Efficacy and Safety of the Met+SGLT-2i+GLP-1RA in Patients With Type 2 Diabetes With Poor Glycemic Control

NCT ID: NCT07244003

Last Updated: 2025-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

430 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-29

Study Completion Date

2028-06-30

Brief Summary

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The main objective of this study is to compare the efficacy and safety of the triple combination therapy of Met/SGLT-2i/GLP-1RA or other oral antidiabetic drugs in patients with type 2 diabetes exhibiting poor glycemic control.

Detailed Description

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Conditions

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T2DM (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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Met+SGLT-2i+GLP-1RA

Metformin+Ganagliflozin+Liraglutide

Group Type EXPERIMENTAL

Metformin

Intervention Type DRUG

The dosage of metformin hydrochloride was consistent with baseline.

ganagliflozin

Intervention Type DRUG

Ganagliflozin tablet : 50mg/d.

liraglutide

Intervention Type DRUG

Liraglutide injection: 0.6 mg/d for the first week, 1.2 mg/d for the second week, and 1.8 mg/d after the third week.

Triple Therapy of Other Oral Antidiabetic Drugs

Building upon the previously stable treatment regimen, the addition of 1-2 oral hypoglycemic agents (excluding SGLT-2 inhibitors and oral GLP-1 receptor agonists) constitutes a triple oral hypoglycemic regimen.

Group Type ACTIVE_COMPARATOR

Triple Therapy of Other Oral Antidiabetic Drugs

Intervention Type DRUG

The dosage of metformin hydrochloride was consistent with baseline. The usage and dosage of other hypoglycemic drugs were referred to their respective instructions.

Interventions

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Metformin

The dosage of metformin hydrochloride was consistent with baseline.

Intervention Type DRUG

Triple Therapy of Other Oral Antidiabetic Drugs

The dosage of metformin hydrochloride was consistent with baseline. The usage and dosage of other hypoglycemic drugs were referred to their respective instructions.

Intervention Type DRUG

ganagliflozin

Ganagliflozin tablet : 50mg/d.

Intervention Type DRUG

liraglutide

Liraglutide injection: 0.6 mg/d for the first week, 1.2 mg/d for the second week, and 1.8 mg/d after the third week.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Meet the diagnostic criteria for type 2 diabetes (refer to the Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 edition)); -Age: 18-75 years old (including the threshold), male or female;
* Body mass index (BMI) ≥20kg/m² ;
* Patients who took 1000mg or more of metformin in combination with or without another oral hypoglycemic agent (except SGLT-2i and oral GLP-1RA) for at least 8 weeks before screening and had poor blood glucose control (centralized detection of HBA1C \>=7.5% and\<=11.0%);
* Volunteer to participate in this study and sign informed consent.

Exclusion Criteria

* Patients with type 1 diabetes or other special types of diabetes;
* Patients with acute complications of ketoacidosis/hyperglycemic hyperosmolar state/lactic acidosis within 6 months before screening
* Those who have used GLP-1RA and SGLT-2i drugs within 12 weeks before screening, or have used GLP-1RA and SGLT-2i drugs in the past and discontinued due to poor efficacy
* Those who received insulin treatment within the previous week
* Those who have a history of chronic or acute pancreatitis before screening, or have clinical manifestations of pancreatitis at the time of screening, or fasting triglycerides \> 5.7 mmol/L during the screening period
* Liver function impairment at screening: alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> 3 UNL, or total blood bilirubin (TBIL) \> 2 UNL;
* Renal impairment at screening: calculated according to the CKD-EPI formula, eGFR≤45 mL/min/1.73m² or serum creatinine≥1.5 UNL;
* Patients with a past or family history of medullary thyroid cancer (MTC) and patients with multiple endocrine neoplasia syndrome type 2 (MEN2)
* Female subjects who are currently pregnant, breastfeeding, or have a pregnancy plan during the study period
* Those who have a history of hypersensitivity reaction to metformin, gapagliflozin, liraglutide injection and other drugs used in research and their excipients or have contraindications to the study drugs;
* Those who have participated in other drug clinical trials within 3 months before screening; 21. Subjects who are unable to comply with the protocol under the judgment of the investigator, and those who have other serious physical or psychological diseases that may affect the effectiveness and safety.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaofen Qian

Role: CONTACT

+86-0571-89908582

Wanting Zhang

Role: CONTACT

+86-0571-89905517

Facility Contacts

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Ming Liu

Role: primary

+86 183 2201 7516

Other Identifiers

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HD-LLPHYJ-LC-1

Identifier Type: -

Identifier Source: org_study_id

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