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Ipragliflozin

Phase 3

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Merck & Company, Inc.|Trials Updated: Sep 4, 2018

Ipragliflozin development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since Sep 2015

Ipragliflozin target and mechanism

Molecular targetSLC5A2
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment220

FDA Designations

No designations recorded

Ipragliflozin clinical trials

Ipragliflozin · 2 trials · 1 indication

Phase 3 2
NCT02577003Double-blind Ipragliflozin Add-on Study in Japanese Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Sitagliptin (MK-0431J-843)Type 2 Diabetes Mellitus
COMPLETED143 Analytics
NCT02564211Ipragliflozin Add-on Long-term Study in Japanese Participants With Type 2 Diabetes Mellitus on Sitagliptin (MK-0431J-849)Type 2 Diabetes Mellitus
COMPLETED77 Analytics
PHASE3COMPLETED
Double-blind Ipragliflozin Add-on Study in Japanese Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Sitagliptin (MK-0431J-843)
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Ipragliflozin Add-on Long-term Study in Japanese Participants With Type 2 Diabetes Mellitus on Sitagliptin (MK-0431J-849)
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in HbA1c at Week 24
Baseline and Week 24

HbA1c is measured as percent. Thus, this change from baseline reflects the Week 24 HbA1c percent minus the Week 0 HbA1c percent. Statistical analysis based on a constrained longitudinal data analysis (cLDA) model with terms for treatment, time, prior use of AHAs, the interactions of treatment by time, time by prior use of AHAs, treatment by time by prior use of AHAs, and baseline eGFR value with the constraint that the mean baseline HbA1c is the same for both treatment groups.

Percentage of Participants Who Experienced at Least One Adverse Event (AE)
Up to 26 weeks

An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Percentage of Participants Who Discontinued Study Drug Due to an AE
Up to 24 weeks

An adverse event is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

Percentage of Participants Who Experienced at Least 1 Adverse Event (AE)
Up to 54 weeks

An AE was any unfavorable or unintended sign, symptom, or disease, and a causal relationship to the relevant investigational product is not considered. An AE could therefore be any unfavorable and unintended sign, including results from laboratory assessments, physical examination, electrocardiograms, and vital sign assessments. The percentage of participants that had AE was recorded.

Percentage of Participants Who Had Study Drug Discontinued Due to an AE
Up to 52 weeks

The percentage of participants who had study treatment stopped due to an AE regardless if they completed study.

Secondary Endpoints

Change From Baseline in FPG at Week 24
Baseline and Week 24
Change From Baseline in 2-hr PMG at Week 24
Baseline and Week 24
Change From Baseline in Glucose Total AUC0-2hr After Meal at Week 24
Baseline and Week 24 (just before the loading meal [0 min], 30 min, 60 min and 120 min)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ipragliflozin + SitagliptinEXPERIMENTALIpragliflozin once daily for 24 weeks in addition to sitagliptin, diet, and exercise.
Placebo + SitagliptinACTIVE_COMPARATORPlacebo to ipragliflozin once daily for 24 weeks in addition to sitagliptin, diet, and exercise.
IpragliflozinEXPERIMENTALIpragliflozin one 50 mg tablet co-administered with one 50 mg sitagliptin once daily (QD) for 52 weeks in addition to diet and exercise therapy.

Interventions

NameTypeDescription
IpragliflozinDRUG50 mg tablet administered orally
PlaceboDRUGPlacebo to ipragliflozin tablet administered orally
SitagliptinDRUGBackground medication; 50 mg tablet administered orally
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Type 2 diabetes mellitus * Inadequate glycemic control on diet/exercise therapy and sitagliptin monotherapy * HbA1c ≥7.0% and ≤10.0% before study start Exclusion Criteria: * History of Type 1 diabetes mellitus or a history of ketoacidosis * History of any of the following me...

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Frequently asked questions about Ipragliflozin

What is Ipragliflozin used for?

Ipragliflozin is being developed for the treatment of Type 2 Diabetes Mellitus. It is an investigational small molecule studied as an add-on therapy in Japanese participants with inadequate glycemic control on sitagliptin. The clinical program includes two completed Phase 3 trials.

What does Ipragliflozin target?

Ipragliflozin targets SLC5A2, also known as sodium-glucose cotransporter 2 (SGLT2). It acts as an inhibitor of this transporter. By inhibiting SLC5A2, ipragliflozin reduces renal glucose reabsorption, thereby increasing urinary glucose excretion and lowering blood glucose levels in patients with Type 2 Diabetes Mellitus.

Who is developing Ipragliflozin?

Ipragliflozin is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is responsible for the clinical development program in Type 2 Diabetes Mellitus.

What phase is Ipragliflozin in?

Ipragliflozin is in Phase 3 clinical development for Type 2 Diabetes Mellitus. It is an investigational drug and has not been approved by the FDA for this indication. Two Phase 3 trials have been completed.

What clinical trials is Ipragliflozin in?

Ipragliflozin has been studied in two completed Phase 3 trials: NCT02577003, a double-blind add-on study in Japanese participants with Type 2 Diabetes Mellitus on sitagliptin, and NCT02564211, a long-term add-on study in the same population. Both trials are completed and enrolled a total of 220 participants.