MARLINA - T2D : Efficacy, Safety & Modification of Albuminuria in Type 2 Diabetes Subjects With Renal Disease With LINAgliptin
A Phase IIIb, Multicenter, Multinational, Randomized, Double-blind, Placebo Controlled, Parallel Group Study to Evaluate the Glycemic and Renal Efficacy of Once Daily Administration of Linagliptin 5 mg for 24 Weeks in Type 2 Diabetes Patients, With Micro- or Macroalbuminuria (30-3000mg/g Creatinine) on Top of Current Treatment With Angiotensin ConvEnzyme Inhibitor or Angiotensin Receptor Blocker - MARLINA (Efficacy, Safety & Modification of Albuminuria in Type 2 Diabetes Subjects With Renal Disease With LINAgliptin)
2 other identifiers
interventional
360
12 countries
74
Brief Summary
Evaluate linagliptin in terms of glycemic control as defined by HbA1c after 24 weeks of treatment and in terms of renal efficacy as defined by changes in albuminuria (UACR) after 24 weeks of treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 diabetes-mellitus-type-2
Started Feb 2013
Longer than P75 for phase_3 diabetes-mellitus-type-2
74 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
Study Start
First participant enrolled
February 1, 2013
CompletedFirst Submitted
Initial submission to the registry
February 14, 2013
CompletedFirst Posted
Study publicly available on registry
February 15, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedResults Posted
Study results publicly available
March 6, 2017
CompletedMarch 6, 2017
January 1, 2017
2.7 years
February 14, 2013
November 8, 2016
January 13, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
HbA1c Change From Baseline After 24 Weeks Double-blind Randomized Treatment
Change from baseline in Glycated haemoglobin (HbA1c) \[%\] after 24 weeks of treatment with double- blind trial medication. The term "baseline" refers to the last observation before the start of any randomised trial treatment. The number of participants analysed displays the number of participants with available data at the timepoint of interest.
Baseline and 24 weeks
Secondary Outcomes (2)
The Time Weighted Average of Percentage Change From Baseline in UACR During the Course of 24 Weeks of Treatment
Baseline and 24 weeks
The Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) After 24 Weeks of Treatment
Baseline and 24 weeks
Study Arms (2)
linagliptin 5mg
EXPERIMENTALlinagliptin 5 mg once daily
placebo
PLACEBO COMPARATORmatching placebo for linagliptin dose once daily
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of type 2 diabetes mellitus
- Glycosylated Hemoglobin (HbA1c) between 6.5 and 10% (inclusive)
- Current therapy with ACEi or ARB at stable dose for 10 weeks
- Urinary albumin-to-creatinine ratio (UACR): 30-3000 mg/g creatinine documented in the previous 12 months or detected at Screening.
- Estimated Glomerular Filtration Rate (eGFR) greater than 30 ml/min.
- Age between 18 and 80 years.
You may not qualify if:
- Dual or triple blockade of the Renin Angiotensin System (RAS)
- Uncontrolled hyperglycaemia
- Mean arterial blood pressure \> 110 mmHg
- Known hypersensitivity or allergy to the investigational product, or their excipients (including matching placebos).
- Treatment with a glitazone within 6 months prior to informed consent.
- Treatment with a DiPeptidyl-Peptidase 4 (DPP-4) inhibitor, a Glucagon Like Peptide-1 (GLP-1) agonist, a Sodium/Glucose coTransporter 2 (SGLT2) inhibitor, a dopamine-agonist, a bile-acid sequestrant a short acting (prandial) insulin or premixed insulin within 10 weeks prior to informed consent.
- Treatment with anti-obesity drugs 10 weeks prior to informed consent.
- Alcohol or drug abuse within 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to a decreased compliance to study procedures or study drug intake in the opinion of the investigator.
- Current treatment with systemic steroids (glucocorticoids) at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent.
- Participation in another trial with an investigational drug within 2 months prior to informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Boehringer Ingelheimlead
- Eli Lilly and Companycollaborator
Study Sites (74)
Boehringer Ingelheim Investigational Site
Birmingham, Alabama, United States
Boehringer Ingelheim Investigational Site
Long Beach, California, United States
Boehringer Ingelheim Investigational Site
North Hollywood, California, United States
Boehringer Ingelheim Investigational Site
Denver, Colorado, United States
Boehringer Ingelheim Investigational Site
Miami, Florida, United States
Boehringer Ingelheim Investigational Site
Evansville, Indiana, United States
Boehringer Ingelheim Investigational Site
Flint, Michigan, United States
Boehringer Ingelheim Investigational Site
Jackson, Mississippi, United States
Boehringer Ingelheim Investigational Site
Asheboro, North Carolina, United States
Boehringer Ingelheim Investigational Site
Charlotte, North Carolina, United States
Boehringer Ingelheim Investigational Site
Fargo, North Dakota, United States
Boehringer Ingelheim Investigational Site
Columbus, Ohio, United States
Boehringer Ingelheim Investigational Site
Oklahoma City, Oklahoma, United States
Boehringer Ingelheim Investigational Site
Knoxville, Tennessee, United States
Boehringer Ingelheim Investigational Site
Houston, Texas, United States
Boehringer Ingelheim Investigational Site
Edmonton, Alberta, Canada
Boehringer Ingelheim Investigational Site
Victoria, British Columbia, Canada
Boehringer Ingelheim Investigational Site
Mount Pearl, Newfoundland and Labrador, Canada
Boehringer Ingelheim Investigational Site
London, Ontario, Canada
Boehringer Ingelheim Investigational Site
Mississauga, Ontario, Canada
Boehringer Ingelheim Investigational Site
Sarnia, Ontario, Canada
Boehringer Ingelheim Investigational Site
Toronto, Ontario, Canada
Boehringer Ingelheim Investigational Site
Waterloo, Ontario, Canada
Boehringer Ingelheim Investigational Site
Gentofte Municipality, Denmark
Boehringer Ingelheim Investigational Site
Hillerød, Denmark
Boehringer Ingelheim Investigational Site
Silkeborg, Denmark
Boehringer Ingelheim Investigational Site
Slagelse, Denmark
Boehringer Ingelheim Investigational Site
Kerava, Finland
Boehringer Ingelheim Investigational Site
Oulu, Finland
Boehringer Ingelheim Investigational Site
Tampere, Finland
Boehringer Ingelheim Investigational Site
Turku, Finland
Boehringer Ingelheim Investigational Site
Bersée, France
Boehringer Ingelheim Investigational Site
Bourg-des-Comptes, France
Boehringer Ingelheim Investigational Site
Grenoble, France
Boehringer Ingelheim Investigational Site
Le Creusot, France
Boehringer Ingelheim Investigational Site
Marseille, France
Boehringer Ingelheim Investigational Site
Saint-Mandé, France
Boehringer Ingelheim Investigational Site
Vénissieux, France
Boehringer Ingelheim Investigational Site
Vieux-Condé, France
Boehringer Ingelheim Investigational Site
Aschaffenburg, Germany
Boehringer Ingelheim Investigational Site
Aßlar, Germany
Boehringer Ingelheim Investigational Site
Dresden, Germany
Boehringer Ingelheim Investigational Site
Düsseldorf, Germany
Boehringer Ingelheim Investigational Site
Flörsheim, Germany
Boehringer Ingelheim Investigational Site
Pirna, Germany
Boehringer Ingelheim Investigational Site
Schweinfurt, Germany
Boehringer Ingelheim Investigational Site
Aoba-ku,Sendai,Miyagi, Japan
Boehringer Ingelheim Investigational Site
Chiyoda-ku,Tokyo, Japan
Boehringer Ingelheim Investigational Site
Cyuo-ku,Tokyo, Japan
Boehringer Ingelheim Investigational Site
Kita-ku, Osaka, Osaka, Japan
Boehringer Ingelheim Investigational Site
Shimizu-ku,Shizuoka city,Shizuoka, Japan
Boehringer Ingelheim Investigational Site
Suita,Osaka, Japan
Boehringer Ingelheim Investigational Site
Teine-ku,Sapporo,Hokkaido, Japan
Boehringer Ingelheim Investigational Site
Cebu City, Philippines, Philippines
Boehringer Ingelheim Investigational Site
Pasig City, Philippines, Philippines
Boehringer Ingelheim Investigational Site
San Juan City, Philippines, Philippines
Boehringer Ingelheim Investigational Site
Goyang, South Korea
Boehringer Ingelheim Investigational Site
Jinju, South Korea
Boehringer Ingelheim Investigational Site
Seongnam, South Korea
Boehringer Ingelheim Investigational Site
Seoul, South Korea
Boehringer Ingelheim Investigational Site
Wŏnju, South Korea
Boehringer Ingelheim Investigational Site
L'Hospitalet de Llobregat, Spain
Boehringer Ingelheim Investigational Site
Madrid, Spain
Boehringer Ingelheim Investigational Site
Pozuelo de Alarcón, Spain
Boehringer Ingelheim Investigational Site
San Sebastián de los Reyes, Spain
Boehringer Ingelheim Investigational Site
Valencia, Spain
Boehringer Ingelheim Investigational Site
Changhua, Taiwan
Boehringer Ingelheim Investigational Site
Kaohsiung City, Taiwan
Boehringer Ingelheim Investigational Site
New Taipei City, Taiwan
Boehringer Ingelheim Investigational Site
Taichung, Taiwan
Boehringer Ingelheim Investigational Site
Tainan, Taiwan
Boehringer Ingelheim Investigational Site
Taipei, Taiwan
Boehringer Ingelheim Investigational Site
Hanoi, Vietnam, Vietnam
Boehringer Ingelheim Investigational Site
Ho Chi Minh City, Vietnam
Related Publications (3)
Siwy J, Klein T, Rosler M, von Eynatten M. Urinary Proteomics as a Tool to Identify Kidney Responders to Dipeptidyl Peptidase-4 Inhibition: A Hypothesis-Generating Analysis from the MARLINA-T2D Trial. Proteomics Clin Appl. 2019 Mar;13(2):e1800144. doi: 10.1002/prca.201800144. Epub 2019 Jan 28.
PMID: 30632692DERIVEDGroop PH, Cooper ME, Perkovic V, Hocher B, Kanasaki K, Haneda M, Schernthaner G, Sharma K, Stanton RC, Toto R, Cescutti J, Gordat M, Meinicke T, Koitka-Weber A, Thiemann S, von Eynatten M. Linagliptin and its effects on hyperglycaemia and albuminuria in patients with type 2 diabetes and renal dysfunction: the randomized MARLINA-T2D trial. Diabetes Obes Metab. 2017 Nov;19(11):1610-1619. doi: 10.1111/dom.13041. Epub 2017 Jul 31.
PMID: 28636754DERIVEDGroop PH, Cooper ME, Perkovic V, Sharma K, Schernthaner G, Haneda M, Hocher B, Gordat M, Cescutti J, Woerle HJ, von Eynatten M. Dipeptidyl peptidase-4 inhibition with linagliptin and effects on hyperglycaemia and albuminuria in patients with type 2 diabetes and renal dysfunction: Rationale and design of the MARLINA-T2D trial. Diab Vasc Dis Res. 2015 Nov;12(6):455-62. doi: 10.1177/1479164115579002. Epub 2015 Jul 28.
PMID: 26224765DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Boehringer Ingelheim, Call Center
- Organization
- Boehringer Ingelheim
Study Officials
- STUDY CHAIR
Boehringer Ingelheim
Boehringer Ingelheim
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2013
First Posted
February 15, 2013
Study Start
February 1, 2013
Primary Completion
November 1, 2015
Study Completion
December 1, 2015
Last Updated
March 6, 2017
Results First Posted
March 6, 2017
Record last verified: 2017-01