Diabetes Mellitus Type 2
Conditions
Brief summary
This randomized, double-blind, placebo-controlled parallel arm study will assess efficacy and safety and the effects of taspoglutide on cardiovascular events in patients with inadequately controlled type 2 diabetes mellitus and established cardiovascular disease. Patients will be randomized to receive either taspoglutide subcutaneously (sc) 10mg weekly for 4 weeks followed by 20mg sc weekly, or weekly sc placebo, in addition to background anti-hyperglycemic medication and standard of care treatment for cardiovascular disease. Anticipated time on study treatment is up to 2 years. Target sample size is 2000 patients.
Interventions
sc weekly
10 mg sc weekly for 4 weeks, followed by 20 mg sc weekly
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>18 years of age * diabetes mellitus type 2 * HbA1c \>/=6.5% and \</=10% at screening * BMI \>/=23kg/m2 * cardiovascular disease with onset \>/=1 month prior to screening
Exclusion criteria
* diagnosis or history of type 1 diabetes or secondary forms of diabetes * acute metabolic diabetic complications within past 6 months * severe hypoglycemia \</=1 month prior to screening * clinically significant gastrointestinal disease * history of chronic or acute pancreatitis * current New York Heart Association (NYHA) class IV heart failure or post-transplantation cardiomyopathy * severely impaired renal function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to cardiovascular composite primary endpoints | event-driven, cardiovascular assessments weeks 1,4,12 and every 3 to 4 months thereafter |
Secondary
| Measure | Time frame |
|---|---|
| Secondary cardiovascular composite endpoints | event-driven, cardiovascular assessments weeks 1,4,12 and every 3 to 4 months thereafter |
| Individual components of primary cardiovascular composite endpoints | event-driven, cardiovascular assessments weeks 1,4,12 and every 3 to 4 months thereafter |
| Total mortality | assessed at end of study, week 104 |
| Metabolic and renal function parameters: HbA1c, fasting plasma glucose, body weight, lipid profile, albumin/creatinine ratio (ACR), albuminuria, glomerular filtration rate (GFR) | laboratory assessments weeks 4 and 12, and every 3 to 6 months thereafter |
Countries
Australia, Brazil, Bulgaria, Canada, Czechia, Denmark, Estonia, Germany, Hungary, India, Israel, Lithuania, Malaysia, Mexico, Poland, Romania, Russia, Slovakia, South Africa, Spain, Taiwan, Thailand, Ukraine, United Kingdom, United States