Diabetes Mellitus, Type 2Phase 3NCT00976391
A Study to Determine the Safety and Efficacy of Albiglutide Administered in Combination With Insulin Glargine
A Phase 3 study testing albiglutide + insulin glargine and insulin glargine + preprandial lispro insulin in people with Diabetes Mellitus, Type 2, run by GlaxoSmithKline at 209 sites in 14 countries.
Trial summary
This study will examine the safety and efficacy of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- albiglutide + insulin glargine and insulin glargine + preprandial lispro insulin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 586 participants
- Where
- 209 sitesin 14 countries
- Study dates
- Sep 2009to May 2012
- 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with type 2 diabetes, currently treated with insulin glargine or other intermediate- or long-acting insulin, with or without oral antidiabetic medications, but experiencing inadequate glycemic control and willing and capable of participating in a regimen of intensive insulin administration. A subject who has been on an intermediate- or long acting insulin for >/=6 months but <5 years, and, in spite of dosage adjustments based on home blood glucose monitoring, is unable to achieve a HbA1c of <7%.
- BMI >/= 20kg/m2 and </=45 kg/m2
- Fasting C-peptide >/=0.8 ng/mL (>/= 0.26 nmol/L)
- HbA1c between 7.0% and 10.5%, inclusive
- Use of oral or systemically injected glucocorticoids is generally not allowed within 3 months before randomization; inhaled, intra articular, and topical corticosteroids are allowed
- Hemoglobin </=11 g/dL for male subjects and >/=10 g/dL for female subjects
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- Creatinine clearance >60 mL/min (calculated using the Cockcroft Gault formula)
- Thyroid stimulating hormone level is normal or clinically euthyroid as demonstrated by further thyroid tests (e.g., T4, T3, thyroid-binding globulin)
- Female subjects of childbearing potential (i.e., not surgically sterile and/or not postmenopausal) must be practicing adequate contraception. Adequate contraception must be practiced for the duration of participation in the study including the 8 week Posttreatment Follow-up Period
- Able and willing to monitor his or her own blood glucose concentrations with a home glucose monitor as per the protocol recommendations of self administration
- No major illness or debility that in the investigator's opinion prohibits the subject from actively participating in their diabetes management and completing the study
- Able and willing to provide written informed consent
Who cannot join
- History of cancer, other than squamous cell or basal cell carcinoma of the skin, that has not been in full remission for at least 3 years before Screening.
- History of treated diabetic gastroparesis
- Current ongoing symptomatic biliary disease or history of pancreatitis
- History of significant gastrointestinal surgery, including gastric bypass and banding, antrectomy, Roux en Y bypass, gastric vagotomy, small bowel resection, or surgeries thought to significantly affect upper gastrointestinal function
- Recent clinically significant cardiovascular and/or cerebrovascular disease including but not limited to the following:
- Previous history of stroke or transient ischemic attack within 1 month before Screening.
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- Acute coronary syndrome, which includes the following:
- Documented MI within the 2 months before Screening and during the period up until receiving the first dose of study medication
- Any cardiac surgery including percutaneous transluminal coronary angioplasty, coronary stent placement, or coronary artery bypass graft surgery within the 2 months before Screening and during the period up until receiving the first dose of study medication
- Unstable angina not responsive to nitroglycerin within the 2 months before Screening and during the period up until receiving the first dose of study medication
- Unstable cardiac rhythm, however, as an example, controlled atrial fibrillation is allowed
- Current or history of heart failure (New York Heart Association class I to IV).
- Resting systolic pressure is >160 mm Hg and/or diastolic pressure >100 mm Hg.
- QTc interval (Fridericia) >470 ms confirmed by a central reader at Screening
- History of stroke or other central nervous system disorder that would negatively impact the subject's ability to participate in a program of intensive insulin management (eg, physically or mentally incapable of performing home blood glucose monitoring or administering and/or adjusting insulin dosage)
- Hemoglobinopathy that may affect determination of HbA1c
- History of human immunodeficiency virus infection
- History of total bilirubin >1.5 × ULN unless the subject has a previously known history of Gilbert's syndrome and a fractionated bilirubin that shows conjugated bilirubin <35% of total bilirubin
- ALT or aspartate aminotransferase (AST) >2.5 ×ULN
- Fasting triglyceride level >850 mg/dL at Screening or Week -1 (Visit 5).
- Acute symptomatic (within 3 months before Screening) infection with hepatitis B or hepatitis C; however, subjects with past or chronic hepatitis B or hepatitis C are allowed provided the requirements for ALT, AST, and total bilirubin are met
- History of a psychiatric disorder that will affect the subject's ability to participate in the study
- History of alcohol or substance abuse within 1 year before Screening
- Positive urine drug screen at Screening, unless the subject is taking a medically approved medication for which a positive drug screen simply verifies the use of this medication
- Hypoglycemia unawareness which has impaired cognitive function and required outside assistance
- Female subject is pregnant (confirmed by laboratory testing), lactating, or <6 weeks postpartum
- Known allergy to any GLP 1 analogue, insulin, other study medications' excipients, excipients of albiglutide, or Baker's yeast
- Receipt of any investigational drug within the 30 days, or 5 half lives whichever is longer, before Screening or a history of receipt of an investigational antidiabetic drug within the 3 months before randomization, or receipt of albiglutide in previous studies
- Current use of any GLP 1 analogue
- History of type 1 diabetes mellitus, diabetic complications (e.g., active proliferative retinopathy or severe diabetic neuropathy) that in the opinion of the investigator would preclude effective participation in the study, or a history of ketoacidosis or hyperosmolar coma
- Contraindications (as per the prescribing information) for the use of either background or potential randomized study medications (e.g., insulin glargine or lispro insulin)
- History or family history of medullary carcinoma
- History or family history of multiple endocrine neoplasia type 2
Trial locations and contacts
209 sites in 14 countries.
209 sites in 14 countries
United States142 sites
GSK Investigational Site
Akron, Ohio, 44320
GSK Investigational Site
Ann Arbor, Michigan, 48106
GSK Investigational Site
Arlington, Texas, 76012
GSK Investigational Site
Asheville, North Carolina, 28803
GSK Investigational Site
Atlanta, Georgia, 30308
GSK Investigational Site
Atlanta, Georgia, 30338
GSK Investigational Site
Avon, Indiana, 46123
GSK Investigational Site
Bedford, Texas, 76201
GSK Investigational Site
Bensalem, Pennsylvania, 19020
GSK Investigational Site
Benzonia, Michigan, 49616
GSK Investigational Site
Birmingham, Alabama, 35205
GSK Investigational Site
Bloomfield Hills, Michigan, 48302
GSK Investigational Site
Blue Ridge, Georgia, 30513
GSK Investigational Site
Bountiful, Utah, 84010
GSK Investigational Site
Boynton Beach, Florida, 33437
GSK Investigational Site
Burke, Virginia, 22015
GSK Investigational Site
Burlington, North Carolina, 27215
GSK Investigational Site
Canal Fulton, Ohio, 44614
GSK Investigational Site
Carlisle, Pennsylvania, 17013
GSK Investigational Site
Chesterfield, Missouri, 63017
GSK Investigational Site
Chino, California, 91710
GSK Investigational Site
Cincinnati, Ohio, 45245
GSK Investigational Site
Clarksville, Tennessee, 37043
GSK Investigational Site
Clearwater, Florida, 33756
GSK Investigational Site
Cleveland, Ohio, 44122
GSK Investigational Site
Columbus, Georgia, 31904
GSK Investigational Site
Columbus, Ohio, 43213
GSK Investigational Site
Commerce, California, 90040
GSK Investigational Site
Corpus Christi, Texas, 78404
GSK Investigational Site
Council Bluffs, Iowa, 51501
GSK Investigational Site
Cutler Bay, Florida, 33189
GSK Investigational Site
Dallas, Texas, 75224
GSK Investigational Site
Dallas, Texas, 75230
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Dallas, Texas, 75251
GSK Investigational Site
Dayton, Ohio, 45439
GSK Investigational Site
Dearborn, Michigan, 48124
GSK Investigational Site
Denver, Colorado, 80220
GSK Investigational Site
Des Moines, Iowa, 50314
GSK Investigational Site
Dothan, Alabama, 36301
GSK Investigational Site
Durham, North Carolina, 27710
GSK Investigational Site
El Paso, Texas, 79925
GSK Investigational Site
Evansville, Indiana, 47714
GSK Investigational Site
Fresno, California, 93720
GSK Investigational Site
Fullerton, California, 92835
GSK Investigational Site
Gilbert, Arizona, 85295
GSK Investigational Site
Great Falls, Montana, 59405
GSK Investigational Site
Greenville, South Carolina, 29601
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Haddon Heights, New Jersey, 08035
GSK Investigational Site
Hallandale, Florida, 33009
GSK Investigational Site
Hampton, Virginia, 23666
GSK Investigational Site
Haverhill, Massachusetts, 01830
GSK Investigational Site
Hickory, North Carolina, 28601
GSK Investigational Site
Honolulu, Hawaii, 96813
GSK Investigational Site
Honolulu, Hawaii, 96814
GSK Investigational Site
Houston, Texas, 77024
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Houston, Texas, 77058
GSK Investigational Site
Houston, Texas, 77074
GSK Investigational Site
Huntington Beach, California, 92646
GSK Investigational Site
Hyattsville, Maryland, 20782
GSK Investigational Site
Idaho Falls, Idaho, 83404
GSK Investigational Site
Iowa City, Iowa, 52243
GSK Investigational Site
Jacksonville, Florida, 32205
GSK Investigational Site
Jefferson City, Missouri, 65109
GSK Investigational Site
Johnson City, Tennessee, 37604
GSK Investigational Site
Jonesboro, Arkansas, 72401
GSK Investigational Site
Kalamazoo, Michigan, 49009
GSK Investigational Site
Kalamazoo, Michigan, 49048
GSK Investigational Site
Kansas City, Missouri
GSK Investigational Site
Katy, Texas, 77450
GSK Investigational Site
La Grange, Illinois, 60525
GSK Investigational Site
La Jolla, California, 92037
GSK Investigational Site
Lafayette, Indiana, 47904
GSK Investigational Site
Lake Jackson, Texas, 77566
GSK Investigational Site
Lauderdale Lakes, Florida, 33319
GSK Investigational Site
Lewisburg, West Virginia, 24901
GSK Investigational Site
Lexington, Kentucky, 40503
GSK Investigational Site
Lexington, Kentucky, 40504
GSK Investigational Site
Long Beach, California, 90806
GSK Investigational Site
Los Alamitos, California, 90720
GSK Investigational Site
Los Angeles, California, 90073
GSK Investigational Site
Manassas, Virginia, 20110
GSK Investigational Site
McKenzie, Tennessee, 38201
GSK Investigational Site
Memphis, Tennessee, 38125
GSK Investigational Site
Miami, Florida, 33156
GSK Investigational Site
Midland, Texas, 79707
GSK Investigational Site
Mission Viejo, California, 92691
GSK Investigational Site
Morehead City, North Carolina, 28557
GSK Investigational Site
Murrells Inlet, South Carolina, 29576
GSK Investigational Site
New Britain, Connecticut, 06050
GSK Investigational Site
New York, New York, 10025
GSK Investigational Site
Newton, Kansas, 67114
GSK Investigational Site
North Massapequa, New York, 11758
GSK Investigational Site
North Richland Hills, Texas, 76180
GSK Investigational Site
Oklahoma City, Oklahoma, 73103
GSK Investigational Site
Oklahoma City, Oklahoma, 73104
GSK Investigational Site
Omaha, Nebraska, 68124
GSK Investigational Site
Omaha, Nebraska, 68131
GSK Investigational Site
Orlando, Florida, 32822
GSK Investigational Site
Phoenix, Arizona, 85028
GSK Investigational Site
Phoenix, Arizona, 85050
GSK Investigational Site
Picayune, Mississippi, 39466
GSK Investigational Site
Plantation, Florida, 33317
GSK Investigational Site
Richmond, Virginia, 23294
GSK Investigational Site
Sacramento, California, 95821
GSK Investigational Site
Salt Lake City, Utah, 84102
GSK Investigational Site
Salt Lake City, Utah, 84124
GSK Investigational Site
San Antonio, Texas, 78215
GSK Investigational Site
San Antonio, Texas, 78218
GSK Investigational Site
San Diego, California, 92117
GSK Investigational Site
San Diego, California, 92128
GSK Investigational Site
San Diego, California, 92161
GSK Investigational Site
Satna Monica, California, 90404
GSK Investigational Site
Savannah, Georgia, 31419
GSK Investigational Site
Schertz, Texas, 78154
GSK Investigational Site
Searcy, Arkansas, 72143
GSK Investigational Site
Shreveport, Louisiana, 71101
GSK Investigational Site
Snellville, Georgia, 30078
GSK Investigational Site
South Burlington, Vermont, 05403
GSK Investigational Site
Spokane, Washington, 99216
GSK Investigational Site
Spring Valley, California, 91978
GSK Investigational Site
Springfield, Missouri, 65807
GSK Investigational Site
St Louis, Missouri, 63110
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Sugar Land, Texas, 77478
GSK Investigational Site
Tabor City, North Carolina, 28463
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
Temple, Texas, 76508
GSK Investigational Site
Tipton, Pennsylvania, 16684
GSK Investigational Site
Topeka, Kansas, 66606
GSK Investigational Site
Trumbull, Connecticut, 06611
GSK Investigational Site
Tullahoma, Tennessee, 37398
GSK Investigational Site
Tulsa, Oklahoma, 74104
GSK Investigational Site
Tulsa, Oklahoma, 74136
GSK Investigational Site
Tustin, California, 92780
GSK Investigational Site
Uniontown, Pennsylvania, 15401
GSK Investigational Site
Walnut Creek, California, 94598
GSK Investigational Site
Waterbury, Connecticut, 06708
GSK Investigational Site
West Hills, California, 91307
GSK Investigational Site
West Palm Beach, Florida, 33401
South Africa14 sites
GSK Investigational Site
Bellville, 7530
GSK Investigational Site
Boksburg North, Gauteng, 1459
GSK Investigational Site
Cape Town, 7530
GSK Investigational Site
Durban, KwaZulu-Natal, 4000
GSK Investigational Site
Durban, KwaZulu-Natal, 4068
GSK Investigational Site
Johannesburg, Gauteng, 01820
GSK Investigational Site
Johannesburg, Gauteng, 2013
GSK Investigational Site
Johannesburg, Gauteng, 2193
GSK Investigational Site
Kempton Park, 1619
GSK Investigational Site
Lenasia, Gauteng, 1827
GSK Investigational Site
Parow, 7505
GSK Investigational Site
Port Elizabeth, Eastern Cape, 6014
GSK Investigational Site
Pretoria, Gauteng, 00083
GSK Investigational Site
Somerset West, 7130
South Korea8 sites
GSK Investigational Site
Goyang-si, 411706
GSK Investigational Site
Koyang-shi, 411710
GSK Investigational Site
Seongnam-si, 463-707
GSK Investigational Site
Seongnam-si, 463712
GSK Investigational Site
Seoul, 135-720
GSK Investigational Site
Seoul, 137-701
GSK Investigational Site
Seoul, 139-872
GSK Investigational Site
Suwon, Kyonggi-do, 443-721
Philippines7 sites
GSK Investigational Site
Marikina City, 1810
GSK Investigational Site
Pasay, 1300
GSK Investigational Site
Pasig, 1600
GSK Investigational Site
Quezon City, 1102
GSK Investigational Site
San Juan City, 1500
GSK Investigational Site
Tagbilaran City, 6300
GSK Investigational Site
Taytay Rizal, 1920
Spain6 sites
GSK Investigational Site
Alzira, 46600
GSK Investigational Site
Barcelona, 08022
GSK Investigational Site
Madrid, 28034
GSK Investigational Site
Palma de Mallorca, 07010
GSK Investigational Site
Sabadell, 08208
GSK Investigational Site
Seville, 41003
India5 sites
GSK Investigational Site
Bangalore, 560 054
GSK Investigational Site
Bangalore, 560043
GSK Investigational Site
Bangalore, 560052
GSK Investigational Site
Chennai, 600020
GSK Investigational Site
Manipal, 576104
Peru5 sites
GSK Investigational Site
Huacho, Lima region
GSK Investigational Site
Ica, Ica, 11
GSK Investigational Site
Lima, Lima Province, 01
GSK Investigational Site
Piura, Piura
GSK Investigational Site
Trujillo
Taiwan5 sites
GSK Investigational Site
Taichung, 404
GSK Investigational Site
Tainan, 71044
GSK Investigational Site
Taipei, 100
GSK Investigational Site
Taipei, 11490
GSK Investigational Site
Taipei County, 23137
Germany4 sites
GSK Investigational Site
Berlin, State of Berlin, 10115
GSK Investigational Site
Dresden, Saxony, 01307
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55116
GSK Investigational Site
Witten, North Rhine-Westphalia, 58455
United Kingdom4 sites
GSK Investigational Site
Hull, HU3 2RW
GSK Investigational Site
Liverpool, Merseyside, L7 8XP
GSK Investigational Site
London, SE 1 9RT
GSK Investigational Site
Plymouth, PL6 8BX
Brazil3 sites
GSK Investigational Site
Brasília, 71625-009
GSK Investigational Site
Mogi das Cruzes, 08780 - 090
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90035-170
Mexico3 sites
GSK Investigational Site
Mexico City, 03300
GSK Investigational Site
Pachuca, Hidalgo, 42086
GSK Investigational Site
Puebla City, Puebla, 72190
France2 sites
GSK Investigational Site
Armentières, 59280
GSK Investigational Site
Vénissieux, 69200
About this study
Official title: A Randomized, Open-Label, Active-Controlled, Parallel-Group, Multicenter Study to Determine the Safety and Efficacy of Albiglutide Administered in Combination With Insulin Glargine as Compared With the Combination of Insulin Glargine and Preprandial Lispro Insulin in Subjects With Type 2 Diabetes Mellitus
This study will examine the safety and efficacy of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes.
Read the detailed description
This randomized, open-label, active-controlled, parallel-group, multicenter study evaluates the safety and efficacy of a weekly subcutaneously injected dose of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes. Subjects with a historical diagnosis of type 2 diabetes who are inadequately controlled despite the use of insulin glargine or other intermediate- or long-acting insulins for >/= 6 months but < 5 years, with or without oral antidiabetic medications, who are unable to achieve a glycosylated hemoglobin value of < 7% will be recruited into the study. Subjects must also be willing and capable of pursuing an intensive regimen of both basal and preprandial insulin.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- albiglutide + insulin glargine, insulin glargine + preprandial lispro insulin
- Keywords
- open-label, albiglutide, insulin glargine, preprandial insulin
- 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.
albiglutide + insulin glargineBiological
albiglutide in combination with insulin glargine
insulin glargine + preprandial lispro insulinDrug
insulin glargine in combination with preprandial lispro insulin
| Study group | Role | What they receive |
|---|---|---|
| albiglutide + insulin glargine | Active comparator | albiglutide in combination with insulin glargine Receives: Biological: albiglutide + insulin glargine |
| insulin glargine + preprandial lispro insulin | Active comparator | insulin glargine in combination with preprandial lispro insulin Receives: Drug: insulin glargine + preprandial lispro insulin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 26 minus the value at BL. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (<65 years versus ≥65 years) as factors and Baseline HbA1c as a continuous covariate.The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values.
Measured: Baseline and Week 26
Secondary outcomes (7)
Change From Baseline in HbA1c at Weeks 36, 48 and 52
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline is defined as the last available assessment on or prior to the first dose of study drug. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Measured: Baseline and Weeks 36, 48 and 52
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + region
Measured: Baseline and Week 26
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 36, 48 and 52
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline FPG minus the Baseline FPG. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Measured: Baseline and Weeks 36, 48 and 52
Number of Participants Who Achieved HbA1c Response Level of <6.5% and <7.0% at Week 26
The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of <6.5% and <7.0% at Week 26) were assessed.
Measured: Week 26
Time to Hyperglycemia Rescue
Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: HbA1c >9.0% and <0.5% decrease from Baseline between >=Week 4 and <Week 8; HbA1c >9.0% and <0.5% decrease from Baseline between >=Week 8 and <Week 12; HbA1c >8.5% and >=4 weeks since uptitration between >=Week 12 and <Week 16; HbA1c >8.0% and >=4 weeks since uptitration; HbA1c >7.5% and >=4 weeks between >Week 26 and >=Week 48 since uptitration. Participants could have been rescued at any time after Week 4. Time to hyperglycemia rescue is the time between the date of first dose and the date of hyperglycemia rescue plus 1 day, or the time between the date of first dose and the date of last visit during active treatment period plus 1 day for participants not requiring rescue. This time is divided by 7 to express the result in weeks.
Measured: From the start of study medication until the end of the treatment (up to Week 52)
Change From Baseline in Body Weight at Week 26
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region + current oral antidiabetic therapy.
Measured: Baseline and Week 26
Change From Baseline in Body Weight at Weeks 36, 48 and 52
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Measured: Baseline and Weeks 36, 48 and 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2009 (estimated)
- Study startSep 2009
- Primary completionOct 2011
- Study completionMay 2012
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 GlaxoSmithKlineThe 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
- None (open label)
- Enrolment
- 586 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00976391
- Sponsor's protocol ID
- 108486
- Status last verified
- Nov 2016
- First submitted
- 11 Sep 2009
- Last updated
- 11 Jan 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
Rosenstock J, Fonseca VA, Gross JL, Ratner RE, Ahren B, Chow FC, Yang F, Miller D, Johnson SL, Stewart MW, Leiter LA; Harmony 6 Study Group. Advancing basal insulin replacement in type 2 diabetes inadequately controlled with insulin glargine plus oral agents: a comparison of adding albiglutide, a weekly GLP-1 receptor agonist, versus thrice-daily prandial insulin lispro. Diabetes Care. 2014 Aug;37(8):2317-25. doi: 10.2337/dc14-0001. Epub 2014 Jun 4.
PubMed 24898300
Study at a glance
From the registry record, last updated by the sponsor on 11 Jan 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-Label, Active-Controlled, Parallel-Group, Multicenter Study to Determine the Safety and Efficacy of Albiglutide Administered in Combination With Insulin Glargine as Compared With the Combination of Insulin Glargine and Preprandial Lispro Insulin in Subjects With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT00976391
- Acronym / sponsor ID
- 108486
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- open-label, albiglutide, insulin glargine, preprandial insulin
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 586 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Sep 2009
- Primary completion
- Oct 2011 (actual)
- Study completion
- May 2012 (actual)
- First posted
- 14 Sep 2009 (estimated)
- Results
- Posted 16 Jul 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will examine the safety and efficacy of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes.
Detailed description
This randomized, open-label, active-controlled, parallel-group, multicenter study evaluates the safety and efficacy of a weekly subcutaneously injected dose of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes. Subjects with a historical diagnosis of type 2 diabetes who are inadequately controlled despite the use of insulin glargine or other intermediate- or long-acting insulins for >/= 6 months but < 5 years, with or without oral antidiabetic medications, who are unable to achieve a glycosylated hemoglobin value of < 7% will be recruited into the study. Subjects must also be willing and capable of pursuing an intensive regimen of both basal and preprandial insulin.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| albiglutide + insulin glargine | Active comparator | Biological: albiglutide + insulin glarginealbiglutide in combination with insulin glargine |
| insulin glargine + preprandial lispro insulin | Active comparator | Drug: insulin glargine + preprandial lispro insulininsulin glargine in combination with preprandial lispro insulin |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Subjects with type 2 diabetes, currently treated with insulin glargine or other intermediate- or long-acting insulin, with or without oral antidiabetic medications, but experiencing inadequate glycemic control and willing and capable of participating in a regimen of intensive insulin administration. A subject who has been on an intermediate- or long acting insulin for >/=6 months but <5 years, and, in spite of dosage adjustments based on home blood glucose monitoring, is unable to achieve a HbA1c of <7%.
- BMI >/= 20kg/m2 and </=45 kg/m2
- Fasting C-peptide >/=0.8 ng/mL (>/= 0.26 nmol/L)
- HbA1c between 7.0% and 10.5%, inclusive
- Use of oral or systemically injected glucocorticoids is generally not allowed within 3 months before randomization; inhaled, intra articular, and topical corticosteroids are allowed
Key exclusion criteria (33 listed)
- History of cancer, other than squamous cell or basal cell carcinoma of the skin, that has not been in full remission for at least 3 years before Screening.
- History of treated diabetic gastroparesis
- Current ongoing symptomatic biliary disease or history of pancreatitis
- History of significant gastrointestinal surgery, including gastric bypass and banding, antrectomy, Roux en Y bypass, gastric vagotomy, small bowel resection, or surgeries thought to significantly affect upper gastrointestinal function
- Recent clinically significant cardiovascular and/or cerebrovascular disease including but not limited to the following:
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 |
|---|---|---|
| albiglutide + insulin glarginealbiglutide in combination with insulin glargine | Biological | albiglutide + insulin glargine |
| insulin glargine + preprandial lispro insulininsulin glargine in combination with preprandial lispro insulin | Drug | insulin glargine + preprandial lispro insulin |
Primary outcome
Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26
Time frame: Baseline and Week 26
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 26 minus the value at BL. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (<65 years versus ≥65 years) as factors and Baseline HbA1c as a continuous covariate.The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values.
7 secondary outcomes
Change From Baseline in HbA1c at Weeks 36, 48 and 52
Time frame: Baseline and Weeks 36, 48 and 52
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
Time frame: Baseline and Week 26
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 36, 48 and 52
Time frame: Baseline and Weeks 36, 48 and 52
Number of Participants Who Achieved HbA1c Response Level of <6.5% and <7.0% at Week 26
Time frame: Week 26
Time to Hyperglycemia Rescue
Time frame: From the start of study medication until the end of the treatment (up to Week 52)
Change From Baseline in Body Weight at Week 26
Time frame: Baseline and Week 26
Change From Baseline in Body Weight at Weeks 36, 48 and 52
Time frame: Baseline and Weeks 36, 48 and 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jan 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24898300Rosenstock J, Fonseca VA, Gross JL, Ratner RE, Ahren B, Chow FC, Yang F, Miller D, Johnson SL, Stewart MW, Leiter LA; Harmony 6 Study Group. Advancing basal insulin replacement in type 2 diabetes inadequately controlled with insulin glargine plus oral agents: a comparison of adding albiglutide, a weekly GLP-1 receptor agonist, versus thrice-daily prandial insulin lispro. Diabetes Care. 2014 Aug;37(8):2317-25. doi: 10.2337/dc14-0001. Epub 2014 Jun 4.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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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.
GSK Clinical Trials study director
GlaxoSmithKline
209 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing albiglutide + insulin glargine and insulin glargine + preprandial lispro insulin in people with Diabetes Mellitus, Type 2, run by GlaxoSmithKline at 209 sites in 14 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 12 inclusion and 33 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 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 209 sites in United States, South Africa, South Korea, Philippines, Spain and 9 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. 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 16 Jul 2014). 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 From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26 (time frame: Baseline and Week 26). 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 NCT00976391, 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 11 Jan 2017.