A Dose Finding Study to Assess the Effect of LIK066 Compared to Placebo or Empagliflozin in Patients With Type 2 Diabetes Mellitus and Heart Failure

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Terminated
CT.gov ID
NCT03152552
Collaborator
(none)
125
106
5
10.4
1.2
0.1

Study Details

Study Description

Brief Summary

This was a dose-finding study to evaluate the efficacy, safety and tolerability of 3 different doses of LIK066 compared to placebo or empagliflozin in T2DM patients with heart failure

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

The study was prematurely discontinued on 04-May-2018 due to slow enrollment that would preclude obtaining study results in a timely manner.

Study Design

Study Type:
Interventional
Actual Enrollment :
125 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multi-center, Randomized, Double-blind, Parallel-group Dose-finding Study to Assess the Effect of 3 Doses of LIK066 Compared to Placebo or Empagliflozin in Type 2 Diabetes Mellitus Patients With Heart Failure
Actual Study Start Date :
Jul 25, 2017
Actual Primary Completion Date :
Jun 6, 2018
Actual Study Completion Date :
Jun 6, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: LIK066 2.5mg

Eligible participants randomized to this treatment arm received the LIK066 2.5mg dose regimen once daily for 36 weeks.

Drug: LIK066
LIK066 was supplied in different doses as tablets taken orally.

Experimental: LIK066 10mg

Eligible participants randomized to this treatment arm received the LIK066 10mg dose regimen once daily for 36 weeks.

Drug: LIK066
LIK066 was supplied in different doses as tablets taken orally.

Experimental: LIK066 50mg

Eligible participants randomized to this treatment arm received the LIK066 50mg dose regimen once daily for 36 weeks.

Drug: LIK066
LIK066 was supplied in different doses as tablets taken orally.

Active Comparator: Empagliflozin

Participants randomized to this treatment arm received empagliflozin once daily for 36 weeks.

Drug: Empagliflozin
Empagliflozin was supplied as capsules taken orally.

Placebo Comparator: Placebo

Participants randomized to this treatment arm received LIK066 matching placebo and empagliflozin matching placebo.

Drug: Placebo
Placebo was supplied as tablets and capsules taken orally.

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 12 [Baseline, Week 12]

    Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this primary endpoint due to early study termination. Only descriptive statistics are presented.

Secondary Outcome Measures

  1. Change From Baseline in Glycated Hemoglobin (HbA1c) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    HbA1c was measured from a blood sample and analyzed using a National Glycohemoglobin Standardization Program (NGSP) certified method at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  2. Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    FPG was measured from a blood sample after an overnight fast; patients were not allowed to eat or drink anything (except water) for at least 8 h before each study visit. Samples were analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  3. Change From Baseline in Body Weight at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Body weight was measured to the nearest 0.1 kg on a calibrated scale (weight and bio-impedance measurements), provided by the sponsor. Exceptionally (e.g. if the body weight exceeded the limits of the provided scale) sites were allowed to use another scale for weight measurement as available, but during the study the same scale was to be used for the same patient. The measurement was performed with the study patient in underwear and without shoes. Indoor clothing was also acceptable, but measurements were to be done consistently (either with underwear or with indoor clothing) throughout the study. Voiding before weight measurement was required. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  4. Change From Baseline in Body Composition Assessed by Bio-impedance (Total Body Fat Mass) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented

  5. Change From Baseline in Body Composition Assessed by Bio-impedance (Visceral Fat Level) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented. Visceral fat levels were measured by Omron device. Levels ranged from 1 - 30 and are relative (not absolute) values. The Omron scale values are: 0 - 9 (normal), 10 - 14 (high) and 15 - 30 (very high). Visceral fat area ( 0 - approx. 300cm^2, 1 inch = 2.54 cm) distribution with 30 levels.

  6. Change From Baseline in Body Composition Assessed by Bio-impedance (Lean Body Mass) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented

  7. Change From Baseline in Body Composition Assessed by DXA (Total Body Fat Mass) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    A whole body DXA scan was performed to assess Total Body Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.

  8. Change From Baseline in Body Composition Assessed by DXA (Visceral Fat Mass) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    A whole body DXA scan was performed to assess Visceral Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.

  9. Change From Baseline in Body Composition Assessed by DXA (Lean Body Mass) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    A whole body DXA scan was performed to assess Lean Body Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.

  10. Change From Baseline in Body Composition Assessed by DXA (Total Body Water) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    A whole body DXA scan was performed to assess Total Body Water (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.

  11. Change From Baseline in Sitting Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Three sitting BP measurements were performed. At each visit, sitting BP was derived as the mean of three readings of the sitting SBP/DBP at that visit. Pre-planned statistical analyses were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.

  12. Change From Baseline in Fasting Lipid Profile (Triglycerides (TG)) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    TG was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  13. Change From Baseline in Fasting Lipid Profile (Lipoproteins) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Lipoproteins (High Density Lipoprotein (HDL) Cholesterol, Low Density Lipoprotein (LDL) Cholesterol) were measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.

  14. Change From Baseline in Fasting Lipid Profile (Total Cholesterol) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Total Cholesterol was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  15. Change From Baseline in High Sensitive C-reactive Protein (hsCRP) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    hs-CRP is an inflammation biomarker. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  16. Change From Baseline in 24 Hour Urinary Glucose Excretion (UGE) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    UGE was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.

  17. Change From Baseline in 24 Hour Sodium Excretion at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Sodium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.

  18. Change From Baseline in Left Atrial Size at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  19. Change From Baseline in Left Atrial Volume at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis.Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  20. Number of Participants With New York Heart Association (NYHA) Class I, II, II or IV [Baseline, Week 12, Week 36]

    The NYHA Functional Classification classifies patients' heart failure according to the severity of their symptoms. The classification is as follows: Class I: no limitation of physical activity, ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath); Class II: slight limitation to physical activity, comfortable at rest, ordinary physical activity results in fatigue, palpitation or dyspnea; Class III: marked limitation of physical activity, comfortable at rest, less than ordinary activity causes fatigue, palpitation or dyspnea; Class IV: unable to carry on any physical activity without discomfort, symptoms of heart failure at rest, if any physical activity is undertaken, discomfort increases. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  21. Number of Participants With Change From Baseline in New York Heart Association (NYHA) Class at Week 12 and 36 [Week 12, Week 36]

    The change from BL in NYHA class at a given visit is a three-category ordinal variable (improved/unchanged/worsened) with the following definition: 1. Improved, if NYHA class decreases at least one level from BL; 2. Unchanged, if NYHA class is unchanged from BL; 3. Worsened, if NYHA class increases at least one level from BL. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  22. Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 36 [Baseline, Week 36]

    Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.

  23. Change From Baseline in 24 Hour Urinary Calcium Excretion at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Urinary calcium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.

  24. 24 Hour Urinary Phosphate Excretion at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    Urinary phosphate excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.

  25. Change From Baseline in Bone Mineral Density (BMD) at Weeks 12 and 36 [Baseline, Week 12, Week 36]

    To evaluate bone mineral density as assessed by bone mineral content after 12 weeks and after 36 weeks of treatment. Only descriptive statistics were done.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Key Inclusion Criteria:
  • BMI ≥ 22kg/m^2

  • Type 2 diabetes with HbA1c between 6.5% and 10.0%

  • Documented symptomatic chronic heart failure (NYHA II-IV)

  • Plasma NT-proBNP > 300pg/ml

  • eGFR ≥ 45ml/min/1.73m^2 (calculated by MDRD)

Key Exclusion Criteria:
  • Pregnant or nursing (lactating) women

  • Type 1 diabetes, monogenic diabetes, diabetes resulting from pancreatic injury, or secondary forms of diabetes

  • History of ketoacidosis, lactic acidosis, or hyperosmolar coma

  • Symptomatic genital infection or UTI within 4 weeks of screening

  • Myocardial infarction, stroke, surgery for heart disease, percutaneous coronary intervention within 3 months of randomization

  • Unstable angina within 3 months of screening

  • Isolated right HF due to pulmonary disease

  • Patients with a mean sitting systolic blood pressure ≤ 100mmHg, at randomization

  • History of lower limb amputation

  • Diabetic foot ulcer at screening

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novartis Investigative Site Huntsville Alabama United States 35801
2 Novartis Investigative Site Carmichael California United States 95608
3 Novartis Investigative Site Concord California United States 94520
4 Novartis Investigative Site Long Beach California United States 90813
5 Novartis Investigative Site Northridge California United States 91325
6 Novartis Investigative Site Stockton California United States 95204
7 Novartis Investigative Site Colorado Springs Colorado United States 80906
8 Novartis Investigative Site Bradenton Florida United States 34209
9 Novartis Investigative Site Clearwater Florida United States 33756
10 Novartis Investigative Site Delray Beach Florida United States 33446
11 Novartis Investigative Site Fort Lauderdale Florida United States 33312
12 Novartis Investigative Site Gurnee Illinois United States 60031
13 Novartis Investigative Site Bogalusa Louisiana United States 70427
14 Novartis Investigative Site Jackson Mississippi United States 39209
15 Novartis Investigative Site Saint Louis Missouri United States 63128
16 Novartis Investigative Site Omaha Nebraska United States 68114
17 Novartis Investigative Site Charleston South Carolina United States 29407
18 Novartis Investigative Site Columbia South Carolina United States 29203
19 Novartis Investigative Site San Antonio Texas United States 78229
20 Novartis Investigative Site Sugar Land Texas United States 77479
21 Novartis Investigative Site Tacoma Washington United States 98405
22 Novartis Investigative Site Caba Buenos Aires Argentina 1407
23 Novartis Investigative Site Caba Buenos Aires Argentina C1056ABJ
24 Novartis Investigative Site Caba Capital Federal Argentina C1179AAB
25 Novartis Investigative Site Buenos Aires Argentina C1120AAC
26 Novartis Investigative Site Graz Austria A-8036
27 Novartis Investigative Site Wien Austria 1090
28 Novartis Investigative Site Wien Austria 1130
29 Novartis Investigative Site Lennik Brussels Belgium 1070
30 Novartis Investigative Site Aalst Belgium 9300
31 Novartis Investigative Site Bonheiden Belgium 2820
32 Novartis Investigative Site Leuven Belgium 3000
33 Novartis Investigative Site Liege Belgium 4000
34 Novartis Investigative Site Sofia Bulgaria 1233
35 Novartis Investigative Site Sofia Bulgaria 1309
36 Novartis Investigative Site Sofia Bulgaria 1431
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38 Novartis Investigative Site London Ontario Canada N6A 5A5
39 Novartis Investigative Site Toronto Ontario Canada M5B 1W8
40 Novartis Investigative Site Montreal Quebec Canada H4A 3J1
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42 Novartis Investigative Site St-Jerome Quebec Canada J7Z 5T3
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44 Novartis Investigative Site Krapinske toplice Croatia 49 217
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47 Novartis Investigative Site Brandys nad Labem Czech Republic Czechia 250 01
48 Novartis Investigative Site Svitavy Czech Republic Czechia 568 25
49 Novartis Investigative Site Trebic Czech Republic Czechia 674 01
50 Novartis Investigative Site Karvina Czechia 73506
51 Novartis Investigative Site Kolin Czechia 280 20
52 Novartis Investigative Site Prague 5 Czechia 158 00
53 Novartis Investigative Site Praha Czechia 12808
54 Novartis Investigative Site Prerov Czechia 751 52
55 Novartis Investigative Site Hellerup Denmark 2900
56 Novartis Investigative Site Svendborg Denmark 5700
57 Novartis Investigative Site Bad Oeynhausen Germany 32545
58 Novartis Investigative Site Berlin Germany 10789
59 Novartis Investigative Site Berlin Germany 12157
60 Novartis Investigative Site Berlin Germany 13347
61 Novartis Investigative Site Frankfurt Germany 60594
62 Novartis Investigative Site Halle Germany 06120
63 Novartis Investigative Site Hamburg Germany 20099
64 Novartis Investigative Site Stuttgart Germany 70378
65 Novartis Investigative Site Budapest HUN Hungary 1145
66 Novartis Investigative Site Budapest Hungary 1134
67 Novartis Investigative Site Szeged Hungary 6720
68 Novartis Investigative Site Szekszard Hungary 7100
69 Novartis Investigative Site Wilton Cork Ireland
70 Novartis Investigative Site County Limerick Ireland V94 F858
71 Novartis Investigative Site Dublin 4 Ireland
72 Novartis Investigative Site Bergamo BG Italy 24127
73 Novartis Investigative Site Milano MI Italy 20132
74 Novartis Investigative Site San Donato Milanese MI Italy 20097
75 Novartis Investigative Site Milano Italy 20149
76 Novartis Investigative Site Rimini Italy 47923
77 Novartis Investigative Site Cheongju si Chungcheongbuk Do Korea, Republic of 28644
78 Novartis Investigative Site Wonju Gangwon-Do Korea, Republic of 26426
79 Novartis Investigative Site Bundang Gu Gyeonggi Do Korea, Republic of 13620
80 Novartis Investigative Site Seoul Korea, Republic of 03080
81 Novartis Investigative Site Durango Mexico 34000
82 Novartis Investigative Site Alkmaar Netherlands 1815 JD
83 Novartis Investigative Site Groningen Netherlands 9713 GZ
84 Novartis Investigative Site Utrecht Netherlands 3584 CX
85 Novartis Investigative Site Venlo Netherlands 5912 BL
86 Novartis Investigative Site Loerenskog Norway NO 1478
87 Novartis Investigative Site Oslo Norway 0372
88 Novartis Investigative Site Trondheim Norway 7006
89 Novartis Investigative Site Warszawa Poland 00-874
90 Novartis Investigative Site Wroclaw Poland 51-314
91 Novartis Investigative Site Ponce Puerto Rico 00717
92 Novartis Investigative Site Singapore Singapore 169609
93 Novartis Investigative Site Bloemfontein Free State South Africa 9301
94 Novartis Investigative Site Paarl Western Cape South Africa 7626
95 Novartis Investigative Site Worcester South Africa 6850
96 Novartis Investigative Site Sevilla Andalucia Spain 41014
97 Novartis Investigative Site Villamartin Cadiz Spain 11650
98 Novartis Investigative Site Valencia Comunidad Valenciana Spain 46010
99 Novartis Investigative Site Caceres Extremadura Spain 10003
100 Novartis Investigative Site Changhua Taiwan 50006
101 Novartis Investigative Site Taichung Taiwan 40447
102 Novartis Investigative Site Taipei Taiwan 11217
103 Novartis Investigative Site Chelmsford Essex United Kingdom CM1 7ET
104 Novartis Investigative Site London GBR United Kingdom EC1M 6BQ
105 Novartis Investigative Site Sunderland Tyne And Wear United Kingdom SR4 7TP
106 Novartis Investigative Site Birmingham United Kingdom B15 2TH

Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT03152552
Other Study ID Numbers:
  • CLIK066B2204
  • 2016-003084-19
First Posted:
May 15, 2017
Last Update Posted:
Aug 28, 2019
Last Verified:
Aug 1, 2019
Individual Participant Data (IPD) Sharing Statement:
Undecided
Plan to Share IPD:
Undecided
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Novartis Pharmaceuticals
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Patients were randomized in a 1:1:2:2:2 ratio to one of 5 regimens (LIK066 2.5mg, 10mg, 50 mg, EMPA 25mg, Pbo) at Visit 201 (randomization) with a plan to be treated for 36 weeks.
Pre-assignment Detail A placebo run-in period (Epoch 2) running up to 2 weeks before randomization was used to assess eligibility
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Period Title: Treatment Period 1 (12 Weeks)
STARTED 15 16 31 30 33
Full Analysis Set (FAS) 15 16 30 30 33
COMPLETED 7 5 10 10 12
NOT COMPLETED 8 11 21 20 21
Period Title: Treatment Period 1 (12 Weeks)
STARTED 7 5 9 9 11
COMPLETED 1 0 0 0 0
NOT COMPLETED 6 5 9 9 11

Baseline Characteristics

Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo Total
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo Total of all reporting groups
Overall Participants 15 16 30 30 33 124
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
68.2
(7.10)
69.8
(9.69)
65.8
(9.08)
68.6
(7.89)
67.8
(10.93)
67.8
(9.17)
Sex: Female, Male (Count of Participants)
Female
1
6.7%
4
25%
6
20%
10
33.3%
14
42.4%
35
28.2%
Male
14
93.3%
12
75%
24
80%
20
66.7%
19
57.6%
89
71.8%
Race/Ethnicity, Customized (Number) [Number]
Caucasian
14
93.3%
14
87.5%
28
93.3%
28
93.3%
29
87.9%
113
91.1%
Black
0
0%
0
0%
0
0%
0
0%
1
3%
1
0.8%
Asian
1
6.7%
2
12.5%
2
6.7%
1
3.3%
3
9.1%
9
7.3%
Other
0
0%
0
0%
0
0%
1
3.3%
0
0%
1
0.8%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 12
Description Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this primary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. LIK066 doses and placebo arms are considered per study primary objective.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 12 16
Geometric Mean (95% Confidence Interval) [ratio]
0.8
0.6
0.8
1.1
2. Secondary Outcome
Title Change From Baseline in Glycated Hemoglobin (HbA1c) at Weeks 12 and 36
Description HbA1c was measured from a blood sample and analyzed using a National Glycohemoglobin Standardization Program (NGSP) certified method at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 12 14 18
Change from BL at Week 12
-0.29
(0.836)
-0.01
(0.508)
-0.58
(0.335)
-0.44
(1.176)
-0.04
(0.913)
Change from BL at Week 36
0.13
(0.961)
-0.60
(NA)
-1.83
(0.321)
3. Secondary Outcome
Title Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 12 and 36
Description FPG was measured from a blood sample after an overnight fast; patients were not allowed to eat or drink anything (except water) for at least 8 h before each study visit. Samples were analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 8 6 12 13 15
Change from BL at Week 12
-1.021
(1.0368)
-2.041
(4.9772)
-0.426
(2.1451)
-1.303
(2.4386)
-1.187
(3.9653)
Change from BL at Week 36
0.392
(1.1119)
-1.200
(NA)
-4.733
(0.3055)
4. Secondary Outcome
Title Change From Baseline in Body Weight at Weeks 12 and 36
Description Body weight was measured to the nearest 0.1 kg on a calibrated scale (weight and bio-impedance measurements), provided by the sponsor. Exceptionally (e.g. if the body weight exceeded the limits of the provided scale) sites were allowed to use another scale for weight measurement as available, but during the study the same scale was to be used for the same patient. The measurement was performed with the study patient in underwear and without shoes. Indoor clothing was also acceptable, but measurements were to be done consistently (either with underwear or with indoor clothing) throughout the study. Voiding before weight measurement was required. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 13 14 18
Change from BL at Week 12
-0.78
(2.734)
-1.83
(1.402)
-2.15
(2.397)
-2.25
(1.894)
-0.34
(2.115)
Change from BL at Week 36
-2.21
(1.586)
-3.90
(NA)
0.47
(6.158)
5. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by Bio-impedance (Total Body Fat Mass) at Weeks 12 and 36
Description Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 6 7 11 12 15
Wk 12 Chge from BL
-0.77
(2.276)
-1.51
(5.048)
-0.32
(4.675)
1.63
(3.639)
-1.77
(7.812)
Wk 36 Chge from BL
2.25
(1.485)
0.20
(NA)
6.70
(20.082)
6. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by Bio-impedance (Visceral Fat Level) at Weeks 12 and 36
Description Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented. Visceral fat levels were measured by Omron device. Levels ranged from 1 - 30 and are relative (not absolute) values. The Omron scale values are: 0 - 9 (normal), 10 - 14 (high) and 15 - 30 (very high). Visceral fat area ( 0 - approx. 300cm^2, 1 inch = 2.54 cm) distribution with 30 levels.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 7 7 11 12 15
Wk 12 Chge from BL
-2.429
(4.6853)
-2.857
(3.8914)
-0.436
(4.6877)
-0.417
(1.3114)
-3.200
(4.7988)
Wk 36 Chge from BL
0.000
(1.4142)
0.000
(NA)
3.500
(7.7782)
7. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by Bio-impedance (Lean Body Mass) at Weeks 12 and 36
Description Body composition was measured in all patients using bio-impedance, except in patients where it was contra-indicated, e.g. those using an implantable cardioverter-defibrillator. Body composition parameters were assessed as available for the different models of calibrated bio-impedance scales. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 6 6 10 12 14
Wk 12 Chge from BL
-2.32
(7.063)
-2.32
(5.774)
-0.24
(2.022)
-0.68
(2.454)
1.64
(4.584)
Wk 36 Chge from BL
-0.85
(1.344)
-0.30
(NA)
-5.35
(13.223)
8. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by DXA (Total Body Fat Mass) at Weeks 12 and 36
Description A whole body DXA scan was performed to assess Total Body Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. The analysis included patients who participated in the DXA sub-study. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 1 0 4 4 1
BL Whole Body Minus Head Hologic
35.970
(NA)
18.870
(NA)
27.550
(NA)
Wk 12 Whole Body - Hd Hologic Chge BL
-0.310
(NA)
-4.280
(NA)
Wk 36 Whole Body - Hd Hologic Chge BL
-3.800
(NA)
-5.590
(NA)
BL Whole Body Minus Head Lunar
29.350
(4.9403)
37.455
(6.0175)
Wk 12 Whole Body - Hd Lunar Chge BL
-1.260
(NA)
1.190
(NA)
9. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by DXA (Visceral Fat Mass) at Weeks 12 and 36
Description A whole body DXA scan was performed to assess Visceral Fat Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. The analysis included patients who participated in the DXA sub-study. Due to early termination of the study, no data was collected.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 0 0 0 0 0
10. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by DXA (Lean Body Mass) at Weeks 12 and 36
Description A whole body DXA scan was performed to assess Lean Body Mass (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. The analysis included patients who participated in the DXA sub-study. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 1 0 4 4 1
Wk 12 Whole Body - Hd Hologic Chge BL
-1.910
(NA)
4.980
(NA)
Wk 36 Whole Body - Hd Hologic Chge BL
0.860
(NA)
1.700
(NA)
Wk 12 Whole Body - Hd Lunar Chge BL
-1.290
(NA)
-2.960
(NA)
11. Secondary Outcome
Title Change From Baseline in Body Composition Assessed by DXA (Total Body Water) at Weeks 12 and 36
Description A whole body DXA scan was performed to assess Total Body Water (Whole Body Minus Head Hologic, Whole Body Minus Head Lunar). DXA data were transferred to a central reading vendor for independent review and analysis. Only descriptive statistics done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
FAS consisted of all randomized patients who were not mis-randomized. Analysis included patients who participated in the DXA sub-study. Due to early termination of the study, no data was collected.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 0 0 0 0 0
12. Secondary Outcome
Title Change From Baseline in Sitting Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 12 and 36
Description Three sitting BP measurements were performed. At each visit, sitting BP was derived as the mean of three readings of the sitting SBP/DBP at that visit. Pre-planned statistical analyses were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 13 14 18
SBP Change from BL at Week 12
5.15
(13.485)
0.17
(15.373)
-9.54
(16.884)
-6.98
(15.031)
-2.85
(11.967)
SBP Change from BL at Week 36
13.78
(17.900)
-4.00
(NA)
0.00
(8.627)
DBP Change from BL at Week 12
-2.00
(6.582)
4.50
(12.746)
-4.46
(11.238)
-1.81
(10.421)
-2.00
(8.596)
DBP Change from BL at Week 36
1.12
(3.975)
3.66
(NA)
-0.44
(8.517)
13. Secondary Outcome
Title Change From Baseline in Fasting Lipid Profile (Triglycerides (TG)) at Weeks 12 and 36
Description TG was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 6 12 13 15
% Change from BL at Week 12
-1.623
(35.2838)
19.089
(31.4798)
9.878
(30.3065)
8.865
(35.0872)
-2.979
(25.1049)
% Change from BL at Week 36
4.324
(31.4438)
14.286
(NA)
-1.111
(18.3586)
14. Secondary Outcome
Title Change From Baseline in Fasting Lipid Profile (Lipoproteins) at Weeks 12 and 36
Description Lipoproteins (High Density Lipoprotein (HDL) Cholesterol, Low Density Lipoprotein (LDL) Cholesterol) were measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis were not performed for these secondary endpoints due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 7 12 12
HDL % Change from BL at Week 12
9.33
(16.735)
-10.54
(20.590)
0.26
(9.772)
2.18
(12.179)
-0.67
(13.322)
HDL % Change from BL at Week 36
10.70
(16.257)
0.00
(NA)
35.00
(49.497)
LDL % Change from BL at Week 12
22.02
(35.466)
2.62
(17.525)
16.40
(36.928)
22.24
(35.145)
-1.59
(31.970)
LDL % Change from BL at Week 36
22.73
(31.690)
-3.57
(NA)
0.22
(13.163)
15. Secondary Outcome
Title Change From Baseline in Fasting Lipid Profile (Total Cholesterol) at Weeks 12 and 36
Description Total Cholesterol was measured on blood samples obtained after an overnight fast and analyzed at a central laboratory. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
FAS consisted of all randomized patients who were not mis-randomized. Analysis included patients who participated in the study. Due to early termination of the study, only the data shown was available. 'Overall Number of Participants Analyzed' = enrolled in the study. 'Number Analyzed' = number of participants with data available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 7 12 12
% Change from BL at Week 12
9.69
(23.892)
-2.66
(13.202)
6.32
(22.667)
10.83
(11.330)
1.46
(16.741)
% Change from BL at Week 36
14.72
(13.147)
2.04
(NA)
10.27
(28.326)
16. Secondary Outcome
Title Change From Baseline in High Sensitive C-reactive Protein (hsCRP) at Weeks 12 and 36
Description hs-CRP is an inflammation biomarker. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 7 7 7 11 10
Change from BL at Week 12
0.543
0.722
1.997
0.714
1.018
Change from BL at Week 36
0.953
0.620
0.578
17. Secondary Outcome
Title Change From Baseline in 24 Hour Urinary Glucose Excretion (UGE) at Weeks 12 and 36
Description UGE was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
FAS consisted of all randomized patients who were not mis-randomized. Due to early termination of the study, only the data shown was available. 'Overall Number of Participants Analyzed' = enrolled in the 24 hour urine collection sub-study. 'Number Analyzed' = number of participants with data available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 2 2 1 2 5
Change from BL at Week 12
256.245
(129.0682)
346.360
(107.3671)
305.110
(NA)
254.270
(198.8243)
84.778
(222.6565)
18. Secondary Outcome
Title Change From Baseline in 24 Hour Sodium Excretion at Weeks 12 and 36
Description Sodium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
FAS consisted of all randomized patients who were not mis-randomized. Due to early termination of the study, only the data shown was available. 'Overall Number of Participants Analyzed' = enrolled in the 24 hour urine collection sub-study. 'Number Analyzed' = number of participants with data available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 2 2 2 2 7
Change from BL at Week 12
-38.5
(86.69)
45.6
(40.52)
-42.6
(28.50)
82.3
(98.29)
-43.9
(112.48)
19. Secondary Outcome
Title Change From Baseline in Left Atrial Size at Weeks 12 and 36
Description A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. LIK066 doses and placebo arms were considered per study objective. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 3 4 7 11
Change from BL at Week 12
-1.167
(14.8123)
0.075
(6.7884)
2.700
(7.2155)
-1.045
(11.0223)
Change from BL at Week 36
16.333
(20.9194)
0.300
(NA)
5.100
(6.2960)
20. Secondary Outcome
Title Change From Baseline in Left Atrial Volume at Weeks 12 and 36
Description A limited two-dimensional and Doppler ECHO examination was performed to assess ECHO parameters. The images were sent to a central reading vendor for independent review and analysis.Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. LIK066 doses and placebo arms were considered per study objective. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 5 4 8 11
Change from BL at Week 12
12.360
(42.7067)
0.225
(15.4157)
7.725
(16.9351)
-3.591
(22.8382)
Change from BL at Week 36
34.800
(51.0409)
-0.900
(NA)
11.333
(12.7892)
21. Secondary Outcome
Title Number of Participants With New York Heart Association (NYHA) Class I, II, II or IV
Description The NYHA Functional Classification classifies patients' heart failure according to the severity of their symptoms. The classification is as follows: Class I: no limitation of physical activity, ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea (shortness of breath); Class II: slight limitation to physical activity, comfortable at rest, ordinary physical activity results in fatigue, palpitation or dyspnea; Class III: marked limitation of physical activity, comfortable at rest, less than ordinary activity causes fatigue, palpitation or dyspnea; Class IV: unable to carry on any physical activity without discomfort, symptoms of heart failure at rest, if any physical activity is undertaken, discomfort increases. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. LIK066 doses and placebo arms were considered per study objective. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 13 18
Class l
1
6.7%
1
6.3%
1
3.3%
1
3.3%
Class ll
6
40%
6
37.5%
10
33.3%
13
43.3%
Class lll
2
13.3%
1
6.3%
2
6.7%
4
13.3%
Class lV
0
0%
0
0%
0
0%
0
0%
Class l
0
0%
0
0%
0
0%
0
0%
Class ll
3
20%
0
0%
1
3.3%
3
10%
Class lll
0
0%
0
0%
0
0%
0
0%
Class lV
0
0%
0
0%
0
0%
0
0%
22. Secondary Outcome
Title Number of Participants With Change From Baseline in New York Heart Association (NYHA) Class at Week 12 and 36
Description The change from BL in NYHA class at a given visit is a three-category ordinal variable (improved/unchanged/worsened) with the following definition: 1. Improved, if NYHA class decreases at least one level from BL; 2. Unchanged, if NYHA class is unchanged from BL; 3. Worsened, if NYHA class increases at least one level from BL. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. LIK066 doses and placebo arms were considered per study objective. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 9 8 13 18
Improved
1
6.7%
1
6.3%
1
3.3%
4
13.3%
Unchanged
8
53.3%
7
43.8%
12
40%
13
43.3%
Worsened
0
0%
0
0%
0
0%
1
3.3%
Improved
0
0%
0
0%
0
0%
0
0%
Unchanged
3
20%
0
0%
1
3.3%
3
10%
Worsened
0
0%
0
0%
0
0%
0
0%
23. Secondary Outcome
Title Change From Baseline in N-terminal Pro B-type Natriuretic Peptide (NT-proBNP) at Week 36
Description Evaluation of NT-proBNP was performed by a central laboratory. For Change from baseline, Geometric mean is the geometric mean of the endpoint to baseline ratio. Pre-planned statistical analysis was not performed for this secondary endpoint due to early study termination. Only descriptive statistics are presented.
Time Frame Baseline, Week 36

Outcome Measure Data

Analysis Population Description
The Full Analysis Set (FAS) consisted of all randomized patients who were not mis-randomized. LIK066 doses and placebo arms are considered per study objective. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 3 0 1 3
Geometric Mean (95% Confidence Interval) [ratio]
0.7
1.3
1.0
24. Secondary Outcome
Title Change From Baseline in 24 Hour Urinary Calcium Excretion at Weeks 12 and 36
Description Urinary calcium excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive analysis done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
Safety Set: All patients who received at least 1 dose of double-blind study drug & included patients who participated in sub-study. Due to early termination of study, only data shown was available. 'Overall Number of Participants Analyzed' = enrolled in 24h urine collection sub-study. 'Number Analyzed '= number of participants with data available
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 1 1 2 1 5
Change from BL at Week 12
1.40
(NA)
3.80
(NA)
0.10
(0.566)
0.60
(NA)
-0.49
(3.202)
25. Secondary Outcome
Title 24 Hour Urinary Phosphate Excretion at Weeks 12 and 36
Description Urinary phosphate excretion was measured from a 24h urine collection from about 25% of randomized patients and analyzed at a central laboratory. Only descriptive statistics were done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Safety Set (SAF), which consisted of all patients who received at least one dose of double-blind study drug, was considered. The analysis included patients who participated in the 24h urine collection sub-study. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 2 2 2 1 6
Change from BL at Week 12
55.35
(25.809)
19.25
(55.225)
-125.95
(105.571)
5.30
(NA)
26.07
(142.536)
26. Secondary Outcome
Title Change From Baseline in Bone Mineral Density (BMD) at Weeks 12 and 36
Description To evaluate bone mineral density as assessed by bone mineral content after 12 weeks and after 36 weeks of treatment. Only descriptive statistics were done.
Time Frame Baseline, Week 12, Week 36

Outcome Measure Data

Analysis Population Description
The Safety Set (SAF), which consisted of all patients who received at least one dose of double-blind study drug, was considered. The analysis included participants who participated in the DXA sub-study. Due to early termination of the study, only the data shown was available.
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIk066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
Measure Participants 1 0 1 1 1
Wk 12 Whole Body - Hd Hologic Chge BL
-13.250
(NA)
-3.340
(NA)
Wk 36 Whole Body - Hd Hologic Chge BL
-58.220
(NA)
64.620
(NA)
Wk 12 Whole Body - Hd Lunar Chge BL
-78.750
(NA)
37.350
(NA)

Adverse Events

Time Frame Adverse events (AEs) and serious adverse events were collected for the maximum actual duration of treatment exposure and follow up for a participant per the protocol for approximately 253 days. Treatment emergent AEs are represented for the double-blind period (i.e., starting from randomization to the end of the double-blind period). Total duration of the double-blind period was planned for approximately 36 weeks.
Adverse Event Reporting Description
Arm/Group Title LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Arm/Group Description LIK066 2.5mg once daily LIK066 10mg once daily LIK066 50mg once daily Empagliflozin 25 mg once daily LIK066 matching placebo and empagliflozin matching placebo
All Cause Mortality
LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 1/33 (3%)
Serious Adverse Events
LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/15 (13.3%) 2/16 (12.5%) 3/30 (10%) 5/30 (16.7%) 3/33 (9.1%)
Cardiac disorders
Angina pectoris 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Atrial fibrillation 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Cardiac failure 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 1/33 (3%)
Cardiac failure chronic 0/15 (0%) 0/16 (0%) 1/30 (3.3%) 0/30 (0%) 0/33 (0%)
Cardiac failure congestive 0/15 (0%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 1/33 (3%)
Coronary artery disease 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
General disorders
Cardiac death 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Infections and infestations
Diarrhoea infectious 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Gastroenteritis 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Wound infection 0/15 (0%) 0/16 (0%) 1/30 (3.3%) 0/30 (0%) 0/33 (0%)
Injury, poisoning and procedural complications
Hip fracture 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Wound dehiscence 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Nervous system disorders
Cerebral vascular occlusion 0/15 (0%) 0/16 (0%) 1/30 (3.3%) 0/30 (0%) 0/33 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Respiratory, thoracic and mediastinal disorders
Respiratory failure 0/15 (0%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 1/33 (3%)
Other (Not Including Serious) Adverse Events
LIK066 2.5mg LIK066 10mg LIK066 50mg EMPA 25mg Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 7/15 (46.7%) 6/16 (37.5%) 8/30 (26.7%) 12/30 (40%) 9/33 (27.3%)
Cardiac disorders
Atrial fibrillation 0/15 (0%) 0/16 (0%) 0/30 (0%) 2/30 (6.7%) 1/33 (3%)
Gastrointestinal disorders
Constipation 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 1/30 (3.3%) 1/33 (3%)
Diarrhoea 1/15 (6.7%) 0/16 (0%) 2/30 (6.7%) 2/30 (6.7%) 1/33 (3%)
Enteritis 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Flatulence 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Vomiting 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
General disorders
Oedema peripheral 0/15 (0%) 1/16 (6.3%) 1/30 (3.3%) 0/30 (0%) 1/33 (3%)
Pyrexia 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Thirst 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Infections and infestations
Breast abscess 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Bronchitis 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 2/33 (6.1%)
Genital infection fungal 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Nasopharyngitis 0/15 (0%) 1/16 (6.3%) 1/30 (3.3%) 1/30 (3.3%) 2/33 (6.1%)
Urinary tract infection 1/15 (6.7%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 1/33 (3%)
Injury, poisoning and procedural complications
Limb injury 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Investigations
Heart rate irregular 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Liver function test increased 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Metabolism and nutrition disorders
Diabetes mellitus inadequate control 2/15 (13.3%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Fluid retention 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Hyperglycaemia 0/15 (0%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 2/33 (6.1%)
Hypoglycaemia 1/15 (6.7%) 2/16 (12.5%) 2/30 (6.7%) 3/30 (10%) 2/33 (6.1%)
Hypokalaemia 0/15 (0%) 1/16 (6.3%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 1/30 (3.3%) 0/33 (0%)
Nervous system disorders
Dysaesthesia 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Psychiatric disorders
Anxiety 0/15 (0%) 1/16 (6.3%) 1/30 (3.3%) 0/30 (0%) 0/33 (0%)
Renal and urinary disorders
Proteinuria 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Reproductive system and breast disorders
Gynaecomastia 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Respiratory, thoracic and mediastinal disorders
Cough 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 1/33 (3%)
Dyspnoea 0/15 (0%) 1/16 (6.3%) 1/30 (3.3%) 0/30 (0%) 1/33 (3%)
Epistaxis 1/15 (6.7%) 0/16 (0%) 0/30 (0%) 0/30 (0%) 0/33 (0%)
Vascular disorders
Hypotension 2/15 (13.3%) 0/16 (0%) 2/30 (6.7%) 3/30 (10%) 1/33 (3%)

Limitations/Caveats

Due to early discontinuation of the study, the analysis of efficacy was done on the available data (mostly for Epoch 3 (double-blind period 1) only). Because of the small sample sizes the interpretation of the results remained limited.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.

Results Point of Contact

Name/Title Study Director
Organization Novartis Pharmaceuticals
Phone 862-778-8300
Email Novartis.email@novartis.com
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT03152552
Other Study ID Numbers:
  • CLIK066B2204
  • 2016-003084-19
First Posted:
May 15, 2017
Last Update Posted:
Aug 28, 2019
Last Verified:
Aug 1, 2019