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A Study to Evaluate the Effect of Dapagliflozin on Blood Glucose Level and Renal Safety in Patients With Type 2 Diabetes (DERIVE)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
AstraZeneca
ClinicalTrials.gov Identifier:
NCT02413398
First received: April 7, 2015
Last updated: July 13, 2017
Last verified: July 2017
  Purpose
The purpose of this clinical research study is to determine whether dapagliflozin can improve (decrease) blood glucose values in patients with Type 2 diabetes and moderate renal impairment.This study will be conducted at approximately 100 centres from countries across North America and European regions. It is planned to randomize a total of 302 patients.

Condition Intervention Phase
Type 2 Diabetes Mellitus Drug: Dapagliflozin 10 mg Drug: Matching Placebo for Dapagliflozin Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Participant, Investigator
Primary Purpose: Treatment
Official Title: 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 Inadequate Glycemic Control.

Resource links provided by NLM:


Further study details as provided by AstraZeneca:

Primary Outcome Measures:
  • Change from baseline in HbA1c at Week 24 [ Time Frame: 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 and CKD stage 3A.


Secondary Outcome Measures:
  • Percent change from baseline in total body weight at Week 24. [ Time Frame: At Week 24 ]
    To compare the percent change from baseline in total body weight between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment.

  • Change from baseline in FPG at Week 24. [ Time Frame: At Week 24 ]
    To compare the change from baseline in FPG between dapagliflozin 10 mg and placebo, after 24 weeks of oral administration of double-blind treatment.

  • Change from baseline in seated SBP at Week 24. [ Time Frame: At Week 24 ]
    To compare the 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.


Enrollment: 321
Actual Study Start Date: June 15, 2015
Estimated Study Completion Date: November 8, 2017
Estimated Primary Completion Date: November 8, 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Dapagliflozin
10 mg Tablets, Oral, Once daily, 24 weeks
Drug: Dapagliflozin 10 mg
Tablets administered orally once daily for 24 weeks. Randomization will be stratified by pre-enrolment anti-hyperglycemic therapy
Other Name: Farxiga™
Placebo Comparator: Placebo
Matching placebo to Dapagliflozin 10 mg tablet. Oral, Once daily, 24 weeks
Drug: Matching Placebo for Dapagliflozin
Matching Placebo for Dapagliflozin tablets administered orally once daily for 24 weeks

  Eligibility

Ages Eligible for Study:   18 Years to 74 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Female or male aged ≥18 years and <75 years.
  • History of T2DM for more than 12 months.
  • Inadequate glycemic control, defined as HbA1c ≥7.0% and ≤11%
  • Stable anti-diabetic treatment regimen
  • Renal impairment: CKD 3A

Exclusion Criteria:

  • Women of childbearing potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period.
  • History of diabetic ketoacidosis or hyperosmolar nonketotic coma.
  • Severe uncontrolled hypertension defined as SBP ≥180 mmHg and/or Diastolic Blood Pressure (DBP) ≥110 mmHg
  • Any of the following Cardiovascular (CV)/Vascular Diseases within 3 months of prior to signing the consent at visit 1:

Myocardial infarction, Cardiac surgery or revascularization(CABG/PTCA), Unstable angina, Unstable heart failure (HF), HF New York Heart Association (NYHA) Class IV,Transient ischemic attack (TIA) or significant cerebrovascular disease, Unstable or previously undiagnosed arrhythmia.

  • History of any biopsy or imaging verifying intercurrent kidney disease (such as glomerular nephritis or sign of renal artery stenosis) other than diabetic nephropathy or diabetic nephropathy with nephrosclerosis.
  • Significant hepatic disease, including, but not limited to, chronic active hepatitis and/or severe hepatic insufficiency.
  • Ongoing treatment with any SGLT2-inhibitor, GLP-1 analogue, or rapid/short acting insulins at screening.
  • Participation in another clinical study with an Investigational Product (IP) during the last 30 days prior to signing the consent at visit 1.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02413398

  Hide Study Locations
Locations
United States, Alabama
Research Site
Huntsville, Alabama, United States, 35801
United States, California
Research Site
Burbank, California, United States, 91505
Research Site
Chula Vista, California, United States, 91910
Research Site
Concord, California, United States, 94520
Research Site
Fullerton, California, United States, 92835-3404
Research Site
Huntington Beach, California, United States, 92648
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Los Gatos, California, United States, 95032
Research Site
Newport Beach, California, United States, 92663
Research Site
Salinas, California, United States, 93901-4446
United States, Florida
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Miami Springs, Florida, United States, 33166
Research Site
Miami, Florida, United States, 33015
Research Site
Miami, Florida, United States, 33144
Research Site
Pembroke Pines, Florida, United States, 33027
United States, Illinois
Research Site
Chicago, Illinois, United States, 60643
United States, Indiana
Research Site
Brownsburg, Indiana, United States, 46112
United States, Kentucky
Research Site
Louisville, Kentucky, United States, 40213
United States, Louisiana
Research Site
Monroe, Louisiana, United States, 71203
United States, Michigan
Research Site
Flint, Michigan, United States, 48504
United States, Mississippi
Research Site
Jackson, Mississippi, United States, 39209
United States, Missouri
Research Site
Chesterfield, Missouri, United States, 63017
Research Site
Kansas City, Missouri, United States, 64111
United States, North Carolina
Research Site
Chapel Hill, North Carolina, United States, 27517
United States, Tennessee
Research Site
Chattanooga, Tennessee, United States, 37404-2700
United States, Texas
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Houston, Texas, United States, 77004
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San Antonio, Texas, United States, 78215
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San Antonio, Texas, United States, 78224
United States, Virginia
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Manassas, Virginia, United States, 20110
Bulgaria
Research Site
Blagoevgrad, Bulgaria, 2700
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Botevgrad, Bulgaria, 2140
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Kozloduy, Bulgaria, 3320
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Kyustendil, Bulgaria, 2500
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Sofia, Bulgaria, 1233
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Sofia, Bulgaria, 1407
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Sofia, Bulgaria, 1606
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Stara Zagora, Bulgaria, 6000
Canada, Alberta
Research Site
Red Deer, Alberta, Canada, T4N 6V7
Canada, British Columbia
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Surrey, British Columbia, Canada, V3S 2N6
Canada, Nova Scotia
Research Site
Halifax, Nova Scotia, Canada, B3H 1V7
Canada, Ontario
Research Site
Brampton, Ontario, Canada, L6S 0S9
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Cambridge, Ontario, Canada, N1R 6V6
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Courtice, Ontario, Canada, L1E 3C3
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Etobicoke, Ontario, Canada, M9R 4E1
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Guelph, Ontario, Canada, N1H 1B1
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London, Ontario, Canada, N6G 5A9
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North York, Ontario, Canada, M3J 1N2
Research Site
Oakville, Ontario, Canada, L6M 4H8
Research Site
Sudbury, Ontario, Canada, P3E 6C3
Research Site
Thornhill, Ontario, Canada, L4J 8L7
Research Site
Toronto, Ontario, Canada, M3M 0B2
Research Site
Toronto, Ontario, Canada, M4G 3E8
Canada, Saskatchewan
Research Site
Saskatoon, Saskatchewan, Canada, S7H 5M3
Canada
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Quebec, Canada, G1V 4G2
Czechia
Research Site
Cheb, Czechia, 350 02
Research Site
Horovice, Czechia, 268 01
Research Site
Krnov, Czechia, 794 01
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Kutna Hora, Czechia, 284 30
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Ostrava, Czechia, 702 00
Research Site
Praha - Klanovice, Czechia, 190 14
Research Site
Praha 10, Czechia
Italy
Research Site
Bari, Italy, 70124
Research Site
Bergamo, Italy, 24127
Research Site
Chieti Scalo, Italy, 66013
Research Site
Milano, Italy, 20122
Research Site
Napoli, Italy, 80138
Research Site
Padova, Italy, 35128
Research Site
Pisa, Italy, 56100
Research Site
San Giovanni Rotondo, Italy, 71013
Poland
Research Site
Bielsko-Biała, Poland, 43-300
Research Site
Bydgoszcz, Poland, 85-231
Research Site
Mrągowo, Poland, 11-700
Research Site
Ostrowiec Świętokrzyski, Poland, 27-400
Research Site
Tczew, Poland, 83-110
Research Site
Wrocław, Poland, 50-403
Research Site
Łódź, Poland, 90-132
Spain
Research Site
A Coruña, Spain, 15006
Research Site
Alicante, Spain, 03010
Research Site
Ferrol, Spain, 15405
Research Site
La Laguna (Tenerife), Spain, 38320
Research Site
Lérida, Spain, 25198
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Madrid, Spain, 28007
Research Site
Madrid, Spain, 28034
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Málaga, Spain, 29010
Research Site
Pozuelo de Alarcon, Spain, 28223
Sweden
Research Site
Göteborg, Sweden, 413 45
Research Site
Lund, Sweden, 221 85
Research Site
Stockholm, Sweden, 111 57
Research Site
Stockholm, Sweden, 11324
Sponsors and Collaborators
AstraZeneca
  More Information

Responsible Party: AstraZeneca
ClinicalTrials.gov Identifier: NCT02413398     History of Changes
Other Study ID Numbers: D1690C00024
Study First Received: April 7, 2015
Last Updated: July 13, 2017

Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases

ClinicalTrials.gov processed this record on July 14, 2017