24 Week Efficacy and Safety Study of Empagliflozin (BI 10773) in Hypertensive Black/African American Patients With Type 2 Diabetes Mellitus and Hypertension
A Randomised, Double-blind, Placebo-controlled, Parallel Group, Efficacy and Safety Study of Empagliflozin (10mg, 25mg) Administered Orally, Once Daily Over 24 Weeks in Hypertensive Black/African American Patients With Type 2 Diabetes Mellitus
1 other identifier
interventional
166
1 country
92
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 diabetes-mellitus-type-2
Started Jul 2014
Longer than P75 for phase_3 diabetes-mellitus-type-2
92 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
July 3, 2014
CompletedFirst Posted
Study publicly available on registry
July 8, 2014
CompletedStudy Start
First participant enrolled
July 25, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 18, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
May 18, 2017
CompletedResults Posted
Study results publicly available
July 31, 2018
CompletedJuly 31, 2018
June 1, 2018
2.8 years
July 3, 2014
May 16, 2018
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
EXPERIMENTALstarting dose 10mg; forced titration after 4 weeks 25mg dose
Placebo
PLACEBO COMPARATORstarting dose 10mg; forced titration after 4 weeks 25mg dose
Interventions
starting dose 10mg; forced titration after 4 weeks 25mg dose
Eligibility Criteria
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
- Boehringer Ingelheimlead
- Eli Lilly and Companycollaborator
Study Sites (92)
University of Alabama at Birmingham
Birmingham, Alabama, 35205, United States
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Birmingham, Alabama, 35211, United States
Longwood Research
Huntsville, Alabama, 35801, United States
Internal Medicine Center, LLC
Mobile, Alabama, 36608, United States
Mobile Medical and Diagnostic Center
Mobile, Alabama, 36617, United States
University of South Alabama
Mobile, Alabama, 36617, United States
Cardiology and Medicine Clinic
Little Rock, Arkansas, 72204, United States
Larry Watkins, M .D.
Little Rock, Arkansas, 72205, United States
eStudySite
Chula Vista, California, 91911, United States
Torrance Clinical Research Institute Inc.
Lomita, California, 90717, United States
Long Beach Center for Clinical Research
Long Beach, California, 90807, United States
MD Clinical Trials
Los Angeles, California, 90025, United States
Office of Dr. Alexander Ford, M.D.
Los Angeles, California, 90035, United States
Diabetes Associates Medical Group
Orange, California, 92868, United States
Integrated Research Group, Inc.
Riverside, California, 92506, United States
Clinical Trials Research
Sacramento, California, 95821, United States
Orange County Research Center
Tustin, California, 92780, United States
Lynn Institute of Denver
Denver, Colorado, 80246, United States
Pines Clinical Research Inc.
Hollywood, Florida, 33024, United States
UF Health Jacksonville
Jacksonville, Florida, 32207, United States
Care Partners Clinical Research LLC
Jacksonville, Florida, 32277, United States
Sunshine Research Center
Opa-locka, Florida, 33054, United States
Central Florida Internist
Orlando, Florida, 32811, United States
Accord Clinical Research, LLC
Port Orange, Florida, 32129, United States
International Clinical Research - US, LLC
Sanford, Florida, 32771, United States
Meridien Research
St. Petersburg, Florida, 33709, United States
Alternative Solutions Medical Research and Prevention Center
St. Petersburg, Florida, 33711, United States
Meridien Research
Tampa, Florida, 33634, United States
Grady Memorial Hospital
Atlanta, Georgia, 30303, United States
Morehouse School of Medicine
Atlanta, Georgia, 30310, United States
Atlanta Center
Atlanta, Georgia, 30331, United States
Atlanta Clinical Research Centers
Atlanta, Georgia, 30342, United States
Albert F. Johary MD, PC
Dunwoody, Georgia, 30338, United States
Sestron Clinical Research
Marietta, Georgia, 30060, United States
Clinical Research Advantage, Inc./Rita B. Chuang, MD, LLC
Marietta, Georgia, 30067, United States
WR-Mount Vernon Clinical Research, LLC
Sandy Springs, Georgia, 30328, United States
Eagle's Landing Diabetes and Endocrinology
Stockbridge, Georgia, 30281, United States
Cedar Crosse Research Center
Chicago, Illinois, 60607, United States
John H. Stroger Jr. Hospital of Cook Country
Chicago, Illinois, 60612, United States
University of Chicago
Chicago, Illinois, 60637, United States
Investigators Research Group, LLC
Brownsburg, Indiana, 46112, United States
Centex Studies, Inc.
Lake Charles, Louisiana, 70601, United States
Gulf Regional Research and Education Services, LLC
Metairie, Louisiana, 70002, United States
New Orleans Center for Clinical Research
New Orleans, Louisiana, 70119, United States
University of Maryland School of Medicine
Baltimore, Maryland, 21201, United States
American Institute of Research Studies
Baltimore, Maryland, 21218, United States
Phillips Medical Services, PLLC
Jackson, Mississippi, 39209, United States
Mercy Research
Washington, Missouri, 63090-4700, United States
Quality Clinical Research Inc
Omaha, Nebraska, 68114, United States
Accent Clinical Trials
Las Vegas, Nevada, 89106, United States
Lovelace Scientific Resources, Inc.
Albuquerque, New Mexico, 87108, United States
Offic of Dr. Eric Cheng
Brooklyn, New York, 11203-1203, United States
Healthwise Medical Associates
Brooklyn, New York, 11206, United States
Modern Medical
Brooklyn, New York, 11207, United States
Erie County Medical Center
Buffalo, New York, 14215, United States
Scott Research, Inc.
Laurelton, New York, 11413, United States
Medex Healthcare Research, Inc.
New York, New York, 10036, United States
Laurelton Heart Specialist, PC
Rosedale, New York, 11422, United States
Metrolina Internal Medicine, PA
Charlotte, North Carolina, 28204, United States
PhysiqueMed Clinical Trials
Greensboro, North Carolina, 27405, United States
Triad Clinical Trials
Greensboro, North Carolina, 27410, United States
Peters Medical Research
High Point, North Carolina, 27262, United States
High Point Clinical Trials Center
High Point, North Carolina, 27265, United States
Coastal Carolina Health Care, P.A.
New Bern, North Carolina, 28562, United States
Hometown Urgent Care
Columbus, Ohio, 43214, United States
Dayton Clinical Research
Dayton, Ohio, 45406, United States
Today Clinical Research, Oklahoma City
Oklahoma City, Oklahoma, 73129, United States
Suburban Research Associates
Media, Pennsylvania, 19063, United States
Temple University School of Medicine
Philadelphia, Pennsylvania, 19140, United States
Medical Research South
Charleston, South Carolina, 29407, United States
TLM Medical Services, LLC
Columbia, South Carolina, 29204, United States
Amistad Clinical Research Center
Columbia, South Carolina, 29223, United States
Greenville Pharmaceutical Rsch
Greenville, South Carolina, 29615, United States
Mountain View Clinical Research
Greer, South Carolina, 29651, United States
Berkley Family Practice
Moncks Corner, South Carolina, 29461, United States
Carolina Cardiology Clinical Research Institute, LLC
Rock Hill, South Carolina, 29732, United States
Community Research Partners, Inc
Varnville, South Carolina, 29944, United States
Memphis Veterans Affairs Medical Center
Memphis, Tennessee, 38104, United States
The Green Clinic PC
Memphis, Tennessee, 38119, United States
Southwind Medical Specialists
Memphis, Tennessee, 38125, United States
University of Tennessee
Memphis, Tennessee, 38163, United States
Diagnostic Clinic of Houston
Houston, Texas, 77004, United States
Cullen Family Practice, PLLC
Houston, Texas, 77051, United States
Centex Studies, Inc.
Houston, Texas, 77058, United States
Texas Center for Drug Development, Inc.
Houston, Texas, 77081, United States
Kelsey-Seybold Clinic
Houston, Texas, 77096, United States
Hillcrest Family Health Center
Waco, Texas, 76710, United States
Millennium Clinical Trials LLC
Arlington, Virginia, 22203, United States
York Clinical Research, LLC
Norfolk, Virginia, 23510, United States
Dominion Medical Associates, Inc.
Richmond, Virginia, 23219, United States
Clinical Research Partners, LLC
Richmond, Virginia, 23235, United States
Family Medical Clinic
Milwaukee, Wisconsin, 53216, United States
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.
PMID: 31923435DERIVEDFerdinand 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.
PMID: 30786754DERIVEDFerdinand 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.
PMID: 29139301DERIVED
MeSH Terms
Conditions
Interventions
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 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