About this trial
This study is designed to evaluate the change in glycated hemoglobin (HbA1c) levels from baseline to 24 weeks after the combination therapy of cofrogliptin, metformin and SGLT2i (dapagliflozin) in type 2 diabetes mellitus (T2DM) patients with poor control of glucose level by metformin and SGLT2i combination therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able to understand and voluntarily sign a written informed consent form.
Male or female subjects aged 18 years and above .
Meet the diagnostic criteria for Type 2 Diabetes Mellitus (T2DM).
Have been on initial SGLT2i monotherapy (dapagliflozin) at a dose of 10 mg daily for at least 12 weeks.
Disqualifiers
Type 1 Diabetes Mellitus.
Any type of secondary diabetes.
Pending or having undergone pancreatic or β-cell transplantation.
History of pancreatitis or pancreatic resection.
Trial design
Parallel
Treatments tested in this trial
SGLT2i+Metformin+Cofrogliptin
DrugThe combination of SGLT2i+Metformin+Cofrogliptin
SGLT2i+Metformin+Linagliptin
DrugThe combination of SGLT2i+Metformin+Linagliptin
Treatment groups
Trial outcomes
Primary outcomes
The change in glycated hemoglobin (HbA1c) levels
To evaluate the change in glycated hemoglobin (HbA1c) levels from baseline to week 24 after triple combination therapy with cofrogliptin added to metformin and sodium-glucose cotransporter 2 inhibitor(SGLT2i) in type 2 diabetes mellitus (T2DM) patients who have inadequately controlled blood glucose despite adequate metformin and SGLT2i therapy.
Secondary outcomes
HbA1c target rate
Proportion of subjects achieving HbA1c \< 7.0% and \< 6.5% at 24 weeks.
2h-PPG and FPG
Changes in 2-hour postprandial plasma glucose (2h-PPG) and fasting plasma glucose (FPG) from baseline at 12 and 24 weeks.
Change in HbA1c levels
Change in HbA1c levels from baseline at 24 weeks.
Weight related items
Changes in body weight, fasting C-peptide, HOMA-IR, and HOMA-β from baseline at 24 weeks.
Sponsors and contacts
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Huazhong University of Science and Technology
Lead sponsor
Renmin Hospital of Wuhan University
Collaborator
Wuhan Central Hospital
Collaborator
Taihe Hospital
Collaborator
Xiangyang No.1 People's Hospital
Collaborator
The First Affiliated Hospital of Nanchang University
Collaborator