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DiabetesPhase 3NCT00614120

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

A Phase 3 study testing liraglutide, glimepiride and metformin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 50 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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 Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Diabetes, Diabetes Mellitus, Type 2
What is being tested?
liraglutide, glimepiride and metformin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
929 participants
Where
50 sitesin 3 countries
Study dates
Jan 2008to Feb 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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/m^2

Who cannot join

  • 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

Trial locations and contacts

50 sites in 3 countries.

50 sites in 3 countries

India24 sites
  • Novo Nordisk Investigational Site

    Ahmedabad, Gujarat, 380 015

  • Novo Nordisk Investigational Site

    Bangalore, Karnataka, 560 017

  • Novo Nordisk Investigational Site

    Bhubaneswar, Odisha, 751019

  • Novo Nordisk Investigational Site

    Chennai, Tamil Nadu, 600 013

  • Novo Nordisk Investigational Site

    Ghaziabad

  • Novo Nordisk Investigational Site

    Hyderabad, Andhra Pradesh, 500 001

  • Novo Nordisk Investigational Site

    Hyderbad, Andhra Pradesh, 500 012

  • Novo Nordisk Investigational Site

    Jaipur, Rajasthan, 302006

  • Novo Nordisk Investigational Site

    Kochi, Kerala, 695010

  • Novo Nordisk Investigational Site

    Kochi, 682 304

  • Novo Nordisk Investigational Site

    Kolkata, West Bengal, 700054

  • Novo Nordisk Investigational Site

    Kolkata, 700017

  • Novo Nordisk Investigational Site

    Kolkata, 700026

  • Novo Nordisk Investigational Site

    Madurai, Tamil Nadu, 625 020

  • Novo Nordisk Investigational Site

    Mumbai, Maharashtra, 400010

  • Novo Nordisk Investigational Site

    Mumbai, 400 0067

  • Novo Nordisk Investigational Site

    Mumbai, 400016

  • Novo Nordisk Investigational Site

    New Dehli, New Delhi, 110029

  • Novo Nordisk Investigational Site

    New Delhi, 110017

  • Novo Nordisk Investigational Site

    Patna, 800020

  • Novo Nordisk Investigational Site

    Pune, Maharashtra, 411 037

  • Novo Nordisk Investigational Site

    Secunderabad, 500 003

  • Novo Nordisk Investigational Site

    Trivandrum, 695029

  • Novo Nordisk Investigational Site

    Visakhapatnam, 530002

Other trials in India

China16 sites
  • Novo Nordisk Investigational Site

    Beijing, Beijing Municipality, 100029

  • Novo Nordisk Investigational Site

    Beijing, Beijing Municipality, 100730

  • Novo Nordisk Investigational Site

    Chongqing, Chongqing Municipality, 400010

  • Novo Nordisk Investigational Site

    Fuzhou, Fujian, 350025

  • Novo Nordisk Investigational Site

    Hangzhou, Zhejiang, 310003

  • Novo Nordisk Investigational Site

    Harbin, Heilongjiang, 150001

  • Novo Nordisk Investigational Site

    Harbin, Heilongjiang, 150086

  • Novo Nordisk Investigational Site

    Nanjing, Jiangsu, 210008

  • Novo Nordisk Investigational Site

    Shanghai, Shanghai Municipality, 200003

  • Novo Nordisk Investigational Site

    Shenyang, 110001

  • Novo Nordisk Investigational Site

    Suzhou, Jiangsu, 215004

  • Novo Nordisk Investigational Site

    Tianjin, 300052

  • Novo Nordisk Investigational Site

    Wuhan, Hubei, 430022

  • Novo Nordisk Investigational Site

    Wuhan, 430060

  • Novo Nordisk Investigational Site

    Wuxi, Jiangsu, 214023

  • Novo Nordisk Investigational Site

    Xi'an, Shaanxi, 710032

Other trials in China

South Korea10 sites
  • Novo Nordisk Investigational Site

    Goyang, 410-719

  • Novo Nordisk Investigational Site

    Incheon, 405-220

  • Novo Nordisk Investigational Site

    Seoul, 03080

  • Novo Nordisk Investigational Site

    Seoul, 08308

  • Novo Nordisk Investigational Site

    Seoul, 130-872

  • Novo Nordisk Investigational Site

    Seoul, 135-710

  • Novo Nordisk Investigational Site

    Seoul, 137-701

  • Novo Nordisk Investigational Site

    Seoul, 150-713

  • Novo Nordisk Investigational Site

    Sungnam, 463-707

  • Novo Nordisk Investigational Site

    Suwon, 16499

Other trials in South Korea

About this study

Official title: Effect of Liraglutide or Glimepiride Added to Metformin on Glycaemic Control in Subjects With Type 2 Diabetes

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

Being tested
liraglutide, placebo, glimepiride, metformin
Medical subject headings
Diabetes Mellitus, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • liraglutideDrug

    0.6 mg/day, s.c. (under the skin) injection

  • placeboDrug

    Glimepiride placebo, capsules

  • liraglutideDrug

    1.2 mg/day, s.c. (under the skin) injection

  • liraglutideDrug

    1.8 mg/day, s.c. (under the skin) injection

  • glimepirideDrug

    Capsules, 4.0 mg/day

  • metforminDrug

    Tablets, 1.5-2.0 g/day

  • placeboDrug

    Liraglutide placebo, s.c. (under the skin) injection

Study groups in NCT00614120
Study groupRoleWhat they receive
Lira 0.6 + MetExperimentalLiraglutide 0.6 mg + metformin + glimepiride placebo
Receives: Drug: liraglutide; Drug: placebo; Drug: metformin
Lira 1.2 + MetExperimentalLiraglutide 1.2 mg + metformin + glimepiride placebo
Receives: Drug: placebo; Drug: liraglutide; Drug: metformin
Lira 1.8 + MetExperimentalLiraglutide + metformin + glimepiride placebo
Receives: Drug: placebo; Drug: liraglutide; Drug: metformin
Glim + MetExperimentalGlimepiride 4.0 mg + metformin + liraglutide placebo
Receives: Drug: glimepiride; Drug: metformin; Drug: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Glycosylated Haemoglobin A1c (HbA1c)

    Percentage point change in Glycosylated Haemoglobin A1c (HbA1c) from baseline (week 0) to 16 weeks (end of treatment).

    Measured: week 0, week 16

Secondary outcomes (7)
  1. Change in Body Weight

    Change in body weight from baseline (week 0) to 16 weeks (end of treatment)

    Measured: week 0, week 16

  2. Change in Self-measured Fasting Plasma Glucose

    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.

    Measured: week 0, week 16

  3. 7-point Self-measured Plasma Glucose Profiles

    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).

    Measured: week 0, 8, 12 and 16

  4. Change in Beta-cell Function

    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).

    Measured: week 0, week 16

  5. Change in Fasting Lipid Profile

    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)

    Measured: week 0, week 16

  6. Change in Fasting Lipid Profile, APO-B

    Change in fasting lipid profiles based on apolipoprotein B (Apo-B) from baseline (week 0) to 16 weeks (end of treatment).

    Measured: week 0, week 16

  7. Hypoglycaemic Episodes

    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.

    Measured: weeks 0-16

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Feb 2008 (estimated)
  2. Study startJan 2008
  3. Primary completionFeb 2009
  4. Study completionFeb 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
929 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00614120
Sponsor's protocol ID
NN2211-1796
Status last verified
Jan 2017
First submitted
15 Jan 2008
Last updated
8 Mar 2017
Data monitoring committee
No

Publications

  • Yang W, Chen L, Ji Q, Liu X, Ma J, Tandon N, Bhattacharyya A, Kumar A, Kim KW, Yoon KH, Bech OM, Zychma M. Liraglutide provides similar glycaemic control as glimepiride (both in combination with metformin) and reduces body weight and systolic blood pressure in Asian population with type 2 diabetes from China, South Korea and India: a 16-week, randomized, double-blind, active control trial(*). Diabetes Obes Metab. 2011 Jan;13(1):81-8. doi: 10.1111/j.1463-1326.2010.01323.x.

    PubMed 21114607
  • Alves C, Batel-Marques F, Macedo AF. A meta-analysis of serious adverse events reported with exenatide and liraglutide: acute pancreatitis and cancer. Diabetes Res Clin Pract. 2012 Nov;98(2):271-84. doi: 10.1016/j.diabres.2012.09.008. Epub 2012 Sep 23.

    PubMed 23010561
  • Jensen TM, Saha K, Steinberg WM. Is there a link between liraglutide and pancreatitis? A post hoc review of pooled and patient-level data from completed liraglutide type 2 diabetes clinical trials. Diabetes Care. 2015 Jun;38(6):1058-66. doi: 10.2337/dc13-1210. Epub 2014 Dec 12.

    PubMed 25504028
  • Ingwersen SH, Petri KC, Tandon N, Yoon KH, Chen L, Vora J, Yang W. Liraglutide pharmacokinetics and dose-exposure response in Asian subjects with Type 2 diabetes from China, India and South Korea. Diabetes Res Clin Pract. 2015 Apr;108(1):113-9. doi: 10.1016/j.diabres.2015.01.001. Epub 2015 Jan 19.

    PubMed 25684604
  • Buse JB, Garber A, Rosenstock J, Schmidt WE, Brett JH, Videbaek N, Holst J, Nauck M. Liraglutide treatment is associated with a low frequency and magnitude of antibody formation with no apparent impact on glycemic response or increased frequency of adverse events: results from the Liraglutide Effect and Action in Diabetes (LEAD) trials. J Clin Endocrinol Metab. 2011 Jun;96(6):1695-702. doi: 10.1210/jc.2010-2822. Epub 2011 Mar 30.

    PubMed 21450987

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing liraglutide, glimepiride and metformin in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 50 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in India, China, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Mar 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Glycosylated Haemoglobin A1c (HbA1c) (time frame: week 0, week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00614120, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Mar 2017.

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