Effect of Liraglutide or Glimepiride Added to Metformin on Blood Glucose Control in Subjects With Type 2 Diabetes

Overview[ - collapse ][ - ]

Purpose This trial is conducted in Asia. The trial is designed to compare the effect on glycaemic control of liraglutide or glimepiride added to metformin in subjects with type 2 diabetes
ConditionDiabetes
Diabetes Mellitus, Type 2
InterventionDrug: liraglutide
Drug: placebo
Drug: liraglutide
Drug: liraglutide
Drug: glimepiride
Drug: metformin
Drug: placebo
PhasePhase 3
SponsorNovo Nordisk A/S
Responsible PartyNovo Nordisk A/S
ClinicalTrials.gov IdentifierNCT00614120
First ReceivedJanuary 15, 2008
Last UpdatedJune 19, 2012
Last verifiedJune 2012

Tracking Information[ + expand ][ + ]

First Received DateJanuary 15, 2008
Last Updated DateJune 19, 2012
Start DateJanuary 2008
Estimated Primary Completion DateFebruary 2009
Current Primary Outcome MeasuresChange in Glycosylated Haemoglobin A1c (HbA1c) [Time Frame: week 0, week 16] [Designated as safety issue: No]Percentage point change in Glycosylated Haemoglobin A1c (HbA1c) from baseline (week 0) to 16 weeks (end of treatment).
Current Secondary Outcome Measures
  • Change in Body Weight [Time Frame: week 0, week 16] [Designated as safety issue: No]Change in body weight from baseline (week 0) to 16 weeks (end of treatment)
  • Change in Self-measured Fasting Plasma Glucose [Time Frame: week 0, week 16] [Designated as safety issue: No]Change in self-measured fasting plasma glucose from baseline (week 0) to 16 weeks (end of treatment). Self-measurement of plasma glucose was performed using a glucose meter and subjects were instructed to record self-measured plasma glucose values into a diary.
  • 7-point Self-measured Plasma Glucose Profiles [Time Frame: week 0, 8, 12 and 16] [Designated as safety issue: No]Summary of 7-Point Profiles of Self-Measured Plasma Glucose by Treatment, Week and Time. The 7 time points for self-measurements for all treatment groups were: Before each meal (breakfast, lunch and dinner), at 90 min after start of each meal (breakfast, lunch and dinner) and at bedtime, measured over 16 weeks of treatment (at week 0, 8, 12 and 16).
  • Change in Beta-cell Function [Time Frame: week 0, week 16] [Designated as safety issue: No]Change in beta cell function from baseline (week 0) to 16 weeks (end of treatment). Beta-cell function was derived from fasting plasma glucose (FPG) and fasting insulin concentrations using the homeostasic model assessment (HOMA) method which uses the assumption that normal-weight normal subjects aged under 35 years have a 100% beta-cell function (HOMA-B).
    Beta-cell function: HOMA-B (%) = 20∙fasting insulin[uU/mL] divided by (FPG mmol/L]‑3.5).
  • Change in Fasting Lipid Profile [Time Frame: week 0, week 16] [Designated as safety issue: No]Change in fasting lipid profiles from baseline (week 0) to 16 weeks (end of treatment). Fasting lipid profiles is based on:
    Total Cholesterol (TC)
    Low-density Lipoprotein-cholesterol (LDL-C)
    Very Low-density Lipoprotein-cholesterol (VLDL-C)
    High-density Lipoprotein-cholesterol (HDL-C)
    Triglyceride (TG)
    Free Fatty Acid (FFA)
  • Change in Fasting Lipid Profile, APO-B [Time Frame: week 0, week 16] [Designated as safety issue: No]Change in fasting lipid profiles based on apolipoprotein B (Apo-B) from baseline (week 0) to 16 weeks (end of treatment).
  • Hypoglycaemic Episodes [Time Frame: weeks 0-16] [Designated as safety issue: Yes]Total number of hypoglycaemic episodes over 16 weeks of treatment occurring from baseline (week 0) to end of treatment (week 16). Hypoglycaemic episodes were defined as major, minor, or symptoms only. Major if the subject was unable to treat her/himself. Minor if subject was able to treat her/himself and plasma glucose was below 3.1 mmol/L. Symptoms only if subject was able to treat her/himself and with no plasma glucose measurement or plasma glucose higher than or equal to 3.1 mmol/L.

Descriptive Information[ + expand ][ + ]

Brief TitleEffect of Liraglutide or Glimepiride Added to Metformin on Blood Glucose Control in Subjects With Type 2 Diabetes
Official TitleEffect of Liraglutide or Glimepiride Added to Metformin on Glycaemic Control in Subjects With Type 2 Diabetes
Brief Summary
This trial is conducted in Asia. The trial is designed to compare the effect on glycaemic
control of liraglutide or glimepiride added to metformin in subjects with type 2 diabetes
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Condition
  • Diabetes
  • Diabetes Mellitus, Type 2
InterventionDrug: liraglutide
0.6 mg/day, s.c. (under the skin) injection
Drug: placebo
Glimepiride placebo, capsules
Drug: liraglutide
1.2 mg/day, s.c. (under the skin) injection
Drug: liraglutide
1.8 mg/day, s.c. (under the skin) injection
Drug: glimepiride
Capsules, 4.0 mg/day
Drug: metformin
Tablets, 1.5-2.0 g/day
Drug: placebo
Liraglutide placebo, s.c. (under the skin) injection
Study Arm (s)
  • Experimental: Lira 0.6 + Met
    Liraglutide 0.6 mg + metformin + glimepiride placebo
  • Experimental: Lira 1.2 + Met
    Liraglutide 1.2 mg + metformin + glimepiride placebo
  • Experimental: Lira 1.8 + Met
    Liraglutide + metformin + glimepiride placebo
  • Experimental: Glim + Met
    Glimepiride 4.0 mg + metformin + liraglutide placebo

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment929
Estimated Completion DateFebruary 2009
Estimated Primary Completion DateFebruary 2009
Eligibility Criteria
Inclusion Criteria:

- Type 2 diabetes

- Subjects diagnosed with type 2 diabetes and treated with one or more oral
antidiabetic drugs (OADs) for the last 3 months

- HbA1c: 7.0-11.0% (both incl.) for subjects on OAD alone

- HbA1c: 7.0-10.0 % (both incl.) for subjects on OAD combination therapy

- BMI less than 45.0 kg/m2

Exclusion Criteria:

- Treatment with insulin within the last 3 months prior to the trial

- Impaired liver or/and renal function

- Significant cardiovascular disease over the last 6 months

- Known retinopathy or maculopathy

- Recurrent major hypoglycaemia or hypoglycaemic unawareness
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesChina, India, Korea, Republic of

Administrative Information[ + expand ][ + ]

NCT Number NCT00614120
Other Study ID NumbersNN2211-1796
Has Data Monitoring CommitteeNo
Information Provided ByNovo Nordisk A/S
Study SponsorNovo Nordisk A/S
CollaboratorsNot Provided
Investigators Study Director: Marcin Zychma, MD, PhD Novo Nordisk A/S
Verification DateJune 2012

Locations[ + expand ][ + ]

China, Beijing
Beijing, Beijing, China, 100029
India
Hyderabad, India, 500 001
Korea, Republic of
Sungnam, Korea, Republic of, 463-707