Type 2 Diabetes MellitusPhase 3NCT00976937
24-week Study Comparing Lixisenatide to Sitagliptin as add-on to Metformin in Obese Type 2 Diabetic Patients Younger Than 50 Years
A Phase 3 study testing Lixisenatide (AVE0010), Pen auto-injector and Sitagliptin in people with Type 2 Diabetes Mellitus, run by Sanofi at 92 sites in 13 countries.
Trial summary
The purpose of this study is to evaluate benefits and risks of lixisenatide (AVE0010), in comparison to sitagliptin, as an add-on treatment to metformin, in obese (body mass index [BMI] greater than or equal to 30 kilogram per square meter [kg/m^2]) type 2 diabetic patients less than 50 years of age, over a period of… Read more about this study
- Who is it for?
- Ages 18 to 49 years
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Lixisenatide (AVE0010), Pen auto-injector and Sitagliptin
- Type of treatment
- Pill or oral medicine, Injection or infusion, Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 319 participants
- Where
- 92 sitesin 13 countries
- Study dates
- Aug 2009to Mar 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 to 49 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Type 2 diabetes mellitus, diagnosed for at least 1 year at the time of screening visit, insufficiently controlled with metformin at a stable dose of at least 1.5 gram/day (g/day) for at least 3 months prior to the screening visit
- Patients with obesity (BMI greater than equal to [>=] 30 kg/m^2) and aged from 18 years to less than 50 years
Who cannot join
- HbA1c less than (<) 7.0 percent (%) or HbA1c greater than (>) 10% at screening
- Type 1 diabetes mellitus
- Pregnant or breastfeeding women or women of childbearing potential with no effective contraceptive method
- FPG at screening >250 milligram/deciliter (mg/dL) (>13.9 millimole/ liter [mmol/L])
- 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, 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)
Show all 24Show fewer
- History of metabolic acidosis, including diabetic ketoacidosis within 1 year prior to screening
- Hemoglobinopathy or hemolytic anemia or receipt of blood or plasma products 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 (ECG) or vital signs at the time of screening that in the judgment of the investigator or any sub-investigator could have precludes safe completion of the study or constrains efficacy assessment such as 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 >3 times the upper limit of normal (ULN) laboratory range; alanine aminotransferase (ALT): >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, and calcitonin >=20 picogram per milliliter (pg/mL) (5.9 picomole per liter)
- Patients who are considered by the investigator or any sub-investigator as inappropriate for the 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 than metformin (for example, sulfonylurea, alpha glucosidase inhibitor, thiazolidinedione, exenatide, dipeptidyl peptidase IV (DPP-IV) inhibitors, insulin) within 3 months prior to the time of screening
- History of bariatric surgery, anti-obesity treatment, or unstable diet within 3 months prior to the time of screening
- 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
- 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 glucagon like peptide-1 (GLP 1) agonist in the past (for example, exenatide, liraglutide) or to metacresol
- History of a serious hypersensitivity reaction to sitagliptin
- Moderate or severe renal impairment (creatinine clearance inferior to 50 milliliter/minute [mL/min])
- Additional exclusion criteria at the end of the run-in phase: informed consent withdrawal; lack of compliance during the single-blind placebo run-in period (>2 injections missed or >2 capsules missed); and patient with any adverse event which could have precludes the inclusion in the study, as assessed by the investigator
Trial locations and contacts
92 sites in 13 countries.
92 sites in 13 countries
United States21 sites
Sanofi-Aventis Investigational Site Number 840025
Altoona, Pennsylvania, 16602
Sanofi-Aventis Investigational Site Number 840011
Anaheim, California, 92801
Sanofi-Aventis Investigational Site Number 840021
Augusta, Georgia, 30909
Sanofi-Aventis Investigational Site Number 840002
Baton Rouge, Louisiana, 70808
Sanofi-Aventis Investigational Site Number 840009
Brentwood, Tennessee, 37207
Sanofi-Aventis Investigational Site Number 840006
Butte, Montana, 59701
Sanofi-Aventis Investigational Site Number 840016
Chicago, Illinois, 60610
Sanofi-Aventis Investigational Site Number 840018
Chicago, Illinois, 60616
Sanofi-Aventis Investigational Site Number 840031
Clarkston, Michigan, 48346
Sanofi-Aventis Investigational Site Number 840008
Dallas, Texas, 75230
Sanofi-Aventis Investigational Site Number 840001
Evansville, Indiana, 47714
Sanofi-Aventis Investigational Site Number 840020
Florissant, Missouri, 63031
Sanofi-Aventis Investigational Site Number 840004
Medford, Oregon, 97504
Sanofi-Aventis Investigational Site Number 840022
Mesa, Arizona, 85206
Sanofi-Aventis Investigational Site Number 840019
Montgomery, Alabama, 36109
Sanofi-Aventis Investigational Site Number 840003
Muscle Shoals, Alabama, 35661
Sanofi-Aventis Investigational Site Number 840014
Paramount, California, 90723
Sanofi-Aventis Investigational Site Number 840026
Perrysburg, Ohio, 43551
Sanofi-Aventis Investigational Site Number 840027
Redlands, California, 92374
Sanofi-Aventis Investigational Site Number 840007
Roswell, Georgia, 30076
Sanofi-Aventis Investigational Site Number 840010
San Antonio, Texas, 78229
Canada10 sites
Sanofi-Aventis Investigational Site Number 124004
Calgary, T2N 4N1
Sanofi-Aventis Investigational Site Number 124008
Hamilton, L8L 5G8
Sanofi-Aventis Investigational Site Number 124005
London, N6G 2M3
Sanofi-Aventis Investigational Site Number 124006
Montreal, H2W 1R7
Sanofi-Aventis Investigational Site Number 124013
Oakville, L6H 3P1
Sanofi-Aventis Investigational Site Number 124002
Saint Romuald, G6W 5M6
Sanofi-Aventis Investigational Site Number 124012
Thornhill, L4J 8L7
Sanofi-Aventis Investigational Site Number 124011
Toronto
Sanofi-Aventis Investigational Site Number 124003
Vancouver, V5Z 1C6
Sanofi-Aventis Investigational Site Number 124007
Victoria, V8R 6V4
Mexico10 sites
Sanofi-Aventis Investigational Site Number 484003
Aguascalientes, 20230
Sanofi-Aventis Investigational Site Number 484010
Chihuahua City, 31000
Sanofi-Aventis Investigational Site Number 484009
Chihuahua City, 31238
Sanofi-Aventis Investigational Site Number 484012
Df, 03300
Sanofi-Aventis Investigational Site Number 484008
Mérida, 97000
Sanofi-Aventis Investigational Site Number 484011
México, 14050
Sanofi-Aventis Investigational Site Number 484001
Pachuca, 42090
Sanofi-Aventis Investigational Site Number 484005
Pachuca, 42090
Sanofi-Aventis Investigational Site Number 484006
Veracruz, 91700
Sanofi-Aventis Investigational Site Number 484002
Zapopan, 44030
Romania8 sites
Sanofi-Aventis Investigational Site Number 642004
Bacau, 600164
Sanofi-Aventis Investigational Site Number 642006
Bucharest, 020475
Sanofi-Aventis Investigational Site Number 642008
Bucharest, 022441
Sanofi-Aventis Investigational Site Number 642010
Iași, 700515
Sanofi-Aventis Investigational Site Number 642009
Ploieşti, 100097
Sanofi-Aventis Investigational Site Number 642001
Reşiţa, 320076
Sanofi-Aventis Investigational Site Number 642005
Suceava, 720262
Sanofi-Aventis Investigational Site Number 642007
Timișoara, 300593
Brazil7 sites
Sanofi-Aventis Investigational Site Number 076005
Belém, 66073-000
Sanofi-Aventis Investigational Site Number 076001
Brasília, 71625-009
Sanofi-Aventis Investigational Site Number 076006
Caxias do Sul, 95070-560
Sanofi-Aventis Investigational Site Number 076003
Curitiba, 80060-900
Sanofi-Aventis Investigational Site Number 076002
Rio de Janeiro, 20211-340
Sanofi-Aventis Investigational Site Number 076004
São Paulo, 04024-002
Sanofi-Aventis Investigational Site Number 076007
São Paulo, 05403-000
Australia6 sites
Sanofi-Aventis Investigational Site Number 036006
Adelaide, 5000
Sanofi-Aventis Investigational Site Number 036001
Box Hill, 3128
Sanofi-Aventis Investigational Site Number 036004
Elizabeth Vale, 5112
Sanofi-Aventis Investigational Site Number 036002
Geelong, 3220
Sanofi-Aventis Investigational Site Number 036005
Meadowbrook, 4131
Sanofi-Aventis Investigational Site Number 036003
Sydney, 2006
Chile5 sites
Sanofi-Aventis Investigational Site Number 152001
Santiago, 7500347
Sanofi-Aventis Investigational Site Number 152004
Santiago, 7500710
Sanofi-Aventis Investigational Site Number 152003
Santiago, 8053095
Sanofi-Aventis Investigational Site Number 152002
Santiago
Sanofi-Aventis Investigational Site Number 152005
Santiago
Guatemala5 sites
Sanofi-Aventis Investigational Site Number 320002
Guatemala City, 01010
Sanofi-Aventis Investigational Site Number 320001
Guatemala City, 01014
Sanofi-Aventis Investigational Site Number 320004
Guatemala City, 1010
Sanofi-Aventis Investigational Site Number 320005
Guatemala City
Sanofi-Aventis Investigational Site Number 320006
Guatemala City
Peru5 sites
Sanofi-Aventis Investigational Site Number 604005
Lima, 27
Sanofi-Aventis Investigational Site Number 604003
Lima, Lima 27
Sanofi-Aventis Investigational Site Number 604001
Lima
Sanofi-Aventis Investigational Site Number 604002
Lima
Sanofi-Aventis Investigational Site Number 604004
Lima
Russia5 sites
Sanofi-Aventis Investigational Site Number 643002
Kazan', 420012
Sanofi-Aventis Investigational Site Number 643001
Saint Petersburg, 194358
Sanofi-Aventis Investigational Site Number 643003
Saint Petersburg, 195257
Sanofi-Aventis Investigational Site Number 643005
Saint Petersburg, 198013
Sanofi-Aventis Investigational Site Number 643004
Tyumen, 625023
Poland4 sites
Sanofi-Aventis Investigational Site Number 616002
Bialystok, 15-435
Sanofi-Aventis Investigational Site Number 616001
Bydgoszcz, 85-822
Sanofi-Aventis Investigational Site Number 616006
Warsaw, 02-507
Sanofi-Aventis Investigational Site Number 616003
Wroclaw, 50-127
Germany3 sites
Sanofi-Aventis Investigational Site Number 276002
Berlin, 13125
Sanofi-Aventis Investigational Site Number 276005
Ludwigshafen, 67059
Sanofi-Aventis Investigational Site Number 276004
Schkeuditz, 04435
Ukraine3 sites
Sanofi-Aventis Investigational Site Number 804003
Chernivtsi, 58022
Sanofi-Aventis Investigational Site Number 804001
Kiev, 2091
Sanofi-Aventis Investigational Site Number 804004
Kyiv, 31156
About this study
Official title: A Randomized, Double-blind, Double-dummy, 2-arm Parallel-group, Multicenter 24-week Study Comparing the Efficacy and Safety of AVE0010 to Sitagliptin as add-on to Metformin in Obese Type 2 Diabetic Patients Younger Than 50 and Not Adequately Controlled With Metformin
The purpose of this study is to evaluate benefits and risks of lixisenatide (AVE0010), in comparison to sitagliptin, as an add-on treatment to metformin, in obese (body mass index [BMI] greater than or equal to 30 kilogram per square meter [kg/m^2]) type 2 diabetic patients less than 50 years of age, over a period of 24 weeks of treatment.
The primary objective of this study is to assess the efficacy of lixisenatide, in comparison to sitagliptin, as an add-on treatment to metformin on a composite endpoint of glycemic control in terms of glycosylated hemoglobin (HbA1c) and body weight, at Week 24.
Secondary objectives are to assess the effects of lixisenatide, in comparison to sitagliptin, as an add-on treatment to metformin on absolute changes in HbA1c values and body weight; fasting plasma glucose (FPG); plasma glucose, insulin, C-peptide, glucagon, and proinsulin during a 2-hour standardized meal test; insulin resistance assessed by homeostatic model assessment of insulin resistance (HOMA-IR); beta cell function assessed by homeostatic model assessment of beta-cell function (HOMA-beta); to evaluate safety, tolerability, and anti-lixisenatide antibody development.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Lixisenatide (AVE0010), Lixisenatide Placebo, Pen auto-injector, Sitagliptin, Sitagliptin Placebo
- 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.
Lixisenatide PlaceboDrug
Self-administered by subcutaneous injections once daily within the hour preceding breakfast.
Pen auto-injectorDevice
Also called OptiClik®
SitagliptinDrug
Also called Januvia®
Administered orally once a day in the morning with or without food at approximately the same time each day.
Sitagliptin PlaceboDrug
Administered orally once a day in the morning with or without food at approximately the same time each day.
MetforminDrug
Metformin to be continued at stable dose (at least 1.5 gram per day) up to Week 24.
| Study group | Role | What they receive |
|---|---|---|
| Lixisenatide | Experimental | 2-step initiation regimen of lixisenatide along with sitagliptin placebo: 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 along with placebo matching to sitagliptin 100 milligram (mg) capsule orally QD up to Week 24. Receives: Drug: Lixisenatide (AVE0010); Device: Pen auto-injector; Drug: Sitagliptin Placebo; Drug: Metformin |
| Sitagliptin | Active comparator | Sitagliptin along with 2-step initiation regimen of volume matching lixisenatide placebo: sitagliptin 100 mg capsule orally QD up to Week 24 along with volume matching lixisenatide 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: Lixisenatide Placebo; Device: Pen auto-injector; Drug: Sitagliptin; Drug: Metformin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% and at Least 5% Weight Loss From Baseline at Week 24
Percentage of patients who met both criteria (HbA1c <7% at Week 24 and at least 5% weight loss from baseline at Week 24) is reported. 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.
Measured: Week 24
Secondary outcomes (13)
Absolute Change From Baseline in 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 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest.
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.
Measured: Baseline, Week 24
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 the study drug or up to the introduction of rescue therapy, whichever is the earliest.
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.
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 the study drug or up to the introduction of rescue therapy, whichever is the earliest.
Measured: Baseline, Week 24
Change From Baseline in Fasting Plasma Insulin (FPI) and 2-hour Postprandial Plasma Insulin (PPI) at Week 24
Change was calculated for fasting plasma insulin and 2-hour post prandial plasma insulin 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 the study drug or up to the introduction of rescue therapy, whichever is the earliest.
Measured: Baseline, Week 24
Change From Baseline in Fasting C-peptide and 2-hour Postprandial C-peptide at Week 24
Change was calculated for fasting C-peptide and 2-hour postprandial C-peptide 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.
Measured: Baseline, Week 24
Change From Baseline in Fasting Glucagon and 2-hour Postprandial Glucagon at Week 24
Change was calculated for fasting glucagon and 2-hour postprandial glucagon 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.
Measured: Baseline, Week 24
Change From Baseline in Fasting Proinsulin and 2-hour Postprandial Proinsulin at Week 24
Change was calculated for fasting proinsulin and 2-hour postprandial proinsulin 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 the study drug up to the last dosing day of study drug or up to the introduction of rescue therapy, whichever is the earliest.
Measured: Baseline, Week 24
Change From Baseline in Insulin Resistance Assessed by Homeostasis Model Assessment- Insulin Resistance (HOMA-IR) at Week 24
HOMA-IR was derived from FPG and FPI as: (FPI [micro units per milliliter]*FPG [mmol/L]) divided by 22.5. Change was calculated for HOMA-IR 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.
Measured: Baseline, Week 24
Change From Baseline in Beta Cell Function Assessed by Homeostasis Model Assessment-Beta (HOMA-beta) at Week 24
HOMA-beta was derived from FPG and FPI as: (20*FPI [micro units/milliliter]) divided by (FPG [mmol/L] minus 3.5). Change was calculated for HOMA-beta 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.
Measured: Baseline, 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 3 days after the last dose of study drug or up to the introduction of rescue therapy, whichever is the earliest.
Measured: Week 24
Percentage of Patients Requiring Rescue Therapy During 24-Week Period
Routine fasting self-measured 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%.
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 posted15 Sep 2009 (estimated)
- Study startAug 2009
- Primary completionMar 2011
- Study completionMar 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.
- 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
- 319 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
- NCT00976937
- Sponsor's protocol ID
- EFC10780
- Other IDs
- EudraCT:2008-007 334-22
- Status last verified
- Aug 2016
- First submitted
- 14 Sep 2009
- Last updated
- 11 Oct 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
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, Double-blind, Double-dummy, 2-arm Parallel-group, Multicenter 24-week Study Comparing the Efficacy and Safety of AVE0010 to Sitagliptin as add-on to Metformin in Obese Type 2 Diabetic Patients Younger Than 50 and Not Adequately Controlled With Metformin
- ClinicalTrials.gov ID
- NCT00976937
- Acronym / sponsor ID
- EFC10780
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 319 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Aug 2009
- Primary completion
- Mar 2011 (actual)
- Study completion
- Mar 2011 (actual)
- First posted
- 15 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 this study is to evaluate benefits and risks of lixisenatide (AVE0010), in comparison to sitagliptin, as an add-on treatment to metformin, in obese (body mass index [BMI] greater than or equal to 30 kilogram per square meter [kg/m^2]) type 2 diabetic patients less than 50 years of age, over a period of 24 weeks of treatment.
The primary objective of this study is to assess the efficacy of lixisenatide, in comparison to sitagliptin, as an add-on treatment to metformin on a composite endpoint of glycemic control in terms of glycosylated hemoglobin (HbA1c) and body weight, at Week 24.
Secondary objectives are to assess the effects of lixisenatide, in comparison to sitagliptin, as an add-on treatment to metformin on absolute changes in HbA1c values and body weight; fasting plasma glucose (FPG); plasma glucose, insulin, C-peptide, glucagon, and proinsulin during a 2-hour standardized meal test; insulin resistance assessed by homeostatic model assessment of insulin resistance (HOMA-IR); beta cell function assessed by homeostatic model assessment of beta-cell function (HOMA-beta); to evaluate safety, tolerability, and anti-lixisenatide antibody development.
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: Sitagliptin Placebo, Drug: Metformin2-step initiation regimen of lixisenatide along with sitagliptin placebo: 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 along with placebo matching to sitagliptin 100 milligram (mg) capsule orally QD up to Week 24. |
| Sitagliptin | Active comparator | Drug: Lixisenatide Placebo, Device: Pen auto-injector, Drug: Sitagliptin, Drug: MetforminSitagliptin along with 2-step initiation regimen of volume matching lixisenatide placebo: sitagliptin 100 mg capsule orally QD up to Week 24 along with volume matching lixisenatide 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 to 49 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Type 2 diabetes mellitus, diagnosed for at least 1 year at the time of screening visit, insufficiently controlled with metformin at a stable dose of at least 1.5 gram/day (g/day) for at least 3 months prior to the screening visit
- Patients with obesity (BMI greater than equal to [>=] 30 kg/m^2) and aged from 18 years to less than 50 years
Key exclusion criteria (24 listed)
- HbA1c less than (<) 7.0 percent (%) or HbA1c greater than (>) 10% at screening
- Type 1 diabetes mellitus
- Pregnant or breastfeeding women or women of childbearing potential with no effective contraceptive method
- FPG at screening >250 milligram/deciliter (mg/dL) (>13.9 millimole/ liter [mmol/L])
- Weight change of more than 5 kg during the 3 months preceding 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 |
| Lixisenatide PlaceboSelf-administered by subcutaneous injections once daily within the hour preceding breakfast. | Drug | Sitagliptin |
| Pen auto-injectorAlso: OptiClik® | Device | Lixisenatide, Sitagliptin |
| SitagliptinAlso: Januvia®Administered orally once a day in the morning with or without food at approximately the same time each day. | Drug | Sitagliptin |
| Sitagliptin PlaceboAdministered orally once a day in the morning with or without food at approximately the same time each day. | Drug | Lixisenatide |
| MetforminMetformin to be continued at stable dose (at least 1.5 gram per day) up to Week 24. | Drug | Lixisenatide, Sitagliptin |
Primary outcome
Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% and at Least 5% Weight Loss From Baseline at Week 24
Time frame: Week 24
Percentage of patients who met both criteria (HbA1c <7% at Week 24 and at least 5% weight loss from baseline at Week 24) is reported. 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.
13 secondary outcomes
Absolute Change From Baseline in HbA1c 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 2-hour Postprandial Plasma Glucose (PPG) at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Fasting Plasma Glucose (FPG) 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 Fasting Plasma Insulin (FPI) and 2-hour Postprandial Plasma Insulin (PPI) at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Fasting C-peptide and 2-hour Postprandial C-peptide at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Fasting Glucagon and 2-hour Postprandial Glucagon at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Fasting Proinsulin and 2-hour Postprandial Proinsulin at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Insulin Resistance Assessed by Homeostasis Model Assessment- Insulin Resistance (HOMA-IR) at Week 24
Time frame: Baseline, Week 24
Change From Baseline in Beta Cell Function Assessed by Homeostasis Model Assessment-Beta (HOMA-beta) at Week 24
Time frame: Baseline, 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 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 11 Oct 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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
92 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 Sitagliptin in people with Type 2 Diabetes Mellitus, run by Sanofi at 92 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 2 inclusion and 24 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 92 sites in United States, Canada, Mexico, Romania, Brazil 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. 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?
Percentage of Patients With Glycosylated Hemoglobin (HbA1c) Level Less Than 7% and at Least 5% Weight Loss From Baseline at Week 24 (time frame: Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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.