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A Dose Range Finding Study to Evaluate the Effect of Bexagliflozin Tablets in Subjects With Type 2 Diabetes Mellitus

A Phase 2b, Multi-center, Double-blind, Placebo-controlled, Dose Range Finding Study to Evaluate the Effect of Bexagliflozin Tablets on HbA1c in Subjects With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02390050
Enrollment
292
Registered
2015-03-17
Start date
2015-05-12
Completion date
2016-06-03
Last updated
2021-06-29

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

The purpose of this study was to investigate the effect of bexagliflozin in lowering hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM). Bexagliflozin is an orally administered drug for the treatment of T2DM and is classified as a Sodium Glucose co-Transporter 2 (SGLT2) Inhibitor. This study was to enroll both treatment naive and those subjects previously treated with one oral hypoglycemic agent (OHA). Approximately 320 subjects eligible for randomization was to receive bexagliflozin tablets, 5, 10, 20 mg or placebo, once daily for 12 weeks in an outpatient setting.

Detailed description

The study was a phase 2b multicenter, double-blind, placebo-controlled parallel group study to assess the effect of once daily bexagliflozin tablets on HbA1c in either treatment-naïve T2DM subjects or in subjects who were treated with one oral anti-diabetic agent. Treatment naïve subjects were eligible if their HbA1c values were between 7% and 8.5% at the screening visit while subjects who were treated with one oral hypoglycemic agent (OHA) were eligible if their HbA1c value was between 6.5% and 8.5% at screening and underwent a 6 or 10 week washout period. In addition, all eligible subjects underwent a two week placebo run-in period and those who showed good compliance in taking study medication (i.e., missed no more than one dose during the run-in period) during this period and whose HbA1c values were between 7 and 8.5% at the end of the run-in period were eligible for randomization.

Interventions

DRUGBexagliflozin tablets

Bexagliflozin tablets are blue caplet-shaped, film-coated tablets that are intended for use in investigational studies in humans.

Bexagliflozin tablets, placebo, are blue caplet-shaped, film-coated tablets that are intended for use in investigational studies in humans.

Sponsors

Theracos
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

The following subjects were eligible for randomization: 1. men or women ≥ 20 years of age at screening. Women of childbearing potential must test negative by urine pregnancy test. 2. were treatment naïve or taking one oral anti-diabetic medication in combination with diet and exercise 3. were diagnosed with T2DM with HbA1c levels at screening between 7.0% and 8.5% (inclusive) if treatment naïve or with HbA1c levels between 6.5 and 8.5% (inclusive) if on one oral anti-diabetic medication 4. had a body mass index (BMI) ≤ 40 kg/m2 5. were taking stable doses of medication for hypertension or hyperlipidemia that has not changed for at least 30 days prior to screening (if applicable) 6. were able to comprehend the study participation requirements and willing to provide written informed consent in accordance with institutional and regulatory guidelines 7. were able to maintain adequate glycemic control at the run-in visit (for subjects who complete the washout) 8. had an HbA1c between 7.0 and 8.5% (inclusive) prior to randomization (day -3 to -5) 9. were capable of adhering to the investigational product administration requirements as evidenced by omission of no more than one dose of run-in medication Subjects who exhibited any of the following characteristics were to be ineligible for randomization: 1. Diagnosis of type 1 diabetes mellitus or maturity-onset diabetes of the young 2. Used parenteral therapy for treatment of diabetes 3. Pregnancy or current breastfeeding status 4. Hemoglobinopathy or carrier status for hemoglobin alleles that affect HbA1c measurement 5. Genitourinary tract infection within 6 weeks of screening or history of ≥3 genitourinary infections requiring treatment within 6 months of screening 6. Estimated glomerular filtration rate (eGFR) \< 60 mL/min/1.73 m2 at screening. 7. Uncontrolled hypertension at screening 8. A positive result on hepatitis B surface antigen, hepatitis C, or positive result from screen for drugs of abuse 9. History of human immunodeficiency virus infection 10. Life expectancy \< 2 years 11. History of New York Heart Association Class 4 heart failure within 3 months of screening 12. History of myocardial infarction, unstable angina, stroke, or hospitalization for heart failure within 3 months of screening 13. History of treatment with an investigational drug within 30 days or within 7 half lives of the investigational drug, whichever is longer 14. Previous treatment with bexagliflozin 15. Had taken or within 6 months of taking any Sodium Glucose Transporter 2 (SGLT2) inhibitors prior to screening 16. Participation of another interventional trial 17. Not able to comply with the study scheduled visits 18. Affected by any condition, disease, disorder, or clinically relevant abnormality that, in the opinion of the investigator, would jeopardize the subject's appropriate participation in this study. 19. Liver function tests resulting in Alanine transaminase (ALT) or aspartate transaminase (AST) ≥ 2.5 x upper limit of normal (ULN) or total bilirubin ≥ 1.5 x ULN, with the exception of isolated Gilbert's syndrome ,at screening 20. Exhibited fasting plasma glucose ≥ 250 mg/dL (13.9 mmol/L) on two or more consecutive days prior to randomization or exhibited severe clinical signs or symptoms of hyperglycemia during the washout or run-in periods, including weight loss, blurred vision, increased thirst, or increased urination, or fatigue 21. Fasting Plasma Glucose ≥ 250 mg/dL at randomization 22. Prior renal transplantation or evidence of nephrotic syndrome, defined as a urine albumin-to-creatinine ratio (UACR) \> 2000 mg/g at screening

Design outcomes

Primary

MeasureTime frameDescription
Change in HbA1c After 12 Weeks of Treatment12 weeksMixed model repeated measures (MMRM) analysis of covariance model (ANCOVA) with baseline HbA1c as a covariate will be fit to the available data, incorporating all visits at which HbA1c was measured for each subject including scheduled visits at Weeks 2, 6, and 12 as well as unscheduled visits for measurements of HbA1c. Treatment (placebo, 5 mg, 10 mg, 20 mg), study center, prior anti-diabetic treatment status, study visit and treatment-by-visit interaction will be applied as fixed effects and subject as a random effect. The least square mean (LSM) change from baseline to Week 12 was analyzed using the Mixed-Effect Model Repeated Measure (MMRM) Analysis of Covariance (ANCOVA) model using 95% Confidence Intervals (CIs) for the between-group mean changes.

Secondary

MeasureTime frameDescription
Proportion of Subjects With HbA1c < 7%Baseline to up to 12 weeksTo assess the efficacy of bexagliflozin based on the proportion of subjects who reach the American Diabetes Associate (ADA) and the Japan Diabetes Society target HbA1c of \<7%.
Change in Body Weight Over TimeBaseline to Week 2, Week 6 and Week 12The body weight was analyzed on the full analysis set using the MMRM ANCOVA model used for the primary efficacy analysis.
Change in Fasting Plasma Glucose (FPG) Over TimeBaseline to Week 2, Week 6 and Week 12The fasting plasma glucose (FPG) was analyzed on the full analysis set using the same MMRM ANCOVA model used in the primary efficacy analysis.
Change in Systolic and Diastolic Blood Pressure Over TimeBaseline to Week 2, Week 6 and Week 12The systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed on the full analysis set using the same MMRM ANCOVA model used in the primary efficacy analysis.
Change in HbA1c Over TimeBaseline to Week 2, Week 6 and Week 12The least square mean (LSM) change from baseline to Week 2, Week 6 and Week 12 was analyzed using the Mixed-Effect Model Repeated Measure (MMRM) Analysis of Covariance (ANCOVA) model using 95% Confidence Intervals (CIs) for the between-group mean changes. The LSM change was calculated by excluding HbA1c data obtained after rescue medication.

Countries

Japan, United States

Participant flow

Participants by arm

ArmCount
Placebo
Placebo tablet once daily before breakfast Placebo tablets are blue caplet-shaped, film-coated tablets that are intended for use in investigational studies in humans.
72
Bexagliflozin 5 mg
Bexagliflozin tablet, 5 mg, once daily before breakfast Bexagliflozin tablets are blue caplet-shaped, film-coated tablets that are intended for use in investigational studies in humans.
72
Bexagliflozin 10 mg
Bexagliflozin tablet, 10 mg, once daily before breakfast Bexagliflozin tablets are blue caplet-shaped, film-coated tablets that are intended for use in investigational studies in humans.
72
Bexagliflozin 20 mg
Bexagliflozin tablet, 20 mg, once daily before breakfast Bexagliflozin tablets are blue caplet-shaped, film-coated tablets that are intended for use in investigational studies in humans.
76
Total292

Baseline characteristics

CharacteristicPlaceboBexagliflozin 5 mgBexagliflozin 10 mgBexagliflozin 20 mgTotal
Age, Continuous58.8 years
STANDARD_DEVIATION 10.42
59.0 years
STANDARD_DEVIATION 10.22
59.4 years
STANDARD_DEVIATION 8.99
59.5 years
STANDARD_DEVIATION 10.81
59.2 years
STANDARD_DEVIATION 10.99
BMI28.54 kg/m^2
STANDARD_DEVIATION 5.535
29.10 kg/m^2
STANDARD_DEVIATION 5.211
28.35 kg/m^2
STANDARD_DEVIATION 4.978
28.49 kg/m^2
STANDARD_DEVIATION 5.01
28.62 kg/m^2
STANDARD_DEVIATION 5.167
Body Weight78.72 kg
STANDARD_DEVIATION 19.747
80.52 kg
STANDARD_DEVIATION 18.977
78.39 kg
STANDARD_DEVIATION 17.589
78.84 kg
STANDARD_DEVIATION 16.74
79.11 kg
STANDARD_DEVIATION 18.204
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants17 Participants12 Participants15 Participants58 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
57 Participants55 Participants58 Participants61 Participants231 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants2 Participants0 Participants3 Participants
Height165.6 cm
STANDARD_DEVIATION 10.63
165.7 cm
STANDARD_DEVIATION 9.25
165.8 cm
STANDARD_DEVIATION 9.03
166.0 cm
STANDARD_DEVIATION 10.33
165.8 cm
STANDARD_DEVIATION 9.79
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
37 Participants38 Participants39 Participants41 Participants155 Participants
Race (NIH/OMB)
Black or African American
8 Participants5 Participants9 Participants8 Participants30 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants0 Participants1 Participants2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
White
27 Participants27 Participants23 Participants26 Participants103 Participants
Region of Enrollment
Japan
36 participants36 participants39 participants39 participants150 participants
Region of Enrollment
United States
36 participants36 participants33 participants37 participants142 participants
Sex: Female, Male
Female
30 Participants25 Participants31 Participants26 Participants112 Participants
Sex: Female, Male
Male
42 Participants47 Participants41 Participants50 Participants180 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
0 / 720 / 720 / 720 / 76
other
Total, other adverse events
12 / 7215 / 7218 / 7217 / 76
serious
Total, serious adverse events
0 / 720 / 723 / 722 / 76

Outcome results

Primary

Change in HbA1c After 12 Weeks of Treatment

Mixed model repeated measures (MMRM) analysis of covariance model (ANCOVA) with baseline HbA1c as a covariate will be fit to the available data, incorporating all visits at which HbA1c was measured for each subject including scheduled visits at Weeks 2, 6, and 12 as well as unscheduled visits for measurements of HbA1c. Treatment (placebo, 5 mg, 10 mg, 20 mg), study center, prior anti-diabetic treatment status, study visit and treatment-by-visit interaction will be applied as fixed effects and subject as a random effect. The least square mean (LSM) change from baseline to Week 12 was analyzed using the Mixed-Effect Model Repeated Measure (MMRM) Analysis of Covariance (ANCOVA) model using 95% Confidence Intervals (CIs) for the between-group mean changes.

Time frame: 12 weeks

Population: Subjects who were randomized, took at least one dose of double-blind study medication, and had at least one post-randomization HbA1c measurement were included in the full analysis dataset (FAS). TheHbA1c change from baseline through 12 weeks, and the primary analysis is based on the available data and data obtained after rescue will be excluded and considered missing.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange in HbA1c After 12 Weeks of Treatment0.24 percentage of glycated hemoglobinStandard Error 0.08
Bexagliflozin 5 mgChange in HbA1c After 12 Weeks of Treatment-0.31 percentage of glycated hemoglobinStandard Error 0.08
Bexagliflozin 10 mgChange in HbA1c After 12 Weeks of Treatment-0.44 percentage of glycated hemoglobinStandard Error 0.08
Bexagliflozin 20 mgChange in HbA1c After 12 Weeks of Treatment-0.56 percentage of glycated hemoglobinStandard Error 0.08
p-value: <0.000195% CI: [-0.76, -0.34]ANCOVA
p-value: <0.000195% CI: [-0.89, -0.47]ANCOVA
p-value: <0.000195% CI: [-1.01, -0.59]ANCOVA
Secondary

Change in Body Weight Over Time

The body weight was analyzed on the full analysis set using the MMRM ANCOVA model used for the primary efficacy analysis.

Time frame: Baseline to Week 2, Week 6 and Week 12

Population: Only subject with a value at the specified time is included

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange in Body Weight Over TimeWeek 20.00 kgStandard Error 0.15
PlaceboChange in Body Weight Over TimeWeek 12-0.14 kgStandard Error 0.25
PlaceboChange in Body Weight Over TimeWeek 60.02 kgStandard Error 0.19
Bexagliflozin 5 mgChange in Body Weight Over TimeWeek 2-0.74 kgStandard Error 0.16
Bexagliflozin 5 mgChange in Body Weight Over TimeWeek 12-1.58 kgStandard Error 0.25
Bexagliflozin 5 mgChange in Body Weight Over TimeWeek 6-1.00 kgStandard Error 0.19
Bexagliflozin 10 mgChange in Body Weight Over TimeWeek 6-1.42 kgStandard Error 0.19
Bexagliflozin 10 mgChange in Body Weight Over TimeWeek 2-0.76 kgStandard Error 0.15
Bexagliflozin 10 mgChange in Body Weight Over TimeWeek 12-1.72 kgStandard Error 0.25
Bexagliflozin 20 mgChange in Body Weight Over TimeWeek 2-0.99 kgStandard Error 0.15
Bexagliflozin 20 mgChange in Body Weight Over TimeWeek 12-1.89 kgStandard Error 0.25
Bexagliflozin 20 mgChange in Body Weight Over TimeWeek 6-1.49 kgStandard Error 0.19
Comparison: Week 2: Difference in LS mean change in body weight from baseline to week 2 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-1.38, -0.61]
Comparison: Week 2: Difference in LS mean change in body weight from baseline to week 2 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-1.13, -0.36]
Comparison: Week 2: Difference in LS mean change in body weight from baseline to week 2 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-1.15, -0.38]
Comparison: Week 6: Difference in LS mean change in body weight from baseline to week 6 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-1.53, -0.52]
Comparison: Week 6: Difference in LS mean change in body weight from baseline to week 6 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-1.95, -0.94]
Comparison: Week 6: Difference in LS mean change in body weight from baseline to week 6 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-2.01, -1.01]
Comparison: Week 12: Difference in LS mean change in body weight from baseline to week 12 was obtained by comparing Bexagliflozin 5 mg group and Placebo groupp-value: <0.000195% CI: [-2.12, -0.76]ANCOVA
Comparison: Week 12: Difference in LS mean change in body weight from baseline to week 12 was obtained by comparing Bexagliflozin 10 mg group and Placebo groupp-value: <0.000195% CI: [-2.26, -0.91]ANCOVA
Comparison: Week 12: Difference in LS mean change in body weight from baseline to week 12 was obtained by comparing Bexagliflozin 20 mg group and Placebo groupp-value: <0.000195% CI: [-2.43, -1.08]ANCOVA
Secondary

Change in Fasting Plasma Glucose (FPG) Over Time

The fasting plasma glucose (FPG) was analyzed on the full analysis set using the same MMRM ANCOVA model used in the primary efficacy analysis.

Time frame: Baseline to Week 2, Week 6 and Week 12

Population: Only subject with a value at the specified time is included

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange in Fasting Plasma Glucose (FPG) Over TimeWeek 12-0.11 mmol/LStandard Error 0.17
PlaceboChange in Fasting Plasma Glucose (FPG) Over TimeWeek 60.11 mmol/LStandard Error 0.17
PlaceboChange in Fasting Plasma Glucose (FPG) Over TimeWeek 2-0.07 mmol/LStandard Error 0.16
Bexagliflozin 5 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 6-0.82 mmol/LStandard Error 0.17
Bexagliflozin 5 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 2-0.55 mmol/LStandard Error 0.16
Bexagliflozin 5 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 12-0.96 mmol/LStandard Error 0.17
Bexagliflozin 10 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 2-0.97 mmol/LStandard Error 0.16
Bexagliflozin 10 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 6-1.06 mmol/LStandard Error 0.17
Bexagliflozin 10 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 12-1.16 mmol/LStandard Error 0.17
Bexagliflozin 20 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 6-0.99 mmol/LStandard Error 0.17
Bexagliflozin 20 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 12-1.18 mmol/LStandard Error 0.17
Bexagliflozin 20 mgChange in Fasting Plasma Glucose (FPG) Over TimeWeek 2-1.11 mmol/LStandard Error 0.15
Comparison: Week 2: Difference in LS mean change in FPG from baseline to week 2 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-0.9, -0.06]
Comparison: Week 2: Difference in LS mean change in FPG from baseline to week 2 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-1.31, -0.48]
Comparison: Week 2: Difference in LS mean change in FPG from baseline to week 2 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-1.45, -0.62]
Comparison: Week 6: Difference in LS mean change in FPG from baseline to week 6 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-1.39, -0.48]
Comparison: Week 6: Difference in LS mean change in FPG from baseline to week 6 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-1.62, -0.72]
Comparison: Week 6: Difference in LS mean change in FPG from baseline to week 6 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-1.55, -0.65]
Comparison: Week 12: Difference in LS mean change in FPG from baseline to week 12 was obtained by comparing Bexagliflozin 5 mg group and Placebo groupp-value: 0.000295% CI: [-1.29, -0.41]ANCOVA
Comparison: Week 12: Difference in LS mean change in FPG from baseline to week 12 was obtained by comparing Bexagliflozin 10 mg group and Placebo groupp-value: <0.000195% CI: [-1.49, -0.6]ANCOVA
Comparison: Week 12: Difference in LS mean change in FPG from baseline to week 12 was obtained by comparing Bexagliflozin 20 mg group and Placebo groupp-value: <0.000195% CI: [-1.52, -0.63]ANCOVA
Secondary

Change in HbA1c Over Time

The least square mean (LSM) change from baseline to Week 2, Week 6 and Week 12 was analyzed using the Mixed-Effect Model Repeated Measure (MMRM) Analysis of Covariance (ANCOVA) model using 95% Confidence Intervals (CIs) for the between-group mean changes. The LSM change was calculated by excluding HbA1c data obtained after rescue medication.

Time frame: Baseline to Week 2, Week 6 and Week 12

Population: Only subject with a value at the specified time is included

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange in HbA1c Over TimeWeek 2-0.00 percentage of HbA1cStandard Error 0.04
PlaceboChange in HbA1c Over TimeWeek 120.24 percentage of HbA1cStandard Error 0.08
PlaceboChange in HbA1c Over TimeWeek 60.13 percentage of HbA1cStandard Error 0.06
Bexagliflozin 5 mgChange in HbA1c Over TimeWeek 2-0.09 percentage of HbA1cStandard Error 0.04
Bexagliflozin 5 mgChange in HbA1c Over TimeWeek 12-0.31 percentage of HbA1cStandard Error 0.08
Bexagliflozin 5 mgChange in HbA1c Over TimeWeek 6-0.32 percentage of HbA1cStandard Error 0.06
Bexagliflozin 10 mgChange in HbA1c Over TimeWeek 6-0.36 percentage of HbA1cStandard Error 0.06
Bexagliflozin 10 mgChange in HbA1c Over TimeWeek 2-0.13 percentage of HbA1cStandard Error 0.04
Bexagliflozin 10 mgChange in HbA1c Over TimeWeek 12-0.44 percentage of HbA1cStandard Error 0.08
Bexagliflozin 20 mgChange in HbA1c Over TimeWeek 2-0.13 percentage of HbA1cStandard Error 0.04
Bexagliflozin 20 mgChange in HbA1c Over TimeWeek 12-0.56 percentage of HbA1cStandard Error 0.08
Bexagliflozin 20 mgChange in HbA1c Over TimeWeek 6-0.40 percentage of HbA1cStandard Error 0.06
Comparison: Week 2: Difference in LS Mean change in HbA1c (%) from baseline to Week 2 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-0.2, 0.03]
Comparison: Week 2: Difference in LS Mean change in HbA1c (%) from baseline to Week 2 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-0.24, -0.02]
Comparison: Week 2: Difference in LS Mean change in HbA1c (%) from baseline to Week 2 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-0.24, -0.02]
Comparison: Week 6: Difference in LS Mean change in HbA1c (%) from baseline to Week 6 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-0.62, -0.28]
Comparison: Week 6: Difference in LS Mean change in HbA1c (%) from baseline to Week 6 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-0.66, -0.32]
Comparison: Week 6: Difference in LS Mean change in HbA1c (%) from baseline to Week 6 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-0.7, -0.36]
Comparison: Week 12: Difference in LS Mean change in HbA1c (%) from baseline to Week 12 was obtained by comparing Bexagliflozin 5 mg group and Placebo groupp-value: <0.000195% CI: [-0.76, -0.34]ANCOVA
Comparison: Week 12: Difference in LS Mean change in HbA1c (%) from baseline to Week 12 was obtained by comparing Bexagliflozin 10 mg group and Placebo groupp-value: <0.000195% CI: [-0.89, -0.47]ANCOVA
Comparison: Week 12: Difference in LS Mean change in HbA1c (%) from baseline to Week 12 was obtained by comparing Bexagliflozin 20 mg group and Placebo groupp-value: <0.000195% CI: [-1.01, -0.59]ANCOVA
Secondary

Change in Systolic and Diastolic Blood Pressure Over Time

The systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed on the full analysis set using the same MMRM ANCOVA model used in the primary efficacy analysis.

Time frame: Baseline to Week 2, Week 6 and Week 12

Population: Only subject with a value at the specified time is included

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 SBP-0.14 mm HgStandard Error 1.42
PlaceboChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 DBP0.15 mm HgStandard Error 0.89
PlaceboChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 SBP-0.57 mm HgStandard Error 1.44
PlaceboChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 DBP-0.52 mm HgStandard Error 0.92
PlaceboChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 SBP1.10 mm HgStandard Error 1.56
PlaceboChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 DBP0.81 mm HgStandard Error 0.95
Bexagliflozin 5 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 DBP-1.43 mm HgStandard Error 0.95
Bexagliflozin 5 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 DBP-0.27 mm HgStandard Error 0.93
Bexagliflozin 5 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 SBP-0.33 mm HgStandard Error 1.43
Bexagliflozin 5 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 SBP-1.40 mm HgStandard Error 1.45
Bexagliflozin 5 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 DBP-0.03 mm HgStandard Error 0.89
Bexagliflozin 5 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 SBP-1.06 mm HgStandard Error 1.57
Bexagliflozin 10 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 DBP-1.59 mm HgStandard Error 0.88
Bexagliflozin 10 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 SBP-3.96 mm HgStandard Error 1.44
Bexagliflozin 10 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 DBP-1.54 mm HgStandard Error 0.92
Bexagliflozin 10 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 DBP-0.66 mm HgStandard Error 0.94
Bexagliflozin 10 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 SBP-3.30 mm HgStandard Error 1.55
Bexagliflozin 10 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 SBP-2.55 mm HgStandard Error 1.42
Bexagliflozin 20 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 SBP-2.73 mm HgStandard Error 1.55
Bexagliflozin 20 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 12 DBP-1.23 mm HgStandard Error 0.94
Bexagliflozin 20 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 DBP-2.00 mm HgStandard Error 0.86
Bexagliflozin 20 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 DBP-0.36 mm HgStandard Error 0.89
Bexagliflozin 20 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 2 SBP-4.39 mm HgStandard Error 1.38
Bexagliflozin 20 mgChange in Systolic and Diastolic Blood Pressure Over TimeWeek 6 SBP-3.07 mm HgStandard Error 1.39
Comparison: Week 2: Difference in LS mean change in SBP from baseline to week 2 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-3.9, 3.51]
Comparison: Week 2: Difference in LS mean change in SBP from baseline to week 2 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-6.09, 1.28]
Comparison: Week 2: Difference in LS mean change in SBP from baseline to week 2 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-7.93, -0.58]
Comparison: Week 2: Difference in LS mean change in DBP from baseline to week 2 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-2.5, 2.13]
Comparison: Week 2: Difference in LS mean change in DBP from baseline to week 2 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-4.03, 0.56]
Comparison: Week 2: Difference in LS mean change in DBP from baseline to week 2 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-4.45, 0.14]
Comparison: Week 6: Difference in LS mean change in SBP from baseline to week 6 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-4.57, 2.9]
Comparison: Week 6: Difference in LS mean change in SBP from baseline to week 6 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-7.12, 0.34]
Comparison: Week 6: Difference in LS mean change in SBP from baseline to week 6 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-6.21, 1.2]
Comparison: Week 6: Difference in LS mean change in DBP from baseline to week 6 was obtained by comparing Bexagliflozin 5 mg group and Placebo group95% CI: [-2.15, 2.66]
Comparison: Week 6: Difference in LS mean change in DBP from baseline to week 6 was obtained by comparing Bexagliflozin 10 mg group and Placebo group95% CI: [-3.42, 1.38]
Comparison: Week 6: Difference in LS mean change in DBP from baseline to week 6 was obtained by comparing Bexagliflozin 20 mg group and Placebo group95% CI: [-3.22, 1.54]
Comparison: Week 12: Difference in LS mean change in SBP from baseline to week 12 was obtained by comparing Bexagliflozin 5 mg group and Placebo groupp-value: 0.300195% CI: [-6.26, 1.94]ANCOVA
Comparison: Week 12: Difference in LS mean change in SBP from baseline to week 12 was obtained by comparing Bexagliflozin 10 mg group and Placebo groupp-value: 0.034395% CI: [-8.49, -0.33]ANCOVA
Comparison: Week 12: Difference in LS mean change in SBP from baseline to week 12 was obtained by comparing Bexagliflozin 20 mg group and Placebo groupp-value: 0.067995% CI: [-7.95, 0.28]ANCOVA
Comparison: Week 12: Difference in LS mean change in DBP from baseline to week 12 was obtained by comparing Bexagliflozin 5 mg group and Placebo groupp-value: 0.077695% CI: [-4.73, 0.25]ANCOVA
Comparison: Week 12: Difference in LS mean change in DBP from baseline to week 12 was obtained by comparing Bexagliflozin 10 mg group and Placebo groupp-value: 0.241595% CI: [-3.95, 1]ANCOVA
Comparison: Week 12: Difference in LS mean change in DBP from baseline to week 12 was obtained by comparing Bexagliflozin 20 mg group and Placebo groupp-value: 0.108695% CI: [-4.54, 0.46]ANCOVA
Secondary

Proportion of Subjects With HbA1c < 7%

To assess the efficacy of bexagliflozin based on the proportion of subjects who reach the American Diabetes Associate (ADA) and the Japan Diabetes Society target HbA1c of \<7%.

Time frame: Baseline to up to 12 weeks

Population: Subjects with at least one post-baseline HbA1c value \<7% met this endpoint. HbA1c values obtained after start of rescue medication were excluded from this analysis. The number and percentage of subjects with at least one HbA1c value \<7% were summarized by treatment group for the FAS.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboProportion of Subjects With HbA1c < 7%11 Participants
Bexagliflozin 5 mgProportion of Subjects With HbA1c < 7%15 Participants
Bexagliflozin 10 mgProportion of Subjects With HbA1c < 7%16 Participants
Bexagliflozin 20 mgProportion of Subjects With HbA1c < 7%27 Participants
Comparison: Odds ratio of having at least 1 post-baseline HbA1c value \<7% in the 5 mg bexagliflozin group was compared to placebo group.p-value: 0.130895% CI: [0.8, 5.3]Regression, Logistic
Comparison: Odds ratio of having at least 1 post-baseline HbA1c value \<7% in the 10 mg bexagliflozin group was compared to placebo group.p-value: 0.129495% CI: [0.8, 5.1]Regression, Logistic
Comparison: Odds ratio of having at least 1 post-baseline HbA1c value \<7% in the 20 mg bexagliflozin group was compared to placebo group.p-value: 0.001595% CI: [1.7, 10.3]Regression, Logistic

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