A Phase 3, Randomized, Double-blind, Parallel-group, Comparative Study and a Phase 3, Multicenter, Open-label, Long-term Study of SYR-472 (25 mg) in Patients With Type 2 Diabetes Mellitus Complicated by Severe Renal Impairment or End-stage Renal Disease
CompletedPhase 3Results postedLast updated 12 December 2023
What this trial tests
Phase 3 trial testing Trelagliptin 25 mg in Type 2 Diabetes Mellitus in 107 participants. Completed in 24 April 2018.
20 and older, any sex, with Type 2 Diabetes Mellitus. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Change From Baseline in HbA1c at the End of Treatment Period IPrimary· Baseline (Week 0) and end of Treatment Period I (Up to Week 12)
Group
Value
95% CI
Trelagliptin 25 mg
-0.71
± 0.087
Placebo and Trelagliptin 25 mg
0.01
± 0.089
Number of Participants Who Had One or More Treatment Emergent Adverse Event (TEAE) Before the Start of Study Drug Administration in Treatment Period IIPrimary· Up to Week 12
An Adverse Event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a drug (including the study drug). It does not necessarily have to have a causal relationship with this treatment (including the study drug). An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug (including the study drug), whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an ad
Group
Value
95% CI
Trelagliptin 25 mg
40
Placebo and Trelagliptin 25 mg
32
Number of Participants Who Had One or More TEAE Occurred After 1st Dose of Trelagliptin 25 mg TabletPrimary· Up to Week 54
An AE is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a drug (including the study drug). It does not necessarily have to have a causal relationship with this treatment (including the study drug). An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug (including the study drug), whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receivi
Group
Value
95% CI
Trelagliptin 25 mg
54
Placebo and Trelagliptin 25 mg
48
Changes From Baseline in HbA1cSecondary· Baseline (Week 0) and Week 2, 4, 8, 12, and End of Treatment Period I (up to Week 12) and Period II (up to Week 52)
Reported data was the change from baseline in HbA1c at each time point.
At Week 2
Group
Value
95% CI
Trelagliptin 25 mg
-0.24
± 0.274
Placebo and Trelagliptin 25 mg
0.05
± 0.260
At Week 4
Group
Value
95% CI
Trelagliptin 25 mg
-0.46
± 0.370
Placebo and Trelagliptin 25 mg
0.02
± 0.362
At Week 8
Group
Value
95% CI
Trelagliptin 25 mg
-0.64
± 0.556
Placebo and Trelagliptin 25 mg
-0.05
± 0.530
At Week 12
Group
Value
95% CI
Trelagliptin 25 mg
-0.73
± 0.576
Placebo and Trelagliptin 25 mg
0.03
± 0.740
At the End of Treatment Period I
Group
Value
95% CI
Trelagliptin 25 mg
-0.70
± 0.555
Placebo and Trelagliptin 25 mg
0.00
± 0.731
At the End of Treatment Period II
Group
Value
95% CI
Trelagliptin 25 mg
-0.76
± 0.824
Placebo and Trelagliptin 25 mg
-0.74
± 0.843
Number of Participants Achieving <6.0%, <7.0%, and <8.0% HbA1c at the End of Treatment Period I and Period IISecondary· At the end of Treatment Period I (Up to Week 12) and Period II (Up to Week 52)
HbA1c <6.0% at the End of Treatment Period I
Group
Value
95% CI
Trelagliptin 25 mg
3
Placebo and Trelagliptin 25 mg
2
HbA1c <6.0% at the End of Treatment Period II
Group
Value
95% CI
Trelagliptin 25 mg
7
Placebo and Trelagliptin 25 mg
8
HbA1c <7.0% at the End of Treatment Period I
Group
Value
95% CI
Trelagliptin 25 mg
22
Placebo and Trelagliptin 25 mg
7
HbA1c <7.0% at the End of Treatment Period II
Group
Value
95% CI
Trelagliptin 25 mg
22
Placebo and Trelagliptin 25 mg
18
HbA1c <8.0% at the End of Treatment Period I
Group
Value
95% CI
Trelagliptin 25 mg
10
Placebo and Trelagliptin 25 mg
5
HbA1c <8.0% at the End of Treatment Period II
Group
Value
95% CI
Trelagliptin 25 mg
11
Placebo and Trelagliptin 25 mg
8
Change From Baseline in Fasting Plasma GlucoseSecondary· Baseline (Week 0) and Week 2, 4, 8, 12, and End of Treatment Period I (up to Week 12) and Period II (up to Week 52)
Reported data was the change from baseline in fasting plasma glucose at each time point.
At Week 2
Group
Value
95% CI
Trelagliptin 25 mg
-12.9
± 22.67
Placebo and Trelagliptin 25 mg
2.3
± 20.78
At Week 4
Group
Value
95% CI
Trelagliptin 25 mg
-11.3
± 31.25
Placebo and Trelagliptin 25 mg
-2.6
± 32.49
At Week 8
Group
Value
95% CI
Trelagliptin 25 mg
-12.7
± 25.56
Placebo and Trelagliptin 25 mg
-4.3
± 27.28
At Week 12
Group
Value
95% CI
Trelagliptin 25 mg
-15.9
± 31.95
Placebo and Trelagliptin 25 mg
-0.3
± 24.86
At the End of Treatment Period I
Group
Value
95% CI
Trelagliptin 25 mg
-14.8
± 31.51
Placebo and Trelagliptin 25 mg
0.8
± 25.50
At the End of Treatment Period II
Group
Value
95% CI
Trelagliptin 25 mg
-14.3
± 37.48
Placebo and Trelagliptin 25 mg
-7.3
± 34.31
Change From Baseline in GlycoalbuminSecondary· Baseline (Week 0) and Week 2, 4, 8, 12, and End of Treatment Period I (up to Week 12) and Period II (up to Week 52)
Reported data was the change from baseline in glycoalbumin at each time point.
At Week 2
Group
Value
95% CI
Trelagliptin 25 mg
-1.67
± 1.137
Placebo and Trelagliptin 25 mg
0.10
± 1.059
At Week 4
Group
Value
95% CI
Trelagliptin 25 mg
-2.46
± 1.534
Placebo and Trelagliptin 25 mg
-0.01
± 1.474
At Week 8
Group
Value
95% CI
Trelagliptin 25 mg
-2.69
± 2.038
Placebo and Trelagliptin 25 mg
-0.21
± 2.033
At Week 12
Group
Value
95% CI
Trelagliptin 25 mg
-2.85
± 2.523
Placebo and Trelagliptin 25 mg
-0.27
± 2.563
At the End of Treatment Period I
Group
Value
95% CI
Trelagliptin 25 mg
-2.81
± 2.401
Placebo and Trelagliptin 25 mg
-0.15
± 2.537
At the End of Treatment Period II
Group
Value
95% CI
Trelagliptin 25 mg
-3.12
± 2.580
Placebo and Trelagliptin 25 mg
-3.06
± 2.604
Numbers of Participants With TEAE Related to Vital Signs Before the Start of Study Drug Administration in Treatment Period IISecondary· Up to Week 12
Number of participants with a vital sign-related TEAE classified under the System Organ Class of "investigations," was reported.
Group
Value
95% CI
Trelagliptin 25 mg
1
Placebo and Trelagliptin 25 mg
2
Number of Participants With Markedly Abnormal Values of 12-Lead Electrocardiogram (ECG) Parameters Before the Start of Study Drug Administration in Treatment Period IISecondary· Up to Week 12
Here "QTcF" is corrected QT interval by Fridericia formula.
QTcF Interval >450 millisecond (msec)
Group
Value
95% CI
Trelagliptin 25 mg
13
Placebo and Trelagliptin 25 mg
16
QTcF Interval >480 msec
Group
Value
95% CI
Trelagliptin 25 mg
3
Placebo and Trelagliptin 25 mg
5
QTcF Interval >500 msec
Group
Value
95% CI
Trelagliptin 25 mg
1
Placebo and Trelagliptin 25 mg
1
Number of Participants With Markedly Abnormal Values of Clinical Laboratory Parameters Before the Start of Study Drug Administration in Treatment Period IISecondary· Up to Week 12
Here "U/L" is Unit/Litter, and "ULN" is Upper Limit of Normal.
Amylase (U/L) >2×ULN
Group
Value
95% CI
Trelagliptin 25 mg
4
Placebo and Trelagliptin 25 mg
1
Lipase (U/L) >3×ULN
Group
Value
95% CI
Trelagliptin 25 mg
1
Placebo and Trelagliptin 25 mg
3
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to Week 54.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The purpose of this study is to evaluate the efficacy and safety of trelagliptin when administered at a dose of 25 mg once weekly using placebo as a control in patients with type 2 diabetes mellitus complicated by severe renal impairment or end-stage renal disease and inadequate glycemic control despite diet and/or exercise therapy (if given) or despite treatment with one antidiabetic drug in addition to diet and/or exercise therapy (if given); and to evaluate the long-term efficacy and safety of trelagliptin when administered at a dose of 25 mg once weekly to patients with type 2 diabetes mellitus complicated by severe renal impairment or end-stage renal disease.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Takeda
Last refreshed: 12 December 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02512068.