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.
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
- Type of treatment
- Pill or oral medicine, Injection or infusion
- 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
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
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
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
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- 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 group | Role | What they receive |
|---|---|---|
| Lira 0.6 + Met | Experimental | Liraglutide 0.6 mg + metformin + glimepiride placebo Receives: Drug: liraglutide; Drug: placebo; Drug: metformin |
| Lira 1.2 + Met | Experimental | Liraglutide 1.2 mg + metformin + glimepiride placebo Receives: Drug: placebo; Drug: liraglutide; Drug: metformin |
| Lira 1.8 + Met | Experimental | Liraglutide + metformin + glimepiride placebo Receives: Drug: placebo; Drug: liraglutide; Drug: metformin |
| Glim + Met | Experimental | Glimepiride 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.
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)
Change in Body Weight
Change in body weight from baseline (week 0) to 16 weeks (end of treatment)
Measured: week 0, week 16
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
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
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
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
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
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.
- First posted13 Feb 2008 (estimated)
- Study startJan 2008
- Primary completionFeb 2009
- Study completionFeb 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Registry (GCR, 1452), MD, PhD, Study director, Novo Nordisk A/S
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 21114607Alves 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 23010561Jensen 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 25504028Ingwersen 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 25684604Buse 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
Study at a glance
From the registry record, last updated by the sponsor on 8 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Liraglutide or Glimepiride Added to Metformin on Glycaemic Control in Subjects With Type 2 Diabetes
- ClinicalTrials.gov ID
- NCT00614120
- Acronym / sponsor ID
- NN2211-1796
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 929 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- Jan 2008
- Primary completion
- Feb 2009 (actual)
- Study completion
- Feb 2009 (actual)
- First posted
- 13 Feb 2008 (estimated)
- Results
- Posted 12 Mar 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Lira 0.6 + Met | Experimental | Drug: liraglutide, Drug: placebo, Drug: metforminLiraglutide 0.6 mg + metformin + glimepiride placebo |
| Lira 1.2 + Met | Experimental | Drug: placebo, Drug: liraglutide, Drug: metforminLiraglutide 1.2 mg + metformin + glimepiride placebo |
| Lira 1.8 + Met | Experimental | Drug: placebo, Drug: liraglutide, Drug: metforminLiraglutide + metformin + glimepiride placebo |
| Glim + Met | Experimental | Drug: glimepiride, Drug: metformin, Drug: placeboGlimepiride 4.0 mg + metformin + liraglutide placebo |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| liraglutide0.6 mg/day, s.c. (under the skin) injection | Drug | Lira 0.6 + Met |
| placeboGlimepiride placebo, capsules | Drug | Lira 0.6 + Met, Lira 1.2 + Met, Lira 1.8 + Met |
| liraglutide1.2 mg/day, s.c. (under the skin) injection | Drug | Lira 1.2 + Met |
| liraglutide1.8 mg/day, s.c. (under the skin) injection | Drug | Lira 1.8 + Met |
| glimepirideCapsules, 4.0 mg/day | Drug | Glim + Met |
| metforminTablets, 1.5-2.0 g/day | Drug | Glim + Met, Lira 0.6 + Met, Lira 1.2 + Met, Lira 1.8 + Met |
| placeboLiraglutide placebo, s.c. (under the skin) injection | Drug | Glim + Met |
Primary outcome
Change in Glycosylated Haemoglobin A1c (HbA1c)
Time frame: week 0, week 16
Percentage point change in Glycosylated Haemoglobin A1c (HbA1c) from baseline (week 0) to 16 weeks (end of treatment).
7 secondary outcomes
Change in Body Weight
Time frame: week 0, week 16
Change in Self-measured Fasting Plasma Glucose
Time frame: week 0, week 16
7-point Self-measured Plasma Glucose Profiles
Time frame: week 0, 8, 12 and 16
Change in Beta-cell Function
Time frame: week 0, week 16
Change in Fasting Lipid Profile
Time frame: week 0, week 16
Change in Fasting Lipid Profile, APO-B
Time frame: week 0, week 16
Hypoglycaemic Episodes
Time frame: weeks 0-16
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Mar 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 21114607Yang 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.
- Results publication: PubMed 23010561Alves 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.
- Results publication: PubMed 25504028Jensen 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.
- Results publication: PubMed 25684604Ingwersen 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.
- Derived from this study: PubMed 21450987Buse 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.
- Clinical Trials at Novo NordiskLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Global Clinical Registry (GCR, 1452), MD, PhD study director
Novo Nordisk A/S
50 sites in 3 countries: see every site and its status.
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.