Empagliflozin add-on to Insulin in Type 1 Diabetes Mellitus Over 28 Days
A 28-day Randomised, Placebo-controlled, Double-blind Parallel Group Phase IIa Trial to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Once Daily Oral Doses of 2.5 mg, 10 mg, and 25 mg Empagliflozin as Adjunctive to Insulin in Patients With Type 1 Diabetes Mellitus (EASE-2)
2 other identifiers
interventional
75
2 countries
2
Brief Summary
Placebo-controlled, double blind (triple-dummy technique), randomised parallel design comparison of three oral doses (2.5 mg, 10 mg, and 25 mg) of empagliflozin in patients with T1DM as adjunctive therapy to insulin over 28 days. Patients will undergo a 14-day open-label placebo run-in period before randomisation. Background insulin therapy will be kept stable during the first 7 days of the treatment period and will be freely adjusted thereafter.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Nov 2013
Shorter than P25 for phase_2
2 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
October 22, 2013
CompletedFirst Posted
Study publicly available on registry
October 25, 2013
CompletedStudy Start
First participant enrolled
November 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2014
CompletedResults Posted
Study results publicly available
April 8, 2015
CompletedApril 8, 2015
April 1, 2015
5 months
October 22, 2013
March 23, 2015
April 6, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in 24 h UGE (g/24 h) After Seven Days of Treatment With Empagliflozin 2.5 mg, 10 mg, or 25 mg, or Placebo
Change of urinary glucose excretion (UGE) (g/24 h) from baseline (refers to the last measurement prior to the first intake of any randomised trial medication) after seven days of treatment with empagliflozin 2.5 mg, 10 mg, or 25 mg, or placebo. The treatment effect was estimated on the basis of the least square mean treatment difference at Day 7 extracted from the primary analysis model. The primary endpoint is exploratory.
baseline (Day -1) and 7 days after first drug administration (Day 7)
Study Arms (4)
Empagliflozin low
EXPERIMENTALEmpagliflozin low once daily
Empagliflozin medium
EXPERIMENTALEmpagliflozin medium once daily
Empagliflozin high
EXPERIMENTALEmpagliflozin high once daily
Placebo
PLACEBO COMPARATORPlacebo once daily
Interventions
Eligibility Criteria
You may qualify if:
- Signed and dated written informed consent
- Male or female patient receiving insulin for treatment of T1DM for at least 12 months
- C-peptide \< 1.5 ng/mL
- Age 18 to 65 years
- HbA1c of 7.5% to 10.5%
- Multiple daily injections (MDI) of any type of insulin
- Willing to follow an established and individualized carbohydrate counting method and an insulin administration algorithm
- Body Mass Index of 18.5 to 35.0 kg/m2
- Estimated glomerular filtration rate 60 to 150 mL/min/1.73 m²
- Able and willing to perform study assessments according to investigator's judgement
- Compliance with trial drug administration 80% to 120% during run-in period
- Willing not to take any paracetamol containing drugs during the trial
You may not qualify if:
- Acute symptomatic urinary tract infection or genital infection, chronic or recurrent cystitis
- History of type 2 diabetes mellitus, maturity onset diabetes of the young (MODY), pancreatic surgery or chronic pancreatitis
- Pancreas, pancreatic islet cells or renal transplant recipient
- Type 1 diabetes mellitus treatment with any other antihyperglycaemic drug except insulin within last 3 months or history of clinically relevant hypersensitivity
- Occurrence of hypoglycaemia that required hospitalization or treatment by an emergency physician or paramedic within last 3 months
- Hypoglycaemia unawareness or frequent episodes of unexplained hypoglycaemia
- Occurrence of diabetic ketoacidosis that required hospitalization or treatment by an emergency physician or paramedic within last 12 months
- History of macrovascular disease including cardiovascular, cerebrovascular and peripheral artery disease
- Autonomic neuropathy with gastroparesis
- Brittle diabetes
- Liver disease
- Treatment with anti-obesity drugs, surgery or aggressive diet regimen leading to unstable body weight
- Treatment with systemic corticosteroids
- Change in dose of thyroid hormones within last 6 weeks or planned change or initiation of such a therapy
- Medical history of cancer or treatment for cancer in the last five years
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Boehringer Ingelheimlead
- Eli Lilly and Companycollaborator
Study Sites (2)
1245.78.43001 Boehringer Ingelheim Investigational Site
Graz, Austria
1245.78.49001 Boehringer Ingelheim Investigational Site
Neuss, Germany
Related Publications (2)
Famulla S, Pieber TR, Eilbracht J, Neubacher D, Soleymanlou N, Woerle HJ, Broedl UC, Kaspers S. Glucose Exposure and Variability with Empagliflozin as Adjunct to Insulin in Patients with Type 1 Diabetes: Continuous Glucose Monitoring Data from a 4-Week, Randomized, Placebo-Controlled Trial (EASE-1). Diabetes Technol Ther. 2017 Jan;19(1):49-60. doi: 10.1089/dia.2016.0261. Epub 2016 Dec 8.
PMID: 27929674DERIVEDLamos EM, Younk LM, Davis SN. Empagliflozin, a sodium glucose co-transporter 2 inhibitor, in the treatment of type 1 diabetes. Expert Opin Investig Drugs. 2014 Jun;23(6):875-82. doi: 10.1517/13543784.2014.909407. Epub 2014 Apr 19.
PMID: 24746173DERIVED
MeSH Terms
Conditions
Condition 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 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 22, 2013
First Posted
October 25, 2013
Study Start
November 1, 2013
Primary Completion
April 1, 2014
Study Completion
April 1, 2014
Last Updated
April 8, 2015
Results First Posted
April 8, 2015
Record last verified: 2015-04