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Type 2 Diabetes MellitusPhase 4DECIDENCT02616666

A Pragmatic Randomized Trial to Evaluate the Comparative Effectiveness Between Dapagliflozin and Standard of Care in Type 2 Diabetes Patients

A Phase 4 study testing Dapagliflozin in people with Type 2 Diabetes Mellitus, run by University of Liverpool at 132 sites in United Kingdom.

Completed

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

Official record
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Trial summary

A trial of patients with type 2 diabetes mellitus to evaluate the comparative effectiveness between dapagliflozin and Standard of Care (SOC) 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?
Dapagliflozin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
632 participants
Where
132 sitesUnited Kingdom
Study dates
25 Aug 2016to 12 Dec 2025
Phase
Phase 4
Are there results?
None posted in the registry

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

  • For inclusion in the study patients should fulfil the following criteria at the time of screening:
  • Provision of informed consent prior to any study specific procedures
  • Females and males aged ≥18 years up to ≤ 75 years
  • Diagnosed with Type 2 Diabetes Mellitus.
  • Uncontrolled on first-line metformin treatment, defined as ≥8 weeks on maximum tolerated dose of metformin and HbA1c > 6.5%.
  • Ability to read and write as judged by the investigator.

Who cannot join

  • Patients should not enter the study if any of the following exclusion criteria are fulfilled:
  • Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site)
  • Previous enrolment or randomization in the present study
  • Age > 75 years
  • Pregnancy/active breast feeding at the time of inclusion
  • Known moderate to severe renal impairment (eGFR<60ml/min).
Show all 10Show fewer
  • Participation in an interventional clinical trial ≤ 3 months before enrolment.
  • Unsuitable to participate on mental health grounds, as judged by the investigator.
  • Physician decision to use, as second line treatment, insulin, a GLP1 agonist compound or a SGLT2 inhibitor different from dapagliflozin.
  • Presence of any of the characteristics in which the products in study are contraindicated, as per current labels.

Trial locations and contacts

132 sites in 1 country.

132 sites in 1 country

United Kingdom132 sites
  • Research Site

    Alcester, Warwickshire

  • Research Site

    Alton, Hampshire

  • Research Site

    Alton

  • Research Site

    Altrincham

  • Research Site

    Atherstone, Warwickshire

  • Research Site

    Axbridge, Somerset

  • Research Site

    Ayr, South Ayrshire

  • Research Site

    Balham, London

  • Research Site

    Barnoldswick, Lancashire

  • Research Site

    Barry, Vale of Glamorgan

  • Research Site

    Beckenham, Kent

  • Research Site

    Bicester, Oxfordshire

  • Research Site

    Bidford-on-Avon, Warwickshire

  • Research Site, Alum Rock

    Birmingham, Birmingham

  • Research Site

    Blackburn, Lancashire

  • Research Site

    Blackburn

  • Research Site

    Blackwood, Caerphilly

  • Research Site

    Bracknell, Berkshire

  • Research Site

    Brockley, London

  • Research Site

    Bury St Edmunds, Suffolk

  • Research Site

    Camberley, Surrey

  • Research Site

    Cambridge

  • Research Site

    Canterbury, Kent

  • Research Site

    Carterton, Oxfordshire

  • Research Site

    Cheltenham, Gloucestershire

  • Research Site

    Chew Stoke, Bristol

  • Research Site

    Cirencester

  • Research Site

    Clevedon, North Somerset

  • Research Site

    Cockermouth

  • Research Site

    Colchester

  • Research Site

    Colindale

  • Research Site

    Conisbrough, South Yorkshire

  • Research Site

    Crawley, West Sussex

  • Research Site

    Crook, County Durham

  • Research Site

    Darwen, Lancashire

  • Research Site

    Denbigh, Denbighshire

  • Research Site

    Droitwich, Worcestershire

  • Research Site

    Dudley

  • Research Site

    Edmonton

  • Research Site

    Exeter, Devon

  • Research Site

    Fareham

  • Research Site

    Farnborough, Hampshire

  • Research Site

    Faversham, Kent

  • Research Site

    Fleet

  • Research Site

    Forfar, Angus

  • Research Site

    Fortrose, Highland

  • Research Site

    Glyncorrwg, Neath Port Talbot

  • Research Site

    Gosport, Hampshire

  • Research Site

    Gravesend, Kent

  • Research Site

    Gravesend

  • Research Site

    Greenisland, Carrickfergus

  • Research Site

    Guildford, Surrey

  • Research Site

    Havant, Hampshire

  • Research Site

    Hengoed, Caerphilly

  • Research Site

    Hull, East Yorkshire

  • Research Site

    Hull

  • Research Site

    Iver, Bucks

  • Research Site

    Kidderminster, Worcestershire

  • Research Site

    Killay, Swansea

  • Research Site, Market Square

    Kineton, Kineton

  • Research Site

    Kings Norton

  • Research Site

    Lancaster, Lancashire

  • Research Site

    Langport

  • Research Site

    Leominster, Herefordshire

  • Research Site

    Liphook

  • Research Site

    Liverpool, Merseyside

  • Research Site

    Liverpool

  • Research Site

    London, London

  • Research Site

    London, Surrey

  • Research Site

    London, N8

  • Research Site

    Loughborough, Leicestershire

  • Research Site

    Macclesfield, Cheshire

  • Research Site

    Maesteg, Bridgend

  • Research Site

    Malvern, Worcestershire

  • Research Site

    Maryport

  • Research Site

    Metropolitan Borough of Wirral, Merseyside

  • Research Site

    Milford Haven, Pembrokeshire

  • Research Site

    Morriston

  • Research Site

    Nelson, Lancashire

  • Research Site

    Newport, Newport

  • Research Site

    Nottingham, Nottinghamshire

  • Research Site

    Nottingham, Notts

  • Research Site

    Nuneaton, Warks

  • Research Site

    Nuneaton, Warwickshire

  • Research Site

    Oxford, Oxfordshire

  • Research Site

    Oxford, Oxford

  • Research Site

    Oxford, Oxon

  • Research Site

    Oxford, OX2

  • Research Site

    Petersfield

  • Research Site

    Pickering, North Yorkshire

  • Research Site

    Pinhoe, Exeter

  • Research Site

    Pontypridd, Rhondda Cynon Taf

  • Research Site

    Rainham, Kent

  • Research Site

    Reading, Berkshire

  • Research Site

    Ripon, North Yorkshire

  • Research Site

    Romford, Essex

  • Research Site

    Romsey, Hampshire

  • Research Site

    Rotherhithe, London

  • Research Site

    Rowlands Castle

  • Research Site

    Royal Leamington Spa

  • Research Site

    Southampton, Hampshire

  • Research Site

    Southampton, Hants

  • Research Site

    Stansted

  • Research Site

    Stratford-upon-Avon, Warwickshire

  • Research Site

    Stratford-upon-Avon

  • Research Site

    Streatham, London

  • Research Site

    Swaffham, Norfolk

  • Research Site

    Swindon, Wiltshire

  • Research Site

    Telford, Shropshire

  • Research Site

    Thornton-Cleveleys, Lancashire

  • Research Site

    Thornton-Cleveleys, Lancs

  • Research Site

    Tonypandy, Rhondda Cynon Taff

  • Research Site

    Torquay

  • Research Site

    Trafford, Greater Manchester

  • Research Site

    Trafford, Manchester

  • Research Site

    Wallsend

  • Research Site

    Walsall, West Midlands

  • Research Site

    Wantage, Oxfordshire

  • Research Site

    Warwick, Warwickshire

  • Research Site

    Waterlooville, Hampshire

  • Research Site

    Waterlooville

  • Research Site

    Wembley, Middlesex

  • Research Site

    Wembley

  • Research Site

    Whitehead, Carrickfergus

  • Research Site

    Winchester, Hampshire

  • Research Site

    Witney, Oxfordshire

  • Research Site

    Wokingham, Berkshire

  • Research Site

    Wolverhampton, West Midlands

  • Research Site

    Worsborough, South Yorkshire

  • Research Site

    Worsley, Greater Manchester

  • Research Site

    Yate, Avon

  • Research Site

    Yate, Bristol

Other trials in United Kingdom

About this study

Official title: A Pragmatic Randomized Trial to Evaluate the Comparative Effectiveness Between Dapagliflozin and Standard of Care in Type 2 Diabetes Patients (DECIDE Study)

A trial of patients with type 2 diabetes mellitus to evaluate the comparative effectiveness between dapagliflozin and Standard of Care (SOC)

Read the detailed description

A longitudinal, open labelled, pragmatic randomized 104 week multicentre trial of patients with type 2 diabetes mellitus to evaluate the comparative effectiveness between dapagliflozin and Standard of Care (SOC)

Being tested
Dapagliflozin, Standard of Care
Keywords
Type 2 diabetes mellitus, Randomised, Pragmatic, Standard of Care, Dapagliflozin, FORXIGA
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.

  • DapagliflozinDrug

    Also called FORXIGA

    The product in study is dapagliflozin (FORXIGA™), 10 mg film-coated tablets, and FORXIGA™ should be prescribed according to the instructions in the SmPC and current practice, including up-titration (if considered appropriate by the investigator). Dapagliflozin will be given in combination with metformin.

  • Standard of CareDrug

    The comparator arm consists of SOC. The SOC arm can be sulphonylurea (SU) or non-SU treatments. SU treatments will include any SU and the related insulin secretagogues repaglinide or nateglinide, each of them in combination with metformin. The non-SU treatments can be metformin and dipeptidyl peptidase 4 inhibitors (DPP-4i), or metformin and glitazones (pioglitazone) combination therapy. Other SGLT-2 inhibitors are excluded. All these treatments are approved in the UK for use in this patient population.

Study groups in NCT02616666
Study groupRoleWhat they receive
Dapagliflozin 10 mgExperimentalPatients will be randomized to receive either dapagliflozin or SOC. As this is a pragmatic trial, there will be no additional interventions (apart from collection of PROs and occurrence of hypoglycaemias) and there will be no restriction on how GPs change the randomized treatment regimen (e.g., switch or add drugs). Patients will be followed up for 2 years (+ 12 weeks = 116 weeks) after randomization, regardless of the status of medication.
Receives: Drug: Dapagliflozin
Standard of Care (SOC)Active comparatorPatients will be randomized to receive either dapagliflozin or SOC. As this is a pragmatic trial, there will be no additional interventions (apart from collection of PROs and occurrence of hypoglycaemias) and there will be no restriction on how GPs change the randomized treatment regimen (e.g., switch or add drugs). Patients will be followed up for 2 years (+ 12 weeks = 116 weeks) after randomization, regardless of the status of medication.
Receives: Drug: Standard of Care

What is being measured

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

  1. Proportion of patients achieving clinical success as measured by a 4-item composite endpoint.

    Proportion of patients achieving clinical success as measured by a 4-item composite endpoint including HbA1c reduction vs. baseline (≥ 0.5%), weight loss vs. baseline (≥ 2 Kg), no reported severe or documented hypoglycaemic events since randomization, and no switching from or adding to the treatment to which the patient was randomized (e.g., dapagliflozin or SOC),at the clinical evaluation that occurs closest to 52 weeks of follow-up (allowing a window of 12 weeks).

    Measured: Assessment of outcome measure will be made at the clinical evaluation that occurs closest to 52 weeks of follow-up (allowing a window of 12 weeks).

Secondary outcomes (13)
  1. HbA1c success (HbA1c reduction vs. baseline ≥ 0.5%) at the clinical evaluation that occurs closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

    HbA1c reduction

    Measured: From randomization to 104 weeks of follow up.

  2. Weight loss success (weight vs. baseline ≥ 2 Kg) at the clinical evaluation that occurs closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

    Weight Loss success

    Measured: closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks)

  3. Severe or documented hypoglycaemic events up to 52 weeks following randomization and separately, up to 104 weeks following randomization (in both cases, allowing a window of 12 weeks).

    Documented Hypoglycaemic events

    Measured: Up to 52 weeks following randomization and separately, up to 104 weeks following randomization (in both cases, allowing a window of 12 weeks).

  4. To assess differences between dapagliflozin and SOC in the proportion of patients not switching from or adding to the treatment to which the patient was randomized (

    Switching from or adding to the treatment to which the patient was randomized (e.g., dapagliflozin or SOC) up to 52 weeks following randomization and separately, up to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

    Measured: up to 52 weeks following randomization and separately, up to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

  5. To assess differences between dapagliflozin and SOC in the change from baseline in HbA1

    HbA1c at the clinical evaluation that occurs closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

    Measured: HbA1c at the clinical evaluation that occurs closest to 52 weeks of follow-up and separately, closet to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

  6. To assess differences between dapagliflozin and SOC in the patients worry related to the risk of hypoglycaemic episodes measured b HFS-II Worry Scale at 6,12, 18 and 24 months

    To assess differences between dapagliflozin and SOC in the patients worry related to the risk of hypoglycaemic episodes measured b HFS-II Worry Scale at 6,12, 18 and 24 months

    Measured: At 6, 12, 18 and 24 months

  7. To assess differences between dapagliflozin and SOC in the patients satisfaction with treatment as measured by the DTSQ at 6, 12, 18 and 24 months

    To assess differences between dapagliflozin and SOC in the patients satisfaction with treatment as measured by the DTSQ at 6, 12, 18 and 24 months

    Measured: At 6, 12, 18 and 24 months

  8. To assess differences between dapagliflozin and SOC in the patients health related quality of life as measured by SF35v2 at 6, 12, 18 and 24 months

    To assess differences between dapagliflozin and SOC in the patients health related quality of life, specifically physical, functioning, role functioning and vitality domains as measured by SF35v2 at 6, 12, 18 and 24 months

    Measured: At 6, 12, 18 and 24 months

  9. To assess differences between dapagliflozin and SOC in the proportion of patients needing antihypertensive escalation (dose up titration, switch and add-on strategies),

    Antihypertensive initiation or escalation (dose up titration, switch and add-on strategies), up to 52 weeks following randomization and separately, up to 104 weeks following randomization.

    Measured: up to 52 weeks following randomization and separately, up to 104 weeks following randomization.

  10. To assess differences between dapagliflozin and SOC in the proportion of patients with diabetic complications:

    Proportion of patients with the following diabetic complications:

    1. Heart failure
    2. Gangrene or amputation of the leg, foot or toe
    3. Diabetic ketoacidosis
    4. Cerebrovascular disease
    5. Nonfatal myocardial infarction
    6. Blindness
    7. Neuropathy

    Measured: up to 52 weeks following randomization and separately, up to 104 weeks following randomization.

  11. To assess differences between dapagliflozin and SOC in the change from baseline in systolic blood pressure (SBP) (mmHg) and diastolic blood pressure (DBP) (mmHg)

    To assess differences between dapagliflozin and SOC in the change from baseline in systolic blood pressure (SBP) (mmHg) and diastolic blood pressure (DBP) (mmHg) at the clinical evaluation that occurs closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

    Measured: Closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks)

  12. To assess differences between dapagliflozin and SOC in the change from baseline in eGFR

    eGFR (ml/min) at the clinical evaluation that occurs closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

    Measured: closest to 52 weeks of follow-up and separately, closest to 104 weeks of follow-up (in both cases, allowing a window of 12 weeks).

  13. To assess differences between dapagliflozin and SOC in the healthcare resource utilization up to 52 weeks following randomization and separately, up to 104 weeks following randomization

    Hospitalizations, contacts due to hypoglycaemic events, needing insulin treatment, complications and unscheduled GP visits, up to 52 weeks following randomization and separately, up to 104 weeks following randomization

    Measured: up to 52 weeks following randomization and separately, up to 104 weeks following randomization.

Timeline

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

  1. First posted30 Nov 2015 (estimated)
  2. Study start25 Aug 2016
  3. Primary completion12 Dec 2025
  4. Study completion12 Dec 2025

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
None (open label)
Enrolment
632 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02616666
Sponsor's protocol ID
D1690R00009
Other IDs
2015-001873-42, 2015
Acronym
DECIDE
Status last verified
Feb 2026
First submitted
17 Nov 2015
Last updated
20 Feb 2026
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Dapagliflozin in people with Type 2 Diabetes Mellitus, run by University of Liverpool at 132 sites in United Kingdom.

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 10 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 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 132 sites in United Kingdom. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of patients achieving clinical success as measured by a 4-item composite endpoint. (time frame: Assessment of outcome measure will be made at the clinical evaluation that occurs closest to 52 weeks of follow-up (allowing a window of 12 weeks).). 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 20 Feb 2026.

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