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Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Rising Doses of BI 10773 Tablets

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of 4 Multiple Rising Oral Doses (2.5 mg to 100 mg) of BI 10773 Tablets in Male and Female Type 2 Diabetic Patients

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01924767
Enrollment
48
Registered
2013-08-16
Start date
2007-07-31
Completion date
2007-11-30
Last updated
2014-07-04

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

Conditions

Diabetes Mellitus, Type 2

Brief summary

To investigate safety, tolerability, pharmacokinetics and pharmacodynamics of BI 10773 with repeat dosing for eight days and the exploration of the pharmacokinetics and pharmacodynamics of BI 10773 after multiple dosing, including dose proportionality and assessment of steady state.

Interventions

po taken fasting with 240 mL water

DRUGBI 10773

po taken fasting with 240 mL water

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

1. Male and postmenopausal or hysterectomised female patients with proven diagnosis of type 2 diabetes mellitus treated with diet and exercise only or on a maximum of two oral antidiabetic agents except thiazolidindiones with at least one agent taken at 50% of its maximum dose or less. 2. Glycosylated haemoglobin A1 (HbA1c) £ 8.5 % at screening. 3. Age \>21 and Age \<70 years (male and hysterectomised female patients) Age \>60 and Age \<70 years (postmenopausal female patients) 4. Body Mass Index (BMI) \>18.5 and \<40 kg/m2 5. Signed and dated written informed consent prior to admission to the study in accordance with GCP and the local legislation

Exclusion criteria

1. Antidiabetic treatment with insulin or glitazones or with more than one oral hypoglycaemic agent (except if 2 agents and at least one of them not taken at more than 50% of its maximum dose) 2. Fasted blood glucose \> 240 mg/dl (\>13.3 mmol/L) on two consecutive days during washout. 3. Glycosylated haemoglobin A1 (HbA1c) \>8.5% at screening 4. Clinically relevant concomitant diseases other than type 2 diabetes, hyperlipidaemia and medically treated hypertension, such as: * Any late stage complication of diabetes (e.g. retinopathy, polyneuropathy, vegetative disorders, diabetic foot) * Renal insufficiency (calculated creatinine clearance \< 80 ml/min/1.73m²) * Cardiac insufficiency NYHA II-IV, myocardial infarction, other known cardiovascular diseases including hypertension \> 160/95mmHg (measured at training visit and each of the timepoints of Day -1), stroke and TIA (Transistoric ischaemic attack) * Neurological disorders (such as epilepsy) or psychiatric disorders * Acute or relevant chronic infections (e.g. HIV, repeated urogenital infections) * Any gastrointestinal, hepatic, respiratory, endocrine or immunological disorder 5. History of relevant allergy/hypersensitivity (including allergy to drug or its excipients) 6. A marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval \>450 ms) 7. A history of additional risk factors for TdP (torsade des pointes) (e.g., heart failure, hypokalemia, family history of sudden death before the age of 50)

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory Testsday 1 to day 21Percentage of participants with clinically relevant findings in physical examination, vital signs and clinical laboratory tests. Relevant findings or worsenings of baseline conditions were reported as Adverse Events (cardiac disorders and investigations).
Percentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) Resultsday 1 to day 21Percentage of participants with clinically relevant findings in electrocardiogram (ECG) results
Micturition FrequencyBaseline and Day 9Micturition frequency is reported as change from pre-treatment to day 9 during the day, the night and total. Baseline is the mean of days 8-3 before drug administration.
Assessment of Tolerability by Investigatorday 21Tolerability will be assessed by the investigator according to the categories good, satisfactory, not satisfactory and bad.

Secondary

MeasureTime frameDescription
Half-life and Mean Residence Time of the Analyte in Plasma-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Terminal half life of the analyte in plasma (t1/2) and mean residence time of the analyte in the body after single oral administration (MRTpo) after first dose and at steady-state.
Apparent Volume of Distribution During the Terminal Phase-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Apparent volume of distribution during the terminal phase (Vz/F) after first dose and at steady state. Apparent volume is defined as CL/F divided by the terminal rate constant in plasma (either after first dose or at steady-state).
Amount of Analyte Eliminated in Urine0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 hours (h) after dose on day 1 and 0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 and 48-72 hours (h) after dose on day 9Amount of analyte that is eliminated in urine after first dose and at steady state from the time interval 0 to 24 h (Ae0-24) and 0 to 48 h (Ae0-48)
Fraction of Analyte Excreted Unchanged in Urine0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 hours (h) after dose on day 1 and 0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 and 48-72 hours (h) after dose on day 9Fraction of analyte excreted unchanged in urine in the time interval 0 to 12 h (fe0-12) after first dose and at steady-state. The fraction excreted was calculated by dividing Ae0-12 by the Dose and multiply it with 100. Fraction of analyte excreted unchanged in urine in the time interval 0 to 24 h (fe0-24) after first dose and at steady-state. The fraction excreted was calculated by dividing Ae0-24 by the Dose and multiply it with 100.
Apparent and Renal Clearance of the Analyte in Plasma-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Apparent clearance of the analyte in plasma (CL/F) after first dose and at steady-state, Renal clearance of the analyte in plasma after extravascular administration (CLR) after first dose and at steady-state. Apparent clearance after first dose is defined as the dose divided by AUC0-∞; apparent clearance at steady-state is defined as the dose divided by AUC0-tau at steady-state. Renal clearance CLR(0-t) is defined as Ae0-t divided by AUC0-t.
Peak Trough Fluctuation-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Peak trough fluctuation (PTF) is defined as the difference between Cmax and Cmin divided by Cavg and multiplied with 100% at steady-state
Concentration of the Analyte in Plasma-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1.-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Maximum concentration of the analyte in plasma (Cmax) after first dose, Maximum, minimum (Cmin) and average (Cavg) concentration of the analyte in plasma at steady-state, Concentration of analyte in plasma at 24 h after administration of the 8th dose (at steady-state) (C24,8)
Accumulation Ratios-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Accumulation ratio based on Cmax (RA,Cmax) and Accumulated ratio based on AUC0-tau (RA,AUC) at steady-state. Accumulation ratio for the respective doses were calculated using below mentioned equations: RA,Cmax = Cmax,ss/Cmax RA,AUC= AUCtau,ss/AUCtau
Change From Baseline to Day 8 in Urinary Glucose Excretion-2-0 hours(h) before drug administration and 0-2, 2-4, 4-6, 6-8, 8-12,12-16 and 16-24 h after drug administration on day -2 and day 8Change from baseline to day 8 in urinary glucose excretion. Baseline is defined as Day -2.
Mean Daily Glucose0:00, 2:00, 5:00, 7:00, 10:00, 12:00,13:30 and 24:00 hours(h) after drug administration on day -2 and -0.05, 2:30, 5:00, 7:00, 10:00, 12.00, 13:30 and 24:00 hours (h) after drug administration on day 8Change from baseline to Day 8 in mean daily glucose. Baseline is defined as Day -2.
Fasting Plasma Glucose-0:30 (Pre dose samples)Percentage change from baseline to Day 8 in fasting plasma glucose. Baseline is defined as Day -2.
Serum Insulin0.0h, 2h, 5h, 7h, 10h, 12h on day -2 & day 8Serum insulin measured for on day -2 and day 8 for AUEC0-5 and AUEC0-12. AUEC0-5: The area under the effect concentration-time curve over the time interval 0 to 5. AUEC0-12: The area under the effect concentration-time curve over the time interval 0 to 12.
Linearity Index-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.The linearity index is defined as AUC0-tau divided by AUC0-∞ both at steady state.
Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1.-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.AUC0-∞: from 0 extrapolated to infinity after first dose AUCtau,1: over a uniform dosing interval tau after first dose AUCtau,ss: over a uniform dosing interval tau at steady-state AUCs were computed using the linear up/log down algorithm. If an analyte concentration was equal to or higher than the preceding concentration, the linear trapezoidal method was to be used. If the analyte concentration was smaller than the preceding concentration, the logarithmic method was to be used.
Time to Maximum Concentration of the Analyte in Plasma-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1.-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Time from last dosing to maximum concentration of the analyte in plasma (tmax) after first dose and at steady-state
Terminal Rate Constant in Plasma-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.Terminal rate constant in plasma after first dose and at steady-state

Countries

Germany

Participant flow

Recruitment details

This Phase I trial was randomised, double-blind, and placebo-controlled within dose groups. It was to be performed in 48 female and male patients with type 2 diabetes in 4 sequential groups of 12 patients each. Within each dose group, 9 patients were to receive active drug and 3 were to receive placebo.

Pre-assignment details

14 days wash-out of previous antidiabetic therapy followed by 8 days of once daily dosing at each dose level.

Participants by arm

ArmCount
Placebo
Patients were treated with matching placebo as tablet once daily in the morning.
12
Empagliflozin 2.5 mg qd
Patients were treated with 2.5 mg Empagliflozin as tablet once daily in the morning.
9
Empagliflozin 10 mg qd
Patients were treated with 10 mg Empagliflozin as tablet once daily in the morning.
9
Empagliflozin 25 mg qd
Patients were treated with 25 mg Empagliflozin as tablet once daily in the morning.
9
Empagliflozin 100 mg qd
Patients were treated with 100 mg Empagliflozin as tablet once daily in the morning.
9
Total48

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event10100

Baseline characteristics

CharacteristicPlaceboEmpagliflozin 2.5 mg qdEmpagliflozin 10 mg qdEmpagliflozin 25 mg qdEmpagliflozin 100 mg qdTotal
Age, Continuous58.9 years
STANDARD_DEVIATION 6.4
53.9 years
STANDARD_DEVIATION 10.9
51.8 years
STANDARD_DEVIATION 10.7
58.9 years
STANDARD_DEVIATION 8.8
60.3 years
STANDARD_DEVIATION 5.6
56.9 years
STANDARD_DEVIATION 8.9
Sex: Female, Male
Female
2 Participants2 Participants1 Participants2 Participants2 Participants9 Participants
Sex: Female, Male
Male
10 Participants7 Participants8 Participants7 Participants7 Participants39 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
5 / 126 / 95 / 95 / 93 / 9
serious
Total, serious adverse events
0 / 120 / 90 / 90 / 90 / 9

Outcome results

Primary

Assessment of Tolerability by Investigator

Tolerability will be assessed by the investigator according to the categories good, satisfactory, not satisfactory and bad.

Time frame: day 21

Population: Treated set

ArmMeasureGroupValue (NUMBER)
PlaceboAssessment of Tolerability by InvestigatorNot satisfactory0.0 percentage of participants
PlaceboAssessment of Tolerability by InvestigatorGood91.7 percentage of participants
PlaceboAssessment of Tolerability by InvestigatorBad8.3 percentage of participants
PlaceboAssessment of Tolerability by InvestigatorSatisfactory0.0 percentage of participants
Empagliflozin 2.5 mg qdAssessment of Tolerability by InvestigatorGood100.0 percentage of participants
Empagliflozin 2.5 mg qdAssessment of Tolerability by InvestigatorBad0.0 percentage of participants
Empagliflozin 2.5 mg qdAssessment of Tolerability by InvestigatorSatisfactory0.0 percentage of participants
Empagliflozin 2.5 mg qdAssessment of Tolerability by InvestigatorNot satisfactory0.0 percentage of participants
Empagliflozin 10 mg qdAssessment of Tolerability by InvestigatorSatisfactory0.0 percentage of participants
Empagliflozin 10 mg qdAssessment of Tolerability by InvestigatorBad0.0 percentage of participants
Empagliflozin 10 mg qdAssessment of Tolerability by InvestigatorGood100.0 percentage of participants
Empagliflozin 10 mg qdAssessment of Tolerability by InvestigatorNot satisfactory0.0 percentage of participants
Empagliflozin 25 mg qdAssessment of Tolerability by InvestigatorSatisfactory0.0 percentage of participants
Empagliflozin 25 mg qdAssessment of Tolerability by InvestigatorGood100.0 percentage of participants
Empagliflozin 25 mg qdAssessment of Tolerability by InvestigatorNot satisfactory0.0 percentage of participants
Empagliflozin 25 mg qdAssessment of Tolerability by InvestigatorBad0.0 percentage of participants
Empagliflozin 100 mg qdAssessment of Tolerability by InvestigatorNot satisfactory0.0 percentage of participants
Empagliflozin 100 mg qdAssessment of Tolerability by InvestigatorGood100.0 percentage of participants
Empagliflozin 100 mg qdAssessment of Tolerability by InvestigatorSatisfactory0.0 percentage of participants
Empagliflozin 100 mg qdAssessment of Tolerability by InvestigatorBad0.0 percentage of participants
Primary

Micturition Frequency

Micturition frequency is reported as change from pre-treatment to day 9 during the day, the night and total. Baseline is the mean of days 8-3 before drug administration.

Time frame: Baseline and Day 9

Population: Treated set

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboMicturition FrequencyMicturition night frequency0.3 frequency of micturitionStandard Deviation 1.6
PlaceboMicturition FrequencyMicturition total frequency4.5 frequency of micturitionStandard Deviation 2.1
PlaceboMicturition FrequencyMicturition day frequency4.1 frequency of micturitionStandard Deviation 1.8
Empagliflozin 2.5 mg qdMicturition FrequencyMicturition total frequency2.8 frequency of micturitionStandard Deviation 2.6
Empagliflozin 2.5 mg qdMicturition FrequencyMicturition day frequency2.6 frequency of micturitionStandard Deviation 2.1
Empagliflozin 2.5 mg qdMicturition FrequencyMicturition night frequency0.2 frequency of micturitionStandard Deviation 1.2
Empagliflozin 10 mg qdMicturition FrequencyMicturition total frequency5.5 frequency of micturitionStandard Deviation 1.5
Empagliflozin 10 mg qdMicturition FrequencyMicturition day frequency5.0 frequency of micturitionStandard Deviation 1.6
Empagliflozin 10 mg qdMicturition FrequencyMicturition night frequency0.5 frequency of micturitionStandard Deviation 0.5
Empagliflozin 25 mg qdMicturition FrequencyMicturition day frequency3.9 frequency of micturitionStandard Deviation 1.5
Empagliflozin 25 mg qdMicturition FrequencyMicturition night frequency0.6 frequency of micturitionStandard Deviation 1.6
Empagliflozin 25 mg qdMicturition FrequencyMicturition total frequency4.4 frequency of micturitionStandard Deviation 2.4
Empagliflozin 100 mg qdMicturition FrequencyMicturition night frequency0.7 frequency of micturitionStandard Deviation 0.9
Empagliflozin 100 mg qdMicturition FrequencyMicturition total frequency5.1 frequency of micturitionStandard Deviation 2.2
Empagliflozin 100 mg qdMicturition FrequencyMicturition day frequency4.4 frequency of micturitionStandard Deviation 2.1
Primary

Percentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) Results

Percentage of participants with clinically relevant findings in electrocardiogram (ECG) results

Time frame: day 1 to day 21

Population: Treated set

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically relevant0.0 percentage of participants
PlaceboPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically irrelevant100.0 percentage of participants
Empagliflozin 2.5 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically relevant0.0 percentage of participants
Empagliflozin 2.5 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically irrelevant100.0 percentage of participants
Empagliflozin 10 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically relevant0.0 percentage of participants
Empagliflozin 10 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically irrelevant100.0 percentage of participants
Empagliflozin 25 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically irrelevant100.0 percentage of participants
Empagliflozin 25 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically relevant0.0 percentage of participants
Empagliflozin 100 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically relevant0.0 percentage of participants
Empagliflozin 100 mg qdPercentage of Participants With Clinically Relevant Findings in Electrocardiogram (ECG) ResultsClinically irrelevant100.0 percentage of participants
Primary

Percentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory Tests

Percentage of participants with clinically relevant findings in physical examination, vital signs and clinical laboratory tests. Relevant findings or worsenings of baseline conditions were reported as Adverse Events (cardiac disorders and investigations).

Time frame: day 1 to day 21

Population: Treated set.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsCardiac disorders0.0 percentage of participants
PlaceboPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsInvestigations: Hepatic enzyme increased8.3 percentage of participants
Empagliflozin 2.5 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsCardiac disorders0.0 percentage of participants
Empagliflozin 2.5 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsInvestigations: Hepatic enzyme increased0.0 percentage of participants
Empagliflozin 10 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsCardiac disorders0.0 percentage of participants
Empagliflozin 10 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsInvestigations: Hepatic enzyme increased0.0 percentage of participants
Empagliflozin 25 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsInvestigations: Hepatic enzyme increased0.0 percentage of participants
Empagliflozin 25 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsCardiac disorders0.0 percentage of participants
Empagliflozin 100 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsCardiac disorders0.0 percentage of participants
Empagliflozin 100 mg qdPercentage of Participants With Clinically Relevant Findings in Physical Examination, Vital Signs and Clinical Laboratory TestsInvestigations: Hepatic enzyme increased0.0 percentage of participants
Secondary

Accumulation Ratios

Accumulation ratio based on Cmax (RA,Cmax) and Accumulated ratio based on AUC0-tau (RA,AUC) at steady-state. Accumulation ratio for the respective doses were calculated using below mentioned equations: RA,Cmax = Cmax,ss/Cmax RA,AUC= AUCtau,ss/AUCtau

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboAccumulation RatiosAccumulation ratio based on Cmax1.09 RatioGeometric Coefficient of Variation 27
PlaceboAccumulation RatiosAccumulated ratio based on AUC0-tau1.16 RatioGeometric Coefficient of Variation 8.39
Empagliflozin 2.5 mg qdAccumulation RatiosAccumulated ratio based on AUC0-tau1.23 RatioGeometric Coefficient of Variation 6.17
Empagliflozin 2.5 mg qdAccumulation RatiosAccumulation ratio based on Cmax1.13 RatioGeometric Coefficient of Variation 20.9
Empagliflozin 10 mg qdAccumulation RatiosAccumulation ratio based on Cmax1.05 RatioGeometric Coefficient of Variation 22.3
Empagliflozin 10 mg qdAccumulation RatiosAccumulated ratio based on AUC0-tau1.16 RatioGeometric Coefficient of Variation 11.9
Empagliflozin 25 mg qdAccumulation RatiosAccumulation ratio based on Cmax0.972 RatioGeometric Coefficient of Variation 36.8
Empagliflozin 25 mg qdAccumulation RatiosAccumulated ratio based on AUC0-tau1.12 RatioGeometric Coefficient of Variation 20.7
Secondary

Amount of Analyte Eliminated in Urine

Amount of analyte that is eliminated in urine after first dose and at steady state from the time interval 0 to 24 h (Ae0-24) and 0 to 48 h (Ae0-48)

Time frame: 0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 hours (h) after dose on day 1 and 0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 and 48-72 hours (h) after dose on day 9

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboAmount of Analyte Eliminated in UrineAe0-24 at steady-state (N=9,8,8,9)820 nmolGeometric Coefficient of Variation 33.9
PlaceboAmount of Analyte Eliminated in UrineAe0-48 at steady-state (N=9,8,8,9)941 nmolGeometric Coefficient of Variation 32.1
PlaceboAmount of Analyte Eliminated in UrineAe0-24 after first dose613 nmolGeometric Coefficient of Variation 26.9
PlaceboAmount of Analyte Eliminated in UrineAe0-48 after first dose706 nmolGeometric Coefficient of Variation 24.7
Empagliflozin 2.5 mg qdAmount of Analyte Eliminated in UrineAe0-48 at steady-state (N=9,8,8,9)4530 nmolGeometric Coefficient of Variation 23.5
Empagliflozin 2.5 mg qdAmount of Analyte Eliminated in UrineAe0-48 after first dose2570 nmolGeometric Coefficient of Variation 42.2
Empagliflozin 2.5 mg qdAmount of Analyte Eliminated in UrineAe0-24 at steady-state (N=9,8,8,9)4040 nmolGeometric Coefficient of Variation 26.7
Empagliflozin 2.5 mg qdAmount of Analyte Eliminated in UrineAe0-24 after first dose2250 nmolGeometric Coefficient of Variation 42.7
Empagliflozin 10 mg qdAmount of Analyte Eliminated in UrineAe0-48 after first dose5250 nmolGeometric Coefficient of Variation 52
Empagliflozin 10 mg qdAmount of Analyte Eliminated in UrineAe0-48 at steady-state (N=9,8,8,9)8450 nmolGeometric Coefficient of Variation 42.7
Empagliflozin 10 mg qdAmount of Analyte Eliminated in UrineAe0-24 at steady-state (N=9,8,8,9)7520 nmolGeometric Coefficient of Variation 43.6
Empagliflozin 10 mg qdAmount of Analyte Eliminated in UrineAe0-24 after first dose4770 nmolGeometric Coefficient of Variation 54.6
Empagliflozin 25 mg qdAmount of Analyte Eliminated in UrineAe0-48 after first dose18500 nmolGeometric Coefficient of Variation 32.7
Empagliflozin 25 mg qdAmount of Analyte Eliminated in UrineAe0-24 after first dose16600 nmolGeometric Coefficient of Variation 34.3
Empagliflozin 25 mg qdAmount of Analyte Eliminated in UrineAe0-48 at steady-state (N=9,8,8,9)22400 nmolGeometric Coefficient of Variation 145
Empagliflozin 25 mg qdAmount of Analyte Eliminated in UrineAe0-24 at steady-state (N=9,8,8,9)19300 nmolGeometric Coefficient of Variation 153
Secondary

Apparent and Renal Clearance of the Analyte in Plasma

Apparent clearance of the analyte in plasma (CL/F) after first dose and at steady-state, Renal clearance of the analyte in plasma after extravascular administration (CLR) after first dose and at steady-state. Apparent clearance after first dose is defined as the dose divided by AUC0-∞; apparent clearance at steady-state is defined as the dose divided by AUC0-tau at steady-state. Renal clearance CLR(0-t) is defined as Ae0-t divided by AUC0-t.

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboApparent and Renal Clearance of the Analyte in PlasmaCL/F after first dose198 mL/minGeometric Coefficient of Variation 19.6
PlaceboApparent and Renal Clearance of the Analyte in PlasmaCL/F at steady-state (N=9,8,9,8)201 mL/minGeometric Coefficient of Variation 24.3
PlaceboApparent and Renal Clearance of the Analyte in PlasmaCLR (0-24h) at steady-state (N=9,8,8,9)29.7 mL/minGeometric Coefficient of Variation 52
PlaceboApparent and Renal Clearance of the Analyte in PlasmaCLR (0-48h) after first dose26.7 mL/minGeometric Coefficient of Variation 42.9
Empagliflozin 2.5 mg qdApparent and Renal Clearance of the Analyte in PlasmaCL/F at steady-state (N=9,8,9,8)184 mL/minGeometric Coefficient of Variation 17.4
Empagliflozin 2.5 mg qdApparent and Renal Clearance of the Analyte in PlasmaCLR (0-48h) after first dose23.5 mL/minGeometric Coefficient of Variation 33
Empagliflozin 2.5 mg qdApparent and Renal Clearance of the Analyte in PlasmaCL/F after first dose195 mL/minGeometric Coefficient of Variation 14.7
Empagliflozin 2.5 mg qdApparent and Renal Clearance of the Analyte in PlasmaCLR (0-24h) at steady-state (N=9,8,8,9)33.6 mL/minGeometric Coefficient of Variation 24.9
Empagliflozin 10 mg qdApparent and Renal Clearance of the Analyte in PlasmaCL/F at steady-state (N=9,8,9,8)189 mL/minGeometric Coefficient of Variation 21.5
Empagliflozin 10 mg qdApparent and Renal Clearance of the Analyte in PlasmaCL/F after first dose193 mL/minGeometric Coefficient of Variation 23.7
Empagliflozin 10 mg qdApparent and Renal Clearance of the Analyte in PlasmaCLR (0-48h) after first dose18.8 mL/minGeometric Coefficient of Variation 53.1
Empagliflozin 10 mg qdApparent and Renal Clearance of the Analyte in PlasmaCLR (0-24h) at steady-state (N=9,8,8,9)21.7 mL/minGeometric Coefficient of Variation 47.1
Empagliflozin 25 mg qdApparent and Renal Clearance of the Analyte in PlasmaCL/F at steady-state (N=9,8,9,8)167 mL/minGeometric Coefficient of Variation 28.7
Empagliflozin 25 mg qdApparent and Renal Clearance of the Analyte in PlasmaCL/F after first dose159 mL/minGeometric Coefficient of Variation 19.4
Empagliflozin 25 mg qdApparent and Renal Clearance of the Analyte in PlasmaCLR (0-24h) at steady-state (N=9,8,8,9)22.2 mL/minGeometric Coefficient of Variation 83.3
Empagliflozin 25 mg qdApparent and Renal Clearance of the Analyte in PlasmaCLR (0-48h) after first dose13.9 mL/minGeometric Coefficient of Variation 44.1
Secondary

Apparent Volume of Distribution During the Terminal Phase

Apparent volume of distribution during the terminal phase (Vz/F) after first dose and at steady state. Apparent volume is defined as CL/F divided by the terminal rate constant in plasma (either after first dose or at steady-state).

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboApparent Volume of Distribution During the Terminal PhaseVz/F after first dose192 LGeometric Coefficient of Variation 27.2
PlaceboApparent Volume of Distribution During the Terminal PhaseVz/F at steady state (N=9,8,9,8)176 LGeometric Coefficient of Variation 25
Empagliflozin 2.5 mg qdApparent Volume of Distribution During the Terminal PhaseVz/F at steady state (N=9,8,9,8)225 LGeometric Coefficient of Variation 25.9
Empagliflozin 2.5 mg qdApparent Volume of Distribution During the Terminal PhaseVz/F after first dose200 LGeometric Coefficient of Variation 19.5
Empagliflozin 10 mg qdApparent Volume of Distribution During the Terminal PhaseVz/F after first dose177 LGeometric Coefficient of Variation 27.9
Empagliflozin 10 mg qdApparent Volume of Distribution During the Terminal PhaseVz/F at steady state (N=9,8,9,8)172 LGeometric Coefficient of Variation 21.7
Empagliflozin 25 mg qdApparent Volume of Distribution During the Terminal PhaseVz/F after first dose181 LGeometric Coefficient of Variation 35.1
Empagliflozin 25 mg qdApparent Volume of Distribution During the Terminal PhaseVz/F at steady state (N=9,8,9,8)245 LGeometric Coefficient of Variation 56.7
Secondary

Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)

AUC0-∞: from 0 extrapolated to infinity after first dose AUCtau,1: over a uniform dosing interval tau after first dose AUCtau,ss: over a uniform dosing interval tau at steady-state AUCs were computed using the linear up/log down algorithm. If an analyte concentration was equal to or higher than the preceding concentration, the linear trapezoidal method was to be used. If the analyte concentration was smaller than the preceding concentration, the logarithmic method was to be used.

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1.-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-tau at steady state (N=9,8,9,8)460 nmol*h/LGeometric Coefficient of Variation 24.3
PlaceboArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-∞ after first dose468 nmol*h/LGeometric Coefficient of Variation 19.6
PlaceboArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-24 after first dose397 nmol*h/LGeometric Coefficient of Variation 17.6
Empagliflozin 2.5 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-24 after first dose1620 nmol*h/LGeometric Coefficient of Variation 13.5
Empagliflozin 2.5 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-∞ after first dose1890 nmol*h/LGeometric Coefficient of Variation 14.7
Empagliflozin 2.5 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-tau at steady state (N=9,8,9,8)2000 nmol*h/LGeometric Coefficient of Variation 17.4
Empagliflozin 10 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-24 after first dose4200 nmol*h/LGeometric Coefficient of Variation 23.6
Empagliflozin 10 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-∞ after first dose4780 nmol*h/LGeometric Coefficient of Variation 23.7
Empagliflozin 10 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-tau at steady state (N=9,8,9,8)4890 nmol*h/LGeometric Coefficient of Variation 21.5
Empagliflozin 25 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-∞ after first dose23300 nmol*h/LGeometric Coefficient of Variation 19.4
Empagliflozin 25 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-tau at steady state (N=9,8,9,8)22100 nmol*h/LGeometric Coefficient of Variation 28.7
Empagliflozin 25 mg qdArea Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval (AUC)AUC0-24 after first dose19700 nmol*h/LGeometric Coefficient of Variation 17.6
Comparison: This was non-confirmatory testing, dose proportionality of dose from 2.5mg to 100mg for AUC (0-infinity, single dose) was analysed.95% CI: [33.49, 73.776]Regression, Linear
Comparison: This was non confirmatory testing, dose proportionality of dose from 2.5mg to 100mg for AUC (0-infinity, at steady state, day 9) was analysed.95% CI: [15.429, 91.789]Regression, Linear
Secondary

Change From Baseline to Day 8 in Urinary Glucose Excretion

Change from baseline to day 8 in urinary glucose excretion. Baseline is defined as Day -2.

Time frame: -2-0 hours(h) before drug administration and 0-2, 2-4, 4-6, 6-8, 8-12,12-16 and 16-24 h after drug administration on day -2 and day 8

Population: Pharmacodynamic (PD) analysis set (PDS) contains of all patients who received study medication and have evaluable pharmacodynamic parameter data.

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Day 8 in Urinary Glucose Excretion-3254.43 mgStandard Deviation 8250.43
Empagliflozin 2.5 mg qdChange From Baseline to Day 8 in Urinary Glucose Excretion34638.37 mgStandard Deviation 16226.22
Empagliflozin 10 mg qdChange From Baseline to Day 8 in Urinary Glucose Excretion78709.87 mgStandard Deviation 53463.52
Empagliflozin 25 mg qdChange From Baseline to Day 8 in Urinary Glucose Excretion74030.40 mgStandard Deviation 35378.01
Empagliflozin 100 mg qdChange From Baseline to Day 8 in Urinary Glucose Excretion88040.32 mgStandard Deviation 20265.87
Comparison: The mean change from baseline (day -2) to day 8 and comparisons to placebo for Urine Glucose Excretion (AE(0-24)).p-value: 0.006795% CI: [11021.57, 64269.3]ANCOVA
Comparison: The mean change from baseline (day -2) to day 8 and comparisons to placebo for Urine Glucose Excretion (AE(0-24)).p-value: <0.000195% CI: [55344.83, 110451.6]ANCOVA
Comparison: The mean change from baseline (day -2) to day 8 and comparisons to placebo for Urine Glucose Excretion (AE(0-24)).p-value: <0.000195% CI: [53087.22, 106878.6]ANCOVA
Comparison: The mean change from baseline (day -2) to day 8 and comparisons to placebo for Urine Glucose Excretion (AE(0-24)).p-value: <0.000195% CI: [64685.41, 117928.5]ANCOVA
Secondary

Concentration of the Analyte in Plasma

Maximum concentration of the analyte in plasma (Cmax) after first dose, Maximum, minimum (Cmin) and average (Cavg) concentration of the analyte in plasma at steady-state, Concentration of analyte in plasma at 24 h after administration of the 8th dose (at steady-state) (C24,8)

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1.-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: Pharmacokinetic set (PK set) contains of all patients who received study medication and have evaluable pharmacokinetic parameter data. The PK set will not contain placebo patients.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboConcentration of the Analyte in PlasmaCavg at steady-state (N=9,8,9,8)19.2 nmol/LGeometric Coefficient of Variation 24.3
PlaceboConcentration of the Analyte in PlasmaCmax at steady-state (N=9,8,9,8)66.6 nmol/LGeometric Coefficient of Variation 26.7
PlaceboConcentration of the Analyte in PlasmaC24,8 (N=9,8,9,8)4.55 nmol/LGeometric Coefficient of Variation 36.8
PlaceboConcentration of the Analyte in PlasmaCmin at steady-state (N=9,8,9,8)4.41 nmol/LGeometric Coefficient of Variation 36.9
PlaceboConcentration of the Analyte in PlasmaCmax after first dose61.3 nmol/LGeometric Coefficient of Variation 20.5
Empagliflozin 2.5 mg qdConcentration of the Analyte in PlasmaCmin at steady-state (N=9,8,9,8)23.5 nmol/LGeometric Coefficient of Variation 31.5
Empagliflozin 2.5 mg qdConcentration of the Analyte in PlasmaCavg at steady-state (N=9,8,9,8)83.5 nmol/LGeometric Coefficient of Variation 17.4
Empagliflozin 2.5 mg qdConcentration of the Analyte in PlasmaC24,8 (N=9,8,9,8)23.8 nmol/LGeometric Coefficient of Variation 31.7
Empagliflozin 2.5 mg qdConcentration of the Analyte in PlasmaCmax at steady-state (N=9,8,9,8)272 nmol/LGeometric Coefficient of Variation 30.1
Empagliflozin 2.5 mg qdConcentration of the Analyte in PlasmaCmax after first dose240 nmol/LGeometric Coefficient of Variation 21.2
Empagliflozin 10 mg qdConcentration of the Analyte in PlasmaCmin at steady-state (N=9,8,9,8)47.1 nmol/LGeometric Coefficient of Variation 35.3
Empagliflozin 10 mg qdConcentration of the Analyte in PlasmaCmax after first dose592 nmol/LGeometric Coefficient of Variation 23.7
Empagliflozin 10 mg qdConcentration of the Analyte in PlasmaCmax at steady-state (N=9,8,9,8)622 nmol/LGeometric Coefficient of Variation 17.4
Empagliflozin 10 mg qdConcentration of the Analyte in PlasmaCavg at steady-state (N=9,8,9,8)204 nmol/LGeometric Coefficient of Variation 21.5
Empagliflozin 10 mg qdConcentration of the Analyte in PlasmaC24,8 (N=9,8,9,8)47.2 nmol/LGeometric Coefficient of Variation 35.2
Empagliflozin 25 mg qdConcentration of the Analyte in PlasmaCavg at steady-state (N=9,8,9,8)922 nmol/LGeometric Coefficient of Variation 28.7
Empagliflozin 25 mg qdConcentration of the Analyte in PlasmaCmax at steady-state (N=9,8,9,8)2700 nmol/LGeometric Coefficient of Variation 20.9
Empagliflozin 25 mg qdConcentration of the Analyte in PlasmaCmax after first dose2670 nmol/LGeometric Coefficient of Variation 26.1
Empagliflozin 25 mg qdConcentration of the Analyte in PlasmaCmin at steady-state (N=9,8,9,8)243 nmol/LGeometric Coefficient of Variation 32
Empagliflozin 25 mg qdConcentration of the Analyte in PlasmaC24,8 (N=9,8,9,8)249 nmol/LGeometric Coefficient of Variation 27.6
Comparison: This was non-confirmatory testing, dose proportionality of dose from 2.5mg to 100mg for Cmax (single dose) was analysed.95% CI: [27.52, 69.269]Regression, Linear
Comparison: This was non-confirmatory testing, dose proportionality of dose from 2.5mg to 100mg for Cmax,ss (Multiple dose) was analysed.95% CI: [12.193, 80.011]Regression, Linear
Secondary

Fasting Plasma Glucose

Percentage change from baseline to Day 8 in fasting plasma glucose. Baseline is defined as Day -2.

Time frame: -0:30 (Pre dose samples)

Population: PDS

ArmMeasureValue (MEAN)Dispersion
PlaceboFasting Plasma Glucose-15.88 percentage of fasting plasma glucoseStandard Deviation 12.88
Empagliflozin 2.5 mg qdFasting Plasma Glucose-21.01 percentage of fasting plasma glucoseStandard Deviation 6.38
Empagliflozin 10 mg qdFasting Plasma Glucose-25.69 percentage of fasting plasma glucoseStandard Deviation 9.88
Empagliflozin 25 mg qdFasting Plasma Glucose-14.21 percentage of fasting plasma glucoseStandard Deviation 26
Empagliflozin 100 mg qdFasting Plasma Glucose-24.85 percentage of fasting plasma glucoseStandard Deviation 8.18
Comparison: The mean percent change in Fasting Plasma Glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.223995% CI: [-19.162, 4.624]ANCOVA
Comparison: The mean percent change in Fasting Plasma Glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.042195% CI: [-25.205, -0.484]ANCOVA
Comparison: The mean percent change in Fasting Plasma Glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.652795% CI: [-14.842, 9.403]ANCOVA
Comparison: The mean percent change in Fasting Plasma Glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.131895% CI: [-20.818, 2.822]ANCOVA
Secondary

Fraction of Analyte Excreted Unchanged in Urine

Fraction of analyte excreted unchanged in urine in the time interval 0 to 12 h (fe0-12) after first dose and at steady-state. The fraction excreted was calculated by dividing Ae0-12 by the Dose and multiply it with 100. Fraction of analyte excreted unchanged in urine in the time interval 0 to 24 h (fe0-24) after first dose and at steady-state. The fraction excreted was calculated by dividing Ae0-24 by the Dose and multiply it with 100.

Time frame: 0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 hours (h) after dose on day 1 and 0-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 and 48-72 hours (h) after dose on day 9

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboFraction of Analyte Excreted Unchanged in Urinefe0-12 at steady-state (N=9,8,8,9)10.6 percent of analyteGeometric Coefficient of Variation 47
PlaceboFraction of Analyte Excreted Unchanged in Urinefe0-12 after first dose8.50 percent of analyteGeometric Coefficient of Variation 31.9
PlaceboFraction of Analyte Excreted Unchanged in Urinefe0-24 at steady-state (N=9,8,8,9)14.8 percent of analyteGeometric Coefficient of Variation 33.9
PlaceboFraction of Analyte Excreted Unchanged in Urinefe0-24 after first dose11.1 percent of analyteGeometric Coefficient of Variation 26.9
Empagliflozin 2.5 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-12 after first dose8.43 percent of analyteGeometric Coefficient of Variation 39.8
Empagliflozin 2.5 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-12 at steady-state (N=9,8,8,9)14.7 percent of analyteGeometric Coefficient of Variation 26.5
Empagliflozin 2.5 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-24 after first dose10.1 percent of analyteGeometric Coefficient of Variation 42.7
Empagliflozin 2.5 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-24 at steady-state (N=9,8,8,9)18.2 percent of analyteGeometric Coefficient of Variation 26.7
Empagliflozin 10 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-24 after first dose7.38 percent of analyteGeometric Coefficient of Variation 73
Empagliflozin 10 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-24 at steady-state (N=9,8,8,9)11.4 percent of analyteGeometric Coefficient of Variation 53.6
Empagliflozin 10 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-12 at steady-state (N=9,8,8,9)9.22 percent of analyteGeometric Coefficient of Variation 54
Empagliflozin 10 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-12 after first dose6.30 percent of analyteGeometric Coefficient of Variation 78.2
Empagliflozin 25 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-12 at steady-state (N=9,8,8,9)6.68 percent of analyteGeometric Coefficient of Variation 154
Empagliflozin 25 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-24 at steady-state (N=9,8,8,9)8.71 percent of analyteGeometric Coefficient of Variation 153
Empagliflozin 25 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-24 after first dose7.48 percent of analyteGeometric Coefficient of Variation 34.3
Empagliflozin 25 mg qdFraction of Analyte Excreted Unchanged in Urinefe0-12 after first dose6.17 percent of analyteGeometric Coefficient of Variation 37.6
Secondary

Half-life and Mean Residence Time of the Analyte in Plasma

Terminal half life of the analyte in plasma (t1/2) and mean residence time of the analyte in the body after single oral administration (MRTpo) after first dose and at steady-state.

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK Set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 at steady state (N=9,8,9,8)10.1 hGeometric Coefficient of Variation 18.5
PlaceboHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 after first dose11.2 hGeometric Coefficient of Variation 22.4
PlaceboHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po at steady-state (9,8,9,8)10.7 hGeometric Coefficient of Variation 14.2
PlaceboHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po after first dose12.2 hGeometric Coefficient of Variation 12.4
Empagliflozin 2.5 mg qdHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 at steady state (N=9,8,9,8)14.1 hGeometric Coefficient of Variation 17.5
Empagliflozin 2.5 mg qdHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po at steady-state (9,8,9,8)13.5 hGeometric Coefficient of Variation 22.7
Empagliflozin 2.5 mg qdHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 after first dose11.8 hGeometric Coefficient of Variation 11.5
Empagliflozin 2.5 mg qdHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po after first dose12.1 hGeometric Coefficient of Variation 19.1
Empagliflozin 10 mg qdHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 at steady state (N=9,8,9,8)10.5 hGeometric Coefficient of Variation 18.8
Empagliflozin 10 mg qdHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po at steady-state (9,8,9,8)11.2 hGeometric Coefficient of Variation 13.7
Empagliflozin 10 mg qdHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po after first dose11.0 hGeometric Coefficient of Variation 13.5
Empagliflozin 10 mg qdHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 after first dose10.6 hGeometric Coefficient of Variation 19.9
Empagliflozin 25 mg qdHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po at steady-state (9,8,9,8)14.6 hGeometric Coefficient of Variation 20.6
Empagliflozin 25 mg qdHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 at steady state (N=9,8,9,8)17.0 hGeometric Coefficient of Variation 48.4
Empagliflozin 25 mg qdHalf-life and Mean Residence Time of the Analyte in PlasmaMRT po after first dose12.7 hGeometric Coefficient of Variation 19.7
Empagliflozin 25 mg qdHalf-life and Mean Residence Time of the Analyte in Plasmat1/2 after first dose13.2 hGeometric Coefficient of Variation 26.8
Secondary

Linearity Index

The linearity index is defined as AUC0-tau divided by AUC0-∞ both at steady state.

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PlaceboLinearity Index0.983 FractionGeometric Coefficient of Variation 8.42
Empagliflozin 2.5 mg qdLinearity Index1.05 FractionGeometric Coefficient of Variation 2.39
Empagliflozin 10 mg qdLinearity Index1.02 FractionGeometric Coefficient of Variation 11.4
Empagliflozin 25 mg qdLinearity Index0.962 FractionGeometric Coefficient of Variation 19.7
Secondary

Mean Daily Glucose

Change from baseline to Day 8 in mean daily glucose. Baseline is defined as Day -2.

Time frame: 0:00, 2:00, 5:00, 7:00, 10:00, 12:00,13:30 and 24:00 hours(h) after drug administration on day -2 and -0.05, 2:30, 5:00, 7:00, 10:00, 12.00, 13:30 and 24:00 hours (h) after drug administration on day 8

Population: PDS

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Daily Glucose-13.85 mg/dLStandard Deviation 21.39
Empagliflozin 2.5 mg qdMean Daily Glucose-27.03 mg/dLStandard Deviation 24.59
Empagliflozin 10 mg qdMean Daily Glucose-34.04 mg/dLStandard Deviation 19.43
Empagliflozin 25 mg qdMean Daily Glucose-25.89 mg/dLStandard Deviation 18
Empagliflozin 100 mg qdMean Daily Glucose-30.96 mg/dLStandard Deviation 25.03
Comparison: The mean percent decrease in Mean daily glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.044995% CI: [-30.543, -0.369]ANCOVA
Comparison: The mean percent decrease in Mean daily glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.004295% CI: [-39.085, -7.848]ANCOVA
Comparison: The mean percent decrease in Mean daily glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.052195% CI: [-30.057, 0.145]ANCOVA
Comparison: The mean percent decrease in Mean daily glucose from baseline with treatment compared with placebo from baseline -2 to day 8p-value: 0.167695% CI: [-25.848, 4.644]ANCOVA
Secondary

Peak Trough Fluctuation

Peak trough fluctuation (PTF) is defined as the difference between Cmax and Cmin divided by Cavg and multiplied with 100% at steady-state

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PlaceboPeak Trough Fluctuation323 PTF(%) of EmpagliflozinGeometric Coefficient of Variation 20.6
Empagliflozin 2.5 mg qdPeak Trough Fluctuation294 PTF(%) of EmpagliflozinGeometric Coefficient of Variation 28.4
Empagliflozin 10 mg qdPeak Trough Fluctuation281 PTF(%) of EmpagliflozinGeometric Coefficient of Variation 26.4
Empagliflozin 25 mg qdPeak Trough Fluctuation265 PTF(%) of EmpagliflozinGeometric Coefficient of Variation 31.9
Secondary

Serum Insulin

Serum insulin measured for on day -2 and day 8 for Emax0-5, Emax0-12, Emin0-5 and Emin0-12. Emax: Maximum effect (maximum measured concentration of glucose or insulin in plasma) & Emin: Minimum effect (minimum measured concentration of glucose or insulin in plasma)

Time frame: 0.0h, 2h, 5h, 7h, 10h, 12h on day -2 & day 8

Population: PDS

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSerum InsulinEmax,0-12 (11,9,8,9,9) on day842.6 µU/mLStandard Deviation 13.1
PlaceboSerum InsulinEmin,0-12 (11,9,8,9,9) on day87.41 µU/mLStandard Deviation 3.9
PlaceboSerum InsulinEmax,0-5 (12,9,9,9,9) on day-238.1 µU/mLStandard Deviation 17.3
PlaceboSerum InsulinEmax,0-12 (12,9,9,9,9) on day-245.4 µU/mLStandard Deviation 12.6
PlaceboSerum InsulinEmax,0-5 (11,9,8,9,9) on day835.6 µU/mLStandard Deviation 15.6
PlaceboSerum InsulinEmin,0-5 (12,9,9,9,9) on day-210.3 µU/mLStandard Deviation 5.46
PlaceboSerum InsulinEmin,0-5 (11,9,8,9,9) on day87.55 µU/mLStandard Deviation 3.82
PlaceboSerum InsulinEmin,0-12 (12,9,9,9,9) on day-29.98 µU/mLStandard Deviation 4.86
Empagliflozin 2.5 mg qdSerum InsulinEmin,0-12 (12,9,9,9,9) on day-214.1 µU/mLStandard Deviation 5.45
Empagliflozin 2.5 mg qdSerum InsulinEmax,0-12 (12,9,9,9,9) on day-268.5 µU/mLStandard Deviation 25.3
Empagliflozin 2.5 mg qdSerum InsulinEmax,0-5 (11,9,8,9,9) on day856.0 µU/mLStandard Deviation 32.1
Empagliflozin 2.5 mg qdSerum InsulinEmin,0-5 (11,9,8,9,9) on day88.63 µU/mLStandard Deviation 3.39
Empagliflozin 2.5 mg qdSerum InsulinEmax,0-5 (12,9,9,9,9) on day-255.2 µU/mLStandard Deviation 29.9
Empagliflozin 2.5 mg qdSerum InsulinEmin,0-12 (11,9,8,9,9) on day88.53 µU/mLStandard Deviation 3.46
Empagliflozin 2.5 mg qdSerum InsulinEmax,0-12 (11,9,8,9,9) on day870.2 µU/mLStandard Deviation 26.1
Empagliflozin 2.5 mg qdSerum InsulinEmin,0-5 (12,9,9,9,9) on day-214.1 µU/mLStandard Deviation 5.45
Empagliflozin 10 mg qdSerum InsulinEmin,0-5 (11,9,8,9,9) on day810.7 µU/mLStandard Deviation 5.6
Empagliflozin 10 mg qdSerum InsulinEmax,0-5 (12,9,9,9,9) on day-251.2 µU/mLStandard Deviation 23.4
Empagliflozin 10 mg qdSerum InsulinEmax,0-12 (12,9,9,9,9) on day-272.1 µU/mLStandard Deviation 27.7
Empagliflozin 10 mg qdSerum InsulinEmin,0-12 (12,9,9,9,9) on day-213.5 µU/mLStandard Deviation 4.37
Empagliflozin 10 mg qdSerum InsulinEmax,0-5 (11,9,8,9,9) on day856.3 µU/mLStandard Deviation 25.4
Empagliflozin 10 mg qdSerum InsulinEmin,0-5 (12,9,9,9,9) on day-213.7 µU/mLStandard Deviation 4.62
Empagliflozin 10 mg qdSerum InsulinEmax,0-12 (11,9,8,9,9) on day868.6 µU/mLStandard Deviation 31.1
Empagliflozin 10 mg qdSerum InsulinEmin,0-12 (11,9,8,9,9) on day810.7 µU/mLStandard Deviation 5.6
Empagliflozin 25 mg qdSerum InsulinEmin,0-5 (12,9,9,9,9) on day-29.16 µU/mLStandard Deviation 7.59
Empagliflozin 25 mg qdSerum InsulinEmax,0-5 (12,9,9,9,9) on day-240.2 µU/mLStandard Deviation 19.4
Empagliflozin 25 mg qdSerum InsulinEmin,0-12 (11,9,8,9,9) on day85.17 µU/mLStandard Deviation 3.19
Empagliflozin 25 mg qdSerum InsulinEmax,0-12 (12,9,9,9,9) on day-248.7 µU/mLStandard Deviation 30.9
Empagliflozin 25 mg qdSerum InsulinEmax,0-5 (11,9,8,9,9) on day836.2 µU/mLStandard Deviation 37.3
Empagliflozin 25 mg qdSerum InsulinEmin,0-5 (11,9,8,9,9) on day85.33 µU/mLStandard Deviation 3.14
Empagliflozin 25 mg qdSerum InsulinEmax,0-12 (11,9,8,9,9) on day844.4 µU/mLStandard Deviation 35.5
Empagliflozin 25 mg qdSerum InsulinEmin,0-12 (12,9,9,9,9) on day-29.16 µU/mLStandard Deviation 7.59
Empagliflozin 100 mg qdSerum InsulinEmin,0-12 (11,9,8,9,9) on day83.96 µU/mLStandard Deviation 2.79
Empagliflozin 100 mg qdSerum InsulinEmin,0-12 (12,9,9,9,9) on day-27.86 µU/mLStandard Deviation 2.18
Empagliflozin 100 mg qdSerum InsulinEmax,0-12 (11,9,8,9,9) on day837.3 µU/mLStandard Deviation 8.1
Empagliflozin 100 mg qdSerum InsulinEmin,0-5 (11,9,8,9,9) on day83.96 µU/mLStandard Deviation 2.79
Empagliflozin 100 mg qdSerum InsulinEmax,0-5 (12,9,9,9,9) on day-235.2 µU/mLStandard Deviation 15.5
Empagliflozin 100 mg qdSerum InsulinEmax,0-12 (12,9,9,9,9) on day-245.3 µU/mLStandard Deviation 11.3
Empagliflozin 100 mg qdSerum InsulinEmin,0-5 (12,9,9,9,9) on day-27.86 µU/mLStandard Deviation 2.18
Empagliflozin 100 mg qdSerum InsulinEmax,0-5 (11,9,8,9,9) on day829.6 µU/mLStandard Deviation 11.7
Secondary

Serum Insulin

Serum insulin measured for on day -2 and day 8 for AUEC0-5 and AUEC0-12. AUEC0-5: The area under the effect concentration-time curve over the time interval 0 to 5. AUEC0-12: The area under the effect concentration-time curve over the time interval 0 to 12.

Time frame: 0.0h, 2h, 5h, 7h, 10h, 12h on day -2 & day 8

Population: PDS

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSerum InsulinAUEC0-5 (12,9,9,9,9) on day-2134 µU*h/mLStandard Deviation 52.5
PlaceboSerum InsulinAUEC0-5 (11,9,8,9,9) on day8122 µU*h/mLStandard Deviation 52
PlaceboSerum InsulinAUEC0-12 (11,9,7,9,8) on day8288 µU*h/mLStandard Deviation 97.1
PlaceboSerum InsulinAUEC0-12 (12,9,9,9,9) on day-2300 µU*h/mLStandard Deviation 111
Empagliflozin 2.5 mg qdSerum InsulinAUEC0-12 (11,9,7,9,8) on day8417 µU*h/mLStandard Deviation 132
Empagliflozin 2.5 mg qdSerum InsulinAUEC0-5 (12,9,9,9,9) on day-2185 µU*h/mLStandard Deviation 79.2
Empagliflozin 2.5 mg qdSerum InsulinAUEC0-12 (12,9,9,9,9) on day-2474 µU*h/mLStandard Deviation 149
Empagliflozin 2.5 mg qdSerum InsulinAUEC0-5 (11,9,8,9,9) on day8174 µU*h/mLStandard Deviation 80.9
Empagliflozin 10 mg qdSerum InsulinAUEC0-5 (12,9,9,9,9) on day-2175 µU*h/mLStandard Deviation 70.7
Empagliflozin 10 mg qdSerum InsulinAUEC0-12 (12,9,9,9,9) on day-2471 µU*h/mLStandard Deviation 143
Empagliflozin 10 mg qdSerum InsulinAUEC0-5 (11,9,8,9,9) on day8180 µU*h/mLStandard Deviation 74.7
Empagliflozin 10 mg qdSerum InsulinAUEC0-12 (11,9,7,9,8) on day8387 µU*h/mLStandard Deviation 154
Empagliflozin 25 mg qdSerum InsulinAUEC0-12 (12,9,9,9,9) on day-2336 µU*h/mLStandard Deviation 161
Empagliflozin 25 mg qdSerum InsulinAUEC0-5 (11,9,8,9,9) on day8117 µU*h/mLStandard Deviation 103
Empagliflozin 25 mg qdSerum InsulinAUEC0-5 (12,9,9,9,9) on day-2137 µU*h/mLStandard Deviation 64.7
Empagliflozin 25 mg qdSerum InsulinAUEC0-12 (11,9,7,9,8) on day8266 µU*h/mLStandard Deviation 193
Empagliflozin 100 mg qdSerum InsulinAUEC0-12 (12,9,9,9,9) on day-2282 µU*h/mLStandard Deviation 41.6
Empagliflozin 100 mg qdSerum InsulinAUEC0-12 (11,9,7,9,8) on day8275 µU*h/mLStandard Deviation 72.4
Empagliflozin 100 mg qdSerum InsulinAUEC0-5 (11,9,8,9,9) on day8101 µU*h/mLStandard Deviation 37.2
Empagliflozin 100 mg qdSerum InsulinAUEC0-5 (12,9,9,9,9) on day-2119 µU*h/mLStandard Deviation 35.9
Secondary

Terminal Rate Constant in Plasma

Terminal rate constant in plasma after first dose and at steady-state

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1. -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboTerminal Rate Constant in PlasmaTerminal rate after first dose0.0618 1/hGeometric Coefficient of Variation 22.4
PlaceboTerminal Rate Constant in PlasmaTerminal rate at steady-state (N=9,8,9,8)0.0686 1/hGeometric Coefficient of Variation 18.5
Empagliflozin 2.5 mg qdTerminal Rate Constant in PlasmaTerminal rate at steady-state (N=9,8,9,8)0.0491 1/hGeometric Coefficient of Variation 17.5
Empagliflozin 2.5 mg qdTerminal Rate Constant in PlasmaTerminal rate after first dose0.0586 1/hGeometric Coefficient of Variation 11.5
Empagliflozin 10 mg qdTerminal Rate Constant in PlasmaTerminal rate after first dose0.0654 1/hGeometric Coefficient of Variation 19.9
Empagliflozin 10 mg qdTerminal Rate Constant in PlasmaTerminal rate at steady-state (N=9,8,9,8)0.0658 1/hGeometric Coefficient of Variation 18.8
Empagliflozin 25 mg qdTerminal Rate Constant in PlasmaTerminal rate after first dose0.0527 1/hGeometric Coefficient of Variation 26.8
Empagliflozin 25 mg qdTerminal Rate Constant in PlasmaTerminal rate at steady-state (N=9,8,9,8)0.0409 1/hGeometric Coefficient of Variation 48.4
Secondary

Time to Maximum Concentration of the Analyte in Plasma

Time from last dosing to maximum concentration of the analyte in plasma (tmax) after first dose and at steady-state

Time frame: -0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h and 48h after dose on day 1.-0:05 before dose and 0:10,0:20,0:30,0:40,1h,1:30h,2h,3h,4h,6h,8h,12h,16h,24h,30h,36h, 48h,60h and 72h after dose on day 9.

Population: PK set

ArmMeasureGroupValue (MEDIAN)Dispersion
PlaceboTime to Maximum Concentration of the Analyte in Plasmatmax after first dose1.50 hFull Range 27.5
PlaceboTime to Maximum Concentration of the Analyte in Plasmatmax at steady-state (N=9,8,9,8)1.50 hFull Range 27.4
Empagliflozin 2.5 mg qdTime to Maximum Concentration of the Analyte in Plasmatmax at steady-state (N=9,8,9,8)1.50 hFull Range 24.3
Empagliflozin 2.5 mg qdTime to Maximum Concentration of the Analyte in Plasmatmax after first dose1.50 hFull Range 18.2
Empagliflozin 10 mg qdTime to Maximum Concentration of the Analyte in Plasmatmax after first dose1.50 hFull Range 38.5
Empagliflozin 10 mg qdTime to Maximum Concentration of the Analyte in Plasmatmax at steady-state (N=9,8,9,8)2.00 hFull Range 62.6
Empagliflozin 25 mg qdTime to Maximum Concentration of the Analyte in Plasmatmax after first dose3.00 hFull Range 77.8
Empagliflozin 25 mg qdTime to Maximum Concentration of the Analyte in Plasmatmax at steady-state (N=9,8,9,8)1.50 hFull Range 62.3

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026