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Type 2 Diabetes MellitusPhase 3AMPLITUDE-LNCT03713684

Efficacy and Safety of Efpeglenatide Versus Placebo in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Basal Insulin Alone or in Combination With Oral Antidiabetic Drug(s)

A Phase 3 study testing Efpeglenatide SAR439977 and Background therapy in people with Type 2 Diabetes Mellitus, run by Sanofi at 47 sites in 3 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 superiority of once weekly injection of efpeglenatide in comparison to placebo in glycated hemoglobin (HbA1c) change in participants with type 2 diabetes mellitus (T2DM) inadequately controlled with basal insulin alone or in combination with oral antidiabetic drugs (OADs). 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 and Background therapy
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
370 participants
Where
47 sitesin 3 countries
Study dates
9 Nov 2018to 4 Jan 2021
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 basal insulin regimen alone or in combination with OADs for at least 6 months prior to screening.
  • HbA1c between 7.0 percent (%) and 10.0% (inclusive) measured by the central laboratory at screening.

Who cannot join

  • History of severe hypoglycemia requiring emergency room admission or hospitalization within 3 months prior to screening.
  • 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 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.
  • History of pancreatitis (unless pancreatitis was related to gallstones and cholecystectomy has 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 predispose to MTC (e.g., multiple endocrine neoplasia syndromes).
  • Body weight change of >=5 kilograms within the last 3 months prior to screening.
Show all 16Show fewer
  • Systolic blood pressure greater than (>)180 millimetres of mercury (mmHg) and/or diastolic blood pressure >100 mmHg at randomization.
  • End-stage renal disease as defined by estimated glomerular filtration rate (by Modification of Diet in Renal Disease) of less than 15 mL/min/1.73 m^2.
  • Laboratory findings at the screening Visit:
  • Alanine aminotransferase or aspartate aminotransferase >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 [pg/mL]).
  • 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 not willing to use highly effective method(s) of birth control or who were 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

47 sites in 3 countries.

47 sites in 3 countries

United States22 sites
  • Investigational Site Number 8400038

    Birmingham, Alabama, 35211

  • Investigational Site Number 8400001

    Bridgeton, New Jersey, 08302

  • Investigational Site Number 8400035

    Chandler, Arizona, 85224

  • Investigational Site Number 8400030

    Dallas, Texas, 75230

  • Investigational Site Number 8400063

    Dallas, Texas, 75390-9302

  • Investigational Site Number 8400005

    Glendale, Arizona, 85306

  • Investigational Site Number 8400057

    Huntington Park, California, 90255

  • Investigational Site Number 8400058

    La Jolla, California, 92037

  • 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 8400013

    Maumee, Ohio, 43537

  • 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 8400043

    San Antonio, Texas, 78229

  • 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 8400052

    West Des Moines, Iowa, 50265

Other trials in United States

South Korea16 sites
  • Investigational Site Number 4100009

    Busan, 49241

  • Investigational Site Number 4100001

    Daejeon, 35233

  • Investigational Site Number 4100016

    Gwangju, 501757

  • Investigational Site Number 4100010

    Gwangju, 61453

  • Investigational Site Number 4100013

    Gyeonggi-do, 11765

  • Investigational Site Number 4100015

    Incheon, 21565

  • Investigational Site Number 4100014

    Jeonju, 54907

  • Investigational Site Number 4100007

    Seongnam-si, 13620

  • Investigational Site Number 4100008

    Seoul, 02447

  • Investigational Site Number 4100002

    Seoul, 03080

  • Investigational Site Number 4100005

    Seoul, 03722

  • Investigational Site Number 4100004

    Seoul, 05278

  • Investigational Site Number 4100003

    Seoul, 06351

  • Investigational Site Number 4100011

    Seoul, 07345

  • Investigational Site Number 4100006

    Seoul, 14647

  • Investigational Site Number 4100012

    Suwon, 16247

Other trials in South Korea

China9 sites
  • Investigational Site Number 1560005

    Baotou, 014010

  • Investigational Site Number 1560017

    Beijing, 100730

  • Investigational Site Number 1560006

    Changsha, 410013

  • Investigational Site Number 1560001

    Chengdu, 610083

  • Investigational Site Number 1560004

    Shanghai, 014010

  • Investigational Site Number 1560036

    Shanghai, 200032

  • Investigational Site Number 1560012

    Shanghai, 200040

  • Investigational Site Number 1560013

    Shanghai, 200040

  • Investigational Site Number 1560003

    Zhengzhou, 450003

Other trials in China

About this study

Official title: A 56-week, Multicenter, Double-blind, Placebo-controlled, Randomized Study to Evaluate the Efficacy and Safety of Efpeglenatide Once Weekly in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Basal Insulin Alone or in Combination With Oral Antidiabetic Drug(s)

Primary Objective:

To demonstrate the superiority of once weekly injection of efpeglenatide in comparison to placebo in glycated hemoglobin (HbA1c) change in participants with type 2 diabetes mellitus (T2DM) inadequately controlled with basal insulin alone or in combination with oral antidiabetic drugs (OADs).

Secondary Objectives:

  • To demonstrate the superiority of once weekly injection of efpeglenatide in comparison to placebo on glycemic control.
  • To demonstrate the superiority of once weekly injection of efpeglenatide in comparison to placebo on body weight.
  • To evaluate the safety of once weekly injection of efpeglenatide.
Read the detailed description

Study duration per participant was approximately 64 weeks including an up to 2-week Screening Period, a 30-week Core Treatment Period, a 26-week Safety Extension Period, and a 6-week safety Follow-up Period.

Being tested
Efpeglenatide SAR439977, Placebo, Background therapy
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 SAR439977Drug

    Pharmaceutical form: solution for injection Route of administration: subcutaneous

  • PlaceboDrug

    Pharmaceutical form: solution for injection Route of administration: subcutaneous

  • Background therapyDrug

    Lantus (Insulin Glargine), SC, once daily; OADs, administered as per investigator prescription and in accordance with local labeling.

Study groups in NCT03713684
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received placebo (matched to efpeglenatide) subcutaneous (SC) injection once weekly up to Week 56 on top of basal insulin alone or in combination with oral antidiabetic drugs (OADs).
Receives: Drug: Placebo; Drug: Background therapy
Efpeglenatide 2 mgExperimentalParticipants received Efpeglenatide 2 milligrams (mg) SC injection once weekly up to Week 56 on top of basal insulin alone or in combination with OADs.
Receives: Drug: Efpeglenatide SAR439977; Drug: Background therapy
Efpeglenatide 4 mgExperimentalParticipants received Efpeglenatide 4 mg SC injection once weekly up to Week 56 on top of basal insulin alone or in combination with OADs. Participants initiated dosing at 2 mg once weekly up to Week 1; which was up titrated to 4 mg and maintained at the 4 mg dose through-out the treatment duration up to Week 56.
Receives: Drug: Efpeglenatide SAR439977; Drug: Background therapy
Efpeglenatide 6 mgExperimentalParticipants received Efpeglenatide 6 mg SC injection once weekly up to Week 56 on top of basal insulin alone or in combination with OADs. Participants initiated dosing at 2 mg once weekly up to Week 1; which was up titrated to 4 mg until Week 4 and later up-titrated to 6 mg and maintained at the 6 mg dose through-out the treatment duration up to Week 56.
Receives: Drug: Efpeglenatide SAR439977; Drug: Background therapy

What is being measured

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

  1. Change From Baseline to Week 30 in HbA1c

    Measured: Baseline to Week 30

Secondary outcomes (6)
  1. Number of Participants With HbA1c <7.0% at Week 30

    Participants who had no available assessment for HbA1c at Week 30 were considered as non-responders.

    Measured: Week 30

  2. Change From Baseline to Week 56 in HbA1c

    This analysis included Week 56 assessment performed per protocol as well as premature end of treatment/study visit recorded as Week 56 due to early termination.

    Measured: Baseline to Week 56

  3. Change From Baseline to Week 30 in Fasting Plasma Glucose (FPG)

    Measured: Baseline to Week 30

  4. Change From Baseline to Week 30 and Week 56 in Body Weight

    This analysis included Week 56 assessment performed per protocol as well as premature end of treatment/study visit recorded as Week 56 due to early termination.

    Measured: Baseline to Week 30 and Week 56

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

    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

  6. 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 posted22 Oct 2018
  2. Study start9 Nov 2018
  3. Primary completion20 Nov 2020
  4. Study completion4 Jan 2021

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
370 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03713684
Sponsor's protocol ID
EFC14893
Other IDs
U1111-1189-5009
Acronym
AMPLITUDE-L
Status last verified
Nov 2021
First submitted
18 Oct 2018
Last updated
2 Dec 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 SAR439977 and Background therapy in people with Type 2 Diabetes Mellitus, run by Sanofi at 47 sites in 3 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 16 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 2 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, South Korea, China. 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 2 Dec 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 30 in HbA1c (time frame: Baseline to Week 30). 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 2 Dec 2021.

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