Clinical Trial Results:
A multicentre, international, randomised, parallel group, double blind study to evaluate Cardiovascular safety of linagliptin versus glimepiride in patients with type 2 diabetes mellitus at
high cardiovascular risk. The CAROLINA Trial.
Summary
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EudraCT number |
2009-013157-15 |
Trial protocol |
BE FR DE PT CZ ES IE FI SE GB SK IT GR BG |
Global end of trial date |
21 Aug 2018
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Results information
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Results version number |
v1(current) |
This version publication date |
06 Sep 2019
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First version publication date |
06 Sep 2019
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
1218.74
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01243424 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Boehringer Ingelheim
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Sponsor organisation address |
Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
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Public contact |
QRPE Processes and Systems Coordination Clinical Trial Information Disclosure, Boehringer Ingelheim, 001 8002430127, clintriage.rdg@boehringer-ingelheim.com
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Scientific contact |
QRPE Processes and Systems Coordination Clinical Trial Information Disclosure, Boehringer Ingelheim, 001 8002430127, clintriage.rdg@boehringer-ingelheim.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
27 Sep 2018
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
21 Aug 2018
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Global end of trial reached? |
Yes
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Global end of trial date |
21 Aug 2018
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The primary objective was to demonstrate non-inferiority of treatment with linagliptin in comparison with glimepiride (predominantly on metformin background treatment) with respect to time to first occurrence of any of the adjudicated components of the primary composite endpoint, i.e. CV death, non-fatal stroke, or non-fatal myocardial infarction (MI) in patients with T2DM.
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Protection of trial subjects |
Only patients that met all the study inclusion and none of the exclusion criteria were to be randomized in the study. All patients were free to withdraw from the clinical trial at any time for any reason given. Close monitoring of all patients was adhered to throughout the trial conduct. Rescue medication was allowed for all patients as required.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
11 Nov 2010
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Slovakia: 70
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Country: Number of subjects enrolled |
South Africa: 197
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Country: Number of subjects enrolled |
Spain: 299
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Country: Number of subjects enrolled |
Sweden: 295
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Country: Number of subjects enrolled |
Switzerland: 14
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Country: Number of subjects enrolled |
Taiwan: 265
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Country: Number of subjects enrolled |
Tunisia: 47
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Country: Number of subjects enrolled |
Ukraine: 254
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Country: Number of subjects enrolled |
United Kingdom: 139
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Country: Number of subjects enrolled |
United States: 2401
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Country: Number of subjects enrolled |
Argentina: 473
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Country: Number of subjects enrolled |
Australia: 82
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Country: Number of subjects enrolled |
Belgium: 151
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Country: Number of subjects enrolled |
Brazil: 423
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Country: Number of subjects enrolled |
Bulgaria: 76
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Country: Number of subjects enrolled |
Canada: 152
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Country: Number of subjects enrolled |
Chile: 87
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Country: Number of subjects enrolled |
Colombia: 253
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Country: Number of subjects enrolled |
Czech Republic: 141
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Country: Number of subjects enrolled |
Finland: 287
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Country: Number of subjects enrolled |
France: 176
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Country: Number of subjects enrolled |
Georgia: 307
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Country: Number of subjects enrolled |
Germany: 658
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Country: Number of subjects enrolled |
Greece: 45
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Country: Number of subjects enrolled |
Hong Kong: 141
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Country: Number of subjects enrolled |
Hungary: 224
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Country: Number of subjects enrolled |
India: 322
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Country: Number of subjects enrolled |
Ireland: 35
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Country: Number of subjects enrolled |
Israel: 148
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Country: Number of subjects enrolled |
Italy: 108
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Country: Number of subjects enrolled |
Japan: 145
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Country: Number of subjects enrolled |
Korea, Republic of: 277
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Country: Number of subjects enrolled |
Malaysia: 191
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Country: Number of subjects enrolled |
Mexico: 99
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Country: Number of subjects enrolled |
Netherlands: 405
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Country: Number of subjects enrolled |
New Zealand: 83
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Country: Number of subjects enrolled |
Norway: 217
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Country: Number of subjects enrolled |
Peru: 265
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Country: Number of subjects enrolled |
Philippines: 136
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Country: Number of subjects enrolled |
Portugal: 59
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Country: Number of subjects enrolled |
Romania: 173
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Country: Number of subjects enrolled |
Russian Federation: 163
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Country: Number of subjects enrolled |
Serbia: 123
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Worldwide total number of subjects |
10606
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EEA total number of subjects |
3558
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
5479
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From 65 to 84 years |
5099
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85 years and over |
28
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Recruitment
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Recruitment details |
This was multicentre, multinational, randomised, double-blind, double-dummy, parallel group,comparator-controlled trial compared Linagliptin versus (vs.) Glimepiride, predominantly on metformin background treatment in participants with type 2 diabetes mellitus (T2DM) at elevated cardiovascular (CV) risk receiving usual care. | ||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
All participants were screened for eligibility to participate in the trial. Participants attended specialist sites which would then ensure that all participants met all inclusion/exclusion criteria. Participants were not to be randomised to trial treatment if any one of the specific entry criteria were not met. | ||||||||||||||||||||||||||||||
Period 1
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Period 1 title |
Discontinuation From Study (Treated Set)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||||||||||||||||||||
Roles blinded |
Investigator, Monitor, Subject, Carer, Data analyst, Assessor | ||||||||||||||||||||||||||||||
Blinding implementation details |
This was a double-blind trial.
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Linagliptin | ||||||||||||||||||||||||||||||
Arm description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3028, 5 participants entered/randomised to Linagliptin were not treated. Although 3023 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Linagliptin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose, up to an estimated 432 weeks treatment period.
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Arm title
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Glimepiride | ||||||||||||||||||||||||||||||
Arm description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3014, 4 participants entered/randomised to Glimepiride were not treated. Although 3010 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||||||||||||||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Glimepiride
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose, up to an estimated 432 weeks treatment period.
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Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Baseline characteristics are based on patients who were randomised after successfully completing the screening period and received at least one dose of the trial medication. |
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Period 2
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Period 2 title |
Discontinuation From Treatment
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Is this the baseline period? |
No | ||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Monitor, Carer, Data analyst, Assessor | ||||||||||||||||||||||||||||||
Blinding implementation details |
This was a double-blind trial.
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Arms
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Are arms mutually exclusive |
No
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Arm title
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Linagliptin | ||||||||||||||||||||||||||||||
Arm description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3028, 5 participants entered/randomised to Linagliptin were not treated. Although 3023 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||||||||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Linagliptin
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose, up to an estimated 432 weeks treatment period.
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Arm title
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Glimepiride | ||||||||||||||||||||||||||||||
Arm description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3014, 4 participants entered/randomised to Glimepiride were not treated. Although 3010 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||||||||||||||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||||||||||||||
Investigational medicinal product name |
Glimepiride
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose, up to an estimated 432 weeks treatment period.
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Baseline characteristics reporting groups
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Reporting group title |
Linagliptin
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3028, 5 participants entered/randomised to Linagliptin were not treated. Although 3023 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Glimepiride
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3014, 4 participants entered/randomised to Glimepiride were not treated. Although 3010 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Linagliptin
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3028, 5 participants entered/randomised to Linagliptin were not treated. Although 3023 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||
Reporting group title |
Glimepiride
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3014, 4 participants entered/randomised to Glimepiride were not treated. Although 3010 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||
Reporting group title |
Linagliptin
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3028, 5 participants entered/randomised to Linagliptin were not treated. Although 3023 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||
Reporting group title |
Glimepiride
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. Actual number of participants started is 3014, 4 participants entered/randomised to Glimepiride were not treated. Although 3010 were reported to ensure consistent reporting with baseline characteristics that includes only treated participants. | ||
Subject analysis set title |
Linagliptin
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period.
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Subject analysis set title |
Glimepiride
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period.
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Subject analysis set title |
Linagliptin
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period.
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Subject analysis set title |
Glimepiride
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period.
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End point title |
The first 3-point Major Adverse Cardiovascular Events (3P−MACE) | ||||||||||||
End point description |
The first occurrence of any of the following Clinical Event Committee (CEC) confirmed adjudicated components of the primary composite endpoint: CV death (including fatal stroke and fatal myocardial infarction (MI)), non-fatal MI (excluding silent MI), or nonfatal stroke is presented. Treated set (TS): All patients treated with at least one dose of trial drug.
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End point type |
Primary
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End point timeframe |
From randomization until individual day of trial completion, up to 432 weeks
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Notes [1] - TS [2] - TS |
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the first step in a pre-defined hierarchical testing approach. The upper bound of the confidence interval (CI) of the Hazard ratio (HR) of linagliptin vs. glimepiride was compared with this noninferiority margin for the testing of non-inferiority. All non-inferiority tests were based on a margin of 1.3.
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Comparison groups |
Glimepiride v Linagliptin
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Number of subjects included in analysis |
6033
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Analysis specification |
Pre-specified
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Analysis type |
non-inferiority [3] | ||||||||||||
P-value |
< 0.0001 [4] | ||||||||||||
Method |
Regression, Cox | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.98
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Confidence interval |
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level |
95.47% | ||||||||||||
sides |
2-sided
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lower limit |
0.84 | ||||||||||||
upper limit |
1.14 | ||||||||||||
Notes [3] - Cox proportional-hazard model with factor treatment was applied to compare linagliptin with glimepiride. [4] - P-values derived from Wald´s Chi-square test for non-inferiority were calculated. |
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Statistical analysis title |
Statistical Analysis 2 | ||||||||||||
Statistical analysis description |
This was the second step in a pre-defined hierarchical testing approach.
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Comparison groups |
Linagliptin v Glimepiride
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Number of subjects included in analysis |
6033
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Analysis specification |
Pre-specified
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Analysis type |
superiority [5] | ||||||||||||
P-value |
= 0.3813 [6] | ||||||||||||
Method |
Regression, Cox | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.98
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Confidence interval |
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level |
95.47% | ||||||||||||
sides |
2-sided
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lower limit |
0.84 | ||||||||||||
upper limit |
1.14 | ||||||||||||
Notes [5] - Cox proportional-hazard model with factor treatment was applied to compare linagliptin with glimepiride. [6] - P-values derived from Wald´s Chi-square test. |
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End point title |
The first 4P−MACE | ||||||||||||
End point description |
The first key secondary endpoint was time to first occurrence of any of the following adjudicated components of the composite endpoint: CV death (including fatal stroke and fatal MI), non-fatal stroke, non-fatal MI (excluding silent MI), or hospitalisation for unstable angina pectoris.
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End point type |
Secondary
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End point timeframe |
From randomization until individual day of trial completion, up to 432 weeks
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Notes [7] - TS [8] - TS |
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the third step in a pre-defined hierarchical testing approach.
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Comparison groups |
Linagliptin v Glimepiride
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Number of subjects included in analysis |
6033
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Analysis specification |
Pre-specified
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Analysis type |
superiority [9] | ||||||||||||
P-value |
= 0.4334 [10] | ||||||||||||
Method |
Regression, Cox | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.99
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Confidence interval |
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level |
95.47% | ||||||||||||
sides |
2-sided
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lower limit |
0.86 | ||||||||||||
upper limit |
1.14 | ||||||||||||
Notes [9] - Cox proportional-hazard model with factor treatment was applied to compare linagliptin with glimepiride. [10] - P-values derived from Wald´s Chi-square test. |
|
|||||||||||||
End point title |
Percentage of participants taking trial medication at trial end, maintained glycaemic control (HbA1c ≤7.0%) without need for rescue medication, without >2% weight gain, and without moderate/severe hypoglycaemic episodes during maintenance phase | ||||||||||||
End point description |
The second key secondary endpoint was a composite endpoint of treatment sustainability, defined as the percentage of patients taking trial medication at trial end, maintained glycaemic control (HbA1c ≤7.0%) without need for rescue medication, without >2% weight gain, and without moderate/severe hypoglycaemic episodes during maintenance phase. TS without duplicates (TS w/o duplicates), patients who are off-drug or died prior to regular study stop were handled as non-completers considered failure (NCF).
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From Visit 6 (Week 16) to Final visit (Week 432) (Maintenance Phase)
|
||||||||||||
|
|||||||||||||
Notes [11] - TS w/o duplicates (NCF) [12] - TS w/o duplicates (NCF) |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
6014
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [13] | ||||||||||||
P-value |
< 0.0001 [14] | ||||||||||||
Method |
Regression, Logistic | ||||||||||||
Parameter type |
Odds ratio (OR) | ||||||||||||
Point estimate |
1.68
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95.47% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
1.43 | ||||||||||||
upper limit |
1.96 | ||||||||||||
Notes [13] - Odds ratio and confidence interval are based on logistic regression with factor for treatment. [14] - p−value derived from chi−square test. |
|
|||||||||||||
End point title |
Percentage of participants who were on trial medication at trial end, maintained glycaemic control (HbA1c ≤7.0%) without need for rescue medication, and without >2% weight gain during maintenance phase | ||||||||||||
End point description |
The third key secondary endpoint was a composite endpoint of treatment sustainability, defined as percentage of patients who were on trial medication at trial end, maintained glycaemic control (HbA1c ≤7.0%) without need for rescue medication, and without >2% weight gain during maintenance phase.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From Visit 6 (Week 16) to Final visit (Week 432) (Maintenance Phase)
|
||||||||||||
|
|||||||||||||
Notes [15] - TS w/o duplicates (NCF) [16] - TS w/o duplicates (NCF) |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
6014
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [17] | ||||||||||||
P-value |
= 0.0004 [18] | ||||||||||||
Method |
Regression, Logistic | ||||||||||||
Parameter type |
Odds ratio (OR) | ||||||||||||
Point estimate |
1.29
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95.47% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
1.11 | ||||||||||||
upper limit |
1.48 | ||||||||||||
Notes [17] - Odds ratio and confidence interval are based on logistic regression with factor for treatment. [18] - p−value derived from logistic regression. |
|
|||||||||||||
End point title |
Percentage of participants with the occurrence of at least one event of 3P-MACE | ||||||||||||
End point description |
Occurrence of at least one of the following adjudicated components of CV death (including fatal stroke and fatal MI), non-fatal MI (excluding silent MI) and non-fatal stroke is presented as secondary CV endpoint.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From randomization until individual day of trial completion, up to 432 weeks
|
||||||||||||
|
|||||||||||||
Notes [19] - TS [20] - TS |
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Percentage of participants with the occurrence of at least one event of 4P -MACE | ||||||||||||
End point description |
Occurrence of at least one of the following adjudicated components of CV death (including fatal stroke and fatal MI), non-fatal MI (excluding silent MI), non-fatal stroke, and hospitalisation for unstable angina pectoris is presented as secondary CV endpoint.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From randomization until individual day of trial completion, up to 432 weeks
|
||||||||||||
|
|||||||||||||
Notes [21] - TS [22] - TS |
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Percentage of participants with occurrence of any of the components of the composite endpoint of all adjudication-confirmed events | ||||||||||||
End point description |
Percentage of participants with occurrence of any of the following components of the composite endpoint of all adjudication-confirmed events of: - CV death (including fatal stroke and fatal MI) - non-fatal MI - non-fatal stroke - hospitalisation for unstable angina pectoris - TIA - hospitalisation for heart failure - hospitalisation for coronary revascularisation procedures (CABG, PCI)
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From start of the treatment until 7 days after the end of treatment, up to 433 weeks
|
||||||||||||
|
|||||||||||||
Notes [23] - TS [24] - TS |
|||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Time to first occurrence of any of the components of the composite endpoint of all adjudication-confirmed events | ||||||||||||
End point description |
Time to first occurrence of any of the following components of the composite endpoint of all adjudication-confirmed events of: - CV death (including fatal stroke and fatal MI) - non-fatal MI - non-fatal stroke - hospitalisation for unstable angina pectoris - Transient ischaemic attack (TIA) - hospitalisation for heart failure - hospitalisation for coronary revascularisation procedures (CABG, PCI)
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
From start of the treatment until 7 days after the end of treatment, up to 433 weeks
|
||||||||||||
|
|||||||||||||
Notes [25] - TS [26] - TS |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
6033
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [27] | ||||||||||||
P-value |
= 0.5249 [28] | ||||||||||||
Method |
Regression, Cox | ||||||||||||
Parameter type |
Hazard ratio (HR) | ||||||||||||
Point estimate |
0.96
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.85 | ||||||||||||
upper limit |
1.09 | ||||||||||||
Notes [27] - Hazard ratio and confidence interval derived from Cox regression with factor treatment. [28] - p−value derived from Wald´s chi−square test. |
|
|||||||||||||
End point title |
Change from baseline to final visit in hemoglobin A1c (HbA1c) | ||||||||||||
End point description |
Change from baseline to final visit in HbA1c is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment. TS_D observed cases - ALL (OC-ALL): All available data were considered, including values obtained on treatment and post-treatment. Missing data were
not replaced. Any values taken after rescue medication intake were kept.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 432
|
||||||||||||
|
|||||||||||||
Notes [29] - TS w/o duplicates considering all available data [30] - TS w/o duplicates considering all available data |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach. The Analysis of Covariance (ANCOVA) model includes the fixed categorical effect of treatment and the continuous covariate of baseline HbA1c.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
5900
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [31] | ||||||||||||
P-value |
= 0.0023 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-0.09
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.15 | ||||||||||||
upper limit |
-0.03 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.03
|
||||||||||||
Notes [31] - Mean difference = Linagliptin mean – Glimepiride mean |
|
|||||||||||||
End point title |
Change from baseline to final visit in fasting plasma glucose (FPG) | ||||||||||||
End point description |
Change from baseline to final visit in fasting plasma glucose (FPG) is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 432
|
||||||||||||
|
|||||||||||||
Notes [32] - TS w/o duplicates considering all available data [33] - TS w/o duplicates considering all available data |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline FPG.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
5945
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [34] | ||||||||||||
P-value |
< 0.0001 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-7.3
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-9.7 | ||||||||||||
upper limit |
-4.8 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
1.2
|
||||||||||||
Notes [34] - Mean difference = Linagliptin mean – Glimepiride mean |
|
||||||||||||||||||||||
End point title |
Change from baseline to final visit fasting total cholesterol, low-density lipoprotein (LDL) cholesterol and high-density lipoprotein (HDL) cholesterol | |||||||||||||||||||||
End point description |
Change from baseline to final visit in fasting total cholesterol, low-density lipoprotein (LDL) cholesterol and high-density lipoprotein (HDL) cholesterol is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment. TS_D observed cases– rescue observed cases (OC-ROC): Only the available data that were observed while patients were on trial medication (defined as time from first drug intake until last permanent treatment stop date plus the endpoint specific follow-up time) were considered.
|
|||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||
End point timeframe |
Baseline and week 432
|
|||||||||||||||||||||
|
||||||||||||||||||||||
Notes [35] - TS w/o duplicates, participants on treatment [36] - TS w/o duplicates, participants on treatment |
||||||||||||||||||||||
Statistical analysis title |
Statistical Analysis 1 | |||||||||||||||||||||
Statistical analysis description |
LDL cholesterol. This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline LDL cholesterol.
|
|||||||||||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
|||||||||||||||||||||
Number of subjects included in analysis |
6014
|
|||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||
Analysis type |
other [37] | |||||||||||||||||||||
P-value |
= 0.64 | |||||||||||||||||||||
Method |
ANCOVA | |||||||||||||||||||||
Parameter type |
Mean difference (final values) | |||||||||||||||||||||
Point estimate |
0.4
|
|||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||
level |
95.47% | |||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||
lower limit |
-1.3 | |||||||||||||||||||||
upper limit |
2.1 | |||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||
Dispersion value |
0.9
|
|||||||||||||||||||||
Notes [37] - Mean difference = Linagliptin mean – Glimepiride mean |
||||||||||||||||||||||
Statistical analysis title |
Statistical Analysis 2 | |||||||||||||||||||||
Statistical analysis description |
HDL cholesterol. This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline HDL cholesterol.
|
|||||||||||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
|||||||||||||||||||||
Number of subjects included in analysis |
6014
|
|||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||
Analysis type |
other [38] | |||||||||||||||||||||
P-value |
= 0.0497 | |||||||||||||||||||||
Method |
ANCOVA | |||||||||||||||||||||
Parameter type |
Mean difference (final values) | |||||||||||||||||||||
Point estimate |
0.5
|
|||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||
level |
95% | |||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||
lower limit |
0 | |||||||||||||||||||||
upper limit |
1 | |||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||
Dispersion value |
0.2
|
|||||||||||||||||||||
Notes [38] - Mean difference = Linagliptin mean – Glimepiride mean |
||||||||||||||||||||||
Statistical analysis title |
Statistical Analysis 3 | |||||||||||||||||||||
Statistical analysis description |
Total cholesterol. This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline total cholesterol.
|
|||||||||||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
|||||||||||||||||||||
Number of subjects included in analysis |
6014
|
|||||||||||||||||||||
Analysis specification |
Pre-specified
|
|||||||||||||||||||||
Analysis type |
other [39] | |||||||||||||||||||||
P-value |
= 0.6823 | |||||||||||||||||||||
Method |
ANCOVA | |||||||||||||||||||||
Parameter type |
Mean difference (final values) | |||||||||||||||||||||
Point estimate |
-0.4
|
|||||||||||||||||||||
Confidence interval |
||||||||||||||||||||||
level |
95% | |||||||||||||||||||||
sides |
2-sided
|
|||||||||||||||||||||
lower limit |
-2.4 | |||||||||||||||||||||
upper limit |
1.6 | |||||||||||||||||||||
Variability estimate |
Standard error of the mean
|
|||||||||||||||||||||
Dispersion value |
1
|
|||||||||||||||||||||
Notes [39] - Mean difference = Linagliptin mean – Glimepiride mean |
|
|||||||||||||
End point title |
Change from baseline to final visit in triglycerides | ||||||||||||
End point description |
Change from baseline to final visit in triglycerides is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 432
|
||||||||||||
|
|||||||||||||
Notes [40] - TS w/o duplicates, participants on treatment [41] - TS w/o duplicates, participants on treatment |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline triglycerides.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
5550
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [42] | ||||||||||||
P-value |
= 0.2678 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-3.5
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-9.6 | ||||||||||||
upper limit |
2.7 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
3.1
|
||||||||||||
Notes [42] - Mean difference = Linagliptin mean – Glimepiride mean |
|
|||||||||||||
End point title |
Change from baseline to final visit in creatinine | ||||||||||||
End point description |
Change from baseline to final visit in creatinine is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 432
|
||||||||||||
|
|||||||||||||
Notes [43] - TS w/o duplicates, participants on treatment [44] - TS w/o duplicates, participants on treatment |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline creatinine.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
5815
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [45] | ||||||||||||
P-value |
= 0.5165 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-0.01
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
-0.03 | ||||||||||||
upper limit |
0.01 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.01
|
||||||||||||
Notes [45] - Mean difference = Linagliptin mean – Glimepiride mean |
|
|||||||||||||
End point title |
Change from baseline to final visit in estimated glomerular filtration rate (eGFR) | ||||||||||||
End point description |
Change from baseline to final visit in eGFR is presented as secondary diabetes-related endpoint. Least square mean is adjusted mean. The Final Visit value referred to the last value obtained on-treatment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 432
|
||||||||||||
|
|||||||||||||
Notes [46] - TS w/o duplicates, participants on treatment [47] - TS w/o duplicates, participants on treatment |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline eGFR.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
5815
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [48] | ||||||||||||
P-value |
= 0.5165 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
1
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.2 | ||||||||||||
upper limit |
1.8 | ||||||||||||
Variability estimate |
Standard error of the mean
|
||||||||||||
Dispersion value |
0.4
|
||||||||||||
Notes [48] - Mean difference = Linagliptin mean – Glimepiride mean |
|
|||||||||||||
End point title |
Change from baseline to final visit in urine albumin creatinine ratio (UACR) | ||||||||||||
End point description |
Change from baseline to final visit in UACR is presented as secondary diabetes-related endpoint. Least square mean is adjusted gMean ratio. The Final Visit value referred to the last value obtained on-treatment.
|
||||||||||||
End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 432
|
||||||||||||
|
|||||||||||||
Notes [49] - TS w/o duplicates, participants on treatment [50] - TS w/o duplicates, participants on treatment |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
This was the fifth step in a pre-defined hierarchical testing approach. The ANCOVA model includes the fixed categorical effect of treatment and the continuous covariate of baseline UACR.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
5784
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [51] | ||||||||||||
P-value |
= 0.2921 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
geometric mean (gMean) ratio (%) | ||||||||||||
Point estimate |
0.97
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.91 | ||||||||||||
upper limit |
1.03 | ||||||||||||
Notes [51] - gMean ration= Linagliptin mean/ Glimepiride mean |
|
||||||||||||||||||||||||||||||||||||||||
End point title |
Percentage of participants with transition in albuminuria classes | |||||||||||||||||||||||||||||||||||||||
End point description |
Percentage of patients with transition in albuminuria classes is presented as secondary endpoint. Data for last value on treatment (LVOT) to baseline (base) is presented.
|
|||||||||||||||||||||||||||||||||||||||
End point type |
Secondary
|
|||||||||||||||||||||||||||||||||||||||
End point timeframe |
Baseline and week 432
|
|||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||
Notes [52] - TS w/o duplicates, participants on treatment [53] - TS w/o duplicates, participants on treatment |
||||||||||||||||||||||||||||||||||||||||
No statistical analyses for this end point |
|
|||||||||||||
End point title |
Change from baseline of insulin secretion rate (ISR) at fixed glucose concentration at 208 weeks | ||||||||||||
End point description |
The endpoint change from baseline of ISR at fixed glucose concentration at 208 weeks as derived from a 3-hour meal tolerance test is Beta-cell function sub-study endpoint. Meal tolerance test(MTT) last observation carried forward(LOCF) set: Randomised and treated patients with one dose of study drug and signed the substudy Informed Consent with valid baseline and on-treatment MTT. If values taken after rescue medication intake will be set to missing, last observed ontreatment value was carry forwarded.
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End point type |
Secondary
|
||||||||||||
End point timeframe |
Baseline and week 208
|
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|
|||||||||||||
Notes [54] - MTT_LOCF [55] - MTT_LOCF |
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Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
The ANCOVA model includes the fixed categorical effects of treatment and the continuous covariate of baseline ISR.
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Comparison groups |
Linagliptin v Glimepiride
|
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Number of subjects included in analysis |
88
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [56] | ||||||||||||
P-value |
= 0.8402 | ||||||||||||
Method |
ANCOVA | ||||||||||||
Parameter type |
Mean difference (net) | ||||||||||||
Point estimate |
4.13
|
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Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-36.46 | ||||||||||||
upper limit |
44.71 | ||||||||||||
Notes [56] - Mean difference= Linagliptin mean- Glimepiride mean |
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End point title |
Percentage of participants with occurrence of accelerated cognitive decline at end of follow-up | ||||||||||||
End point description |
Occurrence of accelerated cognitive decline based on RBI score at end of follow-up (a dichotomous outcome measure; presence or absence of accelerated cognitive decline) is Cognition sub-study endpoint. Full analysis set cognition(FAS-COG): Randomised and treated patients with one dose of study drug, baseline assessment (the z-scores, A&E or Minimental state examination(MMSE) can be calculated), years of formal education with baseline MMSE≥24 and at least one on-treatment assessment (of which at least one of the RBI scores can be calculated).
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End point type |
Secondary
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End point timeframe |
433 weeks
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||||||||||||
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Notes [57] - FAS-COG [58] - FAS-COG |
|||||||||||||
Statistical analysis title |
Statistical Analysis 1 | ||||||||||||
Statistical analysis description |
Logistic regression model with terms for treatment as a fixed effect with Wald confidence Interval was used.
|
||||||||||||
Comparison groups |
Linagliptin v Glimepiride
|
||||||||||||
Number of subjects included in analysis |
3163
|
||||||||||||
Analysis specification |
Pre-specified
|
||||||||||||
Analysis type |
other [59] | ||||||||||||
P-value |
= 0.9112 | ||||||||||||
Method |
Regression, Logistic | ||||||||||||
Parameter type |
Odds ratio (OR) | ||||||||||||
Point estimate |
1.01
|
||||||||||||
Confidence interval |
|||||||||||||
level |
95% | ||||||||||||
sides |
2-sided
|
||||||||||||
lower limit |
0.86 | ||||||||||||
upper limit |
1.18 | ||||||||||||
Notes [59] - Linagliptin vs. Glimepiride odds is presented. |
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End point title |
Change from baseline in the inter-quartile range of diurnal glucose variability to end of study | |||||||||
End point description |
The data for this endpoint of the continuous glucose monitoring sub-study was not collected and analyzed as this sub study was stopped due to low than expected recruitment rate and an increased discontinuation rate.
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End point type |
Secondary
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End point timeframe |
433 weeks
|
|||||||||
|
||||||||||
Notes [60] - The continuous glucose monitoring sub-study was stopped. [61] - The continuous glucose monitoring sub-study was stopped. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
From start of the treatment until 7 days after the end of treatment, up to 433 weeks.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
21.0
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Reporting groups
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Reporting group title |
Linagliptin
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of 5 milligram (mg) linagliptin plus 1 over-encapsulated tablet of placebo matching glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Glimepiride
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Reporting group description |
After 2-4 weeks placebo run-in phase, participants were administered 1 tablet of placebo matching linagliptin plus 1 over-encapsulated tablet of 1 to 4 mg glimepiride, which was uptitrated in 4-week intervals during the first 16 weeks of treatment to the next dose. Both doses were administered once daily orally up to an estimated 432 weeks treatment period. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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