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Diabetes Mellitus, Type 2Phase 4NCT01512979

Linagliptin and Metformin Versus Linagliptin in Newly Diagnosed, Untreated Type 2 Diabetes

A Phase 4 study testing metformin and linagliptin in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 82 sites in 12 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this trial is to determine whether a initial combination of linagliptin and metformin compared to linagliptin alone for 24 weeks is effective in newly diagnosed, treatment-naïve patients with Type 2 Diabetes. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetes Mellitus, Type 2
What is being tested?
metformin and linagliptin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
316 participants
Where
82 sitesin 12 countries
Study dates
Jan 2012to Apr 2013
Phase
Phase 4
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must sign and date an Informed Consent consistent with International Conference on Harmonisation / Good Clinical Practice guidelines and local regulations prior to any evaluation and participation in the trial.
  • Male and female patients, 18 years of age or older at Visit 1 (Screen), with newly diagnosed (less than 12 months prior to Screen) Type 2 Diabetes Mellitus.
  • Patients who are treatment-naïve, defined as absence of any oral antidiabetic therapy, injectable glucagon-like peptide-1 agonist/analogue, or insulin, and uncontrolled for the 12 weeks prior to randomisation.
  • Patients must have an glycated (or glycosylated) haemoglobin (HbA1c) between 8.5% [69 millimoles per mole (mmol/mol)] and 12.0% (108 mmol/mol) at Visit 1 (Screen).
  • Patients must have a Body Mass Index (BMI) of 45 kg/m2 or less at Visit 1 (Screen).
  • In the investigators opinion, patients must be reliable, honest, compliant, and agree to cooperate with all planned future trial evaluations as explained in detail during the informed consent process and to be able to perform them.

Who cannot join

  • Patients with, who are, who have, or who have had:
  • Acute coronary syndrome (non-ST Elevation Myocardial Infarction (STEMI), STEMI, and unstable angina pectoris), stroke or transient ischemic attack within 3 months prior to informed consent.
  • Indication of liver disease determined during Screen and/or Run-In Period, defined by a serum level above 3 times the upper limit of normal (ULN) in any of the following: alanine aminotransferase, aspartate aminotransferase, or alkaline phosphatase. Gilbert-Meulengracht syndrome (also known as conjugated hyperbilirubinemia, constitutional hepatic dysfunction, or familial nonhemolytic jaundice) will be permitted.
  • Impaired renal function, defined as calculated creatinine clearance of less than 60 milliliters per minute (< 60 mL/min), by the Cockcroft-Gault Equation, as determined during Screen and/or Run-In Period.
  • Bariatric, gastric bypass, and other gastrointestinal surgeries (including all types of gastric banding and/or LapBand) within the past two years.
  • Medical history of cancer (except for basal cell carcinoma) and/or treatment for cancer within the last 5 years.
Show all 17Show fewer
  • Medical history of pancreatitis.
  • Blood dyscrasias or any disorders causing hemolysis or unstable red blood cells (e.g., malaria, babesiosis, haemolytic anaemia).
  • Any contraindication to metformin and/or linagliptin therapies, according to local labels.
  • Treatment with anti-obesity drugs, including over-the-counter drugs such as Alli (orlistat), 3 months prior to informed consent or any other treatment at the time of screening (i.e., surgery, aggressive diet regimen, etc.) leading to unstable body weight.
  • Current treatment with systemic steroids at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent or any other uncontrolled endocrine disorder except Type 2 Diabetes Mellitus.
  • Pre-menopausal women (last menstruation of 1 year or less prior to informed consent) who are nursing or pregnant, 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 trial and do not agree to submit to periodic pregnancy testing during participation in the trial.
  • Note: Acceptable methods of birth control include tubal ligation, transdermal patch, intra uterine devices/systems, oral, implantable, intra-vaginal, or injectable contraceptives, Essure micro-inserts placed more than six months prior to Screen Visit, complete sexual abstinence (if acceptable by local authorities), double barrier method (e.g., diaphragm or condom and spermicide), and vasectomised partner.
  • Alcohol or drug abuse within the 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to decreased compliance to trial procedures or study medication intake in the opinion of the investigator.
  • Participation in another trial with an investigational drug within 2 months prior to informed consent.
  • Any other clinical condition that would jeopardize patient safety while participating in this clinical trial in the opinion of the Investigator.
  • Inability to commit to regular overnight fasting of at least 10 hours duration and attendance to study site visits between 07:00 and 11:00 ante meridiem (a.m.).

Trial locations and contacts

82 sites in 12 countries.

82 sites in 12 countries

United States29 sites
  • 1218.83.11004 Boehringer Ingelheim Investigational Site

    Bristol, Tennessee

  • 1218.83.11017 Boehringer Ingelheim Investigational Site

    Chattanooga, Tennessee

  • 1218.83.11011 Boehringer Ingelheim Investigational Site

    Chino, California

  • 1218.83.11018 Boehringer Ingelheim Investigational Site

    Columbia, South Carolina

  • 1218.83.11005 Boehringer Ingelheim Investigational Site

    Edison, New Jersey

  • 1218.83.11008 Boehringer Ingelheim Investigational Site

    Elkton, Maryland

  • 1218.83.11022 Boehringer Ingelheim Investigational Site

    Fort Lauderdale, Florida

  • 1218.83.11003 Boehringer Ingelheim Investigational Site

    Franklin, Ohio

  • 1218.83.11027 Boehringer Ingelheim Investigational Site

    Freemont, Nebraska

  • 1218.83.11024 Boehringer Ingelheim Investigational Site

    Gallipolis, Ohio

  • 1218.83.11032 Boehringer Ingelheim Investigational Site

    Grand Prairie, Texas

  • 1218.83.11030 Boehringer Ingelheim Investigational Site

    Houston, Texas

  • 1218.83.11001 Boehringer Ingelheim Investigational Site

    Huntington Beach, California

  • 1218.83.11019 Boehringer Ingelheim Investigational Site

    Huntington Park, California

  • 1218.83.11013 Boehringer Ingelheim Investigational Site

    Jacksonville, North Carolina

  • 1218.83.11036 Boehringer Ingelheim Investigational Site

    Little Rock, Arkansas

  • 1218.83.11015 Boehringer Ingelheim Investigational Site

    Lomita, California

  • 1218.83.11023 Boehringer Ingelheim Investigational Site

    Norwalk, California

  • 1218.83.11029 Boehringer Ingelheim Investigational Site

    Oakwood, Georgia

  • 1218.83.11025 Boehringer Ingelheim Investigational Site

    Orlando, Florida

  • 1218.83.11026 Boehringer Ingelheim Investigational Site

    Owensboro, Kentucky

  • 1218.83.11002 Boehringer Ingelheim Investigational Site

    Phoenix, Arizona

  • 1218.83.11014 Boehringer Ingelheim Investigational Site

    Roseville, California

  • 1218.83.11028 Boehringer Ingelheim Investigational Site

    Salisbury, North Carolina

  • 1218.83.11034 Boehringer Ingelheim Investigational Site

    San Antonio, Texas

  • 1218.83.11031 Boehringer Ingelheim Investigational Site

    San Diego, California

  • 1218.83.11033 Boehringer Ingelheim Investigational Site

    Sanford, Florida

  • 1218.83.11009 Boehringer Ingelheim Investigational Site

    Shelby, North Carolina

  • 1218.83.11021 Boehringer Ingelheim Investigational Site

    Tomball, Texas

Other trials in United States

Canada10 sites
  • 1218.83.12011 Boehringer Ingelheim Investigational Site

    Calgary, Alberta

  • 1218.83.12007 Boehringer Ingelheim Investigational Site

    Edmonton, Alberta

  • 1218.83.12010 Boehringer Ingelheim Investigational Site

    Greater Sudbury, Ontario

  • 1218.83.12005 Boehringer Ingelheim Investigational Site

    Kitchener, Ontario

  • 1218.83.12006 Boehringer Ingelheim Investigational Site

    London, Ontario

  • 1218.83.12002 Boehringer Ingelheim Investigational Site

    Paradise, Newfoundland and Labrador

  • 1218.83.12001 Boehringer Ingelheim Investigational Site

    Red Deer, Alberta

  • 1218.83.12003 Boehringer Ingelheim Investigational Site

    Smiths Falls, Ontario

  • 1218.83.12009 Boehringer Ingelheim Investigational Site

    St. John's, Newfoundland and Labrador

  • 1218.83.12012 Boehringer Ingelheim Investigational Site

    Winnipeg, Ontario

Other trials in Canada

Philippines7 sites
  • 1218.83.63001 Boehringer Ingelheim Investigational Site

    Cebu

  • 1218.83.63007 Boehringer Ingelheim Investigational Site

    Cebu City

  • 1218.83.63003 Boehringer Ingelheim Investigational Site

    Iloilo City

  • 1218.83.63008 Boehringer Ingelheim Investigational Site

    Iloilo City

  • 1218.83.63002 Boehringer Ingelheim Investigational Site

    Marikina City

  • 1218.83.63006 Boehringer Ingelheim Investigational Site

    Marikina City

  • 1218.83.63004 Boehringer Ingelheim Investigational Site

    Quezon

Other trials in Philippines

Russia7 sites
  • 1218.83.07001 Boehringer Ingelheim Investigational Site

    Kazan'

  • 1218.83.07002 Boehringer Ingelheim Investigational Site

    Petrozavodsk

  • 1218.83.07003 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 1218.83.07007 Boehringer Ingelheim Investigational Site

    Saint Petersburg

  • 1218.83.07004 Boehringer Ingelheim Investigational Site

    Samara

  • 1218.83.07006 Boehringer Ingelheim Investigational Site

    Smolensk

  • 1218.83.07005 Boehringer Ingelheim Investigational Site

    Yaroslavl

Other trials in Russia

Ukraine7 sites
  • 1218.83.38007 Boehringer Ingelheim Investigational Site

    Dnipro

  • 1218.83.38001 Boehringer Ingelheim Investigational Site

    Ivano-Frankivsk

  • 1218.83.38006 Boehringer Ingelheim Investigational Site

    Kharkiv

  • 1218.83.38004 Boehringer Ingelheim Investigational Site

    Odesa

  • 1218.83.38008 Boehringer Ingelheim Investigational Site

    Vinnitsa

  • 1218.83.38003 Boehringer Ingelheim Investigational Site

    Vinnytsia

  • 1218.83.38005 Boehringer Ingelheim Investigational Site

    Vinnytsia

Other trials in Ukraine

Mexico5 sites
  • 1218.83.52004 Boehringer Ingelheim Investigational Site

    Cuautla

  • 1218.83.52001 Boehringer Ingelheim Investigational Site

    Guadalajara

  • 1218.83.52002 Boehringer Ingelheim Investigational Site

    Guadalajara

  • 1218.83.52005 Boehringer Ingelheim Investigational Site

    Mérida

  • 1218.83.52003 Boehringer Ingelheim Investigational Site

    Tampico

Other trials in Mexico

Sri Lanka4 sites
  • 1218.83.94004 Boehringer Ingelheim Investigational Site

    Dehiwala

  • 1218.83.94002 Boehringer Ingelheim Investigational Site

    Galle, Sri Lanka

  • 1218.83.94003 Boehringer Ingelheim Investigational Site

    Kandy

  • 1218.83.94001 Boehringer Ingelheim Investigational Site

    Ragama

Other trials in Sri Lanka

India3 sites
  • 1218.83.91003 Boehringer Ingelheim Investigational Site

    Bangalore

  • 1218.83.91005 Boehringer Ingelheim Investigational Site

    Chennai

  • 1218.83.91001 Boehringer Ingelheim Investigational Site

    Mumbai

Other trials in India

Israel3 sites
  • 1218.83.97004 Boehringer Ingelheim Investigational Site

    Haifa

  • 1218.83.97005 Boehringer Ingelheim Investigational Site

    Haifa

  • 1218.83.97007 Boehringer Ingelheim Investigational Site

    Holon

Other trials in Israel

Malaysia3 sites
  • 1218.83.60001 Boehringer Ingelheim Investigational Site

    Kelantan

  • 1218.83.60002 Boehringer Ingelheim Investigational Site

    Perak

  • 1218.83.60003 Boehringer Ingelheim Investigational Site

    Selangor, Malaysia

Other trials in Malaysia

Thailand3 sites
  • 1218.83.66002 Boehringer Ingelheim Investigational Site

    Bangkok

  • 1218.83.66003 Boehringer Ingelheim Investigational Site

    Bangkok

  • 1218.83.66001 Boehringer Ingelheim Investigational Site

    Muang, Khonkaen

Other trials in Thailand

Puerto Rico1 site
  • 1218.83.11037 Boehringer Ingelheim Investigational Site

    San Juan

Other trials in Puerto Rico

About this study

Official title: A 24-week, Randomized, Double-blind, Active-controlled, Parallel Group Trial to Assess the Superiority of Oral Linagliptin and Metformin Compared to Linagliptin Monotherapy in Newly Diagnosed, Treatment-naïve, Uncontrolled Type 2 Diabetes Mellitus Patients

The purpose of this trial is to determine whether a initial combination of linagliptin and metformin compared to linagliptin alone for 24 weeks is effective in newly diagnosed, treatment-naïve patients with Type 2 Diabetes.

Being tested
metformin, linagliptin, metformin placebo
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.

  • metforminDrug

    1000 mg to 2000 mg per day

  • linagliptinDrug

    5 mg daily

  • metformin placeboDrug

    0 to 2 tablets daily

  • metformin placeboDrug

    4 tablets daily

Study groups in NCT01512979
Study groupRoleWhat they receive
linagliptinExperimentalpatients receive linagliptin tablet once daily
Receives: Drug: linagliptin; Drug: metformin placebo
linagliptin plus metforminExperimentalpatients receive linagliptin tablet once daily and metformin tablets twice daily
Receives: Drug: metformin; Drug: linagliptin; Drug: metformin placebo

What is being measured

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

  1. Change From Baseline in HbA1c After 24 Weeks

    HbA1c is measured as a percentage. The change from baseline is the Week 24 HbA1c minus the baseline HbA1c. Means are adjusted for treatment and continuous baseline HbA1c

    Measured: Baseline and 24 weeks

Secondary outcomes (6)
  1. Change From Baseline in Fasting Plasma Glucose (FPG) After 24 Weeks of Treatment

    The change from baseline is the FPG after 24 weeks minus the baseline FPG. Means are adjusted for treatment, continuous baseline HbA1c and continuous baseline fasting plasma glucose.

    Measured: Baseline and 24 weeks

  2. Change From Baseline in HbA1c by Visit Over Time

    HbA1c is measured as a percentage. The change from baseline is the HbA1c over time minus the baseline HbA1c. The model includes treatment, continuous baseline HbA1c in addition to week repeated within patient, week by baseline HbA1c interaction and week by treatment interaction.

    Measured: Baseline, 6, 12, 18 and 24 weeks

  3. Occurrence of Relative Efficacy Response (HbA1c Lowering by at Least 0.5% After 24 Weeks of Treatment)

    The proportion of patients who achieved HbA1c lowering by at least 0.5% after 24 weeks of treatment.The model includes treatment, and continuous baseline HbA1c.

    Measured: Baseline and 24 weeks

  4. Occurrence of Relative Efficacy Response (HbA1c Lowering by at Least 1.0% After 24 Weeks of Treatment)

    The proportion of patients who achieved HbA1c lowering by at least 1.0% after 24 weeks of treatment. The model includes treatment, and continuous baseline HbA1c.

    Measured: Baseline and 24 weeks

  5. Occurrence of Treat to Target Efficacy Response (HbA1c <7.0%) After 24 Weeks of Treatment

    The proportion of patients who achieved HbA1c below 7.0% after 24 weeks of treatment. The model includes treatment, and continuous baseline HbA1c.

    Measured: Baseline and 24 weeks

  6. Change From Baseline in FPG by Visit Over Time

    The change from baseline is the FPG over time minus the baseline FPG. Means are adjusted for treatment, continuous baseline HbA1c, continuous baseline FPG in addition to week repeated within patient, week by baseline FPG interaction and week by treatment interaction.

    Measured: Baseline, 6, 12, 18 and 24 weeks

Timeline

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

  1. First posted20 Jan 2012 (estimated)
  2. Study startJan 2012
  3. Primary completionApr 2013
  4. Study completionApr 2013

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
316 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01512979
Sponsor's protocol ID
1218.83
Other IDs
2011-004158-24
Status last verified
May 2014
First submitted
16 Jan 2012
Last updated
20 May 2014

Publications

  • Ross SA, Caballero AE, Del Prato S, Gallwitz B, Lewis-D'Agostino D, Bailes Z, Thiemann S, Patel S, Woerle HJ, von Eynatten M. Linagliptin plus metformin in patients with newly diagnosed type 2 diabetes and marked hyperglycemia. Postgrad Med. 2016 Nov;128(8):747-754. doi: 10.1080/00325481.2016.1238280. Epub 2016 Sep 29.

    PubMed 27684308

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing metformin and linagliptin in people with Diabetes Mellitus, Type 2, run by Boehringer Ingelheim at 82 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 6 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 20 May 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, Canada, Philippines, Russia, 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 9 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?

Change From Baseline in HbA1c After 24 Weeks (time frame: Baseline and 24 weeks). 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 NCT01512979, 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 20 May 2014.

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