A Study Comparing the Effects and Safety of Dulaglutide With Insulin Glargine in Type 2 Diabetes Mellitus

NCT ID: NCT01648582

Last Updated: 2019-09-18

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

774 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to examine if once-weekly dulaglutide is efficient and safe compared to once-daily insulin glargine in participants with type 2 diabetes mellitus who have inadequate glycemic control with 1 or 2 oral antihyperglycemic medications (OAM) (metformin and/or a sulfonylurea), in addition to any healthy lifestyle changes recommended by their healthcare providers.

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1.5 mg Dulaglutide

1.5 milligrams (mg) dulaglutide administered as one subcutaneous (SC) injection once-weekly added to participant's pre-study prescribed dose of metformin and/or a sulfonylurea for up to 52 weeks. Participants are blinded to the dulaglutide dose.

Group Type EXPERIMENTAL

Dulaglutide

Intervention Type DRUG

Administered SC

Metformin

Intervention Type DRUG

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Sulfonylureas

Intervention Type DRUG

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

0.75 mg Dulaglutide

0.75 mg Dulaglutide administered as one SC injection once-weekly added to participant's pre-study prescribed dose of metformin and/or a sulfonylurea for up to 52 weeks. Participants are blinded to the dulaglutide dose.

Group Type EXPERIMENTAL

Dulaglutide

Intervention Type DRUG

Administered SC

Metformin

Intervention Type DRUG

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Sulfonylureas

Intervention Type DRUG

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Insulin Glargine

Insulin glargine administered based on fasting blood glucose concentrations per the dosing titration schedule as once daily SC injection at bedtime added to participant's pre-study prescribed dose of metformin and /or a sulfonylurea for up to 52 weeks.

Group Type ACTIVE_COMPARATOR

Insulin glargine

Intervention Type DRUG

Administered SC per dosing titration schedule

Metformin

Intervention Type DRUG

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Sulfonylureas

Intervention Type DRUG

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Interventions

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Dulaglutide

Administered SC

Intervention Type DRUG

Insulin glargine

Administered SC per dosing titration schedule

Intervention Type DRUG

Metformin

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Intervention Type DRUG

Sulfonylureas

Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.

Intervention Type DRUG

Other Intervention Names

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LY2189265

Eligibility Criteria

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Inclusion Criteria

* Have type 2 diabetes mellitus for at least 6 months
* Have been taking metformin and/or a sulfonylurea for at least 3 months before screening and have been on a stable therapeutic dose for at least 8 weeks
* Glycosylated hemoglobin (HbA1c) value of ≥7.0% to ≤11.0%
* Adult men or adult non-pregnant, non-breastfeeding women
* Body Mass Index (BMI) of ≥19.0 to ≤35.0 kilograms/square meter (kg/m\^2)
* Stable weight (±5%) ≥3 months prior to screening

Exclusion Criteria

* Have type 1 diabetes mellitus
* Have previous treatment with a glucagon-like peptide-1 (GLP-1) receptor agonist, GLP-1 analog, or any other incretin mimetic
* Have treatment with dipeptidyl peptidase-IV (DPP-IV) inhibitor, an alpha-glucosidase inhibitor (AGI), thiazolidinedione (TZD), or glinide
* Have gastric emptying abnormality
* Have cardiac disorder defined as unstable angina, myocardial infarction, coronary artery bypass graft surgery, percutaneous coronary intervention, heart failure, arrhythmia, transient ischemic attack, or stroke
* Have poorly controlled hypertension (systolic blood pressure above 160 millimeter of mercury\[mmHg\] or diastolic blood pressure above 95 mmHg)
* Have impaired liver function
* Have impaired kidney function
* Have history of chronic pancreatitis or acute pancreatitis
* Have a serum calcitonin ≥20 picograms per milliliter (pg/mL)
* Have a personal or family history of medullary C-cell hyperplasia, focal hyperplasia, carcinoma, or multiple endocrine neoplasia type 2 (MEN 2)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Beijing, , China

Site Status

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Changsha, , China

Site Status

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Chengdu, , China

Site Status

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Chongqing, , China

Site Status

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Dalian, , China

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Guangzhou, , China

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Guiyang, , China

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Hangzhou, , China

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Harbin, , China

Site Status

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Hefei, , China

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Nanchang, , China

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Nanjing, , China

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Nanning, , China

Site Status

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Shanghai, , China

Site Status

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Shenyang, , China

Site Status

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Shijiazhuang, , China

Site Status

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Wuhan, , China

Site Status

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Xi'an, , China

Site Status

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Yangzhou, , China

Site Status

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Zhenjiang, , China

Site Status

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Chihuahua City, , Mexico

Site Status

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Monterrey, , Mexico

Site Status

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Chelyabinsk, , Russia

Site Status

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Moscow, , Russia

Site Status

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Saint Petersburg, , Russia

Site Status

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Saint Petersburg, , Russia

Site Status

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Bucheon-si, , South Korea

Site Status

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Kyunggi-Do, , South Korea

Site Status

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Seoul, , South Korea

Site Status

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Wŏnju, , South Korea

Site Status

Countries

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China Mexico Russia South Korea

References

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Cai TT, Li HQ, Jiang LL, Wang HY, Luo MH, Su XF, Ma JH. Effects of GLP-1 Receptor Agonists on Bone Mineral Density in Patients with Type 2 Diabetes Mellitus: A 52-Week Clinical Study. Biomed Res Int. 2021 Sep 17;2021:3361309. doi: 10.1155/2021/3361309. eCollection 2021.

Reference Type DERIVED
PMID: 34580638 (View on PubMed)

Zhou Y, Zhu J, Wu H, Deng Y, Ji Q. Pancreatic Safety of Once-Weekly Dulaglutide in Chinese Patients with Type 2 Diabetes Mellitus: Subgroup Analysis by Potential Influencing Factors. Diabetes Ther. 2021 Oct;12(10):2677-2690. doi: 10.1007/s13300-021-01139-2. Epub 2021 Aug 28.

Reference Type DERIVED
PMID: 34453682 (View on PubMed)

Ma J, Zhang B, Hou J, Peng Y. Efficacy and Safety of Once Weekly Dulaglutide in East Asian Patients with Type 2 Diabetes: Subgroup Analysis by Potential Influential Factors. Diabetes Ther. 2021 Jan;12(1):211-222. doi: 10.1007/s13300-020-00955-2. Epub 2020 Nov 8.

Reference Type DERIVED
PMID: 33161492 (View on PubMed)

Kuang J, Zhu J, Liu S, Li Q. Efficacy and Safety of Once-Weekly Dulaglutide in Elderly Chinese Patients with Type 2 Diabetes: A Post Hoc Analysis of AWARD-CHN Studies. Diabetes Ther. 2020 Oct;11(10):2329-2339. doi: 10.1007/s13300-020-00910-1. Epub 2020 Aug 28.

Reference Type DERIVED
PMID: 32857293 (View on PubMed)

Guo L, Zhang B, Hou J, Zhou Z. Evaluation of Characteristics of Gastrointestinal Adverse Events with Once-Weekly Dulaglutide Treatment in Chinese Patients with Type 2 Diabetes: A Post Hoc Pooled Analysis of Two Randomized Trials. Diabetes Ther. 2020 Aug;11(8):1821-1833. doi: 10.1007/s13300-020-00869-z. Epub 2020 Jul 4.

Reference Type DERIVED
PMID: 32621083 (View on PubMed)

Yu M, Yuan GY, Zhang B, Wu HY, Lv XF. Efficacy and Safety of Dulaglutide by Baseline HbA1c in Chinese Patients with Type 2 Diabetes: A Post Hoc Analysis. Diabetes Ther. 2020 May;11(5):1147-1159. doi: 10.1007/s13300-020-00804-2. Epub 2020 Apr 10.

Reference Type DERIVED
PMID: 32277401 (View on PubMed)

Wang J, Li HQ, Xu XH, Kong XC, Sun R, Jing T, Ye L, Su XF, Ma JH. The Effects of Once-Weekly Dulaglutide and Insulin Glargine on Glucose Fluctuation in Poorly Oral-Antidiabetic Controlled Patients with Type 2 Diabetes Mellitus. Biomed Res Int. 2019 Dec 24;2019:2682657. doi: 10.1155/2019/2682657. eCollection 2019.

Reference Type DERIVED
PMID: 31950036 (View on PubMed)

Li Y, Li L, De Peng Y, Song GY, Ye SD, Du LY, Hou JN, Ji QH. Efficacy and Safety of Dulaglutide Versus Insulin Glargine in Chinese T2DM Patients: A Subgroup Analysis of a Randomized Trial (AWARD-CHN2). Diabetes Ther. 2019 Aug;10(4):1435-1452. doi: 10.1007/s13300-019-0646-y. Epub 2019 Jun 21.

Reference Type DERIVED
PMID: 31228090 (View on PubMed)

Other Identifiers

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H9X-CR-GBDK

Identifier Type: OTHER

Identifier Source: secondary_id

13439

Identifier Type: -

Identifier Source: org_study_id

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