Diabetes drug showdown: which Add-On works best?
NCT ID NCT03499704
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether adding pioglitazone or dapagliflozin to standard diabetes pills (alogliptin and metformin) helps control blood sugar better in adults with type 2 diabetes. A total of 133 participants took one of the two extra drugs for 26 weeks. The main goal was to see which combination lowered HbA1c (a measure of blood sugar control) more effectively.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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133 people
The number who actually took part.
- Started
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Feb 2020
- Finished
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Jan 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. The subject is a regular outpatient with an has a historical diagnosis of type 2 diabetes. 2. The subject has metabolic syndrome as jointly defined by the International Diabetes Federation (IDF); National Heart, Lung, and Blood Institute (NHLBI) / American Heart Association (AHA); and International Association for the Study of Obesity (IASO). If any 3 of the following 5 risk factors are present, metabolic syndrome can be considered: * High waist circumference: male ≥ 90 cm, female ≥ 85 cm. * High TGs (drug treatment for high TGs is an alternate indicator): ≥ 150 mg/dL (1.7 mmol/L). * Low HDL-C (drug treatment for low HDL-C is an alternate indicator): \< 40 mg/dL(1.0 mmol/L) in males, \< 50 mg/dL (1.3 mmol/L) in females. * High blood pressure (antihypertensive drug treatment in a subject with a history of hypertension is an alternate indicator): Systolic ≥ 130 mmHg and/or diastolic ≥ 85 mmHg. * High fasting glucose (drug treatment of high glucose is an alternate indicator): ≥ 100 mg/dL. 3. The subject has been receiving a stable dose of DPP-4 inhibitor + metformin therapy with diet and exercise for ≥ 3 months prior to Randomization. 4. The subject has a HbA1c value between 7.0 and 11% inclusively within 28 days of Randomization via central laboratory test or after run-in period for 4 weeks via central laboratory test. Exclusion Criteria: 1. The subject has type 1 diabetes, diabetic ketoacidosis, diabetic coma or diabetic precoma. 2. The subject has an active bladder cancer or a history of bladder cancer. 3. The use of any medications ie, oral or systemically injected glucocorticoids (including intra-articular injection), weight-loss drugs, insulin or other anti-diabetic drugs except DPP-4 inhibitor and metformin, within 3 months prior to randomization. Strong Cytochrome P450 2C8 (CYP2C8) inhibitors (eg, gemfibrozil, montelukast, quercetin, phenelzine) and CYP2C8 inducers (eg, rifampin) that in the opinion of the Investigator or Sponsor require treatment contraindicated during the study. The diuretics, angiotensin receptor blockers (ARBs), angiotensin-converting enzyme (ACE) -inhibitors and nonsteroidal anti-inflammatory drugs (NSAIDs) are to be used per product label with close monitoring under Investigator's supervision. 4. Has genetic problems such as galactose intolerance, Lapp lactose dehydrogenase deficiency or glucose-galactose uptake disorder, etc. 5. Has a history of alcohol abuse within 2 years prior to randomization.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ajou University Hospital
Suwon, Gyeonggi-do, 16499, South Korea
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Chosun University Hospital
Gwangju, 61453, South Korea
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Daejeon Eulji Medical Center, Eulji University
Daejeon, 35233, South Korea
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Inje University Haeundae Paik Hospital
Busan, 48108, South Korea
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Kangbuk Samsung Hospital
Seoul, 03181, South Korea
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Korea University Anam Hospital
Seoul, 02841, South Korea
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Kyung Hee University Hospital at Gangdong
Seoul, 05278, South Korea
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Pusan National University Hospital
Busan, 49241, South Korea
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Samsung Medical Center
Seoul, 06351, South Korea
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Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
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The Catholic University of Korea, Bucheon, St. Marys Hospital
Bucheon-si, Gyeonggi-do, 14647, South Korea
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The Catholic University of Korea, ST. Vincents Hospital
Suwon, Gyeonggi-do, 16247, South Korea
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Ulsan University Hospital
Ulsan, 44033, South Korea
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YeungNam University Hospital
Daegu, 42415, South Korea
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Yonsei University Health System Severance Hospital
Seoul, 03722, South Korea
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