Trial Outcomes & Findings for Albiglutide Versus Placebo in Insulin-treated Subjects With New-onset Type 1 Diabetes Mellitus (NCT NCT02284009)

NCT ID: NCT02284009

Last Updated: 2020-06-29

Results Overview

Participants (parts) had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. Evening before the MMTT, participants had a full meal then fasted from 9 post meridiem (pm) until MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the finger-stick test and MMTT was performed only if in range \> 3.9 millimoles per liter (mmol/L) \[70 mg/deciliter (dL)\] and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with assessment date on or before the 1st day of study medication. Change from Baseline was calculated by subtracting Baseline value from Week 52 value. Intent-to-treat (ITT) Population comprised of all randomly assigned participants who received at least 1 dose of study medication with at least 1 post-Baseline assessment of the primary endpoint.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

67 participants

Primary outcome timeframe

Baseline and Week 52

Results posted on

2020-06-29

Participant Flow

This was a multicenter study conducted at 29 sites in Europe (Spain 10, United Kingdom (UK) 9, Germany 4, France 3 and Italy 3). A total of 67 participants with New-onset type 1 diabetes mellitus (NOT1DM) were randomized.

Study was terminated early as part of the decision to withdraw albiglutide for commercial reasons. Study stopped after 67 participants were randomized instead of 68 as per protocol. Impact of early termination was minimal and did not affect the interpretation of results.

Participant milestones

Participant milestones
Measure
Placebo
Matching placebo was administered once weekly for 52 weeks by subcutaneous (sc) injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
Albiglutide 30 milligram (mg) was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
Overall Study
STARTED
17
50
Overall Study
COMPLETED
11
40
Overall Study
NOT COMPLETED
6
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Matching placebo was administered once weekly for 52 weeks by subcutaneous (sc) injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
Albiglutide 30 milligram (mg) was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
Overall Study
Adverse Event
3
0
Overall Study
Lost to Follow-up
1
3
Overall Study
Physician Decision
0
2
Overall Study
Withdrawal by Subject
2
5

Baseline Characteristics

Albiglutide Versus Placebo in Insulin-treated Subjects With New-onset Type 1 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=17 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=50 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
Total
n=67 Participants
Total of all reporting groups
Race/Ethnicity, Customized
White
17 Participants
n=5 Participants
49 Participants
n=7 Participants
66 Participants
n=5 Participants
Age, Continuous
22.8 Years
STANDARD_DEVIATION 3.83 • n=5 Participants
22.7 Years
STANDARD_DEVIATION 3.72 • n=7 Participants
22.7 Years
STANDARD_DEVIATION 3.72 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
21 Participants
n=7 Participants
28 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
29 Participants
n=7 Participants
39 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 52

Population: ITT Population. Only those participants with available data at the specified time points were analyzed. Time normalized plasma C-peptide AUC was calculated using trapezoidal rule then dividing by 120 (if the result at t=120 is non-missing otherwise the time difference between first and last times with non-missing results is used)

Participants (parts) had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. Evening before the MMTT, participants had a full meal then fasted from 9 post meridiem (pm) until MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the finger-stick test and MMTT was performed only if in range \> 3.9 millimoles per liter (mmol/L) \[70 mg/deciliter (dL)\] and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with assessment date on or before the 1st day of study medication. Change from Baseline was calculated by subtracting Baseline value from Week 52 value. Intent-to-treat (ITT) Population comprised of all randomly assigned participants who received at least 1 dose of study medication with at least 1 post-Baseline assessment of the primary endpoint.

Outcome measures

Outcome measures
Measure
Placebo
n=11 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=40 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
n=53 Participants
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Mean Change From Baseline in Time Normalized Stimulated (From Mixed Meal Tolerance Test [MMTT]) 2-hour Plasma C-peptide Area Under the Curve (AUC) at Week 52
-0.16 Nanomoles per liter
Standard Deviation 0.366
-0.13 Nanomoles per liter
Standard Deviation 0.244
-0.27 Nanomoles per liter
Standard Deviation 0.314

SECONDARY outcome

Timeframe: Baseline and Weeks 16, 28 and 64

Population: ITT Population. Only parts with data available at specified data points were analyzed (represented by n= X in the category titles).Time normalized plasma C-peptide AUC was calculated using trapezoidal rule then dividing by 120 (if result at t=120 is non-missing otherwise time difference between first and last times with non-missing results is used)

Participants had a balanced diet consistent with dietitian's advice and made no major changes in exercise regimens. On the evening before the MMTT, participants had a full meal and then fasted from 9 pm until the MMTT was completed. Water, black coffee or tea without sugar or artificial sweeteners was allowed. Plasma glucose was measured prior to the test using a finger-stick test and MMTT was performed only if it was in range \> 3.9 mmol/L (70 mg/dL) and \<= 11.1 mmol/L (200 mg/dL). Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Mean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64
Week 16, n=15,44
0.00 Nanomoles per liter
Standard Deviation 0.216
0.07 Nanomoles per liter
Standard Deviation 0.234
Mean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64
Week 28, n=13,41
-0.14 Nanomoles per liter
Standard Deviation 0.177
0.01 Nanomoles per liter
Standard Deviation 0.225
Mean Change From Baseline in Time Normalized Stimulated (From MMTT) 2 Hour Plasma C-peptide AUC at Week 16, 28 and Week 64
Week 64, n=11,36
-0.22 Nanomoles per liter
Standard Deviation 0.277
-0.22 Nanomoles per liter
Standard Deviation 0.246

SECONDARY outcome

Timeframe: Baseline and Weeks 16, 28, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

Maximum stimulated plasma C-peptide was the highest value at any time point during the 2 hour MMTT after the participant has ingested the mixed meal at Baseline, Week 16, Week 28, Week 52 and Week 64. Blood samples were taken to assess levels of C-peptide at: 10 minutes before Time 0 (-10 minutes), Immediately before the participant starts drinking the nutritional drink (Time 0) and 15, 30, 60, 90, and 120 minutes after Time 0.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64
Baseline, n=15,46
0.86 Nanomoles per liter
Standard Deviation 0.382
0.82 Nanomoles per liter
Standard Deviation 0.448
Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64
Week 16, n=15,45
0.84 Nanomoles per liter
Standard Deviation 0.481
1.02 Nanomoles per liter
Standard Deviation 0.558
Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64
Week 28,n=13,42
0.68 Nanomoles per liter
Standard Deviation 0.442
0.91 Nanomoles per liter
Standard Deviation 0.594
Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64
Week 52,n=11,41
0.63 Nanomoles per liter
Standard Deviation 0.516
0.69 Nanomoles per liter
Standard Deviation 0.479
Maximum Stimulated Plasma C-peptide (MMTT) at Baseline, Week 16, 28, 52 and 64
Week 64, n=11,37
0.58 Nanomoles per liter
Standard Deviation 0.453
0.48 Nanomoles per liter
Standard Deviation 0.363

SECONDARY outcome

Timeframe: Baseline and Weeks 16, 28, 52 and 64

Population: ITT Population. Only parts with data available at specified data points were analyzed (represented by n= X in the category titles). Time normalized plasma glucagon AUC was calculated using trapezoidal rule then dividing by 120 (if result at t=120 is non-missing otherwise time difference between first and last times with non-missing results is used)

Blood samples were taken to assess levels of glucagon at: 10 minutes before Time 0 (-10 minutes), immediately before the participant started drinking the nutritional drink (Time 0) and 15, 30, 60, 90, and 120 minutes after Time 0. Mean change from Baseline in time normalized plasma glucagon AUC (from MMTT) at Week 16, 28, 52 and 64 was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Mean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64
Week 16,n=15,45
-2.28 Nanograms per liter
Standard Deviation 11.221
-1.10 Nanograms per liter
Standard Deviation 4.496
Mean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64
Week 28,n=13,43
-2.97 Nanograms per liter
Standard Deviation 11.574
3.91 Nanograms per liter
Standard Deviation 22.197
Mean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64
Week 52,n=11,40
-0.31 Nanograms per liter
Standard Deviation 15.989
4.66 Nanograms per liter
Standard Deviation 13.628
Mean Change From Baseline in Time Normalized Plasma Glucagon AUC (From MMTT) at Week 16, 28, 52 and 64
Week 64,n=11,37
3.19 Nanograms per liter
Standard Deviation 18.279
8.82 Nanograms per liter
Standard Deviation 17.650

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

Responders were defined as participants achieving glycosylated hemoglobin A1c (HbA1c) \<= 7.0 percent and mean daily insulin use \< 0.5 units per kilograms (kg) per day. Percentages are based on the number of participants with available HbA1c and insulin use data in each treatment group at that visit.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Baseline, n=15, 46
26.7 Percentage of participants
37.0 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 4,n=14,42
71.4 Percentage of participants
78.6 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 8,n=14,46
85.7 Percentage of participants
67.4 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 16,n=15,45
86.7 Percentage of participants
73.3 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 28,n=12,42
75.0 Percentage of participants
73.8 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 40,n=13,40
76.9 Percentage of participants
62.5 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 52,n=12,41
41.7 Percentage of participants
48.8 Percentage of participants
Percentage of Responders at Baseline, Weeks 4, 8, 16, 28, 40, 52 and 64
Week 64,n=11,38
36.4 Percentage of participants
34.2 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

Participant achieving partial remission status was defined as a participant with IDAA1C \<=9.0 . Percentages were based on the number of participants with available IDAA1c data in each treatment group at that visit.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Baseline, n= 15, 46
73.3 Percentage of participants
60.9 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 4,n=14,42
92.9 Percentage of participants
88.1 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 8,n=14,46
92.9 Percentage of participants
87.0 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 16,n=15,45
86.7 Percentage of participants
86.7 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 28,n=12,42
75.0 Percentage of participants
85.7 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 40,n=13,40
84.6 Percentage of participants
82.5 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 52,n=12,41
58.3 Percentage of participants
70.7 Percentage of participants
Percentage of Participants Achieving Partial Remission Status (Insulin Dose-adjusted Hemoglobin A1c (IDAA1C)<= 9.0) at Baseline, Week 4, 8, 16, 28, 40, 52 and 64
Week 64,n=11,38
54.5 Percentage of participants
55.3 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: ITT Population. Only those participants with available data at the specified time points were analyzed.

Change from Baseline in percent HbA1c was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the Week 52 value.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=43 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Change From Baseline in Percent HbA1c at Week 52
-0.73 Percentage of HbA1c
Standard Deviation 1.033
-0.59 Percentage of HbA1c
Standard Deviation 1.649

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified time points were analyzed (represented by n=x in the category titles).

Blood samples were collected from participants for analysis of HbA1c at indicated time points and percentage of HbA1c has been calculated for Weeks 4, 8, 16, 28, 40, 52 and 64.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 4,n=15,43
6.29 Percentage of HbA1c
Standard Deviation 0.688
6.10 Percentage of HbA1c
Standard Deviation 0.725
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 8,n=15,46
5.91 Percentage of HbA1c
Standard Deviation 0.689
5.82 Percentage of HbA1c
Standard Deviation 0.725
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 16,n=15,46
5.97 Percentage of HbA1c
Standard Deviation 0.801
5.78 Percentage of HbA1c
Standard Deviation 0.733
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 28,n=13,43
6.03 Percentage of HbA1c
Standard Deviation 0.747
6.00 Percentage of HbA1c
Standard Deviation 0.824
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 40,n=13,42
6.22 Percentage of HbA1c
Standard Deviation 0.860
6.20 Percentage of HbA1c
Standard Deviation 0.894
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 52,n=12,43
6.56 Percentage of HbA1c
Standard Deviation 0.950
6.58 Percentage of HbA1c
Standard Deviation 1.512
Percent HbA1c Over Time (at Weeks 4, 8, 16, 28, 40, 52 and 64)
Week 64,n=12,40
7.12 Percentage of HbA1c
Standard Deviation 1.335
6.92 Percentage of HbA1c
Standard Deviation 1.176

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).

The mean daily insulin use value was calculated, in units/kg/day as the sum of average prandial insulin doses and average of basal insulin doses for each participant recorded daily for the 3 days prior to the specified visits, divided by the participant's body weight in kg. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting Baseline value from the specified time point value.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 4,n=14,43
-0.02 Units/kg/day
Standard Deviation 0.076
-0.03 Units/kg/day
Standard Deviation 0.093
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 8,n=14,46
-0.04 Units/kg/day
Standard Deviation 0.105
-0.02 Units/kg/day
Standard Deviation 0.123
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 16,n=15,45
-0.05 Units/kg/day
Standard Deviation 0.100
-0.01 Units/kg/day
Standard Deviation 0.148
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 28,n=12,42
-0.01 Units/kg/day
Standard Deviation 0.139
0.03 Units/kg/day
Standard Deviation 0.145
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 40,n=13,40
-0.01 Units/kg/day
Standard Deviation 0.151
0.03 Units/kg/day
Standard Deviation 0.145
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 52,n=12,41
0.04 Units/kg/day
Standard Deviation 0.119
0.11 Units/kg/day
Standard Deviation 0.215
Change From Baseline in Mean Daily Insulin Use at Week 4, 8, 16, 28, 40, 52 and 64
Week 64,n=11,38
0.04 Units/kg/day
Standard Deviation 0.140
0.10 Units/kg/day
Standard Deviation 0.187

SECONDARY outcome

Timeframe: Week 24 to 52

Population: ITT Population. Only those participants with available data at specified time points were analyzed

Significant hypoglycemia was defined as an event with plasma glucose level \<= 3.9 mmol/L (\<= 70 mg/dL) and/or requiring third party intervention. This corresponds to American Diabetes Association (ADA) category definitions of severe, documented symptomatic, and asymptomatic hypoglycemia. The time period was defined as: \> Week 24 to \<= Week 52 = Day 169 to Day 364. Number of Events were defined as the total number of significant hypoglycemic events at each level of summarization. Number of events of hypoglycemia with confirmed self plasma glucose monitoring \<=3.9 mmol/L and/or requiring third party intervention (i.e., severe, documented symptomatic and asymptomatic hypoglycemic events) occurring \>Week 24 and \<=Week 52 are presented.

Outcome measures

Outcome measures
Measure
Placebo
n=13 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=45 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Number of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52
Any Significant Hypoglycemia
472 Hypoglycemic events
1592 Hypoglycemic events
Number of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52
Severe Hypoglycemia
0 Hypoglycemic events
0 Hypoglycemic events
Number of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52
Documented Symptomatic Hypoglycemia
241 Hypoglycemic events
996 Hypoglycemic events
Number of Events of Participant-reported Significant Hypoglycemia, Occurring > Week 24 and <= Week 52
Asymptomatic Hypoglycemia
231 Hypoglycemic events
596 Hypoglycemic events

SECONDARY outcome

Timeframe: Baseline and Weeks 28 and 52

Population: ITT Population. Only those participants with available data at the specified time points were analysed (represented by n=X in the category titles).

Three days before the visit, the participants made an additional visit to the study site to have the CGM fitted/inserted. It was worn for 3 consecutive days and was removed at the scheduled study visit. Whilst wearing the CGM, participants continued to monitor their plasma glucose at least 4 times a day and on one of the days, conducted 7-point glucose profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime). Time spent with a plasma glucose \<=3.9 millimoles per liter (mmol/L), between \>3.9 and 10.0 mmol/L, and \>10.0 mmol/L, respectively as performed by 72-hour CGM at Baseline, Week 28 and Week 52 was reported.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
<= 3.9 mmol/L, Baseline,n=14,42
0.80 hours per day
Standard Deviation 1.251
0.98 hours per day
Standard Deviation 1.400
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
<= 3.9 mmol/L, Week 28,n=12,36
1.72 hours per day
Standard Deviation 1.248
1.38 hours per day
Standard Deviation 1.808
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
<= 3.9 mmol/L, Week 52,n=10,31
1.60 hours per day
Standard Deviation 2.142
1.36 hours per day
Standard Deviation 2.405
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
> 3.9 to <= 10.0 mmol/L,Baseline,n=14,42
20.14 hours per day
Standard Deviation 3.675
19.11 hours per day
Standard Deviation 3.732
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
> 3.9 to <= 10.0 mmol/L,Week 28,n=12,36
18.93 hours per day
Standard Deviation 3.452
18.83 hours per day
Standard Deviation 4.009
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
> 3.9 to <= 10.0 mmol/L,Week 52,n=10,31
17.98 hours per day
Standard Deviation 4.491
18.19 hours per day
Standard Deviation 4.772
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
> 10.0 mmol/L, Baseline,n=14,42
3.06 hours per day
Standard Deviation 3.560
3.90 hours per day
Standard Deviation 3.727
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
> 10.0 mmol/L,Week 28,n=12,36
3.35 hours per day
Standard Deviation 3.115
3.79 hours per day
Standard Deviation 3.782
Time Spent With Plasma Glucose Level <= 3.9, > 3.9 to <= 10.0, and > 10.0 Measured by 72 Hour Continuous Glucose Monitoring (CGM) at Baseline, Week 28 and 52
> 10.0 mmol/L,Week 52,n=10,31
4.42 hours per day
Standard Deviation 4.597
4.45 hours per day
Standard Deviation 4.781

SECONDARY outcome

Timeframe: Baseline and Weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

A hypoglycemic excursion was defined as an occurrence where the plasma glucose level \<=3.9 mmol/L (\<=70 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hypoglycemic excursions were included. Number of Hypoglycemic Excursions for each participant from 7-Point Glucose Profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime) were reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Number of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Bseline,n=15,42
0.40 Hypoglycemic excursions
Standard Deviation 0.632
0.36 Hypoglycemic excursions
Standard Deviation 0.656
Number of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 28,n=13,40
0.31 Hypoglycemic excursions
Standard Deviation 0.630
0.28 Hypoglycemic excursions
Standard Deviation 0.554
Number of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 52,n=12,40
0.25 Hypoglycemic excursions
Standard Deviation 0.452
0.40 Hypoglycemic excursions
Standard Deviation 0.672

SECONDARY outcome

Timeframe: Baseline and Weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

A hypoglycemic excursion was defined as an occurrence where the plasma glucose level \<=3.9 mmol/L (\<= 70 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hypoglycemic excursions were included. Greatest hypoglycemic excursion was calculated as 3.9 mmol/L minus the lowest recorded glucose level during the 7-point glucose profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime). If a participant had data recorded at that visit, but did not have a value \<= 3.9 mmol/L, their greatest hypoglycemic excursion were 0 mmol/L for that visit. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Greatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Baseline,n=15,42
0.24 mmol/L
Standard Deviation 0.470
0.22 mmol/L
Standard Deviation 0.597
Greatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 28,n=13,40
0.18 mmol/L
Standard Deviation 0.359
0.08 mmol/L
Standard Deviation 0.231
Greatest Magnitude of Hypoglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 52,n=12,40
0.22 mmol/L
Standard Deviation 0.484
0.17 mmol/L
Standard Deviation 0.393

SECONDARY outcome

Timeframe: Baseline and Weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

A hyperglycemic excursion is defined as an occurrence where the plasma glucose level \> 10.0 mmol/L (\> 180 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hyperglycemic excursions were included. Number of Hyperglycemic Excursions for each participant from 7-Point Glucose Profile (Before breakfast, 2 hours after breakfast, Before lunch, 2 hours after lunch, Before dinner, 2 hours after dinner, At bedtime) were reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Number of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Baseline,n=15,43
0.80 Hyperglycemic excursions
Standard Deviation 1.014
1.53 Hyperglycemic excursions
Standard Deviation 1.502
Number of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 28,n=13,40
1.23 Hyperglycemic excursions
Standard Deviation 1.301
0.73 Hyperglycemic excursions
Standard Deviation 0.933
Number of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 52,n=12,40
1.17 Hyperglycemic excursions
Standard Deviation 1.115
1.30 Hyperglycemic excursions
Standard Deviation 1.522

SECONDARY outcome

Timeframe: Baseline and weeks 28 and 52

Population: ITT Population. Only evaluable participants, as defined in the Measure Description were analysed (represented by n=X in the category titles).

A hyperglycemic excursion is defined as an occurrence where the plasma glucose level \> 10.0 mmol/L (\> 180 mg/dL). At each visit, only evaluable participants, defined as those with \>= 4 non-missing glucose values or \>= 1 hyperglycemic excursions were included. Greatest hyperglycemic excursion was calculated as the largest recorded glucose level during the 7-point glucose profile (before breakfast, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, at bedtime) minus 10.0 mmol/L. If a participant had data recorded at that visit, but does not have a value \> 10.0 mmol/L, their greatest hyperglycemic excursion would be 0 mmol/L for that visit. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Greatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Baseline,n=15,43
0.94 mmol/L
Standard Deviation 1.805
2.72 mmol/L
Standard Deviation 3.466
Greatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 28,n=13,40
2.05 mmol/L
Standard Deviation 2.154
1.52 mmol/L
Standard Deviation 2.493
Greatest Magnitude of Hyperglycemic Excursions for Each Participant From 7-Point Glucose Profile at Baseline, Week 28 and 52
Week 52,n=12,40
2.19 mmol/L
Standard Deviation 2.823
2.42 mmol/L
Standard Deviation 3.042

SECONDARY outcome

Timeframe: Baseline and Week 52

Population: ITT Population. Only those participants with available data at the specified time points were analyzed.

Change from Baseline in body weight of participants was reported. Baseline was defined as the last non-missing value with an assessment date on or before the first day of study medication. Change from Baseline was calculated by subtracting the Baseline value from the Week 52 value.

Outcome measures

Outcome measures
Measure
Placebo
n=12 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=43 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Change From Baseline in Body Weight (Kilograms) at Week 52
0.26 Kilograms
Standard Deviation 2.738
0.77 Kilograms
Standard Deviation 3.504

SECONDARY outcome

Timeframe: Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64

Population: ITT Population. Only participants with available data at the specified time points were summarized

Body weight was measured in kilograms for participants at indicated time points.

Outcome measures

Outcome measures
Measure
Placebo
n=15 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=46 Participants
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 28,n=13, 43
66.08 kilograms
Standard Deviation 11.767
65.32 kilograms
Standard Deviation 13.252
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 40,n=13, 42
66.08 kilograms
Standard Deviation 11.266
66.20 kilograms
Standard Deviation 13.146
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 2,n=15, 43
70.16 kilograms
Standard Deviation 14.087
66.16 kilograms
Standard Deviation 11.944
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 4,n=15, 44
69.87 kilograms
Standard Deviation 14.409
66.39 kilograms
Standard Deviation 11.952
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 6,n=15, 46
69.83 kilograms
Standard Deviation 14.013
65.65 kilograms
Standard Deviation 12.559
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 8,n=15, 46
70.08 kilograms
Standard Deviation 14.121
65.32 kilograms
Standard Deviation 12.825
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 16,n=15, 46
69.40 kilograms
Standard Deviation 15.191
65.41 kilograms
Standard Deviation 12.824
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 52,n=12, 43
66.86 kilograms
Standard Deviation 12.401
66.80 kilograms
Standard Deviation 12.696
Weight Over Time (at Weeks 2, 4, 6, 8, 16, 28, 40, 52 and 64)
Week 64,n=12, 40
68.29 kilograms
Standard Deviation 11.511
68.13 kilograms
Standard Deviation 12.649

SECONDARY outcome

Timeframe: 48 hours after the most recent dose at Week 4, 6, 8 and 16

Population: PK population which comprised of participants in 'Safety Population' for whom a pharmacokinetic sample was obtained and analyzed. Only participants who received albiglutide were included in PK Population.

PK of Albiglutide was evaluated in participants using CL/F using PK samples collected on Weeks 4, 6, 8, 16. CL/F was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean body weights of 67 kilograms, and electronic glomerular filtration rate (eGFR) of 123 milliliters per minute.

Outcome measures

Outcome measures
Measure
Placebo
n=49 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Population Estimates of Pharmacokinetic (PK) Parameters: Apparent Clearance [CL/F]
45.1 Milliliters per hour
Standard Error 2.56

SECONDARY outcome

Timeframe: 48 hours after the most recent dose at Week 4, 6, 8 and 16

Population: PK population

PK of Albiglutide was evaluated in participants using V/F using PK samples collected on Weeks 4, 6, 8, 16. V/F was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean body weights of 67 kilograms, and eGFR of 123 milliliters per minute.

Outcome measures

Outcome measures
Measure
Placebo
n=49 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Population Estimates of PK Parameters: Apparent Volume of Distribution [V/F]
4830 Milliliters
Standard Error 677

SECONDARY outcome

Timeframe: 48 hours after the most recent dose at Week 4, 6, 8 and 16

Population: PK population

PK of Albiglutide was evaluated in participants using Ka using PK samples collected on Weeks 4, 6, 8, 16. Ka was evaluated by population PK methods and mean and standard error from the final model has been tabulated. Estimates have been presented from the final model centered to mean bodyweights of 67 kilograms, and eGFR of 123 milliliters per minute.

Outcome measures

Outcome measures
Measure
Placebo
n=49 Participants
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
DEFEND-1 Placebo
Historical placebo data from the DEFEND-1 (NCT00678886) study was used as prior knowledge.
Population Estimates of PK Parameters: First-order Absorption Rate Constant [Ka]
0.0122 Per hour
Standard Error 0.0022

Adverse Events

Placebo

Serious events: 2 serious events
Other events: 13 other events
Deaths: 0 deaths

Albiglutide

Serious events: 1 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=17 participants at risk
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=50 participants at risk
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
2.0%
1/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Psychiatric disorders
Suicidal ideation
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Skin and subcutaneous tissue disorders
Urticaria
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.

Other adverse events

Other adverse events
Measure
Placebo
n=17 participants at risk
Matching placebo was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region in addition to insulin.
Albiglutide
n=50 participants at risk
Albiglutide 30 mg was administered once weekly for 52 weeks by sc injection in the abdomen, thigh or upper arm region along with insulin (Dose increased to 50 mg once weekly at Week 6 if the 30 mg weekly dose was tolerated).
Gastrointestinal disorders
Nausea
29.4%
5/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
38.0%
19/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Diarrhoea
11.8%
2/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
26.0%
13/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Vomiting
23.5%
4/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
20.0%
10/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Abdominal distension
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
14.0%
7/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Abdominal pain
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
14.0%
7/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Abdominal pain upper
17.6%
3/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
8.0%
4/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Dyspepsia
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
6.0%
3/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Flatulence
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
4.0%
2/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Gastrointestinal disorders
Gastrointestinal pain
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
2.0%
1/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Nasopharyngitis
29.4%
5/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
26.0%
13/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Influenza
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
8.0%
4/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Gastroenteritis
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
6.0%
3/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Urinary tract infection
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
4.0%
2/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Folliculitis
11.8%
2/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Sinusitis
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
2.0%
1/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Bronchitis
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Candida infection
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Laryngitis
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Paronychia
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Pharyngitis
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Tooth infection
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Infections and infestations
Varicella
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Nervous system disorders
Headache
29.4%
5/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
8.0%
4/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Nervous system disorders
Carpal tunnel syndrome
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Nervous system disorders
Dizziness
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Nervous system disorders
Hypoaesthesia
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Nervous system disorders
Somnolence
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
General disorders
Asthenia
11.8%
2/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
2.0%
1/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
General disorders
Injection site erythema
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
6.0%
3/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
General disorders
Malaise
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
6.0%
3/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
General disorders
Pyrexia
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
2.0%
1/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Metabolism and nutrition disorders
Decreased appetite
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
12.0%
6/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
6.0%
3/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Respiratory, thoracic and mediastinal disorders
Cough
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Respiratory, thoracic and mediastinal disorders
Wheezing
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Blood and lymphatic system disorders
Anaemia
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
6.0%
3/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Skin and subcutaneous tissue disorders
Eczema
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
2.0%
1/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Skin and subcutaneous tissue disorders
Lipodystrophy acquired
11.8%
2/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Musculoskeletal and connective tissue disorders
Pain in extremity
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Psychiatric disorders
Depression
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
Reproductive system and breast disorders
Dysmenorrhoea
5.9%
1/17 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.
0.00%
0/50 • On-therapy AEs and SAEs were collected from start of study treatment up to 52-weeks
AEs and SAEs were summarized in Safety Population. Safety Population comprised of all participants who received at least one dose of study treatment.

Additional Information

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GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER