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Type 2 DiabetesPhase 4NCT07307235

Efficacy and Safety of iGlarLixi Versus Standard of Care in a Real-world Adult China Population With Uncontrolled Type 2 Diabetes on Oral Agents

A Phase 4 study testing iGlarLixi (insulin glargine/lixisenatide) in people with Type 2 Diabetes, run by Shanghai Zhongshan Hospital at 24 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study is a prospective, open-label, multicenter, parallel-group, positive-controlled, and pragmatic randomized clinical trial (pRCT). It will compare the efficacy and safety of iGlarLixi versus standard of care in adult T2DM patients with poor glycemic control, who are using 1 to 3 OADs in a real-world clinical… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Type 2 Diabetes
What is being tested?
iGlarLixi (insulin glargine/lixisenatide)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,316 participants
Where
24 sitesChina
Study dates
13 Dec 2025to 30 Dec 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 at least 18 of age inclusive, at the time of signing the informed consent.
  • Type 2 diabetes mellitus diagnosis.
  • Participants who are treated for at least 3 months prior to the screening visit with an adequate dose of 1-3 OADs.
  • HbA1c 7.5-11%
  • Further intensification with an additional antidiabetic injectable medication is indicated to achieve glycaemic target at the discretion of the study physician according to approval labelling.
  • Participants who have signed informed consent form (ICF).

Who cannot join

  • Diagnosed with T1DM
  • BMI <20 kg/m2 or BMI ≥40 kg/m2
  • Treatment with more than 3 oral antidiabetic medications, or any injectable medication in a period of 30 days before the day of eligibility assessment. Temporary/emergency use of insulin is allowed, as is prior insulin treatment for gestational diabetes.
  • Contraindications to iGlarLixi according to the China NMPA approved label.
  • Any clinically significant abnormality identified on physical examination, laboratory tests, or vital signs at the time of screening, or any major systemic disease resulting in short life expectancy that in the opinion of the Investigator would restrict or limit the patient's successful participation for the duration of the study.
  • Participants who involved in other clinical trial within 3 months prior to the time of screening visit.
Show all 13Show fewer
  • Participant who has a severe renal function impairment with an estimated glomerular filtration rate (eGFR) <30 mL/min/1.73m2
  • Pregnant or breast-feeding woman.
  • Woman of childbearing potential not protected by highly effective contraceptive method of birth control and/or who is unwilling or unable to be tested for pregnancy.
  • Conditions/situations such as:
  • Participant with short life expectancy. Participant with conditions/concomitant diseases making him/her not evaluable for the primary efficacy endpoint (eg, hemoglobinopathy or hemolytic anemia, receipt of blood or plasma products within 3 months prior to screening).
  • Participant with conditions/concomitant diseases precluding his/her safe participation in this study (eg, active malignant tumor, major systemic diseases, presence of clinically significant diabetic retinopathy or presence of macular edema likely to require laser treatment within the study period).
  • Uncooperative or any condition that could make the participant potentially non-compliant to the study procedures.

Trial locations and contacts

24 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Xiaoying li, Professor contact

+862164041990

li.xiaoying@zs-hospital.sh.cn

24 sites in 1 country

China24 sites, 24 recruiting
  • The First Clinical Hospital of Jilin Academy of Chinese Medicine Sciences

    Changchun, Jilin, 130021

    Dan Lu, +86 431 86766888, 1204112563@qq.com

    Recruiting
  • Hunan Provincial People's Hospital / The First Affiliated Hospital of Hunan Normal University

    Changsha, Hunan, 410005

    Chi Zhang, +86 731 83929035, zhangcynthia@163.com

    Recruiting
  • Zhejiang Provincial People's Hospital

    Hangzhou, Zhejiang, 310014

    Xiaohong Wu, +86 571 87666666, drxhwu@163.com

    Recruiting
  • Heilongjiang Provincial Hospital

    Harbin, Heilongjiang, 150036

    Fuman Du, +86 451 88025555, 13603603066@163.com

    Recruiting
  • The First Affiliated Hospital of USTC / Anhui Provincial Hospital

    Hefei, Anhui, 230001

    Wei Wang, +86 551 62283114, hfww2001@163.com

    Recruiting
  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230022

    Qiu Zhang, +86 551 62922800, aynfmk@163.com

    Recruiting
  • Hengyang Central Hospital

    Hengyang, Hunan, 421001

    Hanmei Duan, +86 734 8275708, 15477164@qq.com

    Recruiting
  • Affiliated Nanhua Hospital, University of South China

    Hengyang, Hunan, 421002

    Guojuan Li, +86 734 8358018, 524008651@qq.com

    Recruiting
  • The First People's Hospital of Huizhou

    Huizhou, Guangdong, 516003

    Liqiang Chen, +86 752 2883800, Chenlq1137@163.com

    Recruiting
  • Jiaxing First Hospital

    Jiaxing, Zhejiang, 314001

    Qiang Zhou, +86 573 82519999, zhouqiang8004@163.com

    Recruiting
  • The Second Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

    Jianping Liu, +86 791 86120120, liujpnfm@163.com

    Recruiting
  • The Second Affiliated Hospital of Nanjing Medical University

    Nanjing, Jiangsu, 210003

    Yibing Lu, +86 25 58509900, luyibing2004@126.com

    Recruiting
  • Ningbo No. 2 Hospital

    Ningbo, Zhejiang, 315010

    Mingchen Zhang, +86 574 83870999, Zhangmc1015@163.com

    Recruiting
  • Ningbo Medical Center Lihuili Hospital

    Ningbo, Zhejiang, 315040

    Lingling Fang, +86 574 87018701, cxyangy@126.com

    Recruiting
  • Zhongshan Hospital, Fudan University

    Shanghai, Shanghai Municipality, 200032

    Xiaoying Li, +86 21 64041990, li.xiaoying@zs-hospital.sh.cn

    Recruiting
  • Shanghai Tenth People's Hospital / Tenth People's Hospital of Tongji University

    Shanghai, Shanghai Municipality, 200072

    Haibing Chen, +86 21 66300588, 18930173813@163.com

    Recruiting
  • Shanghai East Hospital, Tongji University

    Shanghai, Shanghai Municipality, 200120

    Bo Feng, +86 21 38804518, fengbodyff@tongji.edu.cn

    Recruiting
  • Shanghai Pudong New Area Punan Hospital

    Shanghai, Shanghai Municipality, 200125

    Lianyong Liu, +86 21 20302000, Chinallu@163.com

    Recruiting
  • Shanghai Tongren Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality, 200336

    Shan Huang, +86 21 52039999

    Recruiting
  • Minhang Hospital, Fudan University / Central Hospital of Minhang District, Shanghai

    Shanghai, Shanghai Municipality, 201199

    Yuping Song, +86 21 64923400, 15901838098@163.com

    Recruiting
  • Shanghai Qingpu District Central Hospital / Qingpu Branch of Zhongshan Hospital, Fudan University

    Shanghai, Shanghai Municipality, 201700

    Min Zhang, +86 21 67009999, 18116016187@163.com

    Recruiting
  • Shenzhen Third People's Hospital

    Shenzhen, Guangdong, 518112

    Weihua Wu, +86 755 61222333, hui-90@163.com

    Recruiting
  • Wuhan Fourth Hospital / Wuhan Puai Hospital

    Wuhan, Hubei, 430030

    Mei Lin, +86 27 83782519, lmei2007@163.com

    Recruiting
  • Xinxiang Central Hospital

    Xinxiang, Henan, 453003

    Yanhong Zhou, +86 373 3530300, Zhouyanhong@163.com

    Recruiting

Other trials in China

About this study

Official title: Efficacy and Safety of iGlarLixi Versus Standard of Care in a Real-world Adult China Population With Uncontrolled Type 2 Diabetes on Oral Agents-a Pragmatic Randomized Controlled Trial

This study is a prospective, open-label, multicenter, parallel-group, positive-controlled, and pragmatic randomized clinical trial (pRCT). It will compare the efficacy and safety of iGlarLixi versus standard of care in adult T2DM patients with poor glycemic control, who are using 1 to 3 OADs in a real-world clinical practice setting. A total of 1,316 subjects from approximately 40 research centers in China will be randomly assigned in a 1:1 ratio to one of the following treatment groups: Group 1: iGlarLixi for blood glucose control; and Group 2: Standard of care for diabetes (basal insulin or premixed insulin, excluding any GLP-1RA-containing drugs). Considering the substantial difference in intervention methods between the two groups, the study is designed as non-blinded with an open-label approach.

Conditions
Type 2 Diabetes
Being tested
iGlarLixi (insulin glargine/lixisenatide), standard of care (basal insulin or premixed insulin, excluding any GLP-1 receptor agonist-containing drugs)
Keywords
diabetes, iGlarLixi, RCT
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • iGlarLixi (insulin glargine/lixisenatide)Drug

    The investigational drug is iGlarLixi. Participants will receive subcutaneous injections of iGlarLixi with the OAD treatment regimen being appropriately maintained or adjusted as intensification therapy in routine clinical practice.

  • standard of care (basal insulin or premixed insulin, excluding any GLP-1 receptor agonist-containing drugs)Drug

    The control drug treatment is standard of care (basal insulin or premixed insulin, excluding any GLP-1 receptor agonist-containing drugs). Participants will receive standard of care with the OAD treatment regimen being maintained or appropriately adjusted as an intensification treatment during routine clinical practice.

Study groups in NCT07307235
Study groupRoleWhat they receive
iGlarLixi groupExperimentalThe investigational drug is iGlarLixi. Participants will receive subcutaneous injections of iGlarLixi with the OAD treatment regimen being appropriately maintained or adjusted as intensification therapy in routine clinical practice.
Receives: Drug: iGlarLixi (insulin glargine/lixisenatide)
Standard of care (SOC) group.Active comparatorThe control drug treatment is standard of care (basal insulin or premixed insulin, excluding any GLP-1 receptor agonist-containing drugs). Participants will receive standard of care with the OAD treatment regimen being maintained or appropriately adjusted as an intensification treatment during routine clinical practice.
Receives: Drug: standard of care (basal insulin or premixed insulin, excluding any GLP-1 receptor agonist-containing drugs)

What is being measured

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

  1. hemoglobin A1c (HbA1c) change

    The primary endpoint is the change in HbA1c from baseline to week 24 (percentage [%]).

    Measured: from baseline to week 24

Secondary outcomes (23)
  1. Proportion of subjects achieving HbA1c < 7% at week 24

    Measured: 24 weeks

  2. Proportion of subjects achieving HbA1c < 7%, with no weight gain and no hypoglycemia (defined as ADA grades 1, 2, or 3) at week 24

    Measured: 24 weeks

  3. Change in weight from baseline to week 24

    Measured: 24 weeks

  4. Change in Fasting plasma glucose from baseline to Week 24.

    Measured: 24 weeks

  5. Change in 7-point self-monitored plasma glucose (SMPG) profile from baseline to Week 24 (each time point and average daily value).

    Measured: 24 weeks

  6. Proportion of participants reaching HbA1c target <7% with no hypoglycemia (defined as ADA level 1, 2 or 3) at Week 24.

    Measured: 24 weeks

  7. Proportion of participants reaching HbA1c target <7% with no clinically relevant hypoglycemia (defined as ADA level 2 or 3) at Week 24

    Measured: 24 weeks

  8. Change in CGM metrics(TIR / TAR / TBR /mean daily glucose / TITR / CV / GMI / SD of mean glucose) from baseline to Week 24

    Measured: 24 weeks

  9. Change in proportion of patients achieving CGM metrics targets (TIR / TAR / TBR / TITR / CV) from baseline to Week 24

    Measured: 24 weeks

  10. Change in waist from baseline to Week 24

    Measured: 24 weeks

  11. Total insulin dose in each group at Week 24

    Measured: 24 weeks

  12. Change in fasting C-peptide from baseline to Week 24

    Measured: 24 weeks

  13. Percentage of participants requiring rescue therapy during the 24-week treatment period

    Measured: 24 weeks

  14. Time to first study drug discontinuation during 24 weeks (day)

    Measured: 24 weeks

  15. Time to first treatment intensification (add-on) or change (switch) after randomization during 24 weeks (day)

    Measured: 24 weeks

  16. Study drug medication adherence of the study, as measured by medication possession ratio (MPR) (%)

    Measured: 24 weeks

  17. Change from baseline to Week 24 in diabetes medication treatment satisfaction scores (total score and by sub scales), using the treatment related impact measure diabetes (TRIM-D) questionnaire.

    TRIM scores range from 0 to 100 with a higher score indicating a better health state.

    Measured: 24 weeks

  18. All cause healthcare resource utilization (HCRU) from baseline to EOT(end of treatment

    Measured: 24 weeks

  19. Incidence and event rate of hypoglycemia

    any hypoglycemia, ADA grades 1-2-3

    Measured: 24 weeks

  20. Incidence and event rate of Adverse events (AE)

    Measured: 24 weeks

  21. Incidence and event rate of serious adverse events (SAE)

    An SAE is defined as any adverse event occurring at any dose that meets one or more of the following criteria:

    1. Results in death
    2. Is life-threatening
    3. Requires hospitalization or prolongs existing hospitalization
    4. Results in persistent or significant disability/incapacity
    5. Is a congenital anomaly/birth defect
    6. Other important medical events

    Measured: 24 weeks

  22. Incidence and event rate of adverse events of special interest (AESI)

    The following events are designated as AESIs:

    1. Pregnancy in female subjects or pregnancy in female partners of male subjects exposed to IMP/NIMP
    2. Symptomatic overdose of IMP/NIMP (serious or non-serious)
    3. Alanine aminotransferase (ALT) elevation >3×ULN

    Measured: 24 weeks

  23. Incidence and event rate of AEs leading to treatment discontinuation, vital signs, and safety laboratory test values.

    Measured: 24 weeks

Timeline

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

  1. First posted29 Dec 2025
  2. Study start13 Dec 2025
  3. Primary completion30 Jun 2027 (estimated)
  4. Study completion30 Dec 2027 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,316 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07307235
Sponsor's protocol ID
20250424044409703
Status last verified
Jul 2026
First submitted
28 Nov 2025
Last updated
7 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing iGlarLixi (insulin glargine/lixisenatide) in people with Type 2 Diabetes, run by Shanghai Zhongshan Hospital at 24 sites in China.

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 6 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 7 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Xiaoying li, Professor (+862164041990, li.xiaoying@zs-hospital.sh.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

hemoglobin A1c (HbA1c) change (time frame: from baseline to week 24). 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 7 Jul 2026.

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