Efficacy and Safety of Voglibose Compared With Acarbose in Participants With Type 2 Diabetes
A Randomized, Open-label, Non-inferiority Study to Compare the Efficacy and Safety of Voglibose and Acarbose in Patients With Type 2 Diabetes Mellitus With Poor Control of Metformin
3 other identifiers
interventional
494
1 country
18
Brief Summary
The primary purpose of this study is to evaluate the efficacy of voglibose versus acarbose combined with metformin in participants with type 2 diabetes mellitus (T2DM) by evaluating levels of glycosylated hemoglobin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 type-2-diabetes-mellitus
Started May 2014
Typical duration for phase_4 type-2-diabetes-mellitus
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 28, 2014
CompletedFirst Posted
Study publicly available on registry
January 30, 2014
CompletedStudy Start
First participant enrolled
May 9, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 28, 2016
CompletedResults Posted
Study results publicly available
February 4, 2019
CompletedMarch 13, 2019
February 1, 2019
2.1 years
January 28, 2014
August 13, 2018
February 15, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 12
The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at week 12 or final visit relative to baseline.
Baseline, Week 12
Secondary Outcomes (10)
Change From Baseline in HbA1c at Week 6
Baseline and Week 6
Change From Baseline in Fasting Blood Glucose Over Time
Baseline, Weeks 6 and 12
Change From Baseline in Postprandial Plasma Glucose (PPG) Over Time
1 and 2 hours after meal at Baseline, Weeks 6 and 12
Change From Baseline in Fasting Insulin at Week 12
Baseline, Week 12
Change From Baseline in Postprandial Serum Insulin at Week 12
1 and 2 hours after meal at Baseline and Week 12
- +5 more secondary outcomes
Study Arms (2)
Metformin + Voglibose 0.2 mg
EXPERIMENTALMetformin tablets, at the maximum tolerated dose ≥1000 mg/day, orally, for 12 weeks, in addition to voglibose 0.2 mg, tablets, orally, three times daily, for Weeks 1 and 2, followed by voglibose 0.3 mg, tablets, orally, three times daily, Weeks 3 through 12.
Metformin + Acarbose 50 mg
ACTIVE COMPARATORMetformin tablets, at the maximum tolerated dose ≥1000 mg/day, orally, for 12 weeks, in addition to acarbose 50 mg, tablets, orally, three times daily, Weeks 1 and 2, then acarbose 100 mg, tablets, orally, three times daily, Weeks 3 through 12.
Interventions
Eligibility Criteria
You may qualify if:
- Has a historical diagnosis of type 2 diabetes mellitus (T2DM) for at least 6 months prior to the screening visit (V1).
- Is male or female and aged from 18 to 75 years, inclusively.
- Has a body mass index (BMI) between 20 and 45 kg/m\^2, inclusively.
- Is experiencing inadequate glycemic control with a glycosylated hemoglobin (HbA1c) concentration between 7.0% and 10.0%, inclusively.
- Has been treated with Metformin for at least 3 months and at a stable dose (≥1000 mg/day) for at least 8 weeks prior to Screening, unless there is documentation that the participant's current dose is his or her maximum tolerated dose (MTD) and MTD is ≤1000 mg/day.
- Keeps constant body weight with fluctuation range no more than 10% over for at least 3 months before screening.
- Hemoglobin levels of the participant are ≥12 g/dL (≥120 g/L) in male and≥ 10 g/dL (≥100 g/L) in female at screening visit.
- Male serum creatinine \<1.5 mg/dL and female serum creatinine \<1.4 mg/dL, or estimated glomerular filtration rate (eGFR) \>60 ml/min/1.73m\^2 based on calculation using the Modification of Diet in Renal Disease (MDRD) approximation at Screening.
- In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
- The participant or, when applicable, the participant's legally acceptable representative signs and dates a written informed consent form and any required privacy authorization prior to the initiation of any study procedures.
You may not qualify if:
- Type 1 diabetes mellitus.
- Has received insulin, voglibose, acarbose or other oral hypoglycemic drugs (except Metformin) for accumulative total of more than 7 days within the latest 3 months prior to Visit 1.
- Has a history of cardiovascular disease: acute myocardial infarction, class III or IV heart failure, or cerebrovascular accident (stroke) within the latest 3 months prior to Visit 1.
- The participant's liver function is damaged and has a significant clinical sign or symptom of hepatopathy, acute or chronic hepatitis, or the value of alanine aminotransferase (ALT) or aspartate aminotransferase (AST) is 3 times more than the upper limit of normal level at Visit 1.
- Has an active proliferative retinopathy or macular degeneration that need to have an urgent treatment in the opinion of investigators.
- Has a frequent attack of hypoglycemia or loses consciousness due to hypoglycemia in the opinion of investigators.
- Has one or more times ketoacidosis or hyperosmotic status/coma.
- Is receiving long-term (\>14days) systemic glucocorticoid treatment (except the medicine: local, intraocular, inhalation or via the nose) or has received such treatment for 4 weeks at Visit 1.
- Has a hematopathy (e.g. hemolytic anemia, drepanocytosis) that may interfere with the HbA1c test.
- Has other liabilities (e.g. drug abuse, alcoholism or mental disorder) that may hinder the participant to follow and complete the study.
- Has participated in another clinical study within the past 90 days or has received any investigational compound within 30 days prior to randomization.
- Is unsuitable for this study in the opinion of investigators.
- Has a disease need to use other taboo or caution drugs that is not listed in this study.
- If female, is pregnant or lactating or intending to become pregnant before, during, or within 30 days after participating in this study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Takedalead
Study Sites (18)
Unknown Facility
Hefei, Anhui, China
Unknown Facility
Maanshan, Anhui, China
Unknown Facility
Beijing, Beijing Municipality, China
Unknown Facility
Guangzhou, Guangdong, China
Unknown Facility
Shenzhen, Guangdong, China
Unknown Facility
Taishan, Guangdong, China
Unknown Facility
Zhuzhou, Hunan, China
Unknown Facility
Nanjing, Jiangsu, China
Unknown Facility
Xuzhou, Jiangsu, China
Unknown Facility
Changchun, Jilin, China
Unknown Facility
Jilin, Jilin, China
Unknown Facility
Shenyang, Liaoning, China
Unknown Facility
Qingdao, Shandong, China
Unknown Facility
Shanghai, Shanghai Municipality, China
Unknown Facility
Yanan, Shanxi, China
Unknown Facility
Yan’an, Shanxi, China
Unknown Facility
Tianjin, Tianjin Municipality, China
Unknown Facility
Wenzhou, Zhejiang, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Director
- Organization
- Takeda
Study Officials
- STUDY DIRECTOR
Medical Director, Clinical Science
Takeda
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 28, 2014
First Posted
January 30, 2014
Study Start
May 9, 2014
Primary Completion
June 1, 2016
Study Completion
June 28, 2016
Last Updated
March 13, 2019
Results First Posted
February 4, 2019
Record last verified: 2019-02