NCT02182830

Brief Summary

This trial is designed to investigate the efficacy and safety of empagliflozin compared with placebo in hypertensive black/African Americans with type 2 Diabetes Mellitus. Since hyperglycaemia and hypertension are key risk factors for both micro- and macrovascular complications, assessment of both glucose and BP lowering effects of empagliflozin in hypertensive African American patients with type 2 Diabetes Mellitus could provide clinically highly relevant, new information for the use of empagliflozin. Essential hypertension is four times more common in African Americans than in Caucasians. One of the risk factors for hypertension is sodium sensitivity and approximately one third of the essential hypertensive population is responsive to sodium intake. There is a higher association of hypertension with sodium sensitivity in African American patients with type 2 Diabetes Mellitus. The treatment duration of this trial (24 weeks) will enable assessment of the clinically relevant endpoint of a decrease in HbA1c, a well accepted measurement of chronic glycaemic control and the key secondary endpoints of decreases in systolic BP (SBP) and diastolic BP (DBP) at 12 and 24 weeks.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
166

participants targeted

Target at below P25 for phase_3 diabetes-mellitus-type-2

Timeline
Completed

Started Jul 2014

Longer than P75 for phase_3 diabetes-mellitus-type-2

Geographic Reach
1 country

92 active sites

Status
completed

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

July 3, 2014

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 8, 2014

Completed
17 days until next milestone

Study Start

First participant enrolled

July 25, 2014

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 18, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 18, 2017

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

July 31, 2018

Completed
Last Updated

July 31, 2018

Status Verified

June 1, 2018

Enrollment Period

2.8 years

First QC Date

July 3, 2014

Results QC Date

May 16, 2018

Last Update Submit

July 4, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Glycated Haemoglobin (HbA1c) (%) at 24 Weeks

    Change from baseline in HbA1c (%) at 24 weeks is presented. The term "baseline" refers to the last observation prior to randomisation of the patient. Means presented are the adjusted means. Restricted maximum likelihood (REML)-based mixed model repeated measures (MMRM) model is used in the statistical analysis.

    baseline and 24 weeks

Secondary Outcomes (10)

  • Change From Baseline in Mean 24-hour Ambulatory Systolic Blood Pressure (SBP) at Week 12

    baseline and 12 weeks

  • Changes From Baseline in Trough Mean Ambulatory SBP at Week 12

    baseline and 12 weeks

  • Change From Baseline in Body Weight at Week 24

    baseline and 24 weeks

  • Change From Baseline in Trough Seated SBP at Week 12

    baseline and 12 weeks

  • Change From Baseline in Mean 24-hour Ambulatory SBP (mmHg) at Week 24

    baseline and 24 weeks

  • +5 more secondary outcomes

Study Arms (2)

Empagliflozin

EXPERIMENTAL

starting dose 10mg; forced titration after 4 weeks 25mg dose

Drug: Empagliflozin low doseDrug: Empagliflozin high dose

Placebo

PLACEBO COMPARATOR

starting dose 10mg; forced titration after 4 weeks 25mg dose

Drug: placebo

Interventions

starting dose 10mg; forced titration after 4 weeks 25mg dose

Empagliflozin

starting dose 10mg; forced titration after 4 weeks 25mg dose

Placebo

starting dose 10mg; forced titration after 4 weeks 25mg dose

Empagliflozin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of Type 2 Diabetes Mellitus (T2DM) prior to informed consent.
  • Male and female black/African American patients on diet and exercise regimen who are EITHER drug-naĂ¯ve (defined as absence of any oral antidiabetic therapy, glucagon like peptide-1 (GLP-1) analog or insulin for 12 weeks, 16 weeks for pioglitazone prior to randomisation) OR pre-treated with stable dose of
  • Metformin only, or
  • Sulfonylurea only, or
  • Dipeptidyl peptidase-4 (DPP-4) inhibitor only, or
  • metformin plus sulfonylurea, or
  • metformin plus DPP-4 inhibitor. Treatment has to be unchanged for a minimum of 12 weeks prior to randomization. Dose for metformin: maximum tolerated dose The maximum daily dose of Sulfonylurea (SU) or DPP-4 inhibitor should not exceed that stated in the local label.
  • HbA1c of \>= 7.0% (53 mmol/mol) and ≤ 11.0% (97 mmol/mol) at Visit 1 (screening).
  • Mean seated Systolic Blood Pressure (SBP) 140-180 mmHg at Visit 1 (screening).
  • Successful completion of baseline Ambulatory Blood Pressure Monitor (ABPM) testing with a mean SBP 135-175 mmHg prior to randomisation.
  • Treatment with stable doses of at least one but not more than 4 antihypertensive medication \>= 4 weeks prior to randomisation.
  • Age \>= 18 years at Visit 1 (screening)
  • Signed and dated written informed consent by date of Visit 1 in accordance with Good Clinical Practice (GCP) and local legislation

You may not qualify if:

  • Uncontrolled hyperglycemia with a glucose level \>270 mg/dl (\>15.0 mmol/L) after an overnight fast during placebo run-in (includes Visit 2.1) and confirmed by a second measurement (not on the same day).
  • Exposure to any other antidiabetic medication within 12 weeks prior to randomisation other than metformin, sulfonylurea, Dipeptidyl peptidase-4 (DPP-4) inhibitor, metformin plus sulfonylurea or metformin plus DPP-4 inhibitor.
  • Current hypertension treatment with oral Minoxidil (topical minoxidil for hair growth is allowed).
  • Mean seated Systolic Blood Pressure (SBP) ≥181 mmHg during placebo run-in visit and confirmed by a second measurement (not on the same day) preferably within one day.
  • Upper arm circumference that exceeds the upper circumference level of the cuff size of either Ambulatory Blood Pressure Monitor (ABPM) and/or (BP) measurement device used in the study.
  • Night shift workers who routinely sleep during the daytime and/or whose work hours include midnight.
  • Diagnosis of autoimmune diabetes/Type I diabetes mellitus, monogenic (neonatal or maturity onset diabetes of the young (MODY)) diabetes or Type I diabetes in adults/latent autoimmune diabetes of adults (LADA) per investigator or patient medical history at the time of Visit 1 (screening).
  • Known or suspected secondary hypertension (e.g. renal artery stenosis,phaeochromocytoma, Cushing's disease).
  • History or evidence of hypertensive retinopathy (Keith-Wagener grade III or IV) and/or hypertensive encephalopathy.
  • Clinically significant valvular heart disease or severe aortic stenosis in the opinion of the investigator.
  • Acute coronary syndrome (non- ST wave elevated myocardial infarction (STEMI), STEMI and unstable angina pectoris), stroke or transient ischemic attack within 3 months prior to informed consent.
  • Indication of liver disease, defined by serum levels of either Alanine Aminotransferase (ALT) (Serum Glutamic Pyruvate Transaminase(SGPT)), Aspartate Aminotransferase (AST) (Serum Glutamic Oxaloacetic Transaminase (SGOT)), or alkaline phosphatase above 3 x upper limit of normal (ULN) as determined during screening and/or run-in phase.
  • Impaired renal function, defined as Estimated Glomerular Filtration Rate (eGFR)\< 45 ml/min/1.73m2 (moderate renal impairment, chronic kidney disease epidemiology collaboration Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula) as determined during screening and/or run-in phase.
  • Bariatric surgery within the past two years and other gastrointestinal surgeries that induce chronic malabsorption.
  • Medical history of cancer (except for basal cell carcinoma) and/or treatment for cancer within the last 5 years.
  • +10 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (92)

University of Alabama at Birmingham

Birmingham, Alabama, 35205, United States

Location

Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC

Birmingham, Alabama, 35211, United States

Location

Longwood Research

Huntsville, Alabama, 35801, United States

Location

Internal Medicine Center, LLC

Mobile, Alabama, 36608, United States

Location

Mobile Medical and Diagnostic Center

Mobile, Alabama, 36617, United States

Location

University of South Alabama

Mobile, Alabama, 36617, United States

Location

Cardiology and Medicine Clinic

Little Rock, Arkansas, 72204, United States

Location

Larry Watkins, M .D.

Little Rock, Arkansas, 72205, United States

Location

eStudySite

Chula Vista, California, 91911, United States

Location

Torrance Clinical Research Institute Inc.

Lomita, California, 90717, United States

Location

Long Beach Center for Clinical Research

Long Beach, California, 90807, United States

Location

MD Clinical Trials

Los Angeles, California, 90025, United States

Location

Office of Dr. Alexander Ford, M.D.

Los Angeles, California, 90035, United States

Location

Diabetes Associates Medical Group

Orange, California, 92868, United States

Location

Integrated Research Group, Inc.

Riverside, California, 92506, United States

Location

Clinical Trials Research

Sacramento, California, 95821, United States

Location

Orange County Research Center

Tustin, California, 92780, United States

Location

Lynn Institute of Denver

Denver, Colorado, 80246, United States

Location

Pines Clinical Research Inc.

Hollywood, Florida, 33024, United States

Location

UF Health Jacksonville

Jacksonville, Florida, 32207, United States

Location

Care Partners Clinical Research LLC

Jacksonville, Florida, 32277, United States

Location

Sunshine Research Center

Opa-locka, Florida, 33054, United States

Location

Central Florida Internist

Orlando, Florida, 32811, United States

Location

Accord Clinical Research, LLC

Port Orange, Florida, 32129, United States

Location

International Clinical Research - US, LLC

Sanford, Florida, 32771, United States

Location

Meridien Research

St. Petersburg, Florida, 33709, United States

Location

Alternative Solutions Medical Research and Prevention Center

St. Petersburg, Florida, 33711, United States

Location

Meridien Research

Tampa, Florida, 33634, United States

Location

Grady Memorial Hospital

Atlanta, Georgia, 30303, United States

Location

Morehouse School of Medicine

Atlanta, Georgia, 30310, United States

Location

Atlanta Center

Atlanta, Georgia, 30331, United States

Location

Atlanta Clinical Research Centers

Atlanta, Georgia, 30342, United States

Location

Albert F. Johary MD, PC

Dunwoody, Georgia, 30338, United States

Location

Sestron Clinical Research

Marietta, Georgia, 30060, United States

Location

Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC

Marietta, Georgia, 30067, United States

Location

WR-Mount Vernon Clinical Research, LLC

Sandy Springs, Georgia, 30328, United States

Location

Eagle's Landing Diabetes and Endocrinology

Stockbridge, Georgia, 30281, United States

Location

Cedar Crosse Research Center

Chicago, Illinois, 60607, United States

Location

John H. Stroger Jr. Hospital of Cook Country

Chicago, Illinois, 60612, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Investigators Research Group, LLC

Brownsburg, Indiana, 46112, United States

Location

Centex Studies, Inc.

Lake Charles, Louisiana, 70601, United States

Location

Gulf Regional Research and Education Services, LLC

Metairie, Louisiana, 70002, United States

Location

New Orleans Center for Clinical Research

New Orleans, Louisiana, 70119, United States

Location

University of Maryland School of Medicine

Baltimore, Maryland, 21201, United States

Location

American Institute of Research Studies

Baltimore, Maryland, 21218, United States

Location

Phillips Medical Services, PLLC

Jackson, Mississippi, 39209, United States

Location

Mercy Research

Washington, Missouri, 63090-4700, United States

Location

Quality Clinical Research Inc

Omaha, Nebraska, 68114, United States

Location

Accent Clinical Trials

Las Vegas, Nevada, 89106, United States

Location

Lovelace Scientific Resources, Inc.

Albuquerque, New Mexico, 87108, United States

Location

Offic of Dr. Eric Cheng

Brooklyn, New York, 11203-1203, United States

Location

Healthwise Medical Associates

Brooklyn, New York, 11206, United States

Location

Modern Medical

Brooklyn, New York, 11207, United States

Location

Erie County Medical Center

Buffalo, New York, 14215, United States

Location

Scott Research, Inc.

Laurelton, New York, 11413, United States

Location

Medex Healthcare Research, Inc.

New York, New York, 10036, United States

Location

Laurelton Heart Specialist, PC

Rosedale, New York, 11422, United States

Location

Metrolina Internal Medicine, PA

Charlotte, North Carolina, 28204, United States

Location

PhysiqueMed Clinical Trials

Greensboro, North Carolina, 27405, United States

Location

Triad Clinical Trials

Greensboro, North Carolina, 27410, United States

Location

Peters Medical Research

High Point, North Carolina, 27262, United States

Location

High Point Clinical Trials Center

High Point, North Carolina, 27265, United States

Location

Coastal Carolina Health Care, P.A.

New Bern, North Carolina, 28562, United States

Location

Hometown Urgent Care

Columbus, Ohio, 43214, United States

Location

Dayton Clinical Research

Dayton, Ohio, 45406, United States

Location

Today Clinical Research, Oklahoma City

Oklahoma City, Oklahoma, 73129, United States

Location

Suburban Research Associates

Media, Pennsylvania, 19063, United States

Location

Temple University School of Medicine

Philadelphia, Pennsylvania, 19140, United States

Location

Medical Research South

Charleston, South Carolina, 29407, United States

Location

TLM Medical Services, LLC

Columbia, South Carolina, 29204, United States

Location

Amistad Clinical Research Center

Columbia, South Carolina, 29223, United States

Location

Greenville Pharmaceutical Rsch

Greenville, South Carolina, 29615, United States

Location

Mountain View Clinical Research

Greer, South Carolina, 29651, United States

Location

Berkley Family Practice

Moncks Corner, South Carolina, 29461, United States

Location

Carolina Cardiology Clinical Research Institute, LLC

Rock Hill, South Carolina, 29732, United States

Location

Community Research Partners, Inc

Varnville, South Carolina, 29944, United States

Location

Memphis Veterans Affairs Medical Center

Memphis, Tennessee, 38104, United States

Location

The Green Clinic PC

Memphis, Tennessee, 38119, United States

Location

Southwind Medical Specialists

Memphis, Tennessee, 38125, United States

Location

University of Tennessee

Memphis, Tennessee, 38163, United States

Location

Diagnostic Clinic of Houston

Houston, Texas, 77004, United States

Location

Cullen Family Practice, PLLC

Houston, Texas, 77051, United States

Location

Centex Studies, Inc.

Houston, Texas, 77058, United States

Location

Texas Center for Drug Development, Inc.

Houston, Texas, 77081, United States

Location

Kelsey-Seybold Clinic

Houston, Texas, 77096, United States

Location

Hillcrest Family Health Center

Waco, Texas, 76710, United States

Location

Millennium Clinical Trials LLC

Arlington, Virginia, 22203, United States

Location

York Clinical Research, LLC

Norfolk, Virginia, 23510, United States

Location

Dominion Medical Associates, Inc.

Richmond, Virginia, 23219, United States

Location

Clinical Research Partners, LLC

Richmond, Virginia, 23235, United States

Location

Family Medical Clinic

Milwaukee, Wisconsin, 53216, United States

Location

Related Publications (3)

  • Ferdinand KC, Harrison D, Johnson A. The NEW-HOPE study and emerging therapies for difficult-to-control and resistant hypertension. Prog Cardiovasc Dis. 2020 Jan-Feb;63(1):64-73. doi: 10.1016/j.pcad.2019.12.008. Epub 2020 Jan 8.

  • Ferdinand KC, Izzo JL, Lee J, Meng L, George J, Salsali A, Seman L. Antihyperglycemic and Blood Pressure Effects of Empagliflozin in Black Patients With Type 2 Diabetes Mellitus and Hypertension. Circulation. 2019 Apr 30;139(18):2098-2109. doi: 10.1161/CIRCULATIONAHA.118.036568.

  • Ferdinand KC, Seman L, Salsali A. Design of a 24-week trial of empagliflozin once daily in hypertensive black/African American patients with type 2 diabetes mellitus. Curr Med Res Opin. 2018 Feb;34(2):361-367. doi: 10.1080/03007995.2017.1405800. Epub 2017 Nov 29.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Hypertension

Interventions

empagliflozin

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesVascular DiseasesCardiovascular Diseases

Results Point of Contact

Title
Boehringer Ingelheim, Call Center
Organization
Boehringer Ingelheim

Study Officials

  • Boehringer Ingelheim

    Boehringer Ingelheim

    STUDY CHAIR

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

July 3, 2014

First Posted

July 8, 2014

Study Start

July 25, 2014

Primary Completion

May 18, 2017

Study Completion

May 18, 2017

Last Updated

July 31, 2018

Results First Posted

July 31, 2018

Record last verified: 2018-06

Locations