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Saxagliptin/Metformin

Phase 3

Diabetes | Small molecule | Metabolic |AstraZeneca PLC|Last Updated: Jun 23, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment2,939
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02419612A 52-week International, Multicenter Trial With a Long -Term Extension to Evaluate Saxagliptin With Dapagliflozin in Combination With Metformin Compared to Glimepiride in Combination With Metformin in Type 2 Diabetes Who Have Inadequate Glycemic Control on Metformin AlonePHASE3 COMPLETED 444Aug 14, 2015Sep 18, 2019Jun 23, 202084 United States, Czechia +8
NCT00316082Study of BMS-477118 as Monotherapy With Titration in Subjects With Type 2 Diabetes Who Are Not Controlled With Diet and ExercisePHASE3 COMPLETED 365Jun 1, 2006Nov 1, 2008Apr 29, 201574 United States, India +2
NCT00327015A Phase 3 Study of BMS-477118 in Combination With Metformin in Subjects With Type 2 Diabetes Who Are Not Controlled With Diet and ExercisePHASE3 COMPLETED 1,306May 1, 2006Dec 1, 2008Apr 29, 2015211 United States, Argentina +11
NCT00313313A Study of Saxagliptin in Subjects With Type 2 Diabetes Who Have Inadequate Blood Sugar Control With SulfonylureasPHASE3 COMPLETED 768Apr 1, 2006Sep 1, 2008May 4, 2015115 United States, Argentina +11
NCT01874080Bioequivalence StudyPHASE1 COMPLETED 56Jun 1, 2013Jul 1, 2013Apr 23, 20151 United States
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Study Endpoints
Primary Endpoints
Change From Baseline in Hemoglobin A1c (HbA1c) at Week 52
Baseline and Week 52

To examine whether the mean change from baseline in HbA1c with co-administered saxagliptin 5 mg and dapagliflozin 10 mg plus metformin is superior to titrated glimepiride plus metformin after 52 weeks of double-blind treatment.

Change From Baseline in Hemoglobin A1 (A1C) at Week 24
Baseline, Week 24

Mean change from baseline in A1C at Week 24, adjusted for baseline value.

Change From Baseline in Hemoglobin A1c (A1C) at Week 24, Saxagliptin Plus Metformin Versus Saxagliptin Monotherapy
Baseline, Week 24

Mean change from baseline in A1C at Week 24, adjusted for baseline value.

Change From Baseline in A1C at Week 24, Saxagliptin Plus Metformin Versus Metformin Monotherapy
Baseline, Week 24

Mean change from baseline in A1C at Week 24, adjusted for baseline value.

Change From Baseline in Hemoglobin A1c (A1C) at Week 24
Baseline, Week 24

Mean change from baseline in A1C at Week 24, adjusted for baseline value.

Point estimates and 90% CIs for the ratio of geometric means for Cmax for Saxagliptin and Metformin in the 5/1000 mg FDC XR (Mt.Vernon/Humacao) and 5/1000 mg FDC XR (Mt. Vernon)
19 time points up to Day 3 of Periods 1 and 2

Cmax=Maximum observed plasma concentration CI=Confidence interval FDC=Fixed dosed combination XR=Extended release

Point estimates and 90% CIs for the ratio of geometric means for AUC(0-T) for Saxagliptin and Metformin in the 5/1000 mg FDC XR (Mt.Vernon/Humacao) and 5/1000 mg FDC XR (Mt. Vernon)
19 time points up to Day 3 of Periods 1 and 2

AUC(0-T)=Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration

Point estimates and 90% CIs for the ratio of geometric means for AUC(INF) for Saxagliptin and Metformin in the 5/1000 mg FDC XR (Mt.Vernon/Humacao) and 5/1000 mg FDC XR (Mt. Vernon)
19 time points up to Day 3 of Periods 1 and 2

AUC(INF)=Area under the plasma concentration-time curve from time zero extrapolated to infinity

Point estimates and 90% CIs for the ratio of geometric means for Cmax for Saxagliptin and Metformin in the 5/500 mg FDC XR (Mt. Vernon/Humacao) and 5/500 mg FDC XR (Mt. Vernon)
19 time points up to Day 3 of Periods 1 and 2
Point estimates and 90% CIs for the ratio of geometric means for AUC(0-T) for Saxagliptin and Metformin in the 5/500 mg FDC XR (Mt. Vernon/Humacao) and 5/500 mg FDC XR (Mt. Vernon)
19 time points up to Day 3 of Periods 1 and 2
Point estimates and 90% CIs for the ratio of geometric means for AUC(INF) for Saxagliptin and Metformin in the 5/500 mg FDC XR (Mt. Vernon/Humacao) and 5/500 mg FDC XR (Mt. Vernon)
19 time points up to Day 3 of Periods 1 and 2
Secondary Endpoints
Change From Baseline in Total Body Weight at Week 52
Baseline and Week 52
Percentage of Subjects Achieving a Therapeutic Glycemic Response, Defined as HbA1c < 7.0%, at Week 52
At Week 52
Change From Baseline in Systolic Blood Pressure (SBP) at Week 52
Baseline and Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Saxagliptin 5 mg/ dapagliflozin 10mg or PlaceboEXPERIMENTALSaxagliptin 5 mg /dapagliflozin 10 mg Placebo once a day orally
Glimepiride or PlaceboEXPERIMENTALGlimepiride or placebo 1mg or 2mg or 3mg or 4mg or 6mg once a day orally
Saxagliptin 2.5 mg QAM (A)EXPERIMENTALPLUS open-label metformin (as needed as rescue medication)
Saxagliptin 2.5 mg titrated to 5 mg QAM (B)EXPERIMENTALPLUS open-label metformin (as needed as rescue medication)
Saxagliptin 5 mg QAM (C)EXPERIMENTALPLUS open-label metformin (as needed as rescue medication)
Saxagliptin 5 mg QPM (D)EXPERIMENTALPLUS open-label metformin (as needed as rescue medication)
Placebo (E)PLACEBO_COMPARATORPLUS open-label metformin (as needed as rescue medication)
Saxagliptin and Metformin (A)EXPERIMENTALPLUS open-label pioglitazone (as needed as rescue medication)
Saxagliptin and Metformin (B)EXPERIMENTALPLUS open-label pioglitazone (as needed as rescue medication)
Saxagliptin and Placebo (C)EXPERIMENTALPLUS open-label pioglitazone (as needed as rescue medication)
Metformin and Placebo (D)ACTIVE_COMPARATORPLUS open-label pioglitazone (as needed as rescue medication)
Saxagliptin 2.5 mg + Glyburide 7.5 mg (A)EXPERIMENTALMetformin 500-2500 mg (as needed)
Saxagliptin 5 mg + Glyburide 7.5 mg (B)EXPERIMENTALMetformin 500-2500 mg (as needed)
Placebo + Glyburide 7.5 mg (C)PLACEBO_COMPARATORMetformin 500-2500 mg (as needed)
Arm A: Saxagliptin/Metformin XR FDC (Mt. Vernon/Humacao)EXPERIMENTALSaxagliptin 5 mg /Metformin 1000 mg (Mt. Vernon/Humacao) tablet by mouth once daily on Day 1 of Periods 1 and 2
Arm B: Saxagliptin/Metformin XR FDC (Mt. Vernon)EXPERIMENTALSaxagliptin 5 mg/Metformin 1000 mg (Mt. Vernon) tablet by mouth once daily on Day 1 of Periods 1 and 2
Arm C: Saxagliptin/Metformin XR FDC (Mt. Vernon/Humacao)EXPERIMENTALSaxagliptin 5 mg/Metformin 500 mg (Mt. Vernon/Humacao) tablet by mouth once daily on Day1 of Periods 1 and 2
Arm D: Saxagliptin/Metformin XR FDC (Mt. Vernon)EXPERIMENTALSaxagliptin 5 mg/Metformin 500 mg (Mt. Vernon) tablet by mouth once daily Day 1 of Periods 1 and 2
Interventions
NameTypeDescription
SaxagliptinDRUG -
DapagliflozinDRUG -
GlimepirideDRUG -
PlaceboOTHER -
metforminDRUGTablets, Oral, 500-2000 mg, as needed (12 months LT)
pioglitazoneDRUGTablets, Oral, 15-45 mg, as needed (12 months LT)
GlyburideDRUGCapsules, Oral, OL, 7.5 mg, Daily, AM (24 weeks ST, 12 months LT)
Saxagliptin/MetforminDRUG -
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Eligibility Criteria
Age Range18 Years — 120 Years
SexALL
Healthy VolunteersNo
Study Sites84

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Subjects must be willing and able to give signed and dated written informed consent * Patients with Type 2 diabetes mellitus (T2DM) with inadequate glycemic control * Subject...

Countries:United StatesCzechiaGermanyHungaryMexicoPolandRomaniaRussiaSwedenUnited KingdomIndiaTaiwanArgentinaBrazilItalyPhilippinesPuerto RicoUkraineHong KongIsraelPeruSingaporeSouth AfricaSouth Korea
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