[Translation] A multicenter, randomized, double-blind, parallel, positive-controlled phase III clinical study of metformin hydrochloride combined with bexagliflozin (20 mg) tablets or dapagliflozin (10 mg) tablets in patients with type 2 diabetes who have poor glycemic control after metformin hydrochloride monotherapy
主要目的: 在接受二甲双胍≥1500mg/天单药治疗,糖化血红蛋白(HbA1c)控制不佳的2型糖尿病(T2DM)患者中,评估Bexagliflozin或达格列净治疗24周后HbA1c较基线水平的降低,证明Bexagliflozin的疗效非劣于达格列净。
次要目的:
比较Bexagliflozin和达格列净治疗组之间,第24周较基线的体重变化 比较Bexagliflozin与达格列净治疗组之间,第24周空腹血糖(FPG)较基线的变化
比较Bexagliflozin和达格列净治疗组之间,第24周达到血糖疗效反应(定义为HbA1c<7.0%和<6.5%)的受试者比例
比较Bexagliflozin和达格列净治疗组之间,第24周较基线的血压变化
比较Bexagliflozin和达格列净治疗组之间,第24周餐后2h血糖(MTT试验2h点)相对基线的变化
安全性目的:
比较Bexagliflozin和达格列净治疗组之间对相关不良事件(AE)发生率的影响
比较Bexagliflozin和达格列净治疗组之间对一般安全性评估的影响
[Translation] Primary objective: To evaluate the reduction of HbA1c from baseline after 24 weeks of treatment with Bexagliflozin or dapagliflozin in patients with type 2 diabetes (T2DM) who are receiving monotherapy with metformin ≥1500 mg/day and whose glycosylated hemoglobin (HbA1c) is poorly controlled, and to demonstrate that the efficacy of Bexagliflozin is non-inferior to that of dapagliflozin.
Secondary objectives:
Compare the change in body weight from baseline at week 24 between bexagliflozin and dapagliflozin treatment groups
Compare the change in fasting plasma glucose (FPG) from baseline at week 24 between bexagliflozin and dapagliflozin treatment groups
Compare the proportion of subjects who achieved glycemic response (defined as HbA1c <7.0% and <6.5%) at week 24 between bexagliflozin and dapagliflozin treatment groups
Compare the change in blood pressure from baseline at week 24 between bexagliflozin and dapagliflozin treatment groups
Compare the change in 2h postprandial blood glucose (MTT test 2h point) from baseline at week 24 between bexagliflozin and dapagliflozin treatment groups
Safety objectives:
Compare the effects of bexagliflozin and dapagliflozin treatment groups on the incidence of related adverse events (AEs)
Compare the effects of bexagliflozin and dapagliflozin treatment groups on general safety assessments