Trial Outcomes & Findings for Anti-Inflammatory Small Drug Adjunctive Therapy for Type 2 Diabetes (NCT NCT02597101)

NCT ID: NCT02597101

Last Updated: 2021-05-13

Results Overview

The primary outcome measure is the insulin sensitivity at 6 months from baseline, assessed by the hyperinsulinemic-euglycemic clamp method. This is calculated as the M/LBM. M/LBM = whole-body insulin sensitivity adjusted for lean body mass. M/LBM is calculated as the steady-state glucose disposal (in mL) per kilogram lean body mass divided by steady-state insulin concentrations (micro IU/mL).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

6 months

Results posted on

2021-05-13

Participant Flow

14 subjects consented (9 screen failures, 5 randomized). Of the 5 randomized, 4 completed both arms while 1 was withdrawn after completing the AZD9668 arm and did not crossover to placebo.

Participant milestones

Participant milestones
Measure
Placebo
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Overall Study
STARTED
4
5
Overall Study
COMPLETED
4
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Anti-Inflammatory Small Drug Adjunctive Therapy for Type 2 Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Total
n=9 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
3 Participants
n=107 Participants
6 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
4 participants
n=99 Participants
5 participants
n=107 Participants
9 participants
n=206 Participants
Insulin Sensitivity
8.05 (ml/kg/min)/(microIU/ml)
STANDARD_DEVIATION 7.4 • n=99 Participants
9.9 (ml/kg/min)/(microIU/ml)
STANDARD_DEVIATION 3.3 • n=107 Participants
8.975 (ml/kg/min)/(microIU/ml)
STANDARD_DEVIATION 4.8 • n=206 Participants

PRIMARY outcome

Timeframe: 6 months

The primary outcome measure is the insulin sensitivity at 6 months from baseline, assessed by the hyperinsulinemic-euglycemic clamp method. This is calculated as the M/LBM. M/LBM = whole-body insulin sensitivity adjusted for lean body mass. M/LBM is calculated as the steady-state glucose disposal (in mL) per kilogram lean body mass divided by steady-state insulin concentrations (micro IU/mL).

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Insulin Sensitivity at 6 Months From Baseline
9.9 (mL/kg/min)/(microIU/mL)
Standard Deviation 3.7
6.4 (mL/kg/min)/(microIU/mL)
Standard Deviation 3.5

SECONDARY outcome

Timeframe: 12 months

Population: Full Analysis Set

Severity of all adverse events including hypoglycemia based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 severity grade score (0-4). Higher scores indicate a worse severity.

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Severity of All Adverse Events Including Hypoglycemia
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: 12 months

Population: Full Analysis Set

Attribution score of AE to known AEs of AZD9668 in terms of an atribution scale of 0-4. The scale is defined as: Score 0=Unrelated; Score 1=The AE is unlikely related; Score 2=The AE has a reasonable possibility to be related; Score 3=The AE is likely related; Score 4=The AE is clearly related

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Severity of Known AEs of AZD9668
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: 12 months

Population: Full Analysis Set

Attribution score of AE to known AEs of saxagliptin in terms of an atribution scale of 0-4. The scale is defined as: Score 0=Unrelated; Score 1=The AE is unlikely related; Score 2=The AE has a reasonable possibility to be related; Score 3=The AE is likely related; Score 4=The AE is clearly related

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Severity of Known AEs of Saxagliptin
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: 12 months

Population: Full Analysis Set

Attribution score of AE to known AEs of metformin in terms of an atribution scale of 0-4. The scale is defined as: Score 0=Unrelated; Score 1=The AE is unlikely related; Score 2=The AE has a reasonable possibility to be related; Score 3=The AE is likely related; Score 4=The AE is clearly related

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Severity of Known AEs of Metformin
0 score on a scale
Standard Deviation 0
0 score on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: 12 months

Population: ITT

Difference in the value of HbA1c study end (12 months) compared to baseline value (time 0)

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Change in Glycated HbA1c Levels Compared to Baseline
7.2 percentage of the change from baseline
Standard Deviation 1.4
7.6 percentage of the change from baseline
Standard Deviation 0.9

SECONDARY outcome

Timeframe: 12 months

Population: ITT

The difference of the calculated area under the curve of the 2 hour OGTT test (AUC is the value of the area under the glucose concentration time curve) at 12 months minus the AUC at baseline (time zero). This AUC is calculated as the concentration of glucose versus time curve and the reporting units are mcg\*dL/hour. The trapezoid rule was applied to the curve to obtain the AUC.

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Change in OGTT From Baseline
732.9 mcg*dL/hour
Standard Deviation 156.6
821.4 mcg*dL/hour
Standard Deviation 185.2

SECONDARY outcome

Timeframe: 12 months

Population: ITT

The change from baseline at 12 months where the insulinogenic index = ratio of fasting C-peptide concentration (ng/mL)/fasting glucose (ng/mL) at the time of the OGTT test.

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Change in OGTT-derived Insulinogenic Index Using C-peptide
21.9 ratio of fasting C-peptide concentration
Standard Deviation 2.2
22.6 ratio of fasting C-peptide concentration
Standard Deviation 5.2

SECONDARY outcome

Timeframe: 12 months

Population: ITT

Serum levels refers to the concentration in serum of each of the analytes in the multi-analyte assay (Luminex) in terms of pg/mL depending on the analyte measured. We are reporting the difference in these values between 12 months and baseline.

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) and 60 mg placebo tablet twice daily Metformin: background drug saxagliptin: background drug placebo: placebo for AZD9668 to be added to background drugs
AZD9668
n=5 Participants
60 mg AZD9668 twice daily in addition to 5 mg saxagliptin, once a day, together with optimised (after titration) metformin (500-2000 mg/day) Metformin: background drug saxagliptin: background drug AZD9668: study drug
Change From Baseline in the Serum Levels of Inflammatory Markers
Eoatxin
33.1 pg/mL
Standard Deviation 20.9
39.2 pg/mL
Standard Deviation 23.2
Change From Baseline in the Serum Levels of Inflammatory Markers
GM-CSF
8.8 pg/mL
Standard Deviation 0.3
8.8 pg/mL
Standard Deviation 0.3
Change From Baseline in the Serum Levels of Inflammatory Markers
INFa
17.6 pg/mL
Standard Deviation 4.6
18.8 pg/mL
Standard Deviation 4.6
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-1RA
75.3 pg/mL
Standard Deviation 14.6
87.6 pg/mL
Standard Deviation 34.0
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-2
5.3 pg/mL
Standard Deviation 0.1
5.3 pg/mL
Standard Deviation 0.2
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-2R
208.6 pg/mL
Standard Deviation 94.9
167.1 pg/mL
Standard Deviation 107.1
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-4
22.6 pg/mL
Standard Deviation 1.1
22.4 pg/mL
Standard Deviation 1.1
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-5
4.8 pg/mL
Standard Deviation 1.1
4.7 pg/mL
Standard Deviation 0.9
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-6
3.4 pg/mL
Standard Deviation 0.7
3.2 pg/mL
Standard Deviation 0.4
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-7
10.4 pg/mL
Standard Deviation 8.2
9.0 pg/mL
Standard Deviation 6.4
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-8
8.0 pg/mL
Standard Deviation 2.0
8.2 pg/mL
Standard Deviation 0.7
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-10
11.2 pg/mL
Standard Deviation 0.4
11.3 pg/mL
Standard Deviation 0.6
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-12
44.3 pg/mL
Standard Deviation 12.1
43.4 pg/mL
Standard Deviation 22.7
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-13
12.0 pg/mL
Standard Deviation 1.8
12.0 pg/mL
Standard Deviation 1.8
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-15
50.9 pg/mL
Standard Deviation 14.4
47.7 pg/mL
Standard Deviation 18.5
Change From Baseline in the Serum Levels of Inflammatory Markers
IL-17
11.0 pg/mL
Standard Deviation 0.8
10.8 pg/mL
Standard Deviation 0.6
Change From Baseline in the Serum Levels of Inflammatory Markers
INFy
20.1 pg/mL
Standard Deviation 4.7
17.8 pg/mL
Standard Deviation 5.8
Change From Baseline in the Serum Levels of Inflammatory Markers
IP-10
25.2 pg/mL
Standard Deviation 17.2
19.7 pg/mL
Standard Deviation 17.5
Change From Baseline in the Serum Levels of Inflammatory Markers
MCP-1
71.0 pg/mL
Standard Deviation 29.5
93.5 pg/mL
Standard Deviation 25.2
Change From Baseline in the Serum Levels of Inflammatory Markers
MIG
13.9 pg/mL
Standard Deviation 9.4
22.1 pg/mL
Standard Deviation 22.2
Change From Baseline in the Serum Levels of Inflammatory Markers
MIP-1a
14.8 pg/mL
Standard Deviation 2.2
14.6 pg/mL
Standard Deviation 2.9
Change From Baseline in the Serum Levels of Inflammatory Markers
MIP-1b
69.1 pg/mL
Standard Deviation 27.9
81.5 pg/mL
Standard Deviation 30.3
Change From Baseline in the Serum Levels of Inflammatory Markers
RANTES
532.6 pg/mL
Standard Deviation 612.5
219.5 pg/mL
Standard Deviation 125.9
Change From Baseline in the Serum Levels of Inflammatory Markers
TNFa
10.9 pg/mL
Standard Deviation 3.3
10.7 pg/mL
Standard Deviation 3.3

Adverse Events

Placebo

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

AZD9668

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Nick Giannoukakis

Allegheny Health Network

Phone: 412-359-6394

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place