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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01075282




Registration number
NCT01075282
Ethics application status
Date submitted
23/02/2010
Date registered
25/02/2010
Date last updated
16/01/2015

Titles & IDs
Public title
A Study in Participants With Type 2 Diabetes Mellitus (AWARD-2)
Scientific title
A Randomized, Open-Label, Parallel-Arm, Noninferiority Comparison of the Effects of Two Doses of LY2189265 and Insulin Glargine on Glycemic Control in Patients With Type 2 Diabetes on Stable Doses of Metformin and Glimepiride
Secondary ID [1] 0 0
H9X-MC-GBDB
Secondary ID [2] 0 0
11374
Universal Trial Number (UTN)
Trial acronym
AWARD-2
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Diabetes Mellitus, Type 2 0 0
Condition category
Condition code
Metabolic and Endocrine 0 0 0 0
Diabetes

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Insulin Glargine
Treatment: Drugs - LY2189265
Treatment: Drugs - Metformin
Treatment: Drugs - Glimepiride

Experimental: LY2189265 1.5 mg - LY2189265 (Dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), once weekly for 78 weeks
Metformin: at least 1500 milligrams per day (mg/day), oral, for 78 weeks
Glimepiride: at least 4 mg/day, oral, for 78 weeks

Experimental: LY2189265 0.75 mg - LY2189265 (Dulaglutide): 0.75 milligrams (mg), subcutaneous (SC), once weekly for 78 weeks
Metformin: at least 1500 milligrams per day (mg/day), oral, for 78 weeks
Glimepiride: at least 4 mg/day, oral, for 78 weeks

Active Comparator: Insulin Glargine - Insulin Glargine: dose titration based on blood glucose measures, subcutaneous (SC), once daily for 78 weeks
Metformin: at least 1500 milligrams per day (mg/day), oral, for 78 weeks
Glimepiride: at least 4 mg/day, oral, for 78 weeks


Treatment: Drugs: Insulin Glargine


Treatment: Drugs: LY2189265


Treatment: Drugs: Metformin


Treatment: Drugs: Glimepiride


Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change From Baseline to 52 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)
Timepoint [1] 0 0
Baseline, 52 weeks
Secondary outcome [1] 0 0
Change From Baseline to 26 Weeks and 78 Weeks Endpoint in Glycosylated Hemoglobin (HbA1c)
Timepoint [1] 0 0
Baseline, 26 weeks, and 78 weeks
Secondary outcome [2] 0 0
Number of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than 7% at 26, 52 and 78 Weeks
Timepoint [2] 0 0
26, 52, and 78 weeks
Secondary outcome [3] 0 0
Number of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than or Equal to 6.5% at 26, 52 and 78 Weeks
Timepoint [3] 0 0
26, 52, and 78 weeks
Secondary outcome [4] 0 0
Change From Baseline to 26, 52 and 78 Weeks for Daily Mean Blood Glucose Values From the 8-point Self-monitored Blood Glucose (SMBG) Profiles
Timepoint [4] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [5] 0 0
Change From Baseline to 52 and 78 Weeks in Updated Homeostasis Model Assessment of Beta-cell Function (HOMA2-%B) and Updated Homeostasis Model Assessment of Insulin Sensitivity (HOMA2-%S)
Timepoint [5] 0 0
Baseline, 52, and 78 weeks
Secondary outcome [6] 0 0
Change From Baseline to 52 and 78 Weeks in Glucagon Concentration
Timepoint [6] 0 0
Baseline, 52, and 78 weeks
Secondary outcome [7] 0 0
Change From Baseline to 26, 52 and 78 Weeks for Body Weight
Timepoint [7] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [8] 0 0
Change From Baseline to 26, 52 and 78 Weeks for Body Mass Index
Timepoint [8] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [9] 0 0
Change From Baseline to 26, 52 and 78 Weeks in the EuroQol 5 Dimension
Timepoint [9] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [10] 0 0
Change From Baseline to 26, 52 and 78 Weeks in the Impact of Weight on Activities of Daily Living
Timepoint [10] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [11] 0 0
Change From Baseline to 26, 52 and 78 Weeks in the Impact of Weight on Self-Perception
Timepoint [11] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [12] 0 0
Change From Baseline to 26, 52 and 78 Weeks in the Low Blood Sugar Survey
Timepoint [12] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [13] 0 0
Number of Participants With Treatment Emergent Adverse Events at 26, 52 and 78 Weeks
Timepoint [13] 0 0
26, 52, and 78 weeks
Secondary outcome [14] 0 0
Number of Self-reported Hypoglycemic Events at 26, 52 and 78 Weeks
Timepoint [14] 0 0
Baseline through 26, 52, and 78 weeks
Secondary outcome [15] 0 0
Rate of Self-reported Hypoglycemic Events at 26, 52 and 78 Weeks
Timepoint [15] 0 0
Baseline through 26, 52, and 78 weeks
Secondary outcome [16] 0 0
Number of Participants Requiring Additional Intervention Due to Hyperglycemia at 26, 52 and 78 Weeks
Timepoint [16] 0 0
26, 52, and 78 weeks
Secondary outcome [17] 0 0
Change From Baseline to 26, 52 and 78 Weeks on Pancreatic Enzymes
Timepoint [17] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [18] 0 0
Number of Participants With Adjudicated Pancreatitis at 26, 52 and 78 Weeks
Timepoint [18] 0 0
Baseline through 26, 52, and 78 weeks
Secondary outcome [19] 0 0
Change From Baseline to 26, 52 and 78 Weeks on Serum Calcitonin
Timepoint [19] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [20] 0 0
Number of Participants With Adjudicated Cardiovascular Events at 26, 52 and 78 Weeks
Timepoint [20] 0 0
Baseline through 26, 52, and 78 weeks
Secondary outcome [21] 0 0
Change in Baseline to 26, 52 and 78 Weeks on Pulse Rate
Timepoint [21] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [22] 0 0
Change From Baseline to 26, 52, and 78 Weeks on Blood Pressure
Timepoint [22] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [23] 0 0
Change From Baseline to 26, 52 and 78 Weeks on Electrocardiogram Parameters, Heart Rate
Timepoint [23] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [24] 0 0
Change From Baseline to 26, 52 and 78 Weeks on Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval
Timepoint [24] 0 0
Baseline, 26, 52, and 78 weeks
Secondary outcome [25] 0 0
Number of Participants With LY2189265 Antibodies at 26, 52, 78 Weeks and 4 Weeks After Last Dose of Study Drug (83 Weeks Maximum)
Timepoint [25] 0 0
Baseline, 26, 52, 78, and 83 weeks

Eligibility
Key inclusion criteria
- Type 2 Diabetes not well controlled on 1, 2, or 3 oral antidiabetic medications (at
least one of them must be metformin and/or a sulfonylurea)

1. Glycosylated hemoglobin (HbA1c) greater than or equal to 7 and less than or equal
to 11 if taking 1 oral antidiabetic medication

2. HbA1c greater than or equal to 7 and less than or equal to 10 if on 2 or 3 oral
antidiabetic medications

- Accept treatment with metformin and glimepiride throughout the study, as per protocol

- Willing to inject subcutaneous medication once weekly for LY2189265 or once daily for
Insulin Glargine.

- Stable weight for 3 months prior to screening

- Body mass index (BMI) between 23 and 45 kilograms per square meter (kg/m^2)

- Females of child bearing potential must test negative for pregnancy at screening by
serum pregnancy test and be willing to use a reliable method of birth control during
the study and for 1 month following the last dose of study drug
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Type 1 Diabetes

- HbA1c equal to or less than 6.5 at randomization

- Chronic insulin use

- Taking drugs to promote weight loss by prescription or over the counter

- Taking systemic steroids for greater than 14 days except for topical, eye, nasal, or
inhaled

- History of Heart Failure New York Heart Classification III or IV, or acute myocardial
infarction, or stroke within 2 months of screening

- Gastrointestinal (GI) problems such as diabetic gastroparesis or bariatric surgery
(stomach stapling) or chronically taking drugs that directly affect GI motility

- Hepatitis or liver disease or ALT (alanine transaminase) greater than 3.0 of upper
normal limit

- Acute or chronic pancreatitis of any form

- Renal disease (kidney) with a serum creatinine of greater than or equal to 1.5
milligrams per deciliter (mg/dL) for males and greater than or equal to 1.4 mg/dL for
females, or a creatinine clearance of less than 60 milliliters per minute (ml/min)

- History (includes family) of type 2A or 2B Multiple Endocrine Neoplasia (MEN 2A or 2B)
or medullary c-cell hyperplasia or thyroid cancer

- A serum calcitonin greater than or equal to 20 picograms per milliliter (pcg/ml) at
screening

- Significant active autoimmune disease such as Lupus or Rheumatoid Arthritis

- History of or active malignancy except skin or in situ cervical or prostate cancer for
within last 5 years

- Sickle cell, hemolytic anemia, or other hematological condition that may interfere
with HbA1c testing

- Organ transplant except cornea

- Have enrolled in another clinical trial within the last 30 days

- Have previously signed an informed consent or participated in a LY2189265 study

- Have taken a glucagon-like peptide 1 (GLP-1) receptor agonist within the 3 months
prior to screening

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
Recruitment hospital [1] 0 0
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - Wollongong
Recruitment hospital [2] 0 0
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - Brisbane
Recruitment hospital [3] 0 0
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - Keswick
Recruitment hospital [4] 0 0
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - East Ringwood
Recruitment hospital [5] 0 0
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. - Heidelberg
Recruitment postcode(s) [1] 0 0
2500 - Wollongong
Recruitment postcode(s) [2] 0 0
4029 - Brisbane
Recruitment postcode(s) [3] 0 0
5035 - Keswick
Recruitment postcode(s) [4] 0 0
3135 - East Ringwood
Recruitment postcode(s) [5] 0 0
3081 - Heidelberg
Recruitment outside Australia
Country [1] 0 0
Argentina
State/province [1] 0 0
Buenos Aires
Country [2] 0 0
Argentina
State/province [2] 0 0
Caba
Country [3] 0 0
Argentina
State/province [3] 0 0
Córdoba
Country [4] 0 0
Argentina
State/province [4] 0 0
Mendoza
Country [5] 0 0
Belgium
State/province [5] 0 0
Gribomont
Country [6] 0 0
Belgium
State/province [6] 0 0
Halen
Country [7] 0 0
Belgium
State/province [7] 0 0
Leuven
Country [8] 0 0
Brazil
State/province [8] 0 0
Joinville
Country [9] 0 0
Brazil
State/province [9] 0 0
São Paulo
Country [10] 0 0
Canada
State/province [10] 0 0
Alberta
Country [11] 0 0
Canada
State/province [11] 0 0
British Columbia
Country [12] 0 0
Canada
State/province [12] 0 0
Manitoba
Country [13] 0 0
Canada
State/province [13] 0 0
Newfoundland and Labrador
Country [14] 0 0
Canada
State/province [14] 0 0
Ontario
Country [15] 0 0
Canada
State/province [15] 0 0
Quebec
Country [16] 0 0
Croatia
State/province [16] 0 0
Osijek
Country [17] 0 0
Croatia
State/province [17] 0 0
Slavonski Brod
Country [18] 0 0
Croatia
State/province [18] 0 0
Zagreb
Country [19] 0 0
Czech Republic
State/province [19] 0 0
Holesov
Country [20] 0 0
Czech Republic
State/province [20] 0 0
Prague
Country [21] 0 0
France
State/province [21] 0 0
Corbeil-Essonnes
Country [22] 0 0
France
State/province [22] 0 0
Dijon
Country [23] 0 0
France
State/province [23] 0 0
Nantes
Country [24] 0 0
France
State/province [24] 0 0
Pessac
Country [25] 0 0
France
State/province [25] 0 0
Tours
Country [26] 0 0
Greece
State/province [26] 0 0
Athens
Country [27] 0 0
Hungary
State/province [27] 0 0
Budapest
Country [28] 0 0
Hungary
State/province [28] 0 0
Mako
Country [29] 0 0
Hungary
State/province [29] 0 0
Mosonmagyarovar
Country [30] 0 0
Hungary
State/province [30] 0 0
Szekesfehervar
Country [31] 0 0
India
State/province [31] 0 0
Aligarh
Country [32] 0 0
India
State/province [32] 0 0
Bangalore
Country [33] 0 0
India
State/province [33] 0 0
Chennai
Country [34] 0 0
India
State/province [34] 0 0
Indore
Country [35] 0 0
India
State/province [35] 0 0
Jaipur
Country [36] 0 0
India
State/province [36] 0 0
Mumbai
Country [37] 0 0
India
State/province [37] 0 0
Patna
Country [38] 0 0
Italy
State/province [38] 0 0
Firenze
Country [39] 0 0
Italy
State/province [39] 0 0
Milano
Country [40] 0 0
Korea, Republic of
State/province [40] 0 0
Bucheon
Country [41] 0 0
Korea, Republic of
State/province [41] 0 0
Ilsan
Country [42] 0 0
Korea, Republic of
State/province [42] 0 0
Pusan
Country [43] 0 0
Mexico
State/province [43] 0 0
Coatzacoalcos
Country [44] 0 0
Mexico
State/province [44] 0 0
Cuernavaca
Country [45] 0 0
Mexico
State/province [45] 0 0
Guadalajara
Country [46] 0 0
Mexico
State/province [46] 0 0
Monterrey
Country [47] 0 0
Poland
State/province [47] 0 0
Bialystok
Country [48] 0 0
Poland
State/province [48] 0 0
Bydogoszcz
Country [49] 0 0
Poland
State/province [49] 0 0
Krakow
Country [50] 0 0
Poland
State/province [50] 0 0
Szczecin
Country [51] 0 0
Poland
State/province [51] 0 0
Warsaw
Country [52] 0 0
Poland
State/province [52] 0 0
Wroclaw
Country [53] 0 0
Romania
State/province [53] 0 0
Baia Mare
Country [54] 0 0
Romania
State/province [54] 0 0
Bucharest
Country [55] 0 0
Romania
State/province [55] 0 0
Galati
Country [56] 0 0
Romania
State/province [56] 0 0
Oradea
Country [57] 0 0
Slovakia
State/province [57] 0 0
Kosice
Country [58] 0 0
Spain
State/province [58] 0 0
Alicante
Country [59] 0 0
Spain
State/province [59] 0 0
Avila
Country [60] 0 0
Spain
State/province [60] 0 0
Palencia
Country [61] 0 0
Spain
State/province [61] 0 0
Requena
Country [62] 0 0
Sweden
State/province [62] 0 0
Göteborg
Country [63] 0 0
Sweden
State/province [63] 0 0
Helsingborg
Country [64] 0 0
Sweden
State/province [64] 0 0
Lund
Country [65] 0 0
Sweden
State/province [65] 0 0
Stockholm
Country [66] 0 0
Taiwan
State/province [66] 0 0
Chiayi City
Country [67] 0 0
Taiwan
State/province [67] 0 0
Kaohsiung
Country [68] 0 0
Taiwan
State/province [68] 0 0
Tainan
Country [69] 0 0
Taiwan
State/province [69] 0 0
Taipei
Country [70] 0 0
Taiwan
State/province [70] 0 0
Tao-Yuan
Country [71] 0 0
Taiwan
State/province [71] 0 0
Yung-Kang, Tainan

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Eli Lilly and Company
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to determine if LY2189265 is effective in reducing hemoglobin
A1c (HbA1c) and safe, as compared to Insulin Glargine in participants with Type 2 Diabetes.
Participants must also be taking metformin and glimepiride.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01075282
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Address 0 0
Eli Lilly and Company
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01075282