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BI 10773

Phase 3

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: Sep 2, 2016

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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials7
Total Enrollment8,337
FDA Designations
No designations recorded
Clinical Trials (7)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01778049Linagliptin as Add on Therapy to Empagliflozin 10 mg or 25 mg With Background Metformin in Patient With Type 2 DiabetesPHASE3 COMPLETED 708Jan 1, 2013Mar 1, 2015Apr 4, 2016114 United States, Argentina +9
NCT0137000512 Week Efficacy and Safety Study of Empagliflozin (BI 10773) in Hypertensive Patients With Type 2 Diabetes MellitusPHASE3 COMPLETED 825Jun 1, 2011Jul 1, 2012Feb 22, 2016120 United States, Canada +10
NCT01289990Safety and Efficacy of Empagliflozin (BI 10773) and Sitagliptin Versus Placebo Over 76 Weeks in Patients With Type 2 DiabetesPHASE3 COMPLETED 2,705Feb 1, 2011May 1, 2013Jul 15, 2014243 United States, Belgium +17
NCT01210001Efficacy and Safety of Empagliflozin (BI 10773) in Type 2 Diabetes Patients on a Background of Pioglitazone Alone or With MetforminPHASE3 COMPLETED 499Sep 1, 2010 -Jun 17, 201468 United States, Canada +5
NCT01159600Efficacy and Safety Study With Empagliflozin (BI 10773) vs. Placebo as add-on to Metformin or Metformin Plus Sulfonylurea Over 24 Weeks in Patients With Type 2 DiabetesPHASE3 COMPLETED 1,504Jul 1, 2010 -Jun 17, 2014148 United States, Canada +10
NCT01167881Efficacy and Safety of Empagliflozin (BI 10773) With Metformin in Patients With Type 2 DiabetesPHASE3 COMPLETED 1,549Aug 1, 2010Aug 1, 2015Sep 2, 2016182 United States, Argentina +21
NCT01193218Empagliflozin (BI 10773) Dose Finder Study in Japanese Patients With Type 2 Diabetes MellitusPHASE2 COMPLETED 547Sep 1, 2010Jun 1, 2012Jun 17, 201432 Japan
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Study Endpoints
Primary Endpoints
Change From Baseline of HbA1c After 24 Weeks of Treatment.
Baseline and 24 weeks

Change from baseline in Glycated haemoglobin (HbA1c) \[%\] after 24 weeks of treatment with double-blind trial medication, i.e. HbA1c change from baseline at Week 24. The term "baseline" was not used to refer to measurements prior to the administration of open-label medication. Such measurements were referred to as "pre-treatment". Analyses of change from pre-treatment used the last value before first administration of open-label medication as point of reference. Observed Case (OC): This method analyse only available data that were observed while patients were on treatment, i.e., excluding the missing data. All values measured after rescue medication taken were set to missing. Full Analysis Set (FAS): Includes all patients in the Treated set who had a baseline HbA1c assessment and at least 1 on-treatment HbA1c assessment during the double-blind part of the trial.

HbA1c Change From Baseline
Baseline and 12 weeks

Change from baseline in HbA1c after 12 weeks of treatment.

Mean 24-hour Systolic Blood Pressure Change From Baseline
Baseline and 12 weeks

Change from baseline of mean 24-hour systolic blood pressure (SBP).

Changes From Baseline in Glycosylated Haemoglobin (HbA1c) (%) After 52 Weeks of Treatment
Baseline and 52 weeks

Change from baseline in HbA1c after 52 weeks

Changes From Baseline in HbA1c (%) After 76 Weeks of Treatment
Baseline and 76 weeks

Change from baseline in HbA1c after 76 weeks

HbA1c Change From Baseline for Pio and Met Background Medication Patients
Baseline and 24 weeks

Change From Baseline in HbA1c after 24 weeks for patients with pioglitazone (pio) and metformin (met) background medication only. Note that adjusted means are provided.

The Change From Baseline in Glycosylated Haemoglobin (HbA1c) After 104 Weeks of Treatment.
Baseline and 104 weeks
Change From Baseline in HbA1c After 12 Weeks of Treatment.
baseline and 12 weeks

The primary endpoint in this study is the change from baseline in HbA1c after 12 weeks of treatment.

Secondary Endpoints
Fasting Plasma Glucose (FPG) Change From Baseline at 24 Weeks.
Baseline and 24 weeks
Mean 24-hour Diastolic Blood Pressure Change From Baseline
Baseline and 12 weeks
Proportion of Patients With HbA1c <7%
Baseline and 12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Empagliflozin 10 mg doseEXPERIMENTALEmpagliflozin open label treatment period
Placebo add on 10 mg doseEXPERIMENTALEmpagliflozin / Linagliptin 10/5 mg Dose FDC placebo add on run-in
Empagliflozin/Linagliptin 25/5 mg DoseEXPERIMENTALEmpagliflozin / Linagliptin 25/5 mg Dose FDC active
Empagliflozin/Linagliptin 10/5 mg Dose.EXPERIMENTALEmpagliflozin / Linagliptin 10/5 mg Dose FDC placebo
Empagliflozin/Linagliptin 10/5 mg DoseEXPERIMENTALEmpagliflozin / Linagliptin 10/5 mg Dose FDC active
Empagliflozin 25 mg doseEXPERIMENTALEmpagliflozin open label treatment period
Empagliflozin/Linagliptin 25/5 mg Dose.EXPERIMENTALEmpagliflozin / Linagliptin 25/5 mg Dose FDC placebo
Placebo add on 25 mg doseEXPERIMENTALEmpagliflozin / Linagliptin 25/5 mg Dose FDC placebo add on run-in
BI 10773 low doseEXPERIMENTALBI 10773 low dose once daily
BI 10773 high doseEXPERIMENTALBI 10773 high dose once daily
PlaceboPLACEBO_COMPARATORPlacebo tablets matching BI 10773
BI 10773 low (drug naive)EXPERIMENTALBI 10773 tablets once daily
BI 10773 high (drug naive)EXPERIMENTALBI 10773 tablets once daily
Placebo (drug naive)PLACEBO_COMPARATORPlacebo tablets matching BI 10773 / Sitagliptin once daily
Sitagliptin 100mg (drug naive)ACTIVE_COMPARATORSitagliptin once daily
BI 10773 low (pioglitazone)EXPERIMENTALBI 10773 tablets once daily
BI 10773 high (pioglitazone)EXPERIMENTALBI 10773 tablets once daily
Placebo (pioglitazone)PLACEBO_COMPARATORPlacebo tablets matching BI 10773 once daily
BI 10773 low (metformin)EXPERIMENTALBI 10773 tablets once daily
BI 10773 high (metformin)EXPERIMENTALBI 10773 tablets once daily
Placebo (metformin)PLACEBO_COMPARATORPlacebo tablets matching BI 10773 once daily
BI 10773 low (metformin+sulfonylurea)EXPERIMENTALBI 10773 tablets once daily
BI 10773 high (metformin+sulfonylurea)EXPERIMENTALBI 10773 tablets once daily
Placebo (metformin+sulfonylurea)PLACEBO_COMPARATORPlacebo tablets matching BI 10773
BI 10773 Arm 2EXPERIMENTALBI 10773 once daily high dose
BI 10773 open-labelEXPERIMENTALBI 10773 once daily high dose open label
BI 10773 Arm 1EXPERIMENTALBI 10773 once daily low dose
BI 10773 dose plus metforminEXPERIMENTALPatients receive one BI10773 tablet and one placebo Glimepiride capsule once daily
Glimepiride 1-4 mg plus metforminACTIVE_COMPARATORPatients receive one glimepiride capsule and one placebo tablet Bi 10773 once daily.
BI 10773 low dose QDEXPERIMENTALBI 10773 tablets low dose once a day
BI 10773 mid-low dose QDEXPERIMENTALBI 10773 tablets mid-low dose once a day
BI 10773 mid-high dose QDEXPERIMENTALBI 10773 tablets mid-high dose once a day
BI 10773 high dose QDEXPERIMENTALBI 10773 tablets high dose once a day
Interventions
NameTypeDescription
BI 10773DRUGEmpagliflozin active
BI 10773 PlaceboDRUGEmpagliflozin placebo
BI 10773 / BI 1356DRUGEmpagliflozin / Linagliptin 25/5 mg Dose FDC active
BI 10773 / BI 1356 PlaceboDRUGEmpagliflozin / Linagliptin 10/5 mg Dose placebo FDC
PlaceboDRUGPlacebo matching BI 10773 low dose
Sitagliptin 100mgDRUGSitagliptin once daily
Placebo identical to BI 10773 high doseDRUGPlacebo tablets matching BI 10773 high dose
Placebo identical to BI 10773 low doseDRUGPlacebo tablets matching BI 10773 low dose
GlimepirideDRUG1-4 mg once daily
Placebo (low dose)DRUGPlacebo tablets once a day
Placebo (mid dose)DRUGPlacebo tablets once a day
Placebo (high dose)DRUGPlacebo tablets once a day
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites114

Inclusion criteria: 1. Signed and dated ICF (Informed Consent Form) 2. Male or female on diet and exercise regime and on stable background metformin \> or equal to 1500 mg or maximun dose according to local label 3. HBA1c (Glicoslated Hemoglobin) \> or equal to 8% and \< or equal to 10.5 % at Visit...

Countries:United StatesArgentinaAustraliaCanadaEl SalvadorGermanyItalyPortugalRussiaSpainUkraineCzechiaDenmarkEstoniaFinlandFranceLebanonNetherlandsNorwaySwedenBelgiumChinaGreeceIndiaIrelandJapanMexicoPhilippinesSlovakiaSloveniaSouth KoreaSwitzerlandTaiwanTurkey (Türkiye)ThailandAustriaColombiaHong KongMalaysiaSouth AfricaUnited Kingdom
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