 1) to last dose double blind medication (Week 12) plus 4 days
Intervention | participants (Number) |
---|
| Hemoglobin High >18 g/dL (n=218, 223) | Creatinine >=1.5PreRx (n=218,223) | Glucose, plasma unspecif <54 mg/dL (n=218,222) | Glucose, plasma unspecif >350 mg/dL (n=218,222) | Creatine Kinase >5*ULN (n=218,223) | Creatine Kinase >10*ULN (n=218,223) | Calcium, total <7.5 mg (n=218,223) | Potassium, serum≥6 mEq/L (n=218,222) | Magnesium <1 mEq/L (n=218,223) | Sodium, serum <130 mEq/L (n=218,222) | Sodium, serum >150 mEq/L (n=218,222) | Phosphorus inorganic High (n=218,223) | Albumin/Creatinine Ratio High (n=218, 223) |
---|
Dapagliflozin 10 mg | 0 | 3 | 1 | 1 | 0 | 0 | 1 | 4 | 2 | 0 | 1 | 2 | 3 |
,Placebo Matching Dapagliflozin | 1 | 1 | 0 | 2 | 2 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 5 |
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Number of Participants With Elevated Liver Laboratory Tests in Participants Treated With Double Blind 10 mg Dapagliflozin or Placebo , Including Data After Rescue
Laboratories were obtained at Day 1, Weeks 4, 8 and 12 in the Double Blind Period. Baseline: last assessment prior to start of first dose of double-blind treatment. Includes laboratory values measured after the first date of double-blind treatment and up to and including the last day of double blind treatment plus 30 days. Upper limit of normal (ULN);, alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP). Marked abnormality (High): AST and ALT (>3*ULN); ALP (>1.5*ULN); bilirubin (>1.5*ULN). Participants with abnormally elevated liver laboratory tests were followed 30 days after the last dose of study drug. (NCT01195662)
Timeframe: Baseline (Day 1) to last dose double blind medication (Week 12) Plus 30 days
Intervention | participants (Number) |
---|
| AST >3*ULN (n=221, 224) | AST >5*ULN (n=221, 224) | AST >10*ULN (n=221, 224) | AST >20*ULN (n=221, 224) | ALT >3*ULN (n=221, 224) | ALT >5*ULN (n=221, 224) | ALT >10*ULN (n=221, 224) | ALT >20*ULN (n=221, 224) | Total Bilirubin >1.5*ULN (n=221, 224) | Total Bilirubin >2*ULN (n=221, 224) | ALP >1.5*ULN (n=221, 224) |
---|
Dapagliflozin 10 mg | 3 | 1 | 1 | 1 | 3 | 2 | 1 | 1 | 2 | 1 | 4 |
,Placebo Matching Dapagliflozin | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 |
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Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure for 12 Week Double-Blind Treatment Period - Randomized Participants
Systolic blood pressure (SBP) was measured in millimeters of mercury (mmHg) on Day -1, Day 1, Weeks 2, 4, 8, and 12 of the Double Blind Period. Blood pressure (BP) values were obtained after the participant was seated for quietly for 10 minutes; a mean of 3 replicate measurements was taken at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were obtained (total = 5) and incorporated into the calculated mean. BP was measured in both arms. If the BP was higher in one arm than the other, then this arm was used; if no difference, the participant's dominant arm was used for all future BP measurements. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Participants refrained from ingestion of caffeine, alcohol, or nicotine at least 10 hours prior to their visit and having their BP measured. (NCT01195662)
Timeframe: Baseline to Week 12
Intervention | mmHg (Mean) |
---|
| Week 2 (N=218, 221) | Week 4 (N=213, 220) | Week 8 (N=205, 212) | Week 12 (N=199, 205) |
---|
Dapagliflozin 10 mg | -7.93 | -9.69 | -11.38 | -11.90 |
,Placebo Matching Dapagliflozin | -5.13 | -6.05 | -6.80 | -7.62 |
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Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure (DBP) for 12 Week Double-Blind Treatment Period - Randomized Participants
Diastolic BP was measured in millimeters of mercury (mmHg) on Day -1, Day 1, Weeks 2, 4, 8, and 12 of the Double Blind Period. Diastolic BP values were obtained after the participant was seated for quietly for 10 minutes; a mean of 3 replicate measurements was taken at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were obtained (total = 5) and incorporated into the calculated mean. BP was measured in both arms. If the pressure was higher in one arm than the other, then this arm was used; if no difference, the participant's dominant arm was used for all future BP measurements. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Participants refrained from ingestion of caffeine, alcohol, or nicotine at least 10 hours prior to their visit and having their BP measured. (NCT01195662)
Timeframe: Baseline to Week 12
Intervention | mmHg (Mean) |
---|
| Week 2 (N=218, 221) | Week 4 (N=213, 220) | Week 8 (N=205, 212) | Week 12 (N=199, 205) |
---|
Dapagliflozin 10 mg | -5.22 | -5.57 | -6.53 | -6.30 |
,Placebo Matching Dapagliflozin | -3.84 | -4.28 | -4.76 | -5.33 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) for 12 Week Double-Blind Treatment Period - Randomized Participants
Adjusted mean change in glycosylated hemoglobin ( HbA1c) from baseline at Week 12 was calculated. HbA1c was measured as percent of hemoglobin by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. HbA1c values were obtained at enrollment and lead-in (Day -28) periods, and at Day 1, Weeks 4, 8, and 12, in the double-blind period. (NCT01195662)
Timeframe: Baseline to Week 12
Intervention | Percent of Hemoglobin (Mean) |
---|
| Week 4 (N=214, 219) | Week 8 (N=207, 211) | Week 12 (N=197, 204) |
---|
Dapagliflozin 10 mg | -0.41 | -0.58 | -0.63 |
,Placebo Matching Dapagliflozin | -0.06 | -0.07 | -0.02 |
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Adjusted Mean Change From Baseline in 24-hr Ambulatory Diastolic Blood Pressure at Week 12 (LOCF)
Ambulatory 24 hour (hr) BP monitoring (ABPM) was performed at baseline, which was during the lead-in period (between Day -7 and Day -1 prior to randomization) and 1 week prior to the Week 12 visit/end of treatment visit. If no Week 12 measurement was available, the last available earlier post-baseline measurement was used (LOCF). Initiation of the 24-hr ABPM began between 6am and 11am to ensure trough BP measurements were obtained. The ABPM units were calibrated, and used per the manufacturer's and central ABPM vendor instructions. BP was measured in mmHg. Participants had to have a mean 24-hour ABPM ≥ 130/80 mmHg prior to randomization. All medication was withheld on the morning of the study visit and brought to the visit site by the participant. Once the ABPM cuff was in place, all morning medication was taken while at the site. (NCT01195662)
Timeframe: Baseline, Week 12
Intervention | mmHg (Mean) |
---|
Placebo Matching Dapagliflozin | -5.57 |
Dapagliflozin 10 mg | -7.56 |
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Adjusted Mean Change From Baseline in 24-hour Ambulatory Systolic Blood Pressure at Week 12 Last Observation Carried Forward (LOCF)
Ambulatory 24 hour (hr) blood pressure monitoring (ABPM) was performed at baseline, which was during the lead-in period (between Day -7 and Day -1 prior to randomization) and 1 week prior to the Week 12 visit/end of treatment visit. If no Week 12 measurement was available, the last available earlier post-baseline measurement was used (LOCF) for analysis. Initiation of the 24-hr ABPM began between 6am and 11am to ensure trough BP measurements were obtained.The ABPM units were calibrated, and used per the manufacturer's and central ABPM vendor instructions. BP was measured in mmHg. Participants had to have a mean 24-hour ABPM ≥ 130/80 mmHg prior to randomization. All medication was withheld on the morning of the study visit and brought to the visit site by the participant. Once the ABPM cuff was in place, all morning medication was taken while at the site. (NCT01195662)
Timeframe: Baseline, Week 12
Intervention | mmHg (Mean) |
---|
Placebo Matching Dapagliflozin | -6.88 |
Dapagliflozin 10 mg | -11.33 |
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Adjusted Mean Change in HbA1c Levels
To compare the change from baseline in HbA1c achieved with each of the 2 BID doses of dapagliflozin (2.5 mg BID and 5 mg BID) co-administered with metformin versus placebo co-administered with metformin after 16 weeks of double-blind treatment. (NCT01217892)
Timeframe: Baseline to Week 16
Intervention | Percent (Least Squares Mean) |
---|
Dapagliflozin 2.5mg BID Plus Metformin | -0.52 |
Dapagliflozin 5mg BID Plus Metformin | -0.65 |
Dapagliflozin 10mg OD Plus Metformin | -0.59 |
Placebo Plus Metformin | -0.30 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG) From Baseline to Week 16
To compare the change from baseline in fasting plasma glucose (FPG) achieved with each of the 2 BID doses of dapagliflozin (2.5 mg BID and 5 mg BID) co-administered with metformin versus placebo co-administered with metformin after 16 weeks of double-blind treatment. (NCT01217892)
Timeframe: Baseline to Week 16
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 2.5mg BID Plus Metformin | -20.8 |
Dapagliflozin 5mg BID Plus Metformin | -25.6 |
Dapagliflozin 10mg OD Plus Metformin | -20.4 |
Placebo Plus Metformin | -10.4 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG) From Baseline to Week 1
To compare the change from baseline in fasting plasma glucose (FPG) achieved with each of the 2 BID doses of dapagliflozin (2.5 mg BID and 5 mg BID) co-administered with metformin versus placebo co-administered with metformin after 1 week of double-blind treatment. (NCT01217892)
Timeframe: Baseline to Week 1
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 2.5mg BID Plus Metformin | -13.7 |
Dapagliflozin 5mg BID Plus Metformin | -14.7 |
Dapagliflozin 10mg OD Plus Metformin | -15.5 |
Placebo Plus Metformin | 2.0 |
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Proportion of Participants With HbA1c<7.0% at Week 16, in Participants Who Had HbA1c ≥7.0% at Baseline.
To compare the adjusted proportions controlling for baseline HbA1c [acc. to Zhang, Tsiatis & Davidian and Davidian, Tsiatis, Zhang & Lu] of participants with HbA1c <7.0% achieved with each of the 2 BID doses of dapagliflozin (2.5 mg BID and 5 mg BID) co-administered with metformin versus placebo co-administered with metformin after 16 weeks of double-blind treatment, in patients who had HbA1c ≥7.0% at baseline. (NCT01217892)
Timeframe: Baseline to Week 16
Intervention | Percentage of participants (Least Squares Mean) |
---|
Dapagliflozin 2.5mg BID Plus Metformin | 33.6 |
Dapagliflozin 5mg BID Plus Metformin | 38.2 |
Dapagliflozin 10mg OD Plus Metformin | 28.1 |
Placebo Plus Metformin | 21.4 |
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Adjusted Percent Change in Body Weight
To compare the percent change from baseline in body weight achieved with each of the 2 BID doses of dapagliflozin (2.5 mg BID, and 5 mg BID) co-administered with metformin versus placebo co-administered with metformin after 16 weeks of double-blind treatment. (NCT01217892)
Timeframe: Baseline to Week 16
Intervention | Percent (Least Squares Mean) |
---|
Dapagliflozin 2.5mg BID Plus Metformin | -2.84 |
Dapagliflozin 5mg BID Plus Metformin | -3.20 |
Dapagliflozin 10mg OD Plus Metformin | -2.76 |
Placebo Plus Metformin | -1.04 |
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Adjusted Mean Change in Body Weight
To compare the change from baseline in total body weight achieved with each dose of dapagliflozin versus placebo after 24 weeks double-blind treatment. (NCT01294423)
Timeframe: From Baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin 5 mg | -2.13 |
Dapagliflozin 10 mg | -2.22 |
Placebo | -0.84 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG)
To compare the change from baseline in fasting plasma glucose (FPG) achieved with each dose of dapagliflozin versus placebo after 24 weeks double-blind treatment. (NCT01294423)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 5 mg | -8.6 |
Dapagliflozin 10 mg | -13.7 |
Placebo | 5.8 |
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Adjusted Mean Change in HbA1c Levels
To compare change from baseline in HbA1c achieved with each dose of dapagliflozin versus placebo after 24 weeks double-blind treatment. (NCT01294423)
Timeframe: From Baseline to Week 24
Intervention | Percent (Least Squares Mean) |
---|
Dapagliflozin 5 mg | -0.41 |
Dapagliflozin 10 mg | -0.45 |
Placebo | -0.06 |
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Mean Change in Magnesium
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in magnesium (1 mEq/L equivalent to 0.50 mmol/L) (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | mEq/L (Mean) |
---|
Monotherapy | 0.05 |
All Combination Therapies | 0.05 |
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Mean Change in Seated Diastolic Blood Pressure
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in blood pressure (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | mmHg (Mean) |
---|
Monotherapy | -2.9 |
All Combination Therapies | -2.1 |
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Mean Change in Seated Heart Rate
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in pulse (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | beats per minute (bpm) (Mean) |
---|
Monotherapy | -0.4 |
All Combination Therapies | 0.2 |
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Mean Change in Blood Urea Nitrogen (BUN)
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in blood urea nitrogen (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | mg/dL (Mean) |
---|
Monotherapy | 2.4 |
All Combination Therapies | 2.3 |
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Mean Change in Alanine Aminotransferase (ALT)
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in alanine aminotransferase (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | U/L (Mean) |
---|
Monotherapy | -7.1 |
All Combination Therapies | -5.4 |
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Mean Change in Body Weight
To evaluate the efficacy of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in body weight (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | kg (Mean) |
---|
Monotherapy | -2.58 |
All Combination Therapies | -2.06 |
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Mean Change in Aspartate Aminotransferase (AST)
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in aspartate aminotransferase (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | U/L (Mean) |
---|
Monotherapy | -3.9 |
All Combination Therapies | -2.6 |
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Mean Change in HbA1c Levels
To evaluate the efficacy of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in HbA1c (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | Percent (Mean) |
---|
Monotherapy | -0.66 |
All Combination Therapies | -0.68 |
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Mean Change in Serum Uric Acid
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in serum uric acid (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | mg/dL (Mean) |
---|
Monotherapy | -0.61 |
All Combination Therapies | -0.50 |
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Mean Change in Seated Systolic Blood Pressure
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in blood pressure (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | mmHg (Mean) |
---|
Monotherapy | -5.2 |
All Combination Therapies | -3.9 |
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Mean Change in Hematocrit
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to the change in hematocrit (NCT01294436)
Timeframe: Baseline to Week 52
Intervention | Percent (Mean) |
---|
Monotherapy | 2.17 |
All Combination Therapies | 2.00 |
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Proportion of Participants With At Least One Episode of Hypoglycemia
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to occurrence of hypoglycemia (NCT01294436)
Timeframe: Long-term treatment up to 52 weeks
Intervention | Percentage of participants (Number) |
---|
Monotherapy | 2.4 |
All Combination Therapies | 4.0 |
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Proportion of Participants With Adverse Events
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to adverse events (NCT01294436)
Timeframe: Long-term treatment up to 52 weeks
Intervention | Percentage of participants (Number) |
---|
Monotherapy | 79.1 |
All Combination Therapies | 72.4 |
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Proportion of Participants With Serious Adverse Events
To evaluate the safety and tolerability of long-term treatment up to 52 weeks with the dosing regimen of dapagliflozin, where it started with 5 mg and titrated up to 10 mg depending on participant's condition of glycemic control, in regard to serious adverse events (NCT01294436)
Timeframe: Long-term treatment up to 52 weeks
Intervention | Percentage of participants (Number) |
---|
Monotherapy | 5.6 |
All Combination Therapies | 3.1 |
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Adjusted Mean Change From Baseline in FPG
To compare the change from baseline in fasting plasma glucose (FPG) to week 24 (LOCF) between dapagliflozin and placebo (NCT01392677)
Timeframe: Baseline to week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Placebo Plus Metformin Plus Sulfonylurea | -0.78 |
Dapagliflozin 10mg Plus Metformin Plus Sulfonylurea | -34.23 |
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Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure
To compare the change from baseline in seated systolic blood pressure (SBP) to week 8 (LOCF) between dapagliflozin and placebo (NCT01392677)
Timeframe: Baseline to week 8
Intervention | mmHg (Least Squares Mean) |
---|
Placebo Plus Metformin Plus Sulfonylurea | -0.27 |
Dapagliflozin 10mg Plus Metformin Plus Sulfonylurea | -4.04 |
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Adjusted Mean Change From Baseline in HbA1c Levels
To compare the change from baseline in HbA1c to week 24 between dapagliflozin 10 mg in combination with metformin and sulfonylurea and placebo in combination with metformin and sulfonylurea. (NCT01392677)
Timeframe: Baseline to week 24
Intervention | Percent (Least Squares Mean) |
---|
Placebo Plus Metformin Plus Sulfonylurea | -0.17 |
Dapagliflozin 10mg Plus Metformin Plus Sulfonylurea | -0.86 |
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Proportion of Participants With HbA1c Value < 7.0% at Week 24 (LOCF)
To compare the proportion of subjects achieving a therapeutic glycemic response, defined as HbA1c <7.0%, at week 24 (LOCF) between dapagliflozin and placebo (NCT01392677)
Timeframe: Baseline to week 24
Intervention | Percentage of participants (Least Squares Mean) |
---|
Placebo Plus Metformin Plus Sulfonylurea | 11.1 |
Dapagliflozin 10mg Plus Metformin Plus Sulfonylurea | 31.8 |
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Adjusted Mean Change From Baseline in Total Body Weight
To compare the change from baseline in total body weight to week 24 (LOCF) between dapagliflozin and placebo (NCT01392677)
Timeframe: Baseline to week 24
Intervention | kg (Least Squares Mean) |
---|
Placebo Plus Metformin Plus Sulfonylurea | -0.58 |
Dapagliflozin 10mg Plus Metformin Plus Sulfonylurea | -2.65 |
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Change in Mitochondrial Function
The change in mitochondrial function/gene expression at two weeks compared to baseline. This was measured by energy expenditure. (NCT01439854)
Timeframe: baseline, two weeks
Intervention | cal/min.kg (Mean) |
---|
| Baseline Measurement | Measurement at 2 weeks |
---|
Dapagliflozin | 1.3 | 1.34 |
,Placebo | 1.06 | 1.0 |
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Change in Insulin Sensitivity
The change in insulin sensitivity and total glucose disposal measured at two weeks with the insulin clamp compared to baseline. This is measured using TGD (whole body tissue glucose disposal)/SSPI (steady state plasma insulin concentration) ratio (NCT01439854)
Timeframe: baseline, two weeks
Intervention | mg/kg.min per µU/ml (Mean) |
---|
| Baseline Measurement | 2 weeks |
---|
Dapagliflozin | 3.85 | 5.22 |
,Placebo | 3.18 | 3.57 |
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Dapagliflozin Pharmacokinetic Parameters on Day 7 - Maximum Observed Plasma Concentration (Cmax)
Serial blood samples were collected predose 0 hr, and hr 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 in the double-blind period. Individual subject PK parameter values were derived by non-compartmental methods by a validated PK analysis program, Kinetica®. Actual sampling times were used for PK calculations and nominal times were used for generation of mean plasma concentration-time plots and summaries. Pre-dose sample collection times were changed from negative numbers (based on elapsed time to dose) to zero for the purpose of calculating PK parameters. The Cmax was recorded directly from experimental observations. (NCT01498185)
Timeframe: Day 7 (0 hr to 24 hr post dose)
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 1 mg + Insulin | 12.18 |
Dapagliflozin 2.5 mg + Insulin | 24.19 |
Dapagliflozin 5 mg + Insulin | 66.11 |
Dapagliflozin 10 mg + Insulin | 134.34 |
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Dapagliflozin Pharmacokinetic Parameters on Day 7 - Time of Maximum Observed Plasma Concentration (Tmax)
Serial blood samples were collected predose 0 hr, and hr 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 in the double-blind period. Individual subject PK parameter values were derived by non-compartmental methods by a validated PK analysis program, Kinetica®. Actual sampling times were used for PK calculations and nominal times were used for generation of mean plasma concentration-time plots and summaries. Pre-dose sample collection times were changed from negative numbers (based on elapsed time to dose) to zero for the purpose of calculating PK parameters. The Tmax was recorded directly from experimental observations. (NCT01498185)
Timeframe: Day 7 (0 hr to 24 hr post dose)
Intervention | hour (Mean) |
---|
Dapagliflozin 1 mg + Insulin | 1.04 |
Dapagliflozin 2.5 mg + Insulin | 1.08 |
Dapagliflozin 5 mg + Insulin | 1.03 |
Dapagliflozin 10 mg + Insulin | 1.27 |
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Mean Change From Baseline in 7-Point Glucose Monitoring (7-PGM) at Day 7
7-PGM was measured as milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the assessment on Day -1, prior to the start date and time of the first dose of the double-blind study medication. 7-PGM included the average of all available glucose values before and 2-hour (hr) after each meal (breakfast, lunch, dinner) as well as bedtime. Measurements were on Day -1, and Day 7 in the double-blind period. (NCT01498185)
Timeframe: From Baseline to Day 7
Intervention | mg/dL (Mean) |
---|
Placebo + Insulin | -16.52 |
Dapagliflozin 1 mg + Insulin | -19.01 |
Dapagliflozin 2.5 mg + Insulin | -17.29 |
Dapagliflozin 5 mg + Insulin | -23.40 |
Dapagliflozin 10 mg + Insulin | -17.55 |
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Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Area Under the Concentration-Time Curve in One Dosing Interval (AUC[TAU])
"Serial blood samples were collected predose 0 hr, and hr 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 in the double-blind period. Individual subject PK parameter values were derived by non-compartmental methods by a validated PK analysis program, Kinetica®. Actual sampling times were used for PK calculations and nominal times were used for generation of mean plasma concentration-time plots and summaries. Pre-dose sample collection times were changed from negative numbers (based on elapsed time to dose) to zero for the purpose of calculating PK parameters. The concentrations below the lower limit of quantitation (NCT01498185)
Timeframe: Day 7 (0 hr to 24 hr post dose)
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 1 mg + Insulin | 49.63 |
Dapagliflozin 2.5 mg + Insulin | 132.38 |
Dapagliflozin 5 mg + Insulin | 262.58 |
Dapagliflozin 10 mg + Insulin | 567.77 |
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Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Maximum Observed Plasma Concentration (Cmax)
Serial blood samples were collected predose 0 hr, and hr 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 in the double-blind period. Individual subject PK parameter values were derived by non-compartmental methods by a validated PK analysis program, Kinetica®. Actual sampling times were used for PK calculations and nominal times were used for generation of mean plasma concentration-time plots and summaries. Pre-dose sample collection times were changed from negative numbers (based on elapsed time to dose) to zero for the purpose of calculating PK parameters. The Cmax was recorded directly from experimental observations. (NCT01498185)
Timeframe: Day 7 (0 hr to 24 hr post dose)
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 1 mg + Insulin | 10.58 |
Dapagliflozin 2.5 mg + Insulin | 21.96 |
Dapagliflozin 5 mg + Insulin | 49.22 |
Dapagliflozin 10 mg + Insulin | 106.68 |
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Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Time of Maximum Observed Plasma Concentration (Tmax)
Serial blood samples were collected predose 0 hr, and hr 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 in the double-blind period. Individual subject PK parameter values were derived by non-compartmental methods by a validated PK analysis program, Kinetica®. Actual sampling times were used for PK calculations and nominal times were used for generation of mean plasma concentration-time plots and summaries. Pre-dose sample collection times were changed from negative numbers (based on elapsed time to dose) to zero for the purpose of calculating PK parameters. The Tmax was recorded directly from experimental observations. (NCT01498185)
Timeframe: Day 7 (0 hr to 24 hr post dose)
Intervention | hour (Mean) |
---|
Dapagliflozin 1 mg + Insulin | 1.42 |
Dapagliflozin 2.5 mg + Insulin | 1.83 |
Dapagliflozin 5 mg + Insulin | 1.57 |
Dapagliflozin 10 mg + Insulin | 1.84 |
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Dapagliflozin Pharmacokinetic Parameters on Day 7 - Area Under the Concentration-Time Curve in One Dosing Interval (AUC[TAU])
"Serial blood samples were collected predose 0 hr, and hr 0.5, 1, 2, 3, 4, 6, 8, 12, and 24 in the double-blind period. Individual subject PK parameter values were derived by non-compartmental methods by a validated PK analysis program, Kinetica®. Actual sampling times were used for PK calculations and nominal times were used for generation of mean plasma concentration-time plots and summaries. Pre-dose sample collection times were changed from negative numbers (based on elapsed time to dose) to zero for the purpose of calculating PK parameters. The concentrations below the lower limit of quantitation (NCT01498185)
Timeframe: Day 7 (0 hr to 24 hr post dose)
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 1 mg + Insulin | 48.42 |
Dapagliflozin 2.5 mg + Insulin | 127.17 |
Dapagliflozin 5 mg + Insulin | 269.09 |
Dapagliflozin 10 mg + Insulin | 600.01 |
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Geometric Mean of Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of Dapagliflozin
Area under the plasma concentration-time curve from time zero extrapolated to infinite time was derived from concentration versus time data. Geometric means are reported in nanogram hours per milliliter (ng*hr/mL). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 101 |
Dapagliflozin 5 mg | 199 |
Dapagliflozin 10 mg | 427 |
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Geometric Mean of Area Under the Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-T)] of Dapagliflozin 3-O-Glucuronide
Area under the concentration-time curve from time zero to time of the last quantifiable concentration (AUC(0-T)) was measured by plasma concentration of Dapagliflozin 3-O-Glucuronide over time. The geometric means are reported in nanogram hours per milliliter (ng*h/mL). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 95.8 |
Dapagliflozin 5 mg | 208 |
Dapagliflozin 10 mg | 612 |
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Geometric Mean of Area Under the Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-T)] of Dapagliflozin
Area under the concentration-time curve from time zero to time of the last quantifiable concentration (AUC(0-T)) was measured by plasma concentration of Dapagliflozin over time. The geometric means are reported in nanogram hours per milliliter (ng*h/mL). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 92.3 |
Dapagliflozin 5 mg | 189 |
Dapagliflozin 10 mg | 418 |
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Mean Plasma Half-life (T-HALF) of Dapagliflozin
Plasma half-life (T-Half) for Dapagliflozin was derived from plasma concentrations versus time data. Means are reported in hours. (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | hours (Mean) |
---|
Dapagliflozin 2.5 mg | 14.1 |
Dapagliflozin 5 mg | 10.3 |
Dapagliflozin 10 mg | 10.7 |
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Geometric Mean of Maximum Observed Plasma Concentration (Cmax) of Dapagliflozin 3-O-Glucuronide
Maximum observed plasma concentration (Cmax) was measured by plasma concentration of Dapagliflozin 3-O-Glucuronide over time. The geometric means are reported in nanograms per milliliter (ng/mL). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 24.6 |
Dapagliflozin 5 mg | 49.0 |
Dapagliflozin 10 mg | 154 |
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Geometric Mean of Maximum Observed Plasma Concentration (Cmax) of Dapagliflozin
Maximum observed plasma concentration (Cmax) was measured by plasma concentration of Dapagliflozin over time. The geometric means are reported in nanograms per milliliter (ng/mL). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 24.8 |
Dapagliflozin 5 mg | 48.4 |
Dapagliflozin 10 mg | 118 |
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Geometric Mean of Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of Dapagliflozin 3-O-Glucuronide
Area under the plasma concentration-time curve from time zero extrapolated to infinite time was derived from concentration versus time data. Geometric means are reported in nanogram hours per milliliter (ng*hr/mL). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | ng*hr/mL (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 105 |
Dapagliflozin 5 mg | 232 |
Dapagliflozin 10 mg | 658 |
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Number of Participants With Vital Sign Abnormalities, Electrocardiogram (ECG) Abnormalities, or Physical Examination Abnormalities Following Study Drug Administration.
Participants were followed from dosing on Day 1 until study discharge on Day 3. The number of participants with investigator-assessed clinically-important abnormalities in vital sign measurements, ECGs or physical examinations was reported. (NCT01525238)
Timeframe: Day 1 to Day 3
Intervention | participants (Number) |
---|
| Vital sign abnormalities | ECG abnormalities | Physical examination abnormalities |
---|
Dapagliflozin 10 mg | 0 | 0 | 0 |
,Dapagliflozin 2.5 mg | 0 | 0 | 0 |
,Dapagliflozin 5 mg | 0 | 0 | 0 |
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Number of Participants With Marked Urinalysis Abnormalities
LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Blood, urine (Qualitative): >=2 (If Pre-Rx >= 1, >=2*Pre-Rx). Glucose, urine (Qualitative): >=1, (If Pre-Rx >=1, >=2*Pre-Rx). Protein, urine (Qualitative): >=2 (If Pre-Rx >=1, >=2*Pre-Rx). Red Blood Cells (RBC), urine (RBC per High Power Field (hpf)): >=2 (If Pre-Rx>=2, >=4). White Blood Cells (WBC), urine (hpf): >=2 (If Pre-Rx>=2, >=4). (NCT01525238)
Timeframe: Day 1 (Pre-dose) to Day 3
Intervention | participants (Number) |
---|
| Blood, urine, high (n=8, 8, 8) | Glucose, urine, high (n=8, 8, 8) | Protein, urine, high (n=8, 8, 8) | RBC, urine, high (n=1, 1, 4) | WBC, urine, high (n=4, 2, 3) |
---|
Dapagliflozin 10 mg | 2 | 4 | 3 | 3 | 1 |
,Dapagliflozin 2.5 mg | 0 | 2 | 0 | 0 | 1 |
,Dapagliflozin 5 mg | 0 | 3 | 0 | 0 | 0 |
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Number of Participants With Marked Hematology Laboratory Abnormalities
LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose (Day -1). Lab values that met the following criteria were marked as abnormalities: Hemoglobin (grams per deciliter:g/dL): <0.85*Pre-Rx. Hematocrit (%): <0.85*Pre-Rx. Platelet Count (x10^9 cells per liter:c/L): <0.85*LLN or >1.5*ULN (if Pre-Rx1.2*ULN (if Pre-RxULN, if Pre- Rx>ULN, use >1.15*Pre-Rx or 7.5. Monocytes (Absolute) (x10^3 c/uL): >2.000. Basophils (x10^3 c/uL): >0.4. Eosinophils (Absolute) (x10^3 c/uL): >0.75. Blasts (Absolute) (x10^9 c/L) > 0. (NCT01525238)
Timeframe: Day 1 (Pre-dose) to Day 3
Intervention | participants (Number) |
---|
| Leukocytes, low (n=8, 8, 8) | Neutrophils, low (n=8, 8, 8) |
---|
Dapagliflozin 10 mg | 1 | 1 |
,Dapagliflozin 2.5 mg | 1 | 0 |
,Dapagliflozin 5 mg | 0 | 0 |
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Number of Participants With Marked Abnormalities in Other Chemistry Testing
LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Glucose, fasting serum (mmol/L): <0.8*LLN, >1.3*ULN (if Pre-RxULN. If Pre-Rx>ULN: >2.0*Pre-Rx, 1.1*ULN (if Pre-RxULN. If Pre-Rx>ULN: >1.1*Pre-Rx, 1.2*ULN (if Pre-Rx>ULN: >1.25*Pre-Rx). Lactate Dehydrogenase (U/L): >1.25*ULN (if Pre-Rx>ULN: >1.5*Pre-Rx) (NCT01525238)
Timeframe: Day 1 (Pre-dose) to Day 3
Intervention | participants (Number) |
---|
| Glucose, fasting serum, high (n=7, 7, 7) | Additional other chemistry marked abnormalities |
---|
Dapagliflozin 10 mg | 0 | 0 |
,Dapagliflozin 2.5 mg | 1 | 0 |
,Dapagliflozin 5 mg | 1 | 0 |
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Mean Fasting Plasma Glucose Concentrations at Pre-dose on Day 1 and on Day 2 After an 8-hr Fasting
Plasma glucose concentrations were evaluated in all treated subjects at Day 1 pre-dose and at Day 2 after fasting for 8 hours. Means are reported in milligrams per deciliter (mg/dL). (NCT01525238)
Timeframe: Day 1 (Pre-dose) to Day 2
Intervention | mg/dL (Mean) |
---|
| Day 1 Pre-dose (n= 6, 8, 8) | Day 2 after 8 hour fast (n= 3, 8, 7) |
---|
Dapagliflozin 10 mg | 139.8 | 119.0 |
,Dapagliflozin 2.5 mg | 146.2 | 124.0 |
,Dapagliflozin 5 mg | 152.1 | 119.4 |
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Mean Total Amount of Glucose Excreted in Urine Over 24 Hours
The total amount of glucose excreted in urine was measured for 24 hours following administration of Dapagliflozin. Means are reported in grams. (NCT01525238)
Timeframe: Time of dose to 24 hours post-dose, Day 1 to Day 2
Intervention | grams (Mean) |
---|
Dapagliflozin 2.5 mg | 52.84 |
Dapagliflozin 5 mg | 62.39 |
Dapagliflozin 10 mg | 89.04 |
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Mean Change in Fasting Plasma Glucose From Baseline Until Day 2
Plasma glucose concentrations were evaluated in all treated subjects at Day 1 pre-dose and at Day 2 after fasting for 8 hours. Mean change from baseline to Day 2 is reported in milligrams per deciliter (mg/dL). (NCT01525238)
Timeframe: Day 1 (Pre-dose) to Day 2
Intervention | mg/dL (Mean) |
---|
Dapagliflozin 2.5 mg | -46.7 |
Dapagliflozin 5 mg | -32.8 |
Dapagliflozin 10 mg | -22.0 |
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Mean Plasma Half-life (T-HALF) of Dapagliflozin 3-O-Glucuronide
Plasma half-life (T-Half) for Dapagliflozin was derived from plasma concentration versus time data. Means are reported in hours. (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | hours (Mean) |
---|
Dapagliflozin 2.5 mg | 4.62 |
Dapagliflozin 5 mg | 8.71 |
Dapagliflozin 10 mg | 8.37 |
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Geometric Mean of Apparent Clearance After Extravascular Administration (CL/F) of Dapagliflozin
Apparent clearance after extravascular administration (CL/F) of Dapagliflozin was derived from plasma concentrations versus time data. Geometric means are reported in milliliters per minute (mL/min). (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | mL/min (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 413 |
Dapagliflozin 5 mg | 418 |
Dapagliflozin 10 mg | 391 |
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Geometric Mean of Apparent Volume of Distribution at Terminal Phase After Extravascular Administration (Vz/F) of Dapagliflozin
Geometric mean of apparent volume of distribution at terminal phase after extravascular administration of Dapagliflozin was derived from plasma concentration versus time data. Geometric means are reported in Liters (L) (NCT01525238)
Timeframe: 11 time points: Immediately pre-dose, 0.5, 0.75, 1.0, 1.5, 4, 8, 12, 14, 24, and 48 hours post-dose
Intervention | Liters (Geometric Mean) |
---|
Dapagliflozin 2.5 mg | 468 |
Dapagliflozin 5 mg | 343 |
Dapagliflozin 10 mg | 355 |
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Number of Participants With Marked Serum Chemistry Abnormalities
LLN=Lower Limit of Normal, ULN=Upper Limit of Normal, Pre-Rx=Value before first dose. Lab values that met the following criteria were marked as abnormalities: Alkaline Phosphatase (units per liter: U/L), Aspartate Aminotransferase (U/L), Alanine Aminotransferase (U/L): >1.25*ULN (if Pre-Rx>ULN, use >1.25*Pre-Rx). Bilirubin (milligrams per deciliter: mg/dL): >1.1*ULN (if Pre-Rx>ULN, use >1.25*Pre-Rx). Blood Urea Nitrogen (mg/dL): >1.1*ULN (if Pre-Rx>ULN, use >1.2*Pre-Rx). Creatinine (micromoles per Liter (umol/L)): >1.5*ULN if Pre-Rx missing or <= ULN, >1.33*Pre-Rx if PreRx > ULN. Sodium (mmol/L): >1.05*ULN, 1.05*Pre-Rx if Pre-Rx>ULN: <0.95*Pre-Rx, >ULN. If Pre-Rx>ULN: >1.05*Pre-Rx, 1.1*ULN (if Pre-RxULN. If Pre-Rx>ULN: >1.1*Pre-Rx, 1.25*ULN (if Pre-RxULN. if Pre-Rx>ULN: >1.25*Pre-Rx, NCT01525238)
Timeframe: Day 1 (Pre-dose) to Day 3
Intervention | participants (Number) |
---|
| ALT, high (8, 8, 8) | AST, high (n=8, 8, 8) |
---|
Dapagliflozin 10 mg | 0 | 0 |
,Dapagliflozin 2.5 mg | 1 | 1 |
,Dapagliflozin 5 mg | 0 | 0 |
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Adjusted Mean Change From Baseline in Body Weight at Week 24
Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weight measurements were obtained at Week 24 in the doubleblind period, including observations prior to rescue. (NCT01606007)
Timeframe: Baseline (Week 0) and at Week 24
Intervention | Body weight Kg (Mean) |
---|
Arm 1: Saxagliptin+Metformin XR+Placebo | 0.00 |
Arm 2: Dapagliflozin+Metformin XR+Placebo | -2.39 |
Arm 3: Saxagliptin+Dapagliflozin+Metformin XR | -2.05 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained at Week 24 in the doubleblind period, including observations prior to rescue. (NCT01606007)
Timeframe: Baseline (Week 0) and at Week 24
Intervention | mg/dL (Mean) |
---|
Arm 1: Saxagliptin+Metformin XR+Placebo | -14.0 |
Arm 2: Dapagliflozin+Metformin XR+Placebo | -31.7 |
Arm 3: Saxagliptin+Dapagliflozin+Metformin XR | -37.8 |
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Adjusted Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT01606007)
Timeframe: At Week 24
Intervention | % of Participants (Number) |
---|
Arm 1: Saxagliptin+Metformin XR+Placebo | 18.3 |
Arm 2: Dapagliflozin+Metformin XR+Placebo | 22.2 |
Arm 3: Saxagliptin+Dapagliflozin+Metformin XR | 41.4 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24
HbA1c was measured as percent of hemoglobin by a central laboratory. Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained at Week 24 in the double-blind period, including observations prior to rescue. (NCT01606007)
Timeframe: Baseline (Week 0) and at Week 24
Intervention | % HbA1c (Mean) |
---|
Arm 1: Saxagliptin+Metformin XR+Placebo | -0.88 |
Arm 2: Dapagliflozin+Metformin XR+Placebo | -1.20 |
Arm 3: Saxagliptin+Dapagliflozin+Metformin XR | -1.47 |
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Adjusted Mean Change From Baseline in 2-hour Post Prandial Glucose (PPG) From a Liquid Meal Tolerance Test (MTT) at Week 24 (Last Observation Carried Forward [LOCF])
Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. PPG measurements were obtained at week 24 in the doubleblind period, including observations prior to rescue. (NCT01606007)
Timeframe: Baseline (Week 0) and at Week 24
Intervention | MG/DL PPG (Mean) |
---|
Arm 1: Saxagliptin+Metformin XR+Placebo | -35.6 |
Arm 2: Dapagliflozin+Metformin XR+Placebo | -70.4 |
Arm 3: Saxagliptin+Dapagliflozin+Metformin XR | -79.6 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24
Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained at Week 24 in the double-blind period, including observations prior to rescue. (NCT01619059)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Saxagliptin 5mg + Dapagliflozin 10mg + Metformin | -9.1 |
Placebo + Dapagliflozin 10mg + Metformin | -5.3 |
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Adjusted Mean Change From Baseline in 2-hour Post Prandial Glucose (PPG) From a Liquid Meal Tolerance Test (MTT) at Week 24
Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. PPG measurements were obtained at Week 24 in the double-blind period, including observations prior to rescue. (NCT01619059)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Mean) |
---|
Saxagliptin 5mg + Dapagliflozin 10mg + Metformin | -37.1 |
Placebo + Dapagliflozin 10mg + Metformin | -31.3 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24
HbA1c was measured as percent of hemoglobin by a central laboratory. Baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained at Week 24 in the double-blind period, including observations prior to rescue. (NCT01619059)
Timeframe: From Baseline to Week 24
Intervention | Percent of glycosylated haemoglobin (Mean) |
---|
Saxagliptin 5mg + Dapagliflozin 10mg + Metformin | -0.51 |
Placebo + Dapagliflozin 10mg + Metformin | -0.16 |
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Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. HbA1c was measured as a percent of hemoglobin. (NCT01619059)
Timeframe: From Baseline to Week 24
Intervention | Percent of participants (Number) |
---|
Saxagliptin 5mg + Dapagliflozin 10mg + Metformin | 35.3 |
Placebo + Dapagliflozin 10mg + Metformin | 23.1 |
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Percentage of Subjects Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])
Percent adjusted for baseline HbA1c. Therapeutic glycemic response is defined as HbA1c <7.0%. Data after rescue medication was excluded from this analysis. (NCT01646320)
Timeframe: From baseline to week 24
Intervention | Percentage of subjects (Number) |
---|
Dapa+Saxa+Met | 36.7 |
Pla+Saxa+Met | 13.3 |
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Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24
HbA1c was measured as percent of hemoglobin by a central laboratory. Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. HbA1c measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 6, 12, 18, and 24 in the double-blind period. (NCT01646320)
Timeframe: From Baseline to Week 24
Intervention | Percentage of glycosylated hemoglobin (Least Squares Mean) |
---|
Dapa+Saxa+Met | -0.82 |
Pla+Saxa+Met | -0.1 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24
Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. FPG measurements were obtained during the qualification and lead-in periods and on Day 1 and Weeks 6, 12, 18, and 24 in the double-blind period (NCT01646320)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapa+Saxa+Met | -32.7 |
Pla+Saxa+Met | -5.3 |
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Adjusted Mean Change From Baseline in Body Weight at Week 24
Data after rescue medication was excluded from this analysis. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. In cases where time of the first dose or time of the assessment was not available, baseline was defined as the last assessment on or prior to the date of the first dose of the double-blind study medication. Body weights were measured during the qualification and lead-in periods and on Day 1 and Weeks 6, 12, 18, and 24 in the double-blind period. (NCT01646320)
Timeframe: From baseline to Week 24
Intervention | kg (Least Squares Mean) |
---|
Dapa+Saxa+Met | -1.91 |
Pla+Saxa+Met | -0.41 |
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Adjusted Mean Change From Baseline in 120-minute Postprandial Glucose (PPG) at Week 24
2-hour postprandial glucose (PPG) from a liquid meal tolerance test (2-h MTT) Subject must be fasted for at least 8 hrs prior to the MTT. (NCT01646320)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapa+Saxa+Met | -73.5 |
Pla+Saxa+Met | -38.0 |
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Plasma Apparent Clearance (CLT/F) of a Single Dose of Dapagliflozin Versus CLT/F of Dapagliflozin When Co-administered With Saxagliptin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for dapagliflozin by HPLC-MS/MS using a validated method. Actual sampling times were used for PK calculations. CLT/F was calculated as Dose/AUC(INF)and was measured in milliliters per minute (mL/min). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | mL/min (Geometric Mean) |
---|
10 mg Dapagliflozin | 305 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 309 |
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Mean Change From Baseline in Temperature - Safety Population
Participant had their temperature taken after quietly sitting for at least 5 minutes and it was measured as degrees of centigrade (C). Baseline was Day -1 of Period 1; study drug was administered on Day 1 of each crossover period. (NCT01662999)
Timeframe: Baseline to Day 1 in each period
Intervention | degrees of centigrade (Mean) |
---|
Treatment A: Saxagliptin 5mg | -0.15 |
Treatment B: Dapagliflozin 10mg | -0.23 |
Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | -0.16 |
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Mean Change From Baseline in Respiration Rate - Safety Population
Respiration rates were taken while the participant was sitting quietly for at least 5 minutes and were measured in breaths per minute (bpm). Baseline was Day -1 of Period 1; study drug was administered on Day 1 of each crossover period. (NCT01662999)
Timeframe: Baseline to Day 1 in each period
Intervention | bpm (Mean) |
---|
Treatment A: Saxagliptin 5mg | -0.4 |
Treatment B: Dapagliflozin 10mg | -1.2 |
Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | -0.9 |
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Mean Change From Baseline in Heart Rate - Safety Population
Heart rates were taken while the participant was sitting quietly for at least 5 minutes and were measured in beats per minute (bpm). Baseline was Day -1 of Period 1; study drug was administered on Day 1 of each crossover period. (NCT01662999)
Timeframe: Baseline to Day 1 in each period
Intervention | bpm (Mean) |
---|
Treatment A: Saxagliptin 5mg | -4.4 |
Treatment B: Dapagliflozin 10mg | -4.0 |
Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | -4.3 |
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Maximum Observed Plasma Concentration (Cmax) of Dapagliflozin From a Single Dose of Dapagliflozin Versus Cmax of Dapagliflozin From Co-administered Saxagliptin Plus Dapagliflozin - Pharmacokinetic Evaluable Population
The geometric mean of the maximum observed plasma concentration (Cmax) is presented below; serial blood samples for determination of study drug were collected predose (0 hours (h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h,and 60 h postdose, relative to dosing on Day 1 in each cross over period and these data are summarized in the Pharmacokinetic (PK) parameter of Cmax presented here. Plasma samples were analyzed for dapagliflozin by High Performance Liquid chromatography-Mass Spectrometry (HPLC-MS/MS) using a validated method; nominal range of 0.200 to 100 nanograms per milliliter (ng/mL). Dapagliflozin Cmax was derived from plasma concentration versus time data using a non-compartmental method, using a validated PK analysis program ™. Actual sampling times were used for PK calculations. Cmax was reported in ng/mL. (NCT01662999)
Timeframe: Day 1 (0 h to 60 h post dose) in each period
Intervention | ng/mL (Geometric Mean) |
---|
10 mg Dapagliflozin | 133 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 125 |
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Maximum Observed Concentration (Cmax) of a Single Dose of 5 mg Saxagliptin Versus Cmax of Saxagliptin When Co-administered With 10 mg Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for saxagliptin by Liquid chromatography-Mass Spectrometry (LC-MS/MS) using a validated method (quantitation range of 0.100 ng/mL to 50.0 ng/mL). Cmax for Saxagliptin was derived from plasma concentration versus time data using a validated PK analysis program ™ and was measured in nanograms per milliliter (ng/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng/mL (Geometric Mean) |
---|
5 mg Saxagliptin | 23.6 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 21.9 |
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Half-life (T-HALF) of Dapagliflozin From a Single Dose of Dapagliflozin Versus T-Half of Dapagliflozin When Co-administered With Saxagliptin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for dapagliflozin by HPLC-MS/MS using a validated method. Actual sampling times were used for PK calculations. T-HALF was derived from the plasma concentration versus time profile using a validated PK analysis program ™ and was measured in hours. (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | hours (Mean) |
---|
10mg Dapagliflozin | 15.9 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 13.8 |
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Cmax of the Saxagliptin Total Active Moiety From a Single Dose of 5 mg Saxagliptin Versus Cmax of Saxagliptin Total Active Moiety When Saxagliptin Was Co-administered With 10 mg Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Cmax of saxagliptin total active moiety (molar summations of saxagliptin exposure parameter with one-half the molar exposure parameters for 5-OH Saxagliptin) was derived from the plasma concentration versus time profile for the saxagliptin total active moiety. Measurement was in nano Molars (nM). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | nM (Geometric Mean) |
---|
5 mg Saxagliptin | 138 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 137 |
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Cmax of 5-Hydroxy (5-OH) Saxagliptin From a Single Dose Saxagliptin Versus Cmax of 5-OH When Saxagliptin Was Co-administered With Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for 5-OH by LC-MS/MS using a validated method (quantitation range of 0.200 ng/mL to 100.0 ng/mL). Actual sampling times were used for PK calculations. Cmax for 5-OH Saxagliptin (the major active metabolite of Saxagliptin) was derived from plasma concentration versus time data using a validated PK analysis program ™ and was measured in ng/mL. (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng/mL (Geometric Mean) |
---|
10 mg Dapagliflozin | 47.0 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 49.6 |
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AUC(INF) of Saxagliptin From a Single Dose of 5 mg Saxagliptin Versus AUC(INF) of Saxagliptin When Co-administered With 10 mg Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for saxagliptin by LC-MS/MS using a validated method (quantitation range of 0.100 ng/mL to 50.0 ng/mL). AUC(INF) was derived from the plasma concentration versus time profile using a validated PK analysis program ™ and was measured in nanograms*hours per milliliter (ng*h/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng*h/mL (Geometric Mean) |
---|
5 mg Saxagliptin | 89.0 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 88.2 |
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AUC(INF) of 5-OH Saxagliptin From a Single Dose Saxagliptin Versus AUC(INF) of 5-OH When Saxagliptin Was Co-administered With Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for 5-OH by LC-MS/MS using a validated method (quantitation range of 0.200 ng/mL to 100.0 ng/mL). AUC(INF) was derived from the plasma concentration versus time profile using a validated PK analysis program ™ and was measured in nanograms*hours per milliliter (ng*h/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng*h/mL (Geometric Mean) |
---|
10 mg Dapagliflozin | 273 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 296 |
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AUC(0-T) of Saxagliptin From Single Dose 5 mg Saxagliptin Versus AUC(0-T) of Saxagliptin When Co-administered With 10 mg Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for saxagliptin by Liquid chromatography-Mass Spectrometry (LC-MS/MS) using a validated method (quantitation range of 0.100 ng/mL to 50.0 ng/mL). AUC(0-T), the area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (linear up/log down trapezoidal method) was derived from the plasma concentration versus time profile for study drug using a validated PK analysis program ™ and was measured in nanograms*hours per milliliter (ng*h/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng*h/mL (Geometric Mean) |
---|
5 mg Saxagliptin | 87.8 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 87.0 |
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AUC(0-T) of 5-OH Saxagliptin From Single Dose Saxagliptin Versus AUC(0-T) of 5-OH From Saxagliptin Co-administered With Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for 5-OH by LC-MS/MS using a validated method (quantitation range of 0.200 ng/mL to 100.0 ng/mL). AUC(0-T) is area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (linear up/log down trapezoidal method)and was derived from the plasma concentration versus time profile for study drug using a validated PK analysis program ™. AUC (0-T) was measured in nanograms*hours per milliliter (ng*h/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng*h/mL (Geometric Mean) |
---|
10 mg Dapagliflozin | 267 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 289 |
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Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration AUC(0-T) of Dapagliflozin From a Single Dose of 10 mg Dapagliflozin Versus AUC(0-T) for Dapagliflozin When Co-administered With 5 mg Saxagliptin
AUC(0-T) is area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (linear up/log down trapezoidal method). Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for dapagliflozin by HPLC-MS/MS using a validated method; nominal range of 0.200 to 100 nanograms per milliliter (ng/mL). Actual sampling times were used for PK calculations. AUC(0-T) was derived from the plasma concentration versus time profile for study drug using a validated PK analysis program ™ and was measured in nanograms*hours per milliliter (ng*h/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng*h/mL (Geometric Mean) |
---|
10 mg Dapagliflozin | 529 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 523 |
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Area Under the Concentration-time Curve (AUC) From Time Zero to Infinity [AUC(INF)] of Dapagliflozin From a Single Dose of Dapagliflozin Versus AUC (INF) of Dapagliflozin When Co-administered With Saxagliptin - PK Evaluable Population
AUC(INF) is area under the plasma concentration-time curve from time 0 extrapolated to infinity. Serial blood samples for determination of study drug were collected predose (0 hours (h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for dapagliflozin by HPLC-MS/MS using a validated method; nominal range of 0.200 to 100 nanograms per milliliter (ng/mL). Actual sampling times were used for PK calculations. AUC(INF) was derived from the plasma concentration versus time profile for study drug using a validated PK analysis program ™ and was measured in nanograms*hours per milliliter (ng*h/mL). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | ng*h/mL (Geometric Mean) |
---|
10 mg Dapagliflozin | 547 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 539 |
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Time of Maximum Observed Plasma Concentration (Tmax) of Dapagliflozin From a Single Dose of 10 mg Dapagliflozin Versus Tmax of Dapagliflozin When Co-administered With 5 mg Saxagliptin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for dapagliflozin by HPLC-MS/MS using a validated method. Actual sampling times were used for PK calculations. Tmax was derived from the plasma concentration versus time profile using a validated PK analysis program ™ and was measured in hours. (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | hours (Median) |
---|
10 mg Dapagliflozin | 1.00 |
5 mg Saxagliptin + 10 mg Dapagliflozin | 1.00 |
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AUC(INF) and AUC(0-T) of the Saxagliptin Total Active Moiety From a Single Dose 5 mg Saxagliptin Versus AUC(INF) and AUC(0-T) of Saxagliptin Total Active Moiety When Saxagliptin Was Co-administered With 10 mg Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for saxagliptin by LC-MS/MS using a validated method. AUC(INF) is area under the plasma concentration-time curve from time zero extrapolated to infinity; AUC(0-T) is area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (linear up/log down trapezoidal method) and both were derived from the plasma concentration versus time profile using a validated PK analysis program ™. Total moiety (molar summations of saxagliptin exposure parameter with one-half the molar exposure parameters for 5-OH Saxagliptin), AUC(0-T)and AUC(INF) were measured in nano Molars*hours (nM*h). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | nM*h (Geometric Mean) |
---|
| AUC(INF) for Saxagliptin Total Active Moiety | AUC(0-T) for Saxagliptin Total Active Moiety |
---|
5 mg Saxagliptin | 702 | 694 |
,5 mg Saxagliptin + 10 mg Dapagliflozin | 735 | 727 |
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Tmax of Saxagliptin, 5-OH Saxagliptin, Saxagliptin Total Active Moiety From a Single Dose of Saxagliptin Versus Tmax of Saxagliptin, 5-OH, Saxagliptin Total Active Moiety When Saxagliptin Was Co-administered With Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for saxagliptin and 5-OH by LC-MS/MS using a validated method. Tmax was derived from the plasma concentration versus time profile for study drug and was measured in hours (h). Saxagliptin was the drug, 5-OH saxagliptin was the metabolite, and Saxagliptin total Active Moiety was molar summations of saxagliptin exposure parameter with one-half the molar exposure parameters for 5-OH Saxagliptin. (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | h (Median) |
---|
| Tmax of Saxagliptin | Tmax of 5-OH Saxagliptin | Tmax of Saxagliptin Total Active Moiety |
---|
5 mg Saxagliptin | 0.50 | 1.50 | 1.00 |
,5 mg Saxagliptin + 10 mg Dapagliflozin | 1.00 | 1.50 | 1.00 |
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Number of Participants With Marked Urinalysis Laboratory Abnormalities - Safety Population
Baseline was Day -1 of Period 1; study drug was administered on Day 1 of each crossover period. Fasted for 10 hours prior to samples taken. LLN=lower limit of normal; ULN=upper limit of normal; pretreatment (Pre-Rx). Normals: Urine glucose qualitative: dipstick >=1 if Pre-Rx <1 or 2*Pre-Rx if Pre-Rx>=1; urine microscopic white blood cell count (WBC): >=2 if Pre-Rx <2 or >=4 if Pre-Rx >=2;urine red blood cell count (RBC):>=2 if Pre-Rx <2 or >=4 if Pre-Rx >=2. (NCT01662999)
Timeframe: Baseline to Day 1 of each period
Intervention | participants (Number) |
---|
| Urine Glucose High (N=42, 42, 42) | Urine WBC and RBC High (N= 4, 8, 6) |
---|
Treatment A: Saxagliptin 5mg | 0 | 0 |
,Treatment B: Dapagliflozin 10mg | 2 | 0 |
,Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | 5 | 1 |
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Number of Participants With Marked Hematology Laboratory Abnormalities - Safety Population
Fasted for 10 hours prior to samples taken. Baseline was Day -1 of Period 1; study drug was administered on Day 1 of each crossover period. Lower limit of normal (LLN); upper limit of normal (ULN); pretreatment(pre-RX); treatment (RX). Hemoglobin (g/L): <0.85* pre-RX; hematocrit (vol): <0.85*pre-RX; erythrocytes (*10^12 c/L): <0.85*pre-RX; platelet count (*10^9 c/L): <0.85*LLN if pre-RX>=LLN, or if Pre-Tx =1.5; eosinophils (*10^9 c/L): if value >0.75; basophils (*10^9 c/L): if value >0.4; monocytes (*10^9c/L): if value >2; lymphocytes (*10^9 c/L): if value <0.750 or if value >7.50. (NCT01662999)
Timeframe: Baseline to Day 1 of each period
Intervention | participants (Number) |
---|
| Leukocytes Low | Neutrophils (absolute) Low |
---|
Treatment A: Saxagliptin 5mg | 0 | 1 |
,Treatment B: Dapagliflozin 10mg | 0 | 1 |
,Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | 1 | 1 |
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Number of Participants With Marked Chemistry Laboratory Abnormalities - Safety Population
Fasted for 10 hours prior to samples taken. Baseline was Day -1 of Period 1; study drug was administered on Day 1 of each crossover period. Lower limit of normal(LLN); upper limit of normal (ULN); pre-treatment(Pre-Rx). Alkaline phosphatase U/L:>1.25*Pre-RX if Pre-Rx >ULN or >1.25*ULN if Pre-Rx <=ULN; aspartate aminotransferase (AST) U/L: >1.25*Pre-Rx if Pre-Rx > ULN or 1.25*ULN if Pre-Rx <= ULN;alanine aminotransferase (ALT) U/L: >1.25*Pre-Rx if Pre-Rx>ULN or 1.25*ULN if Pre-Rx<=ULN;blood urea nitrogen (BUN)mmol/L: >1.1*ULN if Pre-Rx <=ULN or >1.2*Pre-Rx if Pre-Rx >ULN; total bilirubin µmol/L: >1.1*ULN if Pre-Rx <=ULN or >1.25*Pre-Rx if Pre-Rx >ULN;direct bilirubin µmol/L: >1.1*ULN if Pre-Rx <= ULN or >1.25*Pre-Rx if Pre-Rx > ULN; creatine phosphokinase (CK) U/L: >1.5*Pre-Rx if Pre-Rx >ULN or >1.5*ULN if Pre-Rx <= ULN. (NCT01662999)
Timeframe: Baseline to Day 1 in each period
Intervention | participants (Number) |
---|
| Total Bilirubin High | Direct Bilirubin High | ALT High | BUN High | CK High |
---|
Treatment A: Saxagliptin 5mg | 1 | 1 | 1 | 1 | 0 |
,Treatment B: Dapagliflozin 10mg | 1 | 1 | 0 | 0 | 0 |
,Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | 1 | 1 | 1 | 0 | 1 |
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Number of Participants With Deaths, Serious Adverse Events, Adverse Events, or Discontinuations Due to Adverse Events - Safety Population
Adverse event (AE)=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. Serious adverse event (SAE)=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Treatment-related=having certain, probable, possible, or missing relationship to study drug. Grade (Gr) 1=Mild, Gr 2=Moderate, Gr 3=Severe, Gr 4=Life-threatening or disabling, Gr 5=Death. End of study was approximately 16 days and was the time for a participant to conclude each of the 3 periods (including the 6 day washout between periods). (NCT01662999)
Timeframe: Day 1 to end of study (16 days)
Intervention | participants (Number) |
---|
| Participants with AEs | Participants with treatment-related AEs | Participants with SAEs | Participants discontinuing due to AEs | Deaths |
---|
Treatment A: Saxagliptin 5mg | 6 | 4 | 0 | 0 | 0 |
,Treatment B: Dapagliflozin 10mg | 9 | 4 | 0 | 0 | 0 |
,Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | 8 | 7 | 0 | 0 | 0 |
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Number of Participants With Change From Baseline in ECG Interval - Safety Population
A 12-Lead electrocardiogram (ECG) was performed and recorded after the participant had been supine for at least 5 minutes. ECGs done at baseline (Day-1 of Period 1) and at end of study; therefore the results are presented by sequence, and cannot be presented by treatment. QT interval (measure between Q wave and T wave in the heart's electrical cycle); and QT interval corrected for heart rate using Fridericia's formula (QTcF) were measured in milliseconds (msec). Abnormality criteria: QT/QTcF QT or QTcF >450 msec and <=480 msec at any postdose time point and not present at baseline. QT or QTcF >480 msec and <=500 msec at any postdose time point and not present at baseline QT or QTcF >500 msec at any postdose time point and not present at baseline. QT/QTcF Increase from baseline >60 msec for at least 1 postdose measurement. Increase from baseline in QT or QTcF >30 msec for at least 1 postdose measurement, but <=60 msec for all postdose measurements. (NCT01662999)
Timeframe: Baseline to end of study (16 days)
Intervention | participants (Number) |
---|
| QT change from baseline >60 msec | QT change from baseline >30 msec; <=60 msec | QTcF change from baseline >60 msec | QTcF change from baseline >30 msec; <=60 msec |
---|
A-B-C: Saxagliptin-Dapagliflozin-(Saxagliptin+Dapagliflozin) | 0 | 0 | 0 | 0 |
,A-C-B: Saxagliptin-(Saxagliptin+Dapagliflozin)-Dapagliflozin | 0 | 4 | 0 | 0 |
,B-A-C: Dapagliflozin-Saxagliptin-(Saxagliptin+Dapagliflozin) | 0 | 0 | 0 | 0 |
,B-C-A: Dapagliflozin-(Saxagliptin+Dapagliflozin)-Saxagliptin | 1 | 0 | 0 | 0 |
,C-A-B: (Saxagliptin+Dapagliflozin)-Saxagliptin-Dapagliflozin | 0 | 0 | 0 | 0 |
,C-B-A: (Saxagliptin+Dapagliflozin)-Dapagliflozin-Saxagliptin | 0 | 0 | 0 | 0 |
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Mean Change From Baseline in Systolic and Diastolic Blood Pressure - Safety Population
Blood pressure was taken while the participant was quietly seated for at least 5 minutes. Blood pressure was measured in millimeters of mercury (mmHg). Baseline was Day -1 in Period 1; study drug was administered on Day 1 of each crossover period. (NCT01662999)
Timeframe: Baseline to Day 1 of each period
Intervention | mmHg (Mean) |
---|
| Systolic Blood Pressure | Diastolic Blood Pressure |
---|
Treatment A: Saxagliptin 5mg | -6.0 | -2.6 |
,Treatment B: Dapagliflozin 10mg | -4.6 | -2.0 |
,Treatment C: Saxagliptin 5 mg + Dapagliflozin 10 mg | -7.2 | -3.3 |
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Half-life (T-HALF) of Saxagliptin, and 5-OH Saxagliptin From Single Dose 5 mg Saxagliptin Versus T-HALF of Saxagliptin and 5-OH From Co-administered Saxagliptin With 10 mg Dapagliflozin - PK Evaluable Population
Serial blood samples for determination of study drug were collected predose (0 h), 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h and 60 h postdose, relative to dosing on Day 1 in each cross over period. Plasma samples were analyzed for saxagliptin by LC-MS/MS using a validated method. T-HALF was derived from the plasma concentration versus time profile using a validated PK analysis program ™ and was measured in hours (h). (NCT01662999)
Timeframe: Day 1 (0h to 60h post dose) in each period
Intervention | h (Mean) |
---|
| T-HALF for Saxagliptin | T-HALF for 5-OH Saxagliptin |
---|
5 mg Saxagliptin | 5.86 | 15.9 |
,5 mg Saxagliptin + 10 mg Dapagliflozin | 5.38 | 17.0 |
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Adjusted Mean Change in Absolute Calculated Mean Total Daily Dose of Insulin (TDDI) From Baseline to Week 24
The adjusted mean change in absolute calculated mean Total Daily Dose of Insulin (TDDI) from baseline to week 24 was reported for each arm in International Units (IU). (NCT02096705)
Timeframe: Baseline (Day 1) and 24 weeks
Intervention | International Units (IU) (Mean) |
---|
Placebo | 0.74 |
Dapagliflozin | -0.70 |
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Adjusted Mean Change in Body Weight From Baseline to Week 24
Adjusted mean change in body weight from baseline to week 24 was reported for each arm in kilograms (kg). (NCT02096705)
Timeframe: Baseline (Day 1) and 24 weeks
Intervention | kilograms (Mean) |
---|
Placebo | 0.37 |
Dapagliflozin | -1.00 |
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Adjusted Mean Change in Fasting Plasma Glucose (FPG) From Baseline to Week 24
The adjusted mean change from baseline to 24 weeks in Fasting Plasma Glucose (FPG) was reported for each arm in milligrams per deciliter (mg/dL). (NCT02096705)
Timeframe: Baseline (Day 1) and 24 weeks
Intervention | mg/dL (Mean) |
---|
Placebo | 0.07 |
Dapagliflozin | -30.62 |
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Adjusted Mean Change in HbA1c From Baseline to Week 24
The adjusted mean change in the percentage of Hemoglobin A1c (HbA1c) from baseline to Week 24 was reported for each arm. (NCT02096705)
Timeframe: Baseline (Day 1) and 24 weeks
Intervention | percentage of hemoglobin (Mean) |
---|
Placebo | 0.03 |
Dapagliflozin | -0.87 |
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Alanine Aminotransferase (ALT) at Week 12.
The ALT hepatic transaminase levels are going to be measured at week 12 with standardized techniques. (NCT02113241)
Timeframe: Week 12.
Intervention | U/L (Mean) |
---|
Dapagliflozin | 32.1 |
Placebo | 38.1 |
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Waist Circumference at Week 12.
The waist circumference is going to be evaluated at week 12 with a flexible tape with standardized techniques. (NCT02113241)
Timeframe: Week 12
Intervention | centimeters (Mean) |
---|
Dapagliflozin | 97.6 |
Placebo | 97.2 |
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Glucose at Minute 90 at Week 12.
The glucose at minute 90 is going to be evaluated at week 12 during a minuted oral glucose tolerance curve (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 9.8 |
Placebo | 9.9 |
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Triglycerides Levels at Week 12.
The triglycerides levels are going to be evaluated at week 12 with enzymatic-colorimetric techniques. (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 1.7 |
Placebo | 1.7 |
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Insulinogenic Index (Total Insulin Secretion) at Week 12.
"The insulinogenic index is a ratio that relates enhancement of circulating insulin to the magnitude of the corresponding glycemic stimulus.~Total insulin secretion was calculated with the insulinogenic index (ΔAUC insulin/ΔAUC glucose), the entered values reflect the total insulin secretion at week 12." (NCT02113241)
Timeframe: Week 12
Intervention | index (Mean) |
---|
Dapagliflozin | 0.35 |
Placebo | 0.99 |
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Fat Mass at Week 12.
The fat mass is going to be evaluated at week 12 through bioimpedance. (NCT02113241)
Timeframe: Week 12
Intervention | kilograms (Mean) |
---|
Dapagliflozin | 32.7 |
Placebo | 34.4 |
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Glucose at Minute 120 at Week 12.
The glucose at minute 120 is going to be evaluated at week 12 during a minuted oral glucose tolerance curve (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 8.5 |
Placebo | 8.8 |
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Glucose Levels at Minute 0 at Week 12.
The fasting glucose (0') levels are going to be evaluated at week 12 with enzymatic/colorimetric techniques. (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 5.7 |
Placebo | 5.8 |
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Glucose at Minute 30 at Week 12.
The glucose at minute 30 is going to be evaluated at week 12 during a minuted oral glucose tolerance curve (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 10.5 |
Placebo | 10.0 |
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Glucose at Minute 60 at Week 12.
The glucose at minute 60 is going to be evaluated at week 12 during a minuted oral glucose tolerance curve (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 11.1 |
Placebo | 11.4 |
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AUC of Insulin at Week 12.
The AUC will be calculated from the insulin values obtained from the minuted oral glucose tolerance curve at week 12 (NCT02113241)
Timeframe: Week 12
Intervention | pmol*h/L (Mean) |
---|
Dapagliflozin | 45016 |
Placebo | 119704 |
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AUC of Glucose at Week 12.
The AUC of glucose will be calculated from the glucose values obtained from the minuted oral glucose tolerance curve at week 12 (NCT02113241)
Timeframe: Week 12
Intervention | mmol*hr/L (Mean) |
---|
Dapagliflozin | 1153 |
Placebo | 1129 |
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Low Density Lipoproteins (c-LDL) at Week 12
The c-LDL levels are going to be measured at week 12 with standardized techniques. (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 3.1 |
Placebo | 2.8 |
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Aspartate Aminotransferase (AST) at Week 12.
The hepatic transaminase AST will be evaluated with standardized methods at week 12 (NCT02113241)
Timeframe: Week 12
Intervention | U/L (Mean) |
---|
Dapagliflozin | 31.1 |
Placebo | 29.5 |
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High Density Lipoprotein (c-HDL) Levels at Week 12.
The c-HDL levels are going to be evaluated at week 12 with enzymatic/colorimetric techniques. (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 1.3 |
Placebo | 1.3 |
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Matsuda Index (Total Insulin Sensitivity) at Week 12.
Matsuda Index value is used to indicate insulin resistance on diabetes. Insulin sensitivity was calculated with Matsuda index [10,000 / √glucose 0' x insulin 0') (mean glucose oral glucose tolerance test (OGTT) x mean insulin OGTT)]. The entered values reflect the insulin sensitivity at week 12. (NCT02113241)
Timeframe: Week 12
Intervention | index (Mean) |
---|
Dapagliflozin | 2.7 |
Placebo | 1.6 |
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Stumvoll Index (First Phase of Insulin Secretion) at Week 12.
"Human studies support the critical physiologic role of the first-phase of insulin secretion in the maintenance of postmeal glucose homeostasis.~First phase of insulin secretion was estimated using the Stumvoll index (1283+ 1.829 x insulin 30' - 138.7 x glucose 30' + 3.772 x insulin 0'), the entered values reflect the frst phase of insulin secretion at week 12." (NCT02113241)
Timeframe: Week 12
Intervention | index (Mean) |
---|
Dapagliflozin | 1463 |
Placebo | 2198 |
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Systolic Blood Pressure at Week 12.
The systolic blood pressure is going to be evaluated at week 12 with a digital sphygmomanometer. (NCT02113241)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 117 |
Placebo | 121 |
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Total Cholesterol at Week 12
The total cholesterol will be estimated by standardized techniques at week 12. (NCT02113241)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 5.2 |
Placebo | 4.9 |
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Body Weight at Week 12.
The weight it's going to be measured at week 12 with a bioimpedance balance. (NCT02113241)
Timeframe: Week 12
Intervention | kilograms (Mean) |
---|
Dapagliflozin | 81.2 |
Placebo | 79.6 |
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Creatinine at Week 12.
The creatinine levels are going to be measured at week 12 with standardized techniques. (NCT02113241)
Timeframe: Week 12.
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 0.07 |
Placebo | 0.05 |
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Diastolic Blood Pressure at Week 12.
The diastolic blood pressure is going to be evaluated at week 12 with a digital sphygmomanometer. (NCT02113241)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 76 |
Placebo | 79 |
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Body Mass Index at Week 12
The Body Mass index it's going to be calculated at week 12 with the Quetelet index. (NCT02113241)
Timeframe: Week 12
Intervention | kg/m^2 (Mean) |
---|
Dapagliflozin | 32.6 |
Placebo | 32.1 |
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Uric Acid at Week 12.
The uric acid levels are going to be measured at week 12 with standardized techniques. (NCT02113241)
Timeframe: Week 12.
Intervention | umol/L (Mean) |
---|
Dapagliflozin | 243.9 |
Placebo | 339.0 |
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Total Body Weight
Mean change in total body weight from baseline to Week 16 between dapagliflozin 5 mg versus placebo (NCT02157298)
Timeframe: Baseline to Week 16
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin | -0.6 |
Placebo | 0.7 |
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Total Mean Daily Insulin Dose
Mean change in calculated mean daily insulin dose from baseline to Week 16 between dapagliflozin 5 mg versus placebo (NCT02157298)
Timeframe: Baseline to Week 16
Intervention | IU/Day (Least Squares Mean) |
---|
Dapagliflozin | -0.74 |
Placebo | -0.02 |
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Proportion of Participants With Mean Daily Insulin Dose Reduction of Greater Than or Equal 10%
Proportion of participants with mean daily insulin dose reduction greater than or equal 10% from baseline to week 16 (LOCF) between dapagliflozin 5 mg versus placebo (NCT02157298)
Timeframe: Baseline to Week 16
Intervention | percentage of participants (Least Squares Mean) |
---|
Dapagliflozin | 8.2 |
Placebo | 4.9 |
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Adjusted Mean Change in HbA1c Levels
Mean change in HbA1c levels from baseline to Week 16 between dapagliflozin 5 mg versus placebo (NCT02157298)
Timeframe: Baseline to Week 16
Intervention | percentage of hemoglobin glycosylated (Least Squares Mean) |
---|
Dapagliflozin | -0.55 |
Placebo | 0.05 |
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Fasting Plasma Glucose
Mean change in fasting plasma glucose from baseline to Week 16 between dapagliflozin 5 mg versus placebo (NCT02157298)
Timeframe: Baseline to Week 16
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -21.7 |
Placebo | 1.0 |
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Dapagliflozin AUC From Time 0 Extrapolated to Infinite Time (AUC[0-inf])
5-mg saxagliptin/10-mg dapagliflozin as a Fixed-dose Combination (FDC) and as Individual Tablets together in the fasted state (NCT02223065)
Timeframe: Day 1-3 (Period 1) and Day 8-10 (Period 2)
Intervention | ng.h/mL (Geometric Mean) |
---|
Treatment A | 553 |
Treatment B | 561 |
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Dapagliflozin AUC From Time 0 to Time of the Last Quantifiable Concentration (AUC[0-T])
5-mg saxagliptin/10-mg dapagliflozin as a Fixed-dose Combination (FDC) and as Individual Tablets together in the fasted state (NCT02223065)
Timeframe: Day 1-3 (Period 1) and Day 8-10 (Period 2)
Intervention | ng.h/mL (Geometric Mean) |
---|
Treatment A | 537 |
Treatment B | 546 |
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Dapagliflozin Maximum Observed Concentrations (Cmax)
5-mg saxagliptin/10-mg dapagliflozin as a Fixed-dose Combination (FDC) and as Individual Tablets together in the fasted state (NCT02223065)
Timeframe: Day 1 to 3 (Period 1) and Day 8 to 10 (Period 2)
Intervention | ng/mL (Geometric Mean) |
---|
Treatment A | 142 |
Treatment B | 141 |
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Saxagliptin AUC From Time 0 Extrapolated to Infinite Time (AUC[0-inf])
5-mg saxagliptin/10-mg dapagliflozin as a Fixed-dose Combination (FDC) and as Individual Tablets together in the fasted state (NCT02223065)
Timeframe: Day 1-3 (Period 1) and Day 8-10 (Period 2)
Intervention | ng.h/mL (Geometric Mean) |
---|
Treatment A | 97.0 |
Treatment B | 99.4 |
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Saxagliptin AUC From Time 0 to Time of the Last Quantifiable Concentration (AUC[0-T])
5-mg saxagliptin/10-mg dapagliflozin as a Fixed-dose Combination (FDC) and as Individual Tablets together in the fasted state (NCT02223065)
Timeframe: Day 1-3 (Period 1) and Day 8-10 (Period 2)
Intervention | ng.h/mL (Geometric Mean) |
---|
Treatment A | 95.9 |
Treatment B | 98.0 |
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Saxagliptin Maximum Observed Concentrations (Cmax)
5-mg saxagliptin/10-mg dapagliflozin as a Fixed-dose Combination (FDC) and as Individual Tablets together in the fasted state (NCT02223065)
Timeframe: Day 1-3 (Period 1) and Day 8-10 (Period 2)
Intervention | ng/mL (Geometric Mean) |
---|
Treatment A | 26.2 |
Treatment B | 25.5 |
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Change in Body Weight From Baseline to Week 28
To compare the change from baseline to Week 28 in body weight between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | kilogram (Least Squares Mean) |
---|
Dapagliflozin + Placebo | -2.22 |
Exenatide + Dapagliflozin | -3.55 |
Exenatide + Placebo | -1.56 |
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Change in Fasting Plasma Glucose From Baseline to Week 2
To compare the change from baseline to Week 2 in fasting plasma glucose between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 2
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin + Placebo | -26.31 |
Exenatide + Dapagliflozin | -41.34 |
Exenatide + Placebo | -21.08 |
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Change in Fasting Plasma Glucose From Baseline to Week 28
To compare the change from baseline to Week 28 in fasting plasma glucose between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | milligrams/deciliter (mg/dL) (Least Squares Mean) |
---|
Dapagliflozin + Placebo | -49.19 |
Exenatide + Dapagliflozin | -65.83 |
Exenatide + Placebo | -45.75 |
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Change in HbA1c From Baseline to Week 28
To compare the change from baseline to Week 28 in HbA1c between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | % HbA1c (Least Squares Mean) |
---|
Dapagliflozin + Placebo | -1.39 |
Exenatide + Dapagliflozin | -1.98 |
Exenatide + Placebo | -1.60 |
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Change From Baseline to Week 28 in 2-hour Postprandial Glucose After a Standard Meal Tolerance Test
To compare the change from baseline to Week 28 in 2-hour postprandial glucose after a standard Meal Tolerance Test between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin + Placebo | -61.05 |
Exenatide + Dapagliflozin | -87.83 |
Exenatide + Placebo | -60.09 |
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Percentage of Patients Achieving Weight Loss ≥5.0% at Week 28
To compare the percentage of patients achieving weight loss ≥5.0% at 28 weeks between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | % of patients (Number) |
---|
Dapagliflozin + Placebo | 20.0 |
Exenatide + Dapagliflozin | 33.3 |
Exenatide + Placebo | 13.7 |
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Percentage of Patients Achieving HbA1c <7% at Week 28
To compare the percentage of patients achieving HbA1c <7% at 28 weeks between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | % of patients (Number) |
---|
Dapagliflozin + Placebo | 19.1 |
Exenatide + Dapagliflozin | 44.7 |
Exenatide + Placebo | 26.9 |
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Change in Systolic Blood Pressure From Baseline to Week 28
To compare the change from baseline to Week 28 in systolic blood pressure between exenatide once weekly (EQW) 2 mg and dapagliflozin 10 mg administered simultaneously compared to EQW 2 mg alone and dapagliflozin 10 mg alone. (NCT02229396)
Timeframe: Baseline to Week 28
Intervention | millimeters of mercury (mmHg) (Least Squares Mean) |
---|
Dapagliflozin + Placebo | -1.8 |
Exenatide + Dapagliflozin | -4.3 |
Exenatide + Placebo | -1.2 |
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Left Ventricular Mass (LVM)
LVM will be measured in g/m^2 by treating physician using echocardiography at baseline, Week 12 and Week 24 (NCT02235298)
Timeframe: At Baseline, Week 12 and Week 24
Intervention | g/m^2 (Mean) |
---|
| Baseline | Week 12 | Week 24 |
---|
Dapagliflozin and Metformin Group | 129 | 127 | 122 |
,Metformin and Placebo Group | 130 | 128 | 122 |
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Epicardial Fat Thickness
Epicardial fat thickness will be measured in millimeters by treating physician using echocardiography at Baseline, 12 weeks, 24 weeks (NCT02235298)
Timeframe: At Baseline, 12 weeks, 24 weeks
Intervention | mm (Mean) |
---|
| Baseline | 12 Weeks | 24 Weeks |
---|
Dapagliflozin and Metformin Group | 8.6 | 7.2 | 6.7 |
,Metformin and Placebo Group | 8.0 | 7.4 | 7.5 |
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Adjusted Mean Percent Change in Total Daily Insulin Dose From Baseline at Week 24
Adjusted mean change from baseline in Total Daily Insulin Dose at Week 24 (Repeated Measures Model[RMM]) (NCT02268214)
Timeframe: From Baseline to Week 24
Intervention | IU (Least Squares Mean) |
---|
Dapagliflozin 5 mg + Insulin | -7.74 |
Dapagliflozin 10 mg + Insulin | -12.16 |
Placebo + Insulin | 1.16 |
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Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose > 70 and <= 180 (mg/dL) From Baseline at Week 24
Adjusted Mean Change in Percent 24-hour Continuous Glucose Monitoring Glucose > 70 and <= 180 (mg/dL) from Baseline at Week 24 (Repeated Measures Model[RMM]) (NCT02268214)
Timeframe: From Baseline to Week 24
Intervention | Percentage (Least Squares Mean) |
---|
Dapagliflozin 5 mg + Insulin | 6.98 |
Dapagliflozin 10 mg + Insulin | 8.52 |
Placebo + Insulin | -2.13 |
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Adjusted Mean Change in HbA1c From Baseline at Week 24
Adjusted mean change from baseline in HbA1c at Week 24 (Repeated Measures Model[RMM]). (NCT02268214)
Timeframe: From Baseline to Week 24
Intervention | Percentage of hemoglobin (Least Squares Mean) |
---|
Dapagliflozin 5 mg + Insulin | -0.45 |
Dapagliflozin 10 mg + Insulin | -0.47 |
Placebo + Insulin | -0.03 |
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Adjusted Mean Change in 24-hour Mean Continuous Glucose Monitoring Glucose From Baseline at Week 24
Adjusted mean change in 24-hour mean Continuous Glucose Monitoring glucose from baseline at Week 24 (Repeated Measures Model[RMM]) (NCT02268214)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 5 mg + Insulin | -10.28 |
Dapagliflozin 10 mg + Insulin | -12.97 |
Placebo + Insulin | 5.06 |
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Adjusted Mean Change in 24-hour Continuous Glucose Monitoring MAGE From Baseline at Week 24
Adjusted Mean Change in 24-hour Continuous Glucose Monitoring Mean Amplitude of Glucose Excursions (MAGE) from Baseline at Week 24 (Repeated Measures Model[RMM]) (NCT02268214)
Timeframe: From Baseline to Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin 5 mg + Insulin | -14.92 |
Dapagliflozin 10 mg + Insulin | -16.55 |
Placebo + Insulin | 2.38 |
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Adjusted Mean Percent Change in Body Weight From Baseline at Week 24
Adjusted mean percent change from baseline in body weight at Week 24 (Repeated Measures Model[RMM]) (NCT02268214)
Timeframe: From Baseline to Week 24
Intervention | Kg (Least Squares Mean) |
---|
Dapagliflozin 5 mg + Insulin | -3.00 |
Dapagliflozin 10 mg + Insulin | -3.67 |
Placebo + Insulin | 0.05 |
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Change From Baseline to Week 12 in % Liver Fat as Assessed by MRI (Comparison Versus Placebo)
To evaluate the efficacy of the combination therapy (Epanova + Dapagliflozin) when compared to placebo with respect to reduction in liver fat content (%) at the end of 12 weeks of double-blinded treatment. Treatment effect in liver fat reduction (%) was assessed using a mixed linear model with the change from baseline on logarithmic scale as response variable and the logarithm of the baseline value as covariate, treatment as fixed effect, and center as random effect. The treatment effect was then back-transformed to original scale as Geometric mean ratio and presented as percentage change from baseline. (NCT02279407)
Timeframe: 12 weeks
Intervention | ratio of % liver fat (Geometric Mean) |
---|
Epanova + Dapagliflozin | 0.79 |
Placebo | 0.97 |
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Change From Baseline to Week 12 in % Liver Fat (Comparison Between Active Treatment Groups)
To evaluate the relative efficacy of the combination of Epanova and dapagliflozin versus Epanova alone and dapagliflozin alone with respect to reduction in % liver fat at the end of 12 weeks of double-blind treatment. Treatment effect in liver fat reduction (%) was assessed using a mixed linear model with the change from baseline on logarithmic scale as response variable and the logarithm of the baseline value as covariate, treatment as fixed effect, and center as random effect. The treatment effect was then back-transformed to original scale as Geometric mean ratio and presented as percentage change from baseline. (NCT02279407)
Timeframe: 12 weeks
Intervention | ratio of % liver fat (Geometric Mean) |
---|
Epanova + Dapagliflozin | 0.79 |
Dapagliflozin | 0.87 |
Epanova | 0.85 |
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Mean Change in HbA1c
(NCT02284893)
Timeframe: Baseline (randomization) to Week 26
Intervention | percentage (%) (Least Squares Mean) |
---|
Saxagliptin + Dapagliflozin + Metformin Group | -1.41 |
SITA + MET | -1.07 |
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Mean Change in Total Body Weight
(NCT02284893)
Timeframe: Baseline (randomization) to Week 26
Intervention | kg (Mean) |
---|
Saxagliptin + Dapagliflozin + Metformin Group | -1.86 |
SITA + MET | -0.51 |
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Percent of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0%
(NCT02284893)
Timeframe: week 26
Intervention | Percentage of subjects (Number) |
---|
Saxagliptin + Dapagliflozin + Metformin Group | 37.3 |
SITA + MET | 25.1 |
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Mean Change in Fasting Plasma Glucose (FPG)
(NCT02284893)
Timeframe: Baseline (randomization) to Week 26
Intervention | mg/dl (Mean) |
---|
Saxagliptin + Dapagliflozin + Metformin Group | -31.9 |
SITA + MET | -11.0 |
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Waist Circumference (WC)
Waist size (measure of truncal adiposity)with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | centimeters (Mean) |
---|
DAPA/MET XR | 95.6 |
Dapaglifloxin | 95 |
Metformin XR | 91.7 |
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Waist- to -Hip Ratio (WHR; Measure of Central Adiposity)
Waist-to-hip ratio with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | Ratio (Mean) |
---|
DAPA/MET XR | 0.81 |
Dapaglifloxin | 0.80 |
Metformin XR | 0.83 |
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Waist-to-height Ratio (WHtR)
Waist divided by height a( measure of central adiposity) with combination therapy compared to monotherapy after 24 weeks of therapy (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | ratio (Mean) |
---|
DAPA/MET XR | 0.58 |
Dapaglifloxin | 0.57 |
Metformin XR | 0.56 |
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Body Mass Index (BMI)
BMI (measure of overall adiposity) in combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | kg/m2 (Mean) |
---|
DAPA/MET XR | 33 |
Dapaglifloxin | 33.7 |
Metformin XR | 31 |
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Change in Body Weight
Change in absolute body weight with combination therapy compared to monotherapy from baseline to week 24 (NCT02338193)
Timeframe: Change from baseline (time 0) to study end (24 weeks)
Intervention | kilograms (Mean) |
---|
DAPA/MET XR | -21.5 |
Dapaglifloxin | -12.5 |
Metformin XR | -4.4 |
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Change in Percent Body Weight
Change in percent body weight with combination therapy compared to monotherapy from baseline to week 24 (NCT02338193)
Timeframe: Change from baseline (time 0) to study end (24 weeks)
Intervention | percent weight loss from baseline (Mean) |
---|
DAPA/MET XR | -4.9 |
Dapaglifloxin | -3.2 |
Metformin XR | -1.1 |
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Diastolic Blood Pressure (DBP)
Diastolic blood pressure with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment)
Intervention | mmHG (Mean) |
---|
DAPA/MET XR | 79 |
Dapaglifloxin | 77.8 |
Metformin XR | 79 |
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Fasting Blood Glucose (FBG)
Fasting blood glucose levels with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
DAPA/MET XR | 89 |
Dapaglifloxin | 91 |
Metformin XR | 87 |
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Fasting Insulin Sensitivity (HOMA-IR)
HOMA index of insulin resistance calculated from fasting insulin and glucose with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | Index (Mean) |
---|
DAPA/MET XR | 2.6 |
Dapaglifloxin | 2.4 |
Metformin XR | 1.8 |
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First Phase Insulin Secretion (IGI/HOMA-IR)
Corrected early insulin response to glucose challenge [(insulinogenic index (IGI)/ divided by fasting insulin resistance index (HOMA-IR)] with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | Index (Mean) |
---|
DAPA/MET XR | 1.7 |
Dapaglifloxin | 1.1 |
Metformin XR | 0.77 |
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Liver Enzymes
ALT/AST ratio with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | Ratio (Mean) |
---|
DAPA/MET XR | 1.13 |
Dapaglifloxin | 1.12 |
Metformin XR | 1.18 |
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Matsuda Sensitivity Index (SI OGTT)
Surrogate measure of insulin sensitivity derived from OGTT with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | Index (Mean) |
---|
DAPA/MET XR | 6.0 |
Dapaglifloxin | 6.3 |
Metformin XR | 5.42 |
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Mean Blood Glucose (MBG) During an OGTT
Mean blood glucose after glucose load with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
DAPA/MET XR | 109.5 |
Dapaglifloxin | 110.1 |
Metformin XR | 112.5 |
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Systolic Blood Pressure (SBP)
Systolic blood pressure with combination therapy compared to monotherapy after 24 weeks of therapy (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | mmHg (Mean) |
---|
DAPA/MET XR | 125 |
Dapaglifloxin | 124 |
Metformin XR | 119.6 |
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Total Cholesterol Levels (CHOL)
Cholesterol levels with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
DAPA/MET XR | 196 |
Dapaglifloxin | 168 |
Metformin XR | 178 |
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Triglyceride (TRG) Levels
Triglyceride levels with combination therapy compared to monotherapy after 24 weeks of treatment (NCT02338193)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
DAPA/MET XR | 119 |
Dapaglifloxin | 89.8 |
Metformin XR | 212 |
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Change From Baseline of Insulin Sensitivity at Week 12
Insulin Sensitivity was estimated by measuring circulating glucose and insulin concentrations after a 12-hour fast and after ingestion of 75 g of glucose. Glucose was measured 5, 10, 15, 20, 30, 45, 60, 75, 90, 105 and 120 minutes after glucose ingestion. Insulin was measured 15, 30, 45, 60, 90 and 120 minutes after glucose ingestion. Insulin sensitivity was estimated using the Matsuda Index, represented by the formula: Matsuda index = 10,000/SQRT [fasting glucose*fasting insulin* (mean glucose from time 5, 10, 15, 20, 30, 45, 60, 75, 90, 105 and 120 minutes) * (mean insulin from time 15, 30, 45, 60, 90 and 120 minutes)], with higher numbers indicating better insulin sensitivity. (NCT02371187)
Timeframe: Baseline, 12 weeks
Intervention | MATSUDA Index (Mean) |
---|
| Pre-Training | Post-Training |
---|
Dapagliflozin | 8.7 | 9.5 |
,Placebo | 8.3 | 12.9 |
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Change From Baseline of Fat Free Mass at Week 12
Via dual energy X-ray absorptiometry (NCT02371187)
Timeframe: Baseline, 12 weeks
Intervention | Kilograms (Mean) |
---|
| Pre-Exercise Training | Post-Exercise Training |
---|
Dapagliflozin | 52 | 52.2 |
,Placebo | 57.8 | 58.3 |
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Change From Baseline of Respiratory Exchange Ratio at Week 12
The respiratory exchange ratio (RER) is the ratio between the amount of carbon dioxide (CO2) produced in metabolism and oxygen (O2) used during standardized exercise. (NCT02371187)
Timeframe: Baseline, 12 weeks
Intervention | Respiratory Exchange Ratio (Mean) |
---|
| Pre-Exercise Training | Post-Exercise Training |
---|
Dapagliflozin | 1.91 | 1.19 |
,Placebo | 1.16 | 1.13 |
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Change From Baseline of Maximal Oxygen Uptake at Week 12
Indirect calorimetry (NCT02371187)
Timeframe: Baseline,12 weeks
Intervention | Milliliters/Kilogram/Minute (Mean) |
---|
| Pre-Exercise Training | Post-Exercise Training |
---|
Dapagliflozin | 26.9 | 30.6 |
,Placebo | 30.1 | 32.4 |
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Change From Baseline of Maximal Aerobic Enzyme Activities in Skeletal Muscle at Week 12
Maximal citrate synthase activity in skeletal muscle sample (NCT02371187)
Timeframe: Baseline, 12 weeks
Intervention | micromol/min/miligram protein (Mean) |
---|
| Pre-Exercise Training | Post Exercise Training |
---|
Dapagliflozin | 6.3 | 8.1 |
,Placebo | 5.8 | 8.0 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24.
"To compare the mean change from baseline in FPG between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The number analyzed represents the number with change from baseline available at Week 24." (NCT02413398)
Timeframe: Baseline, Week 24
Intervention | mg/dL (Mean) |
---|
Dapagliflozin | -21.46 |
Placebo | -4.87 |
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Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24.
"To compare the mean percent change from baseline in total body weight between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The number analyzed represents the number with change from baseline available at Week 24." (NCT02413398)
Timeframe: Baseline, Week 24
Intervention | percent change (Mean) |
---|
Dapagliflozin | -3.42 |
Placebo | -2.02 |
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Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24.
"To compare the mean change from baseline in seated systolic blood pressure (SBP) between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The number analyzed represents the number with change from baseline available at Week 24." (NCT02413398)
Timeframe: Baseline, Week 24
Intervention | mmHg (Mean) |
---|
Dapagliflozin | -4.8 |
Placebo | -1.7 |
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Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) at Week 24
"To compare the mean change from baseline in HbA1c between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment in patients with type 2 diabetes, CKD stage 3A, and moderate renal impairment (CKD 3A; eGFR 45-59 mL/min/1.73m^2). The number analyzed (142 dapaglifozin, 134 placebo) represents the number with change from baseline available at Week 24." (NCT02413398)
Timeframe: Baseline, Week 24
Intervention | percent (Mean) |
---|
Dapagliflozin | -0.37 |
Placebo | -0.03 |
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Percentage of Subjects With Treatment Intensification During the 156-Week Short-term Plus Long-Term Treatment Period.
Treatment intensification was defined as the addition of insulin or other glucose-lowering agent for rescue therapy or discontinuation for lack of glycemic control. Time to treatment intensification was censored after 156-week treatment period if treatment intensification had not occurred by then. Subjects rescued at Week 156 were counted as having an event for the analysis. The values presented are the percentage of subjects requiring the addition of insulin or other glucose-lowering agent for rescue therapy or discontinuation for lack of glycemic control during the 156-week treatment period. (NCT02419612)
Timeframe: Up to Week 156
Intervention | Percentage of Subjects (Number) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | 37.0 |
Titrated Glimepiride | 55.6 |
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Change From Baseline in Total Body Weight at Week 52
To examine whether the mean change from baseline in total body weight with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin is superior to titrated glimepiride plus metformin after 52 weeks of double-blind treatment. (NCT02419612)
Timeframe: Baseline and Week 52
Intervention | kilogram (kg) (Least Squares Mean) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | -3.11 |
Titrated Glimepiride | 0.95 |
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Change From Baseline in Hemoglobin A1c (HbA1c) at Week 52
To examine whether the mean change from baseline in HbA1c with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin is superior to titrated glimepiride plus metformin after 52 weeks of double-blind treatment. (NCT02419612)
Timeframe: Baseline and Week 52
Intervention | % HbA1c (Least Squares Mean) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | -1.35 |
Titrated Glimepiride | -0.98 |
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Change From Baseline in Systolic Blood Pressure (SBP) at Week 52
To examine whether the change from baseline in SBP with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin is superior to titrated glimepiride plus metformin after 52 weeks of double-blind treatment. (NCT02419612)
Timeframe: Baseline and Week 52
Intervention | mmHg (Least Squares Mean) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | -2.6 |
Titrated Glimepiride | 1.0 |
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Time to Treatment Intensification During the 156-Week Short-term Plus Long-Term Treatment Period.
Treatment intensification was defined as the addition of insulin or other glucose-lowering agent for rescue therapy or discontinuation for lack of glycemic control. Time to treatment intensification was censored after 156-week treatment period if treatment intensification had not occurred by then. Subjects rescued at Week 156 were counted as having an event for the analysis. Time to treatment intensification curves were generated using Kaplan-Meier estimates and compared using a Cox proportional hazards model. (NCT02419612)
Timeframe: Up to Week 156
Intervention | Weeks (Median) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | NA |
Titrated Glimepiride | 92.3 |
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Percentage of Subjects With Treatment Intensification During the 52-week Short-term Treatment Period
Treatment intensification was defined as the addition of insulin or other glucose-lowering agent for rescue therapy or discontinuation for lack of glycemic control. Time to treatment intensification was censored after the 52-week treatment period if treatment intensification had not occurred by then. Subjects rescued at Week 52 were counted as having an event for the analysis. The values presented are the percentage of subjects requiring the addition of insulin or other glucose-lowering agent for rescue therapy or discontinuation for lack of glycemic control during the 52-week short -term treatment period. (NCT02419612)
Timeframe: Up to Week 52
Intervention | Percentage of Subjects (Number) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | 1.3 |
Titrated Glimepiride | 8.8 |
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Percentage of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0%, at Week 52
Therapeutic glycemic response was defined as HbA1c <7.0%. Subjects rescued or discontinued prior to, and subjects with missing measurements at Week 52 were treated as non-responders. The percentage of subjects with a therapeutic glycemic response is based on the logistic regression method with adjustment for baseline HbA1c. (NCT02419612)
Timeframe: At Week 52
Intervention | Percentage of subjects (Number) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | 44.3 |
Titrated Glimepiride | 34.3 |
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Percentage of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0%, at Week 156
Therapeutic glycemic response was defined as HbA1c <7.0%. Subjects rescued or discontinued prior to, and subjects with missing measurements at Week 156 were treated as non-responders. The percentage of subjects with a therapeutic glycemic response is based on the logistic regression method with adjustment for baseline HbA1c. (NCT02419612)
Timeframe: At Week 156
Intervention | Percentage of Subjects (Number) |
---|
Dapagliflozin 10mg and Saxagliptin 5mg | 21.4 |
Titrated Glimepiride | 11.7 |
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Adjusted Change From Baseline in Skeletal Muscle Insulin-stimulated Gluocose Uptake
Adjusted change from baseline in skeletal muscle insulin-stimulated gluocose uptake (umol/min/kg) (NCT02426541)
Timeframe: From baseline to Week 8
Intervention | umol/min/kg (Least Squares Mean) |
---|
Dapagliflozin 10 MG | 0.28 |
Placebo | 0.28 |
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Adjusted Change in Liver Insulin-stimulated Glucose Uptake From Baseline to Week 8
Adjusted change in liver insulin-stimulated glucose uptake assessed by hyperglycemic-euglycemic clamp using F-FDG PET (NCT02426541)
Timeframe: Baseline to Week 8
Intervention | umol/min/kg (Least Squares Mean) |
---|
Dapagliflozin 10 MG | 0.27 |
Placebo | 1.59 |
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Adjusted Change in Adipose Tissue Insulin-stimulated Glucose Uptake
Change in adipose tissue insulin-stimulated glucose uptake assessed by hyperglycemic-euglycemic clamp using F-FDG PET (NCT02426541)
Timeframe: Baseline to Week 8
Intervention | umol/min/kg (Least Squares Mean) |
---|
Dapagliflozin 10 MG | 1.04 |
Placebo | -0.64 |
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Change in 4-hour Mean Weighted Post-prandial Glucose (PPG) (After the Standardized Breakfast Meal) From Baseline to Week 4
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -50.9 |
Placebo | -10.0 |
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Change in 24-hour Mean Weighted Glucose (MWG) From Baseline to End of Treatment (Week 4) Using the Continuous Glucose Monitoring (CGM) System
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -18.2 |
Placebo | 5.8 |
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Change in 2-hour Mean Weighted PPG (After the Standardized Breakfast Meal) From Baseline to Week 4
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -49.5 |
Placebo | -13.2 |
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Change in the 24-hour Mean Ampitude of Glucose Excursions (MAGE) From Baseline to Week 4
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -10.0 |
Placebo | 5.3 |
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Change in Fructosamine From Baseline to Week 4
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | mmol/L (Least Squares Mean) |
---|
Dapagliflozin | -20.4 |
Placebo | -9.6 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 4
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -26.2 |
Placebo | 3.6 |
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Change in HbA1c From Baseline to Week 4
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | % Alc (Least Squares Mean) |
---|
Dapagliflozin | -0.51 |
Placebo | -0.28 |
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Change in Static Insulin Secretion Rate (10^-9 Min^-1) From Baseline to Week 4 - ITT Population
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | 10^-9 min^-1 (Least Squares Mean) |
---|
Dapagliflozin | 8.4 |
Placebo | 1.4 |
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Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose Between 70 mg/dL and 180 mg/dL From Baseline to Week 4 - ITT Population
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | Change in percentage (Least Squares Mean) |
---|
Dapagliflozin | 12.2 |
Placebo | -2.8 |
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Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose >180 mg/dL From Baseline to Week 4 - ITT Population
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | Change in percentage (Least Squares Mean) |
---|
Dapagliflozin | -12.6 |
Placebo | 3.5 |
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Change in Percentage of CGM Readings Over 24-hours With Plasma Glucose <70 mg/dL From Baseline to Week 4 - ITT Population
(NCT02429258)
Timeframe: Baseline to Week 4
Intervention | Change in percentage (Least Squares Mean) |
---|
Dapagliflozin | 0.3 |
Placebo | -0.6 |
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Difference in the Percent Change in Fasting Nuclear Factor Kappa-light-chain-enhancer of Activated B Cells Activation (DNA Binding Activity) in Mononuclear Cells Before and After Dapagliflozin Use
nuclear factor kappa-light-chain-enhancer of activated B cells measurement through Transcription factor assay (NCT02433678)
Timeframe: 12 weeks
Intervention | arbitrary unit (Mean) |
---|
| baseline | 6 week | 12 week |
---|
Dapagliflozin | 0.733 | 0.835 | 0.815 |
,Placebo | 0.762 | 0.802 | 0.776 |
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Adjusted Mean Change From Baseline in 24-hour CGM Mean Amplitude of Glycemic Excursion (MAGE) Value at Week 24
To compare the change from baseline in mean amplitude of glucose excursions (MAGE) of 24-hour glucose readings obtained from CGM with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment (NCT02460978)
Timeframe: Baseline and 24 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
DAPA 5 MG + INS | -10.17 |
DAPA 10 MG + INS | -9.68 |
PLA + INS | -0.33 |
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Change From Baseline in the Percent of 24-hour Glucose Readings Obtained From CGM That Falls Within the Target Range of > 70 mg/dL and <= 180 mg/dL (%) at Week 24
To compare the change from baseline in the percent of 24-hour glucose readings obtained from CGM that falls within the target range of >70 mg/dL and <=180 mg/dL with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment (NCT02460978)
Timeframe: Baseline and 24 weeks
Intervention | % of readings (Least Squares Mean) |
---|
DAPA 5 MG + INS | 5.92 |
DAPA 10 MG + INS | 7.60 |
PLA + INS | -3.10 |
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Adjusted Mean Percentage Change From Baseline in Total Daily Insulin Dose at Week 24
To compare the percent change from baseline in total daily insulin dose with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment (NCT02460978)
Timeframe: Baseline and 24 weeks
Intervention | Percentage change (Least Squares Mean) |
---|
DAPA 5 MG + INS | -8.73 |
DAPA 10 MG + INS | -9.05 |
PLA + INS | 2.29 |
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Adjusted Mean Percentage Change From Baseline in Body Weight at Week 24
To compare the percentage change from baseline in body weight with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment (NCT02460978)
Timeframe: Baseline and 24 weeks
Intervention | Percentage change (Least Squares Mean) |
---|
DAPA 5 MG + INS | -3.22 |
DAPA 10 MG + INS | -3.76 |
PLA + INS | -0.02 |
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Adjusted Mean Change From Baseline in HbA1c at Week 24
To compare the change from baseline in HbA1c between dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment (NCT02460978)
Timeframe: Baseline and 24 weeks
Intervention | HbA1c (%) (Least Squares Mean) |
---|
DAPA 5 MG + INS | -0.34 |
DAPA 10 MG + INS | -0.39 |
PLA + INS | 0.03 |
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Adjusted Mean Change From Baseline in 24-hour Continuous Glucose Monitoring (CGM) Mean Value at Week 24
To compare the change from baseline in mean value of 24-hour glucose readings obtained from CGM with dapagliflozin 5 mg or 10 mg plus adjustable insulin versus placebo plus adjustable insulin after 24 weeks of double-blinded treatment (NCT02460978)
Timeframe: Baseline and 24 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
DAPA 5 MG + INS | -6.46 |
DAPA 10 MG + INS | -10.54 |
PLA + INS | 9.20 |
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Change in Fasting Plasma Glucose (FPG) From Baseline to Week 52
Change in FPG from baseline (week 0) to week 52 (NCT02471404)
Timeframe: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Intervention | FPG (mmol/L) (Least Squares Mean) |
---|
Dapaglifozin 10mg | -1.62 |
Saxagliptin 5mg and Dapagliflozin 10mg | -2.08 |
Glimepiride 1mg/2mg/4mg | -1.49 |
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Time to Rescue
The time to rescue (from first dose date after randomisation to start of rescue medication or discontinuation due to lack of glycaemic control) during the 52 week double blind treatment period (NCT02471404)
Timeframe: Over the 52 week treatment period
Intervention | Weeks (Median) |
---|
Dapaglifozin 10mg | NA |
Saxagliptin 5mg and Dapagliflozin 10mg | NA |
Glimepiride 1mg/2mg/4mg | NA |
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Patients With at Least One Episode of Confirmed Hypoglycaemia
Percentage of patients reporting at least 1 episode of hypoglycaemia (symptomatic + blood glucose <=50 mg/dL) during the double-blind treatment period (NCT02471404)
Timeframe: Up to Week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Intervention | Percentage of participants (Number) |
---|
Dapaglifozin 10mg | 0 |
Saxagliptin 5mg and Dapagliflozin 10mg | 0.32 |
Glimepiride 1mg/2mg/4mg | 4.21 |
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Change in Haemoglobin A1c (HbA1c) From Baseline to Week 52
Change in HbA1c from baseline (week 0) to week 52. (NCT02471404)
Timeframe: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Intervention | HbA1c % (Least Squares Mean) |
---|
Dapaglifozin 10mg | -0.82 |
Saxagliptin 5mg and Dapagliflozin 10mg | -1.2 |
Glimepiride 1mg/2mg/4mg | -0.99 |
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Number of Patients Rescued
Number (%) of patients rescued. (NCT02471404)
Timeframe: Over the 52 week treatment period
Intervention | Percentage of participants (Number) |
---|
Dapaglifozin 10mg | 18.6 |
Saxagliptin 5mg and Dapagliflozin 10mg | 8.3 |
Glimepiride 1mg/2mg/4mg | 21.4 |
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Change in Total Body Weight From Baseline at Week 52
Change in body weight from baseline (week 0) to week 52 (NCT02471404)
Timeframe: Baseline, week 52. Values recorded after rescue treatment or collected more than 8 days after the last dose date were excluded from the analysis
Intervention | Weight (kg) (Least Squares Mean) |
---|
Dapaglifozin 10mg | -3.54 |
Saxagliptin 5mg and Dapagliflozin 10mg | -3.15 |
Glimepiride 1mg/2mg/4mg | 1.76 |
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Incretin Hormones
Area under the curve (AUC) of the 180 min glucagon like peptide-1 levels after mixed meal (0, 5, 10, 15, 30, 45, 60, 75, 90, 120, 150, 180 and 240 minutes post-dose) (NCT02475070)
Timeframe: 240min
Intervention | nmol/l min (Mean) |
---|
Vildagliptin Treatment | 3.8 |
Dapagliflozin Treatment | 3.7 |
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Glucagon Response to Meal
Area under the curve (AUC) of the 180 min glucagon levels after mixed meal ingestion (0, 5, 10, 15, 30, 45, 60, 75, 90, 120, 150,180 and 240 minutes post-dose) (NCT02475070)
Timeframe: 240 min
Intervention | nmol/l min (Mean) |
---|
Vildagliptin Treatment | 39.0 |
Dapagliflozin Treatment | 38.8 |
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Change From Baseline in Perception of Satiety at Week 12
Perceptions of satiety will be determined using a visual analog scale called a Hunger Rating Scales. The minimum value is 1 (not at all full) and the maximum value is 100 (extremely full). One value between 1 and 100 is reported by the participant dependent on their perception. No sub scores are used. The perceived values are reported as the group average at baseline and 12 weeks. There is not a better or worse outcome, but rather a measure of perceived satiety. If Dapagliflozin were effective at increasing fullness, respondents would exhibit 12-week scores for the question in comparison to their baseline scores. (NCT02520518)
Timeframe: Baseline, 12 weeks
Intervention | score on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Dapagliflozin: ad Libitum Dietary Intake | 50 | 56 |
,Dapagliflozin: Weight Maintenance | 61 | 33 |
,Placebo: ad Libitum Dietary Intake | 39 | 42 |
,Placebo: Dietary Restriction | 35 | 38 |
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Change From Baseline in Perception of Hunger at Week 12
Perceptions of Hunger will be determined using a visual analog scale called a Hunger Rating Scales. The minimum value is 1 (not at all hungry) and the maximum value is 100 (very hungry). One value between 1 and 100 is reported by the participant dependent on their perception. No sub scores are used. The perceived values are reported as the group average at baseline and 12 weeks. There is not a better or worse outcome, but rather a measure of perceived hunger. If Dapagliflozin were effective at decreasing hunger, respondents would exhibit 12-week scores for the question in comparison to their baseline scores. (NCT02520518)
Timeframe: Baseline, 12 weeks
Intervention | score on a scale (Mean) |
---|
| Baseline | 12 weeks |
---|
Dapagliflozin: ad Libitum Dietary Intake | 20 | 28 |
,Dapagliflozin: Weight Maintenance | 24 | 77 |
,Placebo: ad Libitum Dietary Intake | 32 | 31 |
,Placebo: Dietary Restriction | 23.5 | 65 |
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Change From Baseline in Blood Pressure at Week 12
(NCT02520518)
Timeframe: Baseline, 12 weeks
Intervention | mmHg (Mean) |
---|
| Systolic Blood Pressure Change | Diastolic Blood Pressure Change |
---|
Dapagliflozin: ad Libitum Dietary Intake | 2 | -1 |
,Dapagliflozin: Weight Maintenance | 5 | -1 |
,Placebo: ad Libitum Dietary Intake | 0 | 1 |
,Placebo: Dietary Restriction | 11 | 11 |
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Change From Baseline in A1C at Week 24
A1C is blood marker used to report average blood glucose levels over prolonged periods of time. Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. Thus, this change from baseline reflects the Week 24 A1C minus the Week 0 A1C. (NCT02532855)
Timeframe: Baseline and Week 24
Intervention | Percent A1C (Least Squares Mean) |
---|
Sitagliptin | -0.51 |
Dapagliflozin | -0.36 |
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Change From Baseline in 2-hr Postprandial Glucose (PPG) at Week 24
The 2hr PPG is the change from baseline in mean post prandial glucose (change from baseline PPG = Week 24 mean T-120 glucose minus Baseline mean T-120 glucose) and shows each drugs impact on PPG. The 2-point MMTT measured values at T-0 and T-120 while the 3-point MMTT measured values at T-0, T-60, and T-120: although only a subset of the study had the 3-point MMTT performed, all participants had a T-0 and T-120 time point. A negative (-) change from baseline to Week 24 indicates better control of postprandial glucose. (NCT02532855)
Timeframe: Immediately before and 120 minutes after the standard meal at Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Sitagliptin | -40.4 |
Dapagliflozin | -37.0 |
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Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Blood glucose was measured on a fasting basis. Blood was drawn at predose on Day 1 and after 24 weeks of treatment to determine change in plasma glucose levels (i.e., FPG at Week 24 minus FPG at Week 0). (NCT02532855)
Timeframe: Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Sitagliptin | -16.5 |
Dapagliflozin | -20.1 |
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Change From Baseline in Glucagon Area Under the Curve (AUC0-120 Minutes) at Week 24
AUC endpoints were analyzed for participants who underwent the 3-point MMTT. Blood samples were drawn immediately prior to (T=0 minutes) and 60 and 120 minutes after the administration of the standard meal. The AUC curve was generated with the 3 time points. If any time point for a given participant was missing, the AUC was not included. Change in Postprandial Glucagon AUC after the morning meal (t=0 to 120 minutes) was calculated from the glucagon AUC over the first 120 minutes following the morning meal at baseline minus glucagon AUC over the first 120 minutes following the morning meal at Week 24. A negative (-) change from baseline to Week 24 indicates better control of postprandial glucose. (NCT02532855)
Timeframe: Immediately before and 60 and 120 minutes after the standard meal at Baseline and Week 24
Intervention | pmol.hr/L (Least Squares Mean) |
---|
Sitagliptin | -4.2 |
Dapagliflozin | 0.2 |
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Percentage of Participants Who Experienced One or More Adverse Events
An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product. The AE does not have to have a causal relationship with this treatment. The AE can include any unfavourable and unintended sign, symptom, or disease or any worsening (change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the pharmaceutical product. (NCT02532855)
Timeframe: Up to 26 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 48.9 |
Dapagliflozin | 51.6 |
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Change From Baseline in Incremental 2-hour (2-hr) Postprandial Glucose Excursion (PPGE) at Week 24
The 2hr PPGE is the change from baseline in the mean incremental change in post meal glucose defined as T-120 minus T-0 for each participant: change from baseline PPGE = Week 24 mean (T-120 minus T-0) minus Baseline mean (T-120 minus T-0). The 2-point MMTT measured values at T-0 and T-120 while the 3-point MMTT measured values at T-0, T-60, and T-120: although only a subset of the study had the 3-point MMTT performed, all participants had a T-0 and T-120 time point. A negative (-) change from baseline to Week 24 indicates better control of postprandial glucose. (NCT02532855)
Timeframe: Immediately before and 120 minutes after the standard meal at Baseline and Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
Sitagliptin | -24.2 |
Dapagliflozin | -18.5 |
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Change From Baseline in Insulin AUC0-120 Minutes at Week 24
AUC endpoints were analyzed for participants who underwent the 3-point MMTT. Blood samples were drawn immediately prior to (T=0 minutes) and 60 and 120 minutes after the administration of the standard meal. The AUC curve was generated with the 3 time points. If any time point for a given participant was missing, the AUC was not included. Change in Postprandial Insulin AUC after the morning meal (t=0 to 120 minutes) was calculated from insulin AUC over the first 120 minutes following the morning meal at baseline minus insulin AUC over the first 120 minutes following the morning meal at Week 24. A negative (-) change from baseline to Week 24 indicates better control of postprandial glucose. (NCT02532855)
Timeframe: Immediately before and 60 and 120 minutes after the standard meal at Baseline and Week 24
Intervention | mIU.hr/L (Least Squares Mean) |
---|
Sitagliptin | -23.4 |
Dapagliflozin | -28.2 |
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Change From Baseline in Postprandial Insulin AUC0-120 Minutes to Glucagon AUC0-120 Minutes Ratio at Week 24
AUC endpoints were analyzed for participants who underwent the 3-point MMTT. Blood samples were drawn immediately prior to (T=0 minutes) and 60 and 120 minutes after the administration of the standard meal. The AUC curve was generated with the 3 time points. If any time point for a given participant was missing, the AUC was not included. The endpoint was calculated from the ratio of (insulin AUC / glucagon AUC) over the first 120 minutes following the morning meal at baseline minus AUC over the first 120 minutes following the morning meal at Week 24. A negative (-) change from baseline to Week 24 indicates better control of postprandial glucose. (NCT02532855)
Timeframe: Immediately before and 60 and 120 minutes after the standard meal at Baseline and Week 24
Intervention | Ratio (Least Squares Mean) |
---|
Sitagliptin | -0.6 |
Dapagliflozin | -1.2 |
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Percentage of Participants Who Discontinued Study Drug Due to an AE
An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product. The AE does not have to have a causal relationship with this treatment. The AE can include any unfavourable and unintended sign, symptom, or disease or any worsening (change in frequency and/or intensity) of a preexisting condition that is temporally associated with the use of the pharmaceutical product. (NCT02532855)
Timeframe: Up to 24 weeks
Intervention | Percentage of participants (Number) |
---|
Sitagliptin | 3.3 |
Dapagliflozin | 3.3 |
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Percentage of Participants With A1C <7% (53 mmol/Mol) at Week 24
A1C is blood marker used to report average blood glucose levels over prolonged periods of time and is reported as a percentage (%). Percentage A1C is the ratio of glycated hemoglobin to total hemoglobin x 100. (NCT02532855)
Timeframe: Week 24
Intervention | Percentage of Participants (Number) |
---|
Sitagliptin | 42.6 |
Dapagliflozin | 27.0 |
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Adjusted Mean Percent Change From Baseline in Urine Albumin-to-Creatinine Ratio (UACR) at Week 24
UACR was analysed at baseline and every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. UACR values were first transformed to logarithms and the results were based on exponentiation of model estimates and expressed as adjusted mean percent change from baseline at Week 24. (NCT02547935)
Timeframe: Baseline and Week 24
Intervention | Percent change (Least Squares Mean) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | -39.1 |
Dapagliflozin 10 mg | -22.4 |
Placebo | -1.8 |
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Adjusted Mean Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
FPG was analysed at baseline and Week 1 then every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model. (NCT02547935)
Timeframe: Baseline and Week 24
Intervention | mg/decilitre (dL) (Least Squares Mean) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | -17.2 |
Dapagliflozin 10 mg | -13.1 |
Placebo | -11.2 |
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Percentage of Patients Achieving at Least 30% Reduction in UACR at Week 24
The percentage of patients meeting the criteria of at least a 30% reduction in UACR, was analysed using a logistic regression model. If no measurement was available at Week 24 the last available post-baseline measurement was carried forward (Last Observation Carried Forward [LOCF]). (NCT02547935)
Timeframe: From baseline up to Week 24
Intervention | Percentage of patients (Number) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | 57.0 |
Dapagliflozin 10 mg | 45.0 |
Placebo | 31.3 |
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Percentage of Patients Achieving a Reduction in HbA1c of Less Than 7.0% at Week 24
The percentage of patients meeting the criteria of a less than 7% reduction in HbA1c, was analysed using a logistic regression model. If no measurement was available at Week 24 the last available post-baseline measurement was carried forward (LOCF). Only measurements prior to rescue or treatment discontinuation were analysed. (NCT02547935)
Timeframe: From baseline to Week 24
Intervention | Percentage of patients (Number) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | 35.1 |
Dapagliflozin 10 mg | 15.0 |
Placebo | 10.3 |
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Adjusted Mean Percent Change From Baseline in Total Body Weight at Week 24
Total body weight was measured in kilograms (kg) at baseline and at Week 1 then every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. Total body weight values were first transformed to logarithms and the results were based on exponentiation of model estimates and expressed as adjusted mean percent change from baseline at Week 24. (NCT02547935)
Timeframe: Baseline and Week 24
Intervention | Percent change (Least Squares Mean) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | -0.65 |
Dapagliflozin 10 mg | -1.48 |
Placebo | -0.61 |
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Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure (SBP) at Week 24
Seated SBP was analysed at baseline, Week 1 and every 4 weeks during the 24-week treatment period. All measurements regardless of rescue medication or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model. (NCT02547935)
Timeframe: Baseline and Week 24
Intervention | Millimetre of mercury (mmHg) (Least Squares Mean) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | -8.8 |
Dapagliflozin 10 mg | -6.9 |
Placebo | -4.1 |
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Adjusted Mean Change From Baseline in HbA1c: Comparison of Dapagliflozin 10 mg and Placebo at Week 24
HbA1c was analysed at baseline and every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a MMRM model. (NCT02547935)
Timeframe: Baseline and Week 24
Intervention | Percentage of Glycoslyated HbA1c (Least Squares Mean) |
---|
Dapagliflozin 10 mg | -0.43 |
Placebo | -0.27 |
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Adjusted Mean Change From Baseline in Glycosylated Haemoglobin (HbA1c): Comparison of Dapagliflozin 10 mg Plus Saxagliptin 2.5 mg and Placebo at Week 24
HbA1c was analysed at baseline and every 4 weeks during the 24-week treatment period. Only measurements prior to rescue or treatment discontinuation were analysed. The adjusted mean change from baseline at Week 24 was analysed using a mixed model repeated measures (MMRM) model. (NCT02547935)
Timeframe: Baseline and Week 24
Intervention | Percentage of Glycoslyated HbA1c (Least Squares Mean) |
---|
Dapagliflozin 10 mg + Saxagliptin 2.5 mg | -0.85 |
Placebo | -0.27 |
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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. (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | Adjusted % Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 33.2 |
Titrated Insulin + Metformin | 33.5 |
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Percentage of Subjects With Confirmed Hypoglycaemia at Week 24
Hypoglycemia defined as plasma glucose ≤70 mg/dL (3.9 mmol/L) (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | Adjusted % Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 21.3 |
Titrated Insulin + Metformin | 38.4 |
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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. (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | Adjusted % Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 20.9 |
Titrated Insulin + Metformin | 13.1 |
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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. (NCT02551874)
Timeframe: Baseline and Week 2
Intervention | mg/deciliter (dL) (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -48.53 |
Titrated Insulin + Metformin | -28.54 |
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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. (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | % HbA1c (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -1.67 |
Titrated Insulin + Metformin | -1.54 |
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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 (NCT02551874)
Timeframe: Baseline and Week 24
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -1.50 |
Titrated Insulin + Metformin | 2.14 |
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Glycated Hemoglobin (HbA1C)
Expressed in Diabetes Control and Complications Trial (DCCT) units (NCT02561130)
Timeframe: 12 weeks after randomization
Intervention | percentage of glycated hemoglobin (Mean) |
---|
Intervention | 5.9 |
Standard Care | 6.6 |
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Number of Participants Achieving Diabetes Relapse Without Overt Hyperglycemia Off Diabetes Drugs
Diabetes relapse without overt hyperglycemia is defined as HbA1C 6.5-6.9% off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 24 weeks
Intervention | Participants (Count of Participants) |
---|
Intervention | 20 |
Standard Care | 9 |
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Number of Participants Achieving Drug-free Diabetes Remission in the Experimental Group Compared to the Control Group
Drug-free diabetes remission is defined as HbA1C < 6.5 % off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 24 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 19 |
Standard Care | 13 |
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Number of Participants With Non-severe Symptomatic Hypoglycemic Episodes
Symptomatic hypoglycemic episode is defined as an event with clinical symptoms consistent with hypoglycemia. (NCT02561130)
Timeframe: During 64 weeks of follow-up
Intervention | Participants (Count of Participants) |
---|
Intervention | 34 |
Standard Care | 15 |
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Number of Participants With Severe Hypoglycemic Episodes
Severe hypoglycemic episode is defined as an event with clinical symptoms consistent with hypoglycemia in which the participant required the assistance of another person, and one of the following: (i) the event was associated with a documented self-measured or laboratory plasma glucose level = 2.0 mmol/L or (ii) the event was associated with prompt recovery after oral carbohydrate, intravenous glucose, or glucagon administration. (NCT02561130)
Timeframe: During 64 weeks of follow-up
Intervention | Participants (Count of Participants) |
---|
Intervention | 0 |
Standard Care | 0 |
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Percentage of Weight Loss From Baseline
(Weight at randomization - weight at 12 weeks)/(weight at randomization) (NCT02561130)
Timeframe: 12 weeks after randomization
Intervention | percentage of weight loss (Mean) |
---|
Intervention | 2.9 |
Standard Care | 1.0 |
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Number of Participants Achieving Drug-free HbA1C < 6.0%
Drug-free complete diabetes remission is defined as HbA1C < 6.0 % off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 24 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 6 |
Standard Care | 6 |
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Change in Waist Circumference From Baseline
(Waist circumference at 12 weeks - waist circumference at randomization) (NCT02561130)
Timeframe: 12 weeks after randomization
Intervention | cm (Mean) |
---|
Intervention | -3.0 |
Standard Care | -1.3 |
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Number of Participants Achieving Drug-free Diabetes Remission
Drug-free diabetes remission is defined as HbA1C < 6.5 % off glucose-lowering agents for at least 12 weeks. (NCT02561130)
Timeframe: 64 weeks after randomization
Intervention | Participants (Count of Participants) |
---|
Intervention | 11 |
Standard Care | 6 |
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Adjusted Mean Change in Diastolic Blood Pressure (DBP) at Week 52
Adjusted Mean Change in Diastolic Blood Pressure (DBP) at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | mmHg (Least Squares Mean) |
---|
Dapagliflozin | -0.25 |
Glimepiride | 2.36 |
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Adjusted Mean Change in Body Mass Index (BMI) at Week 52
Adjusted Mean Change in Body Mass Index (BMI) at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | kg/m^2 (Least Squares Mean) |
---|
Dapagliflozin | -0.91 |
Glimepiride | 0.46 |
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Adjusted Mean Change in Fasting Blood Sugar (FBS) at Week 52
Adjusted Mean Change in Fasting Blood Sugar (FBS) at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | mg/dL (Least Squares Mean) |
---|
Dapagliflozin | -30.94 |
Glimepiride | -12.70 |
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Adjusted Mean Change in Adinopectin at Week 52
Adjusted Mean Change in Adinopectin at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | ng/mL (Least Squares Mean) |
---|
Dapagliflozin | 1746.66 |
Glimepiride | 1088.95 |
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Adjusted Mean Changes From Baseline in Total Body Fat Mass by DXA Scan
Adjusted mean changes in total body fat mass from baseline using DXA scan in 52 weeks after the start of the treatment (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | grams (Least Squares Mean) |
---|
Dapagliflozin | -1485.69 |
Glimepiride | 1096.34 |
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Adjusted Mean Change in HbA1c at Week 52
Adjusted Mean Change in HbA1c at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | percentages (Least Squares Mean) |
---|
Dapagliflozin | -1.00 |
Glimepiride | -0.54 |
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Adjusted Mean Change in High Sensitivity C-Reactive Protein (hsCRP) at Week 52
Adjusted Mean Change in High Sensitivity C-Reactive Protein (hsCRP) at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | mg/L (Least Squares Mean) |
---|
Dapagliflozin | -0.51 |
Glimepiride | -0.39 |
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Adjusted Mean Changes From Baseline in Percentage of Total Body Fat Assessed by DXA Scan
Adjusted mean percent changes in total body fat mass from baseline using DXA scan in 52 weeks after the start of the treatment (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | percent change (Least Squares Mean) |
---|
Dapagliflozin | -1.21 |
Glimepiride | 0.73 |
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Adjusted Mean Change in Waist Circumference at Week 52
Adjusted Mean Change in Waist Circumference at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | cm (Least Squares Mean) |
---|
Dapagliflozin | -2.37 |
Glimepiride | -0.16 |
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Adjusted Mean Change in Visceral to Subcutaneous Adipose Tissue Ratio at Week 52
Adjusted Mean Change in Visceral to Subcutaneous Adipose Tissue Ratio at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | ratio (Least Squares Mean) |
---|
Dapagliflozin | -0.05 |
Glimepiride | -0.02 |
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Adjusted Mean Change in Visceral Adipose Tissue (VAT) Area at Week 52
Adjusted Mean Change in Visceral Adipose Tissue (VAT) area at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | cm^2 (Least Squares Mean) |
---|
Dapagliflozin | -16.06 |
Glimepiride | 1.48 |
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Adjusted Mean Change in Total Body Weight at Week 52
Adjusted Mean Change in Total Body Weight at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | kg (Least Squares Mean) |
---|
Dapagliflozin | -2.4 |
Glimepiride | 1.3 |
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Adjusted Mean Change in Systolic Blood Pressure (SBP) at Week 52
Adjusted Mean Change in Systolic Blood Pressure (SBP) at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | mmHg (Least Squares Mean) |
---|
Dapagliflozin | -2.18 |
Glimepiride | 4.63 |
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Adjusted Mean Change in Subcutaneous Adipose Tissue (SAT) Area at Week 52
Adjusted Mean Change in Subcutaneous Adipose Tissue (SAT) area at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | cm^2 (Least Squares Mean) |
---|
Dapagliflozin | -5.41 |
Glimepiride | 12.98 |
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Adjusted Mean Change in Lean Body Mass at Week 52
Adjusted Mean Change in Lean Body Mass at Week 52 (NCT02564926)
Timeframe: From baseline to Week 52
Intervention | Kg (Least Squares Mean) |
---|
Dapagliflozin | -1.1 |
Glimepiride | 0.2 |
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Adjusted Percent Change From Baseline in Body Weight
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin therapy. (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percent change (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -5.26 | -5.96 |
,Dapagliflozin 5mg + Insulin | -3.88 | -4.25 |
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Adjusted Change From Baseline in Post-prandial Glucose Measured by 6-point SMBG
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin therapy. (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -10.08 | -5.24 |
,Dapagliflozin 5mg + Insulin | -2.33 | -6.40 |
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Adjusted Change From Baseline in HbA1c
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin therapy. (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percent (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -0.66 | -0.36 |
,Dapagliflozin 5mg + Insulin | -0.52 | -0.33 |
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Adjusted Change From Baseline in Glycoalbumin
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin therapy. (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percent (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -2.63 | -1.68 |
,Dapagliflozin 5mg + Insulin | -2.26 | -1.49 |
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Adjusted Change From Baseline in Average Daily Glucose Measured by 6-point SMBG
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin therapy. (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -15.06 | -12.93 |
,Dapagliflozin 5mg + Insulin | -9.37 | -11.62 |
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Vital Signs (Heart Rate)
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | bpm (Mean) |
---|
Dapagliflozin 5mg + Insulin | -0.3 |
Dapagliflozin 10mg + Insulin | 0.4 |
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Overall Adverse Event Summary
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | Participants (Count of Participants) |
---|
| Adverse Events72081776 | Adverse Events72081777 | Related Adverse Events72081776 | Related Adverse Events72081777 | SAE72081776 | SAE72081777 | AEs leading to discontinuation72081776 | AEs leading to discontinuation72081777 | Death72081776 | Death72081777 |
---|
| At least one events |
---|
Dapagliflozin 5mg + Insulin | 67 |
Dapagliflozin 10mg + Insulin | 55 |
Dapagliflozin 5mg + Insulin | 23 |
Dapagliflozin 10mg + Insulin | 22 |
Dapagliflozin 5mg + Insulin | 7 |
Dapagliflozin 10mg + Insulin | 3 |
Dapagliflozin 5mg + Insulin | 4 |
Dapagliflozin 10mg + Insulin | 4 |
Dapagliflozin 5mg + Insulin | 0 |
Dapagliflozin 10mg + Insulin | 0 |
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Adjusted Change From Baseline in SBP in Subjects With Baseline SBP/DBP >= 140/90 mmHg
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | mmHg (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -12.0 | -14.2 |
,Dapagliflozin 5mg + Insulin | -5.8 | -9.8 |
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Proportion of Subjects Achieving HbA1c Reduction of 0.5 Percent
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percentage of participants (Number) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | 66.7 | 45.3 |
,Dapagliflozin 5mg + Insulin | 62.2 | 51.4 |
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Hypoglycemia
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | Participants (Count of Participants) |
---|
| Any Hypoglycemia Episodes72081776 | Any Hypoglycemia Episodes72081777 | Severe Hypoglycemia72081776 | Severe Hypoglycemia72081777 | Documented Symptomatic Hypoglycemia72081776 | Documented Symptomatic Hypoglycemia72081777 | Asymptomatic Hypoglycemia72081776 | Asymptomatic Hypoglycemia72081777 | Probable Symptomatic Hypoglycemia72081776 | Probable Symptomatic Hypoglycemia72081777 | Relative Hypoglycemia72081776 | Relative Hypoglycemia72081777 |
---|
| At least one events |
---|
Dapagliflozin 5mg + Insulin | 75 |
Dapagliflozin 10mg + Insulin | 75 |
Dapagliflozin 5mg + Insulin | 2 |
Dapagliflozin 10mg + Insulin | 5 |
Dapagliflozin 5mg + Insulin | 67 |
Dapagliflozin 10mg + Insulin | 73 |
Dapagliflozin 5mg + Insulin | 60 |
Dapagliflozin 10mg + Insulin | 64 |
Dapagliflozin 5mg + Insulin | 13 |
Dapagliflozin 10mg + Insulin | 14 |
Dapagliflozin 5mg + Insulin | 14 |
Dapagliflozin 10mg + Insulin | 11 |
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Clinical Laboratory Measures, Urine Test Results (Any Marked Abnormality)
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | Participants (Count of Participants) |
---|
| Hematocrit (> 55%) | Hemoglobin (> 18g/dL) | Creatinine (>1.5 x ULN pre Rx) | Creatin kinase (> 5x ULN) | Bicarbonate (<= 13 mEq/L) | P (<=1.8/2.1mg/dL for age<=/>65) | UACR (> 1800mg/g) |
---|
Dapagliflozin 10mg + Insulin | 0 | 1 | 1 | 1 | 0 | 1 | 1 |
,Dapagliflozin 5mg + Insulin | 1 | 2 | 0 | 1 | 1 | 1 | 0 |
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ECGs
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | Participants (Count of Participants) |
---|
| Baseline72081776 | Baseline72081777 | Week 5272081776 | Week 5272081777 |
---|
| NORMAL | NOT REPORTED | ABNORMAL |
---|
Dapagliflozin 5mg + Insulin | 65 |
Dapagliflozin 10mg + Insulin | 67 |
Dapagliflozin 5mg + Insulin | 11 |
Dapagliflozin 5mg + Insulin | 0 |
Dapagliflozin 5mg + Insulin | 69 |
Dapagliflozin 5mg + Insulin | 5 |
Dapagliflozin 10mg + Insulin | 8 |
Dapagliflozin 5mg + Insulin | 2 |
Dapagliflozin 10mg + Insulin | 0 |
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Diabetic Ketoacidosis (DKA)
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | Participants (Count of Participants) |
---|
| Definite DKA72081776 | Definite DKA72081777 | Possible DKA72081776 | Possible DKA72081777 | Unlikely DKA72081776 | Unlikely DKA72081777 |
---|
| At least one events |
---|
Dapagliflozin 5mg + Insulin | 2 |
Dapagliflozin 10mg + Insulin | 1 |
Dapagliflozin 5mg + Insulin | 1 |
Dapagliflozin 10mg + Insulin | 0 |
Dapagliflozin 5mg + Insulin | 0 |
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Vital Signs (Blood Pressure)
To evaluate safety and tolerability of long-term treatment (52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM with inadequate glycemic control under standard insulin therapy. (NCT02582814)
Timeframe: From baseline to 52 weeks
Intervention | mmHg (Mean) |
---|
| Change from baseline in SBP(mmHg) at Week 52 | Change from baseline in DBP(mmHg) at Week 52 |
---|
Dapagliflozin 10mg + Insulin | -2.9 | -1.0 |
,Dapagliflozin 5mg + Insulin | -3.4 | -0.6 |
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Adjusted Percent Change From Baseline in Total Daily Insulin Dose
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin therapy. (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percent change (Least Squares Mean) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | -15.14 | -13.13 |
,Dapagliflozin 5mg + Insulin | -15.30 | -12.27 |
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Proportion of Subjects Achieving HbA1c < 7.0 Percent
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percentage of participants (Number) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | 5.3 | 2.7 |
,Dapagliflozin 5mg + Insulin | 9.5 | 6.8 |
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Proportion of Subjects Achieving HbA1c Reduction of 0.5 Percent Without Severe Hypoglycemia
To assess the efficacy of long-term treatment (24/52 weeks) of dapagliflozin 5mg and 10 mg in Japanese patients with T1DM inadequately controlled on insulin (NCT02582814)
Timeframe: From baseline to 24/52 weeks
Intervention | percentage of participants (Number) |
---|
| Week 24 | Week 52 |
---|
Dapagliflozin 10mg + Insulin | 61.3 | 41.3 |
,Dapagliflozin 5mg + Insulin | 60.8 | 51.4 |
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Daily Basal Insulin (IU) Percent Change From Baseline to Day 7 - Pharmacodynamic (PD) Set
Mean percent change from baseline was calculated using the geometric mean back-transformed from the results calculated under the logarithm transformation. (NCT02582840)
Timeframe: Baseline (the last available assessment on or prior to the first dose of study medication), Day 7
Intervention | percent change (Mean) |
---|
Placebo + Insulin | -16.75 |
Dapagliflozin 5mg+ Insulin | -36.74 |
Dapagliflozin 10mg + Insulin | -39.63 |
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Daily Bolus Insulin (IU) Percent Change From Baseline to Day 7 - Pharmacodynamic (PD) Set
Mean percent change from baseline was calculated using the geometric mean back-transformed from the results calculated under the logarithm transformation. (NCT02582840)
Timeframe: Baseline (the last available assessment on or prior to the first dose of study medication), Day 7
Intervention | percent change (Mean) |
---|
Placebo + Insulin | 4.56 |
Dapagliflozin 5mg+ Insulin | -36.06 |
Dapagliflozin 10mg + Insulin | -39.89 |
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Dapagliflozin 3-O-Glucuronide Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration AUC(0-T) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 5mg + Insulin | 345.87 |
Dapagliflozin 10mg + Insulin | 675.50 |
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Dapagliflozin 3-O-Glucuronide Maximum Observed Plasma Concentration (Cmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 5mg + Insulin | 61.88 |
Dapagliflozin 10mg + Insulin | 136.62 |
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Dapagliflozin 3-O-Glucuronide Minimum Observed Plasma Concentration (Cmin) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 5mg + Insulin | 3.89 |
Dapagliflozin 10mg + Insulin | 6.25 |
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Dapagliflozin Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration AUC(0-T) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | ng*h/mL (Geometric Mean) |
---|
Dapagliflozin 5mg + Insulin | 322.72 |
Dapagliflozin 10mg + Insulin | 670.01 |
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Dapagliflozin Maximum Observed Plasma Concentration (Cmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 5mg + Insulin | 69.31 |
Dapagliflozin 10mg + Insulin | 162.09 |
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Dapagliflozin Minimum Observed Plasma Concentration (Cmin) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | ng/mL (Geometric Mean) |
---|
Dapagliflozin 5mg + Insulin | 3.40 |
Dapagliflozin 10mg + Insulin | 5.71 |
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Dapagliflozin Time of Maximum Observed Plasma Concentration (Tmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | hours (Median) |
---|
Dapagliflozin 5mg + Insulin | 2.00 |
Dapagliflozin 10mg + Insulin | 2.00 |
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Fasting Plasma Glucose (FPG) (mg/dL) Change From Baseline to Day 7 - Pharmacodynamic (PD) Set
(NCT02582840)
Timeframe: Baseline (the last available assessment on or prior to the first dose of study medication), Day 7
Intervention | mg/dL (Mean) |
---|
Placebo + Insulin | 11.0 |
Dapagliflozin 5mg+ Insulin | -10.4 |
Dapagliflozin 10mg + Insulin | -13.1 |
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Seated Systolic Blood Pressure (mmHG) Change From Baseline to Day 7 - Pharmacodynamic (PD) Set
(NCT02582840)
Timeframe: Baseline (the last available assessment on or prior to the first dose of study medication), Day 7
Intervention | mmHG (Mean) |
---|
Placebo + Insulin | -3.1 |
Dapagliflozin 5mg+ Insulin | -2.1 |
Dapagliflozin 10mg + Insulin | 1.5 |
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Total Daily Insulin (IU) Percent Change From Baseline to Day 7 - Pharmacodynamic (PD) Set
Total daily insulin dose is defined as the sum of all insulin doses (basal+bolus+premixed) for each day. Mean percent change from baseline was calculated using the geometric mean back-transformed from the results calculated under the logarithm transformation. (NCT02582840)
Timeframe: Baseline (the last available assessment on or prior to the first dose of study medication), Day 7
Intervention | percent chagne (Mean) |
---|
Placebo + Insulin | -4.97 |
Dapagliflozin 5mg+ Insulin | -36.86 |
Dapagliflozin 10mg + Insulin | -39.13 |
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Dapagliflozin 3-O-Glucuronide Time of Maximum Observed Plasma Concentration (Tmax) of 7 Days Repeated Doses of Dapagliflozin - Pharmacokinetic (PK) Set
Serial blood samples for determination of study drug were collected predose Day 1, Day 7 (60 minutes prior to dose), Day 7 (0, 1, 2, 3, 4, 6, 8, 12 and 24 hours post dose). (NCT02582840)
Timeframe: Day 1-7
Intervention | hours (Median) |
---|
Dapagliflozin 5mg + Insulin | 2.00 |
Dapagliflozin 10mg + Insulin | 2.00 |
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24-hour Urinary Glucose (g/24h) Mean Change From Baseline on Day 7 - Pharmacodynamic (PD) Set
The 24-hour period is defined based on the morning void, from the first morning void to the one of the next day. (NCT02582840)
Timeframe: Baseline (the last available assessment prior to the first dose of study medication), Day 7
Intervention | g/24-hour (Mean) |
---|
Placebo + Insulin | -6.16 |
Dapagliflozin 5mg+ Insulin | 96.55 |
Dapagliflozin 10mg + Insulin | 101.28 |
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Change in Plasma Insulin During Measurement of EGP
Measurement of change in plasma insulin concentration during measurement of of EGP from baseline to last hour of the study (NCT02592421)
Timeframe: Baseline to 240-300 minutes
Intervention | microUnits/mL (Mean) |
---|
| Study 1 | Study 2 with glucose clamp | Study 3 with pancreatic clamp |
---|
Dapagliflozin | 5 | 0 | 2 |
,Placebo | 3 | 0 | 0 |
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Change in Plasma Glucose Concentration
Change from baseline to the last hour of the study (240-300 minutes) in plasma glucose concentration (NCT02592421)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/dl (Mean) |
---|
| Study 1 | Study 2 with glucose clamp | Study 3 with pancreatic clamp |
---|
Dapagliflozin | -29.7 | 3.1 | -30.3 |
,Placebo | -17.2 | 0.9 | -2.3 |
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Change in Glucagon During EGP Measurement
Measurement of change in glucagon during EGP measurement from baseline to the last hour of the study (NCT02592421)
Timeframe: Baseline to 240-300 minutes
Intervention | ng/ml (Mean) |
---|
| Study 1 | Study 2 with glucose clamp | Study 3 with pancreatic clamp |
---|
Dapagliflozin | 5 | -6 | -1 |
,Placebo | -1 | -7 | -2 |
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Change in Endogenous Glucose Production (EGP)
The change in endogenous glucose production is measured from baseline until the last hour of the study (NCT02592421)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/kg.min (Mean) |
---|
| Study 1 | Study 2 with glucose clamp | Study 3 with pancreatic clamp |
---|
Dapagliflozin | 0.1 | -0.57 | -0.23 |
,Placebo | -0.56 | -1.28 | -0.48 |
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Change From Baseline in Fasting Serum Glucose (Central Laboratory) at 24 Weeks
LS mean of change from baseline was calculated using last observation carried forward (LOCF) by treatment group, adjusted for treatment, country, SGLT2 inhibitor dose, metformin use, baseline HbA1c strata, and baseline fasting serum glucose using analysis of covariance (ANCOVA). (NCT02597049)
Timeframe: Baseline, Week 24
Intervention | milligram/deciliter (mg/dL) (Least Squares Mean) |
---|
| Treatment-regimen Estimand | Efficacy Estimand |
---|
0.75 mg Dulaglutide | -26.5 | -26.0 |
,1.5 mg Dulaglutide | -31.6 | -31.9 |
,Placebo | -6.9 | -5.3 |
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Rate of Hypoglycemic Events Adjusted Per 30 Days
A hypoglycemic event is defined as any time a participant feels that he/she is experiencing symptoms and/or signs associated with hypoglycemia, and has a PG level of ≤70 mg/dL (≤3.9 mmol/L). (NCT02597049)
Timeframe: Baseline through 24 Weeks
Intervention | Number of events/participant/30 days (Mean) |
---|
| Total Hypoglycemia | Documented Symptomatic Hypoglycemia | Asymptomatic Hypoglycemia | Probable Symptomatic | Relative Hypoglycemia | Nocturnal Hypoglycemia |
---|
0.75 mg Dulaglutide | 0.022 | 0.013 | 0.008 | 0.001 | 0.001 | 0.009 |
,1.5 mg Dulaglutide | 0.026 | 0.013 | 0.013 | 0.000 | 0.003 | 0.002 |
,Placebo | 0.017 | 0.010 | 0.006 | 0.001 | 0.005 | 0.000 |
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Percentage of Participants With HbA1c <7%
Number of participants with an HbA1c value of <7% at Week 24 is measured using longitudinal logistic regression with repeated measurements. The model will include independent variables of treatment, country, SGLT2 inhibitor dose, metformin use, visit, treatment-by-visit interaction, and baseline HbA1c as a covariate. (NCT02597049)
Timeframe: 24 Weeks
Intervention | percentage of participants (Number) |
---|
| Treatment-regimen Estimand | Efficacy Estimand |
---|
0.75 mg Dulaglutide | 60.45 | 61.83 |
,1.5 mg Dulaglutide | 71.21 | 71.54 |
,Placebo | 31.58 | 32.52 |
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Number of Participants With Adjudicated Cardiovascular (CV) Events
Death and selected nonfatal CV adverse events (AEs) were adjudicated by an independent committee of physicians with cardiology expertise external to the Sponsor. Nonfatal CV events that were to be adjudicated were myocardial infarction (MI); hospitalization for unstable angina; hospitalization for heart failure; coronary interventions such as coronary artery bypass graft (CABG) or ( percutaneous coronary intervention (PCI); and cerebrovascular events, including cerebrovascular accident (stroke) and transient ischemic attack (TIA). (NCT02597049)
Timeframe: Baseline through 24 Weeks
Intervention | Participants (Count of Participants) |
---|
| Any CV Event | Fatal CV Event | Non-fatal CV Event |
---|
0.75 mg Dulaglutide | 0 | 0 | 0 |
,1.5 mg Dulaglutide | 0 | 0 | 0 |
,Placebo | 3 | 0 | 3 |
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Change From Baseline in Fasting Glucagon at 24 Weeks
Change from baseline in fasting glucagon was analyzed using an ANCOVA model with last observation carried forward (LOCF) included in treatment, country, SGLT2i dose, metformin use, and baseline HbA1c strata as fixed effects and baseline fasting glucagon as a covariate (with and without post rescue data). (NCT02597049)
Timeframe: Baseline, Week 24
Intervention | picomole per liter (pmol/L) (Least Squares Mean) |
---|
| Treatment-regimen Estimand | Efficacy Estimand |
---|
0.75 mg Dulaglutide | -1.5 | -1.4 |
,1.5 mg Dulaglutide | -2.1 | -2.2 |
,Placebo | -0.9 | -0.9 |
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Change From Baseline in Body Weight at 24 Weeks
LS mean of the body weight change from baseline to primary endpoint at week 24 was adjusted by treatment, country, SGLT2 inhibitor dose, metformin use, baseline HbA1c strata, treatment-by-visit interactions as fixed effects, and baseline body weight as a covariate and participant as a random effect, via a MMRM analysis (NCT02597049)
Timeframe: Baseline, Week 24
Intervention | kilograms (kg) (Least Squares Mean) |
---|
| Treatment-regimen Estimand | Efficacy Estimand |
---|
0.75 mg Dulaglutide | -2.6 | -2.6 |
,1.5 mg Dulaglutide | -3.1 | -3.1 |
,Placebo | -2.1 | -2.3 |
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Change From Baseline in 6-Point Self-Monitored Plasma Glucose (SMPG) Profile at 24 Weeks
The self-monitored plasma glucose (SMPG) data were collected at the following 6 time points: pre-morning meal; 2 hours post-morning meal; pre-midday meal; 2 hours post-midday meal; pre-evening meal; 2 hours post-evening meal. Least Squares (LS) means of change from baseline were calculated using a mixed-effects model for repeated measures (MMRM) with treatment, metformin use, SGLT2 inhibitor use, country, visit, baseline HbA1c strata, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT02597049)
Timeframe: Baseline, Week 24
Intervention | mg/dL (Least Squares Mean) |
---|
| Pre-morning Morning Meal | 2-Hour Postprandial Morning Meal | Pre-Mid Day Meal | 2-Hour Postprandial Mid Day Meal | Pre-Evening Meal | 2-Hour Postprandial Evening Meal |
---|
0.75 mg Dulaglutide | -23.2 | -41.1 | -22.0 | -25.5 | -30.1 | -30.6 |
,1.5 mg Dulaglutide | -27.8 | -44.6 | -26.0 | -31.8 | -30.3 | -36.0 |
,Placebo | -8.1 | -20.1 | -7.7 | -12.8 | -7.5 | -13.9 |
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Number of Participants With Adjudicated Acute Pancreatitis Events
"The number of participants with events of pancreatitis confirmed by adjudication were summarized cumulatively at 24 weeks. Pancreatitis events were adjudicated by a committee of physicians external to the Sponsor.~A summary of serious and other non-serious events regardless of causality is located in the Reported Adverse Events module." (NCT02597049)
Timeframe: Baseline through 24 Weeks
Intervention | Participants (Count of Participants) |
---|
1.5 mg Dulaglutide | 0 |
0.75 mg Dulaglutide | 0 |
Placebo | 0 |
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Number of Participants Requiring Rescue Therapy Due to Severe Persistent Hyperglycemia
Rescue therapy was defined as any additional therapeutic intervention in participants who developed persistent, severe hyperglycemia despite full compliance with the assigned therapeutic regimen, or initiation of an alternative antihyperglycemic medication following study drug discontinuation. (NCT02597049)
Timeframe: Baseline through 24 Weeks
Intervention | Participants (Count of Participants) |
---|
1.5 mg Dulaglutide | 0 |
0.75 mg Dulaglutide | 3 |
Placebo | 2 |
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Change From Baseline in the HbA1c at 24 Weeks (Efficacy Estimand)
LS mean of the HbA1c change from baseline to primary endpoint at week 24 was adjusted by treatment, country, SGLT2 inhibitor dose, metformin use, treatment-by-visit interactions as fixed effects, and baseline HbA1c as a covariate and participant as a random effect, via a MMRM analysis. The efficacy estimand excluded post-rescue data and compared the benefit of randomized treatments when taken as directed without rescue medication. (NCT02597049)
Timeframe: Baseline, Week 24
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -1.33 |
0.75 mg Dulaglutide | -1.19 |
Placebo | -0.51 |
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Change From Baseline in Hemoglobin A1c (HbA1c) at 24 Weeks (Treatment-regimen Estimand)
Least Squares mean (LS) of the HbA1c change from baseline to primary endpoint at week 24 was adjusted by treatment, country, SGLT2 inhibitor dose, metformin use, treatment-by-visit interactions as fixed effects, and baseline HbA1c as a covariate and participant as a random effect, via a MMRM analysis. The treatment-regimen estimand used all data including post-rescue data and compared the benefit of treatment regimens as they were actually taken. (NCT02597049)
Timeframe: Baseline, Week 24
Intervention | percentage of HbA1c (Least Squares Mean) |
---|
1.5 mg Dulaglutide | -1.34 |
0.75 mg Dulaglutide | -1.21 |
Placebo | -0.54 |
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Change in Lipid Oxidation
Change in lipid oxidation percentage from baseline to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | percentage of oxidation (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -11.87 |
DAPA (Dapagliflozin Plus Placebo) | 22.02 |
PCB (Placebo Plus Placebo) | -6.69 |
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HBA1c
Change in blood glucose level measured over a 3 month period from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | percentage change in blood glucose level (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -1.67 |
DAPA (Dapagliflozin Plus Placebo) | -1.46 |
PCB (Placebo Plus Placebo) | 0.44 |
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Mean Oral Glucose Tolerance Test (OGTT)
Measure of change in OGTT from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | mg/dl (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -49.62 |
DAPA (Dapagliflozin Plus Placebo) | -44.24 |
PCB (Placebo Plus Placebo) | 20.26 |
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Change in BMI
Change in BMI (body mass index) from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | Kg/m^2 (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -0.8 |
DAPA (Dapagliflozin Plus Placebo) | -0.66 |
PCB (Placebo Plus Placebo) | 0.16 |
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Change in Free Fatty Acids (FFA)
Measure of change in Free Fatty Acids from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | mEq/L (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -0.06 |
DAPA (Dapagliflozin Plus Placebo) | -0.01 |
PCB (Placebo Plus Placebo) | 0.00 |
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Change in Body Weight
Change in body weight from baseline to 16 weeks (NCT02613897)
Timeframe: Baseline to 16 weeks
Intervention | Kg (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -2.28 |
DAPA (Dapagliflozin Plus Placebo) | -1.76 |
PCB (Placebo Plus Placebo) | 0.26 |
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Change in Fasting Plasma Glucagon (FPG)
A measure of the change in fasting plasma glucagon from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | mg/dl (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -28.52 |
DAPA (Dapagliflozin Plus Placebo) | 26.89 |
PCB (Placebo Plus Placebo) | 6.88 |
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Change in Endogenous Glucose Production (EGP)
All subjects received a Double-Tracer Oral Glucose Tolerance Test (OGTT) with 75g of glucose containing 14C-glucose together with intravenous primed-continuous infusion of 3(3H)-glucose for 240 minutes, at baseline (prior to) and after 16 weeks of therapy. Blood and urine samples were obtained during the OGTT to determine EGP. (NCT02613897)
Timeframe: Baseline and 16 weeks
Intervention | mg/kg*min (Mean) |
---|
| Baseline Measurement | 16 weeks |
---|
DAPA (Dapagliflozin Plus Placebo) | 2.56 | 2.8 |
,DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | 2.45 | 2.4 |
,PCB (Placebo Plus Placebo) | 1.95 | 2.15 |
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Change in Glucose Oxidation
Change in percentage of glucose oxidation from study start to 16 weeks (NCT02613897)
Timeframe: Change from baseline to 16 weeks
Intervention | percentage of oxidation (Mean) |
---|
DAPA/SAXA (Dapagliflozin Plus Saxagliptin) | -22.07 |
DAPA (Dapagliflozin Plus Placebo) | -46.54 |
PCB (Placebo Plus Placebo) | 4.65 |
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Matsuda Sensitivity Index Derived From the OGTT(SI OGTT)
The SI IOGTT is a measure of peripheral insulin sensitivity derived from the values of Insulin (microunits per milliliter) and Glucose (milligrams per deciliter) obtained from the OGTT and the corresponding fasting values. SI (OGTT) = 10,000/ [(G fasting x I fasting) x (G OGTTmean x I OGTTmean)], where fasting glucose and insulin data are taken from time 0 of the OGTT and mean data represent the average glucose and insulin values obtained during the entire OGTT. The square root is used to correct for nonlinear distribution of insulin, and 10,000 is a scaling factor in the equation. The higher value, the more sensitive to insulin. (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | index score (Mean) |
---|
Exenatide Once Weekly (EQW ) | 3.1 |
Dapagliflozin (DAPA) | 3.6 |
EQW Plus DAPA | 3.9 |
Dapagliflozin Plus Glucophage (MET ER) | 4.8 |
Phentermine /Topiramate (PHEN/ TPM) ER | 4.7 |
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OGTT Mean Blood Glucose (MBG)
Treatment effect on MBG measured during the oral glucose tolerance test (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
Exenatide Once Weekly (EQW ) | 118 |
Dapagliflozin (DAPA) | 126.4 |
EQW Plus DAPA | 112 |
Dapagliflozin Plus Glucophage (MET ER) | 119 |
Phentermine /Topiramate (PHEN/ TPM ER | 113 |
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Oral Disposition (Insulin Sensitivity-insulin Secretion) Index
An estimation of β-cell compensatory function, the insulin secretion-sensitivity index (IS-SI) will be derived by applying the concept of the oral disposition index to measurements obtained during the 2-h OGTT and calculated as the index of insulin secretion factored by insulin sensitivity (ΔINS/ΔPG 30 x Matsuda SIOGTT) from the OGTT. A higher score shows improved pancreatic insulin responsiveness relative to resistance. (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | index score (Mean) |
---|
Exenatide Once Weekly (EQW ) | 471 |
Dapagliflozin (DAPA) | 311 |
EQW Plus DAPA | 503 |
Dapagliflozin Plus Glucophage (MET ER) | 395 |
Phentermine /Topiramate (PHEN/ TPM) ER | 545 |
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Total Body Fat (%) by DEXA
Treatment impact on percent total body fat by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | percent fat mass (Mean) |
---|
Exenatide Once Weekly (EQW ) | 46.1 |
Dapagliflozin (DAPA) | 46.4 |
EQW Plus DAPA | 45.8 |
Dapagliflozin Plus Glucophage (MET ER) | 46.1 |
Phentermine /Topiramate (PHEN/ TPM) ER | 45.2 |
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Total Cholesterol Levels
Treatment effect on blood concentrations of total cholesterol (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
Exenatide Once Weekly (EQW ) | 189 |
Dapagliflozin (DAPA) | 186 |
EQW Plus DAPA | 185 |
Dapagliflozin Plus Glucophage (MET ER) | 192 |
Phentermine /Topiramate (PHEN/ TPM) ER | 178 |
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Total Fat Mass (kg) Evaluated by DEXA
Treatment impact on total fat mass by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | kilogram (Mean) |
---|
Exenatide Once Weekly (EQW ) | 47.6 |
Dapagliflozin (DAPA) | 47.8 |
EQW Plus DAPA | 45.9 |
Dapagliflozin Plus Glucophage (MET ER) | 48 |
Phentermine /Topiramate (PHEN/ TPM) ER | 44.5 |
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Total Testosterone Concentrations
Treatment effect on blood concentrations of total testosterone (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | ng/dL (Mean) |
---|
Exenatide Once Weekly (EQW ) | 38.8 |
Dapagliflozin (DAPA) | 35 |
EQW Plus DAPA | 42.6 |
Dapagliflozin Plus Glucophage (MET ER) | 39.5 |
Phentermine /Topiramate (PHEN/ TPM) ER | 45.5 |
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Triglyceride (TRG) Levels
Treatment effect on blood concentrations of triglycerides (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
Exenatide Once Weekly (EQW ) | 130 |
Dapagliflozin (DAPA) | 132 |
EQW Plus DAPA | 112 |
Dapagliflozin Plus Glucophage (MET ER) | 105 |
Phentermine /Topiramate (PHEN/ TPM) ER | 110 |
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Trunk/Leg Fat Ratio by DEXA
Treatment impact on trunk/limb ratio (measure of central adiposity) by DEXA (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | ratio (Mean) |
---|
Exenatide Once Weekly (EQW ) | 1.03 |
Dapagliflozin (DAPA) | .95 |
EQW Plus DAPA | .93 |
Dapagliflozin Plus Glucophage (MET ER) | .98 |
Phentermine /Topiramate (PHEN/ TPM) ER | .99 |
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Waist-to-Height Ratio (WHtR)
Treatment impact on WHtR which is a measure of central adiposity (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | ratio (Mean) |
---|
Exenatide Once Weekly (EQW ) | .64 |
Dapagliflozin (DAPA) | .61 |
EQW Plus DAPA | .65 |
Dapagliflozin Plus Glucophage (MET ER) | .61 |
Phentermine /Topiramate (PHEN/ TPM) ER | .59 |
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Waist-to-Hip Ratio (WHR)
Treatment impact on central adiposity after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | ratio (Mean) |
---|
Exenatide Once Weekly (EQW ) | .83 |
Dapagliflozin (DAPA) | .79 |
EQW Plus DAPA | .86 |
Dapagliflozin Plus Glucophage (MET ER) | .83 |
Phentermine /Topiramate (PHEN/ TPM) ER | .81 |
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Corrected First Phase Insulin Secretion (IGI/HOMA-IR)
Treatment effect on insulin secretion from 0 to 30 minutes after glucose load corrected for by fasting insulin sensitivity. A higher score shows improved first phase insulin secretion in response to glucose (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | index score (Mean) |
---|
Exenatide Once Weekly (EQW ) | 1.03 |
Dapagliflozin (DAPA) | 0.6 |
EQW Plus DAPA | 0.91 |
Dapagliflozin Plus Glucophage (MET ER) | 0.7 |
Phentermine /Topiramate (PHEN/ TPM) ER | 1.1 |
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Dehydroepiandrosterone Sulfate (DHEA-S) Levels
Treatment effect on blood concentrations of DHEA-S (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | mcg/dL (Mean) |
---|
Exenatide Once Weekly (EQW ) | 165 |
Dapagliflozin (DAPA) | 187 |
EQW Plus DAPA | 169 |
Dapagliflozin Plus Glucophage (MET ER) | 189 |
Phentermine /Topiramate (PHEN/ TPM) ER | 201 |
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Diastolic Blood Pressure (DBP)
Treatment effect on DBP after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | mmHg (Mean) |
---|
Exenatide Once Weekly (EQW ) | 81 |
Dapagliflozin (DAPA) | 79.8 |
EQW Plus DAPA | 76 |
Dapagliflozin Plus Glucophage (MET ER) | 82 |
Phentermine /Topiramate (PHEN/ TPM) ER | 83.6 |
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Fasting Blood Glucose
Treatment impact on fasting concentration of glucose in the blood (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | mg/dL (Mean) |
---|
Exenatide Once Weekly (EQW ) | 91 |
Dapagliflozin (DAPA) | 93 |
EQW Plus DAPA | 86.5 |
Dapagliflozin Plus Glucophage (MET ER) | 89 |
Phentermine /Topiramate (PHEN/ TPM ER | 91.4 |
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Fasting Insulin Sensitivity (HOMA-IR)
Treatment effect on the ratio HOMA-IR which is insulin resistance measure derived from fasting blood glucose and insulin and is calculated by insulin (mU/ml)*glucose (mmol/L)/22,5. The higher thenumber the more insulin resistant. (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | index score (Mean) |
---|
Exenatide Once Weekly (EQW ) | 3.7 |
Dapagliflozin (DAPA) | 3.6 |
EQW Plus DAPA | 2.6 |
Dapagliflozin Plus Glucophage (MET ER) | 3.3 |
Phentermine /Topiramate (PHEN/ TPM) ER | 3.4 |
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Free Androgen Index (FAI)
Treatment effect on FAI calculated from total testosterone divided by sex hormone binding globulin (SHBG) levels. A higher score indicates a worse outcome. (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | index score (Mean) |
---|
Exenatide Once Weekly (EQW ) | 5.3 |
Dapagliflozin (DAPA) | 4.7 |
EQW Plus DAPA | 5.2 |
Dapagliflozin Plus Glucophage (MET ER) | 5.7 |
Phentermine /Topiramate (PHEN/ TPM) ER | 5 |
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Change in Percent Body Weight
Treatment effect on change in percent body weight from baseline (NCT02635386)
Timeframe: Change from baseline (time 0) to study end (24 weeks)
Intervention | percentage change in body weight (Mean) |
---|
Exenatide Once Weekly (EQW ) | 3.8 |
Dapagliflozin (DAPA) | 1.5 |
EQW Plus DAPA | 6.9 |
Dapagliflozin Plus Glucophage (MET ER) | 1.7 |
Phentermine /Topiramate (PHEN/ TPM) ER | 8.1 |
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Central Adiposity (Waist Circumference)
Treatment effect on loss of central adiposity after 24 weeks (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | centimeters (Mean) |
---|
Exenatide Once Weekly (EQW ) | 104 |
Dapagliflozin (DAPA) | 101 |
EQW Plus DAPA | 106 |
Dapagliflozin Plus Glucophage (MET ER) | 101.3 |
Phentermine /Topiramate (PHEN/ TPM) ER | 97 |
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Body Mass Index (BMI)
Treatment efficacy in reducing body mass at 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | kilogram/meter squared (Mean) |
---|
Exenatide Once Weekly (EQW ) | 37.3 |
Dapagliflozin (DAPA) | 37.4 |
EQW Plus DAPA | 36.7 |
Dapagliflozin Plus Glucophage (MET ER) | 37 |
Phentermine /Topiramate (PHEN/ TPM) ER | 35.3 |
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Android-Gynoid Ratio (AGR) as Determined by DEXA
treatment impact on measure of central adiposity as determined by android/gynoid ratio (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | ratio (Mean) |
---|
Exenatide Once Weekly (EQW ) | 1.07 |
Dapagliflozin (DAPA) | 1.02 |
EQW Plus DAPA | 1.04 |
Dapagliflozin Plus Glucophage (MET ER) | 1.04 |
Phentermine /Topiramate (PHEN/ TPM) ER | 1.03 |
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Absolute Body Weight
Treatment effect on body weight at 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks of treatment
Intervention | kilogram (Mean) |
---|
Exenatide Once Weekly (EQW ) | 100.4 |
Dapagliflozin (DAPA) | 102.6 |
EQW Plus DAPA | 99 |
Dapagliflozin Plus Glucophage (MET ER) | 101.2 |
Phentermine /Topiramate (PHEN/ TPM) ER | 97 |
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Systolic Blood Pressure (SBP)
Treatment effect on SBP after 24 weeks of treatment (NCT02635386)
Timeframe: 24 weeks treatment
Intervention | mmHg (Mean) |
---|
Exenatide Once Weekly (EQW ) | 123.6 |
Dapagliflozin (DAPA) | 123 |
EQW Plus DAPA | 122 |
Dapagliflozin Plus Glucophage (MET ER) | 128 |
Phentermine /Topiramate (PHEN/ TPM) ER | 124 |
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Time to Reach Maximum Plasma Concentration (t Max)
To characterize and compare the pharmacokinetic profiles of dapagliflozin and metformin when administered as the 2 fixed-dose combination formulations and in the fed and fasted states. (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | Hour (Median) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 2.50 | 6.00 |
,Treatment B | 3.00 | 6.00 |
,Treatment C | 1.00 | 4.00 |
,Treatment D | 1.00 | 4.00 |
,Treatment E | 2.00 | 4.00 |
,Treatment F | 2.00 | 4.00 |
,Treatment G | 1.00 | 4.00 |
,Treatment H | 1.00 | 4.00 |
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Apparent Volume of Distribution During the Terminal Phase After Extravascular Administration [Vz/F]
To characterize and compare the pharmacokinetic profiles of dapagliflozin and metformin when administered as the 2 fixed-dose combination formulations and in the fed and fasted states. (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | L (Mean) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 21.62 | 93.78 |
,Treatment B | 20.55 | 94.89 |
,Treatment C | 20.32 | 118.1 |
,Treatment D | 19.68 | 116.9 |
,Treatment E | 21.93 | 123.5 |
,Treatment F | 21.22 | 130.5 |
,Treatment G | 20.49 | 134.9 |
,Treatment H | 20.00 | 140 |
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Apparent Total Body Clearance After Extravascular Administration Estimated as Dose Divided by AUC [CL/F]
To characterize and compare the pharmacokinetic profiles of dapagliflozin and metformin when administered as the 2 fixed-dose combination formulations and in the fed and fasted states. (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | L/h (Mean) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 421.3 | 2030 |
,Treatment B | 424.4 | 2133 |
,Treatment C | 412.7 | 2104 |
,Treatment D | 454.6 | 2803 |
,Treatment E | 476.5 | 3357 |
,Treatment F | 433.3 | 3324 |
,Treatment G | 441.7 | 3635 |
,Treatment H | 421.4 | 3212 |
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Area Under Plasma Concentration-time Curve [AUC] Under Fasted or Fed State
To evaluate the Bioequivalence for Dapagliflozin and Metformin following administration Dapagliflozin/Metformin XR 5/500 mg and 10/1000 mg Manufactured at Mt. Vernon plant, US, Compared to Humacao plant, Puerto Rico, in the Fasted or Fed state. (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | h*ng/mL (Geometric Mean) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 236.3 | 5484 |
,Treatment B | 248.6 | 5465 |
,Treatment C | 251.6 | 4398 |
,Treatment D | 258.2 | 4460 |
,Treatment E | 471.9 | 8403 |
,Treatment F | 486.9 | 8015 |
,Treatment G | 504.4 | 7727 |
,Treatment H | 516.6 | 7578 |
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AUC From Time Zero to Time of Last Quantifiable Concentration [AUC (0-t)] Under Fasted or Fed State.
To evaluate the Bioequivalence for Dapagliflozin and Metformin following administration Dapagliflozin/Metformin XR 5/500 mg and 10/1000 mg Manufactured at Mt. Vernon plant, US, Compared to Humacao plant, Puerto Rico, in the Fasted or Fed state (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | h*ng/mL (Geometric Mean) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 228.1 | 5307 |
,Treatment B | 239.1 | 5205 |
,Treatment C | 243.4 | 4211 |
,Treatment D | 248.8 | 4212 |
,Treatment E | 454.7 | 8040 |
,Treatment F | 472.1 | 7798 |
,Treatment G | 490.9 | 7456 |
,Treatment H | 505.1 | 7401 |
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Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve [t½λz]
To characterize and compare the pharmacokinetic profiles of dapagliflozin and metformin when administered as the 2 fixed-dose combination formulations and in the fed and fasted states. (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | Hour (h) (Mean) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 14.01 | 13.48 |
,Treatment B | 14.65 | 12.87 |
,Treatment C | 13.73 | 11.91 |
,Treatment D | 16.55 | 13.52 |
,Treatment E | 14.88 | 14.18 |
,Treatment F | 14.42 | 13.74 |
,Treatment G | 14.72 | 14.38 |
,Treatment H | 15.11 | 15.94 |
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Observed Maximum Plasma Concentration [Cmax] Under Fasted or Fed State
To evaluate the Bioequivalence for Dapagliflozin and Metformin following administration Dapagliflozin/Metformin XR 5/500 mg and 10/1000 mg Manufactured at Mt. Vernon plant, US, Compared to Humacao plant, Puerto Rico, in the Fasted or Fed state (NCT02637037)
Timeframe: Days 1 to 3: pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose for each treatment period
Intervention | ng/mL (Geometric Mean) |
---|
| Dapagliflozin | Metformin |
---|
Treatment A | 39.69 | 510.2 |
,Treatment B | 41.33 | 503.4 |
,Treatment C | 65.28 | 563.2 |
,Treatment D | 67.41 | 573.9 |
,Treatment E | 87.48 | 982.6 |
,Treatment F | 90.14 | 975.5 |
,Treatment G | 125.6 | 1016 |
,Treatment H | 132.7 | 998.5 |
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Difference in the Average of the 6- and 12-week Mean N-terminal Pro B-type Natriuretic Peptide (NTproBNP).
Difference in the average of the 6- and 12-week mean N-terminal pro B-type natriuretic peptide (NTproBNP). (NCT02653482)
Timeframe: Average of Week 6 and Week 12
Intervention | pg/dL (Mean) |
---|
Dapagliflozin | 1133 |
Dapagliflozin Matching Placebo | 1191 |
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Percentage of Patients That Achieve a ≥ 5-point Increase in Heart Failure Disease Specific Quality of Life (Assessed Using Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS)) or a ≥ 20% Decrease in NTproBNP Over 12 Weeks
"A composite of the percentage of patients that achieved a meaningful improvement in health status (≥5-point increase in average of 6- and 12-week KCCQ-OS) or NT-proBNP (≥20% decrease in average of 6- and 12-week NT-proBNP).~The KCCQ is a disease-specific health status instrument composed of 23 items that quantifies the domains of physical limitations, symptoms, self-efficacy, social limitation and quality of life from heart failure. Scores range from 0-100, in which higher scores reflect better health status. For the KCCQ overall summary score, a small but clinically meaningful change is considered to be ≥ 5 points." (NCT02653482)
Timeframe: Average of Week 6 and Week 12
Intervention | % of participants (Number) |
---|
Dapagliflozin | 61.5 |
Dapagliflozin Matching Placebo | 50.4 |
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Percentage of Patients With a ≥ 5-point Increase in Kansas City Cardiomyopathy Questionnaire - Overall Summary Score (KCCQ-OS) and a ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide (NTproBNP)
The KCCQ is a disease-specific health status instrument composed of 23 items that quantifies the domains of physical limitations, symptoms, self-efficacy, social limitation and quality of life from heart failure. Scores range from 0-100, in which higher scores reflect better health status. For the KCCQ overall summary score, a small but clinically meaningful change is considered to be ≥ 5 points. (NCT02653482)
Timeframe: Average of Week 6 and Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 20 |
Dapagliflozin Matching Placebo | 17 |
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Change in 6 Minute Walk Score Over 12 Weeks.
Change in 6 minute walk score over 12 weeks as measured at Week 6 and Week 12. The 6 minute walk test measures the distance in meters that a patient can quickly walk on a flat, hard surface in a period of 6 minutes. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | meters (Mean) |
---|
| 6-minute walk distance - 6 weeks | 6-minute walk distance - 12 weeks |
---|
Dapagliflozin | 297.1 | 303.7 |
,Dapagliflozin Matching Placebo | 289.6 | 301.3 |
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Change in Brain Natriuretic Peptide (BNP) Over 12 Weeks.
Change in BNP over 12 weeks as measured at Week 6 and Week 12 as measured at Week 6 and Week 12. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | pg/mL (Mean) |
---|
| BNP - week 6 | BNP - week 12 |
---|
Dapagliflozin | 236 | 228 |
,Dapagliflozin Matching Placebo | 265 | 272 |
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Change in Hemoglobin A1c (HbA1c) Over 12 Weeks.
Change in HbA1c over 12 weeks as measured at Week 6 and Week 12. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | percentage of glycated hemoglobin (Mean) |
---|
| HbA1c - week 6 | HbA1c - week 12 |
---|
Dapagliflozin | 6.9 | 6.9 |
,Dapagliflozin Matching Placebo | 7.1 | 7.1 |
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Change in Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS) Over 12 Weeks.
Change in Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS) over 12 weeks as measured at Week 6 and Week 12.The KCCQ is a disease-specific health status instrument composed of 23 items that quantifies the domains of physical limitations, symptoms, self-efficacy, social limitation and quality of life from heart failure. Scores range from 0-100, in which higher scores reflect better health status. For the KCCQ overall summary score, a small but clinically meaningful change is considered to be ≥ 5 points. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | score on a scale (Mean) |
---|
| KCCQ-OS - week 6 | KCCQ-OS - week 12 |
---|
Dapagliflozin | 71.1 | 72.6 |
,Dapagliflozin Matching Placebo | 70.1 | 68.9 |
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Percentage of Patients With a ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide (NTproBNP)
Percentage of patients with a ≥ 20% decrease in NTproBNP as measured at Week 6 and Week 12. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | Participants (Count of Participants) |
---|
| NTproBNP decrease ≥ 20 % at Week 6 | NTproBNP decrease ≥ 20 % at Week 12 |
---|
Dapagliflozin | 43 | 55 |
,Dapagliflozin Matching Placebo | 42 | 37 |
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Change in Weight Over 12 Weeks
Change in weight over 12 weeks as measured at Week 6 and Week 12. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | kg (Mean) |
---|
| Weight - week 6 | Weight - week 12 |
---|
Dapagliflozin | 96.0 | 96.3 |
,Dapagliflozin Matching Placebo | 96.6 | 96.6 |
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Change in Systolic Blood Pressure Over 12 Weeks
Change in systolic blood pressure over 12 weeks as measured at Week 6 and Week 12. (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | mm Hg (Mean) |
---|
| Systolic Blood Pressure - week 6 | Systolic Blood Pressure - week 12 |
---|
Dapagliflozin | 119.2 | 120.9 |
,Dapagliflozin Matching Placebo | 121.1 | 119.8 |
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Percentage of Patients With a ≥ 5-point Increase in Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS)
"Percentage of patients with a ≥ 5-point increase in Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OS) as measured at Week 6 and Week 12.~The KCCQ is a disease-specific health status instrument composed of 23 items that quantifies the domains of physical limitations, symptoms, self-efficacy, social limitation and quality of life from heart failure. Scores range from 0-100, in which higher scores reflect better health status. For the KCCQ overall summary score, a small but clinically meaningful change is considered to be ≥ 5 points." (NCT02653482)
Timeframe: Baseline to Week 6 and Week 12
Intervention | Participants (Count of Participants) |
---|
| Week 6 - Improvement in KCCQ-OS | Week 12 - Improvement in KCCQ-OS |
---|
Dapagliflozin | 59 | 54 |
,Dapagliflozin Matching Placebo | 46 | 41 |
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Change in Total Body Weight at 24 Weeks
To demonstrate the effect of the co-administered saxagliptin 5 mg and dapagliflozin 5 mg to saxagliptin 5 mg on total body weight after 24 weeks. Results were presented for the modified full analysis set. (NCT02681094)
Timeframe: Baseline and week 24
Intervention | Kilograms (Kg) (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -2.01 |
Saxagliptin + Metformin | -0.41 |
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Change in Fasting Plasma Glucose at 24 Weeks
To demonstrate the effect of the co-administered saxagliptin 5 mg and dapagliflozin 5mg to either agent individually on fasting plasma glucose after 24 weeks. Results were presented for the modified full analysis set. (NCT02681094)
Timeframe: Baseline and week 24
Intervention | Milligrams per deciliter (mg/dL) (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -27.53 |
Dapagliflozin + Metformin | -19.95 |
Saxagliptin + Metformin | -12.66 |
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Change From Baseline in HbA1c at Week 24
"To demonstrate the superiority of the change from baseline HbA1c achieved with the co-administered saxagliptin 5 mg and dapagliflozin 5 mg to either agent individually after 24 weeks. Results were presented for the modified full analysis set.~Note: Baseline was defined as the last assessment on or prior to the date of the first dose of the study medication." (NCT02681094)
Timeframe: Baseline and week 24
Intervention | Percentage (%) (Least Squares Mean) |
---|
Dapagliflozin + Saxagliptin + Metformin | -1.03 |
Dapagliflozin + Metformin | -0.63 |
Saxagliptin + Metformin | -0.69 |
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Proportion of Participants Achieving HbA1c <7.0% at 24 Weeks
To demonstrate the effect of the co-administered saxagliptin 5 mg and dapagliflozin 5 mg to either agent individually on proportion of participants achieving therapeutic glycaemic response after 24 weeks. Therapeutic glycaemic response was defined as an HbA1c value at Week 24 <7.0% irrespective of whether participant received rescue medication. Risk difference for each treatment was calculated as adjusted response rate. Participants who did not had an HbA1c measurement at Week 24 were regarded as non-responders. Results were presented for the modified full analysis set. (NCT02681094)
Timeframe: Baseline and week 24
Intervention | Participants (Number) |
---|
Dapagliflozin + Saxagliptin + Metformin | 124 |
Dapagliflozin + Metformin | 63 |
Saxagliptin + Metformin | 83 |
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Fractional Excretion of Glucose in % of Filtered Glucose
Calculated fractional excretions with measured GFR (see above) and urinary and plasma concentrations of glucose. Fractional excretion in % of filtered glucose (NCT02682563)
Timeframe: 12 weeks
Intervention | % of filtered glucose (Mean) |
---|
Dapagliflozin 10mg Once Daily | 31.1 |
Gliclazide Modified Release 30mg Once Daily | 0.6 |
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Body Weight
Measured in kilograms (NCT02682563)
Timeframe: 12 weeks
Intervention | kilograms (Mean) |
---|
Dapagliflozin 10mg Once Daily | 93.7 |
Gliclazide Modified Release 30mg Once Daily | 99.6 |
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Effective Renal Plasma Flow (ERPF) in ml/Min
Calculated from urinary and plasma para-aminohippurate concentrations, ERPF in ml/min (NCT02682563)
Timeframe: 12 weeks
Intervention | ml/min (Mean) |
---|
Dapagliflozin 10mg Once Daily | 639 |
Gliclazide Modified Release 30mg Once Daily | 678 |
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Fractional Excretion of Potassium in % of Filtered Potassium
Calculated fractional excretions with measured GFR (see above) and urinary and plasma concentrations of potassium. Fractional excretion in % of filtered potassium (NCT02682563)
Timeframe: 12 weeks
Intervention | % of filtered potassium (Mean) |
---|
Dapagliflozin 10mg Once Daily | 13.6 |
Gliclazide Modified Release 30mg Once Daily | 11.8 |
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Fractional Excretion of Sodium in % of Filtered Sodium
Calculated fractional excretions with measured GFR (see above) and urinary and plasma concentrations of sodium. Fractional excretion in % of filtered sodium (NCT02682563)
Timeframe: 12 weeks
Intervention | % of filtered sodium (Mean) |
---|
Dapagliflozin 10mg Once Daily | 0.74 |
Gliclazide Modified Release 30mg Once Daily | 0.66 |
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Glomerular Filtration Rate (GFR) in ml/Min
Calculated from urinary and plasma inulin concentrations, GFR in ml/min (NCT02682563)
Timeframe: 12 weeks
Intervention | ml/min (Mean) |
---|
Dapagliflozin 10mg Once Daily | 104 |
Gliclazide Modified Release 30mg Once Daily | 109 |
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Kidney Injury Molecule-1 (KIM-1) in ng/mmol
KIM-1 (ng/mmol) measured in urine as a marker of renal damage (NCT02682563)
Timeframe: 12 weeks
Intervention | ng/mmol (Median) |
---|
Dapagliflozin 10mg Once Daily | 0.25 |
Gliclazide Modified Release 30mg Once Daily | 0.265 |
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Neutrophil Gelatinase-associated Lipocalin (NGAL)
NGAL (ng/mmoll) measured in urine as a marker of renal damage (NCT02682563)
Timeframe: 12 weeks
Intervention | ng/mmol (Median) |
---|
Dapagliflozin 10mg Once Daily | 3.76 |
Gliclazide Modified Release 30mg Once Daily | 3.79 |
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Systolic Blood Pressure
Blood pressure will be measured using an automated oscillometric blood pressure device (Dinamap®) in mmHg (NCT02682563)
Timeframe: 12 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin 10mg Once Daily | 129.2 |
Gliclazide Modified Release 30mg Once Daily | 131.1 |
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Urinary Albumin-Creatinine Ratio in mg/mmol
Calculated from measured urinary albumin and creatinin concentrations, in mg/mmol (NCT02682563)
Timeframe: 12 weeks
Intervention | mg/mmol (Median) |
---|
Dapagliflozin 10mg Once Daily | 0.88 |
Gliclazide Modified Release 30mg Once Daily | 0.54 |
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Insulin Sensitivity
"Insulin sensitivity will be calculated with Matsuda index and the entered values reflect the insulin sensitivity at week 12.~Matsuda Index value is used to indicate insulin resistance on diabetes. Insulin sensitivity was calculated with Matsuda index [10,000 / √glucose 0' x insulin 0') (mean glucose oral glucose tolerance test (OGTT) x mean insulin OGTT)]. The entered values reflect the insulin sensitivity" (NCT02700334)
Timeframe: Insulin Sensitivity at Week 12
Intervention | index (Mean) |
---|
Dapagliflozin | 2.63 |
Placebo | 1.94 |
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Postprandial Glucose
Postprandial glucose will be evaluated after a oral glucose tolerance test with enzymatic/colorimetric techniques and the entered values reflect the insulin sensitivity at week 12 (NCT02700334)
Timeframe: Postprandial Glucose levels at Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 8.4 |
Placebo | 8.7 |
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Systolic Blood Pressure
Systolic Blood pressure will be measured with a digital sphygmomanometer and the entered values reflect the blood pressure at week 12 (NCT02700334)
Timeframe: Systolic Blood Pressure at Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 124 |
Placebo | 123 |
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Total Cholesterol
Total cholesterol levels will be evaluated by enzymatic/colorimetric techniques and the entered values reflect the total cholesterol level at week 12 (NCT02700334)
Timeframe: Total Cholesterol levels at Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 4.8 |
Placebo | 4.7 |
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Total Insulin Secretion
"Total insulin secretion will be calculated with insulinogenic index and the entered values reflect the total insulin secretion at week 12.~The insulinogenic index is a ratio that relates enhancement of circulating insulin to the magnitude of the corresponding glycemic stimulus.~Total insulin secretion was calculated with the insulinogenic index (ΔABC insulin/ΔABC glucose), the entered values reflect the total insulin secretion" (NCT02700334)
Timeframe: Total Insulin Secretion at Week 12
Intervention | index (Mean) |
---|
Dapagliflozin | 0.50 |
Placebo | 0.67 |
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Uric Acid
Uric acid levels will be evaluated with enzymatic/colorimetric techniques at week 12 (NCT02700334)
Timeframe: Uric Acid levels at Week 12
Intervention | µmol/L (Mean) |
---|
Dapagliflozin | 261.7 |
Placebo | 303.4 |
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First Phase of Insulin Secretion
"The first phase of insulin secretion will be calculated with Stumvoll index and the entered values reflect the frst phase of insulin secretion at week 12. Human studies support the critical physiologic role of the first-phase of insulin secretion in the maintenance of postmeal glucose homeostasis.~First phase of insulin secretion was estimated using the Stumvoll index (1283+ 1.829 x insulin 30' - 138.7 x glucose 30' + 3.772 x insulin 0'), the entered values reflect the first phase of insulin secretion" (NCT02700334)
Timeframe: First Phase of Insulin Secretion at Week 12
Intervention | index (Mean) |
---|
Dapagliflozin | 1096 |
Placebo | 1379 |
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Fasting Glucose
The fasting glucose levels will be evaluated with enzymatic/colorimetric techniques and the entered values reflect the fasting glucose level at week 12 (NCT02700334)
Timeframe: Fasting Glucose levels at week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 5.1 |
Placebo | 5.9 |
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Diastolic Blood Pressure
Systolic Blood pressure will be measured with a digital sphygmomanometer and the entered values reflect the blood pressure at week 12 (NCT02700334)
Timeframe: Diastolic Blood Pressure at Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 77 |
Placebo | 74 |
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Creatinine
Creatinine levels will be evaluated with enzymatic/colorimetric techniques at week 12 (NCT02700334)
Timeframe: Creatinine levels at Week 12
Intervention | µmol/L (Mean) |
---|
Dapagliflozin | 79.6 |
Placebo | 61.9 |
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Body Weight
The body weight will be measured with a bioimpedance balance and the entered values reflect the body weight at week 12 (NCT02700334)
Timeframe: Body Weight at Week 12
Intervention | kg (Mean) |
---|
Dapagliflozin | 77.8 |
Placebo | 82.5 |
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Body Mass Index
Body Mas Index will be calculated with the Quetelet index formula and the entered values reflect the body mass index at week 12 (NCT02700334)
Timeframe: Body Mass Index at Week 12
Intervention | kg/m^2 (Mean) |
---|
Dapagliflozin | 29.2 |
Placebo | 32.6 |
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Aspartate Aminotransferase (AST)
AST levels will be evaluated with enzymatic/colorimetric techniques at week 12 (NCT02700334)
Timeframe: AST levels at Week 12
Intervention | IU/L (Mean) |
---|
Dapagliflozin | 29.3 |
Placebo | 27.7 |
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Alanine Aminotransferase (ALT)
ALT levels will be evaluated with enzymatic/colorimetric techniques at week 12 (NCT02700334)
Timeframe: ALT levels at Week 12
Intervention | IU/L (Mean) |
---|
Dapagliflozin | 29.3 |
Placebo | 27.7 |
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Triglycerides
Triglycerides levels will be evaluated with enzymatic/colorimetric techniques and the entered values reflect the triglycerides level at week 12 (NCT02700334)
Timeframe: Triglycerides levels at Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 1.5 |
Placebo | 1.6 |
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Glycosylated Hemoglobin
Glycosylated hemoglobin will be evaluated by ELISA and the entered values reflect the glycosylated hemoglobin at week 12 (NCT02700334)
Timeframe: Glycosylated Hemoglobin at Week 12
Intervention | percentage (Mean) |
---|
Dapagliflozin | 5.7 |
Placebo | 5.9 |
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High Density Lipoprotein Cholesterol (HDL-c)
HDL-c levels will be evaluated with enzymatic/colorimetric techniques and the entered values reflect the c-HDL level at week 12 (NCT02700334)
Timeframe: HDL-c levels at Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 1.5 |
Placebo | 1.6 |
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Maximum Concentration (Cmax).
(NCT02722239)
Timeframe: Blood sampling 0 h, 30 min, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours and 72 hours after the dosing. Time interval for sampling is provided with pharmacokinetic characteristics of the product.
Intervention | ug/ml (Mean) |
---|
| Dapagliflozin Cmax [ug/ml]: Mean (± SD) | Metformin Cmax [ug/ml]: Mean (± SD) |
---|
Reference Product (R) | 95.975 | 986.93 |
,Test Product (T) | 90.883 | 1030.83 |
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Bioequivalence Consideration: 90% Confidence Intervals for the Test:Reference Geometric Least Squares Mean Ratios
The drugs are considered bioequivalent if the 90% confidence intervals for the Test : Reference products geometric least squares mean ratios of AUC, Cmax и Cmax/AUC parameters are in the range of 80% - 125%. (NCT02722239)
Timeframe: Blood sampling 0 h, 30 min, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours and 72 hours after the dosing. Time interval for sampling is provided with pharmacokinetic characteristics of the product.
Intervention | Geometric least squares mean ratio (%) (Least Squares Mean) |
---|
| Dapagliflozin AUC0-t % | Dapagliflozin Cmax % | Dapagliflozin Cmax/AUC0-t % | Metformin AUC0-t % | Metformin Cmax % | Metformin Cmax/AUC0-t % |
---|
T Drug vs R Drug | 99.0829 | 94.7712 | 95.6484 | 95.9105 | 104.3772 | 108.8277 |
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"Area Under the Concentration - Time Curve (AUC0-t)"
(NCT02722239)
Timeframe: Blood sampling 0 h, 30 min, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours and 72 hours after the dosing. Time interval for sampling is provided with pharmacokinetic characteristics of the product.
Intervention | ug/mL*h (Mean) |
---|
| Dapagliflozin AUC0-t [ug/mL*h]: Mean (± SD) | Metformin AUC0-t [ug/mL*h]: Mean (± SD) |
---|
Reference Product (R) | 511.293 | 9286.92 |
,Test Product (T) | 505.964 | 8858.52 |
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"Area Under the Concentration - Time Curve (AUC0-∞)"
(NCT02722239)
Timeframe: Blood sampling 0 h, 30 min, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours and 72 hours after the dosing. Time interval for sampling is provided with pharmacokinetic characteristics of the product.
Intervention | ug/mL*h (Mean) |
---|
| Dapagliflozin AUC0-∞ [ug/mL*h]: Mean (± SD) | Metformin AUC0-∞ [ug/mL*h]: Mean (± SD) |
---|
Reference Product (R) | 532.556 | 9612.23 |
,Test Product (T) | 521.295 | 9408.51 |
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Adverse Events
Adverse events data for Dapagliflozin + Metformin, modified-release film-coated tablets, 10 mg + 1000 mg (AstraZeneca AB, Sweden) and for co-administered Forxiga™ (Dapagliflozin), film-coated tablets, 10 mg, (Bristol Myers Squibb Company, USA) and Glucophage® long (Metformin), XR tablets, 500 mg/2 tablets (Merck Santé S.A.S, France) (NCT02722239)
Timeframe: AE information will be collected from the time of the first dosing to the last study procedure made in the hospital, approximately 1 month
Intervention | adverse event (Number) |
---|
Test Product (T) | 34 |
Reference Product (R) | 31 |
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Percentage of Participants With Baseline Glycated Haemoglobin (HbA1c) >= 7% Who Achieved HbA1c Level < 7% at Week 24
(NCT02725593)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Number) |
---|
Dapagliflozin 10mg/ Dapagliflozin 10mg | 25.0 |
Placebo/ Dapagliflozin 10mg | 4.2 |
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Adjusted Change From Baseline in Glycated Haemoglobin (HbA1c) at Week 24
(NCT02725593)
Timeframe: Baseline to Week 24
Intervention | Percentage of HbA1c (Least Squares Mean) |
---|
Dapagliflozin 10mg/ Dapagliflozin 10mg | -0.25 |
Placebo/ Dapagliflozin 10mg | 0.50 |
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Percentage of Participants Who Required Glycemic Rescue Medication or Permanently Discontinued Treatment Due to Lack of Glycemic Control
(NCT02725593)
Timeframe: Baseline to Week 24
Intervention | Percentage of participants (Number) |
---|
Dapagliflozin 10mg/ Dapagliflozin 10mg | 5.1 |
Placebo/ Dapagliflozin 10mg | 9.1 |
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Adjusted Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
(NCT02725593)
Timeframe: Baseline to Week 24
Intervention | mmol/L (Least Squares Mean) |
---|
Dapagliflozin 10mg/ Dapagliflozin 10mg | -0.07 |
Placebo/ Dapagliflozin 10mg | 0.72 |
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Change in Blood Pressure From Baseline to 6 Weeks Measured by ABPM
Blood pressure was measured at baseline with a 24 hour ambulatory blood pressure machine (ABPM), and again after 6 weeks of treatment. (NCT02796170)
Timeframe: Baseline to 6 weeks
Intervention | mmHg (Mean) |
---|
| Systolic Blood pressure | Diastolic blood pressure |
---|
Dapagliflozin | -10.72 | -3.34 |
,Placebo | 1.94 | 1.56 |
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Change in Urinary AGT Levels From Baseline to 6 Weeks
Urinary Angiotensinogen (AGT) was measured through the collection of 24 hour urine at baseline and again after 6 weeks of treatment. Angiotensinogen was normalized to creatinine. (NCT02796170)
Timeframe: Baseline to 6 weeks
Intervention | ng/mg (Mean) |
---|
Dapagliflozin | 53.85 |
Placebo | 39.69 |
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GFR (Glomerular Filtration Rate) Change After Treatment
Change from baseline in GFR after treatment from baseline to 4 months (NCT02911792)
Timeframe: 4 months
Intervention | ml/min/1.73m^2 (Mean) |
---|
Dapagliflozin/Hyperfiltration | 22 |
Metformin/Hyperfiltration | 1 |
Dapagliflozin/Normofiltration | 8 |
Metformin/Normofiltration | 0 |
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Changes in Measures of Heart Rate Variability (HRV) Using Dapagliflozin vs Active Comparator Glimepiride.
"Changes in measures of HRV as defined by: Time domain measures of HRV (continuous variables): (i) standard deviation of the normal RR interval (SDNN) (msec) and (ii) root mean square of the differences of successive RR intervals (rmsSD) (msec).~Time domain (SDNN and rmsSD) measures of the normal R-R intervals are derived from HRV studies using a physiologic monitor (Nightingale PPM2; Zoe Medical Inc.) under paced breathing, reflecting parasympathetic activity.~Time domain measures of the normal R-R intervals, basically reflecting parasympathetic activity, include: the difference between the longest and shortestR-R interval, standard deviation of 5-min average of normal R-R intervals (SDANN), root-mean square of the difference of successive R-R intervals (rMSSD)." (NCT02973477)
Timeframe: 12 weeks on each intervention
Intervention | msec (Mean) |
---|
| SDNN before treatment | SDNN after treatment | rmsSD before treatment | rmsSD after treatment |
---|
Participants Who Received Dapagliflozin Intervention | 40.72 | 37.74 | 26.91 | 24.30 |
,Participants Who Received Glimepiride Intervention | 39.75 | 36.46 | 25.14 | 24.63 |
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Changes in Measures of Cardiac Autonomic Reflex Testing (CARTs)
Changes in CARTs as defined by: i) expiration/inspiration (E/I) ratio, ii) Valsalva ratio and iii) 30:15 ratio. Cardiovascular autonomic reflex tests assess the cardiovascular autonomic function using provocative physiological maneuvers under paced breathing [R-R response to breathing (E:I ratio), to Valsalva maneuver (Valsalva ratio) and to postural changes (30:15 ratio)] at baseline and at the end of each study drug period using a physiologic monitor (Nightingale PPM2; Zoe Medical Inc.). (NCT02973477)
Timeframe: 12 weeks on each intervention
Intervention | ratio (Mean) |
---|
| E/I ratio before treatment | EI ratio after treatment | Valsalva ratio before treatment | Valsalva ratio after treatment | 30:15 ratio before treatment | 30:15 ratio after treatment |
---|
All Participants Who Received Dapagliflozin | 1.13 | 1.14 | 1.50 | 1.60 | 1.17 | 1.14 |
,All Participants Who Received Glimiperide | 1.14 | 1.14 | 1.44 | 1.58 | 1.14 | 1.14 |
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Changes in Measure of Heart Rate Variability Using Dapagliflozin vs Active Comparator Glimepiride.
Heart Rate Variability, as shown by the difference of the LF:HF ratio from baseline to 12 weeks per arm (two 12-week periods with a 2-week washout period. The frequency domain measures [ low-frequency (LF) power (0.04-0.15 Hz), high-frequency (HF) power (0.15-0.4 Hz), and LF:HF ratio] are obtained by spectral analysis of R-R interval from continuous electrocardiogram recordings to evaluate for sympathetic/parasympathetic (autonomic nervous function) balance. (NCT02973477)
Timeframe: from first baseline to end of 12 weeks' treatment and from second baseline (following 2 weeks of washout) to end of 12 weeks' treatment
Intervention | LF:HF ratio (Mean) |
---|
| value at 12 weeks minus value at 1st baseline | value at 26 weeks minus value at 2nd baseline |
---|
First Dapagliflozin Then Glimepiride | -0.18 | 0.26 |
,First Glimepiride Then Dapagliflozin | -0.34 | 0.26 |
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Change in B-type Natriuretic Peptide With Each Intervention as a Measure of Left Ventricular Function
Changes in B-type Natriuretic Peptide (BNP) with each intervention as a measure of left ventricular function. (NCT02973477)
Timeframe: 12 weeks for each intervention
Intervention | pg/ml (Mean) |
---|
| BNP before treatment | BNP after treatment |
---|
All Participants Who Received Dapagliflozin | 12.72 | 14.76 |
,All Participants Who Received Glimepiride | 16.93 | 15.49 |
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Change in Endogenous Glucose Production (EGP) After 16 Weeks of Treatment With Each Study Drug.
"After screening, eligible subjects will receive a measurement of endogenous glucose production (EGP) with a prime-continuous infusion of 3-3H-glucose. The EGP measurement will be performed in the morning after a 10-12 hour overnight fast and will last 8.5 hours (from 6 AM to 2:30 PM). After a 3.5-hour tracer equilibration period, subjects (20 per group) will receive one of the following medications: (i) exenatide 5 ug subcutaneously; (ii) dapagliflozin (10 mg); and (iii) dapagliflozin 10 mg + exenatide 5 ug. Only three groups will be followed for 16 weeks since subjects are diabetic and placebo is not appropriate to use for this period. Again, subjects will be randomized to treatment with either exenatide, dapagliflozin or both drugs in combination. Repeat EGP will be measured again at 16 weeks as described above and data will be compared to respective acute studies." (NCT02981069)
Timeframe: 16 weeks
Intervention | mg/kg.min (Mean) |
---|
EXENATIDE | -0.23 |
Dapagliflozin | 0.20 |
Exenatide Plus Dapagliflozin | -0.12 |
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Change in Endogenous Glucose Production (EGP) After Acute Exposure to a Single Dose and Again After 16 Weeks of Treatment
After screening, eligible subjects will receive a measurement of endogenous glucose production (EGP) with a prime-continuous infusion of 3-3H-glucose. The EGP measurement will be performed in the morning after a 10-12 hour overnight fast and will last 8.5 hours (from 6 AM to 2:30 PM). After a 3.5-hour tracer equilibration period, subjects (20 per group) will receive one of the following medications: (i) placebo; (ii) exenatide 5 ug subcutaneously; (iii) dapagliflozin (10 mg); and (iv) dapagliflozin 10 mg + exenatide 5 ug [ACUTE STUDY]. (NCT02981069)
Timeframe: ACUTE [after a single dose of each study drug or placebo]
Intervention | mg/kg.min (Mean) |
---|
EXENATIDE | -0.18 |
Dapagliflozin | 0.14 |
Exenatide Plus Dapagliflozin | -0.08 |
Placebo | -0.03 |
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Change in Fasting Plasma Glucose (FPG) Concentration
The change in (FPG) above baseline following administration of study interventions after 16 weeks of treatment with each study drug(s) compared to data obtained during the acute exposure. Placebo arm was not included in this 16 week portion of the study, since subjects are diabetic. Only 3 arms of the study were conducted: (i) Byetta/Bydureon, (ii) Dapagliflozin (iii) Byetta/Bydureon plus Dapagliflozin. (NCT02981069)
Timeframe: 16 weeks
Intervention | mg/dl (Mean) |
---|
Byetta / Bydureon | 42 |
Dapagliflozin | 72 |
Byetta/Bydureon Plus Dapagliflozin | 11 |
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Change in Plasma Glucagon Concentration
Measurement of change in plasma glucagon concentration after 16 weeks of treatment with each study drug(s) compared to acute exposure at baseline. Placebo arm was not included in this 16 week portion of the study, since subjects are diabetic. Only 3 arms of the study were conducted: (i) Byetta/Bydureon, (ii) Dapagliflozin (iii) Byetta/Bydureon plus Dapagliflozin. (NCT02981069)
Timeframe: Baseline to 16 weeks
Intervention | pg/ml (Mean) |
---|
Dapa+Exe | 4 |
Dapa | 5 |
Exenatide | -6 |
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Change in Plasma Insulin Concentration
Measurement of change in plasma insulin concentration from baseline to 16 weeks following treatment with each study drug(s). Placebo arm was not included in this 16 week portion of the study, since subjects are diabetic. Only 3 arms of the study were conducted: (i) Byetta/Bydureon, (ii) Dapagliflozin (iii) Byetta/Bydureon plus Dapagliflozin. (NCT02981069)
Timeframe: Baseline to 16 weeks
Intervention | microUnits/ml (Mean) |
---|
Dapa+Exe | -2 |
Dapa | -2 |
Exenatide | 3 |
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Renal Glucose Production Measurement of Change
Renal Glucose Production in T2DM and NGT subjects after dapagliflozin/placebo administration (NCT02981966)
Timeframe: Baseline to 3 weeks
Intervention | mg/kg.min (Mean) |
---|
| Baseline | 3 weeks |
---|
Normal Glucose Tolerance (NGT) on Dapagliflozin | 0.03 | 0.09 |
,Normal Glucose Tolerance (NGT) Placebo | 0.03 | 0.14 |
,T2DM Individuals on Dapagliflozin | 0.09 | 0.17 |
,T2DM Individuals on Placebo | 0.01 | 0.03 |
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Endogenous Glucose Production Measurement
Endogenous Glucose Production NGT subjects after dapagliflozin administration. Measured as free plasma glucose (NCT02981966)
Timeframe: 3 weeks
Intervention | mg/dl (Mean) |
---|
T2DM Individuals on Dapagliflozin | 155 |
T2DM Individuals on Placebo | 121 |
Normal Glucose Tolerance (NGT) on Dapagliflozin | 104 |
Normal Glucose Tolerance (NGT) Placebo | 98 |
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Change in Plasma Insulin Concentrations: Study 1
Plasma insulin concentrations during measurement of EGP (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | microUnits/mL (Mean) |
---|
Dapagliflozin | 5 |
Placebo | 3 |
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Change in Plasma Glucose Using a Pancreatic Clamp: Study 3
Change from Baseline to the last hour of the study (240-300 minutes) in plasma glucose using a pancreatic clamp. In this study, EGP will be measured as described in Study 1 and plasma insulin and glucagon concentrations will be clamped at the basal level using the pancreatic clamp technique. Plasma glucose concentration will be allowed to decrease spontaneously after dapagliflozin or placebo administration. Somastatin will be infused with glucagon and insulin to replace basal plasma glucagon and insulin until study end. (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/dl (Mean) |
---|
Dapagliflozin 10mg | -30 |
Placebo | -7 |
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Change in Plasma Glucose Measurement Using a Glucose Clamp: Study 2
Change from baseline to the last hour of the study (240-300 minutes) in plasma glucose for study 2: EGP plus glucose clamp. The glucose clamp technique is achieved by increase plasma glucose concentration to 125 mg/dl above basal levels by a continuous infusion of glucose. This hyperglycemic plateau is maintained by adjustment of a variable glucose infusion, based on the rate of insulin secretion and glucose metabolism. Because the plasma glucose concentration is held constant, the glucose infusion rate is an index of insulin secretion and glucose metabolism. The 3-3H-glucose infusion will be started at 6 AM to measure the basal rate of EGP. After a 3 hour tracer equilibration period (at 9 AM) subjects will receive dapagliflozin (10 mg) or placebo, and the plasma glucose conc will be measured every 5 minutes for 5 hours (from 9AM to 2 PM) (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/dl (Mean) |
---|
Dapagliflozin 10mg | 3 |
Placebo | 1 |
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Change in Glucagon: Study 1
Change in glucagon concentrations during measurement of EGP (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | ng/ml (Mean) |
---|
Dapagliflozin | 5 |
Placebo | -1 |
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Change in Glucagon Using Pancreatic Clamp: Study 3
Measurement of change in plasma glucagon from baseline to one hour prior to end of study while using a pancreatic clamp. In this study, EGP will be measured as described in Study 1 and plasma insulin and glucagon concentrations will be clamped at the basal level using the pancreatic clamp technique. Plasma glucose concentration will be allowed to decrease spontaneously after dapagliflozin or placebo administration. Somastatin will be infused with glucagon and insulin to replace basal plasma glucagon and insulin until study end. (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | ng/ml (Mean) |
---|
Dapagliflozin | -1 |
Placebo | -2 |
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Change in EGP: Study 1
Change from baseline to the last hour of the study (240-300 minutes) in EGP (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/kg.min (Mean) |
---|
Dapagliflozin | 0.10 |
Placebo | -0.56 |
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Change in EGP With Pancreatic Clamp: Study 3
Change from baseline to the last hour of the study (240-300 minutes) of EGP with a pancreatic clamp. In this study, EGP will be measured as described in Study 1 and plasma insulin and glucagon concentrations will be clamped at the basal level using the pancreatic clamp technique. Plasma glucose concentration will be allowed to decrease spontaneously after dapagliflozin or placebo administration. Somastatin will be infused with glucagon and insulin to replace basal plasma glucagon and insulin until study end.VIn this study, EGP will be measured as described in Study 1 and plasma insulin and glucagon concentrations will be clamped at the basal level using the pancreatic clamp technique. Plasma glucose concentration will be allowed to decrease spontaneously after dapagliflozin or placebo administration. Somastatin will be infused with glucagon and insulin to replace basal plasma glucagon and insulin until study end. (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/kg.min (Mean) |
---|
Dapagliflozin 10mg | -0.23 |
Placebo | -0.48 |
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Change in EGP With Glucose Clamp: Study 2
Change from baseline to the last hour of the study (240-300 minutes) in EGP using a glucose clamp. The glucose clamp technique is achieved by increase plasma glucose concentration to 125 mg/dl above basal levels by a continuous infusion of glucose. This hyperglycemic plateau is maintained by adjustment of a variable glucose infusion, based on the rate of insulin secretion and glucose metabolism. Because the plasma glucose concentration is held constant, the glucose infusion rate is an index of insulin secretion and glucose metabolism. The 3-3H-glucose infusion will be started at 6 AM to measure the basal rate of EGP. After a 3 hour tracer equilibration period (at 9 AM) subjects will receive dapagliflozin (10 mg) or placebo, and the plasma glucose conc will be measured every 5 minutes for 5 hours (from 9AM to 2 PM) (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/kg.min (Mean) |
---|
Dapagliflozin 10mg | -0.57 |
Placebo | -1.28 |
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Change in Glucagon Using Glucose Clamp: Study 2
Plasma glucagon concentration during measurement of EGP using a glucose clamp. The glucose clamp technique is achieved by increase plasma glucose concentration to 125 mg/dl above basal levels by a continuous infusion of glucose. This hyperglycemic plateau is maintained by adjustment of a variable glucose infusion, based on the rate of insulin secretion and glucose metabolism. Because the plasma glucose concentration is held constant, the glucose infusion rate is an index of insulin secretion and glucose metabolism. (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | ng/ml (Mean) |
---|
Dapagliflozin | -6 |
Placebo | -7 |
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Plasma Insulin Concentrations During Measurement of EGP Plus Glucose Clamp: Study 2
Plasma insulin concentration is measured from baseline to the last hour of the study while using a glucose clamp. The glucose clamp technique is achieved by increase plasma glucose concentration to 125 mg/dl above basal levels by a continuous infusion of glucose. This hyperglycemic plateau is maintained by adjustment of a variable glucose infusion, based on the rate of insulin secretion and glucose metabolism. Because the plasma glucose concentration is held constant, the glucose infusion rate is an index of insulin secretion and glucose metabolism. The 3-3H-glucose infusion will be started at 6 AM to measure the basal rate of EGP. After a 3 hour tracer equilibration period (at 9 AM) subjects will receive dapagliflozin (10 mg) or placebo, and the plasma glucose conc will be measured every 5 minutes for 5 hours (from 9AM to 2 PM) (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | microUnits/mL (Mean) |
---|
Dapagliflozin | 0 |
Placebo | 0 |
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Measurement of the Change in Plasma Glucose (mg/dL): Study 1
Change from baseline to the last hour of the study (240-300 minutes) in plasma glucose concentration (NCT02984644)
Timeframe: Baseline to 240-300 minutes
Intervention | mg/dl (Mean) |
---|
Dapagliflozin 10mg | -29 |
Placebo | -17 |
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Change in Plasma Insulin While Using Pancreatic Clamp: Study 3
Plasma insulin concentration during measurement of EGP while using pancreatic clamp. In this study, EGP will be measured as described in Study 1 and plasma insulin and glucagon concentrations will be clamped at the basal level using the pancreatic clamp technique. Plasma glucose concentration will be allowed to decrease spontaneously after dapagliflozin or placebo administration. Somastatin will be infused with glucagon and insulin to replace basal plasma glucagon and insulin until study end. (NCT02984644)
Timeframe: Baseline to last hour of the study
Intervention | microUnits/mL (Mean) |
---|
Dapagliflozin | 2 |
Placebo | 0 |
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24-hours Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 117 |
Placebo | 120 |
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Coefficient of Variation of 24-hours, Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Percentage of Coefficient of variability (Mean) |
---|
Dapagliflozin | 12.3 |
Placebo | 11.3 |
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Number of Participants With a Dipper Reverse Circadian Blood Pattern at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 1 |
Placebo | 2 |
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Number of Participants With a Nondipper Circadian Blood Pressure Pattern at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 4 |
Placebo | 8 |
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Number of Participants With Prediabetes at Week 12
Prediabetes was diagnosed with the criteria of the American Diabetes Association. (NCT03006471)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 7 |
Placebo | 2 |
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Number of Participants With Prediabetes Plus Prehypertension at Week 12
Criteria of the American Diabetes Association and Eighth Joint National Committee were used to diagnosed prediabetes and prehypertension. (NCT03006471)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 4 |
Placebo | 0 |
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24-hours Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 73 |
Placebo | 75 |
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Coefficient of Variation Nighttime, Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 11 p.m. to 8 a.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Percentage of Coefficient of variability (Mean) |
---|
Dapagliflozin | 8.4 |
Placebo | 10.6 |
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Average Real Variability of Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 6.8 |
Placebo | 7.0 |
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Average Real Variability of Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 10.0 |
Placebo | 9.2 |
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Body Mass Index at Week 12
Body Mas Index was calculated with the Quetelet index formula (NCT03006471)
Timeframe: Week 12
Intervention | kg/m^2 (Mean) |
---|
Dapagliflozin | 28 |
Placebo | 29 |
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Fasting Plasma Glucose Levels at Week 12
The fasting glucose levels was evaluated with enzymatic/colorimetric techniques (NCT03006471)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 5.8 |
Placebo | 6.1 |
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Body Weight at Week 12
The body weight was measured with a bioimpedance balance (NCT03006471)
Timeframe: Week 12
Intervention | kg (Mean) |
---|
Dapagliflozin | 73 |
Placebo | 78 |
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Coefficient of Variation Daytime, Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 8 a.m. to 11 p.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Percentage of Coefficient of variability (Mean) |
---|
Dapagliflozin | 10.2 |
Placebo | 9.2 |
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Number of Participants With Prehypertension at Week 12
Prehypertension was diagnosed with the criteria of the Eighth Joint National Committee. (NCT03006471)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 7 |
Placebo | 1 |
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Coefficient of Variation Daytime, Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 8 a.m to 11 p.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Percentage of Coefficient of variability (Mean) |
---|
Dapagliflozin | 7.7 |
Placebo | 8.4 |
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Office of Diastolic Blood Pressure at Week 12
Blood pressure was measured using the Omron 907-E digital sphygmomanometer (Healthcare, Inc.) (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 75 |
Placebo | 82 |
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Office Systolic Blood Pressure at Week 12
Blood pressure was measured using the Omron 907-E digital sphygmomanometer (Healthcare, Inc.) (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 119 |
Placebo | 130 |
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Systolic Blood Pressure Weighted Standard Deviation at Week 12
Blood pressure variability will be evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 9.8 |
Placebo | 10.3 |
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Glycated Hemoglobin A1c (A1C) at Week 12
A1C was evaluated by Enzyme-Linked ImmunoSorbent Assay (ELISA) (NCT03006471)
Timeframe: Week 12
Intervention | percentage of A1C (Mean) |
---|
Dapagliflozin | 5.4 |
Placebo | 5.9 |
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Nighttime Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 11 p.m. to 8 a.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 67 |
Placebo | 72 |
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Coefficient of Variation Nighttime, Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 11 p.m. to 8 a.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Percentage of Coefficient of variability (Mean) |
---|
Dapagliflozin | 12.3 |
Placebo | 13.5 |
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Nighttime Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 11 p.m to 8 a.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 108 |
Placebo | 115 |
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Nighttime Mean Arterial Pressure at Week 12
The Mean Arterial Pressure was evaluated with ambulatory blood pressure monitoring (ABPM) from 11 p.m. to 8 a.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 84 |
Placebo | 87 |
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Nocturnal Hypertensive Load at Week 12
The Hypertensive Load was evaluated with ambulatory blood pressure monitoring (ABPM) from 11 p.m. to a.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | percentage of hypertensive load (Mean) |
---|
Dapagliflozin | 38.1 |
Placebo | 52.0 |
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Number of Participants With a Dipper Circadian Blood Pressure Pattern at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 8 |
Placebo | 3 |
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2-hours Plasma Glucose After a Oral Glucose Tolerance Test at Week 12
2-hours plasma glucose after a oral glucose tolerance test (75 g of glucose load). Glucose was evaluated with enzymatic/ colorimetric technique (NCT03006471)
Timeframe: Week 12
Intervention | mmol/L (Mean) |
---|
Dapagliflozin | 7.8 |
Placebo | 8.3 |
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Coefficient of Variation of 24-hours, Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | Percentage of Coefficient of variability (Mean) |
---|
Dapagliflozin | 9.9 |
Placebo | 9.5 |
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Daytime Diastolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 8 a.m. to p.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 76 |
Placebo | 77 |
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Daytime Hypertensive Load at Week 12
The hypertensive load was evaluated with ambulatory blood pressure monitoring (ABPM) from 8 a.m. to 11 p.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | percentage of hypertensive load (Mean) |
---|
Dapagliflozin | 28.6 |
Placebo | 34.1 |
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Daytime Mean Arterial Pressure at Week 12
The mean arterial pressure was evaluated with ambulatory blood pressure monitoring (ABPM) from 8 a.m. to 11 p.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 92 |
Placebo | 92 |
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Daytime Systolic Blood Pressure at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) from 8 am. to 11 p.m. by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 121 |
Placebo | 122 |
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Diastolic Blood Pressure Weighted Standard Deviation at Week 12
Blood pressure variability was evaluated with ambulatory blood pressure monitoring (ABPM) for 24 hours by oscillometric method Microlife WatchBP O3 (NCT03006471)
Timeframe: Week 12
Intervention | mmHg (Mean) |
---|
Dapagliflozin | 8.0 |
Placebo | 8.3 |
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Effect of Dapagliflozin, as Compared With Placebo, on Proportion of Patients With ≥ 5 Point Increase in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CS) and ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide(NTproBNP)
Proportion of patients with a ≥ 5 point increase in KCCQ-CS and a ≥ 20% decrease in NTproBNP at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 23 |
Placebo | 15 |
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Effect of Dapagliflozin, as Compared With Placebo, on N-terminal Pro B-type Natriuretic Peptide (NTproBNP)
NTproBNP at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | pg/mL (Mean) |
---|
Dapagliflozin | 733 |
Placebo | 739 |
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Effect of Dapagliflozin, as Compared With Placebo, on Hemoglobin A1c
Hemoglobin A1c at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | Percent (Mean) |
---|
Dapagliflozin | 6.5 |
Placebo | 6.6 |
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Effect of Dapagliflozin, as Compared With Placebo, on Brain Natriuretic Peptide (BNP)
BNP at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | pg/mL (Mean) |
---|
Dapagliflozin | 147 |
Placebo | 147 |
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Effect of Dapagliflozin, as Compared With Placebo, on 6 Minute Walk Test Distance
6 minute walk test distance at 12 weeks. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | meters (Mean) |
---|
Dapagliflozin | 262 |
Placebo | 242 |
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Effect of Dapagliflozin, as Compared With Placebo, on Weight
Weight at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | kilograms (Mean) |
---|
Dapagliflozin | 101.3 |
Placebo | 102.1 |
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Effect of Dapagliflozin, as Compared With Placebo, on the Proportion of Patients With a ≥ 5 Point Increase in KCCQ Clinical Summary Score (KCCQ-CS) and KCCQ Overall Summary Score (KCCQ-OS)
"Proportion of patients with a ≥ 5 point increase in KCCQ-CS and KCCQ-OS at Week 12.~The KCCQ is a disease-specific health status instrument composed of 23 items that quantifies the domains of physical limitations, symptoms, self-efficacy, social limitation and quality of life from heart failure. Scores range from 0-100, in which higher scores reflect better health status. For KCCQ-CS and KCCQ-OS, a small but clinically meaningful change is considered to be ≥ 5 points.~Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction." (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | Participants (Count of Participants) |
---|
| KCCQ-CS increase ≥ 5 points | KCCQ-OS increase ≥ 5 points |
---|
Dapagliflozin | 69 | 75 |
,Placebo | 53 | 58 |
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Effect of Dapagliflozin, as Compared With Placebo, on the Proportion of Patients With a ≥ 20% Decrease in N-terminal Pro B-type Natriuretic Peptide (NTproBNP)
Proportion of patients with a ≥ 20% decrease in NTproBNP at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 48 |
Placebo | 44 |
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Effect of Dapagliflozin, as Compared With Placebo, on Systolic Blood Pressure
Systolic blood pressure at Week 12. Values have been adjusted for the corresponding baseline value, history of type 2 diabetes, sex, atrial fibrillation, baseline estimated glomerular filtration rate and left ventricular ejection fraction. (NCT03030235)
Timeframe: Baseline to Week 12
Intervention | mm Hg (Mean) |
---|
Dapagliflozin | 133 |
Placebo | 133 |
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Subjects Included in the Composite Endpoint of CV Death or Hospitalization Due to Heart Failure.
Secondary (NCT03036124)
Timeframe: Up to 27.8 months.
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 382 |
Placebo | 495 |
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Subjects Included in the Composite Endpoint of ≥50% Sustained Decline in eGFR, ESRD or Renal Death.
Secondary (NCT03036124)
Timeframe: Up to 27.8 months.
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 28 |
Placebo | 39 |
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Events Included in the Composite Endpoint of Recurrent Hospitalizations Due to Heart Failure and CV Death.
Secondary (NCT03036124)
Timeframe: Up to 27.8 months.
Intervention | events (Number) |
---|
Dapa 10 mg | 567 |
Placebo | 742 |
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Change From Baseline in the KCCQ Total Symptom Score
KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. The KCCQ total symptom score incorporates the symptom domains into a single score. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. (NCT03036124)
Timeframe: Baseline and 8 months or death before 8 months
Intervention | Scores on a scale (Mean) |
---|
Dapa 10 mg | 6.1 |
Placebo | 3.3 |
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Subjects Included in the Endpoint of All-cause Mortality.
Secondary (NCT03036124)
Timeframe: Up to 27.8 months.
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 276 |
Placebo | 329 |
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Subjects Included in the Composite Endpoint of CV Death, Hospitalization Due to Heart Failure or Urgent Visit Due to Heart Failure.
Primary efficacy (NCT03036124)
Timeframe: Up to 27.8 months.
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 386 |
Placebo | 502 |
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Time to the First Occurrence of Either of the Components of the Composite: CV Death or Hospitalization for Heart Failure.
The proportional hazards Cox regression model takes into account the time to the event. Data is reported as the numbers of subjects with the event and the Hazard ratio is included in the Statistical Analysis section attached to the Outcome Measure data table. (NCT03036150)
Timeframe: Up to 38.2 months
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 100 |
Placebo | 138 |
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Time to the First Occurrence of Any of the Components of the Composite: ≥50% Sustained Decline in eGFR or Reaching ESRD or Renal Death.
"End Stage Renal Disease (ESRD) is defined as:~Sustained eGFR <15 mL/min/1.73m2 or,~Chronic dialysis treatment or,~Receiving a renal transplant The proportional hazards Cox regression model takes into account the time to the event. Data is reported as the numbers of subjects with the event and the Hazard ratio is included in the Statistical Analysis section attached to the Outcome Measure data table." (NCT03036150)
Timeframe: Up to 38.2 months
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 142 |
Placebo | 243 |
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Time to the First Occurrence of Any of the Components of the Composite: ≥50% Sustained Decline in eGFR or Reaching ESRD or CV Death or Renal Death.
"End Stage Renal Disease (ESRD) is defined as:~Sustained eGFR <15 mL/min/1.73m2 or,~Chronic dialysis treatment or,~Receiving a renal transplant The proportional hazards Cox regression model takes into account the time to the event. Data is reported as the numbers of subjects with the event and the Hazard ratio is included in the Statistical Analysis section attached to the Outcome Measure data table." (NCT03036150)
Timeframe: Up to 38.2 months
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 197 |
Placebo | 312 |
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Time to Death From Any Cause.
The proportional hazards Cox regression model takes into account the time to the event. Data is reported as the numbers of subjects with the event and the Hazard ratio is included in the Statistical Analysis section attached to the Outcome Measure data table. (NCT03036150)
Timeframe: Up to 38.2 months
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 101 |
Placebo | 146 |
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Change in Peripheral Insulin Sensitivity
Before and after 5 weeks of dapagliflozin on rosuvastatin background, measured as glucose disposal during hyperinsulinemic euglycemic clamp (NCT03074630)
Timeframe: 5 weeks
Intervention | umol/kg/min (Mean) |
---|
Dapagliflozin | 1.6 |
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Change in Plasma HDL Cholesterol
Change in plasma HDL cholesterol following dapagliflozin (NCT03074630)
Timeframe: 12 weeks
Intervention | mmol/L (Median) |
---|
Dapagliflozin | 0.08 |
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Change in Plasma LDL Cholesterol
Before and after 5 weeks of dapagliflozin on rosuvastatin background. (NCT03074630)
Timeframe: 5 weeks
Intervention | mmol/L (Median) |
---|
Dapagliflozin | -0.1 |
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Change in Plasma Triglycerides
Change in plasma Triglycerides following dapagliflozin (NCT03074630)
Timeframe: 5 weeks
Intervention | mmol/L (Median) |
---|
Dapagliflozin | 0.10 |
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Change in Total Cholesterol
Change in total cholesterol following dapagliflozin (NCT03074630)
Timeframe: 5 weeks
Intervention | mmol/L (Median) |
---|
Dapagliflozin | -0.01 |
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Urinary Glucose Excretion
Before and after 5 weeks of dapagliflozin on rosuvastatin background (NCT03074630)
Timeframe: 5 weeks
Intervention | mg/min (Median) |
---|
Dapagliflozin | 44 |
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Change in Plasma FFA
Change in plasma FFA following dapagliflozin (NCT03074630)
Timeframe: 5 weeks
Intervention | mmol/L (Median) |
---|
Dapagliflozin | 0.20 |
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Change in Extracellular Volume From End of Treatment to End of Follow-up
Change in extracellular volume from end of treatment (Day 14) to end of follow-up (Day 18). (NCT03152084)
Timeframe: From end of treatment (Day 14) to end of follow-up (Day 18)
Intervention | Litres (Median) |
---|
Group 2 | 0.1784 |
Group 3 | 0.1394 |
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Change in 24-hour Sodium Excretion From Baseline to Start of Treatment
Change in 24-hour sodium excretion during dapagliflozin treatment between baseline and average of Days 2 to 4 within each study group in patients with T2DM with preserved kidney function and in non-diabetics with impaired kidney function was assessed. (NCT03152084)
Timeframe: From baseline (Day -3 to Day -1) to start of treatment (Day 2 to Day 4)
Intervention | mmol/24 hour (Median) |
---|
Group 2 | -5.33 |
Group 3 | -27.67 |
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Change in 24-hour Glucose Excretion From Baseline to Start of Treatment
Average change in 24-hour glucose excretion from average baseline values to average start of treatment values (Day 2 to 4). (NCT03152084)
Timeframe: From baseline (Day -3 to Day -1) to start of treatment (Day 2 to 4)
Intervention | mmol/24 hour (Median) |
---|
Group 2 | 302.61 |
Group 3 | 43.93 |
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Pharmacokinetics of Dapagliflozin on Day 4 and Day 14
Dapagliflozin plasma concentration on Day 4 (pre-dose) and Day 14 (pre-dose, 1h, 2h, 4h post-dose) (NCT03152084)
Timeframe: At pre-dose (Day 4) and at pre-dose, 1h, 2h, 4h post-dose (Day 14)
Intervention | ng/mL (Geometric Mean) |
---|
| Day 4, Pre-dose | Day 14, Pre-dose | Day 14, 1 h | Day 14, 2 h | Day 14, 4 h |
---|
Group 2 | 4.58 | 4.54 | 57.46 | 46.47 | 29.71 |
,Group 3 | 19.78 | 15.26 | 63.83 | 60.41 | 47.83 |
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Number of Patients With AEs and SAEs
An AE is the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product. SAE is an AE that results in any untoward medical occurrence that results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability, or is a significant medical event. (NCT03152084)
Timeframe: From Day 1 until Day 18 (Follow-up)
Intervention | Patients (Number) |
---|
| Any AE | AEs judged as causally related to dapagliflozin | AEs leading to death | SAEs (including outcomes = death) | SAEs causally related to dapagliflozin | AEs leading to permanent discontinuation of dapagliflozin | SAEs leading to permanent discontinuation of dapagliflozin | Hypoglycaemia AEs | Hypoglycaemia AEs leading to permanent discontinuation of dapagliflozin |
---|
Group 2 | 6 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Group 3 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Change in 24-hour Urine Albumin:Creatinine Ratio (UACR)
Average change in mean 24-hour urine albumin:creatinine ratio (UACR) from average baseline to Day 4; and from average baseline values to average end of treatment values (Day 12 to 14). (NCT03152084)
Timeframe: From baseline (Day -3 to Day -1) to start of treatment (Day 4); and from baseline (Day -3 to Day-1) to end of treatment (Day 12 to 14)
Intervention | mg/mmol (Median) |
---|
| Start of treatment vs baseline | End of treatment vs baseline | Follow-up vs end of treatment |
---|
Group 2 | -0.07 | -0.04 | 0.07 |
,Group 3 | -5.83 | -7.28 | -0.19 |
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Change in 24-hour Sodium Excretion From Baseline to End of Treatment and From End of Treatment to Follow-up
Average change in 24-hour sodium excretion from average baseline values to average end of treatment values (Day 12 to 14); and from average end of treatment values (Day 12 to 14) to average values during follow-up (Day 15 to 17). (NCT03152084)
Timeframe: From baseline (Day -3 to Day -1) to end of treatment (Day 12 to 14); and from end of treatment (Day 12 to 14) to follow-up (Day 15 to 17)
Intervention | mmol/24 hour (Median) |
---|
| End of treatment vs baseline | Follow-up vs end of treatment |
---|
Group 2 | 2.67 | 1.33 |
,Group 3 | -23.83 | 6.17 |
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Change in Plasma Volume From End of Treatment to End of Follow-up
Change in plasma volume from end of treatment (Day 14) to end of follow-up (Day 18). (NCT03152084)
Timeframe: From end of treatment (Day 14) to end of follow-up (Day 18)
Intervention | Litres (Median) |
---|
Group 2 | 0.6464 |
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Change in Plasma Volume From Baseline to Start of Treatment
Change in plasma volume from baseline to start of treatment (Day 4). (NCT03152084)
Timeframe: From baseline (Day 1) to start of treatment (Day 4)
Intervention | Litres (Median) |
---|
Group 2 | -0.1440 |
Group 3 | -0.1139 |
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Change in Plasma Volume From Baseline to End of Treatment
Change in plasma volume from baseline to end of treatment (Day 14). (NCT03152084)
Timeframe: From baseline (Day 1) to end of treatment (Day 14)
Intervention | Litres (Median) |
---|
Group 2 | -0.2122 |
Group 3 | 2.0557 |
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Change in 24-hour Glucose Excretion From Baseline to End of Treatment
Average change in 24-hour glucose excretion from average baseline values to average end of treatment values (Day 12 to 14) (NCT03152084)
Timeframe: From baseline (Day -3 to Day -1) to end of treatment (Day 12 to 14)
Intervention | mmol/24 hour (Median) |
---|
Group 2 | 283.40 |
Group 3 | 29.88 |
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Change in 24-hour Glucose Excretion From End of Treatment to Follow-up
Average change in 24-hour glucose excretion from average end of treatment values (Day 12 to 14) to average values during follow-up (Day 15 to 17). (NCT03152084)
Timeframe: From end of treatment (Day 12 to 14) to follow-up (Day 15 to 17)
Intervention | mmol/24 hour (Median) |
---|
Group 2 | -168.43 |
Group 3 | -37.02 |
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Change in Mean 24-hour Systolic Blood Pressure From End of Treatment to End of Follow-up
Change in mean 24-hour systolic blood pressure from end of treatment (Day 13) to end of follow-up (Day 18). (NCT03152084)
Timeframe: From end of treatment (Day 13) to end of follow-up (Day 18)
Intervention | mmHg (Median) |
---|
Group 2 | 2.5140 |
Group 3 | -2.6590 |
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Change in Mean 24-hour Systolic Blood Pressure From Baseline to Start of Treatment
Change in mean 24-hour systolic blood pressure from baseline to start of treatment (Day 4) (NCT03152084)
Timeframe: From baseline (Day -1) to start of treatment (Day 4)
Intervention | mmHg (Median) |
---|
Group 2 | -5.4810 |
Group 3 | -8.9730 |
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Change in Mean 24-hour Systolic Blood Pressure From Baseline to End of Treatment
Change in mean 24-hour systolic blood pressure from baseline to end of treatment (Day 13). (NCT03152084)
Timeframe: From baseline (Day -1) to end of treatment (Day 13)
Intervention | mmHg (Median) |
---|
Group 2 | -5.9385 |
Group 3 | -10.3290 |
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Change in Extracellular Volume From Baseline to Start of Treatment
Change in extracellular volume from baseline to start of treatment (Day 4). (NCT03152084)
Timeframe: From baseline (Day 1) to start of treatment (Day 4)
Intervention | Litres (Median) |
---|
Group 2 | -0.5783 |
Group 3 | -0.4553 |
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Change in Extracellular Volume From Baseline to End of Treatment
Change in extracellular volume from baseline to end of treatment (Day 14). (NCT03152084)
Timeframe: From baseline (Day 1) to end of treatment (Day 14)
Intervention | Litres (Median) |
---|
Group 2 | 0.1248 |
Group 3 | -0.1427 |
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Change in Endogenous Glucose Production (EGP)
Renal transplant subjects with native kidneys intact underwent measurement of EGP with an 8 hour infusion of 3-3H-glucose on 2 separate days with the administration in random order of either dapagliflozin 10mg or placebo after 3 hours of the tracer equilibration period. The equilibration at 3 hours was considered the baseline measurement. Measurement of change in endogenous glucose production was obtained for all subjects. (NCT03168295)
Timeframe: baseline and 240-300 minutes
Intervention | mg/kg.min (Mean) |
---|
| Baseline Measurement Dapagliflozin | 240-300 minute measurement Dapagliflozin |
---|
Control Group | 2.5 | 2.6 |
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Change in Endogenous Glucose Production (EGP)
Renal transplant subjects with native kidneys intact underwent measurement of EGP with an 8 hour infusion of 3-3H-glucose on 2 separate days with the administration in random order of either dapagliflozin 10mg or placebo after 3 hours of the tracer equilibration period. The equilibration at 3 hours was considered the baseline measurement. Measurement of change in endogenous glucose production was obtained for all subjects. (NCT03168295)
Timeframe: baseline and 240-300 minutes
Intervention | mg/kg.min (Mean) |
---|
| Baseline Measurement Placebo | 240-300 minute measurement Placebo | Baseline Measurement Dapagliflozin | 240-300 minute measurement Dapagliflozin |
---|
Diabetic Subjects | 2.03 | 1.55 | 2.21 | 1.96 |
,Non-diabetic Subjects | 1.92 | 1.68 | 1.85 | 1.78 |
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Change in Fasting Plasma Glucose
Change in Fasting Plasma Glucose in Type 2 Diabetes Mellitus subjects only (NCT03168295)
Timeframe: baseline and 240-300 minutes
Intervention | mg/dL (Mean) |
---|
| Baseline Measurement Dapagliflozin | 240-300 minute measurement Dapagliflozin |
---|
Control Group | 135.7 | 106.6 |
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Change in Fasting Plasma Glucose
Change in Fasting Plasma Glucose in Type 2 Diabetes Mellitus subjects only (NCT03168295)
Timeframe: baseline and 240-300 minutes
Intervention | mg/dL (Mean) |
---|
| Baseline Measurement Placebo | 240-300 minute measurement Placebo | Baseline Measurement Dapagliflozin | 240-300 minute measurement Dapagliflozin |
---|
Diabetic Subjects | 143 | 124 | 143 | 112 |
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Change in Fasting Plasma Insulin
Change in Fasting Plasma Insulin in Type 2 Diabetes Mellitus subjects in diabetic subjects only (NCT03168295)
Timeframe: baseline and 240-300 minutes
Intervention | U/ml (Mean) |
---|
| Baseline Measurement Placebo | 240-300 minute measurement Placebo | Baseline Measurement Dapagliflozin | 240-300 minute measurement Dapagliflozin |
---|
Diabetic Subjects | 12 | 10 | 14 | 11 |
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Change in Fasting Plasma Insulin
Change in Fasting Plasma Insulin in Type 2 Diabetes Mellitus subjects in diabetic subjects only (NCT03168295)
Timeframe: baseline and 240-300 minutes
Intervention | U/ml (Mean) |
---|
| Baseline Measurement Dapagliflozin | 240-300 minute measurement Dapagliflozin |
---|
Control Group | 15.2 | 9.9 |
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Change From Baseline in Perception of Satiety at Week 12
Participants answered a satiety questionnaire before liquid meal primer, immediately post liquid meal primer, 60 minutes post liquid primer, immediately post breakfast buffet, 60 minutes, 120 minutes and 180 minutes post breakfast buffet. Responses how full do you feel right now? for 60 minutes post liquid meal primer ingestion are reported below. This was determined by using a visual analog scale. The left side of the analog scale represents a null answer (e.g. How full do you feel right now)? Answer 0: Not full at all. The right side of the line represented the strongest answer in the opposite direction (e.g. How full to you feel right now)? Answer 100: Extremely full. The length of the line is 100 mm, thus the scale ranges for all answers were 0-100. All values are reported as values between 0 and 100. If the answers to the fullness questions increased, this represented a decreased desire to eat. (NCT03180489)
Timeframe: Baseline, 12 weeks
Intervention | score on a scale (Mean) |
---|
| Baseline | 12 Weeks |
---|
Dapagliflozin With Dietary Counseling | 27 | 31 |
,Placebo With Dietary Counseling | 21 | 28 |
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Change From Baseline in Perception of Hunger at Week 12
Participants answered a hunger questionnaire before liquid meal primer, immediately post liquid meal primer, 60 minutes post liquid primer, immediately post breakfast buffet, 60 minutes, 120 minutes and 180 minutes post breakfast buffet. Responses to how hungry do you feel right now? for 60 minutes post liquid meal primer ingestion are reported below. This was determined by using a visual analog scale. The left side of the analog scale represents a null answer (e.g. How hungry do you feel right now? Answer 0: Not hungry at all. The right side of the line represented the strongest answer in the opposite direction (e.g. How full to you feel right now)? Answer 100: Extremely hungry. The length of the line is 100 mm, thus the scale ranges for all answers were 0-100. All values are reported as values between 0 and 100. If the answers to the fullness questions increased, this represented an increased desire to eat. (NCT03180489)
Timeframe: Baseline, 12 weeks
Intervention | score on a scale (Mean) |
---|
| Baseline | 12 Weeks |
---|
Dapagliflozin With Dietary Counseling | 42 | 39 |
,Placebo With Dietary Counseling | 53 | 53 |
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Change From Baseline in Insulin Sensitivity at Week 12 Via Oral Glucose Tolerance Test
Insulin sensitivity was estimated by measuring circulating insulin concentrations after a 12 hour fast and after ingesting 75 g of glucose. Insulin was measured 0, 30, 60, 90 and 120 minutes after glucose ingestion. Time point 0 minutes is reported below. (NCT03180489)
Timeframe: Baseline, 12 weeks
Intervention | mU/L (Mean) |
---|
| Baseline | 12 Weeks |
---|
Dapagliflozin With Dietary Counseling | 6.9 | 5.5 |
,Placebo With Dietary Counseling | 11.1 | 6.5 |
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Change From Baseline in Blood Pressure at Week 12
Blood pressure was measured with an automatic machine at baseline. Numbers are reported as systolic/diastolic (NCT03180489)
Timeframe: Baseline, 12 weeks
Intervention | mmHg (Mean) |
---|
| Systolic | Diastolic |
---|
Dapagliflozin With Dietary Counseling | 116 | 69 |
,Placebo With Dietary Counseling | 112 | 69 |
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Change From Baseline in Urinary Excretion of Serum UA (sUA) on Day 7
Change from baseline in sUA to assess the intensive UA lowering effect of RDEA3170, febuxostat and dapagliflozin by evaluating the sUA levels after 7 days of treatment. (NCT03316131)
Timeframe: At Day -1 and Day 7
Intervention | umol/L (Least Squares Mean) |
---|
Treatment Sequence A+B | -327.161 |
Treatment Sequence B+A | -264.851 |
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Change From Baseline in Peak Urinary Excretion of Uric Acid (UA) on Day 7
Change from baseline in peak UA excretion during the first 8 hours on Day 7 of treatment to assess the effects of intensive UA lowering therapy with verinurad, febuxostat and dapagliflozin. Urine sample was collected in hourly intervals, and the highest amount of UA excreted in any interval was designated as peak UA excretion for each patient and treatment period. (NCT03316131)
Timeframe: On Day -1 and Day 7 of each treatment period
Intervention | milligrams (mg) (Least Squares Mean) |
---|
Treatment Sequence A+B | -12.87 |
Treatment Sequence B+A | -13.15 |
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Change From Baseline in Area Under Plasma Concentration Time Curve From Time Zero to the Time of Last Measurable Concentration (AUClast) on Day 7
AUClast assessment for Verinurad, M1, and M8 following daily oral administration of verinurad and febuxostat with and without dapagliflozin (NCT03316131)
Timeframe: On Treatment Period 1 and 2: Day 7 (Pre-dose and 15 minutes, 30 minutes, 1 hour, 1.5, 2, 3, 4, 8, 12 and 24 hours post-dose)
Intervention | h∙ng/mL (Geometric Mean) |
---|
| Verinurad | M1 | M8 |
---|
Treatment Sequence A+B | 149.1 | 212.7 | 174.2 |
,Treatment Sequence B+A | 141.0 | 221.3 | 176.5 |
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Change From Baseline in Area Under Plasma Concentration Time Curve Over a Dosing Interval (24 Hours) (AUCτ) on Day 7
AUCτ assessment for Verinurad, M1, and M8 following daily oral administration of verinurad and febuxostat with and without dapagliflozin (NCT03316131)
Timeframe: On Treatment Period 1 and 2: Day 7 (Pre-dose and 15 minutes, 30 minutes, 1 hour, 1.5, 2, 3, 4, 8, 12 and 24 hours post-dose)
Intervention | h∙ng/mL (Geometric Mean) |
---|
| Verinurad | M1 | M8 |
---|
Treatment Sequence A+B | 149.0 | 212.6 | 174.1 |
,Treatment Sequence B+A | 140.9 | 221.1 | 176.3 |
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Change From Baseline in Plasma Concentration (Cmax) on Day 7
Cmax assessment for Verinurad, M1, and M8 following daily oral administration of verinurad and febuxostat with and without dapagliflozin (NCT03316131)
Timeframe: On Treatment Period 1 and 2: Day 7 (Pre-dose and 15 minutes, 30 minutes, 1 hour, 1.5, 2, 3, 4, 8, 12 and 24 hours post-dose)
Intervention | ng/mL (Geometric Mean) |
---|
| Verinurad | M1 | M8 |
---|
Treatment Sequence A+B | 17.52 | 25.28 | 18.45 |
,Treatment Sequence B+A | 15.26 | 25.61 | 18.42 |
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Change From Baseline in Time of Last Measurable Concentration (Tlast) on Day 7
tlast assessment for Verinurad, M1, and M8 following daily oral administration of verinurad and febuxostat with and without dapagliflozin (NCT03316131)
Timeframe: On Treatment Period 1 and 2: Day 7 (Pre-dose and 15 minutes, 30 minutes, 1 hour, 1.5, 2, 3, 4, 8, 12 and 24 hours post-dose)
Intervention | hour (Median) |
---|
| Verinurad | M1 | M8 |
---|
Treatment Sequence A+B | 24.00 | 24.00 | 24.00 |
,Treatment Sequence B+A | 24.00 | 24.00 | 24.00 |
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Change From Baseline in Time to Reach Maximum Observed Concentration (Tmax) on Day 7
tmax assessment for Verinurad, M1, and M8 following daily oral administration of verinurad and febuxostat with and without dapagliflozin (NCT03316131)
Timeframe: On Treatment Period 1 and 2: Day 7 (Pre-dose and 15 minutes, 30 minutes, 1 hour, 1.5, 2, 3, 4, 8, 12 and 24 hours post-dose)
Intervention | hour (Median) |
---|
| Verinurad | M1 | M8 |
---|
Treatment Sequence A+B | 4.00 | 4.00 | 4.00 |
,Treatment Sequence B+A | 4.00 | 4.00 | 4.00 |
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Change in EGP From Baseline to Post-oral Glucose Load.
The difference in rate of EGP during the last hour of the study (from 240-300 minutes) between drug-treatment and placebo treatment studies represents the effect of drug treatment on EGP, which will be compared among the 3 acute drug treatments (exenatide; dapagliflozin; exenatide plus dapagliflozin this data includes change in EGP above baseline following dapagliflozin alone vs dapagliflozin/exenatide) with ANOVA. (NCT03331289)
Timeframe: From baseline [-35 to 0min] to the last hour post-glucose load [240-300 minutes]
Intervention | mg/kg.min (Mean) |
---|
Placebo | -0.03 |
Exenatide | -0.18 |
Dapagliflozin | 0.14 |
Exenatide and Dapagliflozin | -0.08 |
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Body Composition (Fat Mass and Lean Mass) After 5 Weeks of Treatment
On Day 6, 7 or 8 of the end of treatment visit in both treatment periods, a Dual-energy X-ray absorptiometry (DEXA) scan was used to determine body composition. (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | grams (Least Squares Mean) |
---|
| Fat Mass | Lean Mass |
---|
Dapagliflozin 10 mg | 25318.3 | 59929.0 |
,Placebo | 25564.9 | 60595.4 |
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24-Hour Energy Expenditure After 5 Weeks of Treatment
Whole body energy expenditure was measured over a 24-hour period. (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | megajoules/day (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 9.519 |
Placebo | 9.628 |
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24-Hour RER After 5 Weeks of Treatment
RER was measured before and after meals over a 24-hour period. (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | ratio (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 0.812 |
Placebo | 0.835 |
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Body Composition (Total Mass) After 5 Weeks of Treatment
On Day 6, 7 or 8 of the end of treatment visit in both treatment periods a DEXA scan was used to determine body composition. (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | kilograms (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 85.248 |
Placebo | 86.504 |
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Change in Respiratory Exchange Ratio (RER) From Fasted State to Insulin Stimulated State After 5 Weeks of Treatment
During the indirect calorimetry of the EHC test, respiratory gas exchange was measured using open air circuit respirometry with an automated ventilated hood system. Metabolic flexibility was determined by the change in RER from fasted state to insulin stimulated state at the end of Treatment Periods 1 and 2 and results are presented as delta RER (basal vs high insulin). (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | ratio (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 0.101 |
Placebo | 0.089 |
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Corrected Glucose Disposal Rate (cGDR) Measured as Change in Rate of Disposal (Delta RD) Basal vs High Insulin After 5 Weeks of Treatment
Skeletal muscle insulin sensitivity was measured as cGDR (referred to as delta RD [basal vs high insulin]) using a 2-step 5.5 hour euglycemic hyperinsulinemic clamp (EHC) procedure in combination with infusion of D-glucose (6,6-D2) glucose. Delta RD (basal vs high insulin) was corrected for urinary glucose excretion and measured at the end of Treatment Periods 1 and 2. (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | micromole/kilogram body weight/minute (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 8.523 |
Placebo | 9.592 |
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Fibroblast Growth Factor 21 (FGF21) Area Under the Curve (AUC) in Plasma After 5 Weeks of Treatment
From the end of Day 1 until the morning of Day 3 of the end of each treatment visit, the patients stayed in the metabolic chamber (36 hours). During this stay FGF21 was measured in plasma before and after meals and before bed-time to determine the AUC (last 24 hours). (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | nanograms/liter/hour (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 3310.415 |
Placebo | 3554.716 |
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Change in Endogenous Glucose Production (EGP) After 5 Weeks of Treatment
A 2-step 5.5 hour EHC in combination with infusion of 6,6-D2 glucose was used to determine rates of EGP at the end of Treatment Periods 1 and 2. Results of the change in EGP are presented as delta EGP (basal vs low insulin and basal vs high insulin). (NCT03338855)
Timeframe: At end (Week 5) of Treatment Periods 1 and 2
Intervention | micromole/kilogram body weight/minute (Least Squares Mean) |
---|
| Delta EGP (basal vs low insulin) | Delta EGP (basal vs high insulin) |
---|
Dapagliflozin 10 mg | -4.656 | -10.803 |
,Placebo | -2.591 | -8.512 |
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Adjusted Mean Change From Baseline in Global Longitudinal Strain of the Left Ventricle (GLSLV) at End of Treatment.
Patients underwent magnetic resonance imaging (MRI) examination to determine the GLSLV, which is expressed as a percentage. The least square mean (LSM) change from baseline estimates were generated from an analysis of covariance (ANCOVA) model with treatment and baseline value of the endpoint as covariates. (NCT03387683)
Timeframe: Baseline (Day 1) and end of treatment (Day 42)
Intervention | Percentage of GLSLV (Least Squares Mean) |
---|
Dapagliflozin 10 mg | 0.30769 |
Placebo | -0.00352 |
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Adjusted Mean Change From Baseline in Myocardial Efficiency at End of Treatment.
A clinical radiologic assessment of acquired computed tomography and positron emission tomography (CTPET)-[11C]-acetate images was performed to determine myocardial efficiency. The myocardial efficiency calculation was based on an estimate of energy used for producing LV contractile work (mean arterial pressure (MAP) x stroke volume (SV) x heart rate (HR) / myocardial mass) compared to the total cardiac work (calculated based on the total myocardial oxygen consumption per myocardial mass) and is expressed as a percentage. The LSM change from baseline estimates, were generated from an ANCOVA model with treatment and baseline value of the endpoint as covariates. (NCT03387683)
Timeframe: Baseline (Day 1) and end of treatment (Day 42)
Intervention | Percentage of Myocardial Efficiency (Least Squares Mean) |
---|
Dapagliflozin 10 mg | -0.71474 |
Placebo | -2.46443 |
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Subjects Included in the Endpoint of All-cause Mortality
"Secondary efficacy~The analysis was assessed on Full Analysis Set, including deaths occurring on or prior to Primary Analysis Censoring Date." (NCT03619213)
Timeframe: Up to 42.1 months
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 497 |
Placebo | 526 |
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Change From Baseline in the KCCQ Total Symptom Score at 8 Months
KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. The KCCQ Total Symptom Score incorporates the symptom domains into a single score. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. (NCT03619213)
Timeframe: Baseline and 8 months or death before 8 months
Intervention | Scores on a scale (Mean) |
---|
Dapa 10 mg | 8.3 |
Placebo | 5.2 |
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Subjects Included in the Composite Endpoint of CV Death, Hospitalization Due to Heart Failure or Urgent Visit Due to Heart Failure.
"Dual primary efficacy~Primary endpoint analysed in all patients randomised (Full analysis set).~The analysis was assessed on Full Analysis Set, including events occurring on or prior to Primary Analysis Censoring Date." (NCT03619213)
Timeframe: Up to 42.1 months
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 512 |
Placebo | 610 |
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Subjects Included in the Composite Endpoint of CV Death, Hospitalization Due to Heart Failure or Urgent Visit Due to Heart Failure for LVEF <60% Subpopulation
"Dual primary efficacy~Primary endpoint analysed in all patients randomised with LVEF < 60% at baseline.~The analysis was assessed on Full Analysis Set, including events occurring on or prior to Primary Analysis Censoring Date." (NCT03619213)
Timeframe: Up to 42.1 months
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 381 |
Placebo | 440 |
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Events Included in the Composite Endpoint of CV Death or Recurrent Heart Failure Event (Hospitalization Due to Heart Failure or Urgent Heart Failure Visit) for LVEF <60% Subpopulation
"Secondary efficacy~Total number of heart failure events (first and recurrent) and cardiovascular death, analysed in all randomized patients with LVEF < 60% at baseline~The analysis was assessed on Full Analysis Set, including events occurring on or prior to Primary Analysis Censoring Date." (NCT03619213)
Timeframe: Up to 42.1 months
Intervention | Number of events (Number) |
---|
Dapa 10 mg | 605 |
Placebo | 782 |
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Events Included in the Composite Endpoint of CV Death or Recurrent Heart Failure Event (Hospitalization Due to Heart Failure or Urgent Heart Failure Visit)
"Secondary efficacy~Total number of heart failure events (first and recurrent) and cardiovascular death, analysed in all randomized patients.~The analysis was assessed on Full Analysis Set, including events occurring on or prior to Primary Analysis Censoring Date." (NCT03619213)
Timeframe: Up to 42.1 months
Intervention | Number of events (Number) |
---|
Dapa 10 mg | 815 |
Placebo | 1057 |
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Subjects Included in the Endpoint of Cardiovascular Death
"Secondary efficacy~The analysis was assessed on Full Analysis Set, including deaths occurring on or prior to Primary Analysis Censoring Date." (NCT03619213)
Timeframe: Up to 42.1 months
Intervention | Participants (Count of Participants) |
---|
Dapa 10 mg | 231 |
Placebo | 261 |
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Arterial Stiffness - Augmentation Index
"Augmentation index was calculated via tonometry with Sphygmocor Device (Pulse Wave Analysis). Augmentation index is calculated as the augmentation pressure (the amplitude of the reflected pulse wave) divided by the pulse pressure (systolic - diastolic) * 100 to give a percentage of pulse pressure. The software then calculates an estimated Augmentation Index at heart rate of 75 as a form of normalization. Lower values are generally preferred as they indicate more pliable and healthy arteries." (NCT03660683)
Timeframe: 16 Weeks
Intervention | percentage of pulse pressure (Mean) |
---|
| Aug Index | Aug Index @75 Heart Rate |
---|
Group A Dapa | 13.67 | 12 |
,Group B DapaSaxa | 34 | 30 |
,Placebo | 25.65 | 27.75 |
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Serum Insulin Level
Measured in fasting state at visit (NCT03660683)
Timeframe: 16 Weeks
Intervention | mcU/mL (Mean) |
---|
Group A Dapa | 15.5 |
Group B DapaSaxa | 15.8 |
Placebo | 20.2 |
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Serum Glucose
HbA1C (estimate of serum glucose over 3 months) (NCT03660683)
Timeframe: 16 Weeks
Intervention | percentage of hemoglobin (Mean) |
---|
Group A Dapa | 8.53 |
Group B DapaSaxa | 2.43 |
Placebo | 8.80 |
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Serum Glucose
Fasting Glucose level measured in serum (NCT03660683)
Timeframe: 16 Weeks
Intervention | mg/dL (Mean) |
---|
Group A Dapa | 113.5 |
Group B DapaSaxa | 106.4 |
Placebo | 184.8 |
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Renal Function
Microalbumin/Creatinine Ratio (Proteinuria) (NCT03660683)
Timeframe: 16 Weeks
Intervention | mcg/mg (Mean) |
---|
Group A Dapa | 37.3 |
Group B DapaSaxa | 13.22 |
Placebo | 158.48 |
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CD 34+ Cell Migratory Function
Proportion of cells that migrate through SDF1a in a transwell assay. This proportion is represented as a migratory rating scale from 0-1, with 1 being 100% of cells migrate. A larger value indicates better migratory function of the CD34+ cells. (NCT03660683)
Timeframe: 16 weeks
Intervention | score on a scale (Mean) |
---|
Group A Dapa | 0.675 |
Group B DapaSaxa | 0.75 |
Placebo | 0.253 |
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CD 34+ Cell Fraction
Quantifying CD34+ cells is based on proportion of the monocytes that are CD34+ to account for any variations in cell harvesting or death during analysis. (NCT03660683)
Timeframe: 16 weeks
Intervention | percentage of cells (Mean) |
---|
Group A Dapa | 1.15 |
Group B DapaSaxa | 3.17 |
Placebo | 1.74 |
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Blood Biochemistries
hsCRP (NCT03660683)
Timeframe: 16 Weeks
Intervention | mg/L (Mean) |
---|
Group A Dapa | 1.265 |
Group B DapaSaxa | 1.408 |
Placebo | 4.258 |
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Arterial Stiffness - Augmentation Pressure
"Augmentation index was calculated via tonometry with Sphygmocor Device (Pulse Wave Analysis). Augmentation index is calculated as the augmentation pressure (the amplitude of the reflected pulse wave) divided by the pulse pressure (systolic - diastolic) * 100 to give a percentage of pulse pressure. The software then calculates an estimated Augmentation Index at heart rate of 75 as a form of normalization. Lower values are generally preferred as they indicate more pliable and healthy arteries.~Here, augmentation pressure is shown as a reference for the Augmentation Index calculations in the previous section." (NCT03660683)
Timeframe: 16 Weeks
Intervention | mmHg (Mean) |
---|
Group A Dapa | 4.0 |
Group B DapaSaxa | 13.5 |
Placebo | 6.77 |
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Arterial Stiffness
Pulse Wave Velocity (NCT03660683)
Timeframe: Week 16
Intervention | m/s (Mean) |
---|
Group A Dapa | 8.23 |
Group B DapaSaxa | 8.1 |
Placebo | 9.55 |
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Urine Exosome Assay
"Protein western analysis of Exosomes released from Kidney Podocyte is a indicator of kidney Podocyte health.~Expressed as a ratio normalized to CD9 expression" (NCT03660683)
Timeframe: 16 Weeks
Intervention | ratio (Mean) |
---|
| Nephrin | Podocalyxin |
---|
Group A Dapa | 1.16 | 2.59 |
,Group B DapaSaxa | 0.49 | 2.10 |
,Placebo | 0.67 | 0.79 |
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Appetite Controlling Hormone
Leptin, (Adiponectin, GLP1, Ghrelin in separate entry) (NCT03660683)
Timeframe: 16 Weeks
Intervention | ng/mL (Mean) |
---|
Group A Dapa | 8.13 |
Group B DapaSaxa | 25.60 |
Placebo | 80.96 |
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Fasting Lipid Profile
Total Cholesterol, LDL, HDL and VLDL (NCT03660683)
Timeframe: 16 Weeks
Intervention | mg/dL (Mean) |
---|
| Total Cholesterol | HDL | VLDL | LDL |
---|
Group A Dapa | 155.5 | 41.5 | 20.0 | 94.0 |
,Group B DapaSaxa | 119.8 | 37.8 | 30.8 | 51.2 |
,Placebo | 149.4 | 40.8 | 25.4 | 83.2 |
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CD 34+ Cell Gene Expression
Fold change of Gene Expression in T2Dm with CVD relative to visit 1 (NCT03660683)
Timeframe: 16 weeks from visit 1
Intervention | fold change (Mean) |
---|
| CAT | CXCL12 | CXCR4 | EDN1 | GAPDH | GPX3 | IL6 | KDR | NOS3 | P21 | PECAM1 | SOD2 | TNF | TP53 | VEGFA |
---|
Group A Dapa | 2.57 | 6.83 | 1.71 | 2.67 | 2.87 | 0.89 | 1.08 | 0.70 | 1.63 | 1.11 | 2.86 | 1.96 | 1.76 | 2.41 | 1.41 |
,Group B DapaSaxa | 7.12 | 4.23 | 0.56 | 0.89 | 3.22 | 0.65 | 0.17 | 0.44 | 4.16 | 1.55 | 6.19 | 2.23 | 0.79 | 3.53 | 6.14 |
,Placebo | 1.71 | 2.34 | 1.08 | 0.82 | 4.23 | 3.37 | 2.97 | 1.76 | 0.99 | 1.23 | 1.69 | 2.19 | 1.12 | 1.55 | 1.29 |
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Extracellular Volume Fraction (ECV)
"Cardiac MRI using T1-mapping is capable of quantifying myocardial extracellular volume (ECV), a surrogate of fibrosis, with excellent inter- and intra-observer variability. Cardiac fibrosis was assessed by cardiac MRI T1 mapping to calculate ECV at two timepoints, baseline and at approximately 1 year. ECV combines native and contrast-enhanced T1 mapping.~Extracellular Volume (ECV) maps were generated offline using MATLAB software. ECV was calculated from native and post-contrast T1 values for blood and myocardial tissue, the partition coefficient lambda (λ), and hematocrit using the following formulas: ECV = λ(1-hematocrit); λ = (1/T1 myocardium post-contrast-1/T1 myocardium-native)/(1/T1 blood post-contrast-1/T1 blood-native)." (NCT03782259)
Timeframe: Approximately 12 Months
Intervention | Percentage of total tissue volume (Mean) |
---|
| Baseline | 1 year | Difference (1 year - baseline) |
---|
Dapagliflozin | 27.7 | 28.4 | 0.71 |
,Placebo | 28.5 | 28.7 | 0.24 |
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hsCRP
Inflammatory marker hsCRP assessed at Baseline and every 6 months for approximately 12 months, Baseline and 12 months reported (NCT03782259)
Timeframe: Approximately 12 Months
Intervention | mg/dL (Mean) |
---|
| Baseline | 1 year | Difference (1 year - baseline) |
---|
Dapagliflozin | 1.7 | 2.5 | 0.81 |
,Placebo | 2.4 | 1.8 | .12 |
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Fasting Glucose
Fasting glucose assessed at Baseline and every 3 months for approximately 12 months, Baseline and 12 months reported (NCT03782259)
Timeframe: Approximately 12 Months
Intervention | mg/dL (Median) |
---|
| Baseline | 1 year | Difference (1 year - baseline) |
---|
Dapagliflozin | 159.8 | 126.8 | -33.04 |
,Placebo | 164.5 | 161.0 | -3.48 |
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HbA1C
Hemoglobin A1c (HbA1c) assessed at Baseline and every 3 months for approximately 12 months, Baseline and 12 months reported (NCT03782259)
Timeframe: Approximately 12 Months
Intervention | percentage (Mean) |
---|
| Baseline | 1 year | Difference (1 year - baseline) |
---|
Dapagliflozin | 7.9 | 7.4 | -.52 |
,Placebo | 7.8 | 8.0 | 0.11 |
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Global Myocardial Strain
"Global myocardial strain measured from cardiac MRI with T1-mapping at two timepoints. MRI at Randomization and MRI at approximately 12 Months. Myocardial strain measurements with feature tracking will be performed to measure myocardial strain from the Balanced Steady State Free Precession (bSSFP) short-axis and long-axis cine images. Long-axis cine images will be further used to compute global myocardial strain. Ancova test with adjusted for baseline global myocardial strain will be used to compare change in global myocardial strain over 12 months between 2 treatment groups.~Global myocardial strain reported as longitudinal, radial, and circumferential at baseline and 1 year." (NCT03782259)
Timeframe: Approximately 12 Months
Intervention | Change in length as a percentage (Mean) |
---|
| Global myocardial longitudinal strain - Baseline | Global myocardial longitudinal strain - 1 year | Global myocardial longitudinal strain - Difference (1 year - baseline) | Global myocardial radial strain - Baseline | Global myocardial radial strain - 1 year | Global myocardial radial strain - Difference (1 year - baseline) | Global myocardial circumferential strain - Baseline | Global myocardial circumferential strain - 1 year | Global myocardial circumferential strain - Difference (1 year - baseline) |
---|
Dapagliflozin | -12.9 | -12.0 | 0.88 | 31.2 | 33.9 | 2.71 | -17.8 | -17.7 | 0.05 |
,Placebo | -11.0 | -11.3 | -0.24 | 27.3 | 31.3 | 4.01 | -15.7 | -16.7 | -0.97 |
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T2 Relaxation Time
Change from baseline in T2 relaxation time measured from cardiac MRI with T2-mapping at two timepoints. MRI at Randomization and MRI at approximately 12 Months (NCT03782259)
Timeframe: Approximately 12 Months
Intervention | milliseconds (Mean) |
---|
| Baseline | 1 year | Difference (1 year - baseline) |
---|
Active | 50.5 | 50.0 | -0.51 |
,Placebo | 48.6 | 50.2 | 1.61 |
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Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Total Symptom Score (KCCQ-TSS) at Week 16 (Higher Scores Represent Less HF Symptom Frequency and Burden)
Change from baseline in KCCQ-TSS was defined as the endpoint value at week 16 minus the baseline value. KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. KCCQ-TSS incorporates symptom frequency (4 items) and symptom burden (3 items) domains into a single score. The score is transformed to a range of 0-100 (higher score reflects better health status). Baseline value is the last value on or prior to the randomization visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. In rank ANCOVA and HL estimation, multiple imputation was performed on missing values for participants alive at the week 16 visit but without KCCQ-TSS values. All the data for the endpoint, except for death, collected during COVID-19, are set as missing and imputed same way as pre-COVID-19 missing data. (NCT03877224)
Timeframe: At baseline and at week 16 or death before week 16
Intervention | Score on a scale (Median) |
---|
Dapa 10mg | 5.21 |
Placebo | 1.04 |
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Change From Baseline in 6-minute Walk Distance (6MWD) at Week 16 (Larger Distances Represent Better Functional Capacity)
Change from baseline in 6-minute walk distance (6MWD) (exercise capacity) at week 16 was defined as the distance walked in 6 minutes at week 16 minus the baseline value. Baseline value is the last value on or prior to the randomization visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. In rank ANCOVA and HL estimation, multiple imputation was performed on missing values for participants who were alive at the visit at week 16 but did not have 6MWD values. (NCT03877224)
Timeframe: At baseline and at week 16 or death before week 16
Intervention | meters (Median) |
---|
Dapa 10mg | 9.0 |
Placebo | 8.5 |
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Change From Baseline at the End of the Study in the Total Time Spent in Light to Vigorous Physical Activity, as Assessed Using a Wearable Activity Monitor (Accelerometer).
Change from baseline at the end of the study in total time spent in light to vigorous physical activity (LVPA), as assessed using a wearable activity monitor, was defined as the total time [per day] spent in LVPA at the end of the study minus the baseline value. Baseline is the 7 day period starting on the day of enrolment and ending before randomization. End of study is defined as the period starting on the day of week 14 and prior to the week 16 visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. (NCT03877224)
Timeframe: At baseline and at end of study or death before week 16.
Intervention | hours/day (Median) |
---|
Dapa 10mg | -0.06 |
Placebo | -0.07 |
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Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Physical Limitation Score (KCCQ-PLS) at Week 16 (Higher Scores Represent Less Physical Limitation Due to HF)
Change from baseline in KCCQ-PLS was defined as the endpoint value at week 16 minus the baseline value. KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. KCCQ-PLS incorporates 6 physical limitation items into a single score. The score is transformed to a range of 0-100 (higher score reflects better health status). Baseline value is the last value on or prior to the randomization visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. In rank ANCOVA and HL estimation, multiple imputation was performed on missing values for participants who were alive at week 16 visit but without KCCQ-PLS values. All the data for the endpoint, except for death, collected during COVID-19, are set as missing and imputed same way as pre-COVID-19 missing data. (NCT03877224)
Timeframe: At baseline and at week 16 or death before week 16
Intervention | Score on a scale (Median) |
---|
Dapa 10mg | 0.00 |
Placebo | 0.00 |
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Change From Baseline in 6-minute Walk Distance (6MWD) at Week 16 (Larger Distances Represent Better Functional Capacity).
Change from baseline in 6-minute walk distance (6MWD) (exercise capacity) at week 16 was defined as the distance walked in 6 minutes at week 16 minus the baseline value. Baseline value is the last value on or prior to the randomization visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. In rank ANCOVA and HL estimation, multiple imputation was performed on missing values for participants who were alive at the visit at week 16 but did not have 6MWD values. (NCT03877237)
Timeframe: At baseline and at week 16 or death prior to week 16
Intervention | meters (Median) |
---|
Dapa 10mg | 20.0 |
Placebo | 13.5 |
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Change From Baseline at the End of the Study in the Total Time Spent in Light to Vigorous Physical Activity, as Assessed Using a Wearable Activity Monitor (Accelerometer).
Change from baseline at the end of the study in total time spent in light to vigorous physical activity (LVPA), as assessed using a wearable activity monitor, was defined as the total time [per day] spent in LVPA at the end of the study minus the baseline value. Baseline is the 7 day period starting on the day of enrolment and ending before randomization. End of study is defined as the period starting on the day of week 14 and prior to the week 16 visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. (NCT03877237)
Timeframe: At baseline and at end of study or death before week 16.
Intervention | hours (Median) |
---|
Dapa 10mg | -0.19 |
Placebo | -0.15 |
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Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Total Symptom Score (KCCQ-TSS) at Week 16 (Higher Scores Represent Less HF Symptom Frequency and Burden).
Change from baseline in KCCQ-TSS was defined as the endpoint value at week 16 minus the baseline value. KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. The KCCQ-TSS incorporates the symptom frequency (4 items) and symptom burden (3 items) domains into a single summary score. The score is transformed to a range of 0-100, in which a higher score reflects better health status. Baseline value is the last value on or prior to the randomization visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. In rank ANCOVA and HL estimation, multiple imputation was performed on missing values for participants who were alive at the visit at week 16 but did not have KCCQ-TSS values. (NCT03877237)
Timeframe: At baseline and at week 16 or death before week 16
Intervention | Score on a scale (Median) |
---|
Dapa 10mg | 2.08 |
Placebo | 0.00 |
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Change From Baseline in Kansas-City Cardiomyopathy Questionnaire-Physical Limitation Score (KCCQ-PLS) at Week 16 (Higher Scores Represent Less Physical Limitation Due to HF)
Change from baseline in KCCQ-PLS was defined as the endpoint value at week 16 minus the baseline value. KCCQ is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. The KCCQ-PLS incorporates the 6 physical limitation items into a single score. The score is transformed to a range of 0-100, in which a higher score reflects better health status. Baseline value is the last value on or prior to the randomization visit. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. Deaths are treated as the worst outcome and ordering among deaths is based on last value while alive. In rank ANCOVA and HL estimation, multiple imputation was performed on missing values for participants who were alive at the visit at week 16 but did not have KCCQ-PLS values. (NCT03877237)
Timeframe: At baseline and at week 16 or death before week 16
Intervention | Score on a scale (Median) |
---|
Dapa 10mg | 4.17 |
Placebo | 0.00 |
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Number of Participants With Non-fatal Myocardial Infarction (MI)
The number of participants with non-fatal myocardial infarction (MI) was documented. (NCT04249778)
Timeframe: Up to Week 26
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 0 |
Placebo | 0 |
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Number of Participants With Acute Kidney Injury
The number of participants experiencing acute kidney injury was documented. (NCT04249778)
Timeframe: Up to Week 26
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 0 |
Placebo | 0 |
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Number of Participants Dying From Cardiovascular Reasons
The number of participants dying due to cardiovascular reasons was documented. (NCT04249778)
Timeframe: Up to Week 26
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 0 |
Placebo | 0 |
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Serum Magnesium
Normal levels of serum magnesium are between 1.7 and 2.3 milligrams per deciliter (mg/dL). (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | mg/dL (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 2.01 | 2.11 | 2.13 |
,Placebo | 1.92 | 2.02 | 1.98 |
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Number of Participants With Hospital Admissions, Emergency Department Visits, Urgent Clinic Visits for Heart Failure (HF) and Death After Admission With Acute Decompensated Heart Failure (ADHF)
The number of participants meeting criteria for a composite of hospital admissions, emergency department visits, urgent clinic visits for Heart Failure (HF) and death after admission with acute decompensated heart failure (ADHF) will be determined. (NCT04249778)
Timeframe: Up to 26 weeks
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 0 |
Placebo | 3 |
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Weight
Weight is measured in kilograms (NCT04249778)
Timeframe: Baseline,Week 12, Week 26
Intervention | kilograms (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 101.21 | 95.93 | 98.06 |
,Placebo | 103.59 | 101.18 | 100.18 |
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Systolic Blood Pressure
Systolic blood pressure is measured in millimeters of mercury (mmHg). A normal systolic blood pressure level is less than 120 mmHg. (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | mmHg (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 124.39 | 118.15 | 131.69 |
,Placebo | 125.36 | 124.31 | 136.79 |
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N-terminal (NT)-Pro Hormone BNP (NT-proBNP) Levels
The heart failure, disease-specific biomarker N-terminal (NT)-pro hormone BNP (NT-proBNP) is a non-active prohormone. Levels increase when heart failure develops or gets worse and levels goes down when heart failure is stable. (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | picograms per milliliter (pg/mL) (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 1947.38 | 589.25 | 674.50 |
,Placebo | 1469.86 | 1083.00 | 730.00 |
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Left Atrial Volume Index (LAVI)
Left atrial volume index assesses diastolic function and is a predictor of mortality. LAVI can identify abnormal atrial dilation and is calculated as the left atrium volume (mL) divided by body surface area (m^2). The normal range is between 16 and 35 mL/m^2. Increased LAVI is a predictor of mortality following acute myocardial infarction. (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | milliliters per square meter (mL/m^2) (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 4.47 | 4.55 | 4.30 |
,Placebo | 4.32 | 4.91 | 4.31 |
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Kansas City Cardiomyopathy Questionnaire (KCCQ) Score
The Kansas City Cardiomyopathy Questionnaire is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. In the KCCQ, an overall summary score can be derived from the physical function, symptom (frequency and severity), social function and quality of life domains. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | score on a scale (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 55.72 | 62.40 | 83.36 |
,Placebo | 50.71 | 66.95 | 80.38 |
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Hemoglobin A1C (HbA1c) Level
HbA1c will be quantified by blood test, in participants with type 2 diabetes (T2D) or prediabetes. Higher percentages of glycated hemoglobin on red blood cells (RBCs) indicate higher blood glucose levels in the previous three months. A normal HbA1c level is below 5.7 percent. (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | percent of RBCs with glycated hemoglobin (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 9.41 | 8.62 | 9.47 |
,Placebo | 8.98 | 8.47 | 7.84 |
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6-Minute Walk Distance (6MWD)
The 6-Minute Walk Distance (6MWD) test measures the distance, in meters, that a patient can quickly walk on a flat, hard surface in a period of 6 minutes (NCT04249778)
Timeframe: Baseline, Week 12, Week 26
Intervention | meters (m) (Mean) |
---|
| Baseline | Week 12 | Week 26 |
---|
Dapagliflozin | 893.42 | 1185.76 | 995.23 |
,Placebo | 1109.05 | 1548.23 | 1123.19 |
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Number of Participants With Stroke
The number of participants experiencing a stroke was documented. (NCT04249778)
Timeframe: Up to Week 26
Intervention | Participants (Count of Participants) |
---|
Dapagliflozin | 0 |
Placebo | 0 |
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Improving Clinical Recovery: Hierarchical Composite Outcome Measure Including Death From Any Cause Through Day 30, New/Worsened Organ Dysfunction, Clinical Status at Day 30 and Hospital Discharge Before Day 30 and Alive at Day 30.
"The number of patients experiencing improvement by day 30 compared with baseline (discharged from hospital without a worsening event and alive, or still in hospital without a worsening event and without oxygen support) in the hierarchical composite endpoint analysis.~Hierarchical composite outcome measure includes:~Death from any cause through Day 30~New/worsened organ dysfunction~Clinical status at Day 30 for patients still hospitalized and without any worsening organ dysfunction~Hospital discharge before Day 30 and alive at Day 30" (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | participants (Number) |
---|
Dapagliflozin 10mg | 547 |
Placebo | 532 |
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Time to Death From Any Cause
"Time to death from any cause.~Event rates are presented as the number of subjects with event per 100 patient month (30 days) of follow-up.~Unit of Measure: Patients with events per 100 patient-months (pt-mos) at risk." (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | Patients with events/100 pt-mos at risk (Number) |
---|
Dapagliflozin 10mg | 6.8 |
Placebo | 9.0 |
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Time to Composite of Acute Kidney Injury or Initiation of Renal Replacement Therapy, or Death From Any Cause
"Acute kidney injury is defined as an episode of doubling s-creatinine compared to baseline during index hospitalization or SAE. Initiation of renal replacement therapy is defined as initiation of renal replacement therapy during index hospitalization or SAE.~Event rates are presented as the number of subjects with event per 100 patient month (30 days) of follow-up.~Unit of Measure: Patients with events per 100 patient-months (pt-mos) at risk." (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | Patients with events/100 pt-mos at risk (Number) |
---|
Dapagliflozin 10mg | 8.2 |
Placebo | 11.2 |
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Time to Hospital Discharge
"Time to hospital discharge (refers to index hospitalization only).~Median time to hospital discharge is presented in days." (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | days (Median) |
---|
Dapagliflozin 10mg | 5 |
Placebo | 6 |
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Total Number of Days Alive, Not in the ICU, and Free From Respiratory Decompensation Requiring Initiation of Mechanical Ventilation (Includes Invasive or Non-invasive Ventilation, CPAP, or BiPAP)
Total number of days alive, not in the ICU and free from mechanical ventilation (includes invasive or non-invasive ventilation, CPAP, or BiPAP) is calculated for each patient as total follow-up time (30 days) substracted days in ICU and days dead. (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | days (Mean) |
---|
Dapagliflozin 10mg | 27.5 |
Placebo | 27.1 |
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Prevention of COVID-19 Complications or Death: During the 30-day Treatment Period, Time to First Occurrence of New/Worsened Organ Dysfunction During Index Hospitalization or Death From Any Cause.
"Time to first occurrence of new/worsened organ dysfunction during index hospitalization or death from any cause.~Event rates are presented as the number of subjects with event per 100 patient month (30 days) of follow-up.~Unit of Measure: Patients with events per 100 patient-months (pt-mos) at risk.~New/worsened organ dysfunction is defined as at least one of the following:~Respiratory decompensation requiring initiation of mechanical ventilation (includes invasive or non-invasive ventilation, CPAP, or BiPAP), and/or initiation of extracorporeal membrane oxygenation (ECMO)~New or worsening congestive heart failure~Requirement for vasopressor therapy and/or inotropic or mechanical circulatory support~Ventricular tachycardia or fibrillation lasting at least 30 seconds and/or associated with hemodynamic instability or pulseless electrical activity, or resuscitated cardiac arrest~Doubling of s-Creatinine or initiation of renal replacement therapy" (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | Patients with events/100 pt-mos at risk (Number) |
---|
Dapagliflozin 10mg | 12.4 |
Placebo | 15.6 |
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Total Number of Days Alive and Free From Respiratory Decompensation Requiring Initiation of Mechanical Ventilation (Includes Invasive or Non-invasive Ventilation, CPAP, or BiPAP)
Total number of days alive and free from mechanical ventilation (includes invasive or non-invasive ventilation, CPAP, or BiPAP) is calculated for each patient as total follow-up time (30 days) substracted days in hospital with mechanical ventilation and days dead. (NCT04350593)
Timeframe: Randomization through Day 30
Intervention | days (Mean) |
---|
Dapagliflozin 10mg | 27.8 |
Placebo | 27.4 |
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Change From Baseline in Reduction of Urine ACR to Week 12
The dose response effect of AZD5718 on urine ACR at 12 weeks was evaluated. Values less than 1 indicate improvement from baseline. (NCT04492722)
Timeframe: Week 1 (Baseline) to Week 12
Intervention | mg/g (Geometric Mean) |
---|
AZD5718 Dose 1 + Dapagliflozin 10 mg | 0.94 |
AZD5718 Dose 2 + Dapagliflozin 10 mg | 1.03 |
AZD5718 Dose 3 + Dapagliflozin 10 mg | 0.96 |
Placebo + Dapagliflozin 10 mg | 1.10 |
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Change From Baseline in 24-hours Mean Systolic Blood Pressure to Week 12
The effect of AZD5718 on ambulatory blood pressure was assessed (NCT04492722)
Timeframe: Week 1 (Baseline) to Week 12
Intervention | millimeter mercury (mm Hg) (Mean) |
---|
AZD5718 Dose 1 + Dapagliflozin 10 mg | -2.06 |
AZD5718 Dose 2 + Dapagliflozin 10 mg | 1.56 |
AZD5718 Dose 3 + Dapagliflozin 10 mg | -1.83 |
Placebo + Dapagliflozin 10 mg | 3.76 |
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Change From Baseline in Reduction of Urine Albumin to Creatinine Ratio (ACR) to Week 20
The dose response effect of AZD5718 on urine ACR at 20 weeks was evaluated. Values less than 1 indicate improvement from baseline. (NCT04492722)
Timeframe: Week 1 (Baseline) to Week 20
Intervention | milligram/gram (mg/g) (Geometric Mean) |
---|
AZD5718 Dose 1 + Dapagliflozin 10 mg | 0.79 |
AZD5718 Dose 2 + Dapagliflozin 10 mg | 0.81 |
AZD5718 Dose 3 + Dapagliflozin 10 mg | 0.77 |
Placebo + Dapagliflozin 10 mg | 0.84 |
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Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) to Week 12
The effect of AZD5718 on renal function was evaluated (NCT04492722)
Timeframe: Week 1 (Baseline), Week 2, Week 4, Week 8, and Week 12
Intervention | milliliter/minute/1.73m^2 (Mean) |
---|
| Week 2 | Week 4 | Week 8 | Week 12 |
---|
AZD5718 Dose 1 + Dapagliflozin 10 mg | -0.470 | -0.735 | -0.760 | -0.612 |
,AZD5718 Dose 2 + Dapagliflozin 10 mg | -0.140 | 0.140 | -0.535 | -1.149 |
,AZD5718 Dose 3 + Dapagliflozin 10 mg | -0.429 | -0.817 | -1.144 | -0.394 |
,Placebo + Dapagliflozin 10 mg | 0.547 | 0.058 | -0.068 | -0.257 |
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Number of Participants With Adverse Events and Serious Adverse Events
The safety and tolerability profile of AZD5718 treatment was assessed (NCT04492722)
Timeframe: From Screening (Week -4 to 0) to Week 24
Intervention | Participants (Count of Participants) |
---|
| Any AE | Any AE with outcome = death | Any SAE (including events with outcome = death) | Any AE leading to discontinuation of study treatment | Any AE leading to dose interruption | Any AE leading to withdrawal from study | Any AE possibly related to study treatment as assessed by investigator |
---|
AZD5718 Dose 1 + Dapagliflozin 10 mg | 82 | 0 | 12 | 12 | 7 | 7 | 14 |
,AZD5718 Dose 2 + Dapagliflozin 10 mg | 81 | 0 | 8 | 2 | 6 | 0 | 12 |
,AZD5718 Dose 3 + Dapagliflozin 10 mg | 104 | 0 | 11 | 3 | 5 | 1 | 8 |
,Placebo + Dapagliflozin 10 mg | 80 | 1 | 6 | 6 | 10 | 1 | 14 |
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Changes in Total Fat Volume in Visceral Fat Area as Assessed by CT-based Body Composition
(NCT04542291)
Timeframe: From pre-treatment and post-8 weeks of treatment
Intervention | cm^3 (Mean) |
---|
| Pre-treatment | Post-8 weeks of treatment |
---|
Dapagliflozin | 5009.845557 | 4334.134004 |
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Changes in Ketones
-Patients are to collect and test ketones weekly while on treatment. (NCT04542291)
Timeframe: Cycle 1 Day 1, Cycle 1 Day 8, Cycle 1 Day 15, Cycle 1 Day 22, Cycle 2 Day 1, Cycle 2 Day 8, Cycle 2 Day 15, and Cycle 2 Day 22
Intervention | mg/dL (Median) |
---|
| Cycle 1 Day 1 | Cycle 1 Day 8 | Cycle 1 Day 15 | Cycle 1 Day 22 | Cycle 2 Day 1 | Cycle 2 Day 8 | Cycle 2 Day 15 | Cycle 2 Day 22 |
---|
Dapagliflozin | 0.5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Changes in Total Skeletal Muscle Volume in Visceral Fat Area as Assessed by CT-based Body Composition
(NCT04542291)
Timeframe: From pre-treatment and post-8 weeks of treatment
Intervention | cm^3 (Mean) |
---|
| Pre-treatment | Post-8 weeks of treatment |
---|
Dapagliflozin | 1494.813884 | 1360.211117 |
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Changes in Total Muscle to Fat Ratio in Visceral Fat Area as Assessed by CT-based Body Composition
(NCT04542291)
Timeframe: From pre-treatment and post-8 weeks of treatment
Intervention | ratio (Mean) |
---|
| Pre-treatment | Post-8 weeks of treatment |
---|
Dapagliflozin | 0.378776105 | 0.518539627 |
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Changes in HbA1c
(NCT04542291)
Timeframe: Screening and Cycle 2 Day 15
Intervention | percentage of glycosylated hemoglobin (Median) |
---|
| Screening | Cycle 2 Day 15 |
---|
Dapagliflozin | 5.95 | 5.95 |
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Changes in Plasma Glucose
(NCT04542291)
Timeframe: Screening, Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, Cycle 2 Day 15, and End of Treatment (estimated to be 2 months)
Intervention | mg/dL (Median) |
---|
| Screening | Cycle 1 Day 1 | Cycle 1 Day 15 | Cycle 2 Day 1 | Cycle 2 Day 15 | End of Treatment |
---|
Dapagliflozin | 110 | 106.5 | 108.5 | 100.5 | 102.5 | 98 |
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Changes in CA19-9
(NCT04542291)
Timeframe: Cycle 1 Day 1, Cycle 2 Day 1, and End of Treatment, up to 8 weeks
Intervention | U/mL (Median) |
---|
| Cycle 1 Day 1 | Cycle 2 Day 1 | End of Treatment |
---|
Dapagliflozin | 1060 | 315.6 | 256.1 |
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Changes in CT-quantified Tumor Size
(NCT04542291)
Timeframe: From pre-treatment and post-8 weeks of treatment
Intervention | cm (Mean) |
---|
| Pre-treatment | Post-8 weeks of treatment |
---|
Dapagliflozin | 7.541666667 | 7.358333333 |
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Change in Body Weight
Change in body weight as measured in kilograms (kg) (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | kg (Mean) |
---|
Dapagliflozin Group | -3.7 |
Placebo Group | -0.2 |
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Change in Total Blood Volume
Total blood volume was assessed using a radiolabeled iodinated albumin (131I, 5-25 μCu) indicator dilution technique with the BVA-100 Blood Volume Analyzer. Measured in millimeters (mL) (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mL (Mean) |
---|
Dapagliflozin Group | -118 |
Placebo Group | 142 |
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Change in Mean Pulmonary Arterial Pressure (PA) at Maximal Exercise
Pulmonary Arterial (PA) pressure is a measure of cardiac filling pressure, measured using a high-fidelity micromanometer advanced through the lumen of a fluid-filled catheter during exercise. (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin Group | -5.2 |
Placebo Group | 0.7 |
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Change in Right Atrial (RA) Pressure at Rest
Right Atrial (RA) pressure is a measure of cardiac filling pressure, measured using a high-fidelity micromanometer advanced through the lumen of a fluid-filled catheter during rest. (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin Group | -1.6 |
Placebo Group | 0.3 |
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Change in Plasma Volume
Plasma volume was assessed using a radiolabeled iodinated albumin (131I, 5-25 μCu) indicator dilution technique with the BVA-100 Blood Volume Analyzer. Measured in millimeters (mL) (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mL (Mean) |
---|
Dapagliflozin Group | -170 |
Placebo Group | 115 |
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Change in Right Atrial (RA) Pressure at Maximal Exercise
Right Atrial (RA) pressure is a measure of cardiac filling pressure, measured using a high-fidelity micromanometer advanced through the lumen of a fluid-filled catheter during exercise. (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin Group | -3.4 |
Placebo Group | 0.8 |
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Change in Mean Pulmonary Arterial Pressure (PA) at Rest
Pulmonary Arterial (PA) pressure is a measure of cardiac filling pressure, measured using a high-fidelity micromanometer advanced through the lumen of a fluid-filled catheter during rest. (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin Group | -1.8 |
Placebo Group | 1.1 |
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Pulmonary Capillary Wedge Pressure (PCWP) at Rest
Pulmonary capillary wedge pressure is a measure of cardiac filling pressure, measured using a high-fidelity micromanometer advanced through the lumen of a fluid-filled catheter during rest. (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin Group | -2.5 |
Placebo Group | 1.1 |
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Pulmonary Capillary Wedge Pressure (PCWP) at Maximal Exercise
Pulmonary capillary wedge pressure is a measure of cardiac filling pressure, measured using a high-fidelity micromanometer advanced through the lumen of a fluid-filled catheter during exercise. (NCT04730947)
Timeframe: Baseline, 24 weeks
Intervention | mmHg (Mean) |
---|
Dapagliflozin Group | -6.6 |
Placebo Group | -0.4 |
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Overall Response Rate (ORR) With Confirmed Response Based on Local Investigator Assessment as Per RECIST 1.1.
"ORR with confirmed response was defined as the percentage of participants with best overall response of confirmed complete response (CR) or confirmed partial response (PR) based on local investigator's assessment according to RECIST 1.1.~CR: Disappearance of all non-nodal target lesions and all non-target lesions. In addition, any pathological lymph nodes assigned as target lesions and all lymph nodes assigned as non-target lesions must have a reduction in short axis to < 10 mm.~PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters." (NCT04899349)
Timeframe: Up to 7.4 months
Intervention | Participants (Count of Participants) |
---|
Alpelisib + Fulvestrant + Dapagliflozin + Metformin XR | 1 |
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Clinical Benefit Rate (CBR) With Confirmed Response Based on Local Investigator Assessment as Per RECIST 1.1
"Clinical benefit rate with confirmed response was defined as the percentage of participants with a best overall response of confirmed CR or confirmed PR or stable disease (SD) or Non-CR/Non-progressive disease (PD) lasting more than 24 weeks based on local investigator assessment as per RECIST 1.1.~CR: Disappearance of all non-nodal target lesions and all non-target lesions. In addition, any pathological lymph nodes assigned as target lesions and all lymph nodes assigned as non-target lesions must have a reduction in short axis to < 10 mm.~PR: At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.~SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease." (NCT04899349)
Timeframe: Up to 7.4 months
Intervention | Participants (Count of Participants) |
---|
Alpelisib + Fulvestrant + Dapagliflozin + Metformin XR | 1 |
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Progression-free Survival (PFS) Based on Local Investigator Assessment
"PFS was defined as the time from the date of randomization to the date of the first documented progression or death due to any cause. PFS was assessed via a local investigator assessment according to RECIST 1.1. If a subject did not have an event, PFS was censored at the date of last adequate tumor assessment.~The PFS distribution was using the Kaplan-Meier method, and the Kaplan-Meier median and 95% confidence intervals of the medians was presented." (NCT04899349)
Timeframe: From the date of randomization to the date of the first documented progression or death due to any cause, whichever comes first, assessed up to a maximum duration of 7.4 months
Intervention | Months (Median) |
---|
Alpelisib + Fulvestrant + Dapagliflozin + Metformin XR | NA |
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Number of Participants With Dose Modifications
Number of participants with dose interruptions and dose reductions (NCT04899349)
Timeframe: From first dose of study medication up to 30 days after last dose of study medication, assessed up to 7.4 months
Intervention | Participants (Count of Participants) |
---|
| Dose interruptions | Dose reductions |
---|
Alpelisib + Fulvestrant + Dapagliflozin + Metformin XR | 1 | 2 |
,Alpelisib + Fulvestrant + Metformin XR | 0 | 0 |
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Number of Participants With Hyperglycemia Grade ≥ 3 Over the First Eight Weeks of Alpelisib Plus Fulvestrant Treatment
Number of participants with severe hyperglycemia over the first eight weeks of alpelisib plus fulvestrant treatment. Severe hyperglycemia (Grade ≥ 3) is defined as any glucose laboratory values > 250 milligram (mg)/ deciliter (dL) (> 13.9 millimole (mmol)/ liter (L)) (NCT04899349)
Timeframe: From Cycle 1 Day 8 to Cycle 3 Day 8 (first eight weeks of treatment with alpelisib). Cycle = 28 days.
Intervention | Participants (Count of Participants) |
---|
Alpelisib + Fulvestrant + Dapagliflozin + Metformin XR | 1 |
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