A Study Comparing the Effects and Safety of Dulaglutide With Insulin Glargine in Type 2 Diabetes Mellitus

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to examine if once-weekly dulaglutide is efficient and safe compared to once-daily insulin glargine in participants with type 2 diabetes mellitus who have inadequate glycemic control with one or two oral antihyperglycemic medications (OAM) (metformin and/or a sulfonylurea) in addition to any healthy lifestyle changes recommended by their healthcare providers.
ConditionType 2 Diabetes Mellitus
InterventionDrug: Dulaglutide
Drug: Insulin glargine
Drug: Metformin
Drug: Sulfonylureas
PhasePhase 3
SponsorEli Lilly and Company
Responsible PartyEli Lilly and Company
ClinicalTrials.gov IdentifierNCT01648582
First ReceivedJuly 16, 2012
Last UpdatedFebruary 18, 2014
Last verifiedFebruary 2014

Tracking Information[ + expand ][ + ]

First Received DateJuly 16, 2012
Last Updated DateFebruary 18, 2014
Start DateJuly 2012
Estimated Primary Completion DateNovember 2014
Current Primary Outcome MeasuresChange from Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks [Time Frame: Baseline, 26 Weeks] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Change from Baseline in Glycosylated Hemoglobin (HbA1c) at 52 Weeks [Time Frame: Baseline, 52 Weeks] [Designated as safety issue: No]
  • Percentage of Participants Attaining HbA1c of <7% or ≤6.5% at 26 Weeks and 52 Weeks [Time Frame: 26 Weeks and 52 Weeks] [Designated as safety issue: No]
  • Change from Baseline in Fasting Blood Glucose (FBG) at 26 Weeks and 52 Weeks [Time Frame: Baseline, 26 Weeks, 52 Weeks] [Designated as safety issue: No]
  • Change from Baseline in Homeostasis Model Assessment 2 steady-state Beta (β)- cell function (HOMA2-%B) at 26 Weeks and 52 Weeks [Time Frame: Baseline, 26 Weeks, 52 Weeks] [Designated as safety issue: No]
  • Rate of Hypoglycemic Episodes [Time Frame: Baseline through 26 Weeks and Baseline through 52 Weeks] [Designated as safety issue: No]
  • Change from Baseline in 7-point self-monitored blood glucose (SMBG) profiles at 26 Weeks and 52 Weeks [Time Frame: Baseline, 26 Weeks, 52 Weeks] [Designated as safety issue: No]
  • Change from Baseline in Homeostasis Model Assessment 2 insulin sensitivity - cell function (HOMA2-%S) at 26 Weeks and 52 Weeks [Time Frame: Baseline, 26 Weeks, 52 Weeks] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleA Study Comparing the Effects and Safety of Dulaglutide With Insulin Glargine in Type 2 Diabetes Mellitus
Official TitleThe Efficacy and Safety of Once-Weekly, Subcutaneous Dulaglutide Compared to Once-Daily Insulin Glargine in Patients With Type 2 Diabetes Mellitus on Metformin and/or a Sulfonylurea
Brief Summary
The purpose of this study is to examine if once-weekly dulaglutide is efficient and safe
compared to once-daily insulin glargine in participants with type 2 diabetes mellitus who
have inadequate glycemic control with one or two oral antihyperglycemic medications (OAM)
(metformin and/or a sulfonylurea) in addition to any healthy lifestyle changes recommended
by their healthcare providers.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionType 2 Diabetes Mellitus
InterventionDrug: Dulaglutide
Administered SC
Other Names:
LY2189265Drug: Insulin glargine
Administered SC per dosing titration schedule
Drug: Metformin
Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.
Drug: Sulfonylureas
Administered orally at pre-study prescribed dose, and is not being provided as part of the trial.
Study Arm (s)
  • Experimental: 1.5 mg Dulaglutide
    1.5 milligrams (mg) Dulaglutide administered as one subcutaneous (SC) injection once-weekly added to participant's pre-study prescribed dose of metformin and/or a sulfonylurea. Participants are blinded to the Dulaglutide dose.
  • Experimental: 0.75 mg Dulaglutide
    0.75 mg Dulaglutide administered as one SC injection once-weekly added to participant's pre-study prescribed dose of metformin and/or a sulfonylurea. Participants are blinded to the Dulaglutide dose.
  • Active Comparator: Insulin Glargine
    Insulin Glargine administered per dosing titration schedule as once daily SC injection at bedtime added to participant's pre-study prescribed dose of metformin and /or a sulfonylurea.

Recruitment Information[ + expand ][ + ]

Recruitment StatusActive, not recruiting
Estimated Enrollment789
Estimated Completion DateNovember 2014
Estimated Primary Completion DateApril 2014
Eligibility Criteria
Inclusion Criteria:

- Have type 2 diabetes mellitus for at least 6 months

- Have been taking metformin and/or a sulfonylurea for at least 3 months before
screening and have been on a stable therapeutic dose for at least 8 weeks

- HbA1c value of ≥7.0% to ≤11.0%

- Adult men or adult non-pregnant, non-breastfeeding women

- Body Mass Index (BMI) of ≥19.0 to ≤35.0 kilograms/square meter (kg/m^2)

- Stable weight (±5%) ≥3 months prior to screening

Exclusion Criteria:

- Have type 1 diabetes mellitus

- Have previous treatment with a glucagon-like peptide-1 (GLP-1) receptor agonist,
GLP-1 analog, or any other incretin mimetic

- Have treatment with dipeptidylpeptidase-IV (DPP-IV) inhibitor, an alpha-glucosidase
inhibitor (AGI), thiazolidinedione (TZD), or glinide

- Have gastric emptying abnormality

- Have cardiac disorder defined as unstable angina, myocardial infarction, coronary
artery bypass graft surgery, percutaneous coronary intervention, heart failure,
arrhythmia, transient ischemic attack, or stroke

- Have poorly controlled hypertension (systolic blood pressure above 160 millimeter of
mercury[mmHg] or diastolic blood pressure above 95 mmHg)

- Impaired liver function

- Impaired kidney function

- Have history of chronic pancreatitis or acute pancreatitis

- Have a serum calcitonin ≥20 picogram/milliliter (pg/mL)

- Have a personal or family history of medullary C-cell hyperplasia, focal hyperplasia,
carcinoma or multiple endocrine neoplasia type 2 (MEN 2)
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesChina, Korea, Republic of, Mexico, Russian Federation

Administrative Information[ + expand ][ + ]

NCT Number NCT01648582
Other Study ID Numbers13439
Has Data Monitoring CommitteeYes
Information Provided ByEli Lilly and Company
Study SponsorEli Lilly and Company
CollaboratorsNot Provided
Investigators Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) Eli Lilly and Company
Verification DateFebruary 2014

Locations[ + expand ][ + ]

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Beijing, China, 100730
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Changsha, China, 410011
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Chengdu, China, 610041
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Chongqing, China, 400030
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Dalian, China, 116011
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Guang Zhou, China, 510120
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Guiyang, China, 550004
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Hangzhou, China, 310009
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Harbin, China, 150001
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Hefei, China, 230022
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Nanchang, China, 330006
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Nanjing, China, 210006
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Nanning, China, 530021
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Shanghai, China, 200080
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Shenyang, China, 110004
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Shijiazhuang, China, 050051
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Wu Han, China, 430022
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Xi'An, China, 710032
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Yangzhou, China, 225001
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Zhenjiang, China, 212000
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Bucheon,, Korea, Republic of, 420-717
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Kyunggi-Do, Korea, Republic of, 425-020
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Seoul, Korea, Republic of, 137-701
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Wonju-Si, Korea, Republic of, 220-701
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Chihuahua, Mexico, 31238
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Monterrey, Mexico, 64460
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Chelyabinsk, Russian Federation, 454047
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Moscow, Russian Federation, 127018
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Saint Petersburg, Russian Federation, 192012
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Sankt-Petersburg, Russian Federation, 190000