Relative Bioavailability of 2 Fixed Dose Combinations of Empagliflozin/Metformin Extended Release (XR) Compared With Single Tablets

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Completed
CT.gov ID
NCT02106923
Collaborator
Eli Lilly and Company (Industry)
72
1
3
3
24.1

Study Details

Study Description

Brief Summary

The purpose of this trial is to demonstrate the relative bioavailability of 2 newly developed fixed dose combinations (FDC) tablets containing empagliflozin & metformin XR and the single tablets of empagliflozin and metformin XR when administered singularly

Condition or Disease Intervention/Treatment Phase
  • Drug: 1 tablet Empagliflozin/2 tablets Metformin XR
  • Drug: 10 mg Empagliflozin/1000 mg Metformin XR
  • Drug: 1 tablet 10 mg Empagliflozin/3 tablets Metformin XR
  • Drug: 2 tablets 5 mg Empagliflozin/750 Metformin XR
  • Drug: 1 tablet Empagliflozin/2 tablets Metformin XR
  • Drug: 10 mg Empagliflozin/1000 mg Metformin XR
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
72 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Relative Bioavailability of Two Newly Developed FDC Tablet Strengths (10 mg/1000 mg and 5mg/750mg) of Empagliflozin/Metformin Extended Release Compared With the Free Combination of Empagliflozin and Metformin Extended Release in Healthy Subjects (an Open-label, Randomised, Single Dose, Two-way Crossover Study)
Study Start Date :
Apr 1, 2014
Actual Primary Completion Date :
Jun 1, 2014
Actual Study Completion Date :
Jul 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: High dose, fasted

1 fixed dose combination (FDC) tablet vs 3 single tablets under fasted conditions

Drug: 10 mg Empagliflozin/1000 mg Metformin XR
Experimental: high dose Empagliflozin/Metformin XR, FDC tablet

Drug: 1 tablet Empagliflozin/2 tablets Metformin XR
Active Comparator: 1 x Empagliflozin/2x Metformin XR tablets

Experimental: High dose, fed

1 fixed dose combination (FDC) tablet vs 3 single tablets under fed conditions

Drug: 1 tablet Empagliflozin/2 tablets Metformin XR
Active Comparator: 1 x Empagliflozin/2x Metformin XR tablets

Drug: 10 mg Empagliflozin/1000 mg Metformin XR
Experimental: high dose Empagliflozin/Metformin XR, FDC tablet

Experimental: Low dose, fasted

2 fixed dose combination (FDC) tablets vs 4 single tablets under fasted conditions

Drug: 1 tablet 10 mg Empagliflozin/3 tablets Metformin XR
Active Comparator: 1 x Empagliflozin/3 x Metformin XR tablets

Drug: 2 tablets 5 mg Empagliflozin/750 Metformin XR
Experimental:2 x low dose Empagliflozin/Metformin XR FDC tablets

Outcome Measures

Primary Outcome Measures

  1. AUC0-tz (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point), for Empagliflozin [1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration]

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

  2. AUC0-tz (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point) for Metformin [1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration]

    Area under the concentration-time curve of metformin in plasma over the time interval from 0 to the last quantifiable data point

  3. Cmax (Maximum Measured Concentration of the Analyte in Plasma, for Empagliflozin [1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration]

    Maximum measured concentration of empagliflozin in plasma (Cmax).

  4. Cmax (Maximum Measured Concentration of the Analyte in Plasma, for Metformin [1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration]

    Maximum measured concentration of metformin in plasma

Secondary Outcome Measures

  1. AUC0-infinity (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity), for Empagliflozin [1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration]

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

  2. AUC0-infinity (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity), for Metformin [1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration]

    Area under the concentration-time curve of metformin in plasma over the time interval from 0 extrapolated to infinity

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion criteria:
  1. Healthy males or females

  2. Age 18-50 years (incl.)

  3. Body Mass Index (BMI) 18.5 to 29.9 kg/m2 (incl.)

  4. Subjects must be able to understand and comply with study requirements

Exclusion criteria:

Any deviation from healthy condition

Contacts and Locations

Locations

Site City State Country Postal Code
1 Boehringer Ingelheim Investigational Site Austin Texas United States

Sponsors and Collaborators

  • Boehringer Ingelheim
  • Eli Lilly and Company

Investigators

  • Study Chair: Boehringer Ingelheim, Boehringer Ingelheim

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT02106923
Other Study ID Numbers:
  • 1276.14
First Posted:
Apr 8, 2014
Last Update Posted:
Mar 9, 2017
Last Verified:
Jan 1, 2017
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Empa+1000mg Met FDC / Empa+1000mg Glumetza® (Fasted) Empa+1000mg Glumetza / Empa+1000mg Met FDC (Fasted) Empa+1000mg Met FDC / Empa+1000mg Glumetza (Fed) Empa+1000mg Glumetza / Empa+1000mg Met FDC (Fed) Empa+1500mg Met FDC / Empa+1500mg Glumetza (Fasted) Empa+1500mg Glumetza / Empa+1500mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin (Empa)/1000 mg metformin (Met) extended release (XR) fixed dose combination (FDC) followed by oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR. Both treatments were taken with 240 mL of water after an overnight fast of at least 10 hours (h). Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR followed by oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR FDC. Both treatments were taken with 240 mL of water after an overnight fast of at least 10 h. Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC followed by oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR. Both treatments were taken with 240 mL of water after a high-fat, high-caloric meal. Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR followed by oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC. Both treatments were taken with 240 mL of water after a high-fat, high-caloric meal. Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC followed by oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR. Both treatments were taken with 240 mL of water after an overnight fast of at least 10 h. Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR followed by oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC. Both treatments were taken with 240 mL of water after an overnight fast of at least 10 h.
Period Title: Overall Study
STARTED 12 12 12 12 12 12
COMPLETED 12 12 12 12 12 11
NOT COMPLETED 0 0 0 0 0 1

Baseline Characteristics

Arm/Group Title 1000mg, Fasted 1000mg, Fed 1500mg, Fasted Total
Arm/Group Description Patients orally administered either 1 x 10 mg Empagliflozin/1000 mg metformin (Met) XR FDC or 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR. Both treatments were taken with 240 mL of water after an overnight fast of at least 10 hours (h). Patients orally administered either 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC or 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR. Both treatments were taken with 240 mL of water after a high-fat, high-caloric meal Patients orally administered either 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC or 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR. Both treatments were taken with 240 mL of water after an overnight fast of at least 10 h Total of all reporting groups
Overall Participants 24 24 24 72
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
28.5
(8.7)
32.4
(9.1)
31.3
(8.7)
30.7
(8.9)
Sex: Female, Male (Count of Participants)
Female
16
66.7%
16
66.7%
16
66.7%
48
66.7%
Male
8
33.3%
8
33.3%
8
33.3%
24
33.3%

Outcome Measures

1. Primary Outcome
Title AUC0-tz (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point), for Empagliflozin
Description Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz).
Time Frame 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) set (PKS) which included all subjects of the treated set who provided at least one observation for at least one primary PK endpoint and had no important protocol violations with respect to the statistical evaluation of PK endpoints.
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
Measure Participants 24 24 24 23 24 23
Geometric Mean (Geometric Coefficient of Variation) [nmol*h/L]
2630
(18.9)
2710
(18.3)
2720
(20.5)
2710
(19.9)
2790
(17.3)
2680
(18.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza® (Fasted), Empa/ 1000 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 102.98
Confidence Interval (2-Sided) 90%
100.505 to 105.514
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.014
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fasted) divided by Empa/1000 mg Glumetza® (Fasted)
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza ® (Fed), Empa/ 1000 mg Met FDC (Fed)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 100.25
Confidence Interval (2-Sided) 90%
96.809 to 103.823
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.021
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fed) divided by Empa/1000 mg Glumetza ® (Fed)
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Empa/ 1500 mg Glumetza® (Fasted), Empa/ 1500 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 96.08
Confidence Interval (2-Sided) 90%
93.507 to 98.721
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.016
Estimation Comments Ratio calculated as Empa/ 1500 mg Met FDC (Fasted) divided by Empa/ 1500 mg Glumetza® (Fasted)
2. Primary Outcome
Title AUC0-tz (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point) for Metformin
Description Area under the concentration-time curve of metformin in plasma over the time interval from 0 to the last quantifiable data point
Time Frame 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) set (PKS) which included all subjects of the treated set who provided at least one observation for at least one primary PK endpoint and had no important protocol violations with respect to the statistical evaluation of PK endpoints.
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
Measure Participants 24 24 24 23 24 23
Geometric Mean (Geometric Coefficient of Variation) [ng*h/mL]
7020
(35.2)
7170
(36.2)
13500
(19.1)
13200
(18.8)
9860
(26.4)
10100
(25.6)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza® (Fasted), Empa/ 1000 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value 0.0011
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 102.04
Confidence Interval (2-Sided) 90%
92.30 to 112.81
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.06
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fasted) divided by Empa/1000 mg Glumetza® (Fasted)
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza ® (Fed), Empa/ 1000 mg Met FDC (Fed)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 98.93
Confidence Interval (2-Sided) 90%
95.45 to 102.53
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.02
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fed) divided by Empa/1000 mg Glumetza ® (Fed)
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Empa/ 1500 mg Glumetza® (Fasted), Empa/ 1500 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 101.70
Confidence Interval (2-Sided) 90%
93.59 to 110.52
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.05
Estimation Comments Ratio calculated as Empa/ 1500 mg Met FDC (Fasted) divided by Empa/ 1500 mg Glumetza® (Fasted)
3. Secondary Outcome
Title AUC0-infinity (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity), for Empagliflozin
Description Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 extrapolated to infinity (AUC0-infinity).
Time Frame 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) set (PKS) which included all subjects of the treated set who provided at least one observation for at least one primary PK endpoint and had no important protocol violations with respect to the statistical evaluation of PK endpoints.
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
Measure Participants 24 24 24 23 24 23
Geometric Mean (Geometric Coefficient of Variation) [nmol*h/L]
2680
(18.7)
2760
(17.9)
2790
(21.3)
2770
(20.2)
2840
(17.4)
2740
(19.5)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza® (Fasted), Empa/ 1000 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 102.88
Confidence Interval (2-Sided) 90%
100.446 to 105.373
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.014
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fasted) divided by Empa/1000 mg Glumetza® (Fasted)
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza ® (Fed), Empa/ 1000 mg Met FDC (Fed)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 100.03
Confidence Interval (2-Sided) 90%
96.448 to 103.738
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.021
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fed) divided by Empa/1000 mg Glumetza ® (Fed)
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Empa/ 1500 mg Glumetza® (Fasted), Empa/ 1500 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 96.49
Confidence Interval (2-Sided) 90%
93.758 to 99.311
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.017
Estimation Comments Ratio calculated as Empa/ 1500 mg Met FDC (Fasted) divided by Empa/ 1500 mg Glumetza® (Fasted)
4. Primary Outcome
Title Cmax (Maximum Measured Concentration of the Analyte in Plasma, for Empagliflozin
Description Maximum measured concentration of empagliflozin in plasma (Cmax).
Time Frame 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) set (PKS) which included all subjects of the treated set who provided at least one observation for at least one primary PK endpoint and had no important protocol violations with respect to the statistical evaluation of PK endpoints.
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
Measure Participants 24 24 24 23 24 23
Geometric Mean (Geometric Coefficient of Variation) [nmol/L]
377
(22.5)
395
(24.6)
273
(27.6)
277
(31.0)
396
(21.9)
381
(22.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza® (Fasted), Empa/ 1000 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 104.83
Confidence Interval (2-Sided) 90%
99.522 to 110.412
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.031
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fasted) divided by Empa/1000 mg Glumetza® (Fasted)
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza ® (Fed), Empa/ 1000 mg Met FDC (Fed)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 101.84
Confidence Interval (2-Sided) 90%
95.030 to 109.134
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.041
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fed) divided by Empa/1000 mg Glumetza ® (Fed)
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Empa/ 1500 mg Glumetza® (Fasted), Empa/ 1500 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 96.03
Confidence Interval (2-Sided) 90%
90.217 to 102.211
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.037
Estimation Comments Ratio calculated as Empa/ 1500 mg Met FDC (Fasted) divided by Empa/ 1500 mg Glumetza® (Fasted)
5. Primary Outcome
Title Cmax (Maximum Measured Concentration of the Analyte in Plasma, for Metformin
Description Maximum measured concentration of metformin in plasma
Time Frame 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) set (PKS) which included all subjects of the treated set who provided at least one observation for at least one primary PK endpoint and had no important protocol violations with respect to the statistical evaluation of PK endpoints.
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
Measure Participants 24 24 24 23 24 23
Geometric Mean (Geometric Coefficient of Variation) [ng/mL]
975
(37.2)
964
(39.9)
1110
(21.2)
1200
(22.7)
1220
(32.8)
1270
(34.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza® (Fasted), Empa/ 1000 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value 0.0027
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 98.94
Confidence Interval (2-Sided) 90%
87.925 to 111.329
Parameter Dispersion Type: Standard Deviation
Value: 1.071
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fasted) divided by Empa/1000 mg Glumetza® (Fasted)
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza ® (Fed), Empa/ 1000 mg Met FDC (Fed)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 108.18
Confidence Interval (2-Sided) 90%
102.792 to 113.859
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.030
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fed) divided by Empa/1000 mg Glumetza ® (Fed)
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Empa/ 1500 mg Glumetza® (Fasted), Empa/ 1500 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value 0.0060
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 103.62
Confidence Interval (2-Sided) 90%
92.116 to 116.559
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.071
Estimation Comments Ratio calculated as Empa/ 1500 mg Met FDC (Fasted) divided by Empa/ 1500 mg Glumetza® (Fasted)
6. Secondary Outcome
Title AUC0-infinity (Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity), for Metformin
Description Area under the concentration-time curve of metformin in plasma over the time interval from 0 extrapolated to infinity
Time Frame 1 hour (h) before drug administration and 20 minutes (min), 40min, 1h, 1h 20min, 1h 40min, 2h, 2.5h, 3h, 4h, 5h, 6h, 7h, 8h, 9h, 10h, 12h, 16h, 24h, 36h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) set (PKS) which included all subjects of the treated set who provided at least one observation for at least one primary PK endpoint and had no important protocol violations with respect to the statistical evaluation of PK endpoints.
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
Measure Participants 24 24 24 23 24 23
Geometric Mean (Geometric Coefficient of Variation) [ng*h/mL]
7480
(37.4)
7360
(36.7)
13900
(20.7)
13600
(20.4)
10500
(28.5)
10900
(28.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza® (Fasted), Empa/ 1000 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 98.33
Confidence Interval (2-Sided) 90%
89.13 to 108.47
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.06
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fasted) divided by Empa/1000 mg Glumetza® (Fasted)
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Empa/1000 mg Glumetza ® (Fed), Empa/ 1000 mg Met FDC (Fed)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 98.71
Confidence Interval (2-Sided) 90%
94.77 to 102.80
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.02
Estimation Comments Ratio calculated as Empa/ 1000 mg Met FDC (Fed) divided by Empa/1000 mg Glumetza ® (Fed)
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Empa/ 1500 mg Glumetza® (Fasted), Empa/ 1500 mg Met FDC (Fasted)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments Model includes effects for sequence, subjects within sequences, period and treatment.
Statistical Test of Hypothesis p-Value 0.0021
Comments
Method ANOVA
Comments P-value for ratio outside interval 80%-125%
Method of Estimation Estimation Parameter Adjusted geometric mean ratio (%)
Estimated Value 103.90
Confidence Interval (2-Sided) 90%
94.09 to 114.74
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.06
Estimation Comments Ratio calculated as Empa/ 1500 mg Met FDC (Fasted) divided by Empa/ 1500 mg Glumetza® (Fasted)

Adverse Events

Time Frame From drug administration until next treatment period or follow-up visit, 10 days
Adverse Event Reporting Description
Arm/Group Title Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Arm/Group Description Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin/1000 mg metformin XR fixed dose combination (FDC) with 240 mL of water after an overnight fast of at least 10 h Oral administration of 1 x 10 mg Empagliflozin + 2 x 500 mg Glumetza® XR with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin/1000 mg Metformin XR FDC with 240 mL of water after a high-fat, high-caloric meal Oral administration of 1 x 10 mg Empagliflozin + 3 x 500 mg Glumetza® XR with 240 mL of water after an overnight fast of at least 10 h Oral administration of 2 x 5 mg Empagliflozin/750 mg Metformin XR FDC with 240 mL of water after an overnight fast of at least 10 h
All Cause Mortality
Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/23 (0%)
Other (Not Including Serious) Adverse Events
Empa/1000 mg Glumetza® (Fasted) Empa/ 1000 mg Met FDC (Fasted) Empa/1000 mg Glumetza ® (Fed) Empa/ 1000 mg Met FDC (Fed) Empa/ 1500 mg Glumetza® (Fasted) Empa/ 1500 mg Met FDC (Fasted)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 4/24 (16.7%) 5/24 (20.8%) 4/24 (16.7%) 4/24 (16.7%) 6/24 (25%) 7/23 (30.4%)
Gastrointestinal disorders
Abdominal pain 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 1/24 (4.2%) 3/24 (12.5%) 2/23 (8.7%)
Diarrhoea 2/24 (8.3%) 2/24 (8.3%) 0/24 (0%) 2/24 (8.3%) 0/24 (0%) 4/23 (17.4%)
Nausea 0/24 (0%) 1/24 (4.2%) 4/24 (16.7%) 2/24 (8.3%) 1/24 (4.2%) 1/23 (4.3%)
Nervous system disorders
Dizziness 1/24 (4.2%) 2/24 (8.3%) 0/24 (0%) 0/24 (0%) 2/24 (8.3%) 2/23 (8.7%)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain 2/24 (8.3%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/23 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.

Results Point of Contact

Name/Title Boehringer Ingelheim Call Center
Organization Boehringer Ingelheim
Phone 1-800-243-0127
Email clintriage.rdg@boehringer-ingelheim.com
Responsible Party:
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT02106923
Other Study ID Numbers:
  • 1276.14
First Posted:
Apr 8, 2014
Last Update Posted:
Mar 9, 2017
Last Verified:
Jan 1, 2017