Type 2 Diabetes MellitusPhase 3GetGoal-Duo1NCT00975286
24-week Treatment With Lixisenatide in Type 2 Diabetes Insufficiently Controlled With Metformin and Insulin Glargine
A Phase 3 study testing Lixisenatide (AVE0010), Insulin glargine and Pen auto-injector in people with Type 2 Diabetes Mellitus, run by Sanofi at 140 sites in 26 countries.
Trial summary
The purpose of the study is to evaluate the benefits and risks of lixisenatide (AVE0010), in comparison to placebo, as an add-on treatment to insulin glargine and metformin with or without thiazolidinediones (TZDs), over a period of 24 weeks of treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Lixisenatide (AVE0010), Insulin glargine and Pen auto-injector
- Type of treatment
- Injection or infusion, Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 446 participants
- Where
- 140 sitesin 26 countries
- Study dates
- Oct 2009to Aug 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 before screening visit, insufficiently controlled with insulin glargine and metformin
Who cannot join
- HbA1c <7% or greater than (>)10% at screening
- At the time of screening age < legal age of majority
- Pregnant or breastfeeding women or women of childbearing potential with no effective contraceptive method
- Type 1 diabetes mellitus
- Metformin not at a stable dose of at least 1.5 gram per day for at least 3 months prior to the screening visit
- Use of oral or injectable antidiabetic or hypoglycemic agents other than metformin, sulfonylurea (SU) and TZDs (for example, alpha glucosidase inhibitor, other glucagon like peptide-1 [GLP-1] receptor agonists, dipeptidyl peptidase-IV [DPP-IV] inhibitors, insulin etc.) within 3 months prior to the time of screening, use of weight loss drugs if not at a stable dose for at least 3 months prior to the screening visit
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- History of hypoglycemia unawareness
- Body Mass Index (BMI) less than or equal to (<=) 20 kilogram per square meter (kg/m^2)
- History of unexplained pancreatitis, chronic pancreatitis, pancreatectomy, stomach/gastric surgery, inflammatory bowel disease, personal or family history of medullary thyroid cancer (MTC) or genetic conditions that predispose to MTC (for example, multiple endocrine neoplasia syndromes)
- History of metabolic acidosis, including diabetic ketoacidosis within 1 year prior to screening
- Hemoglobinopathy or hemolytic anemia, blood or plasma products transfusion within 3 months prior to the time of screening
- Within the last 6 months prior to screening: history of myocardial infarction, stroke, or heart failure requiring hospitalization
- Known history of drug or alcohol abuse within 6 months prior to the time of screening
- Any clinically significant abnormality identified on physical examination, laboratory tests, electrocardiogram 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 such as active malignant tumor or other major systemic diseases, presence of clinically significant diabetic retinopathy 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 or diastolic blood pressure >180 millimeter of mercury (mmHg) or >110 mmHg, respectively
- Laboratory findings at the time of screening: amylase and/or lipase, alanine aminotransferase >3 times upper limit of the normal (ULN) laboratory range; 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 and/or Hepatitis C antibody, positive serum pregnancy test in females of childbearing potential; and calcitonin >=20 picogram per milliliter (pg/mL) (5.9 picomole per milliliter [pmol/L])
- 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, patient being investigator or any sub investigator, pharmacist, study coordinator, other study staff or relative thereof directly involved in the conduct of the protocol etc.)
- Use of systemic glucocorticoids (excluding topical application or inhaled forms) for one week or more within 3 months prior to the time of screening
- Use of any investigational drug within 3 months prior to screening
- Renal impairment defined with serum creatinine > 1.4 mg/dL in women and > 1.5 mg/dL in men
- History of hypersensitivity to insulin glargine or to any of the excipients
- Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting, including (but not limited to): gastroparesis, unstable (that is, worsening) and not controlled (that is, prolonged nausea and vomiting) gastroesophageal reflux disease requiring medical treatment, within 6 months prior to the time of screening
- Any previous treatment with lixisenatide (for example, participation in a previous study with lixisenatide)
- Allergic reaction to any GLP-1 receptor agonist in the past (for example, exenatide, liraglutide) or to metacresol
- Additional exclusion criteria during or at the end of the run-in phase before randomization: informed consent withdrawal (patient who was not willing to continue or failed to return), mean fasting SMPG calculated from the self-measurements for the 7 days prior to Visit 12 (Week -1) was >140 mg/dL (7.8 mmol/L) and HbA1c measured at Visit 12 (Week -1) is <7% or >9%, amylase and/or lipase > 3 times the ULN at Visit 12 (Week -1), patients with fasting plasma glucose (FPG) above the threshold value described for rescue (that is, FPG >240 mg/dL [13.3 mmol/L]), patients with any adverse event, which, by the judgment of the Investigator precludes the inclusion in the double-blind randomized treatment phase, and lack of compliance to protocol or to insulin glargine treatment during the run-in phase
Trial locations and contacts
140 sites in 26 countries.
140 sites in 26 countries
United States23 sites
Sanofi-Aventis Investigational Site Number 840211
Baton Rouge, Louisiana, 70808
Sanofi-Aventis Investigational Site Number 840219
Brighton, Michigan, 48114
Sanofi-Aventis Investigational Site Number 840229
Bristol, Tennessee, 37620
Sanofi-Aventis Investigational Site Number 840215
Concord, California, 94520
Sanofi-Aventis Investigational Site Number 840210
Dallas, Texas, 75230
Sanofi-Aventis Investigational Site Number 840208
Fargo, North Dakota, 58103
Sanofi-Aventis Investigational Site Number 840205
Germantown, Tennessee, 38138
Sanofi-Aventis Investigational Site Number 840214
Greenbrae, California, 94904
Sanofi-Aventis Investigational Site Number 840206
Hot Springs, Arkansas, 71913
Sanofi-Aventis Investigational Site Number 840217
Houston, Texas, 77081
Sanofi-Aventis Investigational Site Number 840228
Houston, Texas, 77081
Sanofi-Aventis Investigational Site Number 840230
Hyattsville, Maryland, 20781
Sanofi-Aventis Investigational Site Number 840201
Little Rock, Arkansas, 72205
Sanofi-Aventis Investigational Site Number 840225
Mentor, Ohio, 44060
Sanofi-Aventis Investigational Site Number 840223
Mesa, Arizona, 85206
Sanofi-Aventis Investigational Site Number 840212
Mountain Home, Arkansas, 72653
Sanofi-Aventis Investigational Site Number 840227
Norfolk, Virginia, 23502
Sanofi-Aventis Investigational Site Number 840221
Orlando, Florida, 32835
Sanofi-Aventis Investigational Site Number 840202
Philadelphia, Pennsylvania, 19146
Sanofi-Aventis Investigational Site Number 840213
Plano, Texas, 75093
Sanofi-Aventis Investigational Site Number 840222
Portland, Oregon, 97201-3098
Sanofi-Aventis Investigational Site Number 840209
Rockville, Maryland, 20852
Sanofi-Aventis Investigational Site Number 840231
Sea Girt, New Jersey, 08750
Canada11 sites
Sanofi-Aventis Investigational Site Number 124219
Brampton, L6R 3J5
Sanofi-Aventis Investigational Site Number 124213
Chatham, N7L 1C1
Sanofi-Aventis Investigational Site Number 124208
Chilliwack, V2P 4M9
Sanofi-Aventis Investigational Site Number 124215
Etobicoke, M9R 4E1
Sanofi-Aventis Investigational Site Number 124205
Québec, G1V 4G5
Sanofi-Aventis Investigational Site Number 124202
Red Deer, T4N 6V7
Sanofi-Aventis Investigational Site Number 124218
Thornhill, L4J 8L7
Sanofi-Aventis Investigational Site Number 124201
Toronto, M4R 2G4
Sanofi-Aventis Investigational Site Number 124207
Toronto, M9V 4B4
Sanofi-Aventis Investigational Site Number 124209
Victoria, V8V 4A1
Sanofi-Aventis Investigational Site Number 124217
Winnipeg, R3E 3P4
India10 sites
Sanofi-Aventis Investigational Site Number 356210
Ahmedabad, 380015
Sanofi-Aventis Investigational Site Number 356206
Bangalore, 560043
Sanofi-Aventis Investigational Site Number 356204
Bangalore, 560052
Sanofi-Aventis Investigational Site Number 356202
Bangalore
Sanofi-Aventis Investigational Site Number 356201
Belagavi, 590001
Sanofi-Aventis Investigational Site Number 356205
Chennai, 600086
Sanofi-Aventis Investigational Site Number 356208
Indore, 452010
Sanofi-Aventis Investigational Site Number 356203
Karnāl, 132001
Sanofi-Aventis Investigational Site Number 356207
Kochi
Sanofi-Aventis Investigational Site Number 356209
Nagpur, 440012
Romania8 sites
Sanofi-Aventis Investigational Site Number 642204
Brasov, 500326
Sanofi-Aventis Investigational Site Number 642208
Bucharest, 020725
Sanofi-Aventis Investigational Site Number 642205
Deva, 330084
Sanofi-Aventis Investigational Site Number 642203
Iași, 700515
Sanofi-Aventis Investigational Site Number 642202
Oradea, 410598
Sanofi-Aventis Investigational Site Number 642206
Târgu Mureş, 540061
Sanofi-Aventis Investigational Site Number 642207
Timișoara, 300456
Sanofi-Aventis Investigational Site Number 642201
Timișoara, 300593
Argentina7 sites
Sanofi-Aventis Investigational Site Number 032204
Buenos Aires
Sanofi-Aventis Investigational Site Number 032205
Capital Federal, 1012
Sanofi-Aventis Investigational Site Number 032201
Capital Federal, 1425
Sanofi-Aventis Investigational Site Number 032209
Capital Federal, C1056ABJ
Sanofi-Aventis Investigational Site Number 032211
Corrientes
Sanofi-Aventis Investigational Site Number 032202
Paraná, (E3100BBJ)
Sanofi-Aventis Investigational Site Number 032203
Rosario, 2000
Hungary7 sites
Sanofi-Aventis Investigational Site Number 348205
Balatonfüred, 8230
Sanofi-Aventis Investigational Site Number 348202
Budapest, 1036
Sanofi-Aventis Investigational Site Number 348207
Budapest
Sanofi-Aventis Investigational Site Number 348204
Debrecen, 4031
Sanofi-Aventis Investigational Site Number 348206
Gyula, 5700
Sanofi-Aventis Investigational Site Number 348203
Szeged, 6722
Sanofi-Aventis Investigational Site Number 348201
Zalaegerszeg, 8900
Poland7 sites
Sanofi-Aventis Investigational Site Number 616202
Krakow, 31-548
Sanofi-Aventis Investigational Site Number 616208
Lubin, 59-300
Sanofi-Aventis Investigational Site Number 616206
Płock, 09-400
Sanofi-Aventis Investigational Site Number 616207
Puławy, 24-100
Sanofi-Aventis Investigational Site Number 616205
Sopot, 81-756
Sanofi-Aventis Investigational Site Number 616201
Szczecin, 70-506
Sanofi-Aventis Investigational Site Number 616203
Zabrze, 41-8--
Chile6 sites
Sanofi-Aventis Investigational Site Number 152202
Santiago, 7500010
Sanofi-Aventis Investigational Site Number 152203
Santiago, 7980378
Sanofi-Aventis Investigational Site Number 152206
Santiago, 8053095
Sanofi-Aventis Investigational Site Number 152204
Santiago, 8360156
Sanofi-Aventis Investigational Site Number 152205
Santiago, 8930211
Sanofi-Aventis Investigational Site Number 152201
Santiago
France5 sites
Sanofi-Aventis Investigational Site Number 250204
Amiens, 80054
Sanofi-Aventis Investigational Site Number 250206
La Rochelle, 17019
Sanofi-Aventis Investigational Site Number 250203
Le Creusot, 71200
Sanofi-Aventis Investigational Site Number 250201
Nantes, 44093
Sanofi-Aventis Investigational Site Number 250202
Pierre-Bénite, 69310
Mexico5 sites
Sanofi-Aventis Investigational Site Number 484201
Cuernavaca, 62250
Sanofi-Aventis Investigational Site Number 484204
Durango, 34270
Sanofi-Aventis Investigational Site Number 484203
Guadalajara, 44600
Sanofi-Aventis Investigational Site Number 484206
México, 14050
Sanofi-Aventis Investigational Site Number 484205
Tlalnepantla, 53160
Sweden5 sites
Sanofi-Aventis Investigational Site Number 752204
Gothenburg, 413 45
Sanofi-Aventis Investigational Site Number 752203
Härnösand, 871 82
Sanofi-Aventis Investigational Site Number 752205
Luleå, 972 33
Sanofi-Aventis Investigational Site Number 752202
Malmö, 211 52
Sanofi-Aventis Investigational Site Number 752201
Stockholm, 111 57
Ukraine5 sites
Sanofi-Aventis Investigational Site Number 804203
Chernivtsi, 58022
Sanofi-Aventis Investigational Site Number 804201
Kiev, 2091
Sanofi-Aventis Investigational Site Number 804205
Kyiv, 31156
Sanofi-Aventis Investigational Site Number 804202
Kyiv
Sanofi-Aventis Investigational Site Number 804204
Vinnytsia, 21010
Brazil4 sites
Sanofi-Aventis Investigational Site Number 076207
Belém, 66073-000
Sanofi-Aventis Investigational Site Number 076202
Brasília, 71625-009
Sanofi-Aventis Investigational Site Number 076205
Porto Alegre, 90035001
Sanofi-Aventis Investigational Site Number 076204
São Paulo, 04024-002
Estonia4 sites
Sanofi-Aventis Investigational Site Number 233201
Pärnu, 80018
Sanofi-Aventis Investigational Site Number 233203
Tallinn, 13415
Sanofi-Aventis Investigational Site Number 233204
Tartu, 50410
Sanofi-Aventis Investigational Site Number 233202
Viljandimaa, 71024
Israel4 sites
Sanofi-Aventis Investigational Site Number 376202
Haifa, 31096
Sanofi-Aventis Investigational Site Number 376201
Holon, 58100
Sanofi-Aventis Investigational Site Number 376204
Kfar Saba, 44281
Sanofi-Aventis Investigational Site Number 376203
Tel HaShomer, 52621
Taiwan4 sites
Sanofi-Aventis Investigational Site Number 158204
Changhua, 500
Sanofi-Aventis Investigational Site Number 158203
Taichung, 433
Sanofi-Aventis Investigational Site Number 158201
Taichung R.o.c., 407
Sanofi-Aventis Investigational Site Number 158202
Tainan Hsien, 710
Colombia3 sites
Sanofi-Aventis Investigational Site Number 170204
Barranquilla
Sanofi-Aventis Investigational Site Number 170201
Bogotá
Sanofi-Aventis Investigational Site Number 170202
Bogotá
Denmark3 sites
Sanofi-Aventis Investigational Site Number 208202
Frederiksberg, 2000
Sanofi-Aventis Investigational Site Number 208201
København NV, 2400
Sanofi-Aventis Investigational Site Number 208205
Slagelse, 4200
Germany3 sites
Sanofi-Aventis Investigational Site Number 276201
Dresden, 01307
Sanofi-Aventis Investigational Site Number 276202
Mainz, 55116
Sanofi-Aventis Investigational Site Number 276204
Saint Ingbert-Oberwürzbach, 66386
Netherlands3 sites
Sanofi-Aventis Investigational Site Number 528203
Amsterdam, 1066 EC
Sanofi-Aventis Investigational Site Number 528202
Groningen, 9728 NT
Sanofi-Aventis Investigational Site Number 528204
Zwijndrecht, 3331 LZ
South Africa3 sites
Sanofi-Aventis Investigational Site Number 710202
Cape Town, 7708
Sanofi-Aventis Investigational Site Number 710201
Durban, 4092
Sanofi-Aventis Investigational Site Number 710203
Pretoria
Czechia2 sites
Sanofi-Aventis Investigational Site Number 203202
Hradec Králové, 50005
Sanofi-Aventis Investigational Site Number 203204
Prague, 15006
Italy2 sites
Sanofi-Aventis Investigational Site Number 380201
Milan, 20132
Sanofi-Aventis Investigational Site Number 380202
Perugia, 61260
Malaysia2 sites
Sanofi-Aventis Investigational Site Number 458203
Kelantan, 16150
Sanofi-Aventis Investigational Site Number 458202
Kuala Lumpur, 56000
Puerto Rico2 sites
Sanofi-Aventis Investigational Site Number 840226
Ponce, 00717
Sanofi-Aventis Investigational Site Number 840216
San Juan, 00917
Russia2 sites
Sanofi-Aventis Investigational Site Number 643202
Saint Petersburg, 194358
Sanofi-Aventis Investigational Site Number 643203
Saratov, 410030
About this study
Official title: A Randomized, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Double-blind Treatment Period Assessing the Efficacy and Safety of Lixisenatide in Patients With Type 2 Diabetes Insufficiently Controlled With Insulin Glargine and Metformin
The purpose of the study is to evaluate the benefits and risks of lixisenatide (AVE0010), in comparison to placebo, as an add-on treatment to insulin glargine and metformin with or without thiazolidinediones (TZDs), over a period of 24 weeks of treatment.
The primary objective is to assess the effects of lixisenatide in comparison to placebo, when added to insulin glargine and metformin, on glycemic control in terms of glycosylated hemoglobin (HbA1c) reduction (absolute change) at Week 24.
The secondary objectives are to assess the effects of lixisenatide on the percentage of patients reaching HbA1c less than (<) 7 percent (%) and less than or equal to (<=) 6.5%, plasma glucose (fasting, postprandial during a standardized meal challenge test, 7-point self monitored profiles), body weight, insulin glargine doses, to evaluate safety and tolerability (including anti-lixisenatide antibody assessment), and to assess the impact on treatment satisfaction using the Diabetes Treatment Satisfaction Questionnaire (state) (DTSQs) in the participating countries where it is validated.
Read the detailed description
The study comprises 3 periods:
- An up to 14-week screening period, which includes an up to 2-week screening phase and a 12-week run-in phase with introduction and titration of insulin glargine on top of metformin +/-TZDs.
- At the end of the run-in phase, patients whose HbA1c (centralized assay) is greater than or equal to (>=) 7% and less than or equal to (<=) 9% and whose mean fasting self-monitored plasma glucose (SMPG) calculated from the self measurements for the 7 days prior to Visit 12 (Week -1) is <=140 milligram per deciliter (mg/dL) (7.8 millimole per liter [mmol/L]), would enter a 24-week double-blind randomized treatment period comparing lixisenatide to placebo (on top of insulin glargine + metformin +/- TZDs).
- A 3-day safety follow up period.
Maximum duration is of 39 weeks +/- 7 days.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Lixisenatide (AVE0010), Placebo, Insulin glargine, Pen auto-injector, Metformin
- 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.
Insulin glargineDrug
Also called Lantus®
Dose to be adjusted to maintain a fasting SMPG between 100 and 80 mg/dL (5.6 and 4.4 mmol/L), inclusive.
Pen auto-injectorDevice
Lantus® SoloStar® OptiClik®
MetforminDrug
Metformin to be continued at stable dose (at least 1.5 gram per day) up to Week 24.
Thiazolidinedione (TZD)Drug
TZD (either rosiglitazone or pioglitazone) if given, to be continued at stable dose up to Week 24.
| 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 Week 24. Receives: Drug: Lixisenatide (AVE0010); Drug: Insulin glargine; Device: Pen auto-injector; Drug: Metformin; Drug: Thiazolidinedione (TZD) |
| 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 Week 24. Receives: Drug: Placebo; Drug: Insulin glargine; Device: Pen auto-injector; Drug: Metformin; Drug: Thiazolidinedione (TZD) |
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 the time from the first dose of study drug up to 14 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: Baseline, Week 24
Secondary outcomes (10)
Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) at Week 24
The 2-hour PPG test measured blood glucose 2 hours after eating a standardized meal. Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day 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: Baseline, Week 24
Change From Baseline in Glucose Excursion at Week 24
Glucose excursion = 2-hour PPG minus plasma glucose 30 minutes prior to the standardized meal test, before study drug administration. Change was calculated by subtracting baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day 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: Baseline, Week 24
Change From Baseline in Average 7-Point Self Monitored Plasma Glucose (SMPG) Profile at Week 24
Patients recorded a 7-point plasma glucose profile measured before and 2 hours after each meal and at bedtime once in a week and the average value for the 7-time points was calculated. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day 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: 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 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: Baseline, Week 24
Change From Baseline in Average Insulin Glargine Daily Dose at Week 24
Change was calculated by subtracting the baseline value from Week 24 value. The on-treatment period for this efficacy variable is the time from the first dose of study drug up to the last dosing day 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: Baseline, Week 24
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 the time from the first dose of study drug up to 1 day 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: 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 14 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 Glycosylated Hemoglobin (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 14 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 Requiring Rescue Therapy During the Double-blind Period
Routine fasting SMPG, central laboratory FPG and HbA1c 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 were performed. Threshold values - from baseline to Week 8: fasting SMPG/FPG >200 milligram/deciliter (mg/dL) (11.1 mmol/L) or HbA1c >9%, from Week 8 to Week 24: fasting SMPG/FPG >180 mg/dL (10.0 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
Change From Baseline in Treatment Satisfaction Score (Sum of Items 1, 4, 5, 6, 7 and 8 of DTSQ) at Week 24
Change was calculated by subtracting baseline value from Week 24 value. DTSQ: 8-item questionnaire to assess treatment satisfaction and patient perception of hyper and hypoglycemia. Each question (Q) scored on a Likert scale from 0 to 6. Six items (Q1 and 4-8; higher score = more satisfaction) measured treatment satisfaction and were summed to calculate treatment satisfaction score which ranged from 0 (very dissatisfied) to 36 (very satisfied). Two items (Q2 and 3), which were not included, measured perceived hyperglycemia and hypoglycemia, respectively and lower scores represented good perceived blood glucose control. 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: Baseline, Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2009 (estimated)
- Study startOct 2009
- Primary completionAug 2011
- Study completionAug 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 (6)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies 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
- 446 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Study Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00975286
- Sponsor's protocol ID
- EFC10781
- Other IDs
- EudraCT : 2008-007335-40
- Acronym
- GetGoal-Duo1
- Status last verified
- Aug 2016
- First submitted
- 10 Sep 2009
- Last updated
- 11 Oct 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Riddle MC, Forst T, Aronson R, Sauque-Reyna L, Souhami E, Silvestre L, Ping L, Rosenstock J. Adding once-daily lixisenatide for type 2 diabetes inadequately controlled with newly initiated and continuously titrated basal insulin glargine: a 24-week, randomized, placebo-controlled study (GetGoal-Duo 1). Diabetes Care. 2013 Sep;36(9):2497-503. doi: 10.2337/dc12-2462. Epub 2013 Apr 5.
PubMed 23564915Yao J, Zhang M, Zhang X, Zhang J. Impact of Type 2 Diabetes Duration on the Efficacy and Safety of Add-on Lixisenatide in Asian Individuals Receiving Basal Insulin: A Pooled Analysis. Diabetes Ther. 2023 Apr;14(4):653-669. doi: 10.1007/s13300-023-01369-6. Epub 2023 Feb 21.
PubMed 36809495Davidson JA, Stager W, Paranjape S, Berria R, Leiter LA. Achieving postprandial glucose control with lixisenatide improves glycemic control in patients with type 2 diabetes on basal insulin: a post-hoc analysis of pooled data. Clin Diabetes Endocrinol. 2020 Jan 14;6:2. doi: 10.1186/s40842-019-0088-5. eCollection 2020.
PubMed 31956422Rosenstock J, Handelsman Y, Vidal J, Ampudia Blasco FJ, Giorgino F, Liu M, Perfetti R, Meier JJ. Propensity-score-matched comparative analyses of simultaneously administered fixed-ratio insulin glargine 100 U and lixisenatide (iGlarLixi) vs sequential administration of insulin glargine and lixisenatide in uncontrolled type 2 diabetes. Diabetes Obes Metab. 2018 Dec;20(12):2821-2829. doi: 10.1111/dom.13462. Epub 2018 Aug 13.
PubMed 29974618Charbonnel B, Bertolini M, Tinahones FJ, Domingo MP, Davies M. Lixisenatide plus basal insulin in patients with type 2 diabetes mellitus: a meta-analysis. J Diabetes Complications. 2014 Nov-Dec;28(6):880-6. doi: 10.1016/j.jdiacomp.2014.07.007. Epub 2014 Jul 18.
PubMed 25130920Riddle MC, Aronson R, Home P, Marre M, Niemoeller E, Miossec P, Ping L, Ye J, Rosenstock J. Adding once-daily lixisenatide for type 2 diabetes inadequately controlled by established basal insulin: a 24-week, randomized, placebo-controlled comparison (GetGoal-L). Diabetes Care. 2013 Sep;36(9):2489-96. doi: 10.2337/dc12-2454. Epub 2013 Apr 29.
PubMed 23628617
Study at a glance
From the registry record, last updated by the sponsor on 11 Oct 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Double-blind Treatment Period Assessing the Efficacy and Safety of Lixisenatide in Patients With Type 2 Diabetes Insufficiently Controlled With Insulin Glargine and Metformin
- ClinicalTrials.gov ID
- NCT00975286
- Acronym / sponsor ID
- GetGoal-Duo1 / EFC10781
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 446 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Oct 2009
- Primary completion
- Aug 2011 (actual)
- Study completion
- Aug 2011 (actual)
- First posted
- 11 Sep 2009 (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 the study is to evaluate the benefits and risks of lixisenatide (AVE0010), in comparison to placebo, as an add-on treatment to insulin glargine and metformin with or without thiazolidinediones (TZDs), over a period of 24 weeks of treatment.
The primary objective is to assess the effects of lixisenatide in comparison to placebo, when added to insulin glargine and metformin, on glycemic control in terms of glycosylated hemoglobin (HbA1c) reduction (absolute change) at Week 24.
The secondary objectives are to assess the effects of lixisenatide on the percentage of patients reaching HbA1c less than (<) 7 percent (%) and less than or equal to (<=) 6.5%, plasma glucose (fasting, postprandial during a standardized meal challenge test, 7-point self monitored profiles), body weight, insulin glargine doses, to evaluate safety and tolerability (including anti-lixisenatide antibody assessment), and to assess the impact on treatment satisfaction using the Diabetes Treatment Satisfaction Questionnaire (state) (DTSQs) in the participating countries where it is validated.
Detailed description
The study comprises 3 periods:
- An up to 14-week screening period, which includes an up to 2-week screening phase and a 12-week run-in phase with introduction and titration of insulin glargine on top of metformin +/-TZDs.
- At the end of the run-in phase, patients whose HbA1c (centralized assay) is greater than or equal to (>=) 7% and less than or equal to (<=) 9% and whose mean fasting self-monitored plasma glucose (SMPG) calculated from the self measurements for the 7 days prior to Visit 12 (Week -1) is <=140 milligram per deciliter (mg/dL) (7.8 millimole per liter [mmol/L]), would enter a 24-week double-blind randomized treatment period comparing lixisenatide to placebo (on top of insulin glargine + metformin +/- TZDs).
- A 3-day safety follow up period.
Maximum duration is of 39 weeks +/- 7 days.
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), Drug: Insulin glargine, Device: Pen auto-injector, Drug: Metformin, Drug: Thiazolidinedione (TZD)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 Week 24. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Insulin glargine, Device: Pen auto-injector, Drug: Metformin, Drug: Thiazolidinedione (TZD)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 Week 24. |
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 before screening visit, insufficiently controlled with insulin glargine and metformin
Key exclusion criteria (25 listed)
- HbA1c <7% or greater than (>)10% at screening
- At the time of screening age < legal age of majority
- Pregnant or breastfeeding women or women of childbearing potential with no effective contraceptive method
- Type 1 diabetes mellitus
- Metformin not at a stable dose of at least 1.5 gram per day for at least 3 months prior to the screening visit
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 |
| Insulin glargineAlso: Lantus®Dose to be adjusted to maintain a fasting SMPG between 100 and 80 mg/dL (5.6 and 4.4 mmol/L), inclusive. | Drug | Lixisenatide, Placebo |
| Pen auto-injectorLantus® SoloStar® OptiClik® | Device | Lixisenatide, Placebo |
| MetforminMetformin to be continued at stable dose (at least 1.5 gram per day) up to Week 24. | Drug | Lixisenatide, Placebo |
| Thiazolidinedione (TZD)TZD (either rosiglitazone or pioglitazone) if given, to be continued at stable dose up to Week 24. | 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 the time from the first dose of study drug up to 14 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.
10 secondary outcomes
Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Glucose Excursion at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Average 7-Point Self Monitored Plasma Glucose (SMPG) Profile 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 Average Insulin Glargine Daily Dose at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Fasting Plasma Glucose (FPG) 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 Glycosylated Hemoglobin (HbA1c) Level Less Than or Equal to 6.5% at Week 24
Time frame: Week 24
Percentage of Patients Requiring Rescue Therapy During the Double-blind Period
Time frame: Baseline up to Week 24
Change From Baseline in Treatment Satisfaction Score (Sum of Items 1, 4, 5, 6, 7 and 8 of DTSQ) at Week 24
Time frame: Baseline, Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Oct 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 23564915Riddle MC, Forst T, Aronson R, Sauque-Reyna L, Souhami E, Silvestre L, Ping L, Rosenstock J. Adding once-daily lixisenatide for type 2 diabetes inadequately controlled with newly initiated and continuously titrated basal insulin glargine: a 24-week, randomized, placebo-controlled study (GetGoal-Duo 1). Diabetes Care. 2013 Sep;36(9):2497-503. doi: 10.2337/dc12-2462. Epub 2013 Apr 5.
- Derived from this study: PubMed 36809495Yao J, Zhang M, Zhang X, Zhang J. Impact of Type 2 Diabetes Duration on the Efficacy and Safety of Add-on Lixisenatide in Asian Individuals Receiving Basal Insulin: A Pooled Analysis. Diabetes Ther. 2023 Apr;14(4):653-669. doi: 10.1007/s13300-023-01369-6. Epub 2023 Feb 21.
- Derived from this study: PubMed 31956422Davidson JA, Stager W, Paranjape S, Berria R, Leiter LA. Achieving postprandial glucose control with lixisenatide improves glycemic control in patients with type 2 diabetes on basal insulin: a post-hoc analysis of pooled data. Clin Diabetes Endocrinol. 2020 Jan 14;6:2. doi: 10.1186/s40842-019-0088-5. eCollection 2020.
- Derived from this study: PubMed 29974618Rosenstock J, Handelsman Y, Vidal J, Ampudia Blasco FJ, Giorgino F, Liu M, Perfetti R, Meier JJ. Propensity-score-matched comparative analyses of simultaneously administered fixed-ratio insulin glargine 100 U and lixisenatide (iGlarLixi) vs sequential administration of insulin glargine and lixisenatide in uncontrolled type 2 diabetes. Diabetes Obes Metab. 2018 Dec;20(12):2821-2829. doi: 10.1111/dom.13462. Epub 2018 Aug 13.
- Derived from this study: PubMed 25130920Charbonnel B, Bertolini M, Tinahones FJ, Domingo MP, Davies M. Lixisenatide plus basal insulin in patients with type 2 diabetes mellitus: a meta-analysis. J Diabetes Complications. 2014 Nov-Dec;28(6):880-6. doi: 10.1016/j.jdiacomp.2014.07.007. Epub 2014 Jul 18.
- Derived from this study: PubMed 23628617Riddle MC, Aronson R, Home P, Marre M, Niemoeller E, Miossec P, Ping L, Ye J, Rosenstock J. Adding once-daily lixisenatide for type 2 diabetes inadequately controlled by established basal insulin: a 24-week, randomized, placebo-controlled comparison (GetGoal-L). Diabetes Care. 2013 Sep;36(9):2489-96. doi: 10.2337/dc12-2454. Epub 2013 Apr 29.
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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 Study Operations study director
Sanofi
140 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lixisenatide (AVE0010), Insulin glargine and Pen auto-injector in people with Type 2 Diabetes Mellitus, run by Sanofi at 140 sites in 26 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 25 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 11 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in United States, Canada, India, Romania, Argentina and 21 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 NCT00975286, which also lists 6 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 11 Oct 2016.