Diabetes Mellitus, Type 2Phase 3AWARD-11NCT03495102
A Study of the Efficacy and Safety of Dulaglutide (LY2189265) in Participants With Type 2 Diabetes
A Phase 3 study testing Dulaglutide in people with Diabetes Mellitus, Type 2, run by Eli Lilly and Company at 208 sites in 16 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of investigational doses of once weekly dulaglutide when added to metformin in participants with type 2 diabetes with inadequate blood sugar control. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Dulaglutide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,842 participants
- Where
- 208 sitesin 16 countries
- Study dates
- 5 Apr 2018to 10 Oct 2019
- 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
- Have type 2 diabetes mellitus (T2DM) for at least 6 months
- Have been treated with stable metformin dose for at least 3 months
- Have HbA1c ≥7.5% and ≤11.0% at study entry
- Have body mass index (BMI) ≥25 kilograms per meter squared (kg/m^2)
Who cannot join
- Have type 1 diabetes mellitus
- Have used any glucagon-like peptide-1 receptor agonist (GLP-1 RA) or insulin, not including prior short term insulin use (≤14 days)
- Have been taking any other medicine for diabetes (other than metformin) during the last 3 months
- Have used in the last 3 months (or plan to use) prescription weight loss medications
- Have disorders associated with slowed emptying of the stomach contents, or have had any stomach surgeries for the purpose of weight loss
- Current participation in or intent to begin during the study an organized diet and/or exercise weight reduction program (other than the lifestyle and dietary measures for diabetes)
Show all 12Show fewer
- Have acute or chronic hepatitis, signs and symptoms of any other liver disease other than nonalcoholic fatty liver disease (NAFLD), or alanine transaminase (ALT) level >2.5 times the upper limit of the reference range, as determined by the central laboratory at study entry; participants with NAFLD are eligible for participation in this trial
- Had chronic or acute pancreatitis any time prior to study entry
- Have had a heart attack or stroke in the past 2 months, or have heart failure that significantly limits their physical activity
- Estimated glomerular filtration rate (eGFR) <30 milliliters/minute/1.73m^2 (or lower than the country-specific threshold for discontinuing metformin therapy per local label), calculated by the Chronic Kidney Disease-Epidemiology (CKD-EPI) equation, as determined by the central laboratory at study entry and confirmed at lead-in
- Have a personal or family history of medullary thyroid carcinoma or personal history of multiple endocrine neoplasia syndrome type 2
- Have proliferative retinopathy or maculopathy requiring acute treatment according to the opinion of the investigator
Trial locations and contacts
208 sites in 16 countries.
208 sites in 16 countries
United States72 sites
Anaheim Clinical Trials, LLC
Anaheim, California, 92801
Heritage Valley Medical Group, Inc.
Beaver, Pennsylvania, 15009
Montana Health Research
Billings, Montana, 59102
Elite Clinical Trials LLLP
Blackfoot, Idaho, 83221
Progressive Clinical Research
Bountiful, Utah, 84010
Synexus- Chandler
Chandler, Arizona, 85224
Metrolina Internal Medicine, P.A.
Charlotte, North Carolina, 28207
Chattanooga Research and Medicine (CHARM)
Chattanooga, Tennessee, 37404
Clinical Research Professionals
Chesterfield, Missouri, 63005
StudyMetrix Research, LLC
City of Saint Peters, Missouri, 63303
Aventiv Research
Columbus, Ohio, 43213
ALL Medical Research, LLC
Cooper City, Florida, 33024
Clinical Research of South Florida
Coral Gables, Florida, 33134
The Corvallis Clinic P.C.
Corvallis, Oregon, 97330
Dallas Diabetes Endocrine Center
Dallas, Texas, 75230
Synexus/Clinical Research Advantage
Evansville, Indiana, 47714
NECCR PrimaCare Research, LLC
Fall River, Massachusetts, 02721
Aa Mrc Llc
Flint, Michigan, 48504
Valley Research
Fresno, California, 93720
Prevea Clinic, Inc
Green Bay, Wisconsin, 54303
Pacific Diabetes & Endocrine Center
Honolulu, Hawaii, 96813
East West Medical Institute
Honolulu, Hawaii, 96814
National Research Institute
Huntington Park, California, 90255
MedStar Health Research Institute
Hyattsville, Maryland, 20782
Midwest Institute for Clinical Research
Indianapolis, Indiana, 46260
Glacier View Research Institute
Kalispell, Montana, 59901
Detweiler Family Medicine
Lansdale, Pennsylvania, 19446
Arkansas Clinical Research
Little Rock, Arkansas, 72205
National Research Institute
Los Angeles, California, 90057
Manassas Clinical Research Center
Manassas, Virginia, 20110
Urban Family Practice Associates, PC
Marietta, Georgia, 30067
Synexus/Central Arizona Medical Associates, PC
Mesa, Arizona, 85206
Southern Endocrinology and Associates PA
Mesquite, Texas, 75149
Suncoast Research Group, LLC
Miami, Florida, 33135
New Horizon Research Center
Miami, Florida, 33175
PMG Research of Charleston, LLC
Moncks Corner, South Carolina, 29461
Catalina Research Institute, LLC
Montclair, California, 91763
Diabetes & Endocrinology Consultants PC
Morehead City, North Carolina, 28557
Saltzer Medical Group. P.A.
Nampa, Idaho, 83686
Manhattan Medical Research
New York, New York, 10016
Intend Research
Norman, Oklahoma, 73069
Valley Clinical Trials, Inc.
Northridge, California, 91325
Pacific Research Partners, LLC
Oakland, California, 94607
Advanced Research Institute
Ogden, Utah, 84405
IPS Research Company
Oklahoma City, Oklahoma, 73103
Capital Clincial Research Center
Olympia, Washington, 98502
Oviedo Medical Research
Oviedo, Florida, 32765
National Research Institute
Panorama City, California, 91402
In-Quest Medical Research, LLC- Peachtree Corners
Peachtree Corners, Georgia, 30071
Central Phoenix Med Clinic LLC
Phoenix, Arizona, 85020
Preferred Primary Care Physicians
Pittsburgh, Pennsylvania, 15236
InterMed, PA
Portland, Maine, 04101
Summit Research Network Inc
Portland, Oregon, 97210
Clinical Research Partners, LLC
Richmond, Virginia, 23235
Sierra Clinical Research
Roseville, California, 95661
Artemis Institute for Clinical Research
San Diego, California, 92103
Care Access Research
Santa Clarita, California, 91321
Consano Clinical Research
Shavano Park, Texas, 78231
Encompass Clinical Research
Spring Valley, California, 91978
Prairie Education and Research Cooperative
Springfield, Illinois, 62711
Martin Diagnostic Clinic
Tomball, Texas, 77375
Premier Research
Trenton, New Jersey, 08611
Troy Internal Medicine, PC
Troy, Michigan, 48098
University Clinical Investigators, Inc.
Tustin, California, 92780
Walla Walla Clinic
Walla Walla, Washington, 99362
Diablo Clinical Research
Walnut Creek, California, 94598
Sudir Bansal M.D. Inc.
Warwick, Rhode Island, 02886
Chase Medical Research, LLC
Waterbury, Connecticut, 06708
ClinPoint Trials, LLC
Waxahachie, Texas, 75165
Wenatchee Valley Hospital & Clinics
Wenatchee, Washington, 98801
Iderc, P.L.C.
West Des Moines, Iowa, 50265
Great Lakes Medical Research
Westfield, New York, 14787
Argentina17 sites
AXISMED SRL - Bioclinica Research Network
Buenos Aires, C1430CKE
Centro Medico CICEMO
Caba, Buenos Aires, 1405
CEDIC-Centro de Investigaciones Clinicas
Caba, Buenos Aires, 1425
Investigaciones Medicas IMOBA S.R.L.
Caba, Buenos Aires, C1179AAB
Centro de Investigacion y Prevencion Cardiovascular (CIPREC)
Ciudad Autonoma de, Buenos Aires, C1119ACN
Mautalen Salud e Investigación - Servicio de Endocrinología
Ciudad Autonoma de Buenos Air, C1128AAF
Centro de Investigaciones Metabólicas (CINME)
Ciudad Autonoma de Buenos Aire, Buenos Aires, C1056ABJ
Centro Medico Dr Laura Maffei Investigacion Clinica Aplicada
Ciudad Autonoma de Buenos Aire, Buenos Aires, C1425AGC
CENUDIAB
Ciudad Autonoma de Buenos Aire, 1408
Centro Médico Viamonte
Ciudad Autonoma de Buenos Aire, C1120AAC
Instituto Centenario
Ciudad Autonoma de Buenos Aire, C1204AAD
Cemediab - Centro Médico Diabetológico Dr. Alejandro Chertkoff
Ciudad Autonoma de Buenos Aire, C1205AAO
Instituto Medico Strusberg
Córdoba, X5000EDC
Centro Medico Privado San Vicente Diabetes
Córdoba, X5006CBI
Cent Priva Especiali Médicas Ambulatorias Inve Clin CEMAIC
Córdoba, X5008HHW
CIPADI
Godoy Cruz, Mendoza Province, M5501ARP
Instituto de Investigaciones Clinicas Mar del Plata
Mar del Plata, Buenos Aires, B7600FZN
Romania17 sites
CMI DNBM Dr. Pop Lavinia
Baia Mare, Maramureş, 430222
Centrul Medical de Diagnostic si Tratament Ambulatoriu Neomed SRL
Brasov, 500283
Cabinetul Medical Nicodiab SRL
Bucharest, 010507
Easydiet SRL
Bucharest, 010627
SC Nutrilife SRL
Bucharest, 013682
SC Medcon SRL
Buzău, 120203
Centrul Medical Unirea SRL
Cluj-Napoca, 400349
Cabinet Medical Urodiamed S.R.L.
Craiova, 200349
Milena Sante SRL
Galati, 800001
SC Olimpia Med SRL
Iași, 700400
SC Gama Diamed SRL
Mangalia, Constanța County, 905500
S. C. Grandmed S.R.L., Str.
Oradea, Bihor County, 410159
SC Diabmed Dr Popescu Alexandrina SRL
Ploieşti, Prahova, 100163
SC Dianutrilife Medica SRL
Ploieşti, Prahova, 100561
Spitalul Judetean de Urgenta Satu Mare
Satu Mare, Jud Satu-Mare, 440055
Cosamext SRL
Târgu Mureş, Mureș County, 540098
Centrul Medical Dr. Negrisanu
Timișoara, Timiș County, 300456
Poland15 sites
NZOZ ZDROWIE Osteo-Medic
Bialystok, 15-351
Poradnia Diabetologiczna SN ZOZ Lege Artis
Bialystok, 15-404
NS ZOZ Osrodek Diabetologiczny " Popula"
Bialystok, 15-445
Centrum Badan Klinicznych, PI House
Gdansk, 80-546
NZOZ Salvia s.c.
Katowice, 40-772
NZOZ Diab-Endo-Met
Krakow, 31-261
Centrum Terapii Wspolczesnej J.M. Jasnorzewska S.K.A.
Lodz, 90-242
Gabinety Terpa
Lublin, 20-333
NZOZ Przychodnia Specjalistyczna MEDICA
Lublin, 20-538
Centrum Medyczne OMEDICA
Poznan, 60-111
Praktyka Lekarska
Poznan, 61-655
Nzoz Neuro - Kard
Poznan, 61-853
NZOZ Przychodnia Specjalistyczna Henryk RudzkiAndrzej Wittek
Ruda Śląska, 41-709
Centralny Szpital Kliniczny MSW
Warsaw, 02-507
Regionalna Poradnia Diabetologiczna
Wroclaw, 50-127
Spain14 sites
Instituto de Ciencias medicas
Alicante, 03004
Clinica San Pedro
Almería, 04001
Centre Medico Teknon
Barcelona, 08022
Hospital Clinico Universitario San Cecilio
Granada, 18012
Virgen de Las Nieves
Granada, 18014
Centro Especialidades San Jose Obrero (Barbarela)
Málaga, 29006
Clinica Juaneda
Palma de Mallorca, Balearic Islands, 07014
Hospital Universitario Quiron Madrid
Pozuelo de Alarcón, Madrid, 28223
Corporació Sanitaria Parc Tauli
Sabadell, Barcelona, 08208
Hospital Universitario Marques De Valdecilla
Santander, Cantabria, 39011
Hospital Infanta Luisa
Seville, Andalusia, 41010
Clinica Nuevas Tecnologias en Diabetes y Endocrinologia
Seville, 41003
Hospital Universitario Virgen Macarena
Seville, 41009
Policlinica Galileo
Teruel, 44002
Greece10 sites
Laiko General Hospital of Athens
Ampelokipoi, Attica, 11527
Gen Hospital of Athens G Gennimatas
Athens, Attica, 11527
Athens Euroclinic
Athens, 11521
G.Papanikolaou General Hospital
Eksochi, Thessaloniki, 57010
University General Hospital of Larissa
Larissa, 41110
Iatriko Palaiou Falirou, Medical Center
Palaió Fáliro, Athens, 17562
Thermi Clinic
Thermi, Thessaloniki, 57001
AHEPA Hospital
Thessaloniki, 54636
Ippokrateio General Hospital of Thessaloniki
Thessaloniki, 54639
Euromedica - General Clinic of Thessaloniki
Thessaloniki, 54645
Hungary9 sites
Szent Margit Rendelointezet
Budapest, 1032
ClinDiab Kft.
Budapest, 1089
Strazsahegy Medicina Bt.
Budapest, 1171
TRANTOR 99 Bt.
Budapest, 1213
Kenezy Gyula Korhaz es Rendelointezet
Debrecen, Hajdú-Bihar, 4031
Studium Egeszseghaz Kft.
Kalocsa, Bács-Kiskun county, 6300
Kanizsai Dorottya Korhaz
Nagykanizsa, 8800
Grof Esterhazy Korhaz es Rendelointezeti Szakrendelo
Pápa, Veszprém megye, 8500
Zala Megyei Szent Rafael Korhaz
Zalaegerszeg, 8900
Israel9 sites
Maccabi Diabetes Clinic, Grand Canyon, North District, Haifa
Haifa, 3299001
Linn Medical Center
Haifa, 3515209
Hadassah Medical Center
Jerusalem, 911201
Meir Medical Center
Kfar Saba, 4428164
Clalit Health Services - Shuali Clinic
Raanana, 4345204
ZIV Medical Center
Safed, 13100
Sakhnin Community Clinic, Clalit Health Services
Sakhnin, 3081000
Diabetes Medical Center (DMC)
Tel Aviv, 6148002
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Italy9 sites
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo, 24127
Policlinico Mater Domini
Catanzaro, 88100
Fondazione Universitaria degli Studi G D'Annunzio
Chieti, 66100
Azienda Ospedaliera Universitaria Careggi
Florence, Florence, 50134
Ospedale Santa Maria Goretti
Latina, 04100
Policlinico Giaccone
Palermo, 90127
Istituto Clinico Humanitas
Rozzano, Milano, 20089
A.O.U. Senese Policlinico Santa Maria alle Scotte
Siena, SI, 53100
Ospedale Civile Maggiore Borgo Trento
Verona, 37126
Slovakia9 sites
Diacrin s.r.o.
Bratislava, 84102
Human care s.r.o.
Košice, Slovak Republic, 04012
MediVet s.r.o.
Malacky, Slovak Republic, 90101
Noemis, s.r.o.
Nové Mesto nad Váhom, 91501
FUNKYSTUFF s.r.o.
Nové Zámky, 94001
MUDr. Jan Culak, s.r.o.
Prievidza, 97101
DIA-MED CENTRUM s.r.o.
Púchov, 02001
Tatratrial s.r.o.
Rožňava, 04801
Areteus s.r.o.
Trebišov, Slovak Republic, 07501
Austria6 sites
VIVIT Institut am LKH Feldkirch
Feldkirch, Vorarlberg, 6800
Universitätsklinikum Graz
Graz, Styria, 8036
Ordination Dr. Evelyn Fließer-Görzer
Saint Stefan Ob Stainz, Styria, 8511
Landesklinikum Korneuburg-Stockerau, Standort Stockerau
Stockerau, Lower Austria, 2000
KA Rudolfstiftung
Vienna, 1030
Zentrum für klinische Studien Dr. Ursula Hanusch GmbH
Vienna, 1060
Canada6 sites
Aggarwal and Associates Ltd
Brampton, Ontario, L6T 0G1
T. Nemtean Medicine Professional Corporation
Mississauga, Ontario, L4Y 2N8
Bailey Clinic
Red Deer, Alberta, T4N 6V7
Bluewater Clinical Research Group Inc
Sarnia, Ontario, N7T 4X3
Stayner Medical Clinic
Stayner, Ontario, L0M 1S0
Dr. Anil K. Gupta Medicine Professional Corporation
Toronto, Ontario, M9V 4B4
Russia6 sites
Arkhangelsk Regional Clinical Hospital
Arkhangelsk, 163045
Arkhangelsk the first city clinical hospital
Arkhangelsk, 163045
Rostov State Medical University
Rostov-on-Don, 344022
City Hospital of Saint Martyr Elizabeth
Saint Petersburg, 193257
SPb GUZ "Diagnostic Center #85"
Saint Petersburg, 198255
Regional Clinical Hospital
Saratov, Russian Federation, 410053
Puerto Rico4 sites
Research and Cardiovascular Corp.
Ponce, PR, 00717
Office: Dr. Luis Rivera Colon
San Juan, PR, 00921
Clinical Research Puerto Rico, Inc.
San Juan, 00909
GCM Medical Group PSC
San Juan, 00917
Taiwan3 sites
Chung Shan Medical University Hospital
Taichung, 40201
Taichung Veterans General Hospital
Taichung, 40705, ROC
Chi-Mei Medical Center
Tainan, 71004
Mexico2 sites
Investigacion en Salud y Metabolismo S.C
Chihuahua City, 31217
Hospital Univ. Dr. Jose Eleuterio Gonzalez
Monterrey, Nuevo León, 64460
About this study
Official title: A Randomized, Double-Blind, Parallel Arm Study of the Efficacy and Safety of Investigational Dulaglutide Doses When Added to Metformin in Patients With Type 2 Diabetes Mellitus
The purpose of this study is to evaluate the efficacy and safety of investigational doses of once weekly dulaglutide when added to metformin in participants with type 2 diabetes with inadequate blood sugar control.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Dulaglutide
- 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.
DulaglutideDrug
Also called LY2189265
Administered SC
| Study group | Role | What they receive |
|---|---|---|
| Dulaglutide 1.5 mg | Active comparator | Dulaglutide 1.5 mg administered subcutaneously (SC) once a week. Receives: Drug: Dulaglutide |
| Dulaglutide 3 mg | Experimental | Dulaglutide 3 mg administered SC once a week. Receives: Drug: Dulaglutide |
| Dulaglutide 4.5 mg | Experimental | Dulaglutide 4.5 mg administered SC once a week. Receives: Drug: Dulaglutide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Hemoglobin A1c (HbA1c) From Baseline
HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables:Baseline + Pooled Country + Treatment + Time + Treatment*Time (Type III sum of squares).
Measured: Baseline, Week 36
Secondary outcomes (6)
Change in Body Weight From Baseline
Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with independent variables: Baseline + Baseline HbA1c group + Pooled Country + Treatment + Time + Treatment*Time (Type III sum of squares).
Measured: Baseline, Week 36
Percentage of Participants Achieving HbA1c Target <7.0%
Percentage of participants achieving HbA1c target <7.0%.
Measured: Week 36
Change in Fasting Serum Glucose (FSG) From Baseline
Least Squares (LS) mean was determined by mixed-model repeated measures (MMRM) model with covariates: Baseline + Baseline HbA1c group + Pooled Country + Treatment + Time + Treatment*Time (Type III sum of squares).
Measured: Baseline, Week 36
Rate of Documented Symptomatic Hypoglycemic Episodes
Hypoglycemia was defined as blood glucose < 54 mg/dL, excluding post-rescue records. Estimate is based on Group Mean from negative binomial model. The negative binomial model for post-baseline comparisons between treatments and control group: Number of episodes = Pooled Country + HbA1c at Baseline (%) + Treatment, with log (exposure in days/365.25) as an offset variable.
Measured: Week 36
Pharmacokinetic (PK): Steady-state Maximum Concentration(Cmax,ss)
Pharmacokinetic (PK): Steady-state Maximum Concentration(Cmax,ss).
Measured: Week 4, Week 12, Week 36, Week 52
Pharmacokinetic (PK): Area Under the Curve AUC (0-168)ss at Steady State
Pharmacokinetic (PK): Area Under the Curve AUC (0-168)ss at Steady State.
Measured: Week 4, Week 12, Week 36, Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2018
- Study start5 Apr 2018
- Primary completion28 May 2019
- Study completion10 Oct 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 (3)Papers the sponsor has linked to this study.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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
- 1,842 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03495102
- Sponsor's protocol ID
- 16877
- Other IDs
- H9X-MC-GBGL, 2017-003490-33, 2017
- Acronym
- AWARD-11
- Status last verified
- 15 Dec 2019
- First submitted
- 2 Apr 2018
- Last updated
- 12 Jun 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Publications
Ferdinand KC, Dunn J, Nicolay C, Sam F, Blue EK, Wang H. Weight-dependent and weight-independent effects of dulaglutide on blood pressure in patients with type 2 diabetes. Cardiovasc Diabetol. 2023 Mar 9;22(1):49. doi: 10.1186/s12933-023-01775-x.
PubMed 36894938Cox DA, Wang H, Nicolay C, Bethel MA. Effect of expanded dulaglutide weekly doses (3.0 mg and 4.5 mg) on cardiovascular disease risk factors in participants with type 2 diabetes at increased cardiovascular disease risk: a post hoc analysis of the AWARD-11 study. Diabetes Obes Metab. 2022 Sep;24(9):1770-1778. doi: 10.1111/dom.14762. Epub 2022 May 29.
PubMed 35546790Frias JP, Bonora E, Nevarez Ruiz L, Li YG, Yu Z, Milicevic Z, Malik R, Bethel MA, Cox DA. Efficacy and Safety of Dulaglutide 3.0 mg and 4.5 mg Versus Dulaglutide 1.5 mg in Metformin-Treated Patients With Type 2 Diabetes in a Randomized Controlled Trial (AWARD-11). Diabetes Care. 2021 Mar;44(3):765-773. doi: 10.2337/dc20-1473. Epub 2021 Jan 4.
PubMed 33397768
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Parallel Arm Study of the Efficacy and Safety of Investigational Dulaglutide Doses When Added to Metformin in Patients With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT03495102
- Acronym / sponsor ID
- AWARD-11 / 16877
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,842 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 5 Apr 2018 (actual)
- Primary completion
- 28 May 2019 (actual)
- Study completion
- 10 Oct 2019 (actual)
- First posted
- 11 Apr 2018 (actual)
- Results
- Posted 12 Jun 2020
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 the efficacy and safety of investigational doses of once weekly dulaglutide when added to metformin in participants with type 2 diabetes with inadequate blood sugar control.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dulaglutide 1.5 mg | Active comparator | Drug: DulaglutideDulaglutide 1.5 mg administered subcutaneously (SC) once a week. |
| Dulaglutide 3 mg | Experimental | Drug: DulaglutideDulaglutide 3 mg administered SC once a week. |
| Dulaglutide 4.5 mg | Experimental | Drug: DulaglutideDulaglutide 4.5 mg administered SC once a week. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Have type 2 diabetes mellitus (T2DM) for at least 6 months
- Have been treated with stable metformin dose for at least 3 months
- Have HbA1c ≥7.5% and ≤11.0% at study entry
- Have body mass index (BMI) ≥25 kilograms per meter squared (kg/m^2)
Key exclusion criteria (12 listed)
- Have type 1 diabetes mellitus
- Have used any glucagon-like peptide-1 receptor agonist (GLP-1 RA) or insulin, not including prior short term insulin use (≤14 days)
- Have been taking any other medicine for diabetes (other than metformin) during the last 3 months
- Have used in the last 3 months (or plan to use) prescription weight loss medications
- Have disorders associated with slowed emptying of the stomach contents, or have had any stomach surgeries for the purpose of weight loss
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 |
|---|---|---|
| DulaglutideAlso: LY2189265Administered SC | Drug | Dulaglutide 1.5 mg, Dulaglutide 3 mg, Dulaglutide 4.5 mg |
Primary outcome
Change in Hemoglobin A1c (HbA1c) From Baseline
Time frame: Baseline, Week 36
HbA1c is measured to identify average plasma glucose concentration over prolonged periods of time. The Least Squares (LS) mean was estimated from a mixed-effects model with repeated measures (MMRM) that included the independent variables:Baseline + Pooled Country + Treatment + Time + Treatment*Time (Type III sum of squares).
6 secondary outcomes
Change in Body Weight From Baseline
Time frame: Baseline, Week 36
Percentage of Participants Achieving HbA1c Target <7.0%
Time frame: Week 36
Change in Fasting Serum Glucose (FSG) From Baseline
Time frame: Baseline, Week 36
Rate of Documented Symptomatic Hypoglycemic Episodes
Time frame: Week 36
Pharmacokinetic (PK): Steady-state Maximum Concentration(Cmax,ss)
Time frame: Week 4, Week 12, Week 36, Week 52
Pharmacokinetic (PK): Area Under the Curve AUC (0-168)ss at Steady State
Time frame: Week 4, Week 12, Week 36, Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36894938Ferdinand KC, Dunn J, Nicolay C, Sam F, Blue EK, Wang H. Weight-dependent and weight-independent effects of dulaglutide on blood pressure in patients with type 2 diabetes. Cardiovasc Diabetol. 2023 Mar 9;22(1):49. doi: 10.1186/s12933-023-01775-x.
- Derived from this study: PubMed 35546790Cox DA, Wang H, Nicolay C, Bethel MA. Effect of expanded dulaglutide weekly doses (3.0 mg and 4.5 mg) on cardiovascular disease risk factors in participants with type 2 diabetes at increased cardiovascular disease risk: a post hoc analysis of the AWARD-11 study. Diabetes Obes Metab. 2022 Sep;24(9):1770-1778. doi: 10.1111/dom.14762. Epub 2022 May 29.
- Derived from this study: PubMed 33397768Frias JP, Bonora E, Nevarez Ruiz L, Li YG, Yu Z, Milicevic Z, Malik R, Bethel MA, Cox DA. Efficacy and Safety of Dulaglutide 3.0 mg and 4.5 mg Versus Dulaglutide 1.5 mg in Metformin-Treated Patients With Type 2 Diabetes in a Randomized Controlled Trial (AWARD-11). Diabetes Care. 2021 Mar;44(3):765-773. doi: 10.2337/dc20-1473. Epub 2021 Jan 4.
- A Study of the Efficacy and Safety of Dulaglutide (LY2189265) in Participants With Type 2 Diabetes (AWARD-11)Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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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.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
208 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Dulaglutide in people with Diabetes Mellitus, Type 2, run by Eli Lilly and Company at 208 sites in 16 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 4 inclusion and 12 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 12 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 208 sites in United States, Argentina, Romania, Poland, Spain and 11 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 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?
Change in Hemoglobin A1c (HbA1c) From Baseline (time frame: Baseline, Week 36). 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 NCT03495102, which also lists 3 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 12 Jun 2020.