Type 2 Diabetes MellitusPhase 3NCT01494987
Ranolazine When Added to Glimepiride in Subjects With Type 2 Diabetes Mellitus
A Phase 3 study testing Ranolazine, Glimepiride and Diet in people with Type 2 Diabetes Mellitus, run by Gilead Sciences at 140 sites in 12 countries.
Trial summary
This is a randomized, double-blind, placebo-controlled, parallel-group, multi-center study to determine the effect of ranolazine when added to glimepiride on glycemic control in adults with type 2 diabetes mellitus (T2DM) who are inadequately controlled despite current treatment with stable sulfonylurea or metformin… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Ranolazine, Glimepiride and Diet
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 431 participants
- Where
- 140 sitesin 12 countries
- Study dates
- Jan 2012to Aug 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent
- Males and females, 18 to 75 years old, inclusive
- Documented history of T2DM
- Receiving one of the following sulfonylurea or metformin therapies in addition to diet and exercise for at least 90 days prior to Screening:
- glimepiride at a daily dose of ≥ 2 mg and ≤ 4 mg
- glipizide, glyburide, or glibenclamide (or equivalent) at a daily dose of ≥ 7.5 mg
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- gliclazide at a daily dose of > 160 mg (or ≥ 60 mg for the modified release [MR] formulation)
- metformin at a daily dose of ≥ 1500 mg
- Body mass index (BMI) 25 kg/m2 to 45 kg/m2, inclusive, at Screening
- HbA1c 7% to 10%, inclusive, at Screening and the end of the Qualifying Period (Day 14)
- Fasting Serum C-peptide ≥ 0.8 ng/mL at Screening
- Fasting serum glucose (FSG) ≥ 130 mg/dL (7.2 mmol/L) and ≤ 240 mg/dL (13.3 mmol/L) at Screening and at the end of the Qualifying Period (Day 14): A one-time central laboratory re-test of FSG is allowed in subjects with an initial central laboratory FSG ≥ 120 mg/dL (6.7 mmol/L) and < 130 mg/dL (7.2 mmol/L) who are otherwise eligible as determined by the investigator.
- Able and willing to comply with all study procedures during the course of the study
- Females of child-bearing potential must have a negative serum pregnancy test at Screening and must agree to use highly effective contraception methods from Screening throughout the duration of the Treatment Period and for 14 days following the last dose of study drug.
- At least 80% compliant in dosing during the Qualifying Period
Who cannot join
- History of or current diagnosis of type 1 diabetes mellitus
- History of diabetic ketoacidosis, ketosis-prone diabetes, or hyperosmolar hyperglycemic coma
- History of a severe episode of hypoglycemia (≥ 1 episode within 3 months prior to Screening or ≥ 2 episodes within 6 months prior to Screening), defined as hypoglycemia requiring 3rd party assistance to actively administer carbohydrate, glucagon, or other resuscitative actions due to severe impairment in consciousness or behavior
- Clinically significant complications of diabetes that in the judgment of the investigator would make the subject unsuitable to participate in this study
- History of any clinically significant cardiovascular (CV) or cerebrovascular event (eg, myocardial infarction [MI], acute coronary syndrome [ACS], recent revascularization [including coronary artery bypass graft procedures or percutaneous coronary intervention], transient ischemic attack, or ischemic stroke) ≤ 3 months prior to Screening
- Inadequately controlled or unstable hypertension as defined by a systolic blood pressure (SBP) > 160 mmHg or diastolic blood pressure (DBP) > 100 mmHg at Screening and at Randomization
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- Prolonged QT interval corrected for heart rate (QTc) interval > 500 msec by electrocardiogram (ECG) at Screening, a personal or family history of QTc prolongation, congenital long QT syndrome, or subjects who are receiving drugs that prolong the QTc interval, such as Class Ia or Class III antiarrhythmic agents, erythromycin, and certain antipsychotics (eg, ziprasidone)
- History of bariatric surgery at any time in the past or or any other surgery < 2 months before Screening; or planning to undergo surgery during the study. Subjects with a planned minor surgery may be enrolled upon approval by the medical monitor.
- Any other hospitalization in the 14 days prior to Screening or planned hospitalization at any time during the study
- Significant weight change (± 5%) < 2 months prior to Screening or enrollment in a weight-loss program other than a maintenance phase at Screening.
- Severe renal impairment, defined as an estimated glomerular filtration rate (eGFR) by the Modification of Diet in Renal Disease (MDRD) equation < 30 mL/min/1.73 m2 at Screening or undergoing any type of dialysis at Screening or planning to undergo any type of dialysis during the course of the study
- History of liver cirrhosis (Child-Pugh Class A, B or C)
- Active liver disease and/or significant abnormal liver function defined as aspartate aminotransferase (AST) > 3 x upper limit of the normal range (ULN) and/or alanine aminotransferase (ALT) > 3 x ULN and/or serum total bilirubin > 2.0 mg/dL
- History of cancer (except nonmelanomic skin cancers or cervical in situ) within 5 years prior to Screening
- History of alcohol or other drug abuse < 12 months prior to Screening
- Any other clinically significant existing medical or psychiatric condition, including clinically significant laboratory abnormalities, or one requiring further evaluation that in the opinion of the investigator could interfere with conduct of the study or interpretation of the data
- Use of antihyperglycemic agents other than sulfonylurea agents or metformin, including but not limited to dipeptidyl peptidase-4 inhibitors (eg, saxagliptin and sitagliptin), glucagon-like peptide-mimetics (eg, exenatide), or insulin < 3 months prior to Screening; use of thiazolidinediones (TZDs) (eg, rosiglitazone or pioglitazone) < 24 weeks prior to Screening
- Previous history of intolerance of glimepiride (as a single-agent therapy)
- Prior treatment with open-label ranolazine, or known hypersensitivity or intolerance to ranolazine or any of its excipients
- Treatment with strong or moderate cytochrome P (CYP)3A inhibitors or P-glycoprotein (P-gp) inhibitors within 14 days prior to randomization
- Treatment with CYP3A inducers or P-gp inducers within 14 days prior to randomization
- Treatment with CYP3A4 substrates with a narrow therapeutic range (eg, cyclosporine, tacrolimus, or sirolimus) within 14 days prior to Randomization
- Treatment with simvastatin at a dose of > 20 mg daily or lovastatin at a dose of > 40 mg daily within 14 days prior to Randomization
- Weight loss medication or anti-obesity medication (prescription or non-prescription) < 3 months prior to Screening
- Treatment with niacin > 200 mg daily; if receiving ≤ 200 mg daily, should be on stable doses for ≥ 3 months prior to Screening
- Expected or current treatment with systemic corticosteroids (oral or injectable) for > 14 days from Screening through the end of the Treatment Period. Topical or inhaled corticosteroid formulations are permitted at any time during the study.
- If receiving thyroid replacement therapy, should be on stable doses for at least 6 weeks prior to randomization
- Hemoglobin < 12 g/dL for males or < 11 g/dL for females at Screening
- Participation in another clinical study involving an investigational drug or device < 30 days prior to Screening; participation in another clinical study involving an oral antihyperglycemic agent (OHA) < 90 days prior to Screening
- Donation of blood < 2 months prior to Screening or plans to donate blood while participating in the study
- Females who are pregnant or are breastfeeding
- Other condition(s) that, in the opinion of the investigator, would compromise the safety of the individual, prevent compliance with the study protocol (including the ability to comply with Mixed Meal Tolerance Test [MMTT]), or compromise the quality of the clinical study
Trial locations and contacts
140 sites in 12 countries.
140 sites in 12 countries
United States46 sites
Albuquerque Clinical Trials
Albuquerque, New Mexico, 87102
Endeavor Medical Research, PLC
Alpena, Michigan, 49707
Synergy Therapeutic Partners
Atlanta, Georgia, 30127
Associated Internal Medicine Specialists, P.C.
Battle Creek, Michigan, 49015
Clinical Inquest Center, Ltd.
Beavercreek, Ohio, 45431
PAB Clinical Research
Brandon, Florida, 33511
PMG Research of Charlotte
Charlotte, North Carolina, 28209
Cedar-Crosse Research Center
Chicago, Illinois, 60607
The University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, 75390
CTL Research
Eagle, Idaho, 83616
Horizon Research Group of Opelousas
Eunice, Louisiana, 70535
Southland Clinical Research Center, Inc.
Fountain Valley, California, 92708
HCCA Clinical Research Solution
Franklin, Tennessee, 37067
Valley Research
Fresno, California, 93720-2992
Florida Research Network, LLC
Gainesville, Florida, 32605-4253
PharmQuest
Greensboro, North Carolina, 27408
Excel Clinical Research, LLC
Houston, Texas, 77081
Texas Center for Drug Development, Inc.
Houston, Texas, 77081
Humble Cardiology Associates
Humble, Texas, 77338
Del Rosario Medical Clinic, Inc.
Huntington Park, California, 90255
Holston Medical Group
Kingsport, Tennessee, 37660-3256
New Phase Research & Development
Knoxville, Tennessee, 37923
Scripps Whittier Diabetes Institute
La Jolla, California, 92037
National Research Institute
Los Angeles, California, 90057
L-MARC Research Center
Louisville, Kentucky, 40213
Clinical Research Advantage/Desert Clinical Research, LLC
Mesa, Arizona, 85213
NewPhase Clinical Trials, Inc.
Miami Beach, Florida, 33140
LaPorte County Institute for Clinical Research
Michigan City, Indiana, 46360
Spectrum Clinical Research Institute, Inc
Moreno Valley, California, 92553
Suncoast Clinical Research
New Port Richey, Florida, 34652
Infinity Research Group, LLC
Oklahoma City, Oklahoma, 73103
MD Medical Research
Oxon Hill, Maryland, 20745
Paul W. Davis, MD, PA
Pine Bluff, Arkansas, 71603
Sacramento Heart and Vascular Medical Associates
Sacramento, California, 95825
Highland Clinical Research
Salt Lake City, Utah, 84124
Jean Brown Research
Salt Lake City, Utah, 84124
Cetero Research
San Antonio, Texas, 78229
Cetero Research
San Antonio, Texas, 78237
Regenerate Clinical Trials
South Miami, Florida, 33143
Comprehensive Clinical Development, Inc.
St. Petersburg, Florida, 33716
Southeastern Research Associates, Inc.
Taylors, South Carolina, 29687
IRC Clinics, Inc
Towson, Maryland, 21204
Desert Sun Clinical Research, LLC
Tucson, Arizona, 85710
Eclipse Clinical Research
Tucson, Arizona, 85745
Infosphere Clinical Research
West Hills, California, 91307
Clinical Research of Central Florida
Winter Haven, Florida, 33880
Russia36 sites
3rd Central Military Clinical Hospital named after A.A.Vishnevskogo
Arkhangel'skoye, 143420
GOU VPO "Chita State Medical Academy" of Minzdravsocrazvitie RF
Chita, 672090
"Clinic of New Medical Technology" Company Limited
Dzerzhinskiy, 140091
Kemerovo Regional Clinical Hospital
Kemerovo, 650066
"Krasnoyarsk State Medical University n.a. Prof. V.F. Voyno-Yasenetsky
Krasnoyarsk, 660062
State Healthcare Institution of Moscow "Cardiologival Dispensary #2 of Management Department of South Administrative District"
Moscow, 117556
Central Clinical Hospital of Russian Academy of Sciences
Moscow, 117593
Medical Sanitary Unit of Minestry of Internal Affairs of Russia in Moscow
Moscow, 127299
City Clinical Hospital # 13 of Avtozavodsky District of Nizhniy Novgorod
Nizhny Novgorod, 603018
Novosibirsk State Medical University
Novosibirsk, 630087
Scientific Research Institute of Physiology of Siberian Department RAMS
Novosibirsk, 630117
City Hospital # 38 named after N A Semashko
Pushkin, 196601
Rostov State Medical University
Rostov-on-Don, 344022
Ryazan State Medical University
Ryazan, 390005
Medinet, LLC
Saint Petersburg, 190000
North-Western State Medical Unversity n.a. I.I.Mechnikov
Saint Petersburg, 191015
Saint-Petersburg City Outpatient Clinic#37
Saint Petersburg, 191119
Military Medical Academy named after S.M. Kirov
Saint Petersburg, 191124
Saint-Petersburg state budgetary healthcare institution "City Polyclinic #109"
Saint Petersburg, 192283
Alexanders City Hospital
Saint Petersburg, 193312
Clinical Hospital #122 n.a. Sokolov of FMBA
Saint Petersburg, 194291
ANO "Medical Centre "XXI century"
Saint Petersburg, 194354
St. Elizabeth City Hospital
Saint Petersburg, 195257
Krestovsky Island Medical Institute, LLC
Saint Petersburg, 197042
Federal Centre of Heart, Blood and Endocrinology named after V.A. Almazov
Saint Petersburg, 197341
International Medical Center "SOGAZ", LLC
Saint Petersburg, 198168
Saint-Petersburg City Pokrovskaya Hospital
Saint Petersburg, 199106
Center "Diabetes", LLC
Samara, 443067
Smolensk State Medical Academy, Sanatorium-Preventorium
Smolensk, 214019
Tyumen State Medical Academy
Tyumen, 625023
Voronezh Regional Clinical Hospital #1
Voronezh, 394082
City Hospital named after N.A.Semashko
Yaroslavl, 150002
Clinical Hospital for Emergency Care named after N.V. Solovyov
Yaroslavl, 150003
Medical Sanitary Unit of Novo-Yaroslavsky Oil Refinery
Yaroslavl, 150023
Yaroslavl Regional Clinical Hospital
Yaroslavl, 150062
The Urals State Medical Academy
Yekaterinburg, 620102
Romania11 sites
Institutul de Diabet, Nutritie si Boli Metabolice "Dr. N. C. Paulescu"
Bucharest, 020042
Tehnomed Trading Srl
Bucharest, 020354
Institutul National De Diabet, Nutritie Si Boli Metabolice "Prof. Dr. N.C. Paulescu"
Bucharest, 020475
O.D. Medica Srl
Bucharest, 020725
CMI Mateescu S. Ana-Maria
Constanța, 900675
CMI Morosanu V. Magdalena
Galati, Galați County, 800371
Spitalul Clinic Judetean de Urgenta "Sf. Apostol Andrei" Galati
Galati, 800578
Consultmed SRL
Iași, Jud. Iasi, 700547
Spital Clinic Judetean de Urgenta Oradea Stationarul 1
Oradea, Jud Bihor, 410169
Diabmed Dr. Popescu Alexandrina SRL
Ploieşti, 100163
Centru Medical Dr. Negrisanu
Timișoara, Judical Timis, 300456
South Africa10 sites
Centre for Diabetes and Endocrinology Suite 1
Durban, 4091
Centre for Diabetes, Asthma and Allergy
Johannesburg, 01829
Soweto Clinical Trial Centre
Johannesburg, 1818
Centre fro Diabetes and Endocrinology (Pty) Ltd
Johannesburg, 2198
Aliwal Shoal Medical & Clinical Trial Centre
Kwa Zulu Natal, 4170
Newkwa Medical Centre
Newlands West, Durban, 4037
Drs. Naiker and Naicker Inc.
Overport, Durban, 4001
Paarl Research Centre
Paarl, Cape Town, 7647
Helderberg Clinical Trials Centre
Somerset West, 7130
Tiervlei Trial Centre
Western Cape, 7530
Ukraine9 sites
City Clinical Hospital#9, Dnipropetrovsk State Medical Academy
Dnipropetrovsk, 49023
Educational Scientific Medical Centre "University clinic" of Donetsk National Medical University n.a. M.Gorkiy
Donetsk, 83003
Administration of Medical Service and Rehabilitation of "ARTEM" State Holding Company
Kyiv, 04050
National Medical University n.a. O.O. Bogomolets, Chair of Family Medicine based on Outpatient Clinic # 2 of Shevchenkovsky District
Kyiv, 04050
V. P. Komissarenko Institute of Endocrinology and Metabolism of AMS of Ukraine
Kyiv, 04114
Municipal Institution Lutsk City Clinical Hospital
Lutsk, 43024
Lviv Regional Endocrinology Dispensary
Lviv, 79010
Odessa State Medical University
Odesa, 65039
Zhytomyr Regional Clinical Hospital
Zhytomyr, 10002
Poland8 sites
Centrum Badan Klinicznych PI-House Sp. z o.o.
Gdansk, Pomeranian Voivodeship, 80-546
LANDA - Specjalistyczne Gabinety Lekarskie
Krakow, 30-015
SPZOZ Uniwersytecki Szpital Kliniczny Nr 1 im. Norberta Barlickiego Uniwersytetu Medycznego w Łodzi, Oddział Kliniczny Diabetologii
Lodz, 90-153
Centrum Terapii Wspolczesnej J.M. Jasnorzewska Sp. Komandytowo - Akcyjna
Lodz, Łódź Voivodeship, 90-242
NZOZ Centrum Medyczne Szpital Sw. Rodziny
Lodz, Łódź Voivodeship, 90-302
NZOZ Centrum Badan Klinicznych Oswiecim
Oswięcim, 32-600
NZOZ Centrum Badan Klinicznych
Wroclaw, Lower Silesian Voivodeship, 50-349
NZOZ Polimedica
Zgierz, Łódź Voivodeship, 95-100
Hungary6 sites
Drug Research Center
Balatonfüred, 8230
Synexus Hungary Ltd
Budapest, 1036
Markhot Ferenc Hospital
Eger, 3300
Kanizsai Dorottya Hospital
Nagykanizsa, 8800
Borbanya Praxis Kft., Outpatient Clinic
Nyíregyháza, 4400
Medifarma 98
Nyíregyháza, 4400
Slovakia5 sites
METABOLKLINIK s.r.o.
Bratislava, Bratislava Region, 811 08
Metabolic Center of Dr. Katarina Raslova Ltd.
Bratislava, Bratislava Region, 831 01
ENDIAMED s.r.o
Dolný Kubín, Žilina Region, 02601
MediVet s.r.o.
Malacky, 901 01
ARETEUS s.r.o., Diabetologicka ambulancia
Trebišov, Košice Region, 07501
Thailand4 sites
Phramongkutklao Hospital
Bangkok, 10400
Rajavithi Hospital
Bangkok, 10400
Chulalongkorn University
Patumwan, Bangkok, 10330
Songklanagarind Hospital
Songkhla, 90110
Serbia3 sites
Clinical Center of Serbia
Belgrade, 11000
Zvezdara University Medical Center
Belgrade, 11000
Clinical Center of Kragujevac
Kragujevac, 34000
Malaysia1 site
Hospital Universiti Sains Malaysia
Kubang Kerian, Kelantan, 16150
About this study
Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Ranolazine When Added to Glimepiride in Subjects With Type 2 Diabetes Mellitus
This is a randomized, double-blind, placebo-controlled, parallel-group, multi-center study to determine the effect of ranolazine when added to glimepiride on glycemic control in adults with type 2 diabetes mellitus (T2DM) who are inadequately controlled despite current treatment with stable sulfonylurea or metformin therapy in addition to diet and exercise.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Ranolazine, Placebo, Glimepiride, Diet, Exercise
- Keywords
- Type 2 Diabetes Mellitus
- 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.
RanolazineDrug
Also called Ranexa®
Ranolazine tablet(s) administered orally
PlaceboDrug
Placebo to match ranolazine for the duration of the study
GlimepirideDrug
Glimepiride tablets (2 mg or 4 mg) administered orally once daily with the morning dose of study drug or placebo. The target dosing regimen for glimepiride is 4 mg once daily.
DietBehavioural
Participants are instructed to continue the diet regimen prescribed by their physician.
ExerciseBehavioural
Participants are instructed to continue the exercise regimen prescribed by their physician.
| Study group | Role | What they receive |
|---|---|---|
| Ranolazine+glimepiride | Experimental | Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride will receive glimepiride 2 mg once daily, and if tolerated the dose will be increased on Day 8 (+ 2 days) to 4 mg once daily.
Qualifying period: participants will receive placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria will continue to the treatment period.
Treatment period: participants will be randomized to receive ranolazine 500 mg twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24.
Participants will be required to maintain their diet and exercise regimen. Receives: Drug: Ranolazine; Drug: Glimepiride; Behavioral: Diet; Behavioral: Exercise |
| Placebo+glimepiride | Placebo comparator | Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride will receive glimepiride 2 mg once daily, and if tolerated the dose will be increased on Day 8 (+ 2 days) to 4 mg once daily.
Qualifying period: participants will receive placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria will continue to the treatment period.
Treatment period: participants will be randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks.
Participants will be required to maintain their diet and exercise regimen. Receives: Drug: Placebo; Drug: Glimepiride; Behavioral: Diet; Behavioral: Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
The average (mean) change from baseline in HbA1c at Week 24 was analyzed.
Measured: Baseline; Week 24
Secondary outcomes (3)
Change From Baseline in Incremental Change of 2-hour Postprandial Serum Glucose at Week 24
The average (mean) change from baseline in incremental change of 2-hour postprandial serum glucose at Week 24 was analyzed.
Mixed Meal Tolerance Test (MMTT) Full Analysis Set: randomized participants who received at least one dose of study treatment with a baseline and at least one postbaseline measurement of serum glucose at T=120 minutes during the MMTT, administered under fasting conditions, excluding participants with major eligibility protocol violations, analyzed based on the randomized treatment regardless of actual treatment received.
Measured: Baseline; Week 24
Change From Baseline in Fasting Serum Glucose at Week 24
The average (mean) change from baseline in fasting serum glucose at Week 24 was analyzed.
Measured: Baseline; Week 24
Change From Baseline in 2-hour Postprandial Serum Glucose at Week 24
The average (mean) change from baseline in 2-hour postprandial serum glucose at Week 24 was analyzed.
Measured: Baseline; Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2011 (estimated)
- Study startJan 2012
- Primary completionAug 2013
- Study completionAug 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.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 431 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Patrick Yue, MD, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01494987
- Sponsor's protocol ID
- GS-US-259-0110
- Status last verified
- Nov 2014
- First submitted
- 15 Dec 2011
- Last updated
- 18 Nov 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 18 Nov 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Ranolazine When Added to Glimepiride in Subjects With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT01494987
- Acronym / sponsor ID
- GS-US-259-0110
- Conditions
- Type 2 Diabetes Mellitus
- Keywords
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 431 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Jan 2012
- Primary completion
- Aug 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 19 Dec 2011 (estimated)
- Results
- Posted 1 Sep 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, double-blind, placebo-controlled, parallel-group, multi-center study to determine the effect of ranolazine when added to glimepiride on glycemic control in adults with type 2 diabetes mellitus (T2DM) who are inadequately controlled despite current treatment with stable sulfonylurea or metformin therapy in addition to diet and exercise.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Ranolazine+glimepiride | Experimental | Drug: Ranolazine, Drug: Glimepiride, Behavioral: Diet, Behavioral: ExerciseGlimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride will receive glimepiride 2 mg once daily, and if tolerated the dose will be increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants will receive placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria will continue to the treatment period. Treatment period: participants will be randomized to receive ranolazine 500 mg twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants will be required to maintain their diet and exercise regimen. |
| Placebo+glimepiride | Placebo comparator | Drug: Placebo, Drug: Glimepiride, Behavioral: Diet, Behavioral: ExerciseGlimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride will receive glimepiride 2 mg once daily, and if tolerated the dose will be increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants will receive placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria will continue to the treatment period. Treatment period: participants will be randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants will be required to maintain their diet and exercise regimen. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Written informed consent
- Males and females, 18 to 75 years old, inclusive
- Documented history of T2DM
- Receiving one of the following sulfonylurea or metformin therapies in addition to diet and exercise for at least 90 days prior to Screening:
- Body mass index (BMI) 25 kg/m2 to 45 kg/m2, inclusive, at Screening
Key exclusion criteria (32 listed)
- History of or current diagnosis of type 1 diabetes mellitus
- History of diabetic ketoacidosis, ketosis-prone diabetes, or hyperosmolar hyperglycemic coma
- History of a severe episode of hypoglycemia (≥ 1 episode within 3 months prior to Screening or ≥ 2 episodes within 6 months prior to Screening), defined as hypoglycemia requiring 3rd party assistance to actively administer carbohydrate, glucagon, or other resuscitative actions due to severe impairment in consciousness or behavior
- Clinically significant complications of diabetes that in the judgment of the investigator would make the subject unsuitable to participate in this study
- History of any clinically significant cardiovascular (CV) or cerebrovascular event (eg, myocardial infarction [MI], acute coronary syndrome [ACS], recent revascularization [including coronary artery bypass graft procedures or percutaneous coronary intervention], transient ischemic attack, or ischemic stroke) ≤ 3 months prior to Screening
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 |
|---|---|---|
| RanolazineAlso: Ranexa®Ranolazine tablet(s) administered orally | Drug | Ranolazine+glimepiride |
| PlaceboPlacebo to match ranolazine for the duration of the study | Drug | Placebo+glimepiride |
| GlimepirideGlimepiride tablets (2 mg or 4 mg) administered orally once daily with the morning dose of study drug or placebo. The target dosing regimen for glimepiride is 4 mg once daily. | Drug | Placebo+glimepiride, Ranolazine+glimepiride |
| DietParticipants are instructed to continue the diet regimen prescribed by their physician. | Behavioural | Placebo+glimepiride, Ranolazine+glimepiride |
| ExerciseParticipants are instructed to continue the exercise regimen prescribed by their physician. | Behavioural | Placebo+glimepiride, Ranolazine+glimepiride |
Primary outcome
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Time frame: Baseline; Week 24
The average (mean) change from baseline in HbA1c at Week 24 was analyzed.
3 secondary outcomes
Change From Baseline in Incremental Change of 2-hour Postprandial Serum Glucose at Week 24
Time frame: Baseline; Week 24
Change From Baseline in Fasting Serum Glucose at Week 24
Time frame: Baseline; Week 24
Change From Baseline in 2-hour Postprandial Serum Glucose at Week 24
Time frame: Baseline; Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Nov 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Patrick Yue, MD study director
Gilead Sciences
140 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ranolazine, Glimepiride and Diet in people with Type 2 Diabetes Mellitus, run by Gilead Sciences at 140 sites in 12 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 15 inclusion and 32 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 18 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in United States, Russia, Romania, South Africa, Ukraine and 7 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 1 Sep 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?
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24 (time frame: Baseline; Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Nov 2014.