Treatment Preference for Weekly Dipeptidyl Peptidase-4 (DPP-4) Inhibitors Versus Daily DPP-4 Inhibitors in Participants With Type 2 Diabetes Mellitus
TRINITY
3 other identifiers
interventional
60
1 country
2
Brief Summary
The purpose of this study is to examine the participant's preference for treatment with once-weekly dosing of DPP-4 inhibitor trelagliptin versus once-daily dosing of DPP-4 inhibitor alogliptin among the participants with type 2 diabetes mellitus who are being treated with once-daily dosing of DPP-4 inhibitor.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 type-2-diabetes-mellitus
Started Aug 2017
Shorter than P25 for phase_4 type-2-diabetes-mellitus
2 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
July 25, 2017
CompletedFirst Posted
Study publicly available on registry
July 27, 2017
CompletedStudy Start
First participant enrolled
August 18, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 9, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
February 9, 2018
CompletedResults Posted
Study results publicly available
May 10, 2019
CompletedDecember 22, 2023
December 1, 2023
6 months
July 25, 2017
February 7, 2019
December 7, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period
Participants answered standardized questions about their preference of drug therapy for Type 2 Diabetes Mellitus. Participants selected one choice from the following 4 choices; either once-weekly DPP-4 inhibitor or daily DPP-4 inhibitor, once-weekly DPP-4 inhibitor, daily DPP-4 inhibitor, neither once-weekly DPP-4 inhibitor nor daily DPP-4 inhibitor. Reported data was the number of participants with a choice of either trelagliptin (once-weekly DPP-4 inhibitor) or alogliptin (once-daily DPP-4 inhibitor), trelagliptin, alogliptin, neither trelagliptin nor alogliptin.
At Week 16
Secondary Outcomes (3)
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors
At Week 16
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (T-A Administered Group)
At Week 16
Number of Participants by Their Treatment Preference Using Standardized Questions at the End of Treatment Period by Background Factors (A-T Administered Group)
At Week 16
Study Arms (2)
Trelagliptin 100 mg + Alogliptin 25 mg
EXPERIMENTALTrelagliptin preceding group (T-A group): Trelagliptin 100 mg, tablets, orally, once a week for 8 weeks, followed by alogliptin, 25 mg, tablets, orally, once a day for 8 weeks.
Alogliptin 25 mg + Trelagliptin 100 mg
EXPERIMENTALAlogliptin preceding group (A-T group): Alogliptin, 25 mg, tablets, orally, once a day for 8 weeks, followed by trelagliptin, 100 mg, tablets, orally, once a week for 8 weeks.
Interventions
Trelagliptin tablets
Alogliptin tablets
Eligibility Criteria
You may qualify if:
- Participants who have been diagnosed with type 2 diabetes mellitus.
- Participants who are being treated with any of the following DPP-4 inhibitors for at least 8 weeks prior to the time of informed consent (Week 0).
- Sitagliptin : 50 mg once daily
- Alogliptin : 25 mg once daily
- Linagliptin : 5 mg once daily
- Teneligliptin : 20 mg once daily
- Saxagliptin : 5 mg once daily
- Participants whose glycosylated hemoglobin (HbA1c) value measured within 8 weeks prior to the time of informed consent (Week 0) is below 10.0%.
- Participants who responded to Diabetes Treatment Satisfaction Questionnaire (DTSQ) at the time of informed consent (Week 0).
- Participants who were judged by the investigators capable to understand the contents of this clinical research and comply with them.
- Participants who are able to sign and date the Informed Consent Form before any clinical research procedure begins.
- Participants who are at least 20 years old at the time of giving the consent.
- Participants who are classified as outpatients.
You may not qualify if:
- Participants who have a history of taking once-weekly dosing of DPP-4 inhibitor (trelagliptin or omarigliptin).
- Participants who are being treated with drugs other than those for once-daily oral dosing for the purpose of treatment of chronic complication (for example, "BENET® Tablets 75 mg", a therapeutic agent for osteoporosis which is administered once monthly).
- Participants who are being treated with twice-daily dosing of DPP-4 inhibitor (vildagliptin or anagliptin).
- Participants who are being treated with anti-diabetic fixed-dose combination pill contained a DPP-4 inhibitor.
- Participants with moderate or severe renal impairment (for example, participant whose estimated glomerular filtration rate (eGFR) is below 60 mL/min/1.73m\^2).
- Participants for whom blood sugar control by insulin preparations is desired (for example, participants with severe ketosis, diabetic coma or precoma, type 1 diabetes mellitus, severe infection, or serious trauma before or after surgery).
- Participants who have a history of hypersensitivity or allergy to DPP-4 inhibitor.
- Participants with serious heart disease, cerebrovascular disorder, or participants with serious disease in the pancreas, blood, etc.
- Participants with unstable proliferative diabetic retinopathy.
- Participants with malignant tumor.
- Participants who are pregnant, breast-feeding, possibly pregnant, or planning to become pregnant.
- Participants participating in other clinical studies.
- Participants who have been determined as inappropriate participants by the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Takedalead
Study Sites (2)
OCROM Clinic
Suita, Osaka, Japan
ToCROM Clinic
Shinjuku, Tokyo, Japan
Related Publications (1)
Meguro S, Matsui S, Itoh H. Treatment preference for weekly versus daily DPP-4 inhibitors in patients with type 2 diabetes mellitus: outcomes from the TRINITY trial. Curr Med Res Opin. 2019 Dec;35(12):2071-2078. doi: 10.1080/03007995.2019.1651130. Epub 2019 Aug 22.
PMID: 31366262DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Director
- Organization
- Takeda (Note: This product was divested to Teijin Pharma Limited in 2023)
Study Officials
- STUDY DIRECTOR
Study Director
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
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 25, 2017
First Posted
July 27, 2017
Study Start
August 18, 2017
Primary Completion
February 9, 2018
Study Completion
February 9, 2018
Last Updated
December 22, 2023
Results First Posted
May 10, 2019
Record last verified: 2023-12
Data Sharing
- IPD Sharing
- Will share
Takeda makes patient-level, de-identified data sets and associated documents available after applicable marketing approvals and commercial availability have been received, an opportunity for the primary publication of the research has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com/approach for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.