Diabetes Mellitus, Type 2
Conditions
Brief summary
The purpose of this study is to assess safety and efficacy of empagliflozin compared to sitagliptin in patients with type 2 diabetes mellitus who are treatment-naive or on treatment with metformin and have insufficient glycaemic control. The study will assess non-inferiority of empagliflozin to sitagliptin with regards to HbA1c.
Interventions
Empagliflozin once daily
Placebo matching empagliflozin
Sitagliptin once daily
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria: * Diagnosis of type 2 diabetes mellitus. * Male and female patients on diet and exercise regimen who are: * Treatment-naïve, defined as absence of any oral antidiabetic therapy for 12 weeks prior to randomisation. or * Pre-treated with immediate release metformin unchanged for 10 weeks prior to randomisation. Minimum dose for metformin: \>=1500 mg/day or maximum tolerated dose or maximum dose according to local label. * HbA1c of \>= 7.5 % and \<= 10.5 % at Visit 1 and 3. * Age \>= 18 yrs.
Exclusion criteria
* Uncontrolled hyperglycaemia with a glucose level \>270 mg/dL (\>15 mmol/L) after an overnight fast during dose stabilisation (if applicable) and/or placebo run-in. * Any other antidiabetic drug within 12 weeks prior to randomisation (applicable to treatment-naïve patients). * Any other antidiabetic drug within 10 weeks prior to randomisation except metformin (applicable to patients on background treatment with metformin). * Acute coronary syndrome (non-STEMI, STEMI and unstable angina pectoris), stroke or TIA within 3 months prior to informed consent. * Indication of liver disease. * Moderate to severe renal impairment. * Bariatric surgery within the past two years. * Treatment with anti-obesity drugs 3 months prior to informed consent. * Current treatment with systemic steroids at time of informed consent or any other uncontrolled endocrine disorder except type 2 diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change from baseline in HbA1c after 52 weeks of treatment. | Baseline and week 52 |
Secondary
| Measure | Time frame |
|---|---|
| The change in bodyweight (kg) from baseline after 52 weeks of treatment | Baseline and week 52 |
| The change in Systolic Blood Pressure (SBP) from baseline after 52 weeks of treatment | Baseline and week 52 |
| The coefficient of durability of HbA1c response between 24 weeks and 52 weeks of treatment | Week 24 and week 52 |
| The change in Diastolic Blood Pressure (DBP) from baseline after 52 weeks of treatment | Baseline and week 52 |