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Type 2 Diabetes MellitusPhase 3AMPLITUDE-DNCT03684642

Efficacy and Safety of Efpeglenatide Versus Dulaglutide in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin

A Phase 3 study testing Efpeglenatide, Dulaglutide and Background therapy Metformin in people with Type 2 Diabetes Mellitus, run by Sanofi at 45 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Primary Objective: To demonstrate the non-inferiority of once weekly injection of efpeglenatide in comparison to once weekly injection of dulaglutide on glycated hemoglobin (HbA1c) change in participants with Type 2 diabetes mellitus (T2DM) inadequately controlled with metformin. 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, Dulaglutide and Background therapy Metformin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
908 participants
Where
45 sitesin 4 countries
Study dates
26 Sep 2018to 17 Nov 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

  • Participant must be greater than or equal to (>=) 18 years of age at the time of signing the informed consent.
  • Participants with T2DM.
  • Diabetes diagnosed at least 1 year before screening.
  • Participants on stable dose of at least 1500 milligram per day (mg/day) of metformin, or tolerated maximum dose, or as per country regulation if less, for at least 3 months prior to screening.
  • HbA1c between 7.0 percent (%) and 10.0% (inclusive) measured by the central laboratory at screening.

Who cannot join

  • Retinopathy or maculopathy with one of the following treatments, either recent (within 3 months prior to screening) or planned: intravitreal injections or laser or vitrectomy surgery.
  • Clinically relevant history of gastrointestinal (GI) disease associated with prolonged nausea and vomiting, including (but not limited to) gastroparesis, unstable and not controlled gastroesophageal reflux disease requiring medical treatment within 6 months prior to screening or history of surgery affecting gastric emptying.
  • History of pancreatitis (unless pancreatitis was related to gallstones and cholecystectomy had been performed), pancreatitis during previous treatment with incretin therapies, chronic pancreatitis, pancreatectomy.
  • Personal or family history of medullary thyroid cancer (MTC) or genetic conditions that predisposes to MTC (e.g., multiple endocrine neoplasia syndromes).
  • Body weight change of greater than or equal to (>=) 5 kilogram within the last 3 months prior to screening.
  • Systolic blood pressure greater than (>)180 millimeter of mercury (mmHg) and/or diastolic blood pressure >100 mmHg at randomization.
Show all 15Show fewer
  • Severe renal disease as defined by estimated glomerular filtration rate (eGFR), by Modification of Diet in Renal Disease (MDRD)] of less than (<)30 mL/min/1.73 m^2.
  • Laboratory findings at the screening visit:
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3 * upper limit of normal (ULN) or total bilirubin >1.5 * ULN (except in case of documented Gilbert's syndrome);
  • Amylase and/or lipase: >3 * ULN;
  • Calcitonin >=5.9 picomoles per liter (pmol/L) (20 picograms per milliliter).
  • Gastric surgery or other gastric procedures intended for weight loss within 2 years prior to screening, or planned during study period.
  • Pregnant (confirmed by serum pregnancy test at screening) or breast-feeding women.
  • Women of childbearing potential (WOCBP) not willing to use highly effective method(s) of birth control or who are unwilling to be tested for pregnancy during the study period and for at least 5 weeks after the last dose of study intervention.
  • 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

45 sites in 4 countries.

45 sites in 4 countries

United States30 sites
  • Investigational Site Number 8400038

    Birmingham, Alabama, 35211

  • Investigational Site Number 8400061

    Boston, Massachusetts, 02115

  • Investigational Site Number 8400001

    Bridgeton, New Jersey, 08302

  • Investigational Site Number 8400028

    Burlington, North Carolina, 27215

  • Investigational Site Number 8400035

    Chandler, Arizona, 85224

  • Investigational Site Number 8400030

    Dallas, Texas, 75230

  • Investigational Site Number 8400005

    Glendale, Arizona, 85306

  • Investigational Site Number 8400014

    Goose Creek, South Carolina, 29445

  • Investigational Site Number 8400057

    Huntington Park, California, 90255

  • Investigational Site Number 8400025

    Lawrenceville, Georgia, 30044

  • Investigational Site Number 8400037

    Layton, Utah, 84041

  • Investigational Site Number 8400044

    Lexington, Kentucky, 40503

  • Investigational Site Number 8400009

    Los Angeles, California, 90057

  • Investigational Site Number 8400049

    Manassas, Virginia, 20110

  • Investigational Site Number 8400013

    Maumee, Ohio, 43537

  • Investigational Site Number 8400060

    Meridian, Idaho, 83642

  • Investigational Site Number 8400036

    Morehead City, North Carolina, 28557

  • Investigational Site Number 8400039

    New Windsor, New York, 12553

  • Investigational Site Number 8400055

    Orlando, Florida, 32825

  • Investigational Site Number 8400041

    Pembroke Pines, Florida, 33026

  • Investigational Site Number 8400054

    Peoria, Arizona, 85381

  • Investigational Site Number 8400020

    San Antonio, Texas, 78218

  • Investigational Site Number 8400043

    San Antonio, Texas, 78229

  • Investigational Site Number 8400053

    San Antonio, Texas, 78258

  • Investigational Site Number 8400007

    San Diego, California, 92120

  • Investigational Site Number 8400059

    Skokie, Illinois, 60077

  • Investigational Site Number 8400045

    Spring Valley, California, 91978

  • Investigational Site Number 8400040

    Tustin, California, 92780

  • Investigational Site Number 8400026

    Van Nuys, California, 91405

  • Investigational Site Number 8400050

    Waterbury, Connecticut, 06708

Other trials in United States

Poland6 sites
  • Investigational Site Number 6160008

    Gdansk, 80-382

  • Investigational Site Number 6160004

    Gdynia, 81-537

  • Investigational Site Number 6160010

    Katowice, 40-040

  • Investigational Site Number 6160009

    Poznan, 60-702

  • Investigational Site Number 6160003

    Warsaw, 01-192

  • Investigational Site Number 6160001

    Wroclaw, 50-381

Other trials in Poland

Hungary5 sites
  • Investigational Site Number 3480004

    Budapest, 1036

  • Investigational Site Number 3480003

    Debrecen, 4025

  • Investigational Site Number 3480001

    Gyula, 5700

  • Investigational Site Number 3480005

    Hatvan, 3000

  • Investigational Site Number 3480002

    Nyíregyháza, 4400

Other trials in Hungary

Ukraine4 sites
  • Investigational Site Number 8040003

    Kyiv, 02002

  • Investigational Site Number 8040001

    Kyiv, 03037

  • Investigational Site Number 8040002

    Kyiv, 03049

  • Investigational Site Number 8040004

    Vinnytsia, 21050

Other trials in Ukraine

About this study

Official title: A 56-week, Multicenter, Open-label, Active-controlled, Randomized Study to Evaluate the Efficacy and Safety of Efpeglenatide Once Weekly Compared to Dulaglutide Once Weekly in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin

Primary Objective:

To demonstrate the non-inferiority of once weekly injection of efpeglenatide in comparison to once weekly injection of dulaglutide on glycated hemoglobin (HbA1c) change in participants with Type 2 diabetes mellitus (T2DM) inadequately controlled with metformin.

Secondary Objectives:

  • To demonstrate the superiority of once weekly injection of efpeglenatide with once weekly injection of dulaglutide on glycemic control.
  • To demonstrate the superiority of once weekly injection of efpeglenatide with once weekly injection of dulaglutide on body weight.
  • To evaluate the safety of once weekly injection of efpeglenatide and once weekly injection of dulaglutide.
Read the detailed description

Study duration per participant was approximately 65 weeks including an up to 3-week Screening Period, a 56-week Treatment Period and a 6-week safety Follow-up Period.

Being tested
Efpeglenatide, Dulaglutide, Background therapy Metformin
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.

  • EfpeglenatideDrug

    Also called SAR439977

    Pharmaceutical form: solution for injection; Route of administration: SC

  • DulaglutideDrug

    Also called Trulicity™

    Pharmaceutical form: solution for injection; Route of administration: SC

  • Background therapy MetforminDrug

    Pharmaceutical form: tablet; Route of administration: oral; Dose to be kept stable throughout the study.

Study groups in NCT03684642
Study groupRoleWhat they receive
Efpeglenatide 4 mgExperimentalParticipants received Efpeglenatide subcutaneous (SC) injection once weekly up to Week 56 on top of metformin. Participants initiated dosing at 2 mg once weekly and increased every 2 weeks to the maximum of 4 mg once weekly for the treatment duration.
Receives: Drug: Efpeglenatide; Drug: Background therapy Metformin
Efpeglenatide 6 mgExperimentalParticipants received Efpeglenatide SC injection once weekly up to Week 56 on top of metformin. Participants initiated dosing at 2 mg once weekly and increased every 2 weeks to the maximum of 6 mg once weekly for the treatment duration.
Receives: Drug: Efpeglenatide; Drug: Background therapy Metformin
Dulaglutide 1.5 mgActive comparatorParticipants received Dulaglutide SC injection once weekly up to Week 56 on top of metformin. Participants initiated dosing at 0.75 mg once weekly and increased after 2 weeks to 1.5 mg once weekly for the treatment duration.
Receives: Drug: Dulaglutide; Drug: Background therapy Metformin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to Week 56 in HbA1c

    Adjusted Least square (LS) means and Standard errors (SE) were obtained from analysis of covariance (ANCOVA) model to account for missing data. Missing values were imputed by baseline observation carried forward (BOCF)-like multiple imputation method.

    Measured: Baseline to Week 56

Secondary outcomes (5)
  1. Change From Baseline to Week 56 in Body Weight

    Adjusted LS means and SE were obtained from ANCOVA model to account for missing data. Missing values were imputed by BOCF-like multiple imputation method.

    Measured: Baseline to Week 56

  2. Number of Participants With HbA1c < 7.0 %

    Participants who had no available assessment for HbA1c at Week 56 were considered as non-responders.

    Measured: Week 56

  3. Change From Baseline to Week 56 in Fasting Plasma Glucose (FPG)

    Adjusted LS means and SE were obtained from ANCOVA model to account for missing data. Missing values were imputed by BOCF-like multiple imputation method.

    Measured: Baseline to Week 56

  4. Number of Participants With At Least One Hypoglycemic Events (Documented Symptomatic Hypoglycemia <3.0 mmol/L [<54 mg/dL], Severe Hypoglycemia)

    Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <54 milligrams per deciliter (mg/dL) (<3.0 mmol/L). Severe hypoglycemia was an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.

    Measured: Baseline up to Week 56

  5. Number of Hypoglycemic Events (Documented Symptomatic Hypoglycemia <3.0 mmol/L [<54 mg/dL] and Severe Hypoglycemia) Per Participant-Year

    Documented symptomatic hypoglycemia was an event during which typical symptoms of hypoglycemia were accompanied by a measured plasma glucose concentration of <54 mg/dL (<3.0 mmol/L). Severe hypoglycemia was an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.

    Measured: Baseline up to Week 56

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Sep 2018
  2. Study start26 Sep 2018
  3. Primary completion13 Oct 2020
  4. Study completion17 Nov 2020

Why it stopped: Sponsor decision to cancel TRIAL, not related to safety concern.

Resources

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
908 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03684642
Sponsor's protocol ID
EFC14829
Other IDs
2017-002956-10, U1111-1205-3150, 2017
Acronym
AMPLITUDE-D
Status last verified
Oct 2021
First submitted
24 Sep 2018
Last updated
1 Nov 2021
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Efpeglenatide, Dulaglutide and Background therapy Metformin in people with Type 2 Diabetes Mellitus, run by Sanofi at 45 sites in 4 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 5 inclusion and 15 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 1 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States, Poland, Hungary, Ukraine. 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 1 Nov 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?

Change From Baseline to Week 56 in HbA1c (time frame: Baseline to Week 56). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Nov 2021.

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