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Diabetes Mellitus, Type 2Phase 3NCT00601250

Efficacy and Safety of B I1356 (Linagliptin) vs. Placebo Added to Metformin Background Therapy in Patients With Type 2 Diabetes

A Phase 3 study testing linagliptin in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 82 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of the current study is to investigate the efficacy, safety and tolerability of BI 1356 (5 mg once daily) compared to placebo given for 24 weeks as add-on therapy to metformin in patients with type 2 diabetes mellitus with insufficient glycaemic control Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
linagliptin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
701 participants
Where
82 sitesin 10 countries
Study dates
Jan 2008to May 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients with a diagnosis of type 2 diabetes mellitus and previously treated with metformin alone, or with metformin and not more than one other oral antidiabetic drug
  • Diagnosis of type 2 diabetes prior to informed consent
  • Glycosylated haemoglobin A1 (HbA1c)at screening:
  • For patients undergoing wash out of previous medication: HbA1c 6.5 - 9.0% For patients not undergoing wash-out of previous medication: HbA1c 7.0 - 10.0%
  • Glycosylated haemoglobin A1 (HbA1c) 7.0 - 10.0% at the beginning of Placebo Run-in
  • Age 18 -80 years
  • BMI (Body Mass Index) less than 40 kg/m2
  • Signed and dated written informed consent by date of Visit 1a in accordance with GCP and local legislation

Who cannot join

  • Myocardial infarction, stroke or transient ischemic attack (TIA) within 6 months prior to informed consent
  • Impaired hepatic function
  • Known hypersensitivity or allergy to the investigational product or its excipients or metformin or placebo
  • Treatment with rosiglitazone or pioglitazone within 3 months prior to informed consent
  • Treatment with an injectable GLP-1 analogue (e.g. exenatide) within 3 months prior to informed consent
  • Treatment with insulin within 3 months prior to informed consent
Show all 17Show fewer
  • Treatment with anti-obesity drugs (e.g. sibutramine, orlistat, rimonabant) within 3 months prior to informed consent
  • Alcohol abuse within the 3 months prior to informed consent that would interfere with trial participation or drug abuse
  • Participation in another trial with an investigational drug within 2 months prior to informed consent
  • Pre-menopausal women who:
  • are nursing or pregnant,
  • or are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study and do not agree to submit to periodic pregnancy testing during participation in the trial.
  • Current treatment with systemic steroids at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent.
  • Renal failure or renal impairment
  • Unstable or acute congestive heart failure
  • Acute or chronic metabolic acidosis (present in patient history)
  • Hereditary galactose intolerance

Trial locations and contacts

82 sites in 10 countries.

82 sites in 10 countries

United States19 sites
  • 1218.17.10012 Boehringer Ingelheim Investigational Site

    Charlotte, North Carolina

  • 1218.17.10003 Boehringer Ingelheim Investigational Site

    Chula Vista, California

  • 1218.17.10005 Boehringer Ingelheim Investigational Site

    Dallas, Texas

  • 1218.17.10016 Boehringer Ingelheim Investigational Site

    Eugene, Oregon

  • 1218.17.10009 Boehringer Ingelheim Investigational Site

    Federal Way, Washington

  • 1218.17.10002 Boehringer Ingelheim Investigational Site

    Greer, South Carolina

  • 1218.17.10017 Boehringer Ingelheim Investigational Site

    Gurnee, Illinois

  • 1218.17.10010 Boehringer Ingelheim Investigational Site

    Hollywood, Florida

  • 1218.17.10018 Boehringer Ingelheim Investigational Site

    Houston, Texas

  • 1218.17.10013 Boehringer Ingelheim Investigational Site

    Mentor, Ohio

  • 1218.17.10011 Boehringer Ingelheim Investigational Site

    Miami, Florida

  • 1218.17.10021 Boehringer Ingelheim Investigational Site

    Northglenn, Colorado

  • 1218.17.10015 Boehringer Ingelheim Investigational Site

    Oklahoma City, Oklahoma

  • 1218.17.10006 Boehringer Ingelheim Investigational Site

    Omaha, Nebraska

  • 1218.17.10008 Boehringer Ingelheim Investigational Site

    Pembroke Pines, Florida

  • 1218.17.10007 Boehringer Ingelheim Investigational Site

    San Antonio, Texas

  • 1218.17.10004 Boehringer Ingelheim Investigational Site

    Simpsonville, South Carolina

  • 1218.17.10014 Boehringer Ingelheim Investigational Site

    Spring Valley, California

  • 1218.17.10001 Boehringer Ingelheim Investigational Site

    Walnut Creek, California

Other trials in United States

India14 sites
  • 1218.17.91009 Boehringer Ingelheim Investigational Site

    Andhra Pradesh

  • 1218.17.91002 Boehringer Ingelheim Investigational Site

    Bangalore

  • 1218.17.91005 Boehringer Ingelheim Investigational Site

    Bangalore

  • 1218.17.91012 Boehringer Ingelheim Investigational Site

    Chennai

  • 1218.17.91014 Boehringer Ingelheim Investigational Site

    Chennai

  • 1218.17.91010 Boehringer Ingelheim Investigational Site

    Hyderabad

  • 1218.17.91006 Boehringer Ingelheim Investigational Site

    Jaipur

  • 1218.17.91007 Boehringer Ingelheim Investigational Site

    Karnataka

  • 1218.17.91008 Boehringer Ingelheim Investigational Site

    Mangalore

  • 1218.17.91004 Boehringer Ingelheim Investigational Site

    Mumbai

  • 1218.17.91011 Boehringer Ingelheim Investigational Site

    Nagpur

  • 1218.17.91003 Boehringer Ingelheim Investigational Site

    Nashik

  • 1218.17.91001 Boehringer Ingelheim Investigational Site

    Trivandrum

  • 1218.17.91013 Boehringer Ingelheim Investigational Site

    Uttar Pradesh

Other trials in India

Mexico10 sites
  • 1218.17.52007 Boehringer Ingelheim Investigational Site

    Aguascalientes, Ags.

  • 1218.17.52009 Boehringer Ingelheim Investigational Site

    cOL OBREGON,León, Guanajuato

  • 1218.17.52003 Boehringer Ingelheim Investigational Site

    Col. Lomas de San Francisco, Monterrey

  • 1218.17.52001 Boehringer Ingelheim Investigational Site

    Col. Mitras Centro, Monterrey, N.L.

  • 1218.17.52010 Boehringer Ingelheim Investigational Site

    Col.Americana, Guadalajara, Jalisco

  • 1218.17.52008 Boehringer Ingelheim Investigational Site

    Colonia Tlalpan, Mexico

  • 1218.17.52006 Boehringer Ingelheim Investigational Site

    Faccionamiento Lomas de Campestre,AGUASCAL

  • 1218.17.52005 Boehringer Ingelheim Investigational Site

    Lomas de Reforma

  • 1218.17.52002 Boehringer Ingelheim Investigational Site

    México

  • 1218.17.52004 Boehringer Ingelheim Investigational Site

    Tlalpan-México D,F

Other trials in Mexico

Czechia7 sites
  • 1218.17.42006 Boehringer Ingelheim Investigational Site

    Břeclav

  • 1218.17.42001 Boehringer Ingelheim Investigational Site

    Brno

  • 1218.17.42004 Boehringer Ingelheim Investigational Site

    Brno

  • 1218.17.42007 Boehringer Ingelheim Investigational Site

    Brno

  • 1218.17.42009 Boehringer Ingelheim Investigational Site

    Brno

  • 1218.17.42008 Boehringer Ingelheim Investigational Site

    Hodonín

  • 1218.17.42003 Boehringer Ingelheim Investigational Site

    Olomouc

Other trials in Czechia

Israel7 sites
  • 1218.17.97274 Boehringer Ingelheim Investigational Site

    Afula

  • 1218.17.97273 Boehringer Ingelheim Investigational Site

    Haifa

  • 1218.17.97275 Boehringer Ingelheim Investigational Site

    Holon

  • 1218.17.97271 Boehringer Ingelheim Investigational Site

    Jerusalem

  • 1218.17.97272 Boehringer Ingelheim Investigational Site

    Nahariya

  • 1218.17.97276 Boehringer Ingelheim Investigational Site

    Safed

  • 1218.17.97278 Boehringer Ingelheim Investigational Site

    Tel Aviv

Other trials in Israel

Finland6 sites
  • 1218.17.35806 Boehringer Ingelheim Investigational Site

    Helsinki

  • 1218.17.35804 Boehringer Ingelheim Investigational Site

    Jyväskylä

  • 1218.17.35801 Boehringer Ingelheim Investigational Site

    Kuopio

  • 1218.17.35803 Boehringer Ingelheim Investigational Site

    Oulu

  • 1218.17.35805 Boehringer Ingelheim Investigational Site

    Seinäjoki

  • 1218.17.35802 Boehringer Ingelheim Investigational Site

    Turku

Other trials in Finland

Russia6 sites
  • 1218.17.70001 Boehringer Ingelheim Investigational Site

    Moscow

  • 1218.17.70002 Boehringer Ingelheim Investigational Site

    Moscow

  • 1218.17.70003 Boehringer Ingelheim Investigational Site

    Moscow

  • 1218.17.70005 Boehringer Ingelheim Investigational Site

    Novosibirsk

  • 1218.17.70006 Boehringer Ingelheim Investigational Site

    Perm

  • 1218.17.70004 Boehringer Ingelheim Investigational Site

    Tomsk

Other trials in Russia

New Zealand5 sites
  • 1218.17.64004 Boehringer Ingelheim Investigational Site

    Christchurch

  • 1218.17.64003 Boehringer Ingelheim Investigational Site

    Dunedin

  • 1218.17.64002 Boehringer Ingelheim Investigational Site

    Otahuhu

  • 1218.17.64001 Boehringer Ingelheim Investigational Site

    Tauranga

  • 1218.17.64005 Boehringer Ingelheim Investigational Site

    Wellington

Other trials in New Zealand

Sweden5 sites
  • 1218.17.46013 Boehringer Ingelheim Investigational Site

    Härnösand

  • 1218.17.46001 Boehringer Ingelheim Investigational Site

    Malmö

  • 1218.17.46012 Boehringer Ingelheim Investigational Site

    Uddevalla

  • 1218.17.46004 Boehringer Ingelheim Investigational Site

    Uppsala

  • 1218.17.46015 Boehringer Ingelheim Investigational Site

    Uppsala

Other trials in Sweden

Greece3 sites
  • 1218.17.30004 Boehringer Ingelheim Investigational Site

    Athens

  • 1218.17.30013 Boehringer Ingelheim Investigational Site

    Athens

  • 1218.17.30011 Boehringer Ingelheim Investigational Site

    Piraeus

Other trials in Greece

About this study

Official title: A Randomised, Double-blind, Placebo-controlled Parallel Group Efficacy and Safety Study of BI 1356 (One Dose, e.g. 5 mg), Administered Orally Once Daily Over 24 Weeks, With an Open Label Extension to 80 Weeks (Placebo Patients Switched to BI 1356), in Type 2 Diabetic Patients With Insufficient Glycaemic Control Despite Metformin Therapy

The objective of the current study is to investigate the efficacy, safety and tolerability of BI 1356 (5 mg once daily) compared to placebo given for 24 weeks as add-on therapy to metformin in patients with type 2 diabetes mellitus with insufficient glycaemic control

Being tested
linagliptin
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • linagliptinDrug

    Patients receive linagliptin 5 mg tablets once daily

  • linagliptinDrug

    Patients receive linagliptin 5 mg tablets once daily

Study groups in NCT00601250
Study groupRoleWhat they receive
LinagliptinExperimentalPatients receive linagliptin 5 mg tablets once daily
Receives: Drug: linagliptin
PlaceboPlacebo comparatorPatients receive placebo tablets matching linagliptin 5 mg tablets once daily
Receives: Drug: linagliptin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. HbA1c Change From Baseline at Week 24

    HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.

    Measured: Baseline and week 24

Secondary outcomes (14)
  1. HbA1c Change From Baseline at Week 6

    HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 6 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.

    Measured: Baseline and week 6

  2. HbA1c Change From Baseline at Week 12

    HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 12 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.

    Measured: Baseline and week 12

  3. HbA1c Change From Baseline at Week 18

    HbA1c is measured as a percentage. Thus, this change from baseline reflects the Week 18 HbA1c percent minus the baseline HbA1c percent. Means are treatment adjusted for baseline HbA1c and previous anti-diabetic medication.

    Measured: Baseline and week 18

  4. FPG Change From Baseline at Week 24

    This change from baseline reflects the Week 24 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.

    Measured: Baseline and week 24

  5. FPG Change From Baseline at Week 6

    This change from baseline reflects the Week 6 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.

    Measured: Baseline and week 6

  6. FPG Change From Baseline at Week 12

    This change from baseline reflects the Week 12 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.

    Measured: Baseline and week 12

  7. FPG Change From Baseline at Week 18

    This change from baseline reflects the Week 18 FPG minus the baseline FPG. Means are treatment adjusted for baseline HbA1c, baseline FPG and previous anti-diabetic medication.

    Measured: Baseline and week 18

  8. Percentage of Patients With HbA1c <7.0% at Week 24.

    The percentage of patients with an HbA1c value below 7.0% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c >= 7.0%. Only patients with baseline HbA1c >= 7%

    Measured: Baseline and week 24

  9. Percentage of Patients With HbA1c < 7.0% at Week 24

    The percentage of patients with an HbA1c value below 7.0% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c >= 7.0%.

    Measured: Baseline and week 24

  10. Percentage of Patients With HbA1c <6.5% at Week 24

    The percentage of patients with an HbA1c value below 6.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c >= 6.5%. Only patients with baseline HbA1c >= 6.5%

    Measured: Baseline and week 24

  11. Percentage of Patients With HbA1c<6.5% at Week 24

    The percentage of patients with an HbA1c value below 6.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c >= 6.5%.

    Measured: Baseline and week 24

  12. Percentage of Patients Who Have a HbA1c Lowering by 0.5% at Week 24

    The percentage of patients with an HbA1c reduction from baseline >= 0.5% at week 24 was calculated for each treatment arm. If a patient did not have an HbA1c value at week 24 they were considered a failure, so HbA1c reduction less than 0.5%.

    Measured: Baseline and week 24

  13. Adjusted Means for 2h Post Prandial Blood Glucose (PPG) Change From Baseline at Week 24

    This change from baseline reflects the Week 24 2h PPG minus the baseline 2h PPG. Means are treatment adjusted for baseline HbA1c, baseline PPG and previous anti-diabetic medication.

    Measured: Baseline and week 24

  14. 2 Hour Post-Prandial Glucose (PPG) Increment Over Fasting Plasma Glucose (FPG) at Week 24

    This change from baseline reflects the Week 24 (2h PPG - FPG) minus the baseline (2h PPG - FPG). Means are treatment adjusted for baseline HbA1c, baseline 2h PPG increment over FPG and previous anti-diabetic medication.

    Measured: Baseline and week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2008 (estimated)
  2. Study startJan 2008
  3. Primary completionMay 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
701 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00601250
Sponsor's protocol ID
1218.17
Other IDs
2007-002457-24
Status last verified
Dec 2013
First submitted
15 Jan 2008
Last updated
28 Jan 2014

Publications

  • Del Prato S, Patel S, Crowe S, von Eynatten M. Efficacy and safety of linagliptin according to patient baseline characteristics: A pooled analysis of three phase 3 trials. Nutr Metab Cardiovasc Dis. 2016 Oct;26(10):886-92. doi: 10.1016/j.numecd.2016.06.015. Epub 2016 Jul 1.

    PubMed 27484756

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing linagliptin in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 82 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 82 sites in United States, India, Mexico, Czechia, Israel and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Jun 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

HbA1c Change From Baseline at Week 24 (time frame: Baseline and week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00601250, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jan 2014.

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