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).
COMPLETED
PHASE2
14 participants
6 months
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 Of the 5 randomized, 4 completed both arms while 1 was withdrawn after completing the AZD9668 arm and did not crossover to placebo.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
| 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
| 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 monthsThe 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
| 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 monthsPopulation: 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
| 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 monthsPopulation: 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
| 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 monthsPopulation: 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
| 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 monthsPopulation: 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
| 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 monthsPopulation: ITT
Difference in the value of HbA1c study end (12 months) compared to baseline value (time 0)
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 monthsPopulation: 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
| 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 monthsPopulation: 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
| 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 monthsPopulation: 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
| 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
AZD9668
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place