Status:

COMPLETED

Safety and Efficacy of Bexagliflozin Compared to Placebo as Add-on Therapy to Metformin in Type 2 Diabetes Subjects

Lead Sponsor:

Theracos

Conditions:

Type2 Diabetes Mellitus

Eligibility:

All Genders

20+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to investigate the effect of bexagliflozin compared to placebo as an add-on therapy to metformin in lowering hemoglobin A1c (HbA1c) levels in subjects with type 2 diabetes...

Detailed Description

Approximately 300 subjects with inadequately controlled T2DM on metformin were to be recruited from the United States and Japan. Subjects were randomly assigned to receive bexagliflozin tablets, 20 mg...

Eligibility Criteria

Inclusion

  • The subjects were required to meet the following criteria at the time of enrollment to be eligible for the study:
  • Had been age ≥ 20 years at screening. Women of childbearing potential were required to have tested negative for pregnancy and have agreed to abstinence or contraception for the duration of the study to avoid any possible pregnancy. Females who were surgically sterile (hysterectomy, oophorectomy) or postmenopausal (absence of menses greater than 12 months) were eligible if they had tested negative for pregnancy at screening.
  • a) Had a history of T2DM with an HbA1c level of ≥ 7.5% and ≤ 10.5% at screening, or b) Had a history of T2DM with an HbA1c level of \>10.5% and ≤ 12.0% at screening
  • Had been prescribed a stable dose of metformin (≥1500 mg per day in the US or ≥ 1000 mg per day in Japan) as their sole anti-diabetic medication
  • Had a body mass index (BMI) ≤ 45 kg m-2
  • Had been able to comprehend and willing to provide written informed consent in accordance with institutional and regulatory guidelines
  • Had no recent changes to their medications for hypertension or hyperlipidemia (if applicable)
  • Had the ability to regularly self-administer medication, as evidenced by consumption of all, or at worst one less than all, doses of run-in medication prior to randomization
  • Subjects who met any of the following criteria were to be excluded from the study:
  • Had a diagnosis of type 1 diabetes mellitus or maturity-onset diabetes of the young
  • Were pregnant or breastfeeding
  • Had one or more hemoglobin alleles that affect HbA1c measurement
  • Had a history of genitourinary tract infection (e.g., UTI, GMI, vaginitis, balanitis) within 6 weeks of screening or a history of ≥ 3 genitourinary infections requiring treatment within 6 months of screening
  • Had an estimated glomerular filtration rate (eGFR), as calculated by the modification of diet in renal disease study equation (MDRD), \< 60 mL min-1 per 1.73 m2
  • Had a sitting systolic blood pressure \>180 mmHg or a sitting diastolic blood pressure \> 110 mmHg at screening
  • Had exposure to hypoglycemic agent(s) other than metformin during the 8 weeks prior to screening
  • Had a history of illicit drug use or alcohol abuse in the past 2 years
  • Had a life expectancy \< 2 years
  • Had a diagnosis of New York Heart Association (NYHA) Class IV heart failure within 3 months of screening
  • Had experienced an MI, unstable angina, stroke, or hospitalization for heart failure within 3 months of screening
  • Had exposure to an investigational drug within 30 days
  • Had a previous exposure to bexagliflozin or EGT0001474
  • Had a history of SGLT2 inhibitor treatment
  • Were participating in another interventional trial
  • Were not able to comply with the study scheduled visits
  • Had any condition, disease, disorder, or clinically relevant abnormality that, in the opinion of the primary investigator, would jeopardize the subject's appropriate participation in this study or obscure the effects of treatment
  • Had an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥ 2.5 × ULN or total bilirubin ≥ 1.5 × ULN at screening

Exclusion

    Key Trial Info

    Start Date :

    November 28 2017

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    January 23 2019

    Estimated Enrollment :

    351 Patients enrolled

    Trial Details

    Trial ID

    NCT03259789

    Start Date

    November 28 2017

    End Date

    January 23 2019

    Last Update

    July 7 2021

    Active Locations (43)

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    Page 1 of 11 (43 locations)

    1

    Clinical Research Site 1232

    Birmingham, Alabama, United States, 35205

    2

    Clinical Research Site 1378

    Birmingham, Alabama, United States, 35242

    3

    Clinical Research Site 1269

    Foley, Alabama, United States, 36535

    4

    Clinical Research Site 1363

    Little Rock, Arkansas, United States, 72209