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A Phase III Study of BMS-512148 (Dapagliflozin) in Patients With Type 2 Diabetes Who Are Not Well Controlled on Metformin Alone

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 Metformin Alone

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00528879
Enrollment
915
Registered
2007-09-12
Start date
2007-09-30
Completion date
2010-05-31
Last updated
2015-10-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes

Keywords

Diabetes Mellitus, Type 2, Diabetes Mellitus, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Diseases, Metformin, Hypoglycemic Agents, Pharmacologic Actions, Physiological Effects of Drugs

Brief summary

The purpose of this clinical research study is to learn whether dapagliflozin can help reduce blood sugar levels in participants with Type 2 diabetes that is not well controlled on metformin alone. The safety of this treatment will also be studied.

Interventions

DRUGDapagliflozin

Tablets administered orally as a 2.5-, 5-, or 10-mg dose once daily for up to 102 weeks

DRUGPlacebo

Dapagliflozin-matching placebo administered as tablets orally once daily for up to 102 weeks

DRUGMetformin

Open-label metformin administered as ≥1500 mg per day for up to 102 weeks

Sponsors

Bristol-Myers Squibb
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 77 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria * Males and females, 18 to 77 years old, with type 2 diabetes and inadequate glycemic control * Participants who have been receiving metformin at a total daily dose ≥1500 mg per day for at least 8 weeks * C-peptide ≥1.0 ng/mL * Body mass index ≤45.0 kg/m\^2 * Serum creatinine level \<1.50 mg/dL for men or \<1.40 mg/dL for women. Key

Exclusion criteria

* Aspartate aminotransferase and/or alanine aminotransferase level \>3.0 times the upper limit of normal * Serum total bilirubin level \>2 mg/dL * Creatinine kinase level \>3 times upper limit of normal * Symptoms of severely uncontrolled diabetes * Serum creatinine level ≥1.50 mg/dL for men or ≥1.40 mg/dL for women * Currently unstable or serious cardiovascular, renal, hepatic, hematologic, oncologic, endocrine, psychiatric, or rheumatic diseases

Design outcomes

Primary

MeasureTime frameDescription
Adjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24HbA1c 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.

Secondary

MeasureTime frameDescription
Adjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24Secondary 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.
Percentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24Secondary 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.
Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24Secondary 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.
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])From Baseline to Week 24Secondary 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.
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])From Baseline to Week 24Secondary 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.
Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])From Baseline to Week 1Secondary 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.
Adjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24Secondary 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.
Adjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])From Baseline to Week 24Secondary 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.

Other

MeasureTime frameDescription
Number of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline to Week 10212-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.
Mean Changes From Baseline in Seated Systolic Blood PressureFrom Baseline to Week 102Blood 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.
Mean Changes From Baseline in Seated Diastolic Blood PressureFrom Baseline to Week 102Blood 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.
Number of Participants With Orthostatic HypotensionFrom Baseline to Week 102Orthostatic 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.
Number of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityDay 1 to Week 102BUN=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.
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 DiscontinuationFrom Baseline to end of Long-term Period (Week 102)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. Events captured from baseline to last dose plus 4 days for AEs and plus 30 days for SAEs during the double-blind 12-week period. Data after rescue included.

Countries

Argentina, Brazil, Canada, Mexico, United States

Participant flow

Pre-assignment details

Of 915 participants enrolled, 562 completed a qualification period. Of these 562 participants, 546 were randomized and received treatment and 16 were excluded due to adverse events (1), no longer meeting study criteria (7), poor compliance or noncompliance (3), withdrawn consent (4), and lost to follow-up (1).

Participants by arm

ArmCount
Placebo + Metformin
Participants received dapagliflozin-matching placebo once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
137
Dapagliflozin, 2.5 mg + Metformin
Participants received dapagliflozin, 2.5 mg, once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
137
Dapagliflozin, 5 mg + Metformin
Participants received dapagliflozin, 5 mg, once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
137
Dapagliflozin, 10 mg + Metformin
Participants received dapagliflozin, 10 mg, once daily plus open-label metformin ≥1500 mg per day for up to 102 weeks
135
Total546

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Long-term Period (Weeks 24 to 102)Adverse Event5432
Long-term Period (Weeks 24 to 102)Death0100
Long-term Period (Weeks 24 to 102)Lack of Efficacy2716179
Long-term Period (Weeks 24 to 102)Lost to Follow-up4537
Long-term Period (Weeks 24 to 102)No longer meets study criteria1110
Long-term Period (Weeks 24 to 102)Poor compliance/noncompliance0512
Long-term Period (Weeks 24 to 102)Pregnancy1000
Long-term Period (Weeks 24 to 102)Withdrawal by Subject4684
Short-term Period (Day 1 to Week 24)Administrative reason by author1101
Short-term Period (Day 1 to Week 24)Adverse Event4424
Short-term Period (Day 1 to Week 24)Lack of Efficacy3010
Short-term Period (Day 1 to Week 24)Lost to Follow-up5445
Short-term Period (Day 1 to Week 24)No longer meets study criteria2302
Short-term Period (Day 1 to Week 24)Other0011
Short-term Period (Day 1 to Week 24)Poor compliance/noncompliance0020
Short-term Period (Day 1 to Week 24)Withdrawal by Subject7553

Baseline characteristics

CharacteristicDapagliflozin, 2.5 mg + MetforminDapagliflozin, 5 mg + MetforminDapagliflozin, 10 mg + MetforminTotalPlacebo + Metformin
Age, Continuous55.0 Years54.3 Years52.7 Years53.9 Years53.7 Years
Age, Customized
65 to younger than 75 years
19 Participants17 Participants16 Participants75 Participants23 Participants
Age, Customized
75 years and older
2 Participants1 Participants1 Participants4 Participants0 Participants
Age, Customized
Younger than 65 years
116 Participants119 Participants118 Participants467 Participants114 Participants
Body Mass Index
<25 kg/m^2
4 Participants12 Participants12 Participants37 Participants9 Participants
Body Mass Index
≥25 kg/m^2
133 Participants125 Participants123 Participants509 Participants128 Participants
Body Mass Index
≥27 kg/m^2
120 Participants111 Participants106 Participants452 Participants115 Participants
Body Mass Index
≥30 kg/m^2
77 Participants81 Participants75 Participants312 Participants79 Participants
Female Age
50 Years and younger
18 Participants22 Participants22 Participants87 Participants25 Participants
Female Age
Older than 50 years
49 Participants46 Participants36 Participants167 Participants36 Participants
Race/Ethnicity, Customized
American Indian/Alaskan Native
2 Participants2 Participants4 Participants9 Participants1 Participants
Race/Ethnicity, Customized
Asian
3 Participants4 Participants1 Participants11 Participants3 Participants
Race/Ethnicity, Customized
Black/African American
5 Participants6 Participants4 Participants17 Participants2 Participants
Race/Ethnicity, Customized
Native Hawaiian/Other Pacific Islander
0 Participants1 Participants0 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Other
10 Participants6 Participants5 Participants28 Participants7 Participants
Race/Ethnicity, Customized
White
117 Participants118 Participants121 Participants480 Participants124 Participants
Sex: Female, Male
Female
67 Participants68 Participants58 Participants254 Participants61 Participants
Sex: Female, Male
Male
70 Participants69 Participants77 Participants292 Participants76 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
84 / 13787 / 13777 / 13783 / 135
serious
Total, serious adverse events
14 / 13715 / 1379 / 13714 / 135

Outcome results

Primary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication and had nonmissing HbA1c values at baseline and Week 24 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])-0.30 PercentStandard Error 0.0718
Dapagliflozin, 2.5 mg + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])-0.67 PercentStandard Error 0.0715
Dapagliflozin, 5 mg + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])-0.70 PercentStandard Error 0.0722
Dapagliflozin, 10 mg + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1C (HbA1c) at Week 24 (Last Observation Carried Forward [LOCF])-0.84 PercentStandard Error 0.0724
p-value: <0.0001ANCOVA
p-value: 0.0002ANCOVA
p-value: <0.0001ANCOVA
Secondary

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.

Time frame: From Baseline to Week 1

Population: All randomized participants who received study medication and who had nonmissing fasting plasma glucose values at baseline and Week 1 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])1.2 mg/dLStandard Error 1.934
Dapagliflozin, 2.5 mg + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])-6.0 mg/dLStandard Error 1.981
Dapagliflozin, 5 mg + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])-12.0 mg/dLStandard Error 1.976
Dapagliflozin, 10 mg + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 1 (Last Observation Carried Forward [LOCF])-16.5 mg/dLStandard Error 2.03
ANCOVA
p-value: <0.0001ANCOVA
p-value: <0.0001ANCOVA
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication and who had nonmissing fasting plasma glucose values at baseline and Week 24 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])-6.0 mg/dLStandard Error 2.673
Dapagliflozin, 2.5 mg + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])-17.8 mg/dLStandard Error 2.663
Dapagliflozin, 5 mg + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])-21.5 mg/dLStandard Error 2.679
Dapagliflozin, 10 mg + MetforminAdjusted Mean Change From Baseline in Fasting Plasma Glucose at Week 24 (Last Observation Carried Forward [LOCF])-23.5 mg/dLStandard Error 2.721
p-value: <0.0019ANCOVA
p-value: <0.0001ANCOVA
p-value: <0.0001ANCOVA
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication, who had a BMI ≥27 kg/m\^2 at baseline, and who had nonmissing HbA1c values at Week 24 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted 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])-0.31 PercentStandard Error 0.0792
Dapagliflozin, 2.5 mg + MetforminAdjusted 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])-0.69 PercentStandard Error 0.0774
Dapagliflozin, 5 mg + MetforminAdjusted 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])-0.71 PercentStandard Error 0.0806
Dapagliflozin, 10 mg + MetforminAdjusted 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])-0.88 PercentStandard Error 0.0826
ANCOVA
p-value: 0.0004ANCOVA
p-value: <0.0001ANCOVA
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication, who had baseline HbA1c ≥9.0%, and who had nonmissing HbA1c values at Week 24 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])-0.53 PercentStandard Error 0.2345
Dapagliflozin, 2.5 mg + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])-1.21 PercentStandard Error 0.266
Dapagliflozin, 5 mg + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])-1.37 PercentStandard Error 0.1875
Dapagliflozin, 10 mg + MetforminAdjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) in Participants With Baseline HbA1c ≥9.0% at Week 24 (Last Observation Carried Forward [LOCF])-1.32 PercentStandard Error 0.2595
ANCOVA
p-value: 0.0068ANCOVA
p-value: 0.029ANCOVA
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication, who had baseline BMI ≥27 kg/m\^2, and who had nonmissing total body weight measurements at Week 24 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted 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])-1.01 KilogramsStandard Error 0.263
Dapagliflozin, 2.5 mg + MetforminAdjusted 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])-2.39 KilogramsStandard Error 0.2564
Dapagliflozin, 5 mg + MetforminAdjusted 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])-3.21 KilogramsStandard Error 0.2661
Dapagliflozin, 10 mg + MetforminAdjusted 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])-3.09 KilogramsStandard Error 0.2737
ANCOVA
p-value: <0.0001ANCOVA
p-value: <0.0001ANCOVA
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication and had nonmissing total body weights at baseline and Week 24 (LOCF)

ArmMeasureValue (MEAN)Dispersion
Placebo + MetforminAdjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])-0.89 KilogramsStandard Error 0.2368
Dapagliflozin, 2.5 mg + MetforminAdjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])-2.21 KilogramsStandard Error 0.2357
Dapagliflozin, 5 mg + MetforminAdjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])-3.04 KilogramsStandard Error 0.2358
Dapagliflozin, 10 mg + MetforminAdjusted Mean Change From Baseline in Total Body Weight at Week 24 (Last Observation Carried Forward [LOCF])-2.86 KilogramsStandard Error 0.2392
p-value: <0.0001ANCOVA
p-value: <0.0001ANCOVA
p-value: <0.0001ANCOVA
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication and who had HbA1c values at Baseline and Week 24 (LOCF)

ArmMeasureValue (NUMBER)
Placebo + MetforminAdjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])13.8 Percentage of participants
Dapagliflozin, 2.5 mg + MetforminAdjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])20.7 Percentage of participants
Dapagliflozin, 5 mg + MetforminAdjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])14.5 Percentage of participants
Dapagliflozin, 10 mg + MetforminAdjusted Percentage of Participants Achieving Hemoglobin A1c (HbA1C) ≤6.5% at Week 24 (Last Observation Carried Forward [LOCF])25.2 Percentage of participants
Modified logistic regression
p-value: 0.8627Modified logistic regression
p-value: 0.0149Modified logistic regression
Secondary

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.

Time frame: From Baseline to Week 24

Population: All randomized participants who received study medication and were not missing baseline and Week 24 (LOCF) values

ArmMeasureValue (NUMBER)
Placebo + MetforminPercentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])25.9 Percentage of participants
Dapagliflozin, 2.5 mg + MetforminPercentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])33.0 Percentage of participants
Dapagliflozin, 5 mg + MetforminPercentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])37.5 Percentage of participants
Dapagliflozin, 10 mg + MetforminPercentage of Participants Achieving a Therapeutic Glycemic Response (Hemoglobin A1c [HbA1C]) <7.0% at Week 24 (Last Observation Carried Forward [LOCF])40.6 Percentage of participants
p-value: 0.1775Modified logistic regression
p-value: 0.0275Modified logistic regression
p-value: 0.0062Modified logistic regression
Other Pre-specified

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.

Time frame: From Baseline to Week 102

Population: All randomized participants who received study medication. n=the number of participants not missing baseline and Week t values.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 102 (n=72, 78, 88, 94)-1.0 mm HgStandard Error 0.929
Placebo + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 24 (n=119, 119, 122, 122)-0.1 mm HgStandard Error 0.744
Placebo + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 50 (n=105, 116, 111, 113)0.1 mm HgStandard Error 0.861
Placebo + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 12 (n=125, 129, 129, 126)-0.9 mm HgStandard Error 0.763
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 24 (n=119, 119, 122, 122)-1.8 mm HgStandard Error 0.863
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 12 (n=125, 129, 129, 126)-1.3 mm HgStandard Error 0.794
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 50 (n=105, 116, 111, 113)-0.2 mm HgStandard Error 0.714
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 102 (n=72, 78, 88, 94)-0.1 mm HgStandard Error 0.914
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 12 (n=125, 129, 129, 126)-2.3 mm HgStandard Error 0.714
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 102 (n=72, 78, 88, 94)-1.5 mm HgStandard Error 0.861
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 50 (n=105, 116, 111, 113)-2.4 mm HgStandard Error 0.84
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 24 (n=119, 119, 122, 122)-2.5 mm HgStandard Error 0.769
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 24 (n=119, 119, 122, 122)-1.8 mm HgStandard Error 0.842
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 102 (n=72, 78, 88, 94)-1.2 mm HgStandard Error 1.041
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 12 (n=125, 129, 129, 126)-1.0 mm HgStandard Error 0.758
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Diastolic Blood PressureWeek 50 (n=105, 116, 111, 113)-1.2 mm HgStandard Error 0.921
Other Pre-specified

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.

Time frame: From Baseline to Week 102

Population: All randomized participants who received study medication. n=the number of participants not missing baseline and Week t values.

ArmMeasureGroupValue (MEAN)Dispersion
Placebo + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 102 (n=72, 78, 88, 94)1.5 mm HgStandard Error 1.61
Placebo + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 12 (n=125, 129, 129, 126)-0.1 mm HgStandard Error 1.216
Placebo + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 24 (n=119, 119, 122, 122)-0.2 mm HgStandard Error 1.229
Placebo + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 50 (n=105, 116, 111, 113)1.0 mm HgStandard Error 1.44
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 12 (n=125, 129, 129, 126)-1.6 mm HgStandard Error 1.38
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 24 (n=119, 119, 122, 122)-2.1 mm HgStandard Error 1.126
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 102 (n=72, 78, 88, 94)0.7 mm HgStandard Error 1.825
Dapagliflozin, 2.5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 50 (n=105, 116, 111, 113)-0.1 mm HgStandard Error 1.281
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 50 (n=105, 116, 111, 113)-2.1 mm HgStandard Error 1.314
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 12 (n=125, 129, 129, 126)-4.0 mm HgStandard Error 1.206
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 102 (n=72, 78, 88, 94)-1.1 mm HgStandard Error 1.412
Dapagliflozin, 5 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 24 (n=119, 119, 122, 122)-4.3 mm HgStandard Error 1.27
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 102 (n=72, 78, 88, 94)-0.3 mm HgStandard Error 1.544
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 24 (n=119, 119, 122, 122)-5.1 mm HgStandard Error 1.329
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 50 (n=105, 116, 111, 113)-1.9 mm HgStandard Error 1.472
Dapagliflozin, 10 mg + MetforminMean Changes From Baseline in Seated Systolic Blood PressureWeek 12 (n=125, 129, 129, 126)-3.0 mm HgStandard Error 1.23
Other Pre-specified

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

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. Events captured from baseline to last dose plus 4 days for AEs and plus 30 days for SAEs during the double-blind 12-week period. Data after rescue included.

Time frame: From Baseline to end of Long-term Period (Week 102)

Population: All randomized participants who received at least 1 dose of blinded study medication

ArmMeasureGroupValue (NUMBER)
Placebo + MetforminNumber 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 DiscontinuationAt least 1 AE111 Participants
Placebo + MetforminNumber 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 DiscontinuationAt least 1 hypoglycemia event8 Participants
Placebo + MetforminNumber 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 DiscontinuationDeaths1 Participants
Placebo + MetforminNumber 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 DiscontinuationAt least 1 related AE28 Participants
Placebo + MetforminNumber 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 DiscontinuationHypoglycemia events leading to discontinuation0 Participants
Placebo + MetforminNumber 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 DiscontinuationAt least 1 related SAE3 Participants
Placebo + MetforminNumber 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 DiscontinuationAt least 1 SAE14 Participants
Placebo + MetforminNumber 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 DiscontinuationAEs leading to discontinuation9 Participants
Placebo + MetforminNumber 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 DiscontinuationSAEs leading to discontinuation6 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationAt least 1 SAE15 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationHypoglycemia events leading to discontinuation0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationAt least 1 related SAE0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationAt least 1 AE111 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationAt least 1 related AE36 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationSAEs leading to discontinuation3 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationAEs leading to discontinuation7 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationAt least 1 hypoglycemia event5 Participants
Dapagliflozin, 2.5 mg + MetforminNumber 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 DiscontinuationDeaths2 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationAEs leading to discontinuation5 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationAt least 1 SAE9 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationHypoglycemia events leading to discontinuation0 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationAt least 1 hypoglycemia event7 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationSAEs leading to discontinuation1 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationAt least 1 related AE33 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationAt least 1 related SAE2 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationAt least 1 AE111 Participants
Dapagliflozin, 5 mg + MetforminNumber 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 DiscontinuationDeaths0 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationAt least 1 related SAE1 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationDeaths0 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationAEs leading to discontinuation6 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationAt least 1 SAE14 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationHypoglycemia events leading to discontinuation0 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationAt least 1 AE111 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationSAEs leading to discontinuation2 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationAt least 1 related AE45 Participants
Dapagliflozin, 10 mg + MetforminNumber 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 DiscontinuationAt least 1 hypoglycemia event7 Participants
Other Pre-specified

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.

Time frame: Baseline to Week 102

Population: All randomized participants who received at least 1 dose of study medication and who had nonmissing baseline and Week 102 (LOCF) values

ArmMeasureGroupValue (NUMBER)
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 normal1 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 not reported3 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 not reported0 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 not reported9 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 normal74 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reportedl/Week 102 abnormal0 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 abnormal7 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 abnormal26 Participants
Placebo + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 normal17 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 normal0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 abnormal24 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reportedl/Week 102 abnormal0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 not reported0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 normal11 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 not reported2 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 normal80 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 abnormal14 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 not reported6 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 normal20 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reportedl/Week 102 abnormal0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 normal1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 not reported5 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 normal79 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 not reported3 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 not reported0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 abnormal20 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 abnormal9 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 not reported0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 normal82 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 normal10 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 abnormal25 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 abnormal8 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline normal/Week 102 not reported9 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline abnormal/Week 102 not reported1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reported/Week 102 normal0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Changes in Baseline in Electrocardiogram Findings at Week 102 (Last Observation Carried Forward [LOCF])Baseline not reportedl/Week 102 abnormal0 Participants
Other Pre-specified

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.

Time frame: Day 1 to Week 102

Population: All randomized participants who received at least 1 dose of study medication and who had nonmissing laboratory values at baseline and Week 102.

ArmMeasureGroupValue (NUMBER)
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥2.5 mg/dL0 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (high)1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityGlucose >350 mg/dL2 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >5*ULN2 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >10*ULN1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 5*ULN0 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total <7.5 mg/dL4 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityMagnesium, serum <1 mEq/L1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total (high)2 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPotassium, serum ≥6 MEQ/L6 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum <130 mEq/L1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALP elevation >1.5*ULN5 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum >150 mEq/L0 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥1.5 preRX creatinine2 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 3*ULN1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAlbumin/creatinine ratio >1800 mg/g2 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityBUN ≥60 mg/d or Urea>21.4 mmol/L0 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAST elevation 3*ULN0 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >1.5*ULN2 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >2*ULN0 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (low)1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHematocrit >55%1 Participants
Placebo + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHemoglobin >18 g/dL1 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (low)0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALP elevation >1.5*ULN5 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (high)1 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityGlucose >350 mg/dL0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAlbumin/creatinine ratio >1800 mg/g0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum >150 mEq/L0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >5*ULN2 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityMagnesium, serum <1 mEq/L0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥1.5 preRX creatinine3 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >10*ULN0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAST elevation 3*ULN0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥2.5 mg/dL0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHemoglobin >18 g/dL4 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 5*ULN0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total (high)0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total <7.5 mg/dL1 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >2*ULN0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPotassium, serum ≥6 MEQ/L3 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHematocrit >55%2 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum <130 mEq/L0 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >1.5*ULN1 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 3*ULN3 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityBUN ≥60 mg/d or Urea>21.4 mmol/L0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥2.5 mg/dL1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityBUN ≥60 mg/d or Urea>21.4 mmol/L0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥1.5 preRX creatinine4 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHemoglobin >18 g/dL1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum <130 mEq/L3 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (low)0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAlbumin/creatinine ratio >1800 mg/g3 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 3*ULN2 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 5*ULN1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >1.5*ULN1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALP elevation >1.5*ULN0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHematocrit >55%2 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityGlucose >350 mg/dL0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >5*ULN3 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >10*ULN2 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total <7.5 mg/dL2 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total (high)0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPotassium, serum ≥6 MEQ/L3 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityMagnesium, serum <1 mEq/L0 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum >150 mEq/L1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (high)2 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAST elevation 3*ULN3 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >2*ULN0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityMagnesium, serum <1 mEq/L1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityGlucose >350 mg/dL1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALP elevation >1.5*ULN2 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum >150 mEq/L0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥2.5 mg/dL0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHematocrit >55%3 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityBUN ≥60 mg/d or Urea>21.4 mmol/L1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (high)5 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >2*ULN1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityTotal bilirubin elevation >1.5*ULN4 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAlbumin/creatinine ratio >1800 mg/g1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 3*ULN2 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityAST elevation 3*ULN2 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityHemoglobin >18 g/dL5 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPhosphorus, inorganic (low)0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalitySodium, serum <130 mEq/L0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >10*ULN1 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total (high)0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityALT elevation 5*ULN0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityPotassium, serum ≥6 MEQ/L2 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCalcium, total <7.5 mg/dL0 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatine kinase >5*ULN3 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Laboratory Test Results Meeting the Criteria for Laboratory AbnormalityCreatinine ≥1.5 preRX creatinine2 Participants
Other Pre-specified

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.

Time frame: From Baseline to Week 102

Population: All randomized participants who received treatment; n=the number of participants who were not missing blood pressure measurements.

ArmMeasureGroupValue (NUMBER)
Placebo + MetforminNumber of Participants With Orthostatic HypotensionWeek 12 (n=123, 128, 127, 125)6 Participants
Placebo + MetforminNumber of Participants With Orthostatic HypotensionBaseline (n=121, 127, 124, 126)3 Participants
Placebo + MetforminNumber of Participants With Orthostatic HypotensionWeek 50 (n=103, 115, 109,112)10 Participants
Placebo + MetforminNumber of Participants With Orthostatic HypotensionWeek 102 (n=71, 76, 87, 94)1 Participants
Placebo + MetforminNumber of Participants With Orthostatic HypotensionWeek 1 (n=126, 121, 119, 114)28 Participants
Placebo + MetforminNumber of Participants With Orthostatic HypotensionWeek 24 (n=116, 114, 118, 121)10 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 1 (n=126, 121, 119, 114)26 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 24 (n=116, 114, 118, 121)6 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 50 (n=103, 115, 109,112)6 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 12 (n=123, 128, 127, 125)8 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Orthostatic HypotensionBaseline (n=121, 127, 124, 126)4 Participants
Dapagliflozin, 2.5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 102 (n=71, 76, 87, 94)1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Orthostatic HypotensionBaseline (n=121, 127, 124, 126)4 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 102 (n=71, 76, 87, 94)1 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 50 (n=103, 115, 109,112)7 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 12 (n=123, 128, 127, 125)4 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 24 (n=116, 114, 118, 121)5 Participants
Dapagliflozin, 5 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 1 (n=126, 121, 119, 114)21 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 102 (n=71, 76, 87, 94)3 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 1 (n=126, 121, 119, 114)19 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 12 (n=123, 128, 127, 125)5 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 24 (n=116, 114, 118, 121)3 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Orthostatic HypotensionWeek 50 (n=103, 115, 109,112)6 Participants
Dapagliflozin, 10 mg + MetforminNumber of Participants With Orthostatic HypotensionBaseline (n=121, 127, 124, 126)4 Participants

Source: ClinicalTrials.gov · Data processed: Mar 31, 2026