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empagliflozin medium dose

Phase 3

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: Jan 3, 2019

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment1,755

FDA Designations

No designations recorded

Clinical trial landscape

empagliflozin medium dose · 6 trials · 3 indications

Phase 3 4Phase 2 1Phase 1 1
NCT02580591Empagliflozin as Adjunctive to Insulin Therapy Over 26 Weeks in Patients With T1DM (EASE-3)Diabetes Mellitus, Type 1
COMPLETED977 Analytics
NCT02414958Empagliflozin as Adjunctive to InSulin thErapy Over 52 Weeks in Patients With Type 1 Diabetes Mellitus (EASE-2)Diabetes Mellitus, Type 1
COMPLETED730 Analytics
NCT0218283024 Week Efficacy and Safety Study of Empagliflozin (BI 10773) in Hypertensive Black/African American Patients With Type 2 Diabetes Mellitus and HypertensionDiabetes Mellitus, Type 2
COMPLETED166 Analytics
NCT01947855Post Prandial Glucose (PPG) Study of Empagliflozin in Japanese Patients With Type 2 Diabetes MellitusDiabetes Mellitus, Type 2
COMPLETED60 Analytics
PHASE3COMPLETED
Empagliflozin as Adjunctive to Insulin Therapy Over 26 Weeks in Patients With T1DM (EASE-3)
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE3COMPLETED
Empagliflozin as Adjunctive to InSulin thErapy Over 52 Weeks in Patients With Type 1 Diabetes Mellitus (EASE-2)
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE3COMPLETED
24 Week Efficacy and Safety Study of Empagliflozin (BI 10773) in Hypertensive Black/African American Patients With Type 2 Diabetes Mellitus and Hypertension
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Post Prandial Glucose (PPG) Study of Empagliflozin in Japanese Patients With Type 2 Diabetes Mellitus
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26 for Full Analysis Set (FAS) (Observed Cases [OC])
Baseline to week 26

Change from baseline in Glycated hemoglobin (HbA1c) for full analysis set (FAS) (observed cases \[OC\]) is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomized trial medication. Least squares mean is adjusted mean change from baseline.

Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 26 for Modified Intention-to-treat Population Set (mITT) (Observed Case (OC) - All Data (AD) (OC-AD))
Baseline to week 26

Change from baseline in Glycated hemoglobin (HbA1c) for modified intention-to-treat population set (mITT) (observed case - all data \[OC-AD\]) is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomized trial medication. Least squares mean is adjusted mean change from baseline.

Change From Baseline in Glycated Haemoglobin (HbA1c) at Week 26
Baseline to week 26

Change from baseline in glycated haemoglobin (HbA1c) for full analysis set (FAS) (observed cases \[OC\]) is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline. Restricted maximum likelihood estimation based on mixed-effect model for repeated measures (MMRM) analysis was used to obtain adjusted means for the treatment effects.

Change From Baseline in Glycated Haemoglobin (HbA1c) at Week 26 for Modified Intention-to-treat Population Set (mITT) (Observed Case (OC) - All Data (AD) (OC-AD) )
Baseline to week 26

Change from baseline in glycated haemoglobin (HbA1c) for modified intention-to-treat population set (mITT) (observed case - all data \[OC-AD\]) is presented. With regards to efficacy and safety endpoints, the term 'baseline' referred to the last observed measurement prior to administration of any randomised trial medication. Least squares mean is adjusted mean change from baseline. Restricted maximum likelihood estimation based on mixed-effect model for repeated measures (MMRM) analysis was used to obtain adjusted means for the treatment effects.

Change From Baseline in Glycated Haemoglobin (HbA1c) (%) at 24 Weeks
baseline and 24 weeks

Change from baseline in HbA1c (%) at 24 weeks is presented. The term "baseline" refers to the last observation prior to randomisation of the patient. Means presented are the adjusted means. Restricted maximum likelihood (REML)-based mixed model repeated measures (MMRM) model is used in the statistical analysis.

Change in Area Under the Concentration-time Curve (AUC1-4h) for Postprandial Plasma Glucose From Baseline After 28 Days of Treatment
1h, 1.5h, 2h, 2.5, 3h, 3.5h and 4h after drug administration at day -1 (baseline), and 1h, 1.5h, 2h, 2.5, 3h, 3.5h and 4h after drug administration at day 28

The primary endpoint is the change in AUC1-4h for postprandial plasma glucose based on meal tolerance test from baseline after 28 days of treatment. Baseline refers to the last observation prior to administration of randomised study medication.

Change From Baseline in 24 Hour UGE on Day 7
Baseline and 7 days

Change from baseline in 24 hour urinary glucose excretion on Day 7 calculated as: UGE on Day 7 - UGE on baseline. Baseline is defined as the last observation prior to the first intake of any randomised trial medication.

AUC0-inf
Before drug administration (-0:30 hours (h)) and 0:30h, 1:00h, 1:30h, 2:00h, 4:00h, 8:00h, 12:00 (Day 1), 24:00 (Day 2), 34:00 (Day 2), 48:00 (Day 3) after drug administration.

Area under the concentration-time curve of analyte in plasma over the time interval from 0 extrapolated to infinity (AUC0-inf).

AUC0-tz
Before drug administration (-0:30 hours (h)) and 0:30h, 1:00h, 1:30h, 2:00h, 4:00h, 8:00h, 12:00 (Day 1), 24:00 (Day 2), 34:00 (Day 2), 48:00 (Day 3) after drug administration.

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz).

Cmax
Before drug administration (-0:30 hours (h)) and 0:30h, 1:00h, 1:30h, 2:00h, 4:00h, 8:00h, 12:00 (Day 1), 24:00 (Day 2), 34:00 (Day 2), 48:00 (Day 3) after drug administration.

Maximum measured concentration in plasma (Cmax).

Tmax
Before drug administration (-0:30 hours (h)) and 0:30h, 1:00h, 1:30h, 2:00h, 4:00h, 8:00h, 12:00 (Day 1), 24:00 (Day 2), 34:00 (Day 2), 48:00 (Day 3) after drug administration.

Maximum measured concentration in plasma (tmax).

t1/2
Before drug administration (-0:30 hours (h)) and 0:30h, 1:00h, 1:30h, 2:00h, 4:00h, 8:00h, 12:00 (Day 1), 24:00 (Day 2), 34:00 (Day 2), 48:00 (Day 3) after drug administration.

Terminal half-life in plasma (t1/2).

Secondary Endpoints

Rate Per Patient-year of Investigator-reported Symptomatic Hypoglycemic Adverse Events (AEs) With Confirmed Plasma Glucose (PG)
Week 5 to Week 26, Week 1 to Week 26
Change From Baseline in Body Weight at Week 26
Baseline to week 26
Change From Baseline in Total Daily Insulin Dose (TDID) at Week 26
Baseline to week 26
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Empagliflozin low doseEXPERIMENTAL -
Empagliflozin high doseEXPERIMENTAL -
Empagliflozin medium doseEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
EmpagliflozinEXPERIMENTALstarting dose 10mg; forced titration after 4 weeks 25mg dose

Interventions

NameTypeDescription
EmpagliflozinDRUG -
PlaceboDRUGFor blinding purposes
Empagliflozin low doseDRUGstarting dose 10mg; forced titration after 4 weeks 25mg dose
Empagliflozin high doseDRUGstarting dose 10mg; forced titration after 4 weeks 25mg dose
empagliflozin medium doseDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites189

Inclusion criteria: * Signed and dated written informed consent * Male or female patient receiving insulin for the treatment of documented diagnosis of type 1 diabetes mellitus (T1DM) \> 1 year * C-peptide value of \< 0.7 ng/mL * Use of Multiple Daily Injections (MDI) of insulin or insulin pump use...

Countries:United StatesAustraliaCanadaCzechiaFinlandFranceGermanyGreeceHungaryIrelandItalyLatviaMexicoNetherlandsNew ZealandNorwayPolandPortugalRomaniaRussiaSouth AfricaSpainSwedenUnited KingdomAustriaBelgiumDenmarkTaiwanJapanIsrael
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Frequently asked questions about empagliflozin medium dose

What is Empagliflozin used for?

Empagliflozin is a small molecule being studied for chronic kidney disease, heart failure, myocardial infarction, type 2 diabetes, and type 1 diabetes. It is developed by Eli Lilly and Company (LLY) and is currently in Phase 3 clinical development for these indications.

How does Empagliflozin work?

Empagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor, which works by blocking glucose reabsorption in the kidneys, leading to increased glucose excretion in urine. This mechanism helps lower blood sugar levels and may provide organ protection in conditions like chronic kidney disease and heart failure.

Who makes Empagliflozin?

Empagliflozin is developed by Eli Lilly and Company, a pharmaceutical company traded on the NYSE under the ticker symbol LLY. The drug is currently in Phase 3 clinical trials for chronic kidney disease and other indications.

What phase is Empagliflozin in?

Empagliflozin is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. The most advanced trial, EMPA-KIDNEY (NCT03594110), is a completed Phase 3 study in chronic kidney disease with 6,609 participants.

What clinical trials is Empagliflozin in?

Empagliflozin has four completed clinical trials. Three are Phase 1 bioequivalence studies in healthy volunteers: NCT02266472, NCT02758171, and NCT03259490. The fourth is EMPA-KIDNEY (NCT03594110), a Phase 3 trial in chronic kidney disease with 6,609 participants across multiple countries.

Is Empagliflozin the same as Jardiance?

Empagliflozin is the active ingredient in the brand-name drug Jardiance. While the data provided does not mention Jardiance, empagliflozin is widely known as the generic name for this medication, which is used to treat type 2 diabetes and other conditions.