Equivalence of Resorption of Empagliflozin/Metformin Administered as Combination Tablet Compared With Empagliflozin/Metformin as Single Tablets Administered Together

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Completed
CT.gov ID
NCT01811953
Collaborator
(none)
48
1
6
2
24

Study Details

Study Description

Brief Summary

Bioequivalence of an empagliflozin/metformin (FDC) tablet compared with single tablets of two strength of empagliflozin and metformin (Part I) under fasted and under fed conditions and bioequivalence of empagliflozin/metformin (FDC) tablet compared with single tablets empagliflozin and metformin under fed conditions (Part II).

Study Design

Study Type:
Interventional
Actual Enrollment :
48 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Bioequivalence of Empagliflozin/Metformin Fixed Dose Combination Tablets Compared to Single Tablets Administered Together in Healthy Male and Female Volunteers Under Fed and Fasted Conditions (an Open-label, Randomised, Single-dose, Crossover Study)
Study Start Date :
Mar 1, 2013
Actual Primary Completion Date :
May 1, 2013
Actual Study Completion Date :
May 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1 Empagliflozin/Metformin (T)

fixed-dose-combination tablet, oral with 240 ml water under fasted conditions

Drug: Empagliflozin/Metformin
medium dose of Empagliflozin oral administration

Experimental: 2 Empagliflozin/Metformin (T)

fixed-dose-combination tablet, oral with 240 ml water under fed conditions

Drug: Empagliflozin/Metformin
medium dose of Empagliflozin oral administration

Experimental: 3 Empagliflozin + Metformin (R)

tablets, oral with 240 ml water under fasted conditions

Drug: Empagliflozin
medium dose oral administration

Drug: Metformin
oral administration

Experimental: 4 Empagliflozin + Metformin (R)

tablets, oral with 240 ml water under fed conditions

Drug: Empagliflozin
medium dose oral administration

Drug: Metformin
oral administration

Experimental: 5 Empagliflozin/Metformin (T)

fixed-dose-combination tablet, oral with 240 ml water under fed conditions

Drug: Empagliflozin/Metformin
low dose of Empagliflozin

Experimental: 6 Empagliflozin + Metformin (R)

tablets, oral with 240 ml water under fed conditions

Drug: Empagliflozin
low dose of Empagliflozin oral administration

Drug: Metformin
oral administration

Outcome Measures

Primary Outcome Measures

  1. Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity, Empagliflozin [1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration]

    AUC0-inf: area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity for Empagliflozin

  2. Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity, Metformin [1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration]

    AUC0-inf: area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity for Metformin

  3. Maximum Measured Concentration of the Analyte in Plasma, Empagliflozin [1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration]

    Cmax: maximum measured concentration of the analyte in plasma for Empagliflozin

  4. Maximum Measured Concentration of the Analyte in Plasma, Metformin [1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration]

    Cmax: maximum measured concentration of the analyte in plasma for Metformin

Secondary Outcome Measures

  1. Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point, Empagliflozin [1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration]

    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

  2. Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point, Metformin [1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration]

    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

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 male and female subjects
Exclusion criteria:
  1. Any relevant deviation from healthy conditions

Contacts and Locations

Locations

Site City State Country Postal Code
1 1276.8.1 Boehringer Ingelheim Investigational Site Biberach Germany

Sponsors and Collaborators

  • Boehringer Ingelheim

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:
NCT01811953
Other Study ID Numbers:
  • 1276.8
  • 2012-005156-42
First Posted:
Mar 15, 2013
Last Update Posted:
Jul 27, 2015
Last Verified:
Jun 1, 2015
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Emp/Met Fasted / Emp+Met Fasted / Emp/Met Fed / Emp+Met Fed Emp/Met Fed / Emp+Met Fed / Emp/Met Fasted / Emp+Met Fasted Emp+Met Fasted / Emp/Met Fasted / Emp+Met Fed / Emp/Met Fed Emp+Met Fed / Emp/Met Fed / Emp+Met Fasted / Emp/Met Fasted Low Dose Emp: Emp/Met / Emp+Met Low Dose Emp: Emp+Met / Emp/Met
Arm/Group Description fixed-dose-combination (FDC) tablet under fasted conditions first; then free dose combination tablets under fasted conditions; then FDC tablet under fed conditions; then free dose combination tablets under fed conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) fixed-dose-combination (FDC) tablet under fed conditions first; then free dose combination tablets under fed conditions; then FDC tablet under fasted conditions; then free dose combination tablets under fasted conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) free dose combination tablets under fasted conditions first; then fixed-dose-combination (FDC) tablet under fasted conditions; then free dose combination tablets under fed conditions; then FDC tablet under fed conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) free dose combination tablets under fed conditions first; then FDC tablet under fed conditions; then free dose combination tablets under fasted conditions; then fixed-dose-combination (FDC) tablet under fasted conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) fixed-dose-combination tablet under fed conditions first; then free dose combination tablets under fed conditions Empagliflozin (Emp): 5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) free dose combination tablets under fed conditions first; then fixed-dose-combination tablet under fed conditions Empagliflozin (Emp): 5 mg; Metformin (Met): 1000 mg (oral with 240 ml water)
Period Title: Overall Study
STARTED 6 6 6 6 12 12
COMPLETED 6 6 6 5 11 11
NOT COMPLETED 0 0 0 1 1 1

Baseline Characteristics

Arm/Group Title Emp/Met Fasted / Emp+Met Fasted / Emp/Met Fed / Emp+Met Fed Emp/Met Fed / Emp+Met Fed / Emp/Met Fasted / Emp+Met Fasted Emp+Met Fasted / Emp/Met Fasted / Emp+Met Fed / Emp/Met Fed Emp+Met Fed / Emp/Met Fed / Emp+Met Fasted / Emp/Met Fasted Low Dose Emp: Emp/Met / Emp+Met Low Dose Emp: Emp+Met / Emp/Met Total
Arm/Group Description fixed-dose-combination (FDC) tablet under fasted conditions first; then free dose combination tablets under fasted conditions; then FDC tablet under fed conditions; then free dose combination tablets under fed conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) fixed-dose-combination (FDC) tablet under fed conditions first; then free dose combination tablets under fed conditions; then FDC tablet under fasted conditions; then free dose combination tablets under fasted conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) free dose combination tablets under fasted conditions first; then fixed-dose-combination (FDC) tablet under fasted conditions; then free dose combination tablets under fed conditions; then FDC tablet under fed conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) free dose combination tablets under fed conditions first; then FDC tablet under fed conditions; then free dose combination tablets under fasted conditions; then fixed-dose-combination (FDC) tablet under fasted conditions Empagliflozin (Emp): 12.5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) fixed-dose-combination tablet under fed conditions first; then free dose combination tablets under fed conditions Empagliflozin (Emp): 5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) free dose combination tablets under fed conditions first; then fixed-dose-combination tablet under fed conditions Empagliflozin (Emp): 5 mg; Metformin (Met): 1000 mg (oral with 240 ml water) Total of all reporting groups
Overall Participants 6 6 6 6 12 12 48
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
33.5
(6.7)
26.5
(9.7)
28.5
(9.5)
33.2
(7.1)
32.8
(9.8)
32.3
(9.6)
31.5
(8.9)
Sex: Female, Male (Count of Participants)
Female
3
50%
3
50%
1
16.7%
4
66.7%
7
58.3%
7
58.3%
25
52.1%
Male
3
50%
3
50%
5
83.3%
2
33.3%
5
41.7%
5
41.7%
23
47.9%

Outcome Measures

1. Primary Outcome
Title Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity, Empagliflozin
Description AUC0-inf: area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity for Empagliflozin
Time Frame 1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
Pharmacokinetic set (PKS): included all subjects of the TS who provided at least one observation for at least one primary PK endpoint and who did not have a protocol violation relevant to the evaluation of Pharmacokinetics.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
Measure Participants 23 24 24 22 22 23
Geometric Mean (Geometric Coefficient of Variation) [nmol*h/L]
2810
(19.3)
2580
(20.4)
2760
(20.0)
2570
(20.7)
988
(16.2)
927
(18.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 1 Empagliflozin/Metformin (T), 3 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 102.55
Confidence Interval (2-Sided) 90%
99.531 to 105.653
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.017
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '1 Empagliflozin/Metformin (T)' divided by the geometric mean of '3 Empagliflozin + Metformin (R)'.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 2 Empagliflozin/Metformin (T), 4 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 98.88
Confidence Interval (2-Sided) 90%
94.879 to 103.059
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.024
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '2 Empagliflozin/Metformin (T)' divided by the geometric mean of '4 Empagliflozin + Metformin (R)'.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 5 Empagliflozin/Metformin (T), 6 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 106.00
Confidence Interval (2-Sided) 90%
102.728 to 109.386
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.018
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '5 Empagliflozin/Metformin (T)' divided by the geometric mean of '6 Empagliflozin + Metformin (R)'.
2. Primary Outcome
Title Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 Extrapolated to Infinity, Metformin
Description AUC0-inf: area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity for Metformin
Time Frame 1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
PKS: included all subjects of the TS who provided at least one observation for at least one primary PK endpoint and who did not have a protocol violation relevant to the evaluation of Pharmacokinetics.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
Measure Participants 23 24 24 22 21 23
Geometric Mean (Geometric Coefficient of Variation) [ng*h/mL]
10400
(23.0)
9220
(26.4)
11000
(26.8)
9140
(22.9)
9080
(32.7)
9060
(26.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 1 Empagliflozin/Metformin (T), 3 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 96.13
Confidence Interval (2-Sided) 90%
91.25 to 101.26
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.03
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '1 Empagliflozin/Metformin (T)' divided by the geometric mean of '3 Empagliflozin + Metformin (R)'.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 2 Empagliflozin/Metformin (T), 4 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 99.34
Confidence Interval (2-Sided) 90%
92.56 to 106.62
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.04
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '2 Empagliflozin/Metformin (T)' divided by the geometric mean of '4 Empagliflozin + Metformin (R)'.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 5 Empagliflozin/Metformin (T), 6 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean difference
Estimated Value 100.81
Confidence Interval (2-Sided) 90%
95.74 to 106.14
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.03
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '5 Empagliflozin/Metformin (T)' divided by the geometric mean of '6 Empagliflozin + Metformin (R)'.
3. Secondary Outcome
Title Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point, Empagliflozin
Description 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
Time Frame 1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
PKS: included all subjects of the TS who provided at least one observation for at least one primary PK endpoint and who did not have a protocol violation relevant to the evaluation of Pharmacokinetics.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
Measure Participants 23 24 24 22 22 23
Geometric Mean (Geometric Coefficient of Variation) [nmol*h/L]
2770
(19.2)
2530
(20.1)
2720
(20.0)
2510
(20.2)
962
(16.3)
903
(18.2)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 1 Empagliflozin/Metformin (T), 3 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 102.33
Confidence Interval (2-Sided) 90%
99.315 to 105.430
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.017
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '1 Empagliflozin/Metformin (T)' divided by the geometric mean of '3 Empagliflozin + Metformin (R)'.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 2 Empagliflozin/Metformin (T), 4 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 98.82
Confidence Interval (2-Sided) 90%
94.784 to 103.037
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.024
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '2 Empagliflozin/Metformin (T)' divided by the geometric mean of '4 Empagliflozin + Metformin (R)'.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 5 Empagliflozin/Metformin (T), 6 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 105.98
Confidence Interval (2-Sided) 90%
102.730 to 109.329
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.018
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '5 Empagliflozin/Metformin (T)' divided by the geometric mean of '6 Empagliflozin + Metformin (R)'.
4. Primary Outcome
Title Maximum Measured Concentration of the Analyte in Plasma, Empagliflozin
Description Cmax: maximum measured concentration of the analyte in plasma for Empagliflozin
Time Frame 1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
PKS: included all subjects of the TS who provided at least one observation for at least one primary PK endpoint and who did not have a protocol violation relevant to the evaluation of Pharmacokinetics.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
Measure Participants 23 24 24 22 22 23
Geometric Mean (Geometric Coefficient of Variation) [nmol/L]
379
(23.7)
276
(24.8)
375
(27.3)
258
(28.5)
108
(16.9)
103
(14.5)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 1 Empagliflozin/Metformin (T), 3 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 102.12
Confidence Interval (2-Sided) 90%
96.255 to 108.351
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.035
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '1 Empagliflozin/Metformin (T)' divided by the geometric mean of '3 Empagliflozin + Metformin (R)'.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 2 Empagliflozin/Metformin (T), 4 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value 0.0082
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 106.52
Confidence Interval (2-Sided) 90%
95.863 to 118.353
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.063
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '2 Empagliflozin/Metformin (T)' divided by the geometric mean of '4 Empagliflozin + Metformin (R)'.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 5 Empagliflozin/Metformin (T), 6 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 104.352
Confidence Interval (2-Sided) 90%
99.152 to 110.224
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.031
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '5 Empagliflozin/Metformin (T)' divided by the geometric mean of '6 Empagliflozin + Metformin (R)'.
5. Primary Outcome
Title Maximum Measured Concentration of the Analyte in Plasma, Metformin
Description Cmax: maximum measured concentration of the analyte in plasma for Metformin
Time Frame 1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
PKS: included all subjects of the TS who provided at least one observation for at least one primary PK endpoint and who did not have a protocol violation relevant to the evaluation of Pharmacokinetics.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
Measure Participants 23 24 24 22 21 23
Geometric Mean (Geometric Coefficient of Variation) [ng/mL]
1580
(26.9)
1160
(17.8)
1680
(25.8)
1180
(21.2)
1180
(23.8)
1150
(24.8)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 1 Empagliflozin/Metformin (T), 3 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 94.87
Confidence Interval (2-Sided) 90%
88.931 to 101.210
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.038
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '1 Empagliflozin/Metformin (T)' divided by the geometric mean of '3 Empagliflozin + Metformin (R)'.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 2 Empagliflozin/Metformin (T), 4 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 97.97
Confidence Interval (2-Sided) 90%
92.339 to 103.935
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.035
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '2 Empagliflozin/Metformin (T)' divided by the geometric mean of '4 Empagliflozin + Metformin (R)'.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 5 Empagliflozin/Metformin (T), 6 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 102.95
Confidence Interval (2-Sided) 90%
97.166 to 109.082
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.034
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '5 Empagliflozin/Metformin (T)' divided by the geometric mean of '6 Empagliflozin + Metformin (R)'.
6. Secondary Outcome
Title Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point, Metformin
Description 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
Time Frame 1 hour (h) before first drug administration and 20 minutes (min), 40min, 1h, 1h 30min, 2h, 2h 30min, 3h, 3h 30 min, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Outcome Measure Data

Analysis Population Description
PKS: included all subjects of the TS who provided at least one observation for at least one primary PK endpoint and who did not have a protocol violation relevant to the evaluation of Pharmacokinetics.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
Measure Participants 23 24 24 22 21 23
Geometric Mean (Geometric Coefficient of Variation) [ng*h/mL]
10100
(21.3)
8960
(24.5)
10700
(24.1)
8930
(22.5)
8870
(30.8)
8850
(26.3)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection 1 Empagliflozin/Metformin (T), 3 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 94.89
Confidence Interval (2-Sided) 90%
89.80 to 100.26
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.03
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '1 Empagliflozin/Metformin (T)' divided by the geometric mean of '3 Empagliflozin + Metformin (R)'.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection 2 Empagliflozin/Metformin (T), 4 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 99.31
Confidence Interval (2-Sided) 90%
92.14 to 107.03
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.04
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '2 Empagliflozin/Metformin (T)' divided by the geometric mean of '4 Empagliflozin + Metformin (R)'.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection 5 Empagliflozin/Metformin (T), 6 Empagliflozin + Metformin (R)
Comments
Type of Statistical Test Non-Inferiority or Equivalence
Comments The assessment of bioequivalence was based upon 2-sided 90% confidence intervals (CIs) for the ratio of the geometric means (gMean), test/reference, for the primary endpoints using an acceptance range of 80.00 to 125.00%.
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANOVA
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 100.74
Confidence Interval (2-Sided) 90%
95.77 to 105.96
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.03
Estimation Comments The geometric mean ratio was calculated as the geometric mean of '5 Empagliflozin/Metformin (T)' divided by the geometric mean of '6 Empagliflozin + Metformin (R)'.

Adverse Events

Time Frame From first trial medication intake until next intake or the end-of-trial visit, 10 days
Adverse Event Reporting Description Adverse Evens were reported for all patients who received the specific treatment.
Arm/Group Title 1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
Arm/Group Description fixed-dose-combination tablet, oral with 240 ml water under fasted conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: medium dose of Empagliflozin oral administration tablets, oral with 240 ml water under fasted conditions Empagliflozin: medium dose oral administration Metformin: oral administration tablets, oral with 240 ml water under fed conditions Empagliflozin: medium dose oral administration Metformin: oral administration fixed-dose-combination tablet, oral with 240 ml water under fed conditions Empagliflozin/Metformin: low dose of Empagliflozin tablets, oral with 240 ml water under fed conditions Empagliflozin: low dose of Empagliflozin oral administration Metformin: oral administration
All Cause Mortality
1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
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
1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
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 0/23 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/23 (0%) 0/23 (0%)
Other (Not Including Serious) Adverse Events
1 Empagliflozin/Metformin (T) 2 Empagliflozin/Metformin (T) 3 Empagliflozin + Metformin (R) 4 Empagliflozin + Metformin (R) 5 Empagliflozin/Metformin (T) 6 Empagliflozin + Metformin (R)
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 6/23 (26.1%) 6/24 (25%) 4/24 (16.7%) 6/24 (25%) 9/23 (39.1%) 10/23 (43.5%)
Gastrointestinal disorders
Diarrhoea 2/23 (8.7%) 3/24 (12.5%) 1/24 (4.2%) 4/24 (16.7%) 4/23 (17.4%) 6/23 (26.1%)
Nausea 1/23 (4.3%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 3/23 (13%) 1/23 (4.3%)
Vomiting 1/23 (4.3%) 1/24 (4.2%) 0/24 (0%) 1/24 (4.2%) 2/23 (8.7%) 0/23 (0%)
Infections and infestations
Nasopharyngitis 1/23 (4.3%) 2/24 (8.3%) 0/24 (0%) 1/24 (4.2%) 0/23 (0%) 0/23 (0%)
Nervous system disorders
Headache 4/23 (17.4%) 0/24 (0%) 2/24 (8.3%) 1/24 (4.2%) 3/23 (13%) 4/23 (17.4%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

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:
NCT01811953
Other Study ID Numbers:
  • 1276.8
  • 2012-005156-42
First Posted:
Mar 15, 2013
Last Update Posted:
Jul 27, 2015
Last Verified:
Jun 1, 2015