E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Diabetes mellitus type 2 is the medical condition to be investiagted |
Diabetes mellitus tipo 2. |
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E.1.1.1 | Medical condition in easily understood language |
A medical condition called diabetes which is characterized by elevated glucose levels. |
Enfermedad conocida como diabetes que se caracteriza por niveles elevados de glucosa. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nutritional and Metabolic Diseases [C18] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10067585 |
E.1.2 | Term | Type 2 diabetes mellitus |
E.1.2 | System Organ Class | 10027433 - Metabolism and nutrition disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The objective of the study is to investigate the efficacy, safety and tolerability of linagliptin 5 mg qd compared to placebo given for 24 weeks in inadequately controlled T2DM patients on empagliflozin 10 mg or 25 mg and maximum tolerated dose of metformin |
El objetivo del estudio es investigar la eficacia, seguridad y tolerabilidad de linagliptina 5 mg una vez al día en comparación con placebo administrada durante 24 semanas en pacientes con T2DM con un control inadecuado con el tratamiento con empagliflozina 10 mg o 25 mg y la dosis máxima tolerada de metformina. |
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E.2.2 | Secondary objectives of the trial |
Fasting plasma glucose (FPG) change from baseline (Visit 5) at 24 weeks (or Visit 9) |
Cambio en la glucemia plasmática en ayunas (FPG) respecto al valor basal (visita 5) a las 24 semanas (o Visita 9). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients treated with metformin for at least 12 weeks HbA1c ? 8.0% (64 mmol/mol) and ? 10.5% (91 mmol/mol) at Visit 1 for the 16 week open label treatment period. HbA1c ? 7.0% (53 mmol/mol) and ? 10.5 % (91 mmol/mol) at Visit 4 for the 24 week double-blind treatment period. Body Mass Index (BMI) ?45 kg/m2 at Visit 1 (screening) |
Pacientes tratados con metformina durante al menos 12 semanas. HbA1c ? 8,0 % (64 mmol/mol) y ? 10,5 % (91 mmol/mol) en la visita 1 para el período de tratamiento en abierto de 16 semanas. HbA1c ? 7,0 % (53 mmol/mol) y ? 10,5 % (91 mmol/mol) en la visita 4 para el periodo de tratamiento doble ciego de 24 semanas. Índice de masa corporal (BMI) ? 45 kg/m2 en la visita 1 (selección). |
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E.4 | Principal exclusion criteria |
Uncontrolled hyperglycaemia with a glucose level >270 mg/dl (>15.0 mmol/L) after an overnight fast during the open label period (from Visit 2 to Visit 4) and placebo add on "run-in" period (Visit 4 to Visit 5). Any other antidiabetic drug within 12 weeks prior to Visit 2 randomization (except metformin background therapy) Acute coronary syndrome (non-STEMI, STEMI and unstable angina pectoris), stroke or TIA within 3 months prior to informed consent Indication of liver disease, defined by serum levels of either ALT (SGPT), AST (SGOT), or alkaline phosphatase above 3 x upper limit of normal (ULN) based on Visit 1 and Visit 4 laboratory parameters. Impaired renal function, defined as eGFR <60 ml/min/1.73 m2 (MDRD formula) as determined during screening (Visit 1) or placebo add on "run-in" (Visit 4) Known blood dyscrasias or any disorders causing haemolysis or unstable red blood cell count (e.g. malaria, babesiosis, haemolytic anaemia) due to the short lifespan of the RBC and its impact on HbA1c. Treatment with anti-obesity drugs (e.g. sibutramine, orlistat) within 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 (other than inhaled or topical steroids) at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent or any other documented uncontrolled endocrine disorder except T2DM. Pre-menopausal women (last menstruation ?1 year prior to informed consent) who are nursing or pregnant. |
Hiperglucemia no controlada con un nivel de glucemia > 270 mg/dl (> 15,0 mmol/l) después de ayuno nocturno durante el período en abierto (de la visita 2 a la visita 4) y el período de preinclusión con placebo complementario (visita 4 a visita 5).
Tratamiento con cualquier otro antidiabético en las 12 semanas anteriores a la aleatorización en la visita 2 (excepto el tratamiento de base con metformina).
Síndrome coronario agudo (IMSEST, IMEST y angina de pecho inestable), ictus o AIT en los 3 meses anteriores a la firma del consentimiento informado.
Indicios de hepatopatía, definida por una concentración sérica de ALT (SGPT), AST (SGOT) o fosfatasa alcalina superior a 3 veces el límite superior de la normalidad (ULN), según los parámetros analíticos de la visita 1 y visita 4.
Insuficiencia renal, definida como eGFR < 60 ml/min/1,73 m2 (fórmula MDRD) según determinación durante la selección (visita 1) o la preinclusión con placebo complementario (visita 4)
Discrasias sanguíneas o cualquier trastorno que cause hemólisis o cifra inestable de eritrocitos (p. ej., paludismo, babesiosis, anemia hemolítica) debido a la corta vida de los eritrocitos y su influencia sobre la HbA1c.
Tratamientos con fármacos contra la obesidad (p. ej., sibutramina, orlistat) en los 3 meses anteriores al consentimiento informado o cualquier otro tratamiento en el momento de la selección (es decir, intervención quirúrgica, dieta radical de adelgazamiento, etc.) que provoquen un peso corporal inestable.
Tratamiento actual con corticosteroides sistémicos (aparte de corticosteroides inhalados o tópicos) en el momento del consentimiento informado o cambio en la pauta de administración de hormonas tiroideas en las 6 semanas anteriores al consentimiento informado o cualquier otro trastorno endocrino no controlado confirmado con excepción de la T2DM
Mujeres premenopáusicas (última menstruación ? 1 año antes del consentimiento informado) que estén en periodo de lactancia o embarazadas |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the change of HbA1c after 24 weeks of treatment (at week 24 or Visit 9) from baseline (Visit 5). |
El criterio principal de valoración de este estudio es el cambio en la HbA1c tras 24 semanas de tratamiento (en la semana 24 o visita 9) respecto al valor basal (visita 5). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
After 24 weeks of treatment (Visit 9) from baseline (Visit 5). |
Tras 24 semanas de tratamiento (visita 9) respecto al valor basal (visita 5). |
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E.5.2 | Secondary end point(s) |
Fasting plasma glucose (FPG) change from baseline (Visit 5) at 24 weeks (or Visit 9) |
Cambio en la glucemia plasmática en ayunas (FPG) respecto al valor basal (visita 5) a las 24 semanas (o Visita 9). |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
After 24 weeks of treatment (Visit 9) from baseline (Visit 5). |
Tras 24 semanas de tratamiento (visita 9) respecto al valor basal (visita 5). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 38 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Canada |
Germany |
India |
Italy |
Peru |
Portugal |
Russian Federation |
Spain |
Sri Lanka |
Ukraine |
United States |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | 24 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 7 |
E.8.9.2 | In all countries concerned by the trial days | 24 |