A Study to Test How Well Empagliflozin Works in Chinese Patients With Type 2 Diabetes Who Already Take Insulin

Last updated: March 8, 2023
Sponsor: Boehringer Ingelheim
Overall Status: Completed

Phase

3

Condition

Diabetes Mellitus, Type 2

Treatment

Empagliflozin

Placebo

Clinical Study ID

NCT04233801
1245-0191
  • Ages 18-75
  • All Genders

Study Summary

This is a study in Chinese adults with type 2 diabetes. The study is open to people who take insulin but still have too high blood sugar levels. Participants may additionally be taking up to 2 other medicines for their diabetes. The purpose of this study is to find out whether empagliflozin taken together with insulin helps people with type 2 diabetes to better control their blood sugar.

The participants are in the study for about 7 months. During this time, they visit the study site about 8 times, 1 additional visit may be either a visit to the study site or a phone call. At the start of the study, participants are put into 3 groups by chance. Participants get either 10 mg empagliflozin tablets, or 25 mg empagliflozin tablets, or placebo tablets once a day. Placebo tablets look like empagliflozin tablets but do not contain any medicine.

The doctors regularly take blood samples from the participants. The changes in blood sugar levels are compared between the groups. The doctors also check the general health of the participants.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age ≥18 years and ≤75 years old at Visit 1;
  • Chinese patient with diagnosis of Type 2 diabetes prior to Visit 1;
  • A stable treatment with premixed Insulin (≥ 20IU/day) or basal insulin (≥ 16 IU/day)for at least 12 weeks prior to enrolment with or without up to two OADs
  • With maximum insulin dose of ≤ 1 unit/kg/day. Acceptable basal insulins shouldhave duration of action up to 24 h such as insulin Degludec, insulin glargin,insulin detemir or NPH (neutral protamine hagedorn) insulin; Acceptable pre-mixedinsulins could be once or twice daily posology only. The total insulin doseshould not be changed by more than 20% of the baseline value within the 12 weeksprior to randomisation (Visit 3). Both human insulin & insulin analogue areacceptable;
  • If the patient is taking OADs, regimen has to be unchanged for at least 12 weeksprior to randomization (Visit 3);
  • If the patient is taking metformin, stable dose (at least 1500 mg daily ormaximum tolerated dose) must be maintained for at least 12 weeks without doseadjustments prior to randomization (Visit 3);
  • HbA1c ≥7.5% and ≤11.0% at Visit 1;
  • Fasting C-peptide: >0.5 ng/mL (>166pmol/L) at Visit 1;
  • 18.5 kg/m2 ≤ BMI ≤ 45 kg/m2 at Visit 1;
  • Signed and dated written informed consent in accordance with ICH-GCP and locallegislation prior to admission to the trial;
  • Male or female patients. Women of childbearing potential (WOCBP) must be ready andable to use highly effective methods of birth control per ICH M3 (R2) that result in alow failure rate of less than 1% per year when used consistently and correctly. A listof contraception methods meeting these criteria is provided in the patientinformation.

Exclusion

Exclusion Criteria:

  • Diagnosis of Type 1 diabetes;
  • Patients receiving MDI insulin or insulin pump treatment;
  • eGFR <45ml/min/1.73m2 calculated based on MDRD formula;
  • Uncontrolled hyperglycemia [glucose level >13. 9 mmol/l after an overnight fast duringplacebo run-in];
  • Severe hypoglycemia episode (event requiring the assistance of another person toactively administer carbohydrate, glucagon or other resuscitative actions) within 6months prior to Visit 1;
  • History of diabetic ketoacidosis or hyperosmolar non-ketotic coma. Myocardialinfarction, stroke or transient ischaemic attack within 3 months prior to Visit 1;
  • Bariatric surgery;
  • Further criteria apply

Study Design

Total Participants: 219
Treatment Group(s): 2
Primary Treatment: Empagliflozin
Phase: 3
Study Start date:
April 15, 2020
Estimated Completion Date:
March 10, 2022

Connect with a study center

  • Beijing Pinggu Hospital

    Beijing, 101200
    China

    Site Not Available

  • Peking University First Hospital

    Beijing, 100034
    China

    Site Not Available

  • Peking University People's Hospital

    Beijing, 100044
    China

    Site Not Available

  • Peking University Third Hospital

    Beijing, 100191
    China

    Site Not Available

  • The Second Hospital of Jilin University

    Changchun, 130041
    China

    Site Not Available

  • The third xiangya hospital of Central South University

    Changsha, 410013
    China

    Site Not Available

  • Chongqing Three Gorges Central Hospital

    Chongqing, 404000
    China

    Site Not Available

  • The First Hospital, Chongqing Medical University

    Chongqing, 400042
    China

    Site Not Available

  • Third Affiliated Hospital of Guangzhou Medical University

    Guangzhou, 510150
    China

    Site Not Available

  • The Affiliated Hospital of Hangzhou Normal University

    Hangzhou, 310015
    China

    Site Not Available

  • The Second Affiliated Hospital of Nanjing Medical University

    Hangzhou, 210011
    China

    Site Not Available

  • Anhui Provincial Hospital

    Hefei, 230001
    China

    Site Not Available

  • The First Affiliated Hospital of Henan University of Science and Technology

    Luoyang, 471000
    China

    Site Not Available

  • Jiangxi Provincial People's Hospital

    Nanchang, 330006
    China

    Site Not Available

  • The First Affiliated Hospital of Nanchang University

    Nanchang, 330006
    China

    Site Not Available

  • The Second Affiliated Hospital to Nanchang University

    Nanchang, 330006
    China

    Site Not Available

  • The affiliated hospital of medicalcollege qingdao university

    Qingdao, 266005
    China

    Site Not Available

  • Centre Hospital of Putuo District, Shanghai

    Shanghai, 200062
    China

    Site Not Available

  • Shanghai Fifth People's Hospital affiliated to Fudan University

    Shanghai, 200240
    China

    Site Not Available

  • Tongren hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, 200051
    China

    Site Not Available

  • Shengjing Hospital of China Medical University

    Shenyang, 110072
    China

    Site Not Available

  • Suzhou Municipal Hospital

    Suzhou, 215002
    China

    Site Not Available

  • The First Affiliated Hospital of Soochow University

    Suzhou, 215006
    China

    Site Not Available

  • Tianjin Medical University Chu Hisen-I Memorial Hospital

    Tianjin, 300070
    China

    Site Not Available

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