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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03496298
Other study ID # EFC14828
Secondary ID 2017-002954-35U1
Status Terminated
Phase Phase 3
First received
Last updated
Start date April 27, 2018
Est. completion date December 10, 2020

Study information

Verified date August 2021
Source Sanofi
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Primary Objective: To demonstrate that efpeglenatide 4 and 6 mg was noninferior to placebo on 3-point major adverse cardiac events (MACE) in Type 2 diabetes mellitus (T2DM) participants at high cardiovascular (CV) risk. Secondary Objectives: To demonstrate that efpeglenatide 4 and 6 mg was superior to placebo in T2DM participants with high CV risk on the following parameters: - 3-point MACE. - Expanded CV outcome. - Composite outcome of new or worsening nephropathy. To assess the safety and tolerability of efpeglenatide 4 and 6 mg, both added to standard of care in T2DM participants at high CV risk.


Description:

The study duration per participant was up to approximately 36 months.


Recruitment information / eligibility

Status Terminated
Enrollment 4076
Est. completion date December 10, 2020
Est. primary completion date December 10, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion criteria: - T2DM with glycosylated hemoglobin (HbA1c) greater than (>) 7 percentage. - Age 18 years or older who met at least one of the cardiovascular disease criteria or age 50 years (male), 55 years (female) or older with glomerular filtration rate greater than or equal to 25 and less than 60 milliliters per minute and at least had one cardiovascular risk factor. - Female participants agreed to follow contraceptive guidance. - Signed written informed consent. Exclusion criteria: - Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting. - History of chronic pancreatitis or acute idiopathic pancreatitis or diagnosis of any type of acute pancreatitis within 3 months prior to screening. - Personal or family history of medullary thyroid cancer. - Hypertension (with a systolic blood pressure >180 millimeters of Mercury [mmHg] and/or diastolic blood pressure >100 mmHg). - Hospitalization for hypertensive emergency within 3 months prior to randomization. - Planned coronary procedure or surgery after randomization. - No documented ophthalmologic exam with fundoscopy within 6 months prior to randomization. - Retinopathy or maculopathy with treatment, either recent (3 months prior to randomization) or planned during the study. - Treated with any glucagon-like peptide-1 receptor agonist product alone (eg, exenatide, liraglutide, lixisenatide, albiglutide, dulaglutide, semaglutide) or in combination within 3 months prior to screening. - Use of any Dipeptidyl peptidase 4 inhibitor within 3 months prior to screening. - Antihyperglycemic treatment had not been stable within 3 months prior to screening. The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Efpeglenatide (SAR439977)
Pharmaceutical form: Solution for injection, Route of administration: SC
Placebo
Pharmaceutical form: Solution for injection Route of administration: SC

Locations

Country Name City State
Argentina Investigational Site Number 0320009 Buenos Aires
Argentina Investigational Site Number 0320002 Caba
Argentina Investigational Site Number 0320005 Caba
Argentina Investigational Site Number 0320010 Caba
Argentina Investigational Site Number 0320013 Caba
Argentina Investigational Site Number 0320001 Capital Federal
Argentina Investigational Site Number 0320008 Capital Federal
Argentina Investigational Site Number 0320004 Corrientes
Argentina Investigational Site Number 0320012 Corrientes
Argentina Investigational Site Number 0320011 Godoy Cruz
Argentina Investigational Site Number 0320007 Mar Del Plata
Argentina Investigational Site Number 0320006 Merlo
Argentina Investigational Site Number 0320015 Rosario
Argentina Investigational Site Number 0320017 Rosario
Argentina Investigational Site Number 0320003 Salta
Argentina Investigational Site Number 0320018 Salta
Argentina Investigational Site Number 0320016 San Isidro
Argentina Investigational Site Number 0320014 Santa Rosa
Bulgaria Investigational Site Number 1000011 Blagoevgrad
Bulgaria Investigational Site Number 1000014 Dimitrovgrad
Bulgaria Investigational Site Number 1000017 Gabrovo
Bulgaria Investigational Site Number 1000007 Kazanlak
Bulgaria Investigational Site Number 1000013 Kyustendil
Bulgaria Investigational Site Number 1000010 Lovech
Bulgaria Investigational Site Number 1000002 Plovdiv
Bulgaria Investigational Site Number 1000008 Plovdiv
Bulgaria Investigational Site Number 1000012 Ruse
Bulgaria Investigational Site Number 1000001 Sofia
Bulgaria Investigational Site Number 1000003 Sofia
Bulgaria Investigational Site Number 1000005 Sofia
Bulgaria Investigational Site Number 1000006 Stara Zagora
Bulgaria Investigational Site Number 1000009 Varna
Bulgaria Investigational Site Number 1000016 Yambol
Canada Investigational Site Number 1240001 Barrie
Canada Investigational Site Number 1240002 Brampton
Canada Investigational Site Number 1240018 Burlington
Canada Investigational Site Number 1240021 Burlington
Canada Investigational Site Number 1240007 Calgary
Canada Investigational Site Number 1240020 Calgary
Canada Investigational Site Number 1240024 Chicoutimi
Canada Investigational Site Number 1240004 Concord
Canada Investigational Site Number 1240005 Etobicoke
Canada Investigational Site Number 1240011 Levis
Canada Investigational Site Number 1240025 London
Canada Investigational Site Number 1240028 London
Canada Investigational Site Number 1240029 Mirabel
Canada Investigational Site Number 1240008 Montreal
Canada Investigational Site Number 1240014 Montreal
Canada Investigational Site Number 1240017 Montreal
Canada Investigational Site Number 1240023 Montreal
Canada Investigational Site Number 1240031 Montreal
Canada Investigational Site Number 1240015 Oakville
Canada Investigational Site Number 1240012 Oshawa
Canada Investigational Site Number 1240030 Ottawa
Canada Investigational Site Number 1240027 Peterborough
Canada Investigational Site Number 1240016 Pointe-Claire
Canada Investigational Site Number 1240010 Quebec
Canada Investigational Site Number 1240019 Red Deer
Canada Investigational Site Number 1240006 Sherbrooke
Canada Investigational Site Number 1240022 Sudbury
Canada Investigational Site Number 1240013 Toronto
Canada Investigational Site Number 1240003 Vancouver
Canada Investigational Site Number 1240026 Victoria
Canada Investigational Site Number 1240009 Victoriaville
Chile Investigational Site Number 1520012 Antofagasta
Chile Investigational Site Number 1520008 Concepción
Chile Investigational Site Number 1520001 Santiago
Chile Investigational Site Number 1520002 Santiago
Chile Investigational Site Number 1520003 Santiago
Chile Investigational Site Number 1520005 Santiago
Chile Investigational Site Number 1520007 Santiago
Chile Investigational Site Number 1520010 Santiago
Chile Investigational Site Number 1520011 Santiago
Chile Investigational Site Number 1520013 Santiago
Chile Investigational Site Number 1520014 Santiago
Chile Investigational Site Number 1520006 Temuco
Chile Investigational Site Number 1520004 Viña Del Mar
Denmark Investigational Site Number 2080004 Aarhus N
Denmark Investigational Site Number 2080005 Esbjerg
Denmark Investigational Site Number 2080001 Hellerup
Denmark Investigational Site Number 2080003 Hvidovre
Denmark Investigational Site Number 2080002 København Nv
Estonia Investigational Site Number 2330002 Pärnu
Estonia Investigational Site Number 2330001 Tallinn
Estonia Investigational Site Number 2330003 Viljandi
Finland Investigational Site Number 2460002 Helsinki
Finland Investigational Site Number 2460001 Jyväskylä
Finland Investigational Site Number 2460003 Kuopio
Finland Investigational Site Number 2460004 Oulu
Germany Investigational Site Number 2760006 Berlin
Germany Investigational Site Number 2760009 Berlin
Germany Investigational Site Number 2760004 Essen
Germany Investigational Site Number 2760008 Frankfurt Am Main
Germany Investigational Site Number 2760005 Münster
Germany Investigational Site Number 2760003 Oldenburg In Holstein
Germany Investigational Site Number 2760002 Pirna
Germany Investigational Site Number 2760007 Rotenburg An Der Fulda
Hungary Investigational Site Number 3480012 Balatonfüred
Hungary Investigational Site Number 3480001 Budapest
Hungary Investigational Site Number 3480003 Budapest
Hungary Investigational Site Number 3480005 Budapest
Hungary Investigational Site Number 3480006 Budapest
Hungary Investigational Site Number 3480011 Budapest
Hungary Investigational Site Number 3480002 Debrecen
Hungary Investigational Site Number 3480009 Komárom
Hungary Investigational Site Number 3480008 Mosonmagyaróvár
Hungary Investigational Site Number 3480007 Székesfehérvár
Hungary Investigational Site Number 3480004 Zalaegerszeg
India Investigational Site Number 3560001 Belgaum
India Investigational Site Number 3560002 Gurgaon
India Investigational Site Number 3560007 Kolkata
India Investigational Site Number 3560006 Lucknow
India Investigational Site Number 3560003 New Delhi
India Investigational Site Number 3560009 New Delhi
India Investigational Site Number 3560005 Pune
India Investigational Site Number 3560010 Pune
India Investigational Site Number 3560004 Vellore
Italy Investigational Site Number 3800006 Catania
Italy Investigational Site Number 3800003 Catanzaro
Italy Investigational Site Number 3800005 Catanzaro
Italy Investigational Site Number 3800002 Chieti
Italy Investigational Site Number 3800001 Milano
Italy Investigational Site Number 3800004 Roma
Korea, Republic of Investigational Site Number 4100007 Busan
Korea, Republic of Investigational Site Number 4100006 Guri-si Gyeonggi-Do
Korea, Republic of Investigational Site Number 4100001 Seoul
Korea, Republic of Investigational Site Number 4100002 Seoul
Korea, Republic of Investigational Site Number 4100003 Seoul
Korea, Republic of Investigational Site Number 4100005 Seoul
Korea, Republic of Investigational Site Number 4100009 Seoul
Korea, Republic of Investigational Site Number 4100010 Seoul
Korea, Republic of Investigational Site Number 4100011 Seoul
Korea, Republic of Investigational Site Number 4100008 Wonju
Latvia Investigational Site Number 4280004 Daugavpils
Latvia Investigational Site Number 4280002 Liepaja
Latvia Investigational Site Number 4280001 Riga
Latvia Investigational Site Number 4280003 Sigulda
Lithuania Investigational Site Number 4400001 Kaunas
Lithuania Investigational Site Number 4400002 Kaunas
Lithuania Investigational Site Number 4400003 Klaipeda
Lithuania Investigational Site Number 4400004 Vilnius
Mexico Investigational Site Number 4840004 Actopan
Mexico Investigational Site Number 4840007 Aguascalientes
Mexico Investigational Site Number 4840009 Aguascalientes
Mexico Investigational Site Number 4840013 Aguascalientes
Mexico Investigational Site Number 4840014 Chihuahua
Mexico Investigational Site Number 4840002 Cuernavaca
Mexico Investigational Site Number 4840015 Durango
Mexico Investigational Site Number 4840016 Durango
Mexico Investigational Site Number 4840003 Guadalajara
Mexico Investigational Site Number 4840005 Guadalajara
Mexico Investigational Site Number 4840006 Guadalajara
Mexico Investigational Site Number 4840001 Monterrey
Mexico Investigational Site Number 4840010 Monterrey
Mexico Investigational Site Number 4840011 Monterrey
Norway Investigational Site Number 5780002 Hamar
Norway Investigational Site Number 5780001 Oslo
Norway Investigational Site Number 5780003 Stavanger
Peru Investigational Site Number 6040001 Lima
Peru Investigational Site Number 6040003 Lima
Peru Investigational Site Number 6040004 Lima
Peru Investigational Site Number 6040005 Lima
Peru Investigational Site Number 6040006 Lima
Peru Investigational Site Number 6040007 Lima
Peru Investigational Site Number 6040002 Piura
Poland Investigational Site Number 6160017 Bialystok
Poland Investigational Site Number 6160015 Bydgoszcz
Poland Investigational Site Number 6160018 Bydgoszcz
Poland Investigational Site Number 6160012 Gdansk
Poland Investigational Site Number 6160016 Gdansk
Poland Investigational Site Number 6160005 Katowice
Poland Investigational Site Number 6160006 Plock
Poland Investigational Site Number 6160011 Skierniewice
Poland Investigational Site Number 6160013 Skorzewo
Poland Investigational Site Number 6160010 Szczecin
Poland Investigational Site Number 6160007 Torun
Poland Investigational Site Number 6160009 Torun
Poland Investigational Site Number 6160014 Tychy
Poland Investigational Site Number 6160002 Warszawa
Poland Investigational Site Number 6160004 Wroclaw
Romania Investigational Site Number 6420007 Bacau
Romania Investigational Site Number 6420001 Brasov
Romania Investigational Site Number 6420011 Brasov
Romania Investigational Site Number 6420009 Bucuresti
Romania Investigational Site Number 6420005 Oradea
Romania Investigational Site Number 6420010 Oradea
Romania Investigational Site Number 6420012 Oradea
Romania Investigational Site Number 6420008 Ploiesti
Romania Investigational Site Number 6420002 Târgu-Mures
Romania Investigational Site Number 6420003 Târgu-Mures
Russian Federation Investigational Site Number 6430018 Kaliningrad
Russian Federation Investigational Site Number 6430014 Kazan
Russian Federation Investigational Site Number 6430001 Kemerovo
Russian Federation Investigational Site Number 6430017 Krasnogorsk
Russian Federation Investigational Site Number 6430002 Moscow
Russian Federation Investigational Site Number 6430004 Moscow
Russian Federation Investigational Site Number 6430005 Moscow
Russian Federation Investigational Site Number 6430015 Moscow
Russian Federation Investigational Site Number 6430009 Novosibirsk
Russian Federation Investigational Site Number 6430019 Novosibirsk
Russian Federation Investigational Site Number 6430006 Saint-Petersburg
Russian Federation Investigational Site Number 6430012 Saint-Petersburg
Russian Federation Investigational Site Number 6430003 Saratov
Russian Federation Investigational Site Number 6430020 Saratov
Russian Federation Investigational Site Number 6430010 St-Petersburg
Russian Federation Investigational Site Number 6430011 St-Petersburg
Russian Federation Investigational Site Number 6430013 St. Petersburg
Russian Federation Investigational Site Number 6430016 St. Petersburg
Serbia Investigational Site Number 6880001 Belgrade
Serbia Investigational Site Number 6880002 Belgrade
Serbia Investigational Site Number 6880003 Belgrade
Serbia Investigational Site Number 6880005 Belgrade
Serbia Investigational Site Number 6880004 Kragujevac
Serbia Investigational Site Number 6880006 Novi Sad
Slovakia Investigational Site Number 7030007 Bratislava
Slovakia Investigational Site Number 7030001 Kosice
Slovakia Investigational Site Number 7030004 Kosice
Slovakia Investigational Site Number 7030003 Kralovsky Chlmec
Slovakia Investigational Site Number 7030009 Moldava Nad Bodvou
Slovakia Investigational Site Number 7030010 Pezinok
Slovakia Investigational Site Number 7030006 Povazska Bystrica
Slovakia Investigational Site Number 7030005 Presov
Slovakia Investigational Site Number 7030008 Roznava
Slovakia Investigational Site Number 7030011 Sturovo
Slovakia Investigational Site Number 7030002 Trebisov
Slovakia Investigational Site Number 7030012 Trencin
South Africa Investigational Site Number 7100007 Bloemfontein
South Africa Investigational Site Number 7100005 Cape Town
South Africa Investigational Site Number 7100006 Cape Town
South Africa Investigational Site Number 7100001 Johannesburg
South Africa Investigational Site Number 7100003 Johannesburg
South Africa Investigational Site Number 7100002 Parow
South Africa Investigational Site Number 7100004 Rivonia
South Africa Investigational Site Number 7100008 Umhlanga Rocks Suburb
Spain Investigational Site Number 7240008 Alcorcón
Spain Investigational Site Number 7240002 Barcelona
Spain Investigational Site Number 7240009 Barcelona
Spain Investigational Site Number 7240007 Granada
Spain Investigational Site Number 7240001 Madrid
Spain Investigational Site Number 7240010 Madrid
Spain Investigational Site Number 7240006 Majadahonda
Spain Investigational Site Number 7240011 Málaga
Spain Investigational Site Number 7240005 Olot
Spain Investigational Site Number 7240003 San Sebastián De Los Reyes
Spain Investigational Site Number 7240013 Sevilla
Spain Investigational Site Number 7240004 Valencia
Spain Investigational Site Number 7240014 Valencia
Sweden Investigational Site Number 7520006 Goteborg
Sweden Investigational Site Number 7520003 Helsingborg
Sweden Investigational Site Number 7520004 Kristianstad
Sweden Investigational Site Number 7520002 Malmö
Sweden Investigational Site Number 7520005 Skövde
Sweden Investigational Site Number 7520001 Stockholm
Turkey Investigational Site Number 7920005 Adana
Turkey Investigational Site Number 7920010 Ankara
Turkey Investigational Site Number 7920012 Antalya
Turkey Investigational Site Number 7920015 Aydin
Turkey Investigational Site Number 7920002 Bursa
Turkey Investigational Site Number 7920013 Eskisehir
Turkey Investigational Site Number 7920001 Istanbul
Turkey Investigational Site Number 7920006 Istanbul
Turkey Investigational Site Number 7920011 Izmit
Turkey Investigational Site Number 7920014 Kutahya
Turkey Investigational Site Number 7920007 Samsun
Turkey Investigational Site Number 7920009 Sivas
Ukraine Investigational Site Number 8040006 Dnipro
Ukraine Investigational Site Number 8040001 Ivano-Frankivsk
Ukraine Investigational Site Number 8040009 Ivano-Frankivsk
Ukraine Investigational Site Number 8040002 Kharkiv
Ukraine Investigational Site Number 8040003 Kharkiv
Ukraine Investigational Site Number 8040007 Kiev
Ukraine Investigational Site Number 8040008 Kyiv
Ukraine Investigational Site Number 8040004 Ternopil
Ukraine Investigational Site Number 8040005 Vinnytsya
United States Investigational Site Number 8400034 Alexandria Louisiana
United States Investigational Site Number 8400095 Arlington Heights Illinois
United States Investigational Site Number 8400067 Beaver Pennsylvania
United States Investigational Site Number 8400072 Bend Oregon
United States Investigational Site Number 8400022 Beverly Hills California
United States Investigational Site Number 8400071 Billings Montana
United States Investigational Site Number 8400018 Bronx New York
United States Investigational Site Number 8400070 Chicago Illinois
United States Investigational Site Number 8400031 Columbus Ohio
United States Investigational Site Number 8400065 Concord California
United States Investigational Site Number 8400055 Corpus Christi Texas
United States Investigational Site Number 8400036 Crystal Lake Illinois
United States Investigational Site Number 8400097 Dallas Texas
United States Investigational Site Number 8400088 El Paso Texas
United States Investigational Site Number 8400064 Englewood Colorado
United States Investigational Site Number 8400029 Fargo North Dakota
United States Investigational Site Number 8400001 Flint Michigan
United States Investigational Site Number 8400061 Flint Michigan
United States Investigational Site Number 8400058 Fort Worth Texas
United States Investigational Site Number 8400014 Gilbert Arizona
United States Investigational Site Number 8400028 Great Falls Montana
United States Investigational Site Number 8400060 Greenbrae California
United States Investigational Site Number 8400076 Greenville North Carolina
United States Investigational Site Number 8400015 Greer South Carolina
United States Investigational Site Number 8400019 Hamden Connecticut
United States Investigational Site Number 8400091 Hialeah Florida
United States Investigational Site Number 8400040 Hollywood Florida
United States Investigational Site Number 8400069 Houston Texas
United States Investigational Site Number 8400089 Houston Texas
United States Investigational Site Number 8400073 Hudson Florida
United States Investigational Site Number 8400081 Idaho Falls Idaho
United States Investigational Site Number 8400011 Jacksonville Florida
United States Investigational Site Number 8400017 Jacksonville Florida
United States Investigational Site Number 8400042 Jacksonville Florida
United States Investigational Site Number 8400086 Kalispell Montana
United States Investigational Site Number 8400037 Las Vegas Nevada
United States Investigational Site Number 8400084 Long Beach California
United States Investigational Site Number 8400078 Lorain Ohio
United States Investigational Site Number 8400002 Los Gatos California
United States Investigational Site Number 8400006 Macon Georgia
United States Investigational Site Number 8400049 Manitowoc Wisconsin
United States Investigational Site Number 8400016 Memphis Tennessee
United States Investigational Site Number 8400027 Miami Florida
United States Investigational Site Number 8400051 Miami Florida
United States Investigational Site Number 8400079 Monroe Louisiana
United States Investigational Site Number 8400007 Morehead City North Carolina
United States Investigational Site Number 8400093 Morehead City North Carolina
United States Investigational Site Number 8400094 Morganton North Carolina
United States Investigational Site Number 8400063 Murrells Inlet South Carolina
United States Investigational Site Number 8400009 Nashville Tennessee
United States Investigational Site Number 8400030 New Albany Indiana
United States Investigational Site Number 8400013 New Orleans Louisiana
United States Investigational Site Number 8400041 New Port Richey Florida
United States Investigational Site Number 8400052 Norfolk Virginia
United States Investigational Site Number 8400085 Northridge California
United States Investigational Site Number 8400059 Ormond Beach Florida
United States Investigational Site Number 8400077 Owensboro Kentucky
United States Investigational Site Number 8400047 Oxon Hill Maryland
United States Investigational Site Number 8400043 Paris Kentucky
United States Investigational Site Number 8400096 Philadelphia Pennsylvania
United States Investigational Site Number 8400021 Pittsburgh Pennsylvania
United States Investigational Site Number 8400082 Pomona California
United States Investigational Site Number 8400044 Rapid City South Dakota
United States Investigational Site Number 8400087 Raritan New Jersey
United States Investigational Site Number 8400092 Richmond Texas
United States Investigational Site Number 8400008 Roswell Georgia
United States Investigational Site Number 8400025 Sacramento California
United States Investigational Site Number 8400045 Saint Louis Missouri
United States Investigational Site Number 8400024 Saint Paul Minnesota
United States Investigational Site Number 8400039 Salt Lake City Utah
United States Investigational Site Number 8400032 Sheffield Alabama
United States Investigational Site Number 8400056 Staten Island New York
United States Investigational Site Number 8400012 Surprise Arizona
United States Investigational Site Number 8400074 Topeka Kansas
United States Investigational Site Number 8400005 Troy Michigan
United States Investigational Site Number 8400010 Troy Michigan
United States Investigational Site Number 8400046 Tucson Arizona
United States Investigational Site Number 8400033 Waco Texas
United States Investigational Site Number 8400023 Waterbury Connecticut

Sponsors (2)

Lead Sponsor Collaborator
Sanofi Hanmi Pharmaceutical Company Limited

Countries where clinical trial is conducted

United States,  Argentina,  Bulgaria,  Canada,  Chile,  Denmark,  Estonia,  Finland,  Germany,  Hungary,  India,  Italy,  Korea, Republic of,  Latvia,  Lithuania,  Mexico,  Norway,  Peru,  Poland,  Romania,  Russian Federation,  Serbia,  Slovakia,  South Africa,  Spain,  Sweden,  Turkey,  Ukraine, 

References & Publications (1)

Gerstein HC, Sattar N, Rosenstock J, Ramasundarahettige C, Pratley R, Lopes RD, Lam CSP, Khurmi NS, Heenan L, Del Prato S, Dyal L, Branch K; AMPLITUDE-O Trial Investigators. Cardiovascular and Renal Outcomes with Efpeglenatide in Type 2 Diabetes. N Engl J — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Time to First Occurrence of Major Adverse Cardiovascular Events (MACE): Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular (CV) Event - Non-Inferiority Analysis All MACE positively adjudicated by the clinical endpoint committee (CEC) were used in the analysis of the composite outcome of first occurrence to CV death, non-fatal myocardial infarction (MI), and non-fatal stroke. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported. From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Secondary Time to First Occurrence of Major Adverse Cardiovascular Events: Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular Event - Superiority Analysis All MACE positively adjudicated by the CEC were used in the analysis of the composite outcome of first occurrence to CV death, non-fatal MI, and non-fatal stroke. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported. From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Secondary Time to First Occurrence of the Expanded Major Adverse Cardiovascular Events Composite Events: Event Rate Per 100 Participant-years for First Occurrence of Expanded Major Cardiovascular Event All MACE positively adjudicated by the CEC were used in the analysis of the expanded outcome of first occurrence to CV death (including fatal MI and fatal stroke), non-fatal MI, non-fatal stroke, coronary revascularization or hospitalization for unstable angina. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported. Data analysis was also performed independently by external steering committee for the publication. From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Secondary Time to First Occurrence of Composite Renal Endpoint: Event Rate Per 100 Participant-years for First Occurrence of Composite Renal Endpoint Composite renal endpoint included the following: incident macroalbuminuria (defined as urinary albumin-to-creatinine ratio of greater than (>) 300, as measured in mg of albumin to grams of creatinine, or >33.9, as measured in mg of albumin to millimoles of creatinine), plus an increase in urinary albumin-to-creatinine ratio of at least 30% from baseline, a sustained decrease in estimated glomerular filtration rate (eGFR) of at least 40% for 30 days or more, renal-replacement therapy for 90 days or more, and a sustained eGFR of less than 15 ml per minute per 1.73 m^2 for 30 days or more. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of renal endpoint over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported. From Day 1 until the confirmed occurrence of composite renal endpoint (maximum duration: up to 31.5 months)
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