A Study of Saxagliptin in Subjects With Type 2 Diabetes Who Have Inadequate Blood Sugar Control With Sulfonylureas

This study has been completed.
Sponsor:
Information provided by:
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT00313313
First received: April 10, 2006
Last updated: August 4, 2010
Last verified: June 2010
  Purpose

The purpose of this trial is to understand if adding saxagliptin to a sulfonylurea is safe and works better than increasing the amount of sulfonylurea a patient takes


Condition Intervention Phase
Diabetes
Drug: Saxagliptin
Drug: Glyburide
Drug: Placebo
Drug: Metformin
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Double-Blind Placebo-Controlled Phase 3 Trial to Evaluate the Efficacy and Safety of Saxagliptin in Combination With Glyburide in Subjects With Type 2 Diabetes Who Have Inadequate Glycemic Control With Glyburide Alone

Resource links provided by NLM:


Further study details as provided by Bristol-Myers Squibb:

Primary Outcome Measures:
  • Change From Baseline in Hemoglobin A1c (A1C) at Week 24 [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
    Mean change from baseline in A1C at Week 24, adjusted for baseline value.


Secondary Outcome Measures:
  • Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24 [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
    Mean change from baseline in FPG at Week 24, adjusted for baseline value.

  • Percentage of Participants Achieving A1C < 7% at Week 24 [ Time Frame: Week 24 ] [ Designated as safety issue: No ]
    Percentage of participants achieving A1C < 7%, the American Diabetes Association's defined goal for glycemia, at each dose of saxagliptin plus glyburide versus placebo plus upward titrated glyburide at Week 24.

  • Changes From Baseline in Postprandial Glucose (PPG) Area Under the Curve (AUC) Response to an Oral Glucose Tolerance Test (OGTT) at Week 24 [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
    Mean change from baseline for 0 to 180 minutes PPG AUC at Week 24, adjusted for baseline values.


Enrollment: 768
Study Start Date: April 2006
Study Completion Date: September 2008
Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Saxagliptin 2.5 mg + Glyburide 7.5 mg (A)
Metformin 500-2500 mg (as needed)
Drug: Saxagliptin
Tablets, Oral, 2.5 mg, Daily AM, (24 weeks short-term [ST], 12 months long-term [LT])
Other Name: BMS-477118
Drug: Glyburide
Capsules, Oral, OL, 7.5 mg, Daily, AM (24 weeks ST, 12 months LT)
Drug: Metformin
Tablets, Oral, OL, 500 - 2500 mg, 1 or 2 times per day (12 months LT)
Experimental: Saxagliptin 5 mg + Glyburide 7.5 mg (B)
Metformin 500-2500 mg (as needed)
Drug: Saxagliptin
Tablets, Oral, 5 mg, Daily AM (24 weeks ST, 12 months LT).
Other Name: BMS-477118
Drug: Glyburide
Capsules, Oral, OL, 7.5 mg, Daily, AM (24 weeks ST, 12 months LT)
Drug: Metformin
Tablets, Oral, OL, 500 - 2500 mg, 1 or 2 times per day (12 months LT)
Placebo Comparator: Placebo + Glyburide 7.5 mg (C)
Metformin 500-2500 mg (as needed)
Drug: Placebo
Tablets, Oral, 0 mg, Daily AM/PM, (24 weeks ST, 12 months LT)
Drug: Glyburide
Capsules, Oral, DB Glyburide, 2.5 mg titrated to 7.5 mg + 7.5 mg OL, Daily AM/PM (24 weeks ST, 12 months LT)
Drug: Metformin
Tablets, Oral, OL, 500 - 2500 mg, 1 or 2 times per day (12 months LT)

Detailed Description:

All subjects will participate in a lead-in period, and qualifying subjects will continue into a short-term randomized treatment period. Subjects who complete the short-term period will be eligible to enter the long term extension period. Also, subjects in the short-term period who have an elevated blood sugar that requires additional medication for blood sugar control (defined as rescue) will be eligible to enter the long-term treatment extension period where they will receive metformin.Rescue treatment with metformin is also available during the long-term extension period for subjects who meet glycemic criteria.

  Eligibility

Ages Eligible for Study:   18 Years to 77 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Type 2 Diabetes.
  • Treated with a sulfonylurea for at least 2 months.
  • Inadequate blood sugar control.
  • Are not on any other medications to lower blood sugar.
  • No major heart, liver or kidney problems.
  • Women not pregnant or breast feeding.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00313313

  Hide Study Locations
Locations
United States, Arkansas
Reserach Solutions, Llc
Jonesboro, Arkansas, United States, 72401
Searcy Medical Center
Searcy, Arkansas, United States, 72143
United States, California
Stewart Medical Group
Alhambra, California, United States, 91801
Southland Clinical Research Center, Inc.
Fountain Valley, California, United States, 92708
Valley Research
Fresno, California, United States, 93720
Randall Shue, D.O.
Los Angeles, California, United States, 90023
Clinical Trials Research
Roseville, California, United States, 95661
United States, Colorado
New West Physicians
Golden, Colorado, United States, 80401
United States, Connecticut
Phoenix Internal Medicine Associates, Llc
Waterbury, Connecticut, United States, 06708
United States, Delaware
Christiana Care Research Institute
Newark, Delaware, United States, 19713
United States, Florida
Central Florida Clinical Trials
Altamonte Springs, Florida, United States, 32714
Family Care Assoc & Emerald Care Res Grp
Chipley, Florida, United States, 32428
Clinical Therapeutics Corporation
Coral Gables, Florida, United States, 33134
Fpa Clinical Research
Kissimmee, Florida, United States, 34741
Emerald Coast Research Group
Marianna, Florida, United States, 32446
University Of Miami Diabetes Research Inst.
Miami, Florida, United States, 33136
United States, Georgia
Atlanta Pharmaceutical Research Center, Inc
Dunwoody, Georgia, United States, 30338
United States, Illinois
Cedar-Crosse Research Ctr
Chicago, Illinois, United States, 60607
United States, Kentucky
Family Medical Center Of Hart Co.
Munfordville, Kentucky, United States, 42765
United States, Maryland
Columbia Medical Practice
Columbia, Maryland, United States, 21045
United States, Missouri
Va Medical Center
Kansas City, Missouri, United States, 64128
St. Louis Center For Clinical Research
St. Louis, Missouri, United States, 63128
United States, Nevada
Nevada Alliance Against Diabetes
North Las Vegas, Nevada, United States, 89030
United States, New Jersey
Physicians Research Center
Toms River, New Jersey, United States, 08755
United States, New York
Cny Family Care
East Syracuse, New York, United States, 13057
United States, North Carolina
Metrolina Internal Medicine
Charlotte, North Carolina, United States, 28204
Med Res Assoc Charlotte
Charlotte, North Carolina, United States, 28211
Regional Physicians Research
High Point, North Carolina, United States, 27262
Diabetes & Endocrinology Consultants, Pc
Morehead City, North Carolina, United States, 28557
Mountain Top Clinical Research Center
Sparta, North Carolina, United States, 28675
United States, Ohio
Daystar Clinical Research, Inc.
Akron, Ohio, United States, 44313
Community Health Care
Canal Fulton, Ohio, United States, 44614
Triphase Research, Ltd.
Franklin, Ohio, United States, 45005
Albert J Weisbrot,Md&Assoc Inc
Mason, Ohio, United States, 45040
Dr Bahagwan Dass Md
Youngstown, Ohio, United States, 44507
United States, Oklahoma
Oklahoma Cardiovascular And Hypertension Center
Oklahoma City, Oklahoma, United States, 73132
Utica Park Clinic
Tulsa, Oklahoma, United States, 74104
Integris Family Care Yukon
Yukon, Oklahoma, United States, 73109
United States, Oregon
Coordinators Plus, Llc
Eugene, Oregon, United States, 97401
Oregon Clinical Research
Portland, Oregon, United States, 97220
United States, Pennsylvania
Pearl Clinical Research
Norristown, Pennsylvania, United States, 19401
Banksville Medical Pc
Pittsburgh, Pennsylvania, United States, 15216
Guthrie Clinic, Ltd
Sayre, Pennsylvania, United States, 18840
United States, South Carolina
Upstate Pharmaceutical Research
Simsonville, South Carolina, United States, 29681
Spartanburg Medical Research
Spartanburg, South Carolina, United States, 29303
Southeastern Research Assoc
Taylors, South Carolina, United States, 29687
United States, Texas
Capital Medical Clinic, Llp
Austin, Texas, United States, 78705
Texas Center For Drug Development, P.A.
Houston, Texas, United States, 77081
Breath Of Life Research Institute
Katy, Texas, United States, 77450
Diabetes & Glandular Disease Research Assoc, Pa
San Antonio, Texas, United States, 78229
S.A.M. Clinical Research Center
San Antonio, Texas, United States, 78229
United States, Virginia
Tidewater Integrated Medical Research
Virginia Beach, Virginia, United States, 23451
United States, Washington
Office Of Dr. Gray
Spokane, Washington, United States, 99216
United States, Wisconsin
Advanced Healthcare S.C.
Milwaukee, Wisconsin, United States, 53209
Argentina
Local Institution
Mar Del Plata, Buenos Aires, Argentina, 7600
Local Institution
Buenos Aires, Argentina, C1406FEQ
Local Institution
Buenos Aires, Argentina, C1425AGC
Local Institution
Cordoba, Argentina, 5000
Brazil
Local Institution
B. Rodolfo Teofilo, Ceara, Brazil, 60430
Local Institution
Fortaleza, Ceara, Brazil, 60021
Local Institution
Belo Horizonte, Minas Gerais, Brazil, 30150
Local Institution
Belem, Para, Brazil, 66073
Local Institution
Porto Alegre, Rio Grande Do Sul, Brazil, 90035003
Local Institution
Porto Alegre, Rio Grande Do Sul, Brazil, 90610
Local Institution
Campinas, Sao Paulo, Brazil, 13059
Local Institution
Marília, Sao Paulo, Brazil, 17519
Local Institution
Sao Paulo - Sp, Sao Paulo, Brazil, 04231
Local Institution
Vila Mariana, Sao Paulo, Brazil, 04020
Hong Kong
Local Institution
Hong Kong, Hong Kong, SAR
Local Institution
Kowloon, Hong Kong
Israel
Local Institution
Givatayim, Israel, 53583
Local Institution
Haifa, Israel, 31096
Local Institution
Holon, Israel, 58100
Local Institution
Jerusalem, Israel, 91120
Local Institution
Rishon Le-Zion, Israel, 75650
Local Institution
Tel Aviv, Israel, 64353
Local Institution
Zefat, Israel, 13100
Local Institution
Zerifin, Israel, 70300
Korea, Republic of
Local Institution
Kyunggi-Do, Korea, Republic of, 420-717
Local Institution
Kyunggi-Do, Korea, Republic of, 463-707
Local Institution
Seoul, Korea, Republic of, 137040
Local Institution
Seoul, Korea, Republic of, 135-710
Local Institution
Seoul, Korea, Republic of, 135-720
Local Institution
Seoul, Korea, Republic of, 130-702
Local Institution
Seoul, Korea, Republic of, 120-752
Local Institution
Suwon, Korea, Republic of, 443721
Mexico
Local Institution
Tijuana, B.C., Baja California, Mexico, 22320
Local Institution
Df, Distrito Federal, Mexico, 11800
Local Institution
Guadalajara, Jalisco, Mexico, 44340
Local Institution
Guadalajara, Jalisco, Mexico, 44670
Local Institution
Cuernavaca, Morelos, Mexico, 62250
Local Institution
Monterrey, Nuevo Leon, Mexico, 64710
Local Institution
Monterrey, Nuevo Leon, Mexico, 64060
Local Institution
Merida, Yucatan, Mexico, 97210
Local Institution
Durango, Mexico, 64710
Peru
Local Institution
San Isidro, Lima, Peru, 27
Local Institution
Lima, Peru, LIMA 31
Local Institution
Lima, Peru, LIMA 1
Local Institution
Lima, Peru, 18
Philippines
Local Institution
Cebu, Philippines, 6000
Local Institution
Manila, Philippines, 1000
Local Institution
Quezon, Philippines, 1102
Puerto Rico
Local Institution
Carolina, Puerto Rico, 00983
Local Institution
Guaynabo, Puerto Rico, 00966
Local Institution
Ponce, Puerto Rico, 00716
Local Institution
Ponce, Puerto Rico, 00717
Singapore
Local Institution
Singapore, Singapore, 119074
South Africa
Local Institution
Umhlanga Rocks, Kwa Zulu Natal, South Africa, 4319
Local Institution
Kimberley, Northern Cape, South Africa, 8301
Local Institution
Tygerberg, Western Cape, South Africa, 7505
Local Institution
Cape Town, South Africa, 7008
Local Institution
Johannesburg, South Africa, 2196
Taiwan
Local Institution
Changhua, Taiwan, 500
Local Institution
Taichung, Taiwan, 402
Local Institution
Taipei, Taiwan, 112
Sponsors and Collaborators
Bristol-Myers Squibb
  More Information

Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Study Director, Bristol-Myers Squibb
ClinicalTrials.gov Identifier: NCT00313313     History of Changes
Other Study ID Numbers: CV181-040
Study First Received: April 10, 2006
Results First Received: August 17, 2009
Last Updated: August 4, 2010
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Saxagliptin
Glyburide
Metformin
Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions
Dipeptidyl-Peptidase IV Inhibitors
Protease Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on May 23, 2013