DiabetesPhase 4LIRA-PRIMENCT02730377
Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes
A Phase 4 study testing liraglutide, alpha-glucosidase inhibitors and DPP-4 inhibitors in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 232 sites in 10 countries.
Trial summary
This trial is conducted globally. The aim of the trial is to investigate efficacy in controlling glycaemia with Victoza® (liraglutide) as add-on to metformin background treatment vs. OADs as add-on to metformin background treatment for 104 weeks of treatment in subjects with type 2 diabetes. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes, Diabetes Mellitus, Type 2
- What is being tested?
- liraglutide, alpha-glucosidase inhibitors and DPP-4 inhibitors
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,991 participants
- Where
- 232 sitesin 10 countries
- Study dates
- 28 Mar 2016to 12 Aug 2019
- Phase
- Phase 4
- 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
Inclusion Criteria: - Male or female at least 18 years of age at the time of signing informed consent - Subjects diagnosed (clinically) with type 2 diabetes equal to or above 90 days prior to the screening visit - Stable daily dose of metformin as monotherapy equal to or above 1500 mg or maximum tolerated dose within 60 days prior to the screening visit - HbA1c 7.5-9.0% (59-75 mmol/mol) (both inclusive) and measured within the last 90 days prior to the screening visit Exclusion Criteria: - Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using adequate contraceptive methods (adequate contraceptive measures as required by local regulation or practice) - Treatment with any medication for the indication of diabetes other than metformin in a period of 60 days before the screening visit. An exception is short-term treatment (below or equal to 7 days in total) with insulin in connection with intercurrent illness - Receipt of any investigational medicinal product within 30 days before the screening visit - Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol
Trial locations and contacts
232 sites in 10 countries.
232 sites in 10 countries
United States179 sites
Novo Nordisk Investigational Site
Albuquerque, New Mexico, 87102
Novo Nordisk Investigational Site
Albuquerque, New Mexico, 87108
Novo Nordisk Investigational Site
Alhambra, California, 91801
Novo Nordisk Investigational Site
Anderson, South Carolina, 29621
Novo Nordisk Investigational Site
Arlington, Texas, 76014-2010
Novo Nordisk Investigational Site
Arlington, Texas, 76015
Novo Nordisk Investigational Site
Asheboro, North Carolina, 27203
Novo Nordisk Investigational Site
Athens, Tennessee, 37303
Novo Nordisk Investigational Site
Aurora, Illinois, 60506
Novo Nordisk Investigational Site
Avon, Indiana, 46123
Novo Nordisk Investigational Site
Bainbridge, Georgia, 39819
Novo Nordisk Investigational Site
Beaver, Pennsylvania, 15009
Novo Nordisk Investigational Site
Bellevue, Washington, 98004-4604
Novo Nordisk Investigational Site
Belzoni, Mississippi, 39038
Novo Nordisk Investigational Site
Birmingham, Alabama, 35211
Novo Nordisk Investigational Site
Bountiful, Utah, 84010
Novo Nordisk Investigational Site
Brooklyn, New York, 11215
Novo Nordisk Investigational Site
Buckley, Michigan, 49620
Novo Nordisk Investigational Site
Buena Park, California, 90620
Novo Nordisk Investigational Site
Burlington, North Carolina, 27215
Novo Nordisk Investigational Site
Butte, Montana, 59701
Novo Nordisk Investigational Site
Carlsbad, California, 92008
Novo Nordisk Investigational Site
Carrollton, Texas, 75010
Novo Nordisk Investigational Site
Centennial, Colorado, 80012
Novo Nordisk Investigational Site
Centennial, Colorado, 80112
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28210
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28277-6594
Novo Nordisk Investigational Site
Charlotte, North Carolina, 28277
Novo Nordisk Investigational Site
Chattanooga, Tennessee, 37404
Novo Nordisk Investigational Site
Chicago, Illinois, 60616
Novo Nordisk Investigational Site
Chiefland, Florida, 32626
Novo Nordisk Investigational Site
Clearwater, Florida, 33756
Novo Nordisk Investigational Site
Colorado Springs, Colorado, 80906
Novo Nordisk Investigational Site
Columbia, South Carolina, 29223
Novo Nordisk Investigational Site
Columbus, Ohio, 43213
Novo Nordisk Investigational Site
Conyers, Georgia, 30094-5965
Novo Nordisk Investigational Site
Coronado, California, 92118
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78404
Novo Nordisk Investigational Site
Corpus Christi, Texas, 78413
Novo Nordisk Investigational Site
Costa Mesa, California, 92627
Novo Nordisk Investigational Site
Dallas, Texas, 75251
Novo Nordisk Investigational Site
Danville, Virginia, 24541
Novo Nordisk Investigational Site
Dayton, Ohio, 45406
Novo Nordisk Investigational Site
Edmond, Oklahoma, 73034
Novo Nordisk Investigational Site
Elizabeth City, North Carolina, 27909
Novo Nordisk Investigational Site
Elk Grove, California, 95758
Novo Nordisk Investigational Site
Elkridge, Maryland, 21075-6437
Novo Nordisk Investigational Site
Encinitas, California, 92024
Novo Nordisk Investigational Site
Evansville, Indiana, 47714
Novo Nordisk Investigational Site
Fargo, North Dakota, 58104
Novo Nordisk Investigational Site
Fleetwood, Pennsylvania, 19522
Novo Nordisk Investigational Site
Fort Lauderdale, Florida, 33316
Novo Nordisk Investigational Site
Fort Worth, Texas, 76164
Novo Nordisk Investigational Site
Fountain Hills, Arizona, 85268
Novo Nordisk Investigational Site
Franklin, Ohio, 45005
Novo Nordisk Investigational Site
Fremont, Nebraska, 68025
Novo Nordisk Investigational Site
Garner, North Carolina, 27529
Novo Nordisk Investigational Site
Georgetown, Texas, 78626
Novo Nordisk Investigational Site
Gillespie, Illinois, 62033
Novo Nordisk Investigational Site
Gloucester Courthouse, Virginia, 23061
Novo Nordisk Investigational Site
Golden, Colorado, 80401
Novo Nordisk Investigational Site
Gonzales, Texas, 78629
Novo Nordisk Investigational Site
Greenfield, Indiana, 46140
Novo Nordisk Investigational Site
Greer, South Carolina, 29651
Novo Nordisk Investigational Site
Haleyville, Alabama, 35565-1719
Novo Nordisk Investigational Site
Harleysville, Pennsylvania, 19438
Novo Nordisk Investigational Site
Harrisburg, Arkansas, 72432-1132
Novo Nordisk Investigational Site
Hollywood, Florida, 33024
Novo Nordisk Investigational Site
Houston, Texas, 77024
Novo Nordisk Investigational Site
Houston, Texas, 77025-1669
Novo Nordisk Investigational Site
Houston, Texas, 77061
Novo Nordisk Investigational Site
Houston, Texas, 77074
Novo Nordisk Investigational Site
Houston, Texas, 77079
Novo Nordisk Investigational Site
Houston, Texas, 77081
Novo Nordisk Investigational Site
Humboldt, Tennessee, 38343
Novo Nordisk Investigational Site
Huntington Beach, California, 92646
Novo Nordisk Investigational Site
Irving, Texas, 75061-2210
Novo Nordisk Investigational Site
Jacksonville, Florida, 32205
Novo Nordisk Investigational Site
Jersey Shore, Pennsylvania, 17740
Novo Nordisk Investigational Site
Kerrville, Texas, 78028
Novo Nordisk Investigational Site
Killeen, Texas, 76543
Novo Nordisk Investigational Site
Kingsport, Tennessee, 37660
Novo Nordisk Investigational Site
Kissimmee, Florida, 34741
Novo Nordisk Investigational Site
La Mirada, California, 90638
Novo Nordisk Investigational Site
Lancaster, California, 93534
Novo Nordisk Investigational Site
Lansdale, Pennsylvania, 19446-1002
Novo Nordisk Investigational Site
Las Vegas, Nevada, 89118
Novo Nordisk Investigational Site
Levittown, Pennsylvania, 19056-2404
Novo Nordisk Investigational Site
Levittown, Pennsylvania, 19056
Novo Nordisk Investigational Site
Lexington, Kentucky, 40503
Novo Nordisk Investigational Site
Little Rock, Arkansas, 72212
Novo Nordisk Investigational Site
Lomita, California, 90717
Novo Nordisk Investigational Site
Longview, Texas, 75605
Novo Nordisk Investigational Site
Mason, Ohio, 45040-6815
Novo Nordisk Investigational Site
McMurray, Pennsylvania, 15317
Novo Nordisk Investigational Site
Meridian, Idaho, 83646
Novo Nordisk Investigational Site
Miami, Florida, 33174
Novo Nordisk Investigational Site
Miami, Florida, 33175
Novo Nordisk Investigational Site
Missoula, Montana, 59808
Novo Nordisk Investigational Site
Missouri City, Texas, 77459
Novo Nordisk Investigational Site
Montclair, California, 91763
Novo Nordisk Investigational Site
Monument, Colorado, 80132
Novo Nordisk Investigational Site
Mooresville, North Carolina, 28117
Novo Nordisk Investigational Site
Morganton, North Carolina, 28655
Novo Nordisk Investigational Site
Muncie, Indiana, 47304
Novo Nordisk Investigational Site
Natchitoches, Louisiana, 71457-5881
Novo Nordisk Investigational Site
New Braunfels, Texas, 78130
Novo Nordisk Investigational Site
New Windsor, New York, 12533
Novo Nordisk Investigational Site
Newton, Kansas, 67114
Novo Nordisk Investigational Site
Norfolk, Virginia, 23510-2015
Novo Nordisk Investigational Site
North Little Rock, Arkansas, 72117
Novo Nordisk Investigational Site
North Massapequa, New York, 11758-1802
Novo Nordisk Investigational Site
Northridge, California, 91325
Novo Nordisk Investigational Site
Ocala, Florida, 34470
Novo Nordisk Investigational Site
Ocoee, Florida, 34761
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73112
Novo Nordisk Investigational Site
Oklahoma City, Oklahoma, 73162-4704
Novo Nordisk Investigational Site
Old Point Station, South Carolina, 29707
Novo Nordisk Investigational Site
Omaha, Nebraska, 68144
Novo Nordisk Investigational Site
Orlando, Florida, 32819
Novo Nordisk Investigational Site
Ormond Beach, Florida, 32174-6302
Novo Nordisk Investigational Site
Oviedo, Florida, 32765
Novo Nordisk Investigational Site
Oxnard, California, 93030
Novo Nordisk Investigational Site
Oxon Hill, Maryland, 20745
Novo Nordisk Investigational Site
Palm Harbor, Florida, 34684-3609
Novo Nordisk Investigational Site
Park City, Kansas, 67219
Novo Nordisk Investigational Site
Pelzer, South Carolina, 29669
Novo Nordisk Investigational Site
Pembroke Pines, Florida, 33027
Novo Nordisk Investigational Site
Perry, Georgia, 31069
Novo Nordisk Investigational Site
Philadelphia, Pennsylvania, 19114
Novo Nordisk Investigational Site
Phoenix, Arizona, 85018
Novo Nordisk Investigational Site
Phoenix, Arizona, 85037
Novo Nordisk Investigational Site
Phoenix, Arizona, 85050
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15236
Novo Nordisk Investigational Site
Pittsburgh, Pennsylvania, 15243
Novo Nordisk Investigational Site
Port Gibson, Mississippi, 39150
Novo Nordisk Investigational Site
Providence, Rhode Island, 02908
Novo Nordisk Investigational Site
Rancho Cucamonga, California, 91730-3063
Novo Nordisk Investigational Site
Rapid City, South Dakota, 57702
Novo Nordisk Investigational Site
Richmond, Virginia, 23219
Novo Nordisk Investigational Site
Riverside, California, 92506
Novo Nordisk Investigational Site
Rochester, Michigan, 48307
Novo Nordisk Investigational Site
San Antonio, Texas, 78240
Novo Nordisk Investigational Site
San Diego, California, 92111
Novo Nordisk Investigational Site
San Diego, California, 92120
Novo Nordisk Investigational Site
San Ramon, California, 94582
Novo Nordisk Investigational Site
Searcy, Arkansas, 72143
Novo Nordisk Investigational Site
Seminole, Florida, 33773
Novo Nordisk Investigational Site
Shreveport, Louisiana, 71105
Novo Nordisk Investigational Site
Simpsonville, South Carolina, 29681
Novo Nordisk Investigational Site
Smithfield, Pennsylvania, 15478
Novo Nordisk Investigational Site
Splendora, Texas, 77372
Novo Nordisk Investigational Site
Spokane, Washington, 99216-1557
Novo Nordisk Investigational Site
St. George, Utah, 84790
Novo Nordisk Investigational Site
St. Petersburg, Florida, 33713
Novo Nordisk Investigational Site
Statesboro, Georgia, 30461
Novo Nordisk Investigational Site
Sterling Heights, Michigan, 48310-3503
Novo Nordisk Investigational Site
Sugar Land, Texas, 77478
Novo Nordisk Investigational Site
Sugar Land, Texas, 77479
Novo Nordisk Investigational Site
Sunset, Louisiana, 70584
Novo Nordisk Investigational Site
Suwanee, Georgia, 30024
Novo Nordisk Investigational Site
Tempe, Arizona, 85283
Novo Nordisk Investigational Site
Toledo, Ohio, 43623
Novo Nordisk Investigational Site
Troy, Michigan, 48098
Novo Nordisk Investigational Site
Tucson, Arizona, 85741
Novo Nordisk Investigational Site
Tullahoma, Tennessee, 37388
Novo Nordisk Investigational Site
Tuscumbia, Alabama, 35674
Novo Nordisk Investigational Site
Tustin, California, 92780
Novo Nordisk Investigational Site
Uniontown, Pennsylvania, 15401
Novo Nordisk Investigational Site
Virginia Beach, Virginia, 23454
Novo Nordisk Investigational Site
Waco, Texas, 76710
Novo Nordisk Investigational Site
Wadsworth, Ohio, 44281
Novo Nordisk Investigational Site
Walla Walla, Washington, 99362-4445
Novo Nordisk Investigational Site
Wauconda, Illinois, 60084
Novo Nordisk Investigational Site
Westfield, New York, 14787
Novo Nordisk Investigational Site
Westminster, California, 92683
Novo Nordisk Investigational Site
Whiteville, North Carolina, 28472
Novo Nordisk Investigational Site
Wichita, Kansas, 67205
Novo Nordisk Investigational Site
Woodstock, Georgia, 30189-4255
India16 sites
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560 017
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560002
Novo Nordisk Investigational Site
Bangalore, Karnataka, 560054
Novo Nordisk Investigational Site
Hubli, 580022
Novo Nordisk Investigational Site
Hyderabad, Telangana, 500033
Novo Nordisk Investigational Site
Indore, Madhya Pradesh, 452008
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700027
Novo Nordisk Investigational Site
Kolkata, West Bengal, 700054
Novo Nordisk Investigational Site
Lucknow, Uttar Pradesh, 226005
Novo Nordisk Investigational Site
Ludhiana, 141001
Novo Nordisk Investigational Site
Mysore, Karnataka, 570001
Novo Nordisk Investigational Site
Nagpur, Maharashtra, 440003
Novo Nordisk Investigational Site
Noida, Uttar Pradesh, 201301
Novo Nordisk Investigational Site
Pune, Maharashtra, 411001
Novo Nordisk Investigational Site
Pune, Maharashtra, 411004
Novo Nordisk Investigational Site
Pune, Maharashtra, 411013
Canada12 sites
Novo Nordisk Investigational Site
Hamilton, Ontario, L8M 1K7
Novo Nordisk Investigational Site
Montreal, Quebec, H4N 2W2
Novo Nordisk Investigational Site
Mount Pearl, Newfoundland and Labrador, A1N 1W7
Novo Nordisk Investigational Site
Québec, G1G 3Y8
Novo Nordisk Investigational Site
Saint-Marc-des-Carrieres, Quebec, G0A 4B0
Novo Nordisk Investigational Site
Sarnia, Ontario, N7T 4X3
Novo Nordisk Investigational Site
Strathroy, Ontario, N7G 1Y7
Novo Nordisk Investigational Site
Surrey, British Columbia, V3Z 2N6
Novo Nordisk Investigational Site
Toronto, Ontario, M3J 1N2
Novo Nordisk Investigational Site
Toronto, Ontario, M9V 4B4
Novo Nordisk Investigational Site
Truro, Nova Scotia, B2N 1L2
Novo Nordisk Investigational Site
Waterloo, Ontario, N2J 1C4
Russia5 sites
Novo Nordisk Investigational Site
Dzerzhinskiy, 140091
Novo Nordisk Investigational Site
Moscow, 101990
Novo Nordisk Investigational Site
Moscow, 121293
Novo Nordisk Investigational Site
Moscow, 125315
Novo Nordisk Investigational Site
Saint Petersburg, 197762
Lebanon4 sites
Novo Nordisk Investigational Site
Beirut
Novo Nordisk Investigational Site
Byblos
Novo Nordisk Investigational Site
El Achrafiyé
Novo Nordisk Investigational Site
Hazmiyeh
Serbia4 sites
Novo Nordisk Investigational Site
Belgrade, 11000
Novo Nordisk Investigational Site
Kragujevac, 34000
Novo Nordisk Investigational Site
Niš, 18000
Novo Nordisk Investigational Site
Novi Sad, 21000
Turkey (Türkiye)4 sites
Novo Nordisk Investigational Site
Adapazarı, 54290
Novo Nordisk Investigational Site
Istanbul, 34130
Novo Nordisk Investigational Site
Istanbul, 34722
Novo Nordisk Investigational Site
Istanbul, 34890
Colombia3 sites
Novo Nordisk Investigational Site
Bogotá, 110221
Novo Nordisk Investigational Site
Bogotá, 111211
Novo Nordisk Investigational Site
Medellín
Latvia3 sites
Novo Nordisk Investigational Site
Riga, LV1011
Novo Nordisk Investigational Site
Riga, LV1057
Novo Nordisk Investigational Site
Tukums, LV3101
Puerto Rico2 sites
Novo Nordisk Investigational Site
Toa Baja, 00949
Novo Nordisk Investigational Site
Trujillo Alto, 00976
About this study
Official title: Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy and Treated in a Primary Care Setting
This trial is conducted globally. The aim of the trial is to investigate efficacy in controlling glycaemia with Victoza® (liraglutide) as add-on to metformin background treatment vs. OADs as add-on to metformin background treatment for 104 weeks of treatment in subjects with type 2 diabetes.
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Being tested
- liraglutide, alpha-glucosidase inhibitors, DPP-4 inhibitors, meglitinides, SGLT-2 inhibitors
- Medical subject headings
- Diabetes Mellitus, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
liraglutideDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
alpha-glucosidase inhibitorsDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
DPP-4 inhibitorsDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
meglitinidesDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
SGLT-2 inhibitorsDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
sulphonylureaDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
thiazolidinedionesDrug
Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.
| Study group | Role | What they receive |
|---|---|---|
| Liraglutide 1.8 mg | Experimental | Add-on to metformin Receives: Drug: liraglutide |
| OAD | Active comparator | Add-on to metformin. Treatment with one OAD selected at the discretion of the investigator. Subjects randomised to the OAD arm must remain on the same OAD throughout the trial. Receives: Drug: alpha-glucosidase inhibitors; Drug: DPP-4 inhibitors; Drug: meglitinides; Drug: SGLT-2 inhibitors; Drug: sulphonylurea; Drug: thiazolidinediones |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Inadequate Glycaemic Control
Inadequate glycaemic control was defined as glycosylated haemoglobin (HbA1c) of 7.0% (53 mmol/mol) or greater at two consecutive visits after the first 26 weeks of treatment and up to 104 weeks. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function. HbA1c was recorded at weeks 38, 52, 65, 78, 91 and 104.
Measured: Weeks 26-104
Secondary outcomes (22)
Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)
The time to premature treatment discontinuation (for any reason including inadequate glycaemic control) was analysed and presented using the generalised log rank test. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function.
Measured: Weeks 0-104
Change in HbA1c
Change from baseline (week 0) in HbA1c at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Participants Who Achieve HbA1c ≤6.5% (Yes/No)
Participants who achieved HbA1c ≤6.5% (yes/no) is presented.
Measured: Week 104/Premature treatment discontinuation
Participants Who Achieve HbA1c ≤7.0% Without Weight Gain
Participants who achieved HbA1c ≤7.0% without weight gain (yes/no) is presented.
Measured: Week 104/Premature treatment discontinuation
Participants Who Achieve HbA1c ≤7.0% Without Treatment Emergent Severe Hypoglycaemic Episodes or BG Confirmed Symptomatic Hypoglycaemic Episodes
Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the American Diabetes Association (ADA) classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 millimoles per liter (mmol/L) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than the day after the last day on trial product. Participants who achieved HbA1c ≤7.0% without treatment emergent severe hypoglycaemic episodes or BG confirmed symptomatic hypoglycaemic episodes (yes/no) is presented.
Measured: Week 104/Premature treatment discontinuation
Participants Who Achieve HbA1c ≤7.0% Without Weight Gain and no Treatment Emergent Severe Hypoglycaemic Episodes or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes
Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than the day after the last day on trial product. Participants who achieved HbA1c ≤7.0% without weight gain and no treatment emergent severe hypoglycaemic episodes or BG confirmed symptomatic hypoglycaemic episodes (yes/no) is presented.
Measured: Week 104/Premature treatment discontinuation
Change in Fasting Plasma Glucose (FPG)
Change from baseline (week 0) in FPG at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Body Weight
Change from baseline (week 0) in body weight at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Body Mass Index (BMI)
Change from baseline (week 0) in BMI at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Change from baseline (week 0) in systolic and diastolic blood pressure at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Number of Severe Hypoglycaemic Episodes
Severe hypoglycaemic episodes were defined as episodes that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Number of severe hypoglycaemic episodes that occured during weeks 0-104 are presented.
Measured: Weeks 0-104
Number of Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Number of severe or BG confirmed symptomatic hypoglycaemic episodes that occured during weeks 0-104 are presented.
Measured: Weeks 0-104
Number of Documented Symptomatic Hypoglycaemic Episodes (ADA)
Documented symptomatic hypoglycaemic were defined as episodes with typical symptoms of hypoglycaemia accompanied by measure plasma glucose concentration <= 3.9 mmol/L. Number of documented symptomatic hypoglycaemic episodes that occured during the weeks 0-104 are presented.
Measured: Weeks 0-104
Number of Serious Adverse Events (SAEs)
A serious adverse event (SAE) was defined as any event that resulted in any of the following: death, life-threatening experience, in-patient hospitalisation or prolongation of existing hospitalisation, persistent or significant disability or incapacity, congenital anomaly or birth defect or suspicion of transmission of infectious agents via the trial product. An SAE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent serious adverse events are presented.
Measured: Weeks 0-105
Number of AEs Leading to Permanent Discontinuation of Trial Product
An adverse event (AE) was any untoward medical occurrence in a participant who administered a product, and which did not necessarily had a causal relationship with this treatment. An AE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent AEs that led to permanent discontinuation of trial product are presented.
Measured: Weeks 0-105
Change in Lipids: HDL Cholesterol, LDL-cholesterol, Total Cholesterol, Triglycerides
Change from baseline (week 0) in high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, total cholesterol (TC) and triglycerides (TG) at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Biochemistry- Alanine Aminotransferase (ALAT), Amylase, Aspartate Aminotransferase (ASAT), Lipase
Change from baseline (week 0) in alanine aminotransferase (ALAT), amylase, aspartate aminotransferase (ASAT) and lipase at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Biochemistry- Creatinine, Total Bilirubin
Change from baseline (week 0) in creatinine and total bilirubin (TB) at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Biochemistry- Estimated Glomerular Filtration Rate (eGFR) Serum
The estimated GFR was derived from serum creatinine using the MDRD (Modification of diet in renal disease) formula. eGFR was measured as milliliter per min per specific surface area (mL/min/SSA).
Measured: Week 0, week 104/premature treatment discontinuation
Change in Potassium
Change from baseline (week 0) in potassium at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Haemoglobin
Change from baseline (week 0) in haemoglobin at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Change in Pulse
Change from baseline (week 0) in pulse at week 104 or at premature treatment discontinuation is presented.
Measured: Week 0, week 104/premature treatment discontinuation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Apr 2016 (estimated)
- Study start28 Mar 2016
- Primary completion5 Aug 2019
- Study completion12 Aug 2019
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 (2)Papers the sponsor has linked to this study.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,991 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02730377
- Sponsor's protocol ID
- NN2211-4232
- Other IDs
- 2015-002417-29, U1111-1170-7035, 2015
- Acronym
- LIRA-PRIME
- Status last verified
- Jun 2020
- First submitted
- 23 Mar 2016
- Last updated
- 7 Jul 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Publications
Unger J, Allison DC, Carlton M, Lakkole K, Lowe D, Murphy G, Panda JK, Sargin M, Kaltoft M, Treppendahl MB, Zoghbi M; LIRA-PRIME global panel. Trial design and baseline data for LIRA-PRIME: A randomized trial investigating the efficacy of liraglutide in controlling glycaemia in type 2 diabetes in a primary care setting. Diabetes Obes Metab. 2019 Jul;21(7):1543-1550. doi: 10.1111/dom.13682. Epub 2019 Mar 26.
PubMed 30828917Natale P, Green SC, Tunnicliffe DJ, Pellegrino G, Toyama T, Strippoli GF. Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2025 Feb 18;2(2):CD015849. doi: 10.1002/14651858.CD015849.pub2.
PubMed 39963952
Study at a glance
From the registry record, last updated by the sponsor on 7 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy and Treated in a Primary Care Setting
- ClinicalTrials.gov ID
- NCT02730377
- Acronym / sponsor ID
- LIRA-PRIME / NN2211-4232
- Conditions
- Diabetes, Diabetes Mellitus, Type 2
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,991 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 28 Mar 2016 (actual)
- Primary completion
- 5 Aug 2019 (actual)
- Study completion
- 12 Aug 2019 (actual)
- First posted
- 6 Apr 2016 (estimated)
- Results
- Posted 7 Jul 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial is conducted globally. The aim of the trial is to investigate efficacy in controlling glycaemia with Victoza® (liraglutide) as add-on to metformin background treatment vs. OADs as add-on to metformin background treatment for 104 weeks of treatment in subjects with type 2 diabetes.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Liraglutide 1.8 mg | Experimental | Drug: liraglutideAdd-on to metformin |
| OAD | Active comparator | Drug: alpha-glucosidase inhibitors, Drug: DPP-4 inhibitors, Drug: meglitinides, Drug: SGLT-2 inhibitors, Drug: sulphonylurea, Drug: thiazolidinedionesAdd-on to metformin. Treatment with one OAD selected at the discretion of the investigator. Subjects randomised to the OAD arm must remain on the same OAD throughout the trial. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| liraglutideTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | Liraglutide 1.8 mg |
| alpha-glucosidase inhibitorsTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | OAD |
| DPP-4 inhibitorsTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | OAD |
| meglitinidesTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | OAD |
| SGLT-2 inhibitorsTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | OAD |
| sulphonylureaTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | OAD |
| thiazolidinedionesTrial product will be prescribed by the investigator and dispensed by pharmacy or similar. | Drug | OAD |
Primary outcome
Time to Inadequate Glycaemic Control
Time frame: Weeks 26-104
Inadequate glycaemic control was defined as glycosylated haemoglobin (HbA1c) of 7.0% (53 mmol/mol) or greater at two consecutive visits after the first 26 weeks of treatment and up to 104 weeks. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function. HbA1c was recorded at weeks 38, 52, 65, 78, 91 and 104.
22 secondary outcomes
Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)
Time frame: Weeks 0-104
Change in HbA1c
Time frame: Week 0, week 104/premature treatment discontinuation
Participants Who Achieve HbA1c ≤6.5% (Yes/No)
Time frame: Week 104/Premature treatment discontinuation
Participants Who Achieve HbA1c ≤7.0% Without Weight Gain
Time frame: Week 104/Premature treatment discontinuation
Participants Who Achieve HbA1c ≤7.0% Without Treatment Emergent Severe Hypoglycaemic Episodes or BG Confirmed Symptomatic Hypoglycaemic Episodes
Time frame: Week 104/Premature treatment discontinuation
Participants Who Achieve HbA1c ≤7.0% Without Weight Gain and no Treatment Emergent Severe Hypoglycaemic Episodes or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes
Time frame: Week 104/Premature treatment discontinuation
Change in Fasting Plasma Glucose (FPG)
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Body Weight
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Body Mass Index (BMI)
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Blood Pressure (Systolic and Diastolic Blood Pressure)
Time frame: Week 0, week 104/premature treatment discontinuation
Number of Severe Hypoglycaemic Episodes
Time frame: Weeks 0-104
Number of Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes
Time frame: Weeks 0-104
Number of Documented Symptomatic Hypoglycaemic Episodes (ADA)
Time frame: Weeks 0-104
Number of Serious Adverse Events (SAEs)
Time frame: Weeks 0-105
Number of AEs Leading to Permanent Discontinuation of Trial Product
Time frame: Weeks 0-105
Change in Lipids: HDL Cholesterol, LDL-cholesterol, Total Cholesterol, Triglycerides
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Biochemistry- Alanine Aminotransferase (ALAT), Amylase, Aspartate Aminotransferase (ASAT), Lipase
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Biochemistry- Creatinine, Total Bilirubin
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Biochemistry- Estimated Glomerular Filtration Rate (eGFR) Serum
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Potassium
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Haemoglobin
Time frame: Week 0, week 104/premature treatment discontinuation
Change in Pulse
Time frame: Week 0, week 104/premature treatment discontinuation
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jul 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 30828917Unger J, Allison DC, Carlton M, Lakkole K, Lowe D, Murphy G, Panda JK, Sargin M, Kaltoft M, Treppendahl MB, Zoghbi M; LIRA-PRIME global panel. Trial design and baseline data for LIRA-PRIME: A randomized trial investigating the efficacy of liraglutide in controlling glycaemia in type 2 diabetes in a primary care setting. Diabetes Obes Metab. 2019 Jul;21(7):1543-1550. doi: 10.1111/dom.13682. Epub 2019 Mar 26.
- Derived from this study: PubMed 39963952Natale P, Green SC, Tunnicliffe DJ, Pellegrino G, Toyama T, Strippoli GF. Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2025 Feb 18;2(2):CD015849. doi: 10.1002/14651858.CD015849.pub2.
- Clinical Trials at Novo NordiskLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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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.
The record lists no contact. Use the official record to reach the sponsor.
232 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing liraglutide, alpha-glucosidase inhibitors and DPP-4 inhibitors in people with Diabetes and Diabetes Mellitus, Type 2, run by Novo Nordisk A/S at 232 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 7 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 232 sites in United States, India, Canada, Russia, Lebanon and 5 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 7 Jul 2020). 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?
Time to Inadequate Glycaemic Control (time frame: Weeks 26-104). 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 NCT02730377, which also lists 2 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 7 Jul 2020.