Type 2 Diabetes MellitusPhase 3LixiLan-GNCT02787551
Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) Versus GLP-1 Receptor Agonist in Patients With Type 2 Diabetes, With a FRC Extension Period
A Phase 3 study testing Insulin glargine/lixisenatide fixed ratio combination, liraglutide and exenatide in people with Type 2 Diabetes Mellitus, run by Sanofi at 124 sites in 9 countries.
Trial summary
Primary Objective: To demonstrate the superiority of the insulin glargine/lixisenatide fixed ratio combination (FRC) versus GLP-1 receptor agonist (GLP-1 RA) in hemoglobin A1c (HbA1c) change. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Insulin glargine/lixisenatide fixed ratio combination, liraglutide and exenatide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 514 participants
- Where
- 124 sitesin 9 countries
- Study dates
- 6 Jul 2016to 17 Nov 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants with type 2 diabetes mellitus diagnosed at least 1 year prior to screening visit.
- Participants who were treated with one of the following GLP-1 receptor agonists for at least 4 months prior to screening visit 1 (V1), and with stable dose for at least 3 months prior to screening visit (V1):
- Liraglutide (Victoza®) 1.8 milligram (mg) QD or 1.2 mg QD, if the 1.8 mg QD dose was not well tolerated according to the Investigator's judgment or
- Exenatide (Byetta®) 10 microgram (µg) BID or of 5 µg BID, if 10 µg BID dose was not well tolerated according to the Investigator's judgment
- in combination with metformin (daily dose greater than equal to [>=] 1500 mg/day or maximum tolerated dose [MTD]), with or without pioglitazone, with or without SGLT2 inhibitor, all at stable dose for at least 3 months prior to screening.
- or
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- Participants who were treated with stable dose of one of the following GLP-1 receptor agonists for at least 6 months prior to screening visit (V1):
- Exenatide extended-release (Bydureon®) 2 mg once weekly (QW), if well tolerated according to Investigator's judgment,
- Albiglutide (Tanzeum®) 50 mg QW or 30 mg QW, if 50 mg QW was not well tolerated according to Investigator's judgment,
- Dulaglutide (Trulicity®) 1.5 mg QW or 0.75 mg QW, if 1.5 mg QW was not well tolerated according to Investigator's judgment
- in combination with metformin (daily dose ≥1500 mg/day or MTD), with or without pioglitazone, with or without SGLT2 inhibitor, all at stable dose for at least 3 months prior to screening;
- -Signed written informed consent.
Who cannot join
- At screening visit, age <18.
- Screening HbA1c <7% and >9%.
- Pregnancy or lactation, women of childbearing potential with no effective contraceptive method.
- Any use of antidiabetic drugs within 3 months prior to the screening visit other than those described in the inclusion criteria.
- Previous treatment with insulin in the year prior to screening visit (note: short-term treatment with insulin [<=10 days] due to intercurrent illness including gestational diabetes was allowed at the discretion of the study physician).
- Laboratory findings at the time of screening, including:
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- Fasting plasma glucose (FPG) >250 mg/dL (13.9 millimoles per litre [mmol/L]),
- Amylase and/or lipase >3 times the upper limit of the normal laboratory range (ULN),
- Alanine transaminase or aspartate transaminase >3 ULN,
- Calcitonin >=20 pg/mL (5.9 pmol/L),
- Positive pregnancy test.
- Participant who had renal function impairment with estimated glomerular filtration rate <30mL/min/1.73m^2 (using the Modification of Diet in Renal Disease formula) or end-stage renal disease.
- Contraindication to use of insulin glargine, or lixisenatide or GLP-1 receptor agonist (Victoza®, Byetta®, Bydureon®, Tanzeum® or Trulicity®) according to local labeling.
- Any contraindication to metformin or pioglitazone or SGLT2 inhibitor use, according to local labeling.
- History of hypersensitivity to insulin glargine, or to any of the excipients.
- History of allergic reaction to any GLP-1 receptor agonist or to meta-cresol.
- Personal or immediate family history of medullary thyroid cancer (MTC) or genetic condition that predisposes to MTC (eg, multiple endocrine neoplasia type 2 syndromes).
- History of pancreatitis (unless pancreatitis was related to gallstones and cholecystectomy was already performed), chronic pancreatitis, pancreatitis during a previous treatment with incretin therapies, pancreatectomy.
- Body mass index <=20 or >40 kg/m^2.
- Participants in the FRC arm with a rescue therapy and HbA1c >8% at week 22.
- Participants in the FRC arm who discontinued prematurely from FRC treatment before week 26.
- Participants in the GLP-1 RA treatment arm after randomization.
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
124 sites in 9 countries.
124 sites in 9 countries
United States74 sites
Investigational Site Number 8400079
Albany, New York, 12206
Investigational Site Number 8400139
Austin, Texas, 78749
Investigational Site Number 8400049
Avon, Indiana, 46123
Investigational Site Number 8400053
Avon, Indiana, 46123
Investigational Site Number 8400085
Avon, Indiana, 46123
Investigational Site Number 8400120
Avon, Indiana, 46123
Investigational Site Number 8400103
Bakersfield, California, 93309
Investigational Site Number 8400033
Baltimore, Maryland, 21237
Investigational Site Number 8400064
Birmingham, Alabama, 35205
Investigational Site Number 8400090
Columbia, South Carolina, 29204
Investigational Site Number 8400019
Columbus, Ohio, 43201
Investigational Site Number 8400130
Council Bluffs, Iowa, 51501
Investigational Site Number 8400001
Dallas, Texas, 75230-6885
Investigational Site Number 8400056
Dayton, Ohio, 45439
Investigational Site Number 8400071
Denver, Colorado, 80209
Investigational Site Number 8400036
Denver, Colorado, 80246
Investigational Site Number 8400118
Edinburg, Texas, 78539
Investigational Site Number 8400041
Evansville, Indiana, 47714
Investigational Site Number 8400018
Fargo, North Dakota, 58104
Investigational Site Number 8400073
Fountain Hills, Arizona, 85268
Investigational Site Number 8400137
Fresno, California, 93720
Investigational Site Number 8400044
Henderson, Nevada, 89052
Investigational Site Number 8400008
Houston, Texas, 77004
Investigational Site Number 8400109
Houston, Texas, 77040
Investigational Site Number 8400063
Houston, Texas, 77061
Investigational Site Number 8400106
Houston, Texas, 77081
Investigational Site Number 8400043
Huntington Park, California, 90255
Investigational Site Number 8400038
Indianapolis, Indiana, 46254-5469
Investigational Site Number 8400114
Jacksonville, Florida, 32216
Investigational Site Number 8400051
Jefferson City, Missouri, 65109
Investigational Site Number 8400124
Lamont, California, 93241
Investigational Site Number 8400027
Lancaster, California, 93534
Investigational Site Number 8400045
Lawrenceville, Georgia, 30046
Investigational Site Number 8400034
Lexington, Kentucky, 40503
Investigational Site Number 8400091
Lexington, Kentucky, 40503
Investigational Site Number 8400098
Los Angeles, California, 90017
Investigational Site Number 8400013
Los Angeles, California, 90057
Investigational Site Number 8400078
Marrero, Louisiana, 70072
Investigational Site Number 8400125
Mentor, Ohio, 44060
Investigational Site Number 8400032
Metairie, Louisiana, 70006
Investigational Site Number 8400133
Miami, Florida, 33165
Investigational Site Number 8400042
Mission Hills, California, 91345
Investigational Site Number 8400020
Morehead City, North Carolina, 28557
Investigational Site Number 8400088
New Orleans, Louisiana, 70121
Investigational Site Number 8400061
New York, New York, 10001
Investigational Site Number 8400123
North Massapequa, New York, 11758
Investigational Site Number 8400014
North Richland Hills, Texas, 76180
Investigational Site Number 8400006
Northridge, California, 91325
Investigational Site Number 8400099
Oklahoma City, Oklahoma, 73112
Investigational Site Number 8400021
Orange, California, 92868
Investigational Site Number 8400054
Orem, Utah, 84058
Investigational Site Number 8400083
Papillion, Nebraska, 68046-3136
Investigational Site Number 8400047
Phoenix, Arizona, 85028
Investigational Site Number 8400058
Port Charlotte, Florida, 33952
Investigational Site Number 8400126
Rialto, California, 92377
Investigational Site Number 8400025
Salt Lake City, Utah, 84102
Investigational Site Number 8400089
San Antonio, Texas, 78240
Investigational Site Number 8400094
Santa Ana, California, 92704
Investigational Site Number 8400135
Schertz, Texas, 78154
Investigational Site Number 8400129
Scottdale, Pennsylvania, 15683
Investigational Site Number 8400075
Shavano Park, Texas, 78231
Investigational Site Number 8400076
Smithfield, Pennsylvania, 15478
Investigational Site Number 8400096
Snellville, Georgia, 30078
Investigational Site Number 8400023
Springfield, Illinois, 62711
Investigational Site Number 8400095
Staten Island, New York, 10301
Investigational Site Number 8400107
Sugar Land, Texas, 77478
Investigational Site Number 8400084
Tampa, Florida, 33612
Investigational Site Number 8400009
Ventura, California, 93003
Investigational Site Number 8400104
Warwick, Rhode Island, 02886
Investigational Site Number 8400092
Weber City, Virginia, 24290
Investigational Site Number 8400112
West Palm Beach, Florida, 33401
Investigational Site Number 8400067
West Seneca, New York, 14224
Investigational Site Number 8400065
Wilmington, North Carolina, 28401
Investigational Site Number 8400111
Yonkers, New York, 10704
Spain10 sites
Investigational Site Number 7240012
Alzira, 46600
Investigational Site Number 7240005
Barcelona, 08035
Investigational Site Number 7240002
Ferrol, 15405
Investigational Site Number 7240008
Málaga, 29010
Investigational Site Number 7240011
Pozuelo de Alarcón, 28223
Investigational Site Number 7240003
Quart de Poblet, 46930
Investigational Site Number 7240006
Sabadell, 08208
Investigational Site Number 7240007
Seville, 41003
Investigational Site Number 7240009
Seville, 41010
Investigational Site Number 7240004
Seville, 41071
Romania9 sites
Investigational Site Number 6420004
Bacau, 600154
Investigational Site Number 6420006
Brasov, 500097
Investigational Site Number 6420001
Bucharest, 020045
Investigational Site Number 6420008
Buzău, 120203
Investigational Site Number 6420003
Cluj-Napoca, 400006
Investigational Site Number 6420002
Oradea, 410159
Investigational Site Number 6420009
Targoviste, 130083
Investigational Site Number 6420007
Târgu Mureş, 540098
Investigational Site Number 6420005
Timișoara, 300125
Slovakia9 sites
Investigational Site Number 7030006
Bratislava, 85101
Investigational Site Number 7030009
Ľubochňa, 034 91
Investigational Site Number 7030002
Lučenec, 98401
Investigational Site Number 7030005
Malacky, 90101
Investigational Site Number 7030007
Prešov, 08001
Investigational Site Number 7030001
Rožňava, 04801
Investigational Site Number 7030008
Sabinov, 083 01
Investigational Site Number 7030004
Trenčín, 91101
Investigational Site Number 7030003
Žilina, 010 01
Italy7 sites
Investigational Site Number 3800008
Bergamo, 24127
Investigational Site Number 3800002
Bologna, 40138
Investigational Site Number 3800001
Milan, 20132
Investigational Site Number 3800006
Milan, 20142
Investigational Site Number 3800005
Naples, 80131
Investigational Site Number 3800004
Roma, 00128
Investigational Site Number 3800003
Roma, 00133
Israel5 sites
Investigational Site Number 3760001
Haifa, 31096
Investigational Site Number 3760002
Haifa, 35152
Investigational Site Number 3760005
Jerusalem, 91120
Investigational Site Number 3760006
Jerusalem, 93106
Investigational Site Number 3760004
Tel Aviv, 6203854
Canada4 sites
Investigational Site Number 1240003
Burlington, L7M 4Y1
Investigational Site Number 1240006
Corunna, N0N 1G0
Investigational Site Number 1240002
Red Deer, T4N 6V7
Investigational Site Number 1240001
Vancouver, V5Y 3W2
Estonia4 sites
Investigational Site Number 2330002
Pärnu, 80018
Investigational Site Number 2330003
Tallinn, 10138
Investigational Site Number 2330001
Tallinn, 13419
Investigational Site Number 2330004
Viljandi, 71024
Germany2 sites
Investigational Site Number 2760001
Dresden, 01307
Investigational Site Number 2760003
Oldenburg in Holstein, 23758
About this study
Official title: A 26-Week Randomized, Open-label, Active Controlled, Parallel-group, Study Assessing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination in Adults With Type 2 Diabetes Inadequately Controlled on GLP-1 Receptor Agonist and Metformin (Alone or With Pioglitazone and/or SGLT2 Inhibitors), Followed by a Fixed Ratio Combination Single-arm 26-Week Extension Period
Primary Objective:
To demonstrate the superiority of the insulin glargine/lixisenatide fixed ratio combination (FRC) versus GLP-1 receptor agonist (GLP-1 RA) in hemoglobin A1c (HbA1c) change.
Secondary Objectives:
To compare the overall efficacy and safety of the insulin glargine/lixisenatide FRC to GLP-1 RA on top of metformin (with or without pioglitazone, with or without sodium-glucose co-transporter 2 [SGLT2] inhibitor) in participants with type 2 diabetes.
To evaluate safety, efficacy and other endpoints of FRC up to the end of the extension period.
Read the detailed description
The maximum duration for GLP1-RA participants was approximately 29 weeks: up to 2 week screening period, a 26 week treatment period (either randomized or uncontrolled), and a 3 or 9 day post-treatment safety follow-up period.
Maximum duration for FRC participants was approximately 55 weeks: up to 2-week screening period, a 26-week randomized treatment period, a 26-week extension period and a 3-day post-treatment safety follow-up period.
All primary and secondary efficacy, safety and other outcome measures were assessed at the end of the extension period.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Insulin glargine/lixisenatide fixed ratio combination, liraglutide, exenatide, exenatide extended-release, albiglutide
- 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.
Insulin glargine/lixisenatide fixed ratio combinationDrug
Also called HOE901/AVE0010, Soliqua
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
liraglutideDrug
Also called Victoza
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
exenatideDrug
Also called Byetta
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
exenatide extended-releaseDrug
Also called Bydureon
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
albiglutideDrug
Also called Tanzeum
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
dulaglutideDrug
Also called Trulicity
Pharmaceutical form: solution for injection
Route of administration: subcutaneous
Background therapy: Oral Anti-diabetic Drug (Metformin, Pioglitazone, SGLT2 inhibitor)Drug
Pharmaceutical form: tablet Route of administration: oral If previously taken, doses to remain stable through the study.
| Study group | Role | What they receive |
|---|---|---|
| Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | Experimental | Core period: FRC injected subcutaneously once daily (QD) for 26 weeks on top of oral anti-diabetic drug (OAD) therapy. Dose individually adjusted.
Single arm extension period: Participants who completed core treatment period and met eligibility criteria entered in extension treatment period and received same treatment (FRC injected subcutaneously QD on top of OAD therapy) for 26 weeks (up to Week 52). Dose individually adjusted. Receives: Drug: Insulin glargine/lixisenatide fixed ratio combination; Drug: Background therapy: Oral Anti-diabetic Drug (Metformin, Pioglitazone, SGLT2 inhibitor) |
| GLP-1 Receptor Agonist | Active comparator | Core period: GLP-1 RA receptor agonist (liraglutide QD, exenatide twice daily [BID], exenatide extended-release QW, albiglutide QW, or dulaglutide QW) injected subcutaneously for 26 weeks on top of OAD therapy. GLP-1 RAs were administered as per local labeling at the same dose schedule as prior to randomization. Receives: Drug: liraglutide; Drug: exenatide; Drug: exenatide extended-release; Drug: albiglutide; Drug: dulaglutide; Drug: Background therapy: Oral Anti-diabetic Drug (Metformin, Pioglitazone, SGLT2 inhibitor) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 26: Core Period
Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Adjusted least squares (LS) mean and standard error (SE) were obtained from Mixed-effect model with repeated measures (MMRM) to account for missing data using all available post baseline data during the 26 week treatment period.
Measured: Baseline, Week 26
Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 52: Single Arm Extension Period
Change in HbA1c was calculated by subtracting baseline value from Week 52 value.
Measured: Baseline, Week 52
Secondary outcomes (16)
Percentage of Participants Reaching HbA1c <7% or <=6.5% at Week 26: Core Period
Participants without any available HbA1c assessment at Week 26 were considered as non-responders.
Measured: Week 26
Percentage of Participants Reaching HbA1c <7 % or <=6.5% at Week 52: Single Arm Extension Period
Participants without any available HbA1c assessment at Week 52 were considered as non-responders.
Measured: Week 52
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 26: Core Period
Change in FPG was calculated by subtracting baseline value from Week 26 value. Adjusted LS means and SE were obtained from MMRM to account for missing data using all available post baseline data during the 26 week treatment period.
Measured: Baseline, Week 26
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 52: Single Arm Extension Period
Change in FPG was calculated by subtracting baseline value from Week 52 value.
Measured: Baseline, Week 52
Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 26: Core Period
The 7-point SMPG profile was measured at the following 7 points: pre-prandial and 2 hours postprandial for breakfast, lunch, dinner and at bedtime. Two hours postprandial (breakfast, lunch and dinner) was defined as 2 hours after the start of the meal. Adjusted LS means and SE were obtained from MMRM to account for missing data using all available post baseline data during the 26 week treatment period.
Measured: Baseline, Week 26
Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 52: Single Arm Extension Period
The 7-point SMPG profile was measured at the following 7 points: pre-prandial and 2 hours postprandial for breakfast, lunch, dinner and at bedtime. Two hours postprandial (breakfast, lunch and dinner) was defined as 2 hours after the start of the meal.
Measured: Baseline, Week 52
Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 26: Core Period
The 2-hour PPG test measured blood glucose 2 hours after eating a liquid standardized breakfast meal. Change in PPG was calculated by subtracting baseline value from Week 26 value. Missing data was imputed using last observation carried forward (LOCF).
Measured: Baseline, Week 26
Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 52: Single Arm Extension Period
The 2-hour PPG test measured blood glucose 2 hours after eating a liquid standardized breakfast meal. Change in PPG was calculated by subtracting baseline value from Week 52 value. Missing data was imputed using LOCF.
Measured: Baseline, Week 52
Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 26: Core Period
2-hour plasma glucose excursion = 2-hour PPG value minus plasma glucose value obtained 30 minutes prior to the start of meal and before investigational medicinal product (IMP) administration if IMP was injected before breakfast. Change in plasma glucose excursions were calculated by subtracting baseline value from Week 26 value. Missing data was imputed using LOCF.
Measured: Baseline, Week 26
Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 52: Single Arm Extension Period
2-hour plasma glucose excursion = 2-hour PPG value minus plasma glucose value obtained 30 minutes prior to the start of meal and before IMP administration if IMP was injected before breakfast. Change in plasma glucose excursions were calculated by subtracting baseline value from Week 52 value. Missing data was imputed using LOCF.
Measured: Baseline, Week 52
Percentage of Participants Requiring Rescue Therapy During the 26 Week Treatment Period: Core Period
Routine HbA1c value was used to determine the requirement of rescue medication. Threshold values at Week 12 or later on Week 12: HbA1c >8%.
Measured: From Baseline to Week 26
Percentage of Participants Requiring Rescue Therapy During the 52 Week Treatment Period: Single Arm Extension Period
Routine HbA1c value was used to determine the requirement of rescue medication. Threshold values at Week 12 or later on Week 12: HbA1c >8%.
Measured: From Week 26 to Week 52
Change From Baseline in Body Weight at Week 26: Core Period
Change in body weight was calculated by subtracting baseline value from Week 26 value.
Measured: Baseline, Week 26
Change From Baseline in Body Weight to Week 52: Single Arm Extension Period
Change in body weight was calculated by subtracting baseline value from Week 52 value.
Measured: Baseline, Week 52
Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Core Period
Documented symptomatic hypoglycemia was an event during which symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (70 mg/dL). Hypoglycemic episodes with plasma glucose of <3.0 mmol/L (54 mg/dL) were also analyzed.
Measured: From Baseline to Week 26
Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Single Arm Extension Period
Documented symptomatic hypoglycemia was an event during which symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <=3.9 mmol/L (70 mg/dL). Hypoglycemic episodes with plasma glucose of <3.0 mmol/L (54 mg/dL) were also analyzed.
Measured: From Baseline to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2016 (estimated)
- Study start6 Jul 2016
- Primary completion25 May 2018
- Study completion17 Nov 2018
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 (5)Papers the sponsor has linked to this study.
- Other trials for Type 2 Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 514 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
- NCT02787551
- Sponsor's protocol ID
- EFC13794
- Other IDs
- 2014-004850-32, U1111-1168-4639, 2014
- Acronym
- LixiLan-G
- Status last verified
- Mar 2022
- First submitted
- 26 May 2016
- Last updated
- 25 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Publications
Kuruvilla DE, Mann JI, Tepper SJ, Starling AJ, Panza G, Johnson MAL. Phase 3 randomized, double-blind, sham-controlled Trial of e-TNS for the Acute treatment of Migraine (TEAM). Sci Rep. 2022 Mar 24;12(1):5110. doi: 10.1038/s41598-022-09071-6.
PubMed 35332216Ferrannini E, Niemoeller E, Dex T, Servera S, Mari A. Fixed-ratio combination of insulin glargine plus lixisenatide (iGlarLixi) improves ss-cell function in people with type 2 diabetes. Diabetes Obes Metab. 2022 Jun;24(6):1159-1165. doi: 10.1111/dom.14688. Epub 2022 Mar 28.
PubMed 35257461Guja C, Giorgino F, Blonde L, Ali A, Prazny M, Meier JJ, Souhami E, Lubwama R, Ji C, Rosenstock J. Concomitant iGlarLixi and Sodium-Glucose Co-transporter-2 Inhibitor Therapy in Adults with Type 2 Diabetes: LixiLan-G Trial and Real-World Evidence Results. Diabetes Ther. 2022 Jan;13(1):205-215. doi: 10.1007/s13300-021-01180-1. Epub 2021 Dec 11.
PubMed 34894329Blonde L, Rosenstock J, Frias J, Birkenfeld AL, Niemoeller E, Souhami E, Ji C, Del Prato S, Aroda VR. Durable Effects of iGlarLixi Up to 52 Weeks in Type 2 Diabetes: The LixiLan-G Extension Study. Diabetes Care. 2021 Mar;44(3):774-780. doi: 10.2337/dc20-2023. Epub 2021 Jan 19.
PubMed 33468520Blonde L, Rosenstock J, Del Prato S, Henry R, Shehadeh N, Frias J, Niemoeller E, Souhami E, Ji C, Aroda VR. Switching to iGlarLixi Versus Continuing Daily or Weekly GLP-1 RA in Type 2 Diabetes Inadequately Controlled by GLP-1 RA and Oral Antihyperglycemic Therapy: The LixiLan-G Randomized Clinical Trial. Diabetes Care. 2019 Nov;42(11):2108-2116. doi: 10.2337/dc19-1357. Epub 2019 Sep 17.
PubMed 31530665
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 26-Week Randomized, Open-label, Active Controlled, Parallel-group, Study Assessing the Efficacy and Safety of the Insulin Glargine/Lixisenatide Fixed Ratio Combination in Adults With Type 2 Diabetes Inadequately Controlled on GLP-1 Receptor Agonist and Metformin (Alone or With Pioglitazone and/or SGLT2 Inhibitors), Followed by a Fixed Ratio Combination Single-arm 26-Week Extension Period
- ClinicalTrials.gov ID
- NCT02787551
- Acronym / sponsor ID
- LixiLan-G / EFC13794
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 514 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- 6 Jul 2016 (actual)
- Primary completion
- 25 May 2018 (actual)
- Study completion
- 17 Nov 2018 (actual)
- First posted
- 1 Jun 2016 (estimated)
- Results
- Posted 12 Jun 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
To demonstrate the superiority of the insulin glargine/lixisenatide fixed ratio combination (FRC) versus GLP-1 receptor agonist (GLP-1 RA) in hemoglobin A1c (HbA1c) change.
Secondary Objectives:
To compare the overall efficacy and safety of the insulin glargine/lixisenatide FRC to GLP-1 RA on top of metformin (with or without pioglitazone, with or without sodium-glucose co-transporter 2 [SGLT2] inhibitor) in participants with type 2 diabetes.
To evaluate safety, efficacy and other endpoints of FRC up to the end of the extension period.
Detailed description
The maximum duration for GLP1-RA participants was approximately 29 weeks: up to 2 week screening period, a 26 week treatment period (either randomized or uncontrolled), and a 3 or 9 day post-treatment safety follow-up period.
Maximum duration for FRC participants was approximately 55 weeks: up to 2-week screening period, a 26-week randomized treatment period, a 26-week extension period and a 3-day post-treatment safety follow-up period.
All primary and secondary efficacy, safety and other outcome measures were assessed at the end of the extension period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) | Experimental | Drug: Insulin glargine/lixisenatide fixed ratio combination, Drug: Background therapy: Oral Anti-diabetic Drug (Metformin, Pioglitazone, SGLT2 inhibitor)Core period: FRC injected subcutaneously once daily (QD) for 26 weeks on top of oral anti-diabetic drug (OAD) therapy. Dose individually adjusted. Single arm extension period: Participants who completed core treatment period and met eligibility criteria entered in extension treatment period and received same treatment (FRC injected subcutaneously QD on top of OAD therapy) for 26 weeks (up to Week 52). Dose individually adjusted. |
| GLP-1 Receptor Agonist | Active comparator | Drug: liraglutide, Drug: exenatide, Drug: exenatide extended-release, Drug: albiglutide, Drug: dulaglutide, Drug: Background therapy: Oral Anti-diabetic Drug (Metformin, Pioglitazone, SGLT2 inhibitor)Core period: GLP-1 RA receptor agonist (liraglutide QD, exenatide twice daily [BID], exenatide extended-release QW, albiglutide QW, or dulaglutide QW) injected subcutaneously for 26 weeks on top of OAD therapy. GLP-1 RAs were administered as per local labeling at the same dose schedule as prior to randomization. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Participants with type 2 diabetes mellitus diagnosed at least 1 year prior to screening visit.
- Participants who were treated with one of the following GLP-1 receptor agonists for at least 4 months prior to screening visit 1 (V1), and with stable dose for at least 3 months prior to screening visit (V1):
- Liraglutide (Victoza®) 1.8 milligram (mg) QD or 1.2 mg QD, if the 1.8 mg QD dose was not well tolerated according to the Investigator's judgment or
- Exenatide (Byetta®) 10 microgram (µg) BID or of 5 µg BID, if 10 µg BID dose was not well tolerated according to the Investigator's judgment
- in combination with metformin (daily dose greater than equal to [>=] 1500 mg/day or maximum tolerated dose [MTD]), with or without pioglitazone, with or without SGLT2 inhibitor, all at stable dose for at least 3 months prior to screening.
Key exclusion criteria (23 listed)
- At screening visit, age <18.
- Screening HbA1c <7% and >9%.
- Pregnancy or lactation, women of childbearing potential with no effective contraceptive method.
- Any use of antidiabetic drugs within 3 months prior to the screening visit other than those described in the inclusion criteria.
- Previous treatment with insulin in the year prior to screening visit (note: short-term treatment with insulin [<=10 days] due to intercurrent illness including gestational diabetes was allowed at the discretion of the study physician).
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 |
|---|---|---|
| Insulin glargine/lixisenatide fixed ratio combinationAlso: HOE901/AVE0010, SoliquaPharmaceutical form: solution for injection Route of administration: subcutaneous | Drug | Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) |
| liraglutideAlso: VictozaPharmaceutical form: solution for injection Route of administration: subcutaneous | Drug | GLP-1 Receptor Agonist |
| exenatideAlso: ByettaPharmaceutical form: solution for injection Route of administration: subcutaneous | Drug | GLP-1 Receptor Agonist |
| exenatide extended-releaseAlso: BydureonPharmaceutical form: solution for injection Route of administration: subcutaneous | Drug | GLP-1 Receptor Agonist |
| albiglutideAlso: TanzeumPharmaceutical form: solution for injection Route of administration: subcutaneous | Drug | GLP-1 Receptor Agonist |
| dulaglutideAlso: TrulicityPharmaceutical form: solution for injection Route of administration: subcutaneous | Drug | GLP-1 Receptor Agonist |
| Background therapy: Oral Anti-diabetic Drug (Metformin, Pioglitazone, SGLT2 inhibitor)Pharmaceutical form: tablet Route of administration: oral If previously taken, doses to remain stable through the study. | Drug | GLP-1 Receptor Agonist, Insulin Glargine/Lixisenatide Fixed Ratio Combination (FRC) |
Primary outcome
Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 26: Core Period
Time frame: Baseline, Week 26
Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Adjusted least squares (LS) mean and standard error (SE) were obtained from Mixed-effect model with repeated measures (MMRM) to account for missing data using all available post baseline data during the 26 week treatment period.
Change From Baseline in Glycated Hemoglobin (HbA1c) to Week 52: Single Arm Extension Period
Time frame: Baseline, Week 52
Change in HbA1c was calculated by subtracting baseline value from Week 52 value.
16 secondary outcomes
Percentage of Participants Reaching HbA1c <7% or <=6.5% at Week 26: Core Period
Time frame: Week 26
Percentage of Participants Reaching HbA1c <7 % or <=6.5% at Week 52: Single Arm Extension Period
Time frame: Week 52
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 26: Core Period
Time frame: Baseline, Week 26
Change From Baseline in Fasting Plasma Glucose (FPG) to Week 52: Single Arm Extension Period
Time frame: Baseline, Week 52
Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 26: Core Period
Time frame: Baseline, Week 26
Change From Baseline in the Daily Average of the 7-point Self-monitored Plasma Glucose (SMPG) to Week 52: Single Arm Extension Period
Time frame: Baseline, Week 52
Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 26: Core Period
Time frame: Baseline, Week 26
Change From Baseline in 2-Hour Postprandial Plasma Glucose (PPG) During Standardized Meal Test to Week 52: Single Arm Extension Period
Time frame: Baseline, Week 52
Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 26: Core Period
Time frame: Baseline, Week 26
Change From Baseline in 2-Hour Blood Glucose Excursion During Standardized Meal Test to Week 52: Single Arm Extension Period
Time frame: Baseline, Week 52
Percentage of Participants Requiring Rescue Therapy During the 26 Week Treatment Period: Core Period
Time frame: From Baseline to Week 26
Percentage of Participants Requiring Rescue Therapy During the 52 Week Treatment Period: Single Arm Extension Period
Time frame: From Week 26 to Week 52
Change From Baseline in Body Weight at Week 26: Core Period
Time frame: Baseline, Week 26
Change From Baseline in Body Weight to Week 52: Single Arm Extension Period
Time frame: Baseline, Week 52
Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Core Period
Time frame: From Baseline to Week 26
Number of Documented Symptomatic Hypoglycemia Events Per Participant-Year: Single Arm Extension Period
Time frame: From Baseline to Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35332216Kuruvilla DE, Mann JI, Tepper SJ, Starling AJ, Panza G, Johnson MAL. Phase 3 randomized, double-blind, sham-controlled Trial of e-TNS for the Acute treatment of Migraine (TEAM). Sci Rep. 2022 Mar 24;12(1):5110. doi: 10.1038/s41598-022-09071-6.
- Derived from this study: PubMed 35257461Ferrannini E, Niemoeller E, Dex T, Servera S, Mari A. Fixed-ratio combination of insulin glargine plus lixisenatide (iGlarLixi) improves ss-cell function in people with type 2 diabetes. Diabetes Obes Metab. 2022 Jun;24(6):1159-1165. doi: 10.1111/dom.14688. Epub 2022 Mar 28.
- Derived from this study: PubMed 34894329Guja C, Giorgino F, Blonde L, Ali A, Prazny M, Meier JJ, Souhami E, Lubwama R, Ji C, Rosenstock J. Concomitant iGlarLixi and Sodium-Glucose Co-transporter-2 Inhibitor Therapy in Adults with Type 2 Diabetes: LixiLan-G Trial and Real-World Evidence Results. Diabetes Ther. 2022 Jan;13(1):205-215. doi: 10.1007/s13300-021-01180-1. Epub 2021 Dec 11.
- Derived from this study: PubMed 33468520Blonde L, Rosenstock J, Frias J, Birkenfeld AL, Niemoeller E, Souhami E, Ji C, Del Prato S, Aroda VR. Durable Effects of iGlarLixi Up to 52 Weeks in Type 2 Diabetes: The LixiLan-G Extension Study. Diabetes Care. 2021 Mar;44(3):774-780. doi: 10.2337/dc20-2023. Epub 2021 Jan 19.
- Derived from this study: PubMed 31530665Blonde L, Rosenstock J, Del Prato S, Henry R, Shehadeh N, Frias J, Niemoeller E, Souhami E, Ji C, Aroda VR. Switching to iGlarLixi Versus Continuing Daily or Weekly GLP-1 RA in Type 2 Diabetes Inadequately Controlled by GLP-1 RA and Oral Antihyperglycemic Therapy: The LixiLan-G Randomized Clinical Trial. Diabetes Care. 2019 Nov;42(11):2108-2116. doi: 10.2337/dc19-1357. Epub 2019 Sep 17.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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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
124 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Insulin glargine/lixisenatide fixed ratio combination, liraglutide and exenatide in people with Type 2 Diabetes Mellitus, run by Sanofi at 124 sites in 9 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 23 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 25 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 124 sites in United States, Spain, Romania, Slovakia, Italy and 4 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 12 Jun 2019). 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 in Glycated Hemoglobin (HbA1c) to Week 26: Core Period (time frame: Baseline, Week 26). The study lists 2 primary outcomes in all. 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 NCT02787551, which also lists 5 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 25 Mar 2022.