Status:

WITHDRAWN

Approaches To Therapy Escalation In T2D

Lead Sponsor:

LMC Diabetes & Endocrinology Ltd.

Collaborating Sponsors:

Merck Sharp & Dohme LLC

Syreon Corporation

Conditions:

Type2 Diabetes

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Type 2 diabetes mellitus (T2D) is a serious public health challenge which affects more than 9% of Canadians older than 20 years, an estimated prevalence that is anticipated to increase by over 40% in ...

Detailed Description

This cluster-based study will be conducted in a Primary Care clinical practice setting in Canada. A total of approximately 60 physician practices will be stratified into single (1 PCP) or group (\>1 P...

Eligibility Criteria

Inclusion

  • In order to be eligible to participate in this study, an individual must meet all of the following criteria:
  • Provision of signed and dated informed consent form
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Male or female, aged 18 years of age or older
  • Previously diagnosed with T2D
  • Have a glycated hemoglobin (A1C) result at Baseline between 7.1% and 9%
  • Have an eGFR value at Baseline ≥60 ml/min/1.73m2
  • Receiving stable (≥ 8 weeks) metformin at a dose of ≥1500 mg/day as monotherapy for T2D
  • Ability to take oral medication and be willing to adhere to the study intervention regimen
  • Agreement to adhere to Lifestyle Considerations (see section 5.3) throughout study duration
  • No reason for investigator to suspect they will not tolerate the study medication

Exclusion

  • An individual who meets any of the following criteria will be excluded from participation in this study:
  • Treated with antihyperglycemic agents other than metformin monotherapy.
  • Known allergies or contraindications to the use of either DPP-4 inhibitors or SGLT2 inhibitors
  • Presence of clinical evidence of cardiovascular disease including a history of heart failure, myocardial infarction, unstable angina, severe atherosclerotic cardiovascular disease on angiography, peripheral arterial disease and/or prior low extremity amputation, revascularization or stroke.
  • Known pregnancy or current lactation
  • Women of child bearing age not willing to use a method of contraception.
  • Febrile illness within 30 days of signing informed consent
  • Treatment with another investigational drug or other intervention within 90 days of signing informed consent
  • Any physical or psychological condition(s) or diagnoses that in the opinion of the treating physician may preclude participation

Key Trial Info

Start Date :

May 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 18 2019

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT03813316

Start Date

May 1 2019

End Date

September 18 2019

Last Update

September 27 2019

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