Phase 3 · Dulaglutide

AWARD-JPN trial results

A Randomized, Double-Blind, Parallel Arm Study of the Efficacy and Safety of Two Doses of Dulaglutide in Combination With a Single Oral Antihyperglycemic Medication or as Monotherapy in Japanese Patients With Type 2 Diabetes Mellitus (AWARD-JPN: Assessment of Weekly Administration of LY2189265 in Diabetes - JAPAN)

Change From Baseline in Hemoglobin A1c (HbA1c) at Week 26 (Percentage of HbA1c), Baseline, Week 26. Dulaglutide 1.5 mg: -1.53; Dulaglutide 0.75 mg: -1.25.

Participants
591
Status
completed
Completed
2023-04-26
Sponsor
Eli Lilly and Company

As posted on ClinicalTrials.gov (NCT04809220), updated at source May 22, 2024. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What AWARD-JPN measured first

Change From Baseline in Hemoglobin A1c (HbA1c) at Week 26Percentage of HbA1c · Baseline, Week 26 · least squares mean
Dulaglutide 1.5 mgn=383Dulaglutide 0.75 mgn=193
-1.53(0.043)-1.25(0.060)
Side effects by arm

Side effects in AWARD-JPN

Percent of participants affected, Baseline to Week 56.. The most common events the registry lists.

EventDulaglutide 1.5 mgDulaglutide 0.75 mg
Any serious event3.8%3.6%
Constipation12.5%8.7%
Diarrhoea10.2%8.2%
Pyrexia10%7.2%
Nausea9%4.6%
Nasopharyngitis5.6%8.7%
Covid-197.7%8.2%
Abdominal discomfort6.1%2.6%
Coronavirus infection4.6%4.1%
Decreased appetite4.1%3.1%
Hyperglycaemia1.8%4.1%
Arthralgia2.3%4.1%
Headache3.1%4.1%
Dyspepsia3.6%3.1%
Malaise3.6%2.6%
Chronic gastritis1%3.1%
Lipase increased3.1%0.5%
Back pain3.1%2.1%
Eczema0.8%3.1%
Vomiting2.8%1%
Injection site reaction2.8%2.6%
Dental caries0.8%2.6%
Gastrooesophageal reflux disease2.6%1%
Gastroenteritis1.3%2.6%
Contusion0.8%2.6%
Dizziness1.5%2.6%
Secondary outcomes

What else it measured

Change From Baseline in HbA1c at Week 52Percentage of HbA1c · Baseline, Week 52 · least squares mean
Dulaglutide 1.5 mgn=383Dulaglutide 0.75 mgn=193
-1.50(0.046)-1.19(0.065)
Percentage of Participants Achieving HbA1c Target ≤6.5% and <7.0%Percentage of participants · Week 52 · number
MeasureDulaglutide 1.5 mgn=354Dulaglutide 0.75 mgn=174
HbA1c ≤ 6.5%22.8821.26
HbA1c < 7%46.3338.51
Change From Baseline in Fasting Serum Glucose (FSG)milligrams per deciliter (mg/dL) · Baseline, Week 52 · least squares mean
Dulaglutide 1.5 mgn=382Dulaglutide 0.75 mgn=191
-42.4(1.47)-33.1(2.09)
Change From Baseline in 6-point Self-Monitored Blood Glucose (SMBG)mg/dL · Baseline, Week 26 · least squares mean
MeasureDulaglutide 1.5 mgn=362Dulaglutide 0.75 mgn=185
Morning premeal-fasting-45.6(1.33)-38.4(1.86)
Morning 2-hour post meal-70.6(2.42)-60.5(3.39)
Midday premeal-55.3(1.77)-47.0(2.47)
Midday 2-hour post meal-73.7(2.37)-61.2(3.32)
Evening premeal-50.3(1.60)-46.4(2.24)
Evening 2-hour post meal-61.1(2.27)-49.8(3.18)
Change From Baseline in Body Weightkilogram (kg) · Baseline, Week 52 · least squares mean
Dulaglutide 1.5 mgn=383Dulaglutide 0.75 mgn=193
-0.5(0.14)-0.2(0.19)
The trial

How AWARD-JPN was run

The purpose of this study is to evaluate the efficacy and safety of 2 doses of dulaglutide in Japanese participants with type 2 diabetes. The study duration is approximately 58 weeks.

  • Dulaglutide 1.5 milligram (mg): Participants received 1.5 mg of dulaglutide given weekly subcutaneously (SC) during the 52-week treatment period. Dulaglutide will be given alone or in combination with 1 oral antihyperglycemic medication (OAM). Participants on dipeptidyl peptidase-4 inhibitors (DPP-4i) discontinued DPP-4i at randomization and was regarded as monotherapy of dulaglutide, other OAMs continued at same dose during study period and were regarded as combination therapy with dulaglutide.
  • Dulaglutide 0.75 mg: Participants received 0.75 mg of dulaglutide given weekly SC during the 52-week treatment period. Dulaglutide will be given alone or in combination with 1 OAM. Participants on DPP-4i discontinued DPP-4i at randomization and was regarded as monotherapy of dulaglutide, other OAMs continued at same dose during study period and were regarded as combination therapy with dulaglutide.
Who could join the trial

Inclusion Criteria: * Participants with type 2 diabetes (T2D) ≥ 6 months according to the World Health Organization (WHO) classification. * Treated with stable doses of a single OAM for at least 8 weeks prior to screening; the dose must be more than or equal to minimum maintenance dose. * Have the following HbA1c result at screening. * Participants taking DPP-4i: ≥7.5% and ≤9.5%, * Participants taking another OAM: ≥8.0% and ≤10.0% * Stable body weight for at least 8 weeks prior to screening or not changed by more than 5 % in the past 8 weeks * Have a body mass index (BMI) ≥18.5 kilogram/square meter (kg/m²) and \<35 kg/m² at Day 1. Exclusion Criteria: * Have type 1 diabetes (T1D) * Have a history of ≥1 episode of ketoacidosis or hyperosmolar state/coma * Have had any myocardial infarction (MI), heart failure or cerebrovascular accident (stroke) * Have a known clinically significant gastric empty abnormality * Have acute or chronic hepatitis * Have had chronic or acute pancreatitis * Have any self or family history of type 2A or type 2B multiple endocrine neoplasia in the absence of known C-cell hyperplasia * Have any self or family history of medullary C-cell hyperplasia, focal hyperplasia, or carcinoma (including sporadic, familial, or part of Multiple endocrine neoplasia (MEN) 2A or 2B syndrome) * Have evidence of significant, active autoimmune abnormality * Have evidence of significant, uncontrolled endocrine abnormality * Have active or untreated malignancy, or have been in remission from clinically significant malignancy (other than basal cell or squamous cell skin cancer) for less than 5 years * Have any hematologic condition that may interfere with HbA1c measurement

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

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