治験レーダーAI | ||
|---|---|---|
治験 NCT01131676(対象:2型糖尿病)は完了です。詳細は治験レーダーのタイル表示と AI 発見ツールで確認するか、ここで質問してください。 | ||
BI 10773 (Empagliflozin) Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients (EMPA-REG OUTCOME). 第III相・フェーズ3 7,064
A Phase III, Multicentre, International, Randomised, Parallel Group, Double Blind Cardiovascular Safety Study of BI 10773 (10 mg and 25 mg Administered Orally Once Daily) Compared to Usual Care in Type 2 Diabetes Mellitus Patients With Increased Cardiovascular Risk
- 1245.25
- 2009-016178-33 (EudraCT番号) (EudraCT)
| 参加グループ/群 | 介入/治療法 |
|---|---|
実験的BI 10773 low dose BI 10773 tablets once daily | BI 10773 low dose BI 10773 tablets once daily Placebo BI 10773 high dose Placebo tablets identical to BI 10773 |
実験的BI 10773 high dose BI 10773 tablets once daily | BI 10773 high dose BI 10773 tablets once daily Placebo BI 10773 low dose Placebo tablets identical to BI 10773 |
プラセボ対照薬Placebo Placebo tablets matching BI 10773 | Placebo BI 10773 high dose Placebo tablets identical to BI 10773 Placebo BI 10773 low dose Placebo tablets identical to BI 10773 |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Time to the First Occurrence of Any of the Following Adjudicated Components of the Primary Composite Endpoint (3-point MACE): CV Death (Including Fatal Stroke and Fatal MI), Non-fatal MI (Excluding Silent MI), and Non-fatal Stroke. | Time to the first occurrence of any of the following adjudicated components of the primary composite endpoint (3-point major adverse cardiovascular events (MACE)): cardiovascular (CV) death (including fatal stroke and fatal myocardial infarction (MI)), non-fatal MI (excluding silent MI), and non-fatal stroke.
Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
| 評価指標 | 指標の説明 | 時間枠 |
|---|---|---|
Percentage of Participants With the Composite of All Events Adjudicated (4-point MACE): CV Death (Including Fatal Stroke and Fatal MI), Non-fatal MI (Excluding Silent MI), Non-fatal Stroke and Hospitalization for Unstable Angina Pectoris | The composite of all events adjudicated (4-point MACE): cardiovascular death (including fatal stroke and fatal myocardial infarction), non-fatal myocardial infarction (excluding silent MI), non-fatal stroke and hospitalization for unstable angina pectoris.This is a key secondary endpoint of the trial.
Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
Percentage of Participants With Silent MI | Silent MI; defined as presence in the ECG of:
* Any Q-wave in leads V2-V3 ≥0.02 seconds or QS complex in leads V2 and V3
* Q-wave ≥0.03 seconds and ≥0.1 mV deep or QS complex in leads I, II, aVL, aVF, or V4-V6 in any two leads of a contiguous lead grouping (I, aVL, V6; V4-V6; II, III, and aVF)
* R-wave ≥0.04 seconds in V1-V2 and R/S ≥1 with a concordant positive T-wave in the absence of a conduction defect.
It was also required that there had been no adjudicated and confirmed event of either acute MI, hospitalisation for unstable angina, coronary revascularisation procedures or stent thrombosis following randomisation up to and including the date of the specified ECG measurement.
Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
Percentage of Participants With Heart Failure Requiring Hospitalisation (Adjudicated) | Heart failure requiring hospitalisation (adjudicated). Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
Percentage of Participants With New Onset Albuminuria | New onset albuminuria defined as urine albumin / creatinine ratio (UACR) ≥30 mg/g.
Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
Percentage of Participants With New Onset Macroalbuminuria | New onset macroalbuminuria defined as UACR \>300 mg/g. Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
Percentage of Participants With the Composite Microvascular Outcome | Composite microvascular outcome defined as:
* Initiation of retinal photocoagulation
* Vitreous haemorrhage
* Diabetes-related blindness, or
* New or worsening nephropathy defined as:
* New onset of macroalbuminuria; or
* Doubling of serum creatinine level accompanied by an eGFR (based on modification of diet in renal disease (MDRD) formula) ≤45 mL/min/1.73m2; or
* Initiation of continuous renal replacement therapy, or
* Death due to renal disease. Percentage of patients with the event are presented. | From randomisation to individual end of observation, up to 4.6 years |
- Diagnosis of type 2 diabetes mellitus prior to informed consent
- Male or female patients on diet and exercise regimen who are drug naive or pre treated with any background therapy. Antidiabetic therapy has to be unchanged for 12 weeks prior to randomization.
- Glycosylated haemoglobin (HbA1c) of >= 7.0% and <=10% for patients on background therapy or HbA1c >= 7.0% and <= 9.0% for drug naive patients
- Age >= 18 years
- Body Mass index <= 45 at Visit 1
- Signed and dated informed consent
- High cardiovascular risk
Uncontrolled hyperglycaemia with a glucose level >240 mg/dl (>13.3 mmol/L) after an overnight fast during placebo run-in and confirmed by a second measurement (not on the same day)
Indication of liver disease, defined by serum levels of either alanine aminotransferase (ALT), aspartate aminotransferase ALT or alkaline phosphatase above 3 x upper limit of normal (ULN) as determined at screening and/or run in.
Planned cardiac surgery or angioplasty within 3 months
Impaired renal function, defined as Glomerular Filtration Rate <30 ml/min (severe renal impairment, Modification of Diet in Renal Disease formula) during screening or run in.
Bariatric surgery within the past two years and other gastrointestinal surgeries that induce chronic malabsorption
Blood dyscrasias or any disorders causing haemolysis or unstable Red Blood Cell (e.g. malaria, babesiosis, haemolytic anemia)
Medical history of cancer (except for basal cell carcinoma) and/or treatment for cancer within the last 5 years
Contraindications to background therapy according to the local label
Treatment with anti-obesity drugs (e.g. sibutramine, orlistat) 3 months prior to informed consent or any other treatment at the time of screening (i.e. surgery, aggressive diet regimen, etc.) leading to unstable body weight
Current treatment with systemic steroids at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent or any other uncontrolled endocrine disorder except type 2 diabetes mellitus
Pre-menopausal women (last menstruation <+ 1 year prior to informed consent) who:
- are nursing or pregnant or
- are of child-bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the study and do not agree to submit to periodic pregnancy testing during participation in the trial. Acceptable methods of birth control include tubal ligation, transdermal patch, intra uterine devices/systems, oral, implantable or injectable contraceptives, sexual abstinence, double barrier method and vasectomised partner
Alcohol or drug abuse within the 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to a decreased compliance to study procedures or study drug intake
Participation in another trial with an investigational drug within 30 days prior to informed consent
Any other clinical condition that would jeopardize patients safety while participating in this clinical trial
Acute coronary syndrome, stroke or TIA within 2 months prior to informed consent
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
New Jersey
New Mexico
New York
North Carolina
Ohio
Oklahoma
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Virginia
Washington
West Virginia
Wisconsin
Queensland
South Australia
British Columbia
Manitoba
Nova Scotia
Ontario
Quebec
Saskatchewan