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CTRI Number  CTRI/2010/091/001474 [Registered on: 15/10/2010]
Last Modified On: 15/09/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study
Modification(s)  
Efficacy and Safety of BI 10773 in Type 2 Diabetes Patients on a Background of Pioglitazone Alone or With Metformin 
Scientific Title of Study
Modification(s)  
A randomised, double-blind, placebo-controlled parallel group efficacy and safety trial of BI 10773 (10 and 25 mg administered orally once daily) over 24 weeks in patients with type 2 diabetes mellitus with insufficient glycaemic control despite a background therapy of pioglitazone alone or in combination with metformin 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
1245.19  Protocol Number 
NCT01210001  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Veeraswamy Seshiah 
Designation  Coordinating Investigator 
Affiliation  V Seshiah Diabetes Research Institute 
Address  Balaji Diabetes Care Centre, 729 PH Road Aminjikarai, Chennai

Chennai
TAMIL NADU
600029
India 
Phone    
Fax    
Email  vseshiah@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Tapankumar M Shah 
Designation  Trial Clinical Monitor 
Affiliation  Boehringer Ingelheim India Private Limited 
Address  Boehringer Ingelheim India Pvt. Ltd. 1102, 11th Floor, Hallmark Business Plaza, Guru Nanak Hospital Road, Near Guru Nanak Hospital, Bandra (East), Mumbai 400 051

Mumbai
MAHARASHTRA
400051
India 
Phone  00919930358846  
Fax    
Email  tapankumar.shah@boehringer-ingelheim.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Partha Gokhale 
Designation  Head - Clinical Operations 
Affiliation  Boehringer Ingelheim India Private Limited 
Address  Boehringer Ingelheim India Pvt. Ltd. 1102, 11th Floor, Hallmark Business Plaza, Guru Nanak Hospital Road, Near Guru Nanak Hospital, Bandra (East), Mumbai 400 051

Mumbai
MAHARASHTRA
400051
India 
Phone    
Fax    
Email  partha.gokhale@boehringer-ingelheim.com  
 
Source of Monetary or Material Support
Modification(s)  
Boehringer Ingelheim Pharmaceuticals 
 
Primary Sponsor
Modification(s)  
Name  Boehringer Ingelheim Ltd 
Address  Ellesfield AvenueSouthern Industrial EstateBracknell, BerkshireRG 12 8YSUNITED KINGDOMPhone: +44 1344 74-2535Fax: +44 1344 74-1657 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Eli Lilly and Company  Lilly Corporate Center Indianapolis, Indiana 46285 USA 
 
Countries of Recruitment
Modification(s)  
  Thailand
India
Canada
Greece
Philippines
Ukraine
United States of America  
Sites of Study
Modification(s)  
No of Sites = 17  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anish Behl  Apollo BGS Hospital  Adichunchanagiri Road,Kuvempunagar-570 023
Mysore
KARNATAKA 
+91-9342103964
+91-8212460870
anishbehl@rediffmail.com 
Dr Shriraam Mahadevan  Associates in CEER  15th Cross Street,Shastrinagar Adyar-600020
Chennai
TAMIL NADU 
+91-9840488777
+91-44-24460760
aceergroup@gmail.com 
Dr Sanjay Reddy  Bangalore Diabetes Hospital  16/M Miller Tank Bed Area,Thimmaiah Road, Vasanthnagar-560052
Bangalore
KARNATAKA 
+91-9886241898
+91-80-22372981
drsanjayreddy@yahoo.com 
Dr Neeta Deshpande  Belgaum Diabetes Centre  Near Mahila Bhandar,Maruti Galli-590001
Belgaum
KARNATAKA 
+91-9880271313
+91-8314215380
neetadeshpande@hotmail.com 
Dr B R Shivakumar  Cosmopolitan Medical Centre  5th Main, Kullapa Circle Road,Kammanahalli, St Thomas T Post-560084
Bangalore
KARNATAKA 
+91-9900329850
+91-80-25454565
dr_shiva_kumar@yahoo.co.in 
Dr Ajay Kumar  Diabetes Care & Research Centre   GC 1B Near Over Bridge,Kankerbagh-800020
Patna
BIHAR 
+91-6122350434
+91-6122357332
drajaykr@yahoo.com 
Dr Veeraswamy Seshiah  Dr V Seshiah Diabetes Care and Research Institute  No 729, P. H. Road ,Aminijikarai-600029
Chennai
TAMIL NADU 
+91-44-26641414
vseshiah@gmail.com
+91-44-26640660 
Dr Mohan Magdum  Jehangir Hospital  Department of Internal Medicine,32, Sassoon Road,-411001
Pune
MAHARASHTRA 
+91-20-66811756
+91-20-26059319
mohanmagdum@gmail.com 
Dr Ravikumar Y S  JSS Medical College Hospital  Department of General Medicine,Ramanuja Road-570004
Mysore
KARNATAKA 
+91-9448055503
+91-8212548368
ysravikumar@gmail.com 
Dr Shehla Shaikh  KGN Diabetes&Endocrine Centre  Patel Shopping Arcade,1st Floor, Nagpada Junction-400008
Mumbai
MAHARASHTRA 
+91-9820984842
+91-22-23021514
drshehla@rediffmail.com 
Balamurugan Ramanathan  Kovai Diabetes Centre  15 Vivekanand Road,Ramnagar-641009
Coimbatore
TAMIL NADU 
+91-9842244881
+91-4224377714
balamurugan_dr@hotmail.com 
Dr Sreenivasa Murthy  Life Care Clinic and Research Centre  # 2253, M.C.N. Complex, Kodigehelli Main Road,Sahakara Nagar-560092
Bangalore
KARNATAKA 
+91-9448051046
+91-80-23630055
drsreenivasa murthy@gmail.com 
Dr Dinesh Dhanwal  Maulana Azad Medical College  Department of Internal Medicine, Associated Loknayak Hospital,Room no.115, B.L.Taneja Block-110002
New Delhi
DELHI 
+91-9968604275
+91-11-23235793
dineshdhanwal@hotmail.com 
Dr Tushar Bandgar  Research Health Institute in Diabetes, Endocrinology & Metabolism (RHIDEM)  1/15, Rupal Apartment, 3rd floor,Opposite Aroma Hotel, Dadasaheb Phalke Road, Dadar East-400014
Mumbai
MAHARASHTRA 
919820025037

drtusharb@gmail.com 
Dr B A Rudrawadi  Rudrawadi Hospital  Diabetes care and research Centre,# 1-949, Plot no. 71/3A/15A Balaji Nagar, Old Jewargi road-585102
Gulbarga
KARNATAKA 
+91-9448194677
+91 8472270277
dr.rudrawadi@gmail.com 
Dr Shailaja Kale  Sahyadri Hospital  Centre of excellence for Diabetes, Bibewadi,Plot no. 13, S No. 573, Swami Vivekanand Marg-411037
Pune
MAHARASHTRA 
+91-9822055458
+91-20-67213722
drshailajakale@yahoo.com 
Dr Sunil Gupta  Sunil Diabetes Care And Research Centre Pvt Ltd  42, Lendra Park,,Ramdaspeth-440010
Nagpur
MAHARASHTRA 
+91-7122428111
+91-7122428555
mail@dcrcindia.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 17  
Name of Committee  Approval Status 
Bangalore Central Ethics Committee/Dr Shivakumar  Approved 
Bangalore Diabetes Hospital Ethical Committee/Dr Reddy  Approved 
CLINICOM Ethics Committee for Evaluation of Protocols for Clinical Research/Bangalore/Dr B A Rudrawadi)  Approved 
CLINICOM Ethics Committee for Evaluation of Protocols for Clinical Research/Bangalore/Dr Neeta Deshpande)  Approved 
CLINICOM Ethics Committee for Evaluation of Protocols for Clinical Research/Bangalore/Dr Tushar Bandgar)  Approved 
Ethical Committee of Diabetes Care and Research Centre/Nagpur/Dr Gupta  Approved 
Ethics Committee - Dr. V. Seshiah Diabetes Research Institute/Chennai/Dr Seshiah  Approved 
Ethics Committee Apollo BGS Hospital/Mysore/Dr Behl  Approved 
Institutional Ethical Committee of JSS Medical College/Mysore/Dr Ravikumar  Approved 
Institutional Ethics Committee of Kovai Diabetes Speciality Centre and Hospital/Coimbatore/Dr Balamurugan  Approved 
Institutional Ethics Committee, Hirabai cowasji Jehangir Medical Research Institute & Jehangir Clinical Development Centre/Pune/Dr Magdum  Approved 
Institutional Ethics Committee, Maulana Azad Medical College/Delhi/Dr Dhanwal  Approved 
Institutional Review Board Diabetes Care and Research Centre/Patna/Dr Ajay Kumar  Approved 
KGN Ethics Committee/Mumbai/Dr Shaikh  Approved 
Life Care Ethics Committee/Bangalore/Dr Murthy  Approved 
National Ethics Committee/Chennai/Dr Mahadevan  Approved 
Sahyadri Ethics Committee/Pune/Dr Kale  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Type 2 Diabetes Mellitus,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  BI 10773 tablet  10 mg once daily for 24 weeks 
Comparator Agent  placebo matching BI 10773 10 mg tablet  Once daily for 24 weeks 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Diagnosis of type 2 diabetes mellitus prior to informed consent.

2. Male and female patients on diet and exercise regimen who are pre-treated with pioglitazone alone or in combination with metformin. The treatment regimen should be unchanged for 12 weeks prior to randomisation.

3. HbA1c of greater than or equal to 7.0% and less that or equal to 10.0% at Visit 1 (screening).

4. Age greater than or equal to 18 and less than or equal to 65.

5. BMI less than or equal to kg per m2 (Body Mass Index) at Visit 1 (screening).

6. Signed and dated written informed consent by date of Visit 1 in accordance with Good Clinical Practice (GCP) and local legislation. 
 
ExclusionCriteria 
Details  1. Uncontrolled hyperglycaemia with a glucose level 240 mg/dl ( 13.3 mmol/l) after an overnight fast during placebo run-in and confirmed by a second measurement (not on the same day)

2. Any other antidiabetic medication within 12 weeks prior to randomisation, except those defined as the permitted background therapy via inclusion criteria no. 2

3. Myocardial infarction, stroke or transient ischaemic attack (TIA) within 3 months prior to informed consent

4. Indication of liver disease, defined by serum levels of either ALT (SGPT), AST (SGOT), or alkaline phosphatase above 3 x upper limit of normal (ULN) as determined during
screening or during the placebo run-in period (i.e. at a visit prior to the randomisation visit, Visit 3)

5. Impaired renal function, defined as eGFR (estimated Glomerular Filtration Rate) 30 ml/min (severe renal impairment, MDRD [Modification of Diet in Renal Disease]
formula) as determined during screening or during the placebo run-in period (i.e. at a visit prior to the randomisation visit, Visit 3)

6. Bariatric surgery within the past two years and other gastrointestinal surgeries that induce chronic malabsorption

7. Medical history of cancer (except for basal cell carcinoma) and/or treatment for cancer within the last 5 years

8. Blood dyscrasias or any disorders causing haemolysis or unstable red blood cells (e.g. malaria, babesiosis, haemolytic anaemia)

9. Contraindications to pioglitazone according to the
local label

10. Contraindication to pioglitazone and/or metformin (relevant only for those patients who enter the study with both these background therapies) according to the local labels

11. Treatment with anti-obesity drugs (e.g. sibutramine, orlistat) 3 months prior to informed consent or any other treatment at the time of screening (i.e. surgery, aggressive diet regimen etc.) leading to unstable body weight

12. Current treatment with systemic steroids at time of informed consent or change in dosage of thyroid hormones within 6 weeks prior to informed consent or any other uncontrolled endocrine disorder except T2D

13. Pre-menopausal women (last menstruation ≤ 1 year prior to informed consent) who:
- are nursing or pregnant or
- are of child bearing potential and are not practicing an acceptable method of birth control, or do not plan to continue using this method throughout the trial and do not agree to submit to periodic pregnancy testing during participation in the trial. Acceptable methods of birth control include tubal ligation, transdermal patch, intra uterine devices/systems (IUDs/IUSs), oral, implantable or injectable contraceptives, sexual abstinence (if acceptable to local authorities), double barrier method and vasectomised partner

14. Alcohol or drug abuse within the 3 months prior to informed consent that would interfere with trial participation or any ongoing condition leading to a decreased compliance to study procedures or study drug intake

15. Participation in another trial with an investigational drug within 30 days prior to informed consent

16. Any other clinical condition that would jeopardise patient safety while participating in this clinical trial 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Centralized 
Blinding/Masking
Modification(s)  
Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
The change from baseline in HbA1c  Baseline and 24 weeks 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
The change from baseline in fasting plasma glucose (FPG)  Baseline and 24 weeks 
 
Target Sample Size
Modification(s)  
Total Sample Size="468"
Sample Size from India="205" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
29/10/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  12/10/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Publication is not available as yet. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

This is a randomised, double-blind, placebo-controlled parallel group comparison Randomisation will be stratified by background therapy, HbA1c at Visit 1 and by renal function at Visit 1 (normal renal function eGFR ≥ 90 ml/min, mild impairment eGFR 60-89 ml/min and moderate renal impairment eGFR 30-59 ml/min). The objective of the current trial is to investigate the efficacy, safety and tolerability of BI 10773 (10 and 25 mg once daily) compared to placebo given for 24 weeks as add-on therapy to pioglitazone alone or in combination with metformin in patients with type 2 diabetes mellitus (T2DM) with insufficient glycaemic control. Approximately 220 patients will be recruited from India for 18 sites. The first patient from India in this study will be enrolled on 29 October 2010.

Trial is completed. Results will be updated in due course of time.

 
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