BMS - Safety, Pharmacokinetics (PK) and Pharmacodynamics (PD) of Dapagliflozin in Type 1 Diabetes
A Randomized, Double-Blind, Placebo-controlled, Parallel Group, Phase 2 Trial to Explore the Safety, Pharmacokinetics and Pharmacodynamics of Dapagliflozin as an Add-on to Insulin Therapy in Subjects With Type 1 Diabetes Mellitus
1 other identifier
interventional
171
1 country
12
Brief Summary
To obtain safety and tolerability information in patients with type 1 diabetes where Dapagliflozin is added on to Insulin (for 14 days)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Feb 2012
Shorter than P25 for phase_2
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 21, 2011
CompletedFirst Posted
Study publicly available on registry
December 23, 2011
CompletedStudy Start
First participant enrolled
February 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2012
CompletedResults Posted
Study results publicly available
February 10, 2017
CompletedFebruary 10, 2017
December 1, 2016
8 months
December 21, 2011
October 7, 2016
December 20, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Mean Change From Baseline in 7-Point Glucose Monitoring (7-PGM) at Day 7
7-PGM was measured as milligrams per deciliter (mg/dL) by a central laboratory. Baseline was defined as the assessment on Day -1, prior to the start date and time of the first dose of the double-blind study medication. 7-PGM included the average of all available glucose values before and 2-hour (hr) after each meal (breakfast, lunch, dinner) as well as bedtime. Measurements were on Day -1, and Day 7 in the double-blind period.
From Baseline to Day 7
Secondary Outcomes (7)
Dapagliflozin Pharmacokinetic Parameters on Day 7 - Maximum Observed Plasma Concentration (Cmax)
Day 7 (0 hr to 24 hr post dose)
Dapagliflozin Pharmacokinetic Parameters on Day 7 - Time of Maximum Observed Plasma Concentration (Tmax)
Day 7 (0 hr to 24 hr post dose)
Dapagliflozin Pharmacokinetic Parameters on Day 7 - Area Under the Concentration-Time Curve in One Dosing Interval (AUC[TAU])
Day 7 (0 hr to 24 hr post dose)
Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Maximum Observed Plasma Concentration (Cmax)
Day 7 (0 hr to 24 hr post dose)
Dapagliflozin 3-O-glucuronide Pharmacokinetic Parameters on Day 7 - Time of Maximum Observed Plasma Concentration (Tmax)
Day 7 (0 hr to 24 hr post dose)
- +2 more secondary outcomes
Study Arms (5)
Arm 1: Dapagliflozin (1 mg)
EXPERIMENTALArm 2: Dapagliflozin (2.5 mg)
EXPERIMENTALArm 3: Dapagliflozin (5 mg)
EXPERIMENTALArm 4: Dapagliflozin (10 mg)
EXPERIMENTALArm 5: Placebo matching Dapagliflozin
EXPERIMENTALInterventions
Tablets, Oral, 1 mg, Once daily, 14 days
Tablets, Oral, 0 mg, Once daily, 14 days
Eligibility Criteria
You may qualify if:
- Type 1 diabetes with central lab Glycosylated hemoglobin (A1C) ≥ 7.0% and ≤ 10.0%
- Insulin use for at least 12 months and initiation immediately after diagnosis of diabetes
- Method of Insulin administration \[multiple daily injections (MDI) or continuous subcutaneous Insulin infusion (CSII)\] stable ≥ 3 months
- Stable basal Insulin dose ≥ 2 weeks
- Ages 18 to 65 years
- Central laboratory C-peptide value of \< 0.7 ng/mL
- Body mass index (BMI) 18.5 to 35.0 kg/m2
You may not qualify if:
- History of type 2 diabetes mellitus (T2DM), maturity onset diabetes of young (MODY), pancreatic surgery or chronic pancreatitis
- Oral hypoglycemic agents
- History of diabetes ketoacidosis (DKA) within 24 weeks
- History of hospital admission for glycemic control within 6 months
- Frequent episodes of hypoglycemia (2 unexplained within 3 months) or hypoglycemic unawareness
- Aspartate aminotransferase (AST), Alanine aminotransferase (ALT) or Serum total bilirubin \> 2X Upper limit of normal (ULN)
- Abnormal Free T4 \[if screening Thyroid Stimulating Hormone (TSH) abnormal\]
- Estimated glomerular filtration rate (eGFR) Modification of Diet in Renal Disease (MDRD) formula ≤ 60 mL/min/1.73m2
- Cardiovascular (CV)/Vascular Diseases within 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
- Astra Zeneca, Bristol-Myers Squibbcollaborator
Study Sites (12)
Profil Institute For Clinical Research, Inc.
Chula Vista, California, 91911, United States
Va San Diego Healthcare System
San Diego, California, 92161, United States
La Biomed Research Inst. At Harbor Ucla Med Ctr.
Torrance, California, 90502, United States
Compass Research Phase 1, Llc
Orlando, Florida, 32806, United States
Progressive Medical Research
Port Orange, Florida, 32127, United States
Vince And Associates Clinical Research
Overland Park, Kansas, 66212, United States
Central Kentucky Research Associates, Inc.
Lexington, Kentucky, 40509, United States
Louisiana Research Associates, Inc.
New Orleans, Louisiana, 70114, United States
Jasper Clinic, Inc.
Kalamazoo, Michigan, 49007, United States
Kansas City University Of Medicine And Biosciences
Kansas City, Missouri, 64106, United States
Regional Medical Clinic-Endocrinology
Rapid City, South Dakota, 57701, United States
Dallas Diabetes & Endocrine Center
Dallas, Texas, 75230, United States
Related Publications (2)
Melin J, Tang W, Rekic D, Hamren B, Penland RC, Boulton DW, Parkinson J. Dapagliflozin Pharmacokinetics Is Similar in Adults With Type 1 and Type 2 Diabetes Mellitus. J Clin Pharmacol. 2022 Oct;62(10):1227-1235. doi: 10.1002/jcph.2062. Epub 2022 May 2.
PMID: 35403243DERIVEDHenry RR, Rosenstock J, Edelman S, Mudaliar S, Chalamandaris AG, Kasichayanula S, Bogle A, Iqbal N, List J, Griffen SC. Exploring the potential of the SGLT2 inhibitor dapagliflozin in type 1 diabetes: a randomized, double-blind, placebo-controlled pilot study. Diabetes Care. 2015 Mar;38(3):412-9. doi: 10.2337/dc13-2955. Epub 2014 Sep 30.
PMID: 25271207DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Anna Maria Langkilde
- Organization
- AstraZeneca
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 21, 2011
First Posted
December 23, 2011
Study Start
February 1, 2012
Primary Completion
October 1, 2012
Study Completion
October 1, 2012
Last Updated
February 10, 2017
Results First Posted
February 10, 2017
Record last verified: 2016-12