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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00968708
Other study ID # SYR-322_402
Secondary ID U1111-1111-68252
Status Completed
Phase Phase 3
First received August 28, 2009
Last updated April 15, 2014
Start date September 2009
Est. completion date June 2013

Study information

Verified date April 2014
Source Takeda
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug AdministrationArgentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia MedicaArgentina: Human Research Bioethics CommitteeAustria: Agency for Health and Food SafetyAustria: EthikkommissionAustria: Federal Ministry for Health and WomenAustria: Federal Office for Safety in Health CareAustralia: Department of Health and Ageing Therapeutic Goods AdministrationAustralia: Human Research Ethics CommitteeAustralia: National Health and Medical Research CouncilBelgium: Federal Agency for Medicines and Health Products, FAMHPBelgium: Federal Agency for Medicinal Products and Health ProductsBelgium: Institutional Review BoardBelgium: Ministry of Social Affairs, Public Health and the EnvironmentBelgium: The Federal Public Service (FPS) Health, Food Chain Safety and EnvironmentBrazil: Ministry of HealthBrazil: National Committee of Ethics in ResearchBrazil: National Health Surveillance AgencyBulgaria: Bulgarian Drug AgencyBulgaria: Ministry of HealthCanada: Canadian Institutes of Health ResearchCanada: Ethics Review CommitteeCanada: Health CanadaCanada: Ministry of Health & Long Term Care, OntarioChile: Comisión Nacional de Investigación Científica y TecnológicaChile: Instituto de Salud Pública de ChileCosta Rica: Ministry of Health Costa RicaCzech Republic: Ethics CommitteeCzech Republic: State Institute for Drug ControlDenmark: Danish Dataprotection AgencyDenmark: Danish Medicines AgencyDenmark: Ethics CommitteeDenmark: National Board of HealthDenmark: The Danish National Committee on Biomedical Research EthicsDenmark: Ministry of HealthDenmark: The Regional Committee on Biomedical Research EthicsEuropean Union: European Medicines AgencyFinland: Ethics CommitteeFinland: Ministry of Social Affairs and HealthFinland: Finnish Medicines AgencyFrance: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)France: Direction Générale de la SantéFrance: French Data Protection AuthorityFrance: Institutional Ethical CommitteeFrance: Ministry of HealthFrance: National Consultative Ethics Committee for Health and Life SciencesGermany: Ethics CommissionGermany: Federal Institute for Drugs and Medical DevicesGermany: Federal Ministry of Education and ResearchGermany: Federal Ministry of Food, Agriculture and Consumer ProtectionGermany: German Institute of Medical Documentation and InformationGermany: Ministry of HealthGermany: Paul-Ehrlich-InstitutGuatemala: Ministry of Public Health and Social AssistanceHong Kong: Department of HealthHong Kong: Ethics CommitteeHong Kong: Joint CUHK-NTEC Clinical Research Ethics CommitteeHungary: National Institute of PharmacyIndia: Central Drugs Standard Control OrganizationIndia: Department of Atomic EnergyIndia: Drugs Controller General of IndiaIndia: Indian Council of Medical ResearchIndia: Institutional Review BoardIndia: Ministry of HealthIndia: Ministry of Science and TechnologyIndia: Science and Engineering Research CouncilIsrael: The Israel National Institute for Health Policy Research and Health Services ResearchIsrael: Ethics CommissionIsrael: Israeli Health Ministry Pharmaceutical AdministrationIsrael: Ministry of HealthItaly: Ethics CommitteeItaly: Ministry of HealthItaly: National Bioethics CommitteeItaly: National Institute of HealthItaly: National Monitoring Centre for Clinical Trials - Ministry of HealthItaly: The Italian Medicines AgencyKorea: Food and Drug AdministrationLatvia: State Agency of MedicinesLithuania: Bioethics CommitteeLithuania: State Medicine Control Agency - Ministry of HealthMalaysia: Ministry of HealthMexico: Ethics CommitteeMexico: Federal Commission for Protection Against Health RisksMexico: Federal Commission for Sanitary Risks ProtectionMexico: Ministry of HealthMexico: National Council of Science and TechnologyMexico: National Institute of Public Health, Health SecretariatNetherlands: Dutch Health Care InspectorateNetherlands: Medical Ethics Review Committee (METC)Netherlands: Medicines Evaluation Board (MEB)Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)New Zealand: Food Safety AuthorityNew Zealand: Health Research CouncilNew Zealand: Health and Disability Ethics CommitteesNew Zealand: Institutional Review BoardNew Zealand: MedsafePeru: Ethics CommitteePeru: General Directorate of Pharmaceuticals, Devices, and DrugsPeru: Ministry of HealthPhilippines: Department of HealthPhilippines: Bureau of Food and DrugsPoland: Office for Registration of Medicinal Products, Medical Devices and Biocidal ProductsPoland: Ministry of HealthPoland: Ministry of Science and Higher EducationPortugal: Ethics Committee for Clinical ResearchPortugal: Health Ethic CommitteePortugal: National Pharmacy and Medicines InstituteRomania: Ministry of Public HealthRomania: National Medicines AgencyRomania: State Institute for Drug ControlRussia: Ethics CommitteeRussia: Ministry of Health of the Russian FederationRussia: Pharmacological Committee, Ministry of HealthSerbia: Ethics CommitteeSlovakia: State Institute for Drug ControlSouth Africa: Department of HealthSouth Africa: Medicines Control CouncilSouth Africa: National Health Research Ethics CouncilSouth Korea: Institutional Review BoardSouth Korea: Korea Food and Drug Administration (KFDA)Spain: Comité Ético de Investigación ClínicaSpain: Ethics CommitteeSpain: Ministry of HealthSpain: Ministry of Health and ConsumptionSpain: Spanish Agency of MedicinesSweden: Institutional Review BoardSweden: Medical Products AgencySweden: Regional Ethical Review BoardSweden: Swedish National Council on Medical EthicsSweden: Swedish Research CouncilSweden: The National Board of Health and WelfareThailand: Ethical CommitteeThailand: Food and Drug AdministrationThailand: Khon Kaen University Ethics Committee for Human ResearchThailand: Ministry of Public HealthTurkey: Ethics CommitteeTurkey: Ministry of HealthUkraine: Ministry of HealthUkraine: State Pharmacological Center - Ministry of HealthUnited Kingdom: Department of HealthUnited Kingdom: Food Standards AgencyUnited Kingdom: Medicines and Healthcare Products Regulatory AgencyUnited Kingdom: National Health ServiceUnited Kingdom: Research Ethics CommitteeUnited States: Federal GovernmentUnited States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the cardiovascular outcomes of alogliptin, once daily (QD), compared with placebo, in addition to standard of care, in patients with type 2 diabetes mellitus and acute coronary syndrome.


Description:

Alogliptin is a selective and potent dipeptidyl peptidase-4 inhibitor developed by Takeda for use in patients with type 2 diabetes mellitus.

Cardiovascular outcomes is of special interest in the type 2 diabetes mellitus population, particularly in type 2 diabetes mellitus patients who have cardiovascular disease and are at high risk for major adverse cardiac events, such as those patients who have had recent acute coronary syndrome.

This study has been designed to evaluate the cardiovascular safety of alogliptin versus placebo in addition to Standard of Care in adults with type 2 diabetes mellitus and acute coronary syndrome.


Recruitment information / eligibility

Status Completed
Enrollment 5380
Est. completion date June 2013
Est. primary completion date April 2013
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Diagnosis of type 2 diabetes mellitus

- Is receiving monotherapy or combination antidiabetic therapy with a glycosylated hemoglobin level between 6.5% and 11.0%, inclusive, at Screening (between 7.0 and 11.0%, inclusive, if the participant's antidiabetic regimen includes insulin)

- Diagnosis of acute coronary syndrome within 15 to 90 days prior to randomization.

Exclusion Criteria:

- Signs of type 1 diabetes mellitus

- Currently receiving a glucagon-like peptide-1 analogue for glycemic control of type 2 diabetes mellitus at Screening

- Received a dipeptidyl peptidase-4 inhibitor for either more than 14 days total or within the 3 months prior to Screening.

Study Design

Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment


Intervention

Drug:
Alogliptin
Alogliptin tablets
Placebo
Alogliptin placebo matching tablets

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Takeda

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Austria,  Belgium,  Brazil,  Bulgaria,  Canada,  Chile,  Colombia,  Croatia,  Czech Republic,  Denmark,  Egypt,  Finland,  France,  Germany,  Greece,  Guatemala,  Hong Kong,  Hungary,  India,  Israel,  Italy,  Japan,  Korea, Republic of,  Kuwait,  Latvia,  Lithuania,  Malaysia,  Mexico,  New Zealand,  Peru,  Philippines,  Poland,  Portugal,  Puerto Rico,  Romania,  Russian Federation,  Serbia,  Slovakia,  South Africa,  Spain,  Sweden,  Taiwan,  Thailand,  Turkey,  Ukraine,  United Arab Emirates,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants With Primary Major Adverse Cardiac Events (MACE) Primary Major Adverse Cardiac Events were defined as a composite of cardiovascular death, nonfatal myocardial infarction and nonfatal stroke; these events were adjudicated by an independent cardiovascular endpoints committee. From randomization until the adjudication cut-off date of May 31 2013 (maximum time on study was 41 months). No
Secondary Percentage of Participants With Secondary Major Adverse Cardiac Events (MACE) Secondary MACE composite consisted of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, or urgent revascularization due to unstable angina; these events were adjudicated by an independent cardiovascular endpoint committee. From randomization until the adjudication cut-of date of May 31 2013 (maximum time on study was 41 months). No
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