Type 2 Diabetes Mellitus
Conditions
Keywords
MT-2412, MP-513, TA-7284, Teneligliptin, Canagliflozin
Brief summary
The purpose of this study is to evaluate the efficacy and safety of co-administration of Canagliflozin (TA-7284) and Teneligliptin (MP-513) once daily for 24 weeks in Japanese patients with Type 2 diabetes mellitus who are receiving treatment with Canagliflozin and have inadequate glycemic control.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Men or women who are 20 - 75 years old * HbA1c of ≥7.0% and \<10.5% * FPG of ≤ 270 mg/dL * Patients who are under dietary management and taking therapeutic exercise for diabetes over 8 weeks before run-in period
Exclusion criteria
* Patients with type I diabetes, diabetes mellitus resulting from pancreatic disorder, or secondary diabetes * Patients with serious diabetic complications * Patients with hereditary glucose-galactose malabsorption or primary renal glucosuria * Patients with Class III/IV heart failure symptoms according to New York Heart Association (NYHA) functional classification * Patients with severe hepatic disorder or severe renal disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Percentage of Glycated Hemoglobin (HbA1c) | Baseline, 24 Weeks | The change from baseline in percentage of HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at Week 24. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Fasting Plasma Glucose Level | Baseline, 24 Weeks | The change from baseline in fasting plasma glucose level collected at Week 24. |
| Percentage Change in Body Weight From Baseline | Baseline, 24 Weeks | The percentage change from baseline in body weight collected at Week 24. |
| Change From Baseline in the AUC(0-2h) for Postprandial Plasma Glucose (PPG) | 0, 0.5, 1 and 2 hour postprandial, at Baseline and 24 Weeks | The change from Baseline in AUC(0-2h) for Postprandial Plasma Glucose collected at Week 24. |
| Change From Baseline in 2-hour Postprandial Plasma Glucose Level | 2 Hours Postprandial, at Baseline and 24 Weeks | The change from baseline in 2-hour postprandial plasma glucose level collected at Week 24. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Teneligliptin+Canagliflozin Teneligliptin for 24 weeks in combination with Canagliflozin | 77 |
| Placebo+Canagliflozin Placebo for 24 weeks in combination with Canagliflozin | 77 |
| Total | 154 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 0 | 3 |
| Overall Study | Conflict with the stopping criteria | 0 | 4 |
| Overall Study | Physician Decision | 1 | 1 |
| Overall Study | Pregnancy | 1 | 0 |
| Overall Study | Withdrawal by Subject | 2 | 3 |
Baseline characteristics
| Characteristic | Teneligliptin+Canagliflozin | Placebo+Canagliflozin | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 11 Participants | 16 Participants | 27 Participants |
| Age, Categorical Between 18 and 65 years | 66 Participants | 61 Participants | 127 Participants |
| Sex: Female, Male Female | 13 Participants | 19 Participants | 32 Participants |
| Sex: Female, Male Male | 64 Participants | 58 Participants | 122 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 15 / 77 | 8 / 77 |
| serious Total, serious adverse events | 1 / 77 | 2 / 77 |
Outcome results
Change From Baseline in Percentage of Glycated Hemoglobin (HbA1c)
The change from baseline in percentage of HbA1c (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at Week 24.
Time frame: Baseline, 24 Weeks
Population: Full analysis set, last observation carried forward
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Teneligliptin+Canagliflozin | Change From Baseline in Percentage of Glycated Hemoglobin (HbA1c) | -0.94 percentage of HbA1c | Standard Error 0.08 |
| Placebo+Canagliflozin | Change From Baseline in Percentage of Glycated Hemoglobin (HbA1c) | 0.00 percentage of HbA1c | Standard Error 0.08 |
Change From Baseline in 2-hour Postprandial Plasma Glucose Level
The change from baseline in 2-hour postprandial plasma glucose level collected at Week 24.
Time frame: 2 Hours Postprandial, at Baseline and 24 Weeks
Population: Full analysis set. Outcome measure for one patient was not assessed at a certain timepoint due to dropout.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Teneligliptin+Canagliflozin | Change From Baseline in 2-hour Postprandial Plasma Glucose Level | -35.3 mg/dL | Standard Error 4.3 |
| Placebo+Canagliflozin | Change From Baseline in 2-hour Postprandial Plasma Glucose Level | 2.3 mg/dL | Standard Error 4.5 |
Change From Baseline in Fasting Plasma Glucose Level
The change from baseline in fasting plasma glucose level collected at Week 24.
Time frame: Baseline, 24 Weeks
Population: Full analysis set, last observation carried forward. Outcome measure for one patient was not assessed at a certain timepoint due to dropout.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Teneligliptin+Canagliflozin | Change From Baseline in Fasting Plasma Glucose Level | -5.6 mg/dL | Standard Error 2.7 |
| Placebo+Canagliflozin | Change From Baseline in Fasting Plasma Glucose Level | 10.0 mg/dL | Standard Error 2.8 |
Change From Baseline in the AUC(0-2h) for Postprandial Plasma Glucose (PPG)
The change from Baseline in AUC(0-2h) for Postprandial Plasma Glucose collected at Week 24.
Time frame: 0, 0.5, 1 and 2 hour postprandial, at Baseline and 24 Weeks
Population: Full analysis set. Outcome measure for one patient was not assessed at a certain timepoint due to dropout.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Teneligliptin+Canagliflozin | Change From Baseline in the AUC(0-2h) for Postprandial Plasma Glucose (PPG) | -50.2 hour*mg/dL | Standard Error 6.3 |
| Placebo+Canagliflozin | Change From Baseline in the AUC(0-2h) for Postprandial Plasma Glucose (PPG) | 5.7 hour*mg/dL | Standard Error 6.7 |
Percentage Change in Body Weight From Baseline
The percentage change from baseline in body weight collected at Week 24.
Time frame: Baseline, 24 Weeks
Population: Full analysis set, last observation carried forward. Outcome measure for one patient was not assessed at a certain timepoint due to dropout.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Teneligliptin+Canagliflozin | Percentage Change in Body Weight From Baseline | 0.09 percent change | Standard Error 0.29 |
| Placebo+Canagliflozin | Percentage Change in Body Weight From Baseline | -1.34 percent change | Standard Error 0.29 |