Type 2 Diabetes MellitusPhase 3AMPLITUDE-ONCT03496298
Effect of Efpeglenatide on Cardiovascular Outcomes
A Phase 3 study testing Efpeglenatide (SAR439977) in people with Type 2 Diabetes Mellitus, run by Sanofi at 353 sites in 28 countries.
Trial summary
Primary Objective: To demonstrate that efpeglenatide 4 and 6 mg was noninferior to placebo on 3-point major adverse cardiac events (MACE) in Type 2 diabetes mellitus (T2DM) participants at high cardiovascular (CV) risk. 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?
- Efpeglenatide (SAR439977)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 4,076 participants
- Where
- 353 sitesin 28 countries
- Study dates
- 27 Apr 2018to 10 Dec 2020
- 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
- T2DM with glycosylated hemoglobin (HbA1c) greater than (>) 7 percentage.
- Age 18 years or older who met at least one of the cardiovascular disease criteria or age 50 years (male), 55 years (female) or older with glomerular filtration rate greater than or equal to 25 and less than 60 milliliters per minute and at least had one cardiovascular risk factor.
- Female participants agreed to follow contraceptive guidance.
- Signed written informed consent.
Who cannot join
- Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting.
- History of chronic pancreatitis or acute idiopathic pancreatitis or diagnosis of any type of acute pancreatitis within 3 months prior to screening.
- Personal or family history of medullary thyroid cancer.
- Hypertension (with a systolic blood pressure >180 millimeters of Mercury [mmHg] and/or diastolic blood pressure >100 mmHg).
- Hospitalization for hypertensive emergency within 3 months prior to randomization.
- Planned coronary procedure or surgery after randomization.
Show all 12Show fewer
- No documented ophthalmologic exam with fundoscopy within 6 months prior to randomization.
- Retinopathy or maculopathy with treatment, either recent (3 months prior to randomization) or planned during the study.
- Treated with any glucagon-like peptide-1 receptor agonist product alone (eg, exenatide, liraglutide, lixisenatide, albiglutide, dulaglutide, semaglutide) or in combination within 3 months prior to screening.
- Use of any Dipeptidyl peptidase 4 inhibitor within 3 months prior to screening.
- Antihyperglycemic treatment had not been stable within 3 months prior to screening.
- The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Trial locations and contacts
353 sites in 28 countries.
353 sites in 28 countries
United States79 sites
Investigational Site Number 8400034
Alexandria, Louisiana, 71301
Investigational Site Number 8400095
Arlington Heights, Illinois, 60005
Investigational Site Number 8400067
Beaver, Pennsylvania, 15009-1957
Investigational Site Number 8400072
Bend, Oregon, 97702
Investigational Site Number 8400022
Beverly Hills, California, 90211
Investigational Site Number 8400071
Billings, Montana, 59103
Investigational Site Number 8400070
Chicago, Illinois, 60607
Investigational Site Number 8400031
Columbus, Ohio, 43203
Investigational Site Number 8400065
Concord, California, 94520
Investigational Site Number 8400055
Corpus Christi, Texas, 78814
Investigational Site Number 8400036
Crystal Lake, Illinois, 60012
Investigational Site Number 8400097
Dallas, Texas, 75230
Investigational Site Number 8400088
El Paso, Texas, 79935
Investigational Site Number 8400064
Englewood, Colorado, 80113
Investigational Site Number 8400029
Fargo, North Dakota, 58104
Investigational Site Number 8400001
Flint, Michigan, 48504
Investigational Site Number 8400061
Flint, Michigan, 48532-3447
Investigational Site Number 8400058
Fort Worth, Texas, 76132
Investigational Site Number 8400014
Gilbert, Arizona, 85295
Investigational Site Number 8400028
Great Falls, Montana, 59405-4507
Investigational Site Number 8400060
Greenbrae, California, 94904
Investigational Site Number 8400076
Greenville, North Carolina, 27834-5704
Investigational Site Number 8400015
Greer, South Carolina, 29651
Investigational Site Number 8400019
Hamden, Connecticut, 06517
Investigational Site Number 8400091
Hialeah, Florida, 33012
Investigational Site Number 8400040
Hollywood, Florida, 33024
Investigational Site Number 8400069
Houston, Texas, 77004
Investigational Site Number 8400089
Houston, Texas, 77030
Investigational Site Number 8400073
Hudson, Florida, 34667
Investigational Site Number 8400081
Idaho Falls, Idaho, 83404
Investigational Site Number 8400011
Jacksonville, Florida, 32204
Investigational Site Number 8400017
Jacksonville, Florida, 32204
Investigational Site Number 8400042
Jacksonville, Florida, 32277
Investigational Site Number 8400086
Kalispell, Montana, 59901
Investigational Site Number 8400037
Las Vegas, Nevada, 89128
Investigational Site Number 8400084
Long Beach, California, 90807
Investigational Site Number 8400078
Lorain, Ohio, 44053
Investigational Site Number 8400002
Los Gatos, California, 95032
Investigational Site Number 8400006
Macon, Georgia, 31210-1359
Investigational Site Number 8400049
Manitowoc, Wisconsin, 54220
Investigational Site Number 8400016
Memphis, Tennessee, 38163
Investigational Site Number 8400027
Miami, Florida, 33126
Investigational Site Number 8400051
Miami, Florida, 33136
Investigational Site Number 8400079
Monroe, Louisiana, 71203
Investigational Site Number 8400007
Morehead City, North Carolina, 28557
Investigational Site Number 8400093
Morehead City, North Carolina, 28557
Investigational Site Number 8400094
Morganton, North Carolina, 28655
Investigational Site Number 8400063
Murrells Inlet, South Carolina, 29576
Investigational Site Number 8400009
Nashville, Tennessee, 37203
Investigational Site Number 8400030
New Albany, Indiana, 46113
Investigational Site Number 8400013
New Orleans, Louisiana, 70112
Investigational Site Number 8400041
New Port Richey, Florida, 34652
Investigational Site Number 8400052
Norfolk, Virginia, 23510
Investigational Site Number 8400085
Northridge, California, 91325
Investigational Site Number 8400059
Ormond Beach, Florida, 32174
Investigational Site Number 8400077
Owensboro, Kentucky, 42303
Investigational Site Number 8400047
Oxon Hill, Maryland, 20745
Investigational Site Number 8400043
Paris, Kentucky, 40361
Investigational Site Number 8400096
Philadelphia, Pennsylvania, 19107
Investigational Site Number 8400021
Pittsburgh, Pennsylvania, 15212
Investigational Site Number 8400082
Pomona, California, 91767
Investigational Site Number 8400044
Rapid City, South Dakota, 57702
Investigational Site Number 8400087
Raritan, New Jersey, 08869
Investigational Site Number 8400092
Richmond, Texas, 77469
Investigational Site Number 8400008
Roswell, Georgia, 30076
Investigational Site Number 8400025
Sacramento, California, 95821
Investigational Site Number 8400024
Saint Paul, Minnesota, 55102
Investigational Site Number 8400039
Salt Lake City, Utah, 84102
Investigational Site Number 8400032
Sheffield, Alabama, 35660
Investigational Site Number 8400045
St Louis, Missouri, 63136
Investigational Site Number 8400056
Staten Island, New York, 10301
Investigational Site Number 8400012
Surprise, Arizona, 85374
Investigational Site Number 8400018
The Bronx, New York, 00000
Investigational Site Number 8400074
Topeka, Kansas, 66606
Investigational Site Number 8400010
Troy, Michigan, 48085
Investigational Site Number 8400005
Troy, Michigan, 48098
Investigational Site Number 8400046
Tucson, Arizona, 85745
Investigational Site Number 8400033
Waco, Texas, 76710
Investigational Site Number 8400023
Waterbury, Connecticut, 06708-3346
Canada31 sites
Investigational Site Number 1240001
Barrie, L4N 7L3
Investigational Site Number 1240002
Brampton, L6S 0C6
Investigational Site Number 1240018
Burlington, L7M 1K9
Investigational Site Number 1240021
Burlington, L7R 1E2
Investigational Site Number 1240007
Calgary, T2H 2G4
Investigational Site Number 1240020
Calgary, T2V 4J2
Investigational Site Number 1240024
Chicoutimi, G7H 7K9
Investigational Site Number 1240004
Concord, L4K 4M2
Investigational Site Number 1240005
Etobicoke, M9R 4E1
Investigational Site Number 1240022
Greater Sudbury, P3E 4H5
Investigational Site Number 1240011
Lévis, G6W 0M5
Investigational Site Number 1240025
London, N5W 6A2
Investigational Site Number 1240028
London, N6A 5R8
Investigational Site Number 1240029
Mirabel, J7J 2K8
Investigational Site Number 1240008
Montreal, H1M 1B1
Investigational Site Number 1240031
Montreal, H1T 1C8
Investigational Site Number 1240014
Montreal, H4A 2C6
Investigational Site Number 1240023
Montreal, H4A 3T2
Investigational Site Number 1240017
Montreal, H4N 2W2
Investigational Site Number 1240015
Oakville, L6M 1M1
Investigational Site Number 1240012
Oshawa, L1J 2K1
Investigational Site Number 1240030
Ottawa, K2J 0V2
Investigational Site Number 1240027
Peterborough, K9J 0B2
Investigational Site Number 1240016
Pointe-Claire, H9R 4S3
Investigational Site Number 1240010
Québec, G1N 4V3
Investigational Site Number 1240019
Red Deer, T4N 6V7
Investigational Site Number 1240006
Sherbrooke, J1L 0H8
Investigational Site Number 1240013
Toronto, M4G 3E8
Investigational Site Number 1240003
Vancouver, V5Y 3W2
Investigational Site Number 1240026
Victoria, V8V 4A1
Investigational Site Number 1240009
Victoriaville, G6P 6P6
Argentina18 sites
Investigational Site Number 0320009
Buenos Aires, 1430
Investigational Site Number 0320002
Caba, 1120
Investigational Site Number 0320013
Caba, 1425DES
Investigational Site Number 0320010
Caba, 1425
Investigational Site Number 0320005
Caba, C1119ACN
Investigational Site Number 0320008
Capital Federal, C1056ABJ
Investigational Site Number 0320001
Capital Federal, C1179AAB
Investigational Site Number 0320004
Corrientes, W3400AMZ
Investigational Site Number 0320012
Corrientes, W3410AVV
Investigational Site Number 0320011
Godoy Cruz, M5501ARP
Investigational Site Number 0320007
Mar del Plata, B7600FZN
Investigational Site Number 0320006
Merlo, B1722COV
Investigational Site Number 0320015
Rosario, 2000
Investigational Site Number 0320017
Rosario, S2002OJP
Investigational Site Number 0320003
Salta, 4400
Investigational Site Number 0320018
Salta, 4400
Investigational Site Number 0320016
San Isidro, B1642DCB
Investigational Site Number 0320014
Santa Rosa
Russia18 sites
Investigational Site Number 6430018
Kaliningrad, 236035
Investigational Site Number 6430014
Kazan', 420087
Investigational Site Number 6430001
Kemerovo, 650002
Investigational Site Number 6430017
Krasnogorsk, 143408
Investigational Site Number 6430004
Moscow, 111539
Investigational Site Number 6430005
Moscow, 117292
Investigational Site Number 6430002
Moscow, 121374
Investigational Site Number 6430015
Moscow, 121552
Investigational Site Number 6430009
Novosibirsk, 630055
Investigational Site Number 6430019
Novosibirsk, 630087
Investigational Site Number 6430006
Saint Petersburg, 190013
Investigational Site Number 6430010
Saint Petersburg, 193312
Investigational Site Number 6430011
Saint Petersburg, 193312
Investigational Site Number 6430013
Saint Petersburg, 194156
Investigational Site Number 6430016
Saint Petersburg, 195067
Investigational Site Number 6430012
Saint Petersburg, 198205
Investigational Site Number 6430003
Saratov, 410028
Investigational Site Number 6430020
Saratov, 410039
Bulgaria15 sites
Investigational Site Number 1000011
Blagoevgrad, 2700
Investigational Site Number 1000014
Dimitrovgrad
Investigational Site Number 1000017
Gabrovo, 5300
Investigational Site Number 1000007
Kazanlak, 6100
Investigational Site Number 1000013
Kyustendil
Investigational Site Number 1000010
Lovech, 5500
Investigational Site Number 1000008
Plovdiv, 4000
Investigational Site Number 1000002
Plovdiv, 4002
Investigational Site Number 1000012
Rousse, 7002
Investigational Site Number 1000003
Sofia, 1233
Investigational Site Number 1000001
Sofia, 1431
Investigational Site Number 1000005
Sofia, 1750
Investigational Site Number 1000006
Stara Zagora, 6000
Investigational Site Number 1000009
Varna, 9000
Investigational Site Number 1000016
Yambol, 8600
Poland15 sites
Investigational Site Number 6160017
Bialystok, 15-404
Investigational Site Number 6160018
Bydgoszcz, 80-095
Investigational Site Number 6160015
Bydgoszcz, 85-090
Investigational Site Number 6160016
Gdansk, 80-546
Investigational Site Number 6160012
Gdansk, 80-858
Investigational Site Number 6160005
Katowice, 40-530
Investigational Site Number 6160006
Płock, 09-402
Investigational Site Number 6160011
Skierniewice, 96-100
Investigational Site Number 6160013
Skorzewo, 60-185
Investigational Site Number 6160010
Szczecin, 70-506
Investigational Site Number 6160007
Torun, 87-100
Investigational Site Number 6160009
Torun, 87-100
Investigational Site Number 6160014
Tychy, 43-100
Investigational Site Number 6160002
Warsaw, 02-507
Investigational Site Number 6160004
Wroclaw, 50-315
Mexico14 sites
Investigational Site Number 4840004
Actopan, 42500
Investigational Site Number 4840007
Aguascalientes, 20230
Investigational Site Number 4840009
Aguascalientes, 20230
Investigational Site Number 4840013
Aguascalientes, 20230
Investigational Site Number 4840014
Chihuahua City, 31000
Investigational Site Number 4840002
Cuernavaca, 62250
Investigational Site Number 4840016
Durango, 34000
Investigational Site Number 4840015
Durango, 34080
Investigational Site Number 4840006
Guadalajara, 44210
Investigational Site Number 4840003
Guadalajara, 44600
Investigational Site Number 4840005
Guadalajara, 44650
Investigational Site Number 4840011
Monterrey, 64020
Investigational Site Number 4840010
Monterrey, 64060
Investigational Site Number 4840001
Monterrey, 64460
Chile13 sites
Investigational Site Number 1520012
Antofagasta, 1270013
Investigational Site Number 1520008
Concepción, 4070566
Investigational Site Number 1520013
Santiago, 7500571
Investigational Site Number 1520002
Santiago, 7500710
Investigational Site Number 1520007
Santiago, 7500710
Investigational Site Number 1520011
Santiago, 7770086
Investigational Site Number 1520010
Santiago, 8053095
Investigational Site Number 1520001
Santiago, 8330336
Investigational Site Number 1520003
Santiago, 8380456
Investigational Site Number 1520014
Santiago, 8900132
Investigational Site Number 1520005
Santiago
Investigational Site Number 1520006
Temuco, 4813299
Investigational Site Number 1520004
Viña del Mar
Spain13 sites
Investigational Site Number 7240008
Alcorcón, 28922
Investigational Site Number 7240002
Barcelona, 08035
Investigational Site Number 7240009
Barcelona, 08041
Investigational Site Number 7240007
Granada, 18014
Investigational Site Number 7240010
Madrid, 28023
Investigational Site Number 7240001
Madrid, 28040
Investigational Site Number 7240006
Majadahonda, 28222
Investigational Site Number 7240011
Málaga, 29010
Investigational Site Number 7240005
Olot, 17800
Investigational Site Number 7240003
San Sebastián de los Reyes, 28702
Investigational Site Number 7240013
Seville, 41014
Investigational Site Number 7240004
Valencia, 46010
Investigational Site Number 7240014
Valencia, 46026
Slovakia12 sites
Investigational Site Number 7030007
Bratislava, 85101
Investigational Site Number 7030001
Košice, 040 01
Investigational Site Number 7030004
Košice, 040 01
Investigational Site Number 7030003
Kráľovský Chlmec, 077 01
Investigational Site Number 7030009
Moldava nad Bodvou, 04525
Investigational Site Number 7030010
Pezinok, 90201
Investigational Site Number 7030006
Považská Bystrica, 01701
Investigational Site Number 7030005
Prešov, 080 01
Investigational Site Number 7030008
Rožňava, 04801
Investigational Site Number 7030011
Štúrovo, 943 01
Investigational Site Number 7030002
Trebišov, 075 01
Investigational Site Number 7030012
Trenčín, 91101
Turkey (Türkiye)12 sites
Investigational Site Number 7920005
Adana, 01250
Investigational Site Number 7920010
Ankara, 06490
Investigational Site Number 7920012
Antalya, 07070
Investigational Site Number 7920015
Aydin, 09100
Investigational Site Number 7920002
Bursa, 16059
Investigational Site Number 7920013
Eskişehir, 26040
Investigational Site Number 7920001
Istanbul, 34393
Investigational Site Number 7920006
Istanbul, 34843
Investigational Site Number 7920011
İzmit, 41380
Investigational Site Number 7920014
Kütahya, 43040
Investigational Site Number 7920007
Samsun, 55139
Investigational Site Number 7920009
Sivas, 58140
Hungary11 sites
Investigational Site Number 3480012
Balatonfüred, 8230
Investigational Site Number 3480011
Budapest, 1036
Investigational Site Number 3480003
Budapest, 1042
Investigational Site Number 3480005
Budapest, 1106
Investigational Site Number 3480001
Budapest, 1122
Investigational Site Number 3480006
Budapest, 1134
Investigational Site Number 3480002
Debrecen, 4032
Investigational Site Number 3480009
Komárom, 2900
Investigational Site Number 3480008
Mosonmagyaróvár, 9200
Investigational Site Number 3480007
Székesfehérvár, 8000
Investigational Site Number 3480004
Zalaegerszeg, 8900
Romania10 sites
Investigational Site Number 6420007
Bacau, 600154
Investigational Site Number 6420001
Brasov, 500097
Investigational Site Number 6420011
Brasov, 500365
Investigational Site Number 6420009
Bucharest, 020475
Investigational Site Number 6420012
Oradea, 410151
Investigational Site Number 6420005
Oradea, 410159
Investigational Site Number 6420010
Oradea, 410169
Investigational Site Number 6420008
Ploieşti, 100561
Investigational Site Number 6420002
Târgu Mureş, 540142
Investigational Site Number 6420003
Târgu Mureş, 540142
South Korea10 sites
Investigational Site Number 4100007
Busan, 49241
Investigational Site Number 4100006
Guri-si, Gyeonggi-do, 11923
Investigational Site Number 4100005
Seoul, 02841
Investigational Site Number 4100002
Seoul, 03080
Investigational Site Number 4100009
Seoul, 03181
Investigational Site Number 4100001
Seoul, 03722
Investigational Site Number 4100011
Seoul, 06351
Investigational Site Number 4100003
Seoul, 06591
Investigational Site Number 4100010
Seoul, 08308
Investigational Site Number 4100008
Wŏnju, 26426
India9 sites
Investigational Site Number 3560001
Belagavi, 590010
Investigational Site Number 3560002
Gūrgaon, 122001
Investigational Site Number 3560007
Kolkata, 700073
Investigational Site Number 3560006
Lucknow, 226002
Investigational Site Number 3560003
New Delhi, 110 029
Investigational Site Number 3560009
New Delhi, 110060
Investigational Site Number 3560010
Pune, 411001
Investigational Site Number 3560005
Pune, 411010
Investigational Site Number 3560004
Vellore, 632004
Ukraine9 sites
Investigational Site Number 8040006
Dnipro, 49005
Investigational Site Number 8040009
Ivano-Frankivsk, 76008
Investigational Site Number 8040001
Ivano-Frankivsk, 76018
Investigational Site Number 8040003
Kharkiv, 61124
Investigational Site Number 8040002
Kharkiv, 61166
Investigational Site Number 8040007
Kiev, 02091
Investigational Site Number 8040008
Kyiv, 01004
Investigational Site Number 8040004
Ternopil, 46000
Investigational Site Number 8040005
Vinnytsia, 21001
Germany8 sites
Investigational Site Number 2760006
Berlin, 10437
Investigational Site Number 2760009
Berlin, 12627
Investigational Site Number 2760004
Essen, 45355
Investigational Site Number 2760008
Frankfurt am Main, 60313
Investigational Site Number 2760005
Münster, 48145
Investigational Site Number 2760003
Oldenburg in Holstein, 23758
Investigational Site Number 2760002
Pirna, 01796
Investigational Site Number 2760007
Rotenburg an der Fulda, 36199
South Africa8 sites
Investigational Site Number 7100007
Bloemfontein, 9301
Investigational Site Number 7100005
Cape Town, 7130
Investigational Site Number 7100006
Cape Town
Investigational Site Number 7100003
Johannesburg, 1752
Investigational Site Number 7100001
Johannesburg, 2198
Investigational Site Number 7100002
Parow, 7500
Investigational Site Number 7100004
Rivonia, 2128
Investigational Site Number 7100008
Umhlanga Rocks Suburb
Peru7 sites
Investigational Site Number 6040007
Lima, LIMA 01
Investigational Site Number 6040004
Lima, LIMA 11
Investigational Site Number 6040003
Lima, LIMA 27
Investigational Site Number 6040006
Lima, LIMA 31
Investigational Site Number 6040001
Lima
Investigational Site Number 6040005
Lima
Investigational Site Number 6040002
Piura, 20000
Italy6 sites
Investigational Site Number 3800006
Catania, 95123
Investigational Site Number 3800003
Catanzaro, 88100
Investigational Site Number 3800005
Catanzaro, 88100
Investigational Site Number 3800002
Chieti, 66013
Investigational Site Number 3800001
Milan, 20132
Investigational Site Number 3800004
Roma, 00133
Serbia6 sites
Investigational Site Number 6880001
Belgrade, 11000
Investigational Site Number 6880002
Belgrade, 11000
Investigational Site Number 6880003
Belgrade, 11050
Investigational Site Number 6880005
Belgrade, 11050
Investigational Site Number 6880004
Kragujevac, 34000
Investigational Site Number 6880006
Novi Sad, 21000
Sweden6 sites
Investigational Site Number 7520006
Gothenburg, 41345
Investigational Site Number 7520003
Helsingborg, 252 20
Investigational Site Number 7520004
Kristianstad, 291 85
Investigational Site Number 7520002
Malmö, 211 52
Investigational Site Number 7520005
Skövde, 541 40
Investigational Site Number 7520001
Stockholm, 171 76
Denmark5 sites
Investigational Site Number 2080004
Aarhus N, 8200
Investigational Site Number 2080005
Esbjerg, 6700
Investigational Site Number 2080001
Hellerup, 2900
Investigational Site Number 2080003
Hvidovre, 2650
Investigational Site Number 2080002
København NV, 2400
Finland4 sites
Investigational Site Number 2460002
Helsinki, 00100
Investigational Site Number 2460001
Jyväskylä, 40620
Investigational Site Number 2460003
Kuopio, 70100
Investigational Site Number 2460004
Oulu, 90220
Latvia4 sites
Investigational Site Number 4280004
Daugavpils, LV-5417
Investigational Site Number 4280002
Liepāja, LV3414
Investigational Site Number 4280001
Riga, LV-1011
Investigational Site Number 4280003
Sigulda, LV-2150
Lithuania4 sites
Investigational Site Number 4400001
Kaunas, 49449
Investigational Site Number 4400002
Kaunas, 50161
Investigational Site Number 4400003
Klaipėda, 92111
Investigational Site Number 4400004
Vilnius, 08661
Estonia3 sites
Investigational Site Number 2330002
Pärnu, 80018
Investigational Site Number 2330001
Tallinn, 13419
Investigational Site Number 2330003
Viljandi, 71024
Norway3 sites
Investigational Site Number 5780002
Hamar, 2317
Investigational Site Number 5780001
Oslo
Investigational Site Number 5780003
Stavanger, 4011
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Effect of Efpeglenatide on Cardiovascular Outcomes in Type 2 Diabetes Patients at High Cardiovascular Risk
Primary Objective:
To demonstrate that efpeglenatide 4 and 6 mg was noninferior to placebo on 3-point major adverse cardiac events (MACE) in Type 2 diabetes mellitus (T2DM) participants at high cardiovascular (CV) risk.
Secondary Objectives:
To demonstrate that efpeglenatide 4 and 6 mg was superior to placebo in T2DM participants with high CV risk on the following parameters:
- 3-point MACE.
- Expanded CV outcome.
- Composite outcome of new or worsening nephropathy.
To assess the safety and tolerability of efpeglenatide 4 and 6 mg, both added to standard of care in T2DM participants at high CV risk.
Read the detailed description
The study duration per participant was up to approximately 36 months.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Efpeglenatide (SAR439977), Placebo
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Efpeglenatide (SAR439977)Drug
Pharmaceutical form: Solution for injection,
Route of administration: SC
PlaceboDrug
Pharmaceutical form: Solution for injection
Route of administration: SC
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received placebo (matched to Efpeglenatide) as subcutaneous (SC) injection once weekly up to end of treatment. Receives: Drug: Placebo |
| Efpeglenatide 4 mg | Experimental | Participants received Efpeglenatide as SC injection 2 milligrams (mg) per week for 4 weeks then 4 mg per week up to end of treatment. Receives: Drug: Efpeglenatide (SAR439977) |
| Efpeglenatide 6 mg | Experimental | Participants received Efpeglenatide as SC injection 2 mg per week for 4 weeks, then 4 mg per week for 4 weeks and then 6 mg per week up to end of treatment. Receives: Drug: Efpeglenatide (SAR439977) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Occurrence of Major Adverse Cardiovascular Events (MACE): Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular (CV) Event - Non-Inferiority Analysis
All MACE positively adjudicated by the clinical endpoint committee (CEC) were used in the analysis of the composite outcome of first occurrence to CV death, non-fatal myocardial infarction (MI), and non-fatal stroke. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported.
Measured: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Secondary outcomes (3)
Time to First Occurrence of Major Adverse Cardiovascular Events: Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular Event - Superiority Analysis
All MACE positively adjudicated by the CEC were used in the analysis of the composite outcome of first occurrence to CV death, non-fatal MI, and non-fatal stroke. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported.
Measured: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Time to First Occurrence of the Expanded Major Adverse Cardiovascular Events Composite Events: Event Rate Per 100 Participant-years for First Occurrence of Expanded Major Cardiovascular Event
All MACE positively adjudicated by the CEC were used in the analysis of the expanded outcome of first occurrence to CV death (including fatal MI and fatal stroke), non-fatal MI, non-fatal stroke, coronary revascularization or hospitalization for unstable angina. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported. Data analysis was also performed independently by external steering committee for the publication.
Measured: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Time to First Occurrence of Composite Renal Endpoint: Event Rate Per 100 Participant-years for First Occurrence of Composite Renal Endpoint
Composite renal endpoint included the following: incident macroalbuminuria (defined as urinary albumin-to-creatinine ratio of greater than (>) 300, as measured in mg of albumin to grams of creatinine, or >33.9, as measured in mg of albumin to millimoles of creatinine), plus an increase in urinary albumin-to-creatinine ratio of at least 30% from baseline, a sustained decrease in estimated glomerular filtration rate (eGFR) of at least 40% for 30 days or more, renal-replacement therapy for 90 days or more, and a sustained eGFR of less than 15 ml per minute per 1.73 m^2 for 30 days or more. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of renal endpoint over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported.
Measured: From Day 1 until the confirmed occurrence of composite renal endpoint (maximum duration: up to 31.5 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Apr 2018
- Study start27 Apr 2018
- Primary completion10 Dec 2020
- Study completion10 Dec 2020
Why it stopped: Sponsor decision to cancel TRIAL, not related to safety concern
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 4,076 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Hanmi Pharmaceutical Company Limited
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03496298
- Sponsor's protocol ID
- EFC14828
- Other IDs
- 2017-002954-35, U1111-1186-2533, 2017
- Acronym
- AMPLITUDE-O
- Status last verified
- Aug 2021
- First submitted
- 5 Apr 2018
- Last updated
- 15 Oct 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: No plan to share individual participant data (IPD) by Sanofi: product rights transferred to Hanmi pharmaceutical.
Publications
Gerstein HC, Sattar N, Rosenstock J, Ramasundarahettige C, Pratley R, Lopes RD, Lam CSP, Khurmi NS, Heenan L, Del Prato S, Dyal L, Branch K; AMPLITUDE-O Trial Investigators. Cardiovascular and Renal Outcomes with Efpeglenatide in Type 2 Diabetes. N Engl J Med. 2021 Sep 2;385(10):896-907. doi: 10.1056/NEJMoa2108269. Epub 2021 Jun 28.
PubMed 34215025Natale 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 39963952Gerstein HC, Li Z, Ramasundarahettige C, Baek S, Branch KRH, Del Prato S, Lam CSP, Lopes RD, Pratley R, Rosenstock J, Sattar N. Exploring the Relationship Between Efpeglenatide Dose and Cardiovascular Outcomes in Type 2 Diabetes: Insights From the AMPLITUDE-O Trial. Circulation. 2023 Mar 28;147(13):1004-1013. doi: 10.1161/CIRCULATIONAHA.122.063716. Epub 2023 Feb 20.
PubMed 36802715Lam CSP, Ramasundarahettige C, Branch KRH, Sattar N, Rosenstock J, Pratley R, Del Prato S, Lopes RD, Niemoeller E, Khurmi NS, Baek S, Gerstein HC. Efpeglenatide and Clinical Outcomes With and Without Concomitant Sodium-Glucose Cotransporter-2 Inhibition Use in Type 2 Diabetes: Exploratory Analysis of the AMPLITUDE-O Trial. Circulation. 2022 Feb 22;145(8):565-574. doi: 10.1161/CIRCULATIONAHA.121.057934. Epub 2021 Nov 14.
PubMed 34775781Gerstein HC, Branch K, Heenan L, Del Prato S, Khurmi NS, Lam CSP, Pratley R, Rosenstock J, Sattar N. Design and baseline characteristics of the AMPLITUDE-O cardiovascular outcomes trial of efpeglenatide, a weekly glucagon-like peptide-1 receptor agonist. Diabetes Obes Metab. 2021 Feb;23(2):318-323. doi: 10.1111/dom.14223. Epub 2020 Oct 22.
PubMed 33026143
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Effect of Efpeglenatide on Cardiovascular Outcomes in Type 2 Diabetes Patients at High Cardiovascular Risk
- ClinicalTrials.gov ID
- NCT03496298
- Acronym / sponsor ID
- AMPLITUDE-O / EFC14828
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor decision to cancel TRIAL, not related to safety concern
- Enrolment
- 4,076 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Collaborators
- Hanmi Pharmaceutical Company Limited
- Study start
- 27 Apr 2018 (actual)
- Primary completion
- 10 Dec 2020 (actual)
- Study completion
- 10 Dec 2020 (actual)
- First posted
- 12 Apr 2018 (actual)
- Results
- Posted 15 Oct 2021
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 that efpeglenatide 4 and 6 mg was noninferior to placebo on 3-point major adverse cardiac events (MACE) in Type 2 diabetes mellitus (T2DM) participants at high cardiovascular (CV) risk.
Secondary Objectives:
To demonstrate that efpeglenatide 4 and 6 mg was superior to placebo in T2DM participants with high CV risk on the following parameters:
- 3-point MACE.
- Expanded CV outcome.
- Composite outcome of new or worsening nephropathy.
To assess the safety and tolerability of efpeglenatide 4 and 6 mg, both added to standard of care in T2DM participants at high CV risk.
Detailed description
The study duration per participant was up to approximately 36 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants received placebo (matched to Efpeglenatide) as subcutaneous (SC) injection once weekly up to end of treatment. |
| Efpeglenatide 4 mg | Experimental | Drug: Efpeglenatide (SAR439977)Participants received Efpeglenatide as SC injection 2 milligrams (mg) per week for 4 weeks then 4 mg per week up to end of treatment. |
| Efpeglenatide 6 mg | Experimental | Drug: Efpeglenatide (SAR439977)Participants received Efpeglenatide as SC injection 2 mg per week for 4 weeks, then 4 mg per week for 4 weeks and then 6 mg per week up to end of treatment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- T2DM with glycosylated hemoglobin (HbA1c) greater than (>) 7 percentage.
- Age 18 years or older who met at least one of the cardiovascular disease criteria or age 50 years (male), 55 years (female) or older with glomerular filtration rate greater than or equal to 25 and less than 60 milliliters per minute and at least had one cardiovascular risk factor.
- Female participants agreed to follow contraceptive guidance.
- Signed written informed consent.
Key exclusion criteria (12 listed)
- Clinically relevant history of gastrointestinal disease associated with prolonged nausea and vomiting.
- History of chronic pancreatitis or acute idiopathic pancreatitis or diagnosis of any type of acute pancreatitis within 3 months prior to screening.
- Personal or family history of medullary thyroid cancer.
- Hypertension (with a systolic blood pressure >180 millimeters of Mercury [mmHg] and/or diastolic blood pressure >100 mmHg).
- Hospitalization for hypertensive emergency within 3 months prior to randomization.
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 |
|---|---|---|
| Efpeglenatide (SAR439977)Pharmaceutical form: Solution for injection, Route of administration: SC | Drug | Efpeglenatide 4 mg, Efpeglenatide 6 mg |
| PlaceboPharmaceutical form: Solution for injection Route of administration: SC | Drug | Placebo |
Primary outcome
Time to First Occurrence of Major Adverse Cardiovascular Events (MACE): Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular (CV) Event - Non-Inferiority Analysis
Time frame: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
All MACE positively adjudicated by the clinical endpoint committee (CEC) were used in the analysis of the composite outcome of first occurrence to CV death, non-fatal myocardial infarction (MI), and non-fatal stroke. Kaplan-Meier curves of the cumulative event rate by treatment groups were used to depict the first occurrence of MACE over time. The event rate per 100 participant-years (calculated by 100*number of participants with events/sum of time at risk (days) over all participants/365.25) measured in terms of number of events per 100 participant-years was reported.
3 secondary outcomes
Time to First Occurrence of Major Adverse Cardiovascular Events: Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular Event - Superiority Analysis
Time frame: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Time to First Occurrence of the Expanded Major Adverse Cardiovascular Events Composite Events: Event Rate Per 100 Participant-years for First Occurrence of Expanded Major Cardiovascular Event
Time frame: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)
Time to First Occurrence of Composite Renal Endpoint: Event Rate Per 100 Participant-years for First Occurrence of Composite Renal Endpoint
Time frame: From Day 1 until the confirmed occurrence of composite renal endpoint (maximum duration: up to 31.5 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 34215025Gerstein HC, Sattar N, Rosenstock J, Ramasundarahettige C, Pratley R, Lopes RD, Lam CSP, Khurmi NS, Heenan L, Del Prato S, Dyal L, Branch K; AMPLITUDE-O Trial Investigators. Cardiovascular and Renal Outcomes with Efpeglenatide in Type 2 Diabetes. N Engl J Med. 2021 Sep 2;385(10):896-907. doi: 10.1056/NEJMoa2108269. Epub 2021 Jun 28.
- 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.
- Derived from this study: PubMed 36802715Gerstein HC, Li Z, Ramasundarahettige C, Baek S, Branch KRH, Del Prato S, Lam CSP, Lopes RD, Pratley R, Rosenstock J, Sattar N. Exploring the Relationship Between Efpeglenatide Dose and Cardiovascular Outcomes in Type 2 Diabetes: Insights From the AMPLITUDE-O Trial. Circulation. 2023 Mar 28;147(13):1004-1013. doi: 10.1161/CIRCULATIONAHA.122.063716. Epub 2023 Feb 20.
- Derived from this study: PubMed 34775781Lam CSP, Ramasundarahettige C, Branch KRH, Sattar N, Rosenstock J, Pratley R, Del Prato S, Lopes RD, Niemoeller E, Khurmi NS, Baek S, Gerstein HC. Efpeglenatide and Clinical Outcomes With and Without Concomitant Sodium-Glucose Cotransporter-2 Inhibition Use in Type 2 Diabetes: Exploratory Analysis of the AMPLITUDE-O Trial. Circulation. 2022 Feb 22;145(8):565-574. doi: 10.1161/CIRCULATIONAHA.121.057934. Epub 2021 Nov 14.
- Derived from this study: PubMed 33026143Gerstein HC, Branch K, Heenan L, Del Prato S, Khurmi NS, Lam CSP, Pratley R, Rosenstock J, Sattar N. Design and baseline characteristics of the AMPLITUDE-O cardiovascular outcomes trial of efpeglenatide, a weekly glucagon-like peptide-1 receptor agonist. Diabetes Obes Metab. 2021 Feb;23(2):318-323. doi: 10.1111/dom.14223. Epub 2020 Oct 22.
- Individual participant dataSharing planned: No. No plan to share individual participant data (IPD) by Sanofi: product rights transferred to Hanmi pharmaceutical.
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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
353 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Efpeglenatide (SAR439977) in people with Type 2 Diabetes Mellitus, run by Sanofi at 353 sites in 28 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: stopped early, as of the sponsor's last update on 15 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 353 sites in United States, Canada, Argentina, Russia, Bulgaria and 23 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. Some participants in this study may receive a placebo. 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 15 Oct 2021). 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 First Occurrence of Major Adverse Cardiovascular Events (MACE): Event Rate Per 100 Participant-years for First Occurrence of Major Cardiovascular (CV) Event - Non-Inferiority Analysis (time frame: From Day 1 until the date of first adjudicated and confirmed occurrence of major CV event (maximum duration: up to 31.5 months)). 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 NCT03496298, 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 15 Oct 2021.