Phase 3 · Dulaglutide

NCT01584232 trial results

A Phase 3 Study of LY2189265 Compared to Insulin Glargine in Patients With Type 2 Diabetes Mellitus on a Sulfonylurea and/or Biguanide

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks (percentage of HbA1c), Baseline, 26 weeks. LY2189265 + OAM: -1.44; Insulin Glargine + OAM: -0.90.

Participants
361
Status
completed
Completed
2013-07
Sponsor
Eli Lilly and Company

As posted on ClinicalTrials.gov (NCT01584232), updated at source Oct 20, 2014. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What NCT01584232 measured first

Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weekspercentage of HbA1c · Baseline, 26 weeks · least squares mean
LY2189265 + OAMn=178Insulin Glargine + OAMn=179
-1.44(0.05)-0.90(0.05)
Side effects by arm

Side effects in NCT01584232

Percent of participants affected. The most common events the registry lists.

EventLY2189265 + OAMInsulin Glargine + OAM
Any serious event5%1.7%
Nasopharyngitis27.1%25.6%
Diarrhoea12.2%2.2%
Nausea9.4%1.1%
Constipation8.8%3.3%
Vomiting5%1.1%
Lipase increased5%0.6%
Bronchitis2.2%3.9%
Influenza3.3%1.1%
Hypertension3.3%3.3%
Decreased appetite2.8%0%
Back pain2.8%2.8%
Eczema2.8%2.2%
Diabetic retinopathy2.2%1.1%
Abdominal distension2.2%0.6%
Dental caries1.7%2.2%
Dyspepsia2.2%0%
Gastritis1.1%2.2%
Gastroenteritis2.2%1.7%
Pharyngitis2.2%2.2%
Ligament sprain0.6%2.2%
Endometriosis1.8%0%
Abdominal pain1.7%0%
Abdominal pain upper1.7%0%
Toothache0.6%1.7%
Hepatic steatosis1.7%1.7%
Secondary outcomes

What else it measured

Percentage of Participants Who Achieved Glycosylated Hemoglobin (HbA1c) <=6.5% or <7% at 26 Weekspercentage of participants · Up to 26 weeks · number
MeasureLY2189265 + OAMn=178Insulin Glargine + OAMn=179
HbA1c <=6.5%51.124.0
HbA1c <7%71.345.8
Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeksmilligrams per deciliter (mg/dL) · Baseline, 26 weeks · least squares mean
LY2189265 + OAMn=176Insulin Glargine + OAMn=176
-34.3(1.9)-37.8(1.9)
Change From Baseline in 8-Point Self-Monitored Blood Glucose (SMBG) at 26 Weeksmilligrams per deciliter (mg/dL) · Baseline, Up to 26 weeks · least squares mean
MeasureLY2189265 + OAMn=178Insulin Glargine + OAMn=179
Pre-morning meal (n=178, 179)-33.49(1.65)-38.66(1.64)
2 hours post-morning meal (n=178, 179)-49.54(3.33)-36.14(3.31)
Pre-midday meal (n=178, 179)-36.16(2.68)-27.94(2.66)
2 hours post-midday meal (n=178, 179)-43.51(3.27)-20.30(3.25)
Pre-evening meal (n=178, 179)-31.14(2.77)-17.50(2.75)
2 hours post-evening meal (n=177, 178)-46.68(3.05)-15.55(3.03)
Bedtime (n=177, 172)-41.53(2.95)-17.79(2.96)
Second pre-morning meal (n=178, 179)-30.81(1.60)-37.02(1.59)
Change From Baseline in Body Weight at 26 Weekskilograms (kg) · Baseline, 26 weeks · least squares mean
LY2189265 + OAMn=180Insulin Glargine + OAMn=180
-0.48(0.17)0.94(0.17)
Percentage of Participants With Hypoglycemic Episodespercentage of participants · Baseline through 26 Weeks · number
LY2189265 + OAMn=181Insulin Glargine + OAMn=180
26.047.8
The trial

How NCT01584232 was run

The purpose of this trial is to examine the efficacy and safety of once-weekly LY2189265 (dulaglutide) in participants with type 2 diabetes mellitus taking an oral antihyperglycemic medication (OAM).

  • LY2189265 + OAM: LY2189265: 0.75 milligrams (mg), administered subcutaneously (SC), once weekly for 26 weeks Participants were to continue on their stable, pre-study, physician-prescribed dose of oral antihyperglycemic medication (OAM) throughout the study. OAMs included sulfonylureas (SU; glibenclamide, gliclazide, or glimepiride) and/or biguanides (BG; metformin or buformin).
  • Insulin glargine + OAM: Insulin glargine: dose based on targeting fasting blood glucose ≤110 milligrams per deciliter (mg/dL), administered subcutaneously (SC), once daily for 26 weeks Participants were to continue on their stable, pre-study, physician-prescribed dose of oral antihyperglycemic medication (OAM) throughout the study. OAMs included sulfonylureas (SU; glibenclamide, gliclazide, or glimepiride) and/or biguanides (BG; metformin or buformin).
Who could join the trial

Inclusion Criteria: * Participants who have had a diagnosis of type 2 diabetes mellitus for at least 6 months before screening * Participants who have been taking sulfonylurea (glibenclamide, gliclazide, or glimepiride) and/or biguanide (metformin or buformin). The dose of the drug(s) during the 8 weeks before screening must be stable * Participants who have a qualifying glycosylated hemoglobin (HbA1c) value of 7.0% to 10.0% at screening * Participants who have a body mass index (BMI) of 18.5 to 35.0 kilograms per meter squared (kg/m\^2) Exclusion Criteria: * Participants who have a diagnosis of type 1 diabetes * Participants who have previously been treated with any other glucagon-like peptide 1 (GLP-1) analog * Participants who have received therapy with an alpha-glucosidase inhibitor (a-GI), thiazolidinedione (TZD), glinide, or dipeptidyl peptidase-IV (DPP-IV) inhibitor within 3 months before screening * Participants who have been currently taking insulin or have had previous insulin treatment within 3 months before screening * Participants who have obvious clinical signs or symptoms of pancreatitis, a history of chronic pancreatitis, or acute pancreatitis at screening, as determined by the investigator. Participants who have a serum amylase concentration ≥ 3 times the upper limit of the reference range and/or a serum lipase concentration ≥ 2 times the upper limit of the reference range, as determined by the central laboratory at screening * Participants who have self or family history of medullary C-cell hyperplasia, focal hyperplasia, or medullary thyroid carcinoma (MTC)

Published papers

Papers from NCT01584232

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

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.