Diabetes Mellitus Type 2Phase 3GETGOAL-PNCT00763815
GLP-1 Receptor Agonist Lixisenatide in Patients With Type 2 Diabetes for Glycemic Control and Safety Evaluation, on Top of Pioglitazone
A Phase 3 study testing Lixisenatide (AVE0010), Pen auto-injector and Pioglitazone in people with Diabetes Mellitus Type 2, run by Sanofi at 150 sites in 13 countries.
Trial summary
The purpose of this study is to evaluate the benefits and risks of lixisenatide (AVE0010), in comparison to placebo, as an add-on treatment to pioglitazone with or without metformin, over a period of 24 weeks of treatment, followed by an extension. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus Type 2
- What is being tested?
- Lixisenatide (AVE0010), Pen auto-injector and Pioglitazone
- Type of treatment
- Injection or infusion, Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 484 participants
- Where
- 150 sitesin 13 countries
- Study dates
- Sep 2008to Jun 2011
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 diabetes mellitus, diagnosed for at least 1 year at the time of the screening visit, insufficiently controlled with pioglitazone
Who cannot join
- HbA1c less than (<) 7 percent (%) or greater than (>) 10% at screening
- At the time of screening age <legal age of majority
- Pregnant or breastfeeding women and women of childbearing potential without effective contraceptive method of birth control
- Type 1 diabetes mellitus
- Pioglitazone not at a stable dose of at least 30 milligram per day (mg/day) for at least 3 months prior to screening
- If treatment with metformin, no stable dose of at least 1.5 gram per day (g/day) for at least 3 months prior to screening visit
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- FPG at screening >250 milligram per deciliter (mg/dL) (>13.9 millimole per liter [mmol/L])
- Body mass index less than or equal to (<=) 20 kilogram per square meter (kg/m^2)
- Weight change of more than 5 kg during the 3 months preceding the screening visit
- History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, stomach/gastric surgery, or inflammatory bowel disease
- History of metabolic acidosis, including diabetic ketoacidosis within 1 year prior to screening
- Hemoglobinopathy or hemolytic anemia, or receipt of blood or plasma products within3 months prior to the time of screening
- History of myocardial infarction or stroke within the last 6 months prior to screening
- Known history of drug or alcohol abuse within 6 months prior to the time of screening
- Cardiovascular, hepatic, neurological, endocrine disease, active malignant tumor or other major systemic disease or patients with short life expectancy making implementation of the protocol or interpretation of the study results difficult, history or presence of clinically significant diabetic retinopathy, history or presence of macular edema likely to require laser treatment within the study period
- Uncontrolled or inadequately controlled hypertension at the time of screening with a resting systolic blood pressure or diastolic blood pressure (DBP) >180 millimeter of mercury (mmHg) or >95 mmHg, respectively
- Laboratory findings at the time of screening: aspartate aminotransferase (AST), alanine aminotransferase (ALT), or alkaline phosphatase (ALP): >2 times upper limit of normal (ULN) laboratory range; amylase and/or lipase: >3 times ULN; total bilirubin: >1.5 times ULN (except in case of Gilbert's syndrome); Hemoglobin <11 gram/deciliter and/or neutrophils <1500 per cubic millimeter (mm^3) and/or platelets <100 000/mm^3; positive test for Hepatitis B surface antigen (HBsAg) and/or Hepatitis C antibody (HCAb); positive serum pregnancy test in females of childbearing potential
- Any clinically significant abnormality identified on physical examination, laboratory tests, electrocardiogram (ECG), or vital signs at the time of screening that, in the judgment of the investigator or any sub-investigator, precludes safe completion of the study or constrains efficacy assessment
- Patients who are considered by the investigator or any sub-investigator as inappropriate for this study for any reason (for example, impossibility to meet specific protocol requirements [such as scheduled visits, being able to do self-injections]; likelihood of requiring treatment during the screening phase and treatment phase with drugs not permitted by the clinical study protocol; investigator or any sub-investigator, pharmacist, study coordinator, other study staff or relative thereof directly involved in the conduct of the protocol)
- Use of other oral or injectable antidiabetic or hypoglycemic agents other than metformin or pioglitazone (for example, sulfonylurea, alpha-glucosidase inhibitor, other thiazolidinediones, rimonabant, exenatide, dipeptidyl peptidase-4 [DPP-4] inhibitors, insulin) within 3 months prior to the time of screening
- Use of systemic glucocorticoids (excluding topical application or inhaled forms) for 1 week or more within 3 months prior to the time of screening
- Use of any investigational drug within 3 months prior to study
- Any previous treatment with lixisenatide or participation in a previous study with lixisenatide
- Renal impairment defined with creatinine >1.4 mg/dL in women and creatinine >1.5 mg/dL in men (applicable only for patients with metformin treatment)
- Patients with cardiac failure or history of cardiac failure (New York Heart Association class I to IV)
- End-stage renal disease defined by a serum creatinine clearance of <15 milliliter per minute (mL/min) (calculated by the Cockcroft and Gault formula) and/or patients on dialysis, if no treatment with metformin
- Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including, but not limited to, gastroparesis and gastroesophageal reflux disease requiring medical treatment, within 6 months prior to the time of screening
- Allergic reaction to any glucagon like peptide-1 (GLP-1) agonist in the past (for example,exenatide, liraglutide) or to metacresol
- Additional exclusion criteria at the end of the run-in phase: informed consent withdrawal; lack of compliance during the single-blind placebo run-in phase (>2 injections missed); and patient with any adverse event which precludes the inclusion in the study, as assessed by the investigator
Trial locations and contacts
150 sites in 13 countries.
150 sites in 13 countries
United States85 sites
Sanofi-Aventis Investigational Site Number 840795
Artesia, California, 90701
Sanofi-Aventis Investigational Site Number 840777
Athens, Ohio, 45701
Sanofi-Aventis Investigational Site Number 840857
Augusta, Georgia, 30909
Sanofi-Aventis Investigational Site Number 840738
Avon, Indiana, 46123
Sanofi-Aventis Investigational Site Number 840862
Baton Rouge, Louisiana, 70808
Sanofi-Aventis Investigational Site Number 840751
Beaver, Pennsylvania, 15009
Sanofi-Aventis Investigational Site Number 840723
Birmingham, Alabama, 35205
Sanofi-Aventis Investigational Site Number 840744
Birmingham, Alabama, 35205
Sanofi-Aventis Investigational Site Number 840867
Birmingham, Alabama, 35235
Sanofi-Aventis Investigational Site Number 840720
Birmingham, Alabama, 35242
Sanofi-Aventis Investigational Site Number 840780
Bismarck, North Dakota, 58501
Sanofi-Aventis Investigational Site Number 840774
Bloomington, Minnesota, 55435
Sanofi-Aventis Investigational Site Number 840711
Bristol, Tennessee, 37620
Sanofi-Aventis Investigational Site Number 840747
Burlington, North Carolina, 27215
Sanofi-Aventis Investigational Site Number 840775
Chandler, Arizona, 85224
Sanofi-Aventis Investigational Site Number 840791
Chicago, Illinois, 60611
Sanofi-Aventis Investigational Site Number 840782
Chino, California, 91710
Sanofi-Aventis Investigational Site Number 840741
Cleveland, Ohio, 44122
Sanofi-Aventis Investigational Site Number 840796
Clinton, Utah, 84015
Sanofi-Aventis Investigational Site Number 840853
Colleyville, Texas, 76034
Sanofi-Aventis Investigational Site Number 840872
Colorado Springs, Colorado, 80907
Sanofi-Aventis Investigational Site Number 840868
Colorado Springs, Colorado, 80909
Sanofi-Aventis Investigational Site Number 840792
Columbia, South Carolina, 29201
Sanofi-Aventis Investigational Site Number 840728
Dayton, Ohio, 45458
Sanofi-Aventis Investigational Site Number 840704
Eagan, Minnesota, 55122
Sanofi-Aventis Investigational Site Number 840877
Fargo, North Dakota, 58103
Sanofi-Aventis Investigational Site Number 840760
Greensboro, North Carolina, 27401
Sanofi-Aventis Investigational Site Number 840729
Harrisburg, Arkansas, 72432
Sanofi-Aventis Investigational Site Number 840712
High Point, North Carolina, 27262
Sanofi-Aventis Investigational Site Number 840730
Houston, Texas, 77030
Sanofi-Aventis Investigational Site Number 840785
Huntington Beach, California, 92648
Sanofi-Aventis Investigational Site Number 840764
Hyattsville, Maryland, 20783
Sanofi-Aventis Investigational Site Number 840724
Idaho Falls, Idaho, 83404
Sanofi-Aventis Investigational Site Number 840794
Indianapolis, Indiana, 46260
Sanofi-Aventis Investigational Site Number 840727
Jacksonville, Florida, 32216
Sanofi-Aventis Investigational Site Number 840708
Kalamazoo, Michigan, 49001
Sanofi-Aventis Investigational Site Number 840767
Kansas City, Kansas, 66160-7321
Sanofi-Aventis Investigational Site Number 840858
La Jolla, California, 92037
Sanofi-Aventis Investigational Site Number 840779
Lansing, Kansas, 66043
Sanofi-Aventis Investigational Site Number 840875
Las Vegas, Nevada, 89119
Sanofi-Aventis Investigational Site Number 840789
Lexington, Kentucky, 40503
Sanofi-Aventis Investigational Site Number 840850
Lexington, Kentucky, 40504
Sanofi-Aventis Investigational Site Number 840784
Los Banos, California, 93635
Sanofi-Aventis Investigational Site Number 840701
Medford, Oregon, 97504
Sanofi-Aventis Investigational Site Number 840709
Mentor, Ohio, 44060
Sanofi-Aventis Investigational Site Number 840722
Mesa, Arizona, 85213
Sanofi-Aventis Investigational Site Number 840773
Mission Hills, California, 91345
Sanofi-Aventis Investigational Site Number 840707
Mission Viejo, California, 92691
Sanofi-Aventis Investigational Site Number 840855
Mobile, Alabama, 36608
Sanofi-Aventis Investigational Site Number 840863
Mobile, Alabama, 36608
Sanofi-Aventis Investigational Site Number 840776
Mountain Home, Arkansas, 72653
Sanofi-Aventis Investigational Site Number 840745
New Port Richey, Florida, 34652
Sanofi-Aventis Investigational Site Number 840865
New York, New York, 10010
Sanofi-Aventis Investigational Site Number 840766
New York, New York, 10021
Sanofi-Aventis Investigational Site Number 840753
Norfolk, Virginia, 23510
Sanofi-Aventis Investigational Site Number 840770
Norfolk, Virginia, 23510
Sanofi-Aventis Investigational Site Number 840716
Norman, Oklahoma, 73069
Sanofi-Aventis Investigational Site Number 840733
Northridge, California, 91325
Sanofi-Aventis Investigational Site Number 840761
Oviedo, Florida, 32765
Sanofi-Aventis Investigational Site Number 840866
Pahrump, Nevada, 89048
Sanofi-Aventis Investigational Site Number 840769
Phoenix, Arizona, 85050
Sanofi-Aventis Investigational Site Number 840717
Picayune, Mississippi, 39466
Sanofi-Aventis Investigational Site Number 840798
Red Lion, Pennsylvania, 17356
Sanofi-Aventis Investigational Site Number 840752
Richmond, Virginia, 23220
Sanofi-Aventis Investigational Site Number 840871
Rockville, Maryland, 20850
Sanofi-Aventis Investigational Site Number 840864
Roseville, California, 95661
Sanofi-Aventis Investigational Site Number 840851
Russells Mills, Massachusetts, 2747
Sanofi-Aventis Investigational Site Number 840755
Salt Lake City, Utah, 84102
Sanofi-Aventis Investigational Site Number 840756
Salt Lake City, Utah, 84107
Sanofi-Aventis Investigational Site Number 840758
Salt Lake City, Utah, 84107
Sanofi-Aventis Investigational Site Number 840854
San Antonio, Texas, 78218
Sanofi-Aventis Investigational Site Number 840772
San Diego, California, 92123
Sanofi-Aventis Investigational Site Number 840743
San Mateo, California, 94401
Sanofi-Aventis Investigational Site Number 840879
Shreveport, Louisiana, 71101
Sanofi-Aventis Investigational Site Number 840740
Simpsonville, South Carolina, 29681
Sanofi-Aventis Investigational Site Number 840735
Spokane, Washington, 99209
Sanofi-Aventis Investigational Site Number 840765
St Louis, Missouri, 63104
Sanofi-Aventis Investigational Site Number 840874
Staten Island, New York, 10301
Sanofi-Aventis Investigational Site Number 840721
Stockton, California, 95204
Sanofi-Aventis Investigational Site Number 840726
Taylors, South Carolina, 29687-4105
Sanofi-Aventis Investigational Site Number 840757
Virginia Beach, Virginia, 23502
Sanofi-Aventis Investigational Site Number 840799
Wellington, Florida, 33414
Sanofi-Aventis Investigational Site Number 840763
West Hills, California, 91307
Sanofi-Aventis Investigational Site Number 840762
West Seneca, New York, 14224
Sanofi-Aventis Investigational Site Number 840739
Wichita, Kansas, 67203
Romania14 sites
Sanofi-Aventis Investigational Site Number 642711
Alba Iulia, 510 217
Sanofi-Aventis Investigational Site Number 642702
Bacau, 600164
Sanofi-Aventis Investigational Site Number 642709
Baia Mare, 430031
Sanofi-Aventis Investigational Site Number 642701
Brasov, 500326
Sanofi-Aventis Investigational Site Number 642712
Bucharest, 010507
Sanofi-Aventis Investigational Site Number 642714
Bucharest, 20475
Sanofi-Aventis Investigational Site Number 642705
Constanța, 900591
Sanofi-Aventis Investigational Site Number 642707
Galati, 800575
Sanofi-Aventis Investigational Site Number 642703
Ploieşti, 100097
Sanofi-Aventis Investigational Site Number 642713
Reşiţa, 320076
Sanofi-Aventis Investigational Site Number 642708
Satu Mare, 440055
Sanofi-Aventis Investigational Site Number 642706
Târgu Mureş, 540061
Sanofi-Aventis Investigational Site Number 642715
Timișoara, 300456
Sanofi-Aventis Investigational Site Number 642710
Timișoara, 300593
Canada10 sites
Sanofi-Aventis Investigational Site Number 124716
Greater Sudbury, P3E 2P2
Sanofi-Aventis Investigational Site Number 124710
London, N6A 5R8
Sanofi-Aventis Investigational Site Number 124712
Mirabel, J7J 2K8
Sanofi-Aventis Investigational Site Number 124705
Saint Romuald, G6W 5M6
Sanofi-Aventis Investigational Site Number 124703
Saskatoon, S7K 3H3
Sanofi-Aventis Investigational Site Number 124713
Scarborough, M1E 5E9
Sanofi-Aventis Investigational Site Number 124711
Sherbrooke, J1H 5N4
Sanofi-Aventis Investigational Site Number 124704
Smiths Falls, K7A 4W8
Sanofi-Aventis Investigational Site Number 124701
Thornhill, L4J 8L7
Sanofi-Aventis Investigational Site Number 124708
Vancouver, V5Z 1C6
Germany7 sites
Sanofi-Aventis Investigational Site Number 276708
Aßlar, 35614
Sanofi-Aventis Investigational Site Number 276704
Berlin, 10115
Sanofi-Aventis Investigational Site Number 276703
Künzing, 94550
Sanofi-Aventis Investigational Site Number 276706
Leipzig, 04103
Sanofi-Aventis Investigational Site Number 276707
Pirna, 01796
Sanofi-Aventis Investigational Site Number 276702
Sulzbach-Rosenberg, 92237
Sanofi-Aventis Investigational Site Number 276701
Würzburg, 97072
Austria6 sites
Sanofi-Aventis Investigational Site Number 040706
Graz, 8036
Sanofi-Aventis Investigational Site Number 040702
Vienna, 1030
Sanofi-Aventis Investigational Site Number 040704
Vienna, 1060
Sanofi-Aventis Investigational Site Number 040701
Vienna, 1100
Sanofi-Aventis Investigational Site Number 040705
Vienna, 1100
Sanofi-Aventis Investigational Site Number 040707
Wels, 4600
France5 sites
Sanofi-Aventis Investigational Site Number 250704
Armentières, 59427
Sanofi-Aventis Investigational Site Number 250707
La Rochelle, 17019
Sanofi-Aventis Investigational Site Number 250705
Labarthe-sur-Lèze, 31860
Sanofi-Aventis Investigational Site Number 250702
Le Creusot, 71200
Sanofi-Aventis Investigational Site Number 250701
Strasbourg, 67091
Greece4 sites
Sanofi-Aventis Investigational Site Number 300705
Athens, 10552
Sanofi-Aventis Investigational Site Number 300703
Athens
Sanofi-Aventis Investigational Site Number 300704
Athens
Sanofi-Aventis Investigational Site Number 300701
Thessaloniki, 56429
Guatemala4 sites
Sanofi-Aventis Investigational Site Number 320702
Guatemala City, 01010
Sanofi-Aventis Investigational Site Number 320701
Guatemala City, 01014
Sanofi-Aventis Investigational Site Number 320703
Guatemala City
Sanofi-Aventis Investigational Site Number 320704
Guatemala City
India4 sites
Sanofi-Aventis Investigational Site Number 356701
Bangalore, 560010
Sanofi-Aventis Investigational Site Number 356703
Bangalore, 560052
Sanofi-Aventis Investigational Site Number 356702
Hyderabad, 500001
Sanofi-Aventis Investigational Site Number 356704
Nagpur, 440012
Peru4 sites
Sanofi-Aventis Investigational Site Number 604703
Lima, Lima 27
Sanofi-Aventis Investigational Site Number 604701
Lima, LIMA 31
Sanofi-Aventis Investigational Site Number 604702
Lima
Sanofi-Aventis Investigational Site Number 604705
Lima
Mexico3 sites
Sanofi-Aventis Investigational Site Number 484703
Mérida, 97000
Sanofi-Aventis Investigational Site Number 484701
Tlalnepantla, 53160
Sanofi-Aventis Investigational Site Number 484704
Zapopan, 44030
Puerto Rico2 sites
Sanofi-Aventis Investigational Site Number 630714
Carolina, 00983
Sanofi-Aventis Investigational Site Number 630715
Carolina, 00983
Turkey (Türkiye)2 sites
Sanofi-Aventis Investigational Site Number 792702
Erzurum
Sanofi-Aventis Investigational Site Number 792705
Istanbul
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Main Treatment Period and an Extension Assessing the Efficacy and Safety of AVE0010 on Top of Pioglitazone in Patients With Type 2 Diabetes Not Adequately Controlled With Pioglitazone
The purpose of this study is to evaluate the benefits and risks of lixisenatide (AVE0010), in comparison to placebo, as an add-on treatment to pioglitazone with or without metformin, over a period of 24 weeks of treatment, followed by an extension.
The primary objective is to assess the effects of lixisenatide when added to pioglitazone on glycemic control in terms of glycosylated hemoglobin (HbA1c) reduction (absolute change) at Week 24.
Secondary objectives are to assess the effects of lixisenatide when added to pioglitazone on the percentage of patients reaching HbA1c less than 7 percent (%) and less than or equal to 6.5%, fasting plasma glucose (FPG), body weight, beta-cell function (assessed by homeostatic model assessment of beta-cell function [HOMA-beta]), and on fasting plasma insulin (FPI), to assess the safety, tolerability, pharmacokinetics (PK) and anti-lixisenatide antibody development.
Read the detailed description
Patients who complete the 24-week main double-blind treatment would undergo a variable double-blind extension treatment, which ends for all patients at approximately the schedule date of Week 76 visit (Visit 25) for the last randomized patients.
- Conditions
- Diabetes Mellitus Type 2
- Being tested
- Lixisenatide (AVE0010), Placebo, Pen auto-injector, Pioglitazone, Metformin
- Keywords
- hyperglycemia GLP-1 pioglitazone
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lixisenatide (AVE0010)Drug
Self-administered by subcutaneous injections once daily within the hour preceding breakfast.
PlaceboDrug
Self-administered by subcutaneous injections once daily within the hour preceding breakfast.
Pen auto-injectorDevice
Also called OptiClik®
PioglitazoneDrug
Dose to be kept stable.
MetforminDrug
Metformin, if given to be continued at stable dose (at least 1.5 gram per day) up to the end of treatment.
| Study group | Role | What they receive |
|---|---|---|
| Lixisenatide | Experimental | 2-step initiation regimen of lixisenatide: 10 microgram (mcg) once daily (QD) for 1 week, followed by 15 mcg QD for 1 week, then 20 mcg QD up to the end of treatment. Receives: Drug: Lixisenatide (AVE0010); Device: Pen auto-injector; Drug: Pioglitazone; Drug: Metformin |
| Placebo | Placebo comparator | 2-step initiation regimen of volume matching placebo: 10 mcg QD for 1 week, followed by 15 mcg QD for 1 week, then 20 mcg QD up to the end of treatment. Receives: Drug: Placebo; Device: Pen auto-injector; Drug: Pioglitazone; Drug: Metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Absolute change = HbA1c value at Week 24 minus HbA1c value at baseline. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 3 days after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Baseline, Week 24
Secondary outcomes (7)
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 1 day after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Baseline, Week 24
Change From Baseline in Body Weight at Week 24
Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 3 days after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Baseline, Week 24
Change From Baseline in Fasting Plasma Insulin (FPI) at Week 24
Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 1 day after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Baseline, Week 24
Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% at Week 24
The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Week 24
Percentage of Patients With HbA1c Level Less Than or Equal to 6.5% at Week 24
The on-treatment period for this efficacy variable is the time from the first dose of study drug up to 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Week 24
Change From Baseline in Beta-cell Function Assessed by Homeostasis Model Assessment for Beta-cell Function (HOMA-beta) at Week 24
Beta cell function was assessed by HOMA-beta. HOMA-beta (% of normal beta cells function) = (20 multiplied by fasting plasma insulin [micro unit per milliliter]) divided by (fasting plasma glucose [mmol/L] minus 3.5). Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 1 day after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Baseline, Week 24
Percentage of Patients Requiring Rescue Therapy During Main 24-Week Period
Routine fasting self-monitored plasma glucose (SMPG) and central laboratory FPG (and HbA1c after week 12) values were used to determine the requirement of rescue medication. If fasting SMPG value exceeded the specified limit for 3 consecutive days, the central laboratory FPG (and HbA1c after week 12) were performed. Threshold values - from baseline to Week 8: fasting SMPG/FPG >270 milligram/deciliter (mg/dL) (15.0 mmol/L), from Week 8 to Week 12: fasting SMPG/FPG >240 mg/dL (13.3 mmol/L), and from Week 12 to Week 24: fasting SMPG/FPG >200 mg/dL (11.1 mmol/L) or HbA1c >8.5%. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
Measured: Baseline up to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2008 (estimated)
- Study startSep 2008
- Primary completionJun 2011
- Study completionJun 2011
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 (1)Papers the sponsor has linked to this study.
- Other trials for Diabetes Mellitus Type 2Studies of the same condition, open and under way.
- More trials run by SanofiThe 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
- 484 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00763815
- Sponsor's protocol ID
- EFC6017
- Other IDs
- EudraCT: 2007-005884-92
- Acronym
- GETGOAL-P
- Status last verified
- Oct 2016
- First submitted
- 30 Sep 2008
- Last updated
- 28 Nov 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Pinget M, Goldenberg R, Niemoeller E, Muehlen-Bartmer I, Guo H, Aronson R. Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P). Diabetes Obes Metab. 2013 Nov;15(11):1000-7. doi: 10.1111/dom.12121. Epub 2013 May 26.
PubMed 23627775
Study at a glance
From the registry record, last updated by the sponsor on 28 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Main Treatment Period and an Extension Assessing the Efficacy and Safety of AVE0010 on Top of Pioglitazone in Patients With Type 2 Diabetes Not Adequately Controlled With Pioglitazone
- ClinicalTrials.gov ID
- NCT00763815
- Acronym / sponsor ID
- GETGOAL-P / EFC6017
- Conditions
- Diabetes Mellitus Type 2
- Keywords
- hyperglycemia GLP-1 pioglitazone
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 484 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Sep 2008
- Primary completion
- Jun 2011 (actual)
- Study completion
- Jun 2011 (actual)
- First posted
- 1 Oct 2008 (estimated)
- Results
- Posted 11 Oct 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the benefits and risks of lixisenatide (AVE0010), in comparison to placebo, as an add-on treatment to pioglitazone with or without metformin, over a period of 24 weeks of treatment, followed by an extension.
The primary objective is to assess the effects of lixisenatide when added to pioglitazone on glycemic control in terms of glycosylated hemoglobin (HbA1c) reduction (absolute change) at Week 24.
Secondary objectives are to assess the effects of lixisenatide when added to pioglitazone on the percentage of patients reaching HbA1c less than 7 percent (%) and less than or equal to 6.5%, fasting plasma glucose (FPG), body weight, beta-cell function (assessed by homeostatic model assessment of beta-cell function [HOMA-beta]), and on fasting plasma insulin (FPI), to assess the safety, tolerability, pharmacokinetics (PK) and anti-lixisenatide antibody development.
Detailed description
Patients who complete the 24-week main double-blind treatment would undergo a variable double-blind extension treatment, which ends for all patients at approximately the schedule date of Week 76 visit (Visit 25) for the last randomized patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Lixisenatide | Experimental | Drug: Lixisenatide (AVE0010), Device: Pen auto-injector, Drug: Pioglitazone, Drug: Metformin2-step initiation regimen of lixisenatide: 10 microgram (mcg) once daily (QD) for 1 week, followed by 15 mcg QD for 1 week, then 20 mcg QD up to the end of treatment. |
| Placebo | Placebo comparator | Drug: Placebo, Device: Pen auto-injector, Drug: Pioglitazone, Drug: Metformin2-step initiation regimen of volume matching placebo: 10 mcg QD for 1 week, followed by 15 mcg QD for 1 week, then 20 mcg QD up to the end of treatment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Type 2 diabetes mellitus, diagnosed for at least 1 year at the time of the screening visit, insufficiently controlled with pioglitazone
Key exclusion criteria (29 listed)
- HbA1c less than (<) 7 percent (%) or greater than (>) 10% at screening
- At the time of screening age <legal age of majority
- Pregnant or breastfeeding women and women of childbearing potential without effective contraceptive method of birth control
- Type 1 diabetes mellitus
- Pioglitazone not at a stable dose of at least 30 milligram per day (mg/day) for at least 3 months prior to screening
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 |
|---|---|---|
| Lixisenatide (AVE0010)Self-administered by subcutaneous injections once daily within the hour preceding breakfast. | Drug | Lixisenatide |
| PlaceboSelf-administered by subcutaneous injections once daily within the hour preceding breakfast. | Drug | Placebo |
| Pen auto-injectorAlso: OptiClik® | Device | Lixisenatide, Placebo |
| PioglitazoneDose to be kept stable. | Drug | Lixisenatide, Placebo |
| MetforminMetformin, if given to be continued at stable dose (at least 1.5 gram per day) up to the end of treatment. | Drug | Lixisenatide, Placebo |
Primary outcome
Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Time frame: Baseline, Week 24
Absolute change = HbA1c value at Week 24 minus HbA1c value at baseline. The on-treatment period for this efficacy variable is time from the first dose of study drug and up to 3 days after the last dose of study drug, on or before Visit 12 (Week 24) or Day 169 if Visit 12 is not available, and before the introduction of rescue therapy. For a patient to be included in mITT population, both baseline and at least 1 post baseline assessment for at least 1 efficacy variable, were required.
7 secondary outcomes
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Body Weight at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Fasting Plasma Insulin (FPI) at Week 24
Time frame: Baseline, Week 24
Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% at Week 24
Time frame: Week 24
Percentage of Patients With HbA1c Level Less Than or Equal to 6.5% at Week 24
Time frame: Week 24
Change From Baseline in Beta-cell Function Assessed by Homeostasis Model Assessment for Beta-cell Function (HOMA-beta) at Week 24
Time frame: Baseline, Week 24
Percentage of Patients Requiring Rescue Therapy During Main 24-Week Period
Time frame: Baseline up to Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Nov 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 23627775Pinget M, Goldenberg R, Niemoeller E, Muehlen-Bartmer I, Guo H, Aronson R. Efficacy and safety of lixisenatide once daily versus placebo in type 2 diabetes insufficiently controlled on pioglitazone (GetGoal-P). Diabetes Obes Metab. 2013 Nov;15(11):1000-7. doi: 10.1111/dom.12121. Epub 2013 May 26.
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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.
Clinical Sciences & Operations study director
Sanofi
150 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lixisenatide (AVE0010), Pen auto-injector and Pioglitazone in people with Diabetes Mellitus Type 2, run by Sanofi at 150 sites in 13 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 1 inclusion and 29 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 28 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 150 sites in United States, Romania, Canada, Germany, Austria and 8 more countries. 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. Some participants in this study may receive a placebo. 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 11 Oct 2016). 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?
Absolute Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24 (time frame: Baseline, Week 24). 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 NCT00763815, which also lists 1 linked publication.
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 28 Nov 2016.