Type 2 DiabetesPhase 3NCT01195662
A Study of BMS-512148 (Dapagliflozin) in Patients With Type 2 Diabetes With Inadequately Controlled Hypertension on an ACEI or ARB and an Additional Antihypertensive Medication
A Phase 3 study testing Dapagliflozin in people with Type 2 Diabetes, run by AstraZeneca at 298 sites in 16 countries.
Trial summary
The purpose of this study is to learn if BMS-512148 (Dapagliflozin), after 12 weeks, can improve (decrease) blood pressure in patients with type 2 diabetes with uncontrolled hypertension who are on an Angiotensin-converting enzyme inhibitor (ACEI) or an Angiotensin Receptor Blocker (ARB).The safety of this treatment… Read more about this study
- Who is it for?
- Ages 18 to 89 years
- Conditions the study is for
- Type 2 Diabetes
- What is being tested?
- Dapagliflozin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,245 participants
- Where
- 298 sitesin 16 countries
- Study dates
- Oct 2010to Feb 2013
- 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 89 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent
- Males and females, 18 to 89 years old, with type 2 diabetes with inadequate glycemic control HbA1c between 7-10.5% and uncontrolled hypertension Systolic Blood Pressure (SBP) 140-165 and Diastolic Blood Pressure (DBP) 85-105
- Subjects must have a mean 24 hr blood pressure ≥ 130/80 determined by Ambulatory Blood Pressure Monitoring (ABPM) within 1 week prior to Day 1 visit
- Stable dose of oral antidiabetic agent (OAD) for at least 6 weeks [12 wks for Thiazolidinedione (TZD)] or a stable daily dose of insulin, as a monotherapy or in combination with another OAD, for 8 weeks, and a stable dose of ACEI or ARB and 1 additional antihypertensive medication for at least 4 weeks
- C-peptide ≥ 0.8 ng/mL
- Body Mass Index ≤ 45.0 kg/m2
- Serum creatinine < 1.50 mg/dL for men or < 1.40 mg/dL for women
Who cannot join
- Aspartate aminotransferase (AST) and /or Alanine aminotransferase (ALT) > 3.0*upper limit of normal (ULN)
- Serum total bilirubin ≥ 1.5*ULN
- Creatinine kinase > 3*ULN
- Symptoms of severely uncontrolled diabetes
- History of malignant or accelerated hypertension
- Currently unstable or serious cardiovascular, renal, hepatic, hematological, oncological, endocrine, psychiatric, or rheumatic diseases
Trial locations and contacts
298 sites in 16 countries.
298 sites in 16 countries
United States155 sites
Alexandria Health Care Center
Alexandria, Virginia, 22314
Cmp Research
Anaheim, California, 92805
Arlington Family Research Center, Inc.
Arlington, Texas, 76012
Millennium Clinical Trials Llc
Arlington, Virginia, 22203
Perimeter Institute For Clinical Research
Atlanta, Georgia, 30338
American Health Network Of Indiana Llc
Avon, Indiana, 46123
Bainbridge Medical Associates
Bainbridge, Georgia, 39819
Acadia Clinical Research, Llc
Bangor, Maine, 04401
Medical Development Centers, Llc
Baton Rouge, Louisiana, 70808
Comprehensive Clinical Research
Berlin, New Jersey, 08009
The Center For Clinical Trials
Biloxi, Mississippi, 39531
University Of Alabama At Birmingham
Birmingham, Alabama, 35294
River Birch Research Alliance, Llc
Blue Ridge, Georgia, 30513
Zasa Clinical Research
Boynton Beach, Florida, 33472
Bradenton Research Center, Inc.
Bradenton, Florida, 34205
Southeastern Pa Medical Institute
Broomall, Pennsylvania, 19008
Investigators Research Group, Llc
Brownsburg, Indiana, 46112
Burke Internal Medicine And Research
Burke, Virginia, 22015
Community Health Care, Inc.
Canal Fulton, Ohio, 44614
Medical Research South
Charleston, South Carolina, 29407
Cedar Crosse Research Center
Chicago, Illinois, 60607
Catalina Research Institute, Llc
Chino, California, 91710
Community Research
Cincinnati, Ohio, 45227
Innovative Research Of West Florida, Inc
Clearwater, Florida, 33756
Parsons Avenue Medical Clinical
Columbus, Ohio, 43207
Clinical Research Of South Florida
Coral Gables, Florida, 33134
3rd Coast Research Associates
Corpus Christi, Texas, 78414
Krk Medical Research
Dallas, Texas, 75230
Research Institute Of Dallas
Dallas, Texas, 75231
Internal Medicine Clinical Reaseach
Dallas, Texas, 75235
Renaissance Clinical Research And Hypertension Pllc
Dallas, Texas, 75235
Avail Clinical Research, Llc
DeLand, Florida, 32720
In-Quest Medical Research, Llc
Duluth, Georgia, 30096
Sergio F. Rovner, M.D.
El Paso, Texas, 79925
Willamette Valley Clinical Studies
Eugene, Oregon, 97404
Lillestol Research
Fargo, North Dakota, 58103
Abington Memorial Hos/Feasterville Family Health Care Center
Feasterville, Pennsylvania, 19053
Larry D. Stonesifer, Md
Federal Way, Washington, 98003
Southland Clinical Research Center, Inc.
Fountain Valley, California, 92708
American Health Network Of In Llc
Franklin, Indiana, 46131
Marin Endocrine Care & Research, Inc.
Greenbrae, California, 94904
Southeastern Research Associates, Inc.
Greenville, South Carolina, 29605
Clin Research Advantage, Inc. James Meli, Do Family Pracice
Henderson, Nevada, 89014
International Research Associates, Llc
Hialeah, Florida, 33012
Palm Springs Research Institute
Hialeah, Florida, 33012
The Community Research Of South Florida
Hialeah, Florida, 33016
Pioneer Research Solutions, Inc.
Houston, Texas, 77008
Village Family Practice
Houston, Texas, 77024
Dependable Clinical Research, Llc
Houston, Texas, 77074
Southwest Clinical Trials
Houston, Texas, 77074
Bellaire Medical Care Group
Houston, Texas, 77081
Excel Clinical Research, Llc
Houston, Texas, 77081
Del Rosario Medical Clinic, Inc.
Huntington Park, California, 90255
Time Clinical Research Inc.
Huntington Park, California, 90255
Medical Affiliated Research Center, Inc.
Huntsville, Alabama, 35801
Phillips Medical Services, Pllc
Jackson, Mississippi, 39209
Jefferson City Medical Group
Jefferson City, Missouri, 65109
The Clinical Trial Center, Llc
Jenkintown, Pennsylvania, 19046
Kcumb Dybedal Clinical Research Center
Kansas City, Missouri, 64106
Clinical Investigation Specialists, Inc.
Kenosha, Wisconsin, 53142
Central Florida Internists
Kissimmee, Florida, 34741
Office Of Ted Thorp, Md
Las Vegas, Nevada, 89102
Independent Clinical Researchers@ Wolfson Medical Center
Las Vegas, Nevada, 89103
Clinical Research Advantage, Inc.
Las Vegas, Nevada, 89128
Palm Medical Research Center
Las Vegas, Nevada, 89148
Aureus Research, Inc.
Little Rock, Arkansas, 72211
Preferred Research Partners, Inc.
Little Rock, Arkansas, 72211
Clinica Medica San Miguel
Los Angeles, California, 90015
American Institute Of Research
Los Angeles, California, 90017
Randall G. Shue, D.O.
Los Angeles, California, 90023
Mcs Clinical Trials
Los Angeles, California, 90057
National Research Inst
Los Angeles, California, 90057
Exodus Healthcare Network
Magna, Utah, 84044
Manassas Clinical Research Center
Manassas, Virginia, 20110
Southwind Medical Specialists
Memphis, Tennessee, 38125
Omega Clinical Research, Llc
Metairie, Louisiana, 70006
Flcri Global Research, Llc
Miami, Florida, 33125
Clinical Research Of Miami, Inc.
Miami, Florida, 33126
Pharmax Research Clinic, Inc.
Miami, Florida, 33126
Apf Research, Llc
Miami, Florida, 33135
Community Research Foundation, Inc.
Miami, Florida, 33155
Baptist Diabetes Associates, Pa
Miami, Florida, 33156
Newphase Clinical Trials, Inc.
Miami Beach, Florida, 33140
Ocean Blue Medical Research Center, Inc.
Miami Springs, Florida, 33166
Laporte County Institute For Clinical Research, Inc.
Michigan City, Indiana, 46360
Wilmax Clinical Research, Inc.
Mobile, Alabama, 36608
Diabetes & Endocrinology Consultants
Morehead City, North Carolina, 28557
Burke Primary Care
Morganton, North Carolina, 28655
American Health Network Of In Llc
Muncie, Indiana, 47304
Hci-Metromedic Walk-In Medical Office
New Bedford, Massachusetts, 02740
Hill Country Medical Associates
New Braunfels, Texas, 78130
Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
Medex Healthcare Research, Inc.
New York, New York, 10022
Christiana Care Health Services, Inc
Newark, Delaware, 19713
Neurocare, Inc.
Newton, Massachusetts, 02459
Digiovanna Institute For Medical Education & Research
North Massapequa, New York, 11758
North Myrtle Beach Family Practice
North Myrtle Beach, South Carolina, 29582
North Hills Medical Research, Inc.
North Richland Hills, Texas, 76180
Diabetes Medical Center Of California
Northridge, California, 91325
Valley Clinical Trials
Northridge, California, 91325
Lucita M. Cruz,Md.,Inc.
Norwalk, California, 90650
Providence Park Clinical Research
Novi, Michigan, 48374
So. Illinois Clin Res Ctr @ Div Of Kevin L Pritchett Md, Pc
O'Fallon, Illinois, 62269
Sooner Clinical Research
Oklahoma City, Oklahoma, 73112
Sds Clinical Trials
Orange, California, 92868
Florida Institute For Clinical Research, Llc
Orlando, Florida, 32822
Bayview Research Group, Llc
Paramount, California, 90723
Med-Olam Clinical Research
Pasadena, Texas, 77504
Pawleys Pediatrics And Adult Medicine
Pawleys Island, South Carolina, 29585
Michele A. Morrison Internal Medicine, Inc.
Pembroke Pines, Florida, 33026
Middle Georgia Drug Study Center, Llc
Perry, Georgia, 31069
Clinical Research Source, Inc
Perrysburg, Ohio, 43551
Arcuri Clinical Research Llc
Philadelphia, Pennsylvania, 19142
Philadelphia Health Associates - Adult Medicine
Philadelphia, Pennsylvania, 19146
43rd Medical Associates
Phoenix, Arizona, 85051
Lisa E. Medwedeff, Md, Pa
Plano, Texas, 75024
Medsol Clinical Research Center
Port Charlotte, Florida, 33952
Sound Medical Research
Port Orchard, Washington, 98366
San Diego Managed Care Group
Poway, California, 92064
Research Across America
Reading, Pennsylvania, 19606
Integrated Research Group, Inc.
Riverside, California, 92506
Quality Control Research, Inc
Sacramento, California, 95842
Wasatch Endocrinology And Diabetes Specialists
Salt Lake City, Utah, 84102
Wasatch Clinical Research
Salt Lake City, Utah, 84107
Sun Research Institute
San Antonio, Texas, 78215
Abbott Clinical Research Group, Inc.
San Antonio, Texas, 78224
Covenant Clinical Research, Pa
San Antonio, Texas, 78229
Innovative Clinical Trials
San Antonio, Texas, 78229
Wetlin Research Associates, Inc.
San Diego, California, 92120
Crest Clinical Trials, Inc.
Santa Ana, California, 92701
Neurological Research Institute
Santa Monica, California, 90404
Orrin M. Troum, Md And Medical Associates
Santa Monica, California, 90404
Alternative Primary Care
Silver Spring, Maryland, 20910
Hillcrest Clinical Reseach, Llc
Simpsonville, South Carolina, 29681
Tn Medical Research
Spring Hill, Tennessee, 37174
Springfield Diabetes And Endocrine Center
Springfield, Illinois, 62704
Hampton Roads Center For Clinical Research, Inc.
Suffolk, Virginia, 23435
Breco Research, Ltd
Sugarland, Texas, 77479
Palmetto Clinical Research
Summerville, South Carolina, 29485
Meridien Research
Tampa, Florida, 33606
Central Phoenix Medical Center
Tempe, Arizona, 85282
Clinical Research Advantage, Inc./Mesa Family Med Ctr, Pc
Tempe, Arizona, 85282
Clinical Research Advantage/Desert Clinical Research
Tempe, Arizona, 85282
Torrance Clinical Research
Torrance, California, 90505
Premier Research
Trenton, New Jersey, 08611
Visions Clinical Research - Tucson
Tucson, Arizona, 85712
Eclipse Clinical Research
Tucson, Arizona, 85745
Orange County Research Center
Tustin, California, 92780
University Clinical Investigators, Inc.
Tustin, California, 92780
Pish Medical Associates
Uniontown, Pennsylvania, 15401
Greater Providence Clinical Research, Llc
Warwick, Rhode Island, 02888
Chase Medical Research, Llc
Waterbury, Connecticut, 06708
Atlantic Clinical Trials, Llc
Watertown, Massachusetts, 02472
Southgate Medical Group
West Seneca, New York, 14224
Integris Family Care Yukon
Yukon, Oklahoma, 73099
Poland24 sites
Local Institution
Bialystok, 15-404
Local Institution
Bialystok, 15-879
Local Institution
Chrzanów, 32-500
Local Institution
Elblag, 82-300
Local Institution
Gdansk, 80-847
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Gdynia, Gdynia, 81-384
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Kamieniec Ząbkowicki, 57-230
Local Institution
Katowice, 40-748
Local Institution
Kielce, 25-364
Local Institution
Krakow, 30-015
Local Institution
Krakow, 31-159
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Lodz, 90-242
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Lodz, 92-525
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Lublin, 20-044
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Ostróda, 14-100
Local Institution
Poznan, 61-251
Local Institution
Warsaw, 01-192
Local Institution
Warsaw, 01-337
Local Institution
Warsaw, 01-868
Local Institution
Warsaw, 02-097
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Warsaw, 02-507
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Wroclaw, 50-088
Local Institution
Wroclaw, 50-349
Local Institution
Zabrze, 41-800
India19 sites
Local Institution
Bangalore, Karnataka, 560 043
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Bangalore, Karnataka, 560043
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Bangalore, Karnataka, 560092
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Belagavi, Karnatka, 590010
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Chennai, Tamil Nadu, 600013
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Chennai Tamilnadu, 6000081
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Coimbatore, Tamil Nadu, 641 018
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Delhi, New Delhi, 110007
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Hyderabad, Andhra Pradesh, 5000 18
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Hyderabad, 500063
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Indore, Madhya Pradesh, 452010
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Jaipur, Rajasthan, 202023
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Madurai, Tamil Nadu, 625020
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Mangalore, Karnataka, 575001
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Nagpur, Maharashtra, 440010
Local Institution
Nagpur, Maharashtra, 440012
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Nagpur, Maharashtra, 440033
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Nagpur, 440012
Local Institution
Trivandrum, 695011
Germany17 sites
Local Institution
Aschaffenburg, Bavaria, 63739
Local Institution
Augsburg, Bavaria, 86150
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Bad Kreuznach, 55545
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Berlin, 10787
Local Institution
Dortmund, 44137
Local Institution
Dresden, 01307
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Duisburg, North Rhine-Westphalia, 47051
Local Institution
Karlsruhe, 76199
Local Institution
Köthen, 06366
Local Institution
Kronshagen, 24119
Local Institution
Langenfeld, 40764
Local Institution
Lüneburg, 21339
Local Institution
Magdeburg, 39112
Local Institution
Mainz, 55116
Local Institution
Mannheim, 68161
Local Institution
Saarbrücken, 66121
Local Institution
Wüstensachsen, 36115
Mexico16 sites
Local Institution
Chihuahua City, Chihuahua, 31217
Local Institution
Cuautla, Morelos, 62744
Local Institution
Culiacán, Sinaloa, 80020
Local Institution
Del. Benito Juarez, 03100
Local Institution
Distrito Federal, Mexico City, 07020
Local Institution
Guadalajara, Jalisco, 44100
Local Institution
Guadalajara, Jalisco, 44130
Local Institution
Guadalajara, Jalisco, 44670
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Mérida, Yucatán, 97070
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Mexico City, Mexico City, 03300
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Mexico City, Mexico City, 07760
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Monterrey, Nuevo León, 64000
Local Institution
Monterrey, Nuevo León, 64460
Local Institution
San Luis Potosí City, San Luis Potosí, 78200
Local Institution
Tlalpan, Mexico City, 14000
Local Institution
Torreón, Coahuila, 27000
Romania16 sites
Local Institution
Bucharest, 010507
Local Institution
Bucharest, 010719
Local Institution
Bucharest, 020475
Local Institution
Bucharest, 020725
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Cluj-Napoca, 400006
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Oradea, Bihor County, 410169
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Oradea, Jud. Bihor, 410469
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Ploieşti, Prahova, 100163
Local Institution
Ploieşti, Prahova, 100342
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Satu Mare, Satu Mare County, 440055
Local Institution
Sibiu, Sibiu County, 550371
Local Institution
Sibiu, 550245
Local Institution
Târgu Mureş, Mureș County, 540098
Local Institution
Târgu Mureş, Mureș County, 540142
Local Institution
Timișoara, Jud. Timis, 300125
Local Institution
Timișoara, Timiș County, 300456
Hungary11 sites
Local Institution
Budapest, 1134
Local Institution
Budapest, H-1171
Local Institution
Eger, 3300
Local Institution
Gyöngyös, Heves County, 3200
Local Institution
Kisvárda, 4600
Local Institution
Miskolc, 3530
Local Institution
Nyíregyháza, 4400
Local Institution
Sátoraljaújhely, 3980
Local Institution
Sopron, 9400
Local Institution
Szeged, 6720
Local Institution
Szekszárd, H-7100
Czechia8 sites
Local Institution
Beroun, 266 01
Local Institution
Cheb, 350 02
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Havířov, 736 01
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Krnov, 794 01
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Liberec, 460 01
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Ostrava, 702 00
Local Institution
Prague, 116 94
Local Institution
Prague, 149 00
Canada7 sites
Local Institution
Brampton, Ontario, L6T 3J1
Local Institution
Granby, Quebec, J2G 8Z9
Local Institution
Kelowona, British Columbia, V1Y 3G8
Local Institution
Monction, New Brunswick, E1G 1A7
Local Institution
Montreal, Quebec, H2R 1V6
Local Institution
Saskatoon, Saskatchewan, S7K 3H3
Local Institution
Victoria, British Columbia, V8V 3N7
Colombia5 sites
Local Institution
Armenia, Quindío Department, 0000
Local Institution
Barranquilla, 0000
Local Institution
Barranquilla
Local Institution
Bogotá, 0000
Local Institution
Bucaramanga, Santander Department, 0000
Denmark4 sites
Local Institution
Copenhagen, DK 2400
Local Institution
Frederiksberg, 2000
Local Institution
Gentofte Municipality, 2820
Local Institution
Slagelse, 4200
Finland4 sites
Local Institution
Helsinki, 09200
Local Institution
Kerava, 04200
Local Institution
Kokkola, 67100
Local Institution
Oulu, 90100
United Kingdom4 sites
Local Institution
Bath, Wiltshire, BA2 3HT
Local Institution
Birmingham, West Midlands, B9 5SS
Local Institution
Ely, Cambridgeshire, CB7 5JD
Local Institution
Irvine, Ayrshire, KA11 1JU
Australia3 sites
Local Institution
Camperdown, New South Wales, 2050
Local Institution
Heidelberg, Victoria, 3081
Local Institution
Nedlands, Western Australia, 6009
Puerto Rico3 sites
Local Institution
Fajard, 00738
Local Institution
Ponce, 00717
Local Institution
San Juan, 00920
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Subjects With Type 2 Diabetes With Inadequately Controlled Hypertension on an Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) and an Additional Antihypertensive Medication
The purpose of this study is to learn if BMS-512148 (Dapagliflozin), after 12 weeks, can improve (decrease) blood pressure in patients with type 2 diabetes with uncontrolled hypertension who are on an Angiotensin-converting enzyme inhibitor (ACEI) or an Angiotensin Receptor Blocker (ARB).The safety of this treatment will also be studied
- Conditions
- Type 2 Diabetes
- Being tested
- Dapagliflozin, Placebo matching Dapagliflozin
- Keywords
- Diabetes Mellitus, Type 2, Diabetes Mellitus, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Diseases, Angiotensin Receptor Inhibitors, Angiotensin-Converting Enzyme Inhibitors, Antihypertensive Agents, Cardiovascular Agents, Pharmacological Actions
- Medical subject headings
- Diabetes Mellitus, Type 2, Diabetes Mellitus, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DapagliflozinDrug
Also called BMS-512148, Farxiga™
Tablets, Oral, 10 mg, once daily, Up to 12 weeks
Placebo matching DapagliflozinDrug
Tablets, Oral, 0 mg, once daily, Up to 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| Dapagliflozin 10 mg | Experimental | Dapagliflozin 10 mg tablets Receives: Drug: Dapagliflozin |
| Placebo matching Dapagliflozin | Placebo comparator | Placebo tablets matching dapagliflozin tablets Receives: Drug: Placebo matching Dapagliflozin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure for 12 Week Double-Blind Treatment Period - Randomized Participants
Systolic blood pressure (SBP) was measured in millimeters of mercury (mmHg) on Day -1, Day 1, Weeks 2, 4, 8, and 12 of the Double Blind Period. Blood pressure (BP) values were obtained after the participant was seated for quietly for 10 minutes; a mean of 3 replicate measurements was taken at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were obtained (total = 5) and incorporated into the calculated mean. BP was measured in both arms. If the BP was higher in one arm than the other, then this arm was used; if no difference, the participant's dominant arm was used for all future BP measurements. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Participants refrained from ingestion of caffeine, alcohol, or nicotine at least 10 hours prior to their visit and having their BP measured.
Measured: Baseline to Week 12
Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) for 12 Week Double-Blind Treatment Period - Randomized Participants
Adjusted mean change in glycosylated hemoglobin ( HbA1c) from baseline at Week 12 was calculated. HbA1c was measured as percent of hemoglobin by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. HbA1c values were obtained at enrollment and lead-in (Day -28) periods, and at Day 1, Weeks 4, 8, and 12, in the double-blind period.
Measured: Baseline to Week 12
Secondary outcomes (9)
Adjusted Mean Change From Baseline in 24-hour Ambulatory Systolic Blood Pressure at Week 12 Last Observation Carried Forward (LOCF)
Ambulatory 24 hour (hr) blood pressure monitoring (ABPM) was performed at baseline, which was during the lead-in period (between Day -7 and Day -1 prior to randomization) and 1 week prior to the Week 12 visit/end of treatment visit. If no Week 12 measurement was available, the last available earlier post-baseline measurement was used (LOCF) for analysis. Initiation of the 24-hr ABPM began between 6am and 11am to ensure trough BP measurements were obtained.The ABPM units were calibrated, and used per the manufacturer's and central ABPM vendor instructions. BP was measured in mmHg. Participants had to have a mean 24-hour ABPM ≥ 130/80 mmHg prior to randomization. All medication was withheld on the morning of the study visit and brought to the visit site by the participant. Once the ABPM cuff was in place, all morning medication was taken while at the site.
Measured: Baseline, Week 12
Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure (DBP) for 12 Week Double-Blind Treatment Period - Randomized Participants
Diastolic BP was measured in millimeters of mercury (mmHg) on Day -1, Day 1, Weeks 2, 4, 8, and 12 of the Double Blind Period. Diastolic BP values were obtained after the participant was seated for quietly for 10 minutes; a mean of 3 replicate measurements was taken at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were obtained (total = 5) and incorporated into the calculated mean. BP was measured in both arms. If the pressure was higher in one arm than the other, then this arm was used; if no difference, the participant's dominant arm was used for all future BP measurements. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Participants refrained from ingestion of caffeine, alcohol, or nicotine at least 10 hours prior to their visit and having their BP measured.
Measured: Baseline to Week 12
Adjusted Mean Change From Baseline in 24-hr Ambulatory Diastolic Blood Pressure at Week 12 (LOCF)
Ambulatory 24 hour (hr) BP monitoring (ABPM) was performed at baseline, which was during the lead-in period (between Day -7 and Day -1 prior to randomization) and 1 week prior to the Week 12 visit/end of treatment visit. If no Week 12 measurement was available, the last available earlier post-baseline measurement was used (LOCF). Initiation of the 24-hr ABPM began between 6am and 11am to ensure trough BP measurements were obtained. The ABPM units were calibrated, and used per the manufacturer's and central ABPM vendor instructions. BP was measured in mmHg. Participants had to have a mean 24-hour ABPM ≥ 130/80 mmHg prior to randomization. All medication was withheld on the morning of the study visit and brought to the visit site by the participant. Once the ABPM cuff was in place, all morning medication was taken while at the site.
Measured: Baseline, Week 12
Adjusted Mean Change From Baseline in Serum Uric Acid at Week 12 in Double-Blind Treatment Period - Randomized Participants
Adjusted mean change in serum uric acid from baseline at Week 12 was calculated. Serum uric acid was measured in milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Serum uric acid measurements were obtained at qualification and lead-in (Day -28) periods, and at Day 1, Weeks 4, 8, and 12, in the double-blind period but only the change from baseline at Week 12 was considered a secondary endpoint and is presented.
Measured: Baseline, Week 12
Number of Participants With Deaths,Serious Adverse Events (SAEs), Adverse Events (AEs), Hypoglycemia Events, Discontinuation Due to AEs, SAEs and Hypoglycemia, During the 12 Week Double Blind Period, Including Data After Rescue
Medical Dictionary for Regulatory Activities (MedDRA), version 15.1 AE=any new unfavorable symptom, sign, or disease or worsening of a preexisting condition that may not have a causal relationship with treatment. SAE=a medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency/abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Related=having certain, probable, possible, or missing relationship to study drug as per the investigator. Events captured from baseline to last double blind dose plus 4 days for AEs, plus 30 days for SAEs during the Double Blind 12 Week Period. Only hypoglycemia reported as an SAE is included in AE/SAE categories . All reported hypoglycemia events within 4 days of last day of treatment are included as hypoglycemic events.
Measured: Baseline to last dose of 12 weeks of double blind medication plus 30 days if SAE or plus 4 days if AE/hypoglycemic event
Number of Participants With Marked Chemistry Laboratory Abnormalities in 12 Week Double Blind Treatment Period, Including Data After Rescue
Samples obtained: Day 1, Weeks 4, 8,12 in Double Blind Period. Baseline: last assessment prior to start of first dose of double-blind treatment. Pretreatment (PreRX); grams per deciliter (g/dL); upper limit of normal (ULN); milliequivalent per liter (mEq/L); greater than (>) less than (<); Units per liter (U/L), Marked abnormality Low (High): hemoglobin <6 (>18 females or >20 males) g/dL; creatinine (>=1.5*preRX, >=2.5 mg/dL); glucose < 54 or (> 350) mg/dL; albumin <= 2 or (> 6) g/dL; creatine kinase >5*ULN; albumin/creatinine ratio (>1800 mg/G); calcium <7.5 (>1 and >0.5 from PreRX) mg/dL; bicarbonate <=13 meq/dL; potassium <=2.5 (>6) meq/L; magnesium <1 (>4) mEq/L; sodium < 130 mEq/L (>150 mEq/L; phosphorus (>=5.6 mg/dL age 17-65, >=5.1 is >=66 years); Albumin/creatinine ratio (>1800 mg/g). Note: Hepatic tests are presented separately in next outcome measure.
Measured: Baseline (Day 1) to last dose double blind medication (Week 12) plus 4 days
Number of Participants With Elevated Liver Laboratory Tests in Participants Treated With Double Blind 10 mg Dapagliflozin or Placebo , Including Data After Rescue
Laboratories were obtained at Day 1, Weeks 4, 8 and 12 in the Double Blind Period. Baseline: last assessment prior to start of first dose of double-blind treatment. Includes laboratory values measured after the first date of double-blind treatment and up to and including the last day of double blind treatment plus 30 days. Upper limit of normal (ULN);, alanine aminotransferase (ALT); aspartate aminotransferase (AST); alkaline phosphatase (ALP). Marked abnormality (High): AST and ALT (>3*ULN); ALP (>1.5*ULN); bilirubin (>1.5*ULN). Participants with abnormally elevated liver laboratory tests were followed 30 days after the last dose of study drug.
Measured: Baseline (Day 1) to last dose double blind medication (Week 12) Plus 30 days
Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 12 (LOCF), Including Data After Rescue
12-Lead electrocardiograms (ECGs) were performed at Enrollment, Day 1 of Double Blind Period and Week 12/End of treatment visit (last observation carried forward) on participants who were supine. ECGs were assessed by the investigator as normal or abnormal. Baseline (BL) was Day 1 prior to dosing or last observation prior to dosing.
Measured: Baseline, Week 12
Proportion of Participants With Orthostatic Hypotension at Baseline and Week 12, Including Data After Rescue
Orthostatic hypotension was defined as a decrease from supine to standing of > 20 mmHg in systolic BP or >10 mmHg in diastolic BP. Proportion was calculated from number of participants with orthostatic hypotension (n) divided by the number of treated participants (N). n/N presented as a percent (%). Baseline was Day 1 of the double blind Period. Measurements for orthostatic hypotension were taken on Day 1 and at Week 12 visit and does not reflect AEs reported by the investigator.
Measured: Baseline (Day 1), Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Sep 2010 (estimated)
- Study startOct 2010
- Primary completionFeb 2013
- Study completionFeb 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Type 2 DiabetesStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 2,245 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Bristol-Myers Squibb
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01195662
- Sponsor's protocol ID
- MB102-077 ST
- Other IDs
- 2010-019798-13
- Status last verified
- Dec 2015
- First submitted
- 3 Sep 2010
- Last updated
- 29 Dec 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.
PubMed 38770818Weber MA, Mansfield TA, Cain VA, Iqbal N, Parikh S, Ptaszynska A. Blood pressure and glycaemic effects of dapagliflozin versus placebo in patients with type 2 diabetes on combination antihypertensive therapy: a randomised, double-blind, placebo-controlled, phase 3 study. Lancet Diabetes Endocrinol. 2016 Mar;4(3):211-220. doi: 10.1016/S2213-8587(15)00417-9. Epub 2015 Nov 27.
PubMed 26620248
Study at a glance
From the registry record, last updated by the sponsor on 29 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 3 Trial to Evaluate the Safety and Efficacy of Dapagliflozin in Subjects With Type 2 Diabetes With Inadequately Controlled Hypertension on an Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) and an Additional Antihypertensive Medication
- ClinicalTrials.gov ID
- NCT01195662
- Acronym / sponsor ID
- MB102-077 ST
- Conditions
- Type 2 Diabetes
- Keywords
- Diabetes Mellitus, Type 2, Diabetes Mellitus, Endocrine System Diseases, Glucose Metabolism Disorders, Metabolic Diseases, Angiotensin Receptor Inhibitors, Angiotensin-Converting Enzyme Inhibitors, Antihypertensive Agents
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,245 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- Bristol-Myers Squibb
- Study start
- Oct 2010
- Primary completion
- Feb 2013 (actual)
- Study completion
- Feb 2013 (actual)
- First posted
- 6 Sep 2010 (estimated)
- Results
- Posted 23 May 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to learn if BMS-512148 (Dapagliflozin), after 12 weeks, can improve (decrease) blood pressure in patients with type 2 diabetes with uncontrolled hypertension who are on an Angiotensin-converting enzyme inhibitor (ACEI) or an Angiotensin Receptor Blocker (ARB).The safety of this treatment will also be studied
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dapagliflozin 10 mg | Experimental | Drug: DapagliflozinDapagliflozin 10 mg tablets |
| Placebo matching Dapagliflozin | Placebo comparator | Drug: Placebo matching DapagliflozinPlacebo tablets matching dapagliflozin tablets |
Who may qualify
- Ages
- 18 to 89 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Written informed consent
- Males and females, 18 to 89 years old, with type 2 diabetes with inadequate glycemic control HbA1c between 7-10.5% and uncontrolled hypertension Systolic Blood Pressure (SBP) 140-165 and Diastolic Blood Pressure (DBP) 85-105
- Subjects must have a mean 24 hr blood pressure ≥ 130/80 determined by Ambulatory Blood Pressure Monitoring (ABPM) within 1 week prior to Day 1 visit
- Stable dose of oral antidiabetic agent (OAD) for at least 6 weeks [12 wks for Thiazolidinedione (TZD)] or a stable daily dose of insulin, as a monotherapy or in combination with another OAD, for 8 weeks, and a stable dose of ACEI or ARB and 1 additional antihypertensive medication for at least 4 weeks
- C-peptide ≥ 0.8 ng/mL
Key exclusion criteria (6 listed)
- Aspartate aminotransferase (AST) and /or Alanine aminotransferase (ALT) > 3.0*upper limit of normal (ULN)
- Serum total bilirubin ≥ 1.5*ULN
- Creatinine kinase > 3*ULN
- Symptoms of severely uncontrolled diabetes
- History of malignant or accelerated hypertension
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DapagliflozinAlso: BMS-512148, Farxiga™Tablets, Oral, 10 mg, once daily, Up to 12 weeks | Drug | Dapagliflozin 10 mg |
| Placebo matching DapagliflozinTablets, Oral, 0 mg, once daily, Up to 12 weeks | Drug | Placebo matching Dapagliflozin |
Primary outcome
Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure for 12 Week Double-Blind Treatment Period - Randomized Participants
Time frame: Baseline to Week 12
Systolic blood pressure (SBP) was measured in millimeters of mercury (mmHg) on Day -1, Day 1, Weeks 2, 4, 8, and 12 of the Double Blind Period. Blood pressure (BP) values were obtained after the participant was seated for quietly for 10 minutes; a mean of 3 replicate measurements was taken at least 1 minute apart. However, if the 3 consecutive seated BP readings were not within 8 mm Hg of each other, an additional 2 BP readings were obtained (total = 5) and incorporated into the calculated mean. BP was measured in both arms. If the BP was higher in one arm than the other, then this arm was used; if no difference, the participant's dominant arm was used for all future BP measurements. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. Participants refrained from ingestion of caffeine, alcohol, or nicotine at least 10 hours prior to their visit and having their BP measured.
Adjusted Mean Change From Baseline in Hemoglobin A1c (HbA1c) for 12 Week Double-Blind Treatment Period - Randomized Participants
Time frame: Baseline to Week 12
Adjusted mean change in glycosylated hemoglobin ( HbA1c) from baseline at Week 12 was calculated. HbA1c was measured as percent of hemoglobin by a central laboratory. Baseline was defined as the last assessment prior to the start date and time of the first dose of the double-blind study medication. HbA1c values were obtained at enrollment and lead-in (Day -28) periods, and at Day 1, Weeks 4, 8, and 12, in the double-blind period.
9 secondary outcomes
Adjusted Mean Change From Baseline in 24-hour Ambulatory Systolic Blood Pressure at Week 12 Last Observation Carried Forward (LOCF)
Time frame: Baseline, Week 12
Adjusted Mean Change From Baseline in Seated Diastolic Blood Pressure (DBP) for 12 Week Double-Blind Treatment Period - Randomized Participants
Time frame: Baseline to Week 12
Adjusted Mean Change From Baseline in 24-hr Ambulatory Diastolic Blood Pressure at Week 12 (LOCF)
Time frame: Baseline, Week 12
Adjusted Mean Change From Baseline in Serum Uric Acid at Week 12 in Double-Blind Treatment Period - Randomized Participants
Time frame: Baseline, Week 12
Number of Participants With Deaths,Serious Adverse Events (SAEs), Adverse Events (AEs), Hypoglycemia Events, Discontinuation Due to AEs, SAEs and Hypoglycemia, During the 12 Week Double Blind Period, Including Data After Rescue
Time frame: Baseline to last dose of 12 weeks of double blind medication plus 30 days if SAE or plus 4 days if AE/hypoglycemic event
Number of Participants With Marked Chemistry Laboratory Abnormalities in 12 Week Double Blind Treatment Period, Including Data After Rescue
Time frame: Baseline (Day 1) to last dose double blind medication (Week 12) plus 4 days
Number of Participants With Elevated Liver Laboratory Tests in Participants Treated With Double Blind 10 mg Dapagliflozin or Placebo , Including Data After Rescue
Time frame: Baseline (Day 1) to last dose double blind medication (Week 12) Plus 30 days
Number of Participants With Normal or Abnormal Electrocardiogram Summary Tracing at Week 12 (LOCF), Including Data After Rescue
Time frame: Baseline, Week 12
Proportion of Participants With Orthostatic Hypotension at Baseline and Week 12, Including Data After Rescue
Time frame: Baseline (Day 1), Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Dec 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38770818Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.
- Derived from this study: PubMed 26620248Weber MA, Mansfield TA, Cain VA, Iqbal N, Parikh S, Ptaszynska A. Blood pressure and glycaemic effects of dapagliflozin versus placebo in patients with type 2 diabetes on combination antihypertensive therapy: a randomised, double-blind, placebo-controlled, phase 3 study. Lancet Diabetes Endocrinol. 2016 Mar;4(3):211-220. doi: 10.1016/S2213-8587(15)00417-9. Epub 2015 Nov 27.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
298 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dapagliflozin in people with Type 2 Diabetes, run by AstraZeneca at 298 sites in 16 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 7 inclusion and 6 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 29 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 298 sites in United States, Poland, India, Germany, Mexico and 11 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 23 May 2014). 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?
Adjusted Mean Change From Baseline in Seated Systolic Blood Pressure for 12 Week Double-Blind Treatment Period - Randomized Participants (time frame: Baseline to Week 12). The study lists 2 primary outcomes in all. 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 NCT01195662, which also lists 2 linked publications.
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 29 Dec 2016.