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NCT02512068

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

Completed Phase 3 Results posted Last 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.

Timeline
7 August 2015
Primary endpoint
24 April 2018
24 April 2018

Quick facts

Lead sponsorTakeda
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment107
Start date7 August 2015
Primary completion24 April 2018
Estimated completion24 April 2018
Sites49 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

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 I Primary · Baseline (Week 0) and end of Treatment Period I (Up to Week 12)
GroupValue95% CI
Trelagliptin 25 mg-0.71± 0.087
Placebo and Trelagliptin 25 mg0.01± 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 II Primary · 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

GroupValue95% CI
Trelagliptin 25 mg40
Placebo and Trelagliptin 25 mg32
Number of Participants Who Had One or More TEAE Occurred After 1st Dose of Trelagliptin 25 mg Tablet Primary · 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

GroupValue95% CI
Trelagliptin 25 mg54
Placebo and Trelagliptin 25 mg48
Changes From Baseline in HbA1c Secondary · 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
GroupValue95% CI
Trelagliptin 25 mg-0.24± 0.274
Placebo and Trelagliptin 25 mg0.05± 0.260
At Week 4
GroupValue95% CI
Trelagliptin 25 mg-0.46± 0.370
Placebo and Trelagliptin 25 mg0.02± 0.362
At Week 8
GroupValue95% CI
Trelagliptin 25 mg-0.64± 0.556
Placebo and Trelagliptin 25 mg-0.05± 0.530
At Week 12
GroupValue95% CI
Trelagliptin 25 mg-0.73± 0.576
Placebo and Trelagliptin 25 mg0.03± 0.740
At the End of Treatment Period I
GroupValue95% CI
Trelagliptin 25 mg-0.70± 0.555
Placebo and Trelagliptin 25 mg0.00± 0.731
At the End of Treatment Period II
GroupValue95% 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 II Secondary · 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
GroupValue95% CI
Trelagliptin 25 mg3
Placebo and Trelagliptin 25 mg2
HbA1c <6.0% at the End of Treatment Period II
GroupValue95% CI
Trelagliptin 25 mg7
Placebo and Trelagliptin 25 mg8
HbA1c <7.0% at the End of Treatment Period I
GroupValue95% CI
Trelagliptin 25 mg22
Placebo and Trelagliptin 25 mg7
HbA1c <7.0% at the End of Treatment Period II
GroupValue95% CI
Trelagliptin 25 mg22
Placebo and Trelagliptin 25 mg18
HbA1c <8.0% at the End of Treatment Period I
GroupValue95% CI
Trelagliptin 25 mg10
Placebo and Trelagliptin 25 mg5
HbA1c <8.0% at the End of Treatment Period II
GroupValue95% CI
Trelagliptin 25 mg11
Placebo and Trelagliptin 25 mg8
Change From Baseline in Fasting Plasma Glucose Secondary · 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
GroupValue95% CI
Trelagliptin 25 mg-12.9± 22.67
Placebo and Trelagliptin 25 mg2.3± 20.78
At Week 4
GroupValue95% CI
Trelagliptin 25 mg-11.3± 31.25
Placebo and Trelagliptin 25 mg-2.6± 32.49
At Week 8
GroupValue95% CI
Trelagliptin 25 mg-12.7± 25.56
Placebo and Trelagliptin 25 mg-4.3± 27.28
At Week 12
GroupValue95% CI
Trelagliptin 25 mg-15.9± 31.95
Placebo and Trelagliptin 25 mg-0.3± 24.86
At the End of Treatment Period I
GroupValue95% CI
Trelagliptin 25 mg-14.8± 31.51
Placebo and Trelagliptin 25 mg0.8± 25.50
At the End of Treatment Period II
GroupValue95% CI
Trelagliptin 25 mg-14.3± 37.48
Placebo and Trelagliptin 25 mg-7.3± 34.31
Change From Baseline in Glycoalbumin Secondary · 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
GroupValue95% CI
Trelagliptin 25 mg-1.67± 1.137
Placebo and Trelagliptin 25 mg0.10± 1.059
At Week 4
GroupValue95% CI
Trelagliptin 25 mg-2.46± 1.534
Placebo and Trelagliptin 25 mg-0.01± 1.474
At Week 8
GroupValue95% CI
Trelagliptin 25 mg-2.69± 2.038
Placebo and Trelagliptin 25 mg-0.21± 2.033
At Week 12
GroupValue95% CI
Trelagliptin 25 mg-2.85± 2.523
Placebo and Trelagliptin 25 mg-0.27± 2.563
At the End of Treatment Period I
GroupValue95% CI
Trelagliptin 25 mg-2.81± 2.401
Placebo and Trelagliptin 25 mg-0.15± 2.537
At the End of Treatment Period II
GroupValue95% 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 II Secondary · Up to Week 12

Number of participants with a vital sign-related TEAE classified under the System Organ Class of "investigations," was reported.

GroupValue95% CI
Trelagliptin 25 mg1
Placebo and Trelagliptin 25 mg2
Number of Participants With Markedly Abnormal Values of 12-Lead Electrocardiogram (ECG) Parameters Before the Start of Study Drug Administration in Treatment Period II Secondary · Up to Week 12

Here "QTcF" is corrected QT interval by Fridericia formula.

QTcF Interval >450 millisecond (msec)
GroupValue95% CI
Trelagliptin 25 mg13
Placebo and Trelagliptin 25 mg16
QTcF Interval >480 msec
GroupValue95% CI
Trelagliptin 25 mg3
Placebo and Trelagliptin 25 mg5
QTcF Interval >500 msec
GroupValue95% CI
Trelagliptin 25 mg1
Placebo and Trelagliptin 25 mg1
Number of Participants With Markedly Abnormal Values of Clinical Laboratory Parameters Before the Start of Study Drug Administration in Treatment Period II Secondary · Up to Week 12

Here "U/L" is Unit/Litter, and "ULN" is Upper Limit of Normal.

Amylase (U/L) >2×ULN
GroupValue95% CI
Trelagliptin 25 mg4
Placebo and Trelagliptin 25 mg1
Lipase (U/L) >3×ULN
GroupValue95% CI
Trelagliptin 25 mg1
Placebo and Trelagliptin 25 mg3

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.

Trelagliptin 25 mg
Serious: 23/55 (42%)
Deaths: 0/55
Placebo and Trelagliptin 25 mg
Serious: 16/48 (33%)
Deaths: 0/48

Serious adverse events (43 terms)

ReactionSystemTrelagliptin 25 mgPlacebo and Trelagliptin 2…
CataractEye disorders
Diabetic retinopathyEye disorders
FallInjury, poisoning and procedural complications
Shunt occlusionInjury, poisoning and procedural complications
Chronic kidney diseaseRenal and urinary disorders
Angina pectorisCardiac disorders
Acute coronary syndromeCardiac disorders
Acute myocardial infarctionCardiac disorders
Atrioventricular block completeCardiac disorders
Coronary artery occlusionCardiac disorders
Coronary artery stenosisCardiac disorders
Sudden hearing lossEar and labyrinth disorders
Gastrointestinal necrosisGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Large intestine polypGastrointestinal disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
Vascular stent stenosisGeneral disorders
Cholangitis acuteHepatobiliary disorders
CholecystitisHepatobiliary disorders
Anaphylactic shockImmune system disorders
PneumoniaInfections and infestations
Cholangitis infectiveInfections and infestations
DiverticulitisInfections and infestations
SepsisInfections and infestations
Other adverse events (24 terms — click to expand)

ReactionSystemTrelagliptin 25 mgPlacebo and Trelagliptin 2…
NasopharyngitisInfections and infestations
FallInjury, poisoning and procedural complications
HypoglycaemiaMetabolism and nutrition disorders
ContusionInjury, poisoning and procedural complications
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
HyperkalaemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
HypertensionVascular disorders
InfluenzaInfections and infestations
Blood pressure decreasedInvestigations
HeadacheNervous system disorders
DizzinessNervous system disorders
Dental cariesGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
Procedural hypotensionInjury, poisoning and procedural complications
Shunt stenosisInjury, poisoning and procedural complications
Skin abrasionInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Upper respiratory tract inflammationRespiratory, thoracic and mediastinal disorders
EczemaSkin and subcutaneous tissue disorders
ErythemaSkin and subcutaneous tissue disorders

Most-reported serious reactions: Cataract, Diabetic retinopathy, Fall, Shunt occlusion, Chronic kidney disease, Angina pectoris, Acute coronary syndrome, Acute myocardial infarction.

Data from ClinicalTrials.gov NCT02512068 adverse events section.

Sponsor's own description

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):

  1. Efficacy and safety of trelagliptin in Japanese patients with type 2 diabetes with severe renal impairment or end-stage renal disease: Results from a randomized, phase 3 study.
    Kaku K, Ishida K, Shimizu K, Achira M, et al · · 2020 · cited 6× · PMID 31389201 · DOI 10.1111/jdi.13126

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Other recruiting trials for Type 2 Diabetes Mellitus

Currently open trials in the same condition.

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Trials by the same sponsor.

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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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing