Trial Outcomes & Findings for Alogliptin Tablets Special Drug Use Surveillance "Type 2 Diabetes Mellitus: Combination Therapy With Thiazolidinediones" (NCT NCT01945242)

NCT ID: NCT01945242

Last Updated: 2016-09-27

Results Overview

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug. The safety analysis was planned to be assessed in alogliptin + thiazolidinedione and alogliptin + other arm separately.

Recruitment status

COMPLETED

Target enrollment

1374 participants

Primary outcome timeframe

Baseline up to 12 months

Results posted on

2016-09-27

Participant Flow

Participants took part in the study at 252 investigative site in Japan from 25 March 2011 to 30 June 2014.

Participants with a historical diagnosis of type 2 diabetes mellitus who failed to respond adequately to treatment receiving thiazolidinediones were enrolled in 1 of 2 treatment groups as follows: alogliptin + thiazolidinediones; alogliptin + other.

Participant milestones

Participant milestones
Measure
Alogliptin + Thiazolidinedione
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Overall Study
STARTED
1251
123
Overall Study
COMPLETED
1248
120
Overall Study
NOT COMPLETED
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Alogliptin + Thiazolidinedione
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Overall Study
Physician Decision
3
3

Baseline Characteristics

Alogliptin Tablets Special Drug Use Surveillance "Type 2 Diabetes Mellitus: Combination Therapy With Thiazolidinediones"

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alogliptin + Thiazolidinedione
n=1248 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=120 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Total
n=1368 Participants
Total of all reporting groups
Age, Customized
Less than (<) 20 years
1 participants
n=99 Participants
0 participants
n=107 Participants
1 participants
n=206 Participants
Age, Customized
20-29 years
5 participants
n=99 Participants
0 participants
n=107 Participants
5 participants
n=206 Participants
Age, Customized
30-39 years
29 participants
n=99 Participants
4 participants
n=107 Participants
33 participants
n=206 Participants
Age, Customized
40-49 years
120 participants
n=99 Participants
12 participants
n=107 Participants
132 participants
n=206 Participants
Age, Customized
50-59 years
214 participants
n=99 Participants
22 participants
n=107 Participants
236 participants
n=206 Participants
Age, Customized
60-69 years
412 participants
n=99 Participants
35 participants
n=107 Participants
447 participants
n=206 Participants
Age, Customized
70-79 years
337 participants
n=99 Participants
39 participants
n=107 Participants
376 participants
n=206 Participants
Age, Customized
Greater than equal to (>=) 80 years
130 participants
n=99 Participants
8 participants
n=107 Participants
138 participants
n=206 Participants
Sex: Female, Male
Female
462 Participants
n=99 Participants
41 Participants
n=107 Participants
503 Participants
n=206 Participants
Sex: Female, Male
Male
786 Participants
n=99 Participants
79 Participants
n=107 Participants
865 Participants
n=206 Participants
Body Mass Index
<18.5 kilogram/square meter (kg/m^2)
16 participants
n=99 Participants
0 participants
n=107 Participants
16 participants
n=206 Participants
Body Mass Index
>=18.5 to <25 kg/m^2
318 participants
n=99 Participants
26 participants
n=107 Participants
344 participants
n=206 Participants
Body Mass Index
>=25 to <30 kg/m^2
353 participants
n=99 Participants
31 participants
n=107 Participants
384 participants
n=206 Participants
Body Mass Index
>=30 kg/m^2
134 participants
n=99 Participants
16 participants
n=107 Participants
150 participants
n=206 Participants
Body Mass Index
Unknown
427 participants
n=99 Participants
47 participants
n=107 Participants
474 participants
n=206 Participants
Waist Circumference
<85 centimeter (cm) (Male)
60 participants
n=99 Participants
7 participants
n=107 Participants
67 participants
n=206 Participants
Waist Circumference
>=85 cm (Male)
184 participants
n=99 Participants
17 participants
n=107 Participants
201 participants
n=206 Participants
Waist Circumference
Unknown (Male)
542 participants
n=99 Participants
55 participants
n=107 Participants
597 participants
n=206 Participants
Waist Circumference
<90 cm (Female)
92 participants
n=99 Participants
4 participants
n=107 Participants
96 participants
n=206 Participants
Waist Circumference
>=90 cm (Female)
49 participants
n=99 Participants
4 participants
n=107 Participants
53 participants
n=206 Participants
Waist Circumference
Unknown (Female)
321 participants
n=99 Participants
33 participants
n=107 Participants
354 participants
n=206 Participants
Pregnancy Status
Not pregnant
462 participants
n=99 Participants
41 participants
n=107 Participants
503 participants
n=206 Participants
Pregnancy Status
Pregnant
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
Healthcare category
Outpatient
1209 participants
n=99 Participants
120 participants
n=107 Participants
1329 participants
n=206 Participants
Healthcare category
Inpatient
11 participants
n=99 Participants
0 participants
n=107 Participants
11 participants
n=206 Participants
Healthcare category
Outpatient and Inpatient
28 participants
n=99 Participants
0 participants
n=107 Participants
28 participants
n=206 Participants
Health-related Complications
Had Complications
1064 participants
n=99 Participants
96 participants
n=107 Participants
1160 participants
n=206 Participants
Health-related Complications
Had No Complications
184 participants
n=99 Participants
24 participants
n=107 Participants
208 participants
n=206 Participants
Diabetic complications
Had Diabetic Complications
203 participants
n=99 Participants
15 participants
n=107 Participants
218 participants
n=206 Participants
Diabetic complications
Had No Diabetic Complications
1045 participants
n=99 Participants
105 participants
n=107 Participants
1150 participants
n=206 Participants
Breakdown of diabetic complications
Diabetic nephropathy
128 participants
n=99 Participants
5 participants
n=107 Participants
133 participants
n=206 Participants
Breakdown of diabetic complications
Diabetic retinopathy
65 participants
n=99 Participants
9 participants
n=107 Participants
74 participants
n=206 Participants
Breakdown of diabetic complications
Diabetic neuropathy
71 participants
n=99 Participants
6 participants
n=107 Participants
77 participants
n=206 Participants
Complications of Hypertension
Had Hypertension Complications
760 participants
n=99 Participants
69 participants
n=107 Participants
829 participants
n=206 Participants
Complications of Hypertension
Had No Hypertension Complications
488 participants
n=99 Participants
51 participants
n=107 Participants
539 participants
n=206 Participants
Complications of Dyslipidemia
Had Dyslipidemia Complications
766 participants
n=99 Participants
63 participants
n=107 Participants
829 participants
n=206 Participants
Complications of Dyslipidemia
Had No Dyslipidemia Complications
482 participants
n=99 Participants
57 participants
n=107 Participants
539 participants
n=206 Participants
Complications of Hyperuricemia
Had Hyperuricemia Complications
106 participants
n=99 Participants
10 participants
n=107 Participants
116 participants
n=206 Participants
Complications of Hyperuricemia
Had No Hyperuricemia Complications
1142 participants
n=99 Participants
110 participants
n=107 Participants
1252 participants
n=206 Participants
Complications of Liver Damage
Had Liver Damage Complications
200 participants
n=99 Participants
18 participants
n=107 Participants
218 participants
n=206 Participants
Complications of Liver Damage
Had No Liver Damage Complications
1048 participants
n=99 Participants
102 participants
n=107 Participants
1150 participants
n=206 Participants
Breakdown of Complications of Liver Damage
Hepatic steatosis
158 participants
n=99 Participants
14 participants
n=107 Participants
172 participants
n=206 Participants
Breakdown of Complications of Liver Damage
Hepatitis alcoholic
18 participants
n=99 Participants
1 participants
n=107 Participants
19 participants
n=206 Participants
Breakdown of Complications of Liver Damage
Chronic hepatitis
17 participants
n=99 Participants
2 participants
n=107 Participants
19 participants
n=206 Participants
Breakdown of Complications of Liver Damage
Hepatic cirrhosis
5 participants
n=99 Participants
0 participants
n=107 Participants
5 participants
n=206 Participants
Breakdown of Complications of Liver Damage
Other
8 participants
n=99 Participants
2 participants
n=107 Participants
10 participants
n=206 Participants
Degree of Hepatic Dysfunction
Normal
769 participants
n=99 Participants
74 participants
n=107 Participants
843 participants
n=206 Participants
Degree of Hepatic Dysfunction
Grade 1
89 participants
n=99 Participants
10 participants
n=107 Participants
99 participants
n=206 Participants
Degree of Hepatic Dysfunction
Grade 2
11 participants
n=99 Participants
0 participants
n=107 Participants
11 participants
n=206 Participants
Degree of Hepatic Dysfunction
Grade 3
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
Degree of Hepatic Dysfunction
Unknown
379 participants
n=99 Participants
36 participants
n=107 Participants
415 participants
n=206 Participants
Complications of Renal Damage
Had Renal Damage Complications
138 participants
n=99 Participants
5 participants
n=107 Participants
143 participants
n=206 Participants
Complications of Renal Damage
Had No Renal Damage Complications
1110 participants
n=99 Participants
115 participants
n=107 Participants
1225 participants
n=206 Participants
Breakdown of Complications of Renal Damage
Nephrotic syndrome
1 participants
n=99 Participants
0 participants
n=107 Participants
1 participants
n=206 Participants
Breakdown of Complications of Renal Damage
Glomerulonephritis
3 participants
n=99 Participants
0 participants
n=107 Participants
3 participants
n=206 Participants
Breakdown of Complications of Renal Damage
Renal failure chronic
8 participants
n=99 Participants
0 participants
n=107 Participants
8 participants
n=206 Participants
Breakdown of Complications of Renal Damage
Other
126 participants
n=99 Participants
5 participants
n=107 Participants
131 participants
n=206 Participants
Degree of Renal Dysfunction
Normal
198 participants
n=99 Participants
26 participants
n=107 Participants
224 participants
n=206 Participants
Degree of Renal Dysfunction
Mild
488 participants
n=99 Participants
46 participants
n=107 Participants
534 participants
n=206 Participants
Degree of Renal Dysfunction
Moderate
174 participants
n=99 Participants
15 participants
n=107 Participants
189 participants
n=206 Participants
Degree of Renal Dysfunction
Severe
10 participants
n=99 Participants
0 participants
n=107 Participants
10 participants
n=206 Participants
Degree of Renal Dysfunction
Unknown
378 participants
n=99 Participants
33 participants
n=107 Participants
411 participants
n=206 Participants
Complications of Heart Disease
Had Heart Disease Complications
142 participants
n=99 Participants
9 participants
n=107 Participants
151 participants
n=206 Participants
Complications of Heart Disease
Had No Heart Disease Complications
1106 participants
n=99 Participants
111 participants
n=107 Participants
1217 participants
n=206 Participants
Breakdown of Complications of Heart Disease
Cardiac failure
16 participants
n=99 Participants
2 participants
n=107 Participants
18 participants
n=206 Participants
Breakdown of Complications of Heart Disease
Myocardial infarction
27 participants
n=99 Participants
3 participants
n=107 Participants
30 participants
n=206 Participants
Breakdown of Complications of Heart Disease
Angina pectoris
71 participants
n=99 Participants
4 participants
n=107 Participants
75 participants
n=206 Participants
Breakdown of Complications of Heart Disease
Other
42 participants
n=99 Participants
3 participants
n=107 Participants
45 participants
n=206 Participants
Complications of Heart Failure
Had Heart Failure Complications
16 participants
n=99 Participants
2 participants
n=107 Participants
18 participants
n=206 Participants
Complications of Heart Failure
Had No Heart Failure Complications
1232 participants
n=99 Participants
118 participants
n=107 Participants
1350 participants
n=206 Participants
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class I
15 participants
n=99 Participants
1 participants
n=107 Participants
16 participants
n=206 Participants
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class II
1 participants
n=99 Participants
1 participants
n=107 Participants
2 participants
n=206 Participants
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class III
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
New York Heart Association (NYHA) Heart Failure Classification
NYHA Class IV
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants
Complications of Stroke-related Disease
Had Stroke-related Disease Complication
81 participants
n=99 Participants
7 participants
n=107 Participants
88 participants
n=206 Participants
Complications of Stroke-related Disease
Had No Stroke-related Disease Complication
1167 participants
n=99 Participants
113 participants
n=107 Participants
1280 participants
n=206 Participants
Breakdown of complications of stroke-related disease
Cerebral infarction
80 participants
n=99 Participants
7 participants
n=107 Participants
87 participants
n=206 Participants
Breakdown of complications of stroke-related disease
Transient ischemic attack
1 participants
n=99 Participants
0 participants
n=107 Participants
1 participants
n=206 Participants
Complications of Allergic Disease
Had Allergic Disease Complication
58 participants
n=99 Participants
7 participants
n=107 Participants
65 participants
n=206 Participants
Complications of Allergic Disease
Had No Allergic Disease Complication
1190 participants
n=99 Participants
113 participants
n=107 Participants
1303 participants
n=206 Participants
Breakdown of Complications of Allergic Disease
Asthma bronchial
27 participants
n=99 Participants
3 participants
n=107 Participants
30 participants
n=206 Participants
Breakdown of Complications of Allergic Disease
Pollinosis
12 participants
n=99 Participants
0 participants
n=107 Participants
12 participants
n=206 Participants
Breakdown of Complications of Allergic Disease
Rhinitis allergic
25 participants
n=99 Participants
4 participants
n=107 Participants
29 participants
n=206 Participants
Breakdown of Complications of Allergic Disease
Dermatitis allergic
2 participants
n=99 Participants
0 participants
n=107 Participants
2 participants
n=206 Participants
Complications of Malignant Tumor
Had Malignant Tumor Complications
13 participants
n=99 Participants
5 participants
n=107 Participants
18 participants
n=206 Participants
Complications of Malignant Tumor
Had No Malignant Tumor Complications
1235 participants
n=99 Participants
115 participants
n=107 Participants
1350 participants
n=206 Participants
Complications of Malignant Tumor (narrow definition)
Had Malignant Tumor Complications
11 participants
n=99 Participants
2 participants
n=107 Participants
13 participants
n=206 Participants
Complications of Malignant Tumor (narrow definition)
Had No Malignant Tumor Complications
1237 participants
n=99 Participants
118 participants
n=107 Participants
1355 participants
n=206 Participants
Other Complications
Had Other Complications
376 participants
n=99 Participants
34 participants
n=107 Participants
410 participants
n=206 Participants
Other Complications
Had No Other Complications
872 participants
n=99 Participants
86 participants
n=107 Participants
958 participants
n=206 Participants
Presence of Medical History
Had Presence of Medical History
162 participants
n=99 Participants
19 participants
n=107 Participants
181 participants
n=206 Participants
Presence of Medical History
Had No Presence of Medical History
960 participants
n=99 Participants
88 participants
n=107 Participants
1048 participants
n=206 Participants
Presence of Medical History
Unknown
126 participants
n=99 Participants
13 participants
n=107 Participants
139 participants
n=206 Participants
History of Allergies
Had History of Allergies
78 participants
n=99 Participants
7 participants
n=107 Participants
85 participants
n=206 Participants
History of Allergies
Had No History of Allergies
1066 participants
n=99 Participants
95 participants
n=107 Participants
1161 participants
n=206 Participants
History of Allergies
Unknown
104 participants
n=99 Participants
18 participants
n=107 Participants
122 participants
n=206 Participants
History of Alcohol Consumption
Had Alcohol Consumption
333 participants
n=99 Participants
34 participants
n=107 Participants
367 participants
n=206 Participants
History of Alcohol Consumption
Had No Alcohol Consumption
690 participants
n=99 Participants
60 participants
n=107 Participants
750 participants
n=206 Participants
History of Alcohol Consumption
Unknown
225 participants
n=99 Participants
26 participants
n=107 Participants
251 participants
n=206 Participants
Smoking Classification
Never Smoked
525 participants
n=99 Participants
45 participants
n=107 Participants
570 participants
n=206 Participants
Smoking Classification
Current Smoker
204 participants
n=99 Participants
25 participants
n=107 Participants
229 participants
n=206 Participants
Smoking Classification
Ex-smoker
233 participants
n=99 Participants
24 participants
n=107 Participants
257 participants
n=206 Participants
Smoking Classification
Unknown
286 participants
n=99 Participants
26 participants
n=107 Participants
312 participants
n=206 Participants
Time from Diagnosis of Type 2 Diabetes
<2 years
158 participants
n=99 Participants
35 participants
n=107 Participants
193 participants
n=206 Participants
Time from Diagnosis of Type 2 Diabetes
>=2 to <5 years
187 participants
n=99 Participants
17 participants
n=107 Participants
204 participants
n=206 Participants
Time from Diagnosis of Type 2 Diabetes
>=5 to <10 years
247 participants
n=99 Participants
21 participants
n=107 Participants
268 participants
n=206 Participants
Time from Diagnosis of Type 2 Diabetes
>=10 years
288 participants
n=99 Participants
22 participants
n=107 Participants
310 participants
n=206 Participants
Time from Diagnosis of Type 2 Diabetes
Unknown
368 participants
n=99 Participants
25 participants
n=107 Participants
393 participants
n=206 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c <6.0 percent
30 participants
n=99 Participants
3 participants
n=107 Participants
33 participants
n=206 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c >=6.0 to <7.0 percent
289 participants
n=99 Participants
27 participants
n=107 Participants
316 participants
n=206 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c >=7.0 to <8.0 percent
461 participants
n=99 Participants
44 participants
n=107 Participants
505 participants
n=206 Participants
Glycosylated Hemoglobin A1c (HbA1c)
HbA1c >=8.0 percent
365 participants
n=99 Participants
36 participants
n=107 Participants
401 participants
n=206 Participants
Glycosylated Hemoglobin A1c (HbA1c)
Unknown
103 participants
n=99 Participants
10 participants
n=107 Participants
113 participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline up to 12 months

Population: The safety analysis set was defined as all participants who were enrolled and completed the study.

Adverse drug reactions are defined as adverse events (AEs) which are in the investigator's opinion of causal relationship to the study treatment. AEs are defined as any unfavorable and unintended signs, symptoms or diseases temporally associated with the use of a medicinal product reported from the first dose of study drug to the last dose of study drug. The safety analysis was planned to be assessed in alogliptin + thiazolidinedione and alogliptin + other arm separately.

Outcome measures

Outcome measures
Measure
Alogliptin + Thiazolidinedione
n=1248 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=120 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Number of Participants Reporting One or More Adverse Drug Reactions
Hyperglycaemia
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Hypoglycaemia
5 participants
1 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Dyslipidaemia
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Dizziness
3 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Photopsia
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Hypertension
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Abdominal distension
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Diarrhoea
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Eczema
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Pruritus
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Arthralgia
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Joint swelling
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Local swelling
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Pyrexia
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Blood insulin decreased
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Blood insulin increased
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Hand fracture
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Rib fracture
1 participants
0 participants
Number of Participants Reporting One or More Adverse Drug Reactions
Hypothyroidism
1 participants
0 participants

PRIMARY outcome

Timeframe: Baseline up to 12 months

Population: The safety analysis set was defined as all participants who were enrolled and completed the study.

Serious adverse drug reactions are defined as serious adverse events (SAEs) which are in the investigator's opinion of causal relationship to the study treatment. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The safety analysis was planned to be assessed in alogliptin + thiazolidinedione and alogliptin + other arm separately.

Outcome measures

Outcome measures
Measure
Alogliptin + Thiazolidinedione
n=1248 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=120 Participants
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Number of Participants Reporting One or More Serious Adverse Drug Reactions
Hyperglycaemia
1 participants
0 participants
Number of Participants Reporting One or More Serious Adverse Drug Reactions
Hypoglycaemia
2 participants
0 participants

SECONDARY outcome

Timeframe: Baseline, Months 1, 3, 6, 12, and final assessment (up to 12 months)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline.

The change in the value of glycosylated hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at 1 month, 3 months, 6 months, 12 months or final visit (last visit for a participant in the study, up to Month 12) relative to baseline. The efficacy analysis was planned to be assessed in the total alogliptin arm irrespective of the thiazolidinedione treatment.

Outcome measures

Outcome measures
Measure
Alogliptin + Thiazolidinedione
n=1129 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Baseline (n=1124)
7.67 percentage of glycosylated hemoglobin
Standard Deviation 1.179
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 1 (n=879)
-0.25 percentage of glycosylated hemoglobin
Standard Deviation 0.597
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 6 (n=988)
-0.53 percentage of glycosylated hemoglobin
Standard Deviation 1.098
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 12 (n=949)
-0.64 percentage of glycosylated hemoglobin
Standard Deviation 1.133
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Final assessment (n=1124)
-0.57 percentage of glycosylated hemoglobin
Standard Deviation 1.143
Change From Baseline in Glycosylated Hemoglobin (HbA1c)
Change at Month 3 (n=1005)
-0.47 percentage of glycosylated hemoglobin
Standard Deviation 0.988

SECONDARY outcome

Timeframe: Baseline, Months 1, 3, 6, 12, and final assessment (up to 12 months)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline.

The rate of achieving objective glycemic control in HbA1c level, was calculated at 1 month, 3 months, 6 months, 12 months or final visit (last visit for a participant in the study, up to Month 12). Glycemic control was measured as \<8.0 percent, \<7.0 percent, and \<6.0 percent of glycosylated hemoglobin. The efficacy analysis was planned to be assessed in the total alogliptin arm irrespective of the thiazolidinedione treatment.

Outcome measures

Outcome measures
Measure
Alogliptin + Thiazolidinedione
n=1129 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Percentage of Participants of Achieving Objective Glycemic Control
<8.0 percent (Baseline) (n=1124)
68.0 percentage of participants
1.179
Percentage of Participants of Achieving Objective Glycemic Control
<8.0 percent (Month 1) (n=879)
75.8 percentage of participants
0.597
Percentage of Participants of Achieving Objective Glycemic Control
<7.0 percent (Month 3) (n=1005)
47.1 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<7.0 percent (Month 6) (n=988)
51.2 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<7.0 percent (Month 12) (n=949)
57.5 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<7.0 percent (Final assessment) (n=1124)
54.2 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<6.0 percent (Baseline) (n=1124)
2.7 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<6.0 percent (Month 1) (n=879)
3.2 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<6.0 percent (Month 6) (n=988)
6.8 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<6.0 percent (Month 12) (n=949)
8.2 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<8.0 percent (Month 3) (n=1005)
84.2 percentage of participants
0.988
Percentage of Participants of Achieving Objective Glycemic Control
<8.0 percent (Month 6) (n=988)
84.5 percentage of participants
1.098
Percentage of Participants of Achieving Objective Glycemic Control
<8.0 percent (Month 12) (n=949)
87.1 percentage of participants
1.133
Percentage of Participants of Achieving Objective Glycemic Control
<8.0 percent (Final assessment) (n=1124)
83.6 percentage of participants
1.143
Percentage of Participants of Achieving Objective Glycemic Control
<7.0 percent (Baseline) (n=1124)
27.6 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<7.0 percent (Month 1) (n=879)
34.3 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<6.0 percent (Month 3) (n=1005)
5.6 percentage of participants
Percentage of Participants of Achieving Objective Glycemic Control
<6.0 percent (Final assessment) (n=1124)
8.0 percentage of participants

SECONDARY outcome

Timeframe: Baseline, Months 1, 3, 6, 12, and final assessment (up to 12 months)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline.

The change between the fasting blood glucose value collected at 1 month, 3 months, 6 months, 12 months or final visit (last visit for a participant in the study, up to Month 12) relative to baseline. The efficacy analysis was planned to be assessed in the total alogliptin arm irrespective of the thiazolidinedione treatment.

Outcome measures

Outcome measures
Measure
Alogliptin + Thiazolidinedione
n=1129 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Change From Baseline in Fasting Blood Glucose
Baseline (n=389)
145.4 milligram per deciliter (mg/dL)
Standard Deviation 41.25
Change From Baseline in Fasting Blood Glucose
Change at Month 1 (n=283)
-9.8 milligram per deciliter (mg/dL)
Standard Deviation 35.39
Change From Baseline in Fasting Blood Glucose
Change at Month 3 (n=301)
-11.8 milligram per deciliter (mg/dL)
Standard Deviation 37.63
Change From Baseline in Fasting Blood Glucose
Change at Month 12 (n=293)
-16.2 milligram per deciliter (mg/dL)
Standard Deviation 35.46
Change From Baseline in Fasting Blood Glucose
Change at Final assessment (n=398)
-13.5 milligram per deciliter (mg/dL)
Standard Deviation 40.25
Change From Baseline in Fasting Blood Glucose
Change at Month 6 (n=297)
-13.9 milligram per deciliter (mg/dL)
Standard Deviation 41.75

SECONDARY outcome

Timeframe: Baseline, Months 1, 3, 6, 12, and final assessment (up to 12 months)

Population: The efficacy assessment population was defined as participants who completed the study and had available efficacy data at baseline and post baseline.

The change between the fasting insulin value collected at 1 month, 3 months, 6 months, 12 months or final visit (last visit for a participant in the study, up to Month 12) relative to baseline. The efficacy analysis was planned to be assessed in the total alogliptin arm irrespective of the thiazolidinedione treatment.

Outcome measures

Outcome measures
Measure
Alogliptin + Thiazolidinedione
n=1129 Participants
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Change From Baseline in Fasting Insulin
Baseline (n=82)
6.32 mg/dL
Standard Deviation 3.121
Change From Baseline in Fasting Insulin
Change at Month 1 (n=54)
0.19 mg/dL
Standard Deviation 1.519
Change From Baseline in Fasting Insulin
Change at Month 3 (n=57)
-0.02 mg/dL
Standard Deviation 1.946
Change From Baseline in Fasting Insulin
Change at Month 6 (n=60)
0.29 mg/dL
Standard Deviation 3.505
Change From Baseline in Fasting Insulin
Change at Month 12 (n=68)
-0.32 mg/dL
Standard Deviation 1.980
Change From Baseline in Fasting Insulin
Change at Final assessment (n=82)
-0.25 mg/dL
Standard Deviation 1.951

Adverse Events

Alogliptin + Thiazolidinedione

Serious events: 3 serious events
Other events: 11 other events
Deaths: 0 deaths

Alogliptin + Other

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Alogliptin + Thiazolidinedione
n=1248 participants at risk
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=120 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Metabolism and nutrition disorders
Hyperglycaemia
0.08%
1/1248 • Baseline up to 12 months
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/120 • Baseline up to 12 months
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Metabolism and nutrition disorders
Hypoglycaemia
0.16%
2/1248 • Baseline up to 12 months
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/120 • Baseline up to 12 months
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Other adverse events

Other adverse events
Measure
Alogliptin + Thiazolidinedione
n=1248 participants at risk
Alogliptin 25 milligram (mg), tablets, orally, once daily for up to 12 months in participants who received a thiazolidinedione within 3 months from the start of administration of alogliptin and during the treatment period of alogliptin.
Alogliptin + Other
n=120 participants at risk
Alogliptin 25 mg, tablets, orally, once daily for up to 12 months in participants who did not receive a thiazolidinedione within 3 months from the start of administration of alogliptin or during the treatment period of alogliptin.
Metabolism and nutrition disorders
Diabetes mellitus
0.88%
11/1248 • Baseline up to 12 months
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.7%
2/120 • Baseline up to 12 months
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER