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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT01191268




Registration number
NCT01191268
Ethics application status
Date submitted
27/08/2010
Date registered
30/08/2010
Date last updated
8/10/2014

Titles & IDs
Public title
A Study in Participants With Type 2 Diabetes Mellitus (AWARD-4)
Scientific title
The Impact of LY2189265 Versus Insulin Glargine in Combination With Insulin Lispro for the Treatment to Target of Type 2 Diabetes Mellitus (AWARD-4: Assessment of Weekly AdministRation of LY2189265 in Diabetes - 4)
Secondary ID [1] 0 0
H9X-MC-GBDD
Secondary ID [2] 0 0
11376
Universal Trial Number (UTN)
Trial acronym
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
Experimental: 1.5 mg LY2189265 - LY2189265 (Dulaglutide): 1.5 milligrams (mg), subcutaneous (SC), once weekly for 52 weeks

Insulin Lispro: dose titration based on blood glucose measures, subcutaneous (SC), thrice daily (after each meal) for 52 weeks

Experimental: 0.75 mg LY2189265 - LY2189265 (Dulaglutide): 0.75 milligrams (mg), subcutaneous (SC), once weekly for 52 weeks

Insulin Lispro: dose titration based on blood glucose measures, subcutaneous (SC), thrice daily (after each meal) for 52 weeks

Active comparator: Insulin Glargine - Insulin Glargine: dose titration based on blood glucose measures, subcutaneous (SC), once daily for 52 weeks

Insulin Lispro: dose titration based on blood glucose measures, subcutaneous (SC), thrice daily (after each meal) for 52 weeks

Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change From Baseline to 26-week Endpoint in Glycosylated Hemoglobin (HbA1c)
Timepoint [1] 0 0
Baseline, 26 weeks
Secondary outcome [1] 0 0
Change From Baseline to 52-week Endpoint in Glycosylated Hemoglobin (HbA1c)
Timepoint [1] 0 0
Baseline, 52 weeks
Secondary outcome [2] 0 0
Percentage of Participants Attaining Glycosylated Hemoglobin (HbA1c) Less Than 7% and Less Than or Equal to 6.5% at Weeks 26 and 52
Timepoint [2] 0 0
26 weeks and 52 weeks
Secondary outcome [3] 0 0
Change From Baseline to 26 and 52 Weeks in the Percentage of Participants Achieving Glycosylated Hemoglobin (HbA1c) Less Than 7% Without Nocturnal or Severe Hypoglycemia
Timepoint [3] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [4] 0 0
Change From Baseline to 26 and 52 Weeks in Blood Glucose Values From the 8-point Self-monitored Plasma Glucose (SMPG) Profiles
Timepoint [4] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [5] 0 0
Change From Baseline to 26 and 52 Weeks in Fasting Serum Glucose
Timepoint [5] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [6] 0 0
Total Daily Insulin Dose Overall and by Components (Insulin Lispro and Insulin Glargine)
Timepoint [6] 0 0
Baseline and 26 weeks and 52 weeks
Secondary outcome [7] 0 0
Change From Baseline to 26 and 52 Weeks in Body Weight
Timepoint [7] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [8] 0 0
Body Weight at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [8] 0 0
Baseline and 52 weeks and 4 weeks after last dose
Secondary outcome [9] 0 0
Change From Baseline to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose in Body Mass Index (BMI)
Timepoint [9] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [10] 0 0
Change From Baseline to 26 and 52 Weeks in the EQ-5D
Timepoint [10] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [11] 0 0
Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Activities of Daily Living (IW-ADL)
Timepoint [11] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [12] 0 0
Change From Baseline to 26 and 52 Weeks in the Impact of Weight on Self-Perception (IW-SP)
Timepoint [12] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [13] 0 0
Change From Baseline to 26 and 52 Weeks in the Low Blood Sugar Survey (LBSS)
Timepoint [13] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [14] 0 0
Change From Baseline to 26 and 52 Weeks in Pancreatic Enzymes
Timepoint [14] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [15] 0 0
Pancreatic Enzymes at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [15] 0 0
Baseline and 52 weeks and 4 weeks after last dose
Secondary outcome [16] 0 0
Change From Baseline to 26 and 52 Weeks in Serum Calcitonin
Timepoint [16] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [17] 0 0
Serum Calcitonin at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [17] 0 0
Baseline and 52 weeks and 4 weeks after last dose
Secondary outcome [18] 0 0
Change From Baseline to 26 and 52 Weeks in Blood Pressure
Timepoint [18] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [19] 0 0
Blood Pressure at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [19] 0 0
Baseline and 52 weeks and 4 weeks after last dose
Secondary outcome [20] 0 0
Change From Baseline to 26 and 52 Weeks in Pulse Rate
Timepoint [20] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [21] 0 0
Pulse Rate at Baseline, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [21] 0 0
Baseline and 52 weeks and 4 weeks after last dose
Secondary outcome [22] 0 0
Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Fridericia Corrected QT (QTcF) Interval and PR Interval
Timepoint [22] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [23] 0 0
Change From Baseline to 26 and 52 Weeks in Electrocardiogram Parameters, Heart Rate
Timepoint [23] 0 0
Baseline, 26 weeks, and 52 weeks
Secondary outcome [24] 0 0
Number of Events of Adjudicated Pancreatitis up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [24] 0 0
Baseline through 52 weeks
Secondary outcome [25] 0 0
Number of Participants With Self-reported Hypoglycemic Events up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [25] 0 0
Baseline through 26 weeks and 52 weeks
Secondary outcome [26] 0 0
Rate of Self-reported Hypoglycemic Events up to 52 Weeks
Timepoint [26] 0 0
Baseline through 52 weeks
Secondary outcome [27] 0 0
Number of Participants With Adjudicated Cardiovascular Events up to 52 Weeks
Timepoint [27] 0 0
Baseline through 52 weeks
Secondary outcome [28] 0 0
Number of Participants With Treatment Emergent LY2189265 Antibodies up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [28] 0 0
Baseline through 4 weeks after last dose
Secondary outcome [29] 0 0
Number of Participants With Treatment Emergent Adverse Events up to 26 Weeks, 52 Weeks, and 4 Weeks After Last Dose
Timepoint [29] 0 0
Baseline through 26 weeks, 52 weeks, and 4 weeks after last dose

Eligibility
Key inclusion criteria
* Type 2 diabetes
* Currently using insulin for at least 3 months with a conventional insulin regimen with or without oral medications
* Glycosylated hemoglobin (HbA1c) greater than or equal to 7% and less than or equal to 11%
* Willing to inject subcutaneous medication
* Willing to monitor blood glucose levels and adjust insulin dose
* Willing to maintain a study diary
* Body mass index (BMI) between 23 and 45 kilograms per square meter (kg/m^2)
* Stable weight for 3 months prior to screening
* Females of child bearing potential must test negative for pregnancy at screening 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
* Previous therapy with glucagon-like peptide 1 (GLP-1) agonists within 3 months prior to screening
* 1 or more episodes of ketoacidosis within 6 months prior to screening
* Have been treated with prescription or over the counter medication to promote weight loss within 3 months prior to screening
* Estimated glomerular filtration rate (eGFR) less than or equal to 30 milliliters per minute per 1.73 square meters (mL/min/1.73 m^2) at screening
* Taking steroids for greater than 14 days except for topical, eye, nasal, or inhaled
* History of heart failure, New York Heart Classification III or IV within 2 months prior to screening
* Gastrointestinal (GI) problems such as diabetic gastroparesis or bariatric surgery (stomach stapling) or chronically taking medications that directly affect GI motility
* Acute or chronic hepatitis or pancreatitis
* Self or family history of 2A or type 2B multiple endocrine neoplasia or medullary C-Cell hyperplasia
* Serum calcitonin greater than or equal to 20 picograms per milliliter (pcg/mL) at screening
* Organ transplant except cornea
* Significant active autoimmune disease such as Lupus or Rheumatoid Arthritis
* History of or active malignancy except skin or in situ cervical or prostate cancer within the last 5 years
* Known drug or alcohol abuse
* Have enrolled in another clinical trial within the last 30 days
* Have previously signed an informed consent or participated in a LY2189265 study

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)
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. - Keswick
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. - Box Hill
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. - Melbourne
Recruitment postcode(s) [1] 0 0
5035 - Keswick
Recruitment postcode(s) [2] 0 0
3128 - Box Hill
Recruitment postcode(s) [3] 0 0
3004 - Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Connecticut
Country [3] 0 0
United States of America
State/province [3] 0 0
Florida
Country [4] 0 0
United States of America
State/province [4] 0 0
Hawaii
Country [5] 0 0
United States of America
State/province [5] 0 0
Indiana
Country [6] 0 0
United States of America
State/province [6] 0 0
Kansas
Country [7] 0 0
United States of America
State/province [7] 0 0
Kentucky
Country [8] 0 0
United States of America
State/province [8] 0 0
Louisiana
Country [9] 0 0
United States of America
State/province [9] 0 0
Massachusetts
Country [10] 0 0
United States of America
State/province [10] 0 0
Minnesota
Country [11] 0 0
United States of America
State/province [11] 0 0
Missouri
Country [12] 0 0
United States of America
State/province [12] 0 0
New Hampshire
Country [13] 0 0
United States of America
State/province [13] 0 0
New Jersey
Country [14] 0 0
United States of America
State/province [14] 0 0
New York
Country [15] 0 0
United States of America
State/province [15] 0 0
North Carolina
Country [16] 0 0
United States of America
State/province [16] 0 0
North Dakota
Country [17] 0 0
United States of America
State/province [17] 0 0
Oregon
Country [18] 0 0
United States of America
State/province [18] 0 0
South Carolina
Country [19] 0 0
United States of America
State/province [19] 0 0
Tennessee
Country [20] 0 0
United States of America
State/province [20] 0 0
Texas
Country [21] 0 0
United States of America
State/province [21] 0 0
Washington
Country [22] 0 0
Argentina
State/province [22] 0 0
Buenos Aires
Country [23] 0 0
Argentina
State/province [23] 0 0
Cipolletti
Country [24] 0 0
Argentina
State/province [24] 0 0
Mendoza
Country [25] 0 0
Argentina
State/province [25] 0 0
Salta
Country [26] 0 0
Belgium
State/province [26] 0 0
Bonheiden
Country [27] 0 0
Belgium
State/province [27] 0 0
Brussels
Country [28] 0 0
Belgium
State/province [28] 0 0
Genk
Country [29] 0 0
Belgium
State/province [29] 0 0
Liège
Country [30] 0 0
Brazil
State/province [30] 0 0
Belem
Country [31] 0 0
Brazil
State/province [31] 0 0
Fortaleza
Country [32] 0 0
Brazil
State/province [32] 0 0
Porto Alegre
Country [33] 0 0
Brazil
State/province [33] 0 0
São Paulo
Country [34] 0 0
Canada
State/province [34] 0 0
British Columbia
Country [35] 0 0
Canada
State/province [35] 0 0
Manitoba
Country [36] 0 0
Canada
State/province [36] 0 0
Ontario
Country [37] 0 0
Canada
State/province [37] 0 0
Quebec
Country [38] 0 0
Denmark
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Aarhus
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Denmark
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Hillerod
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Denmark
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Kobenhavn
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Denmark
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Koege
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Denmark
State/province [42] 0 0
Kolding
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Greece
State/province [43] 0 0
Ampelokipoi
Country [44] 0 0
Greece
State/province [44] 0 0
Athens
Country [45] 0 0
Greece
State/province [45] 0 0
Nikaias - Piraeus
Country [46] 0 0
Greece
State/province [46] 0 0
Thessaloniki
Country [47] 0 0
Hungary
State/province [47] 0 0
Bekescsaba
Country [48] 0 0
Hungary
State/province [48] 0 0
Budapest
Country [49] 0 0
Hungary
State/province [49] 0 0
Gyongyos
Country [50] 0 0
Hungary
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Miskolc
Country [51] 0 0
Hungary
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Nagykanizsa
Country [52] 0 0
Hungary
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Nyiregyhaza
Country [53] 0 0
Hungary
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Papa
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Mexico
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Culiacan
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Mexico
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Guadalajara
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Mexico
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Merida
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Mexico
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Monterrey
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Poland
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Gdynia
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Poland
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Lodz
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Poland
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Radzymin
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Poland
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Wroclaw
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Puerto Rico
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Manati
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Puerto Rico
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Ponce
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Puerto Rico
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San Juan
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Puerto Rico
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Yabucoa
Country [66] 0 0
Russian Federation
State/province [66] 0 0
Moscow
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Russian Federation
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Saint Petersburg
Country [68] 0 0
Russian Federation
State/province [68] 0 0
Samara
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Spain
State/province [69] 0 0
Barcelona
Country [70] 0 0
Spain
State/province [70] 0 0
Madrid
Country [71] 0 0
Spain
State/province [71] 0 0
Palma De Mallorca
Country [72] 0 0
Spain
State/province [72] 0 0
Pozuelo De Alarcon
Country [73] 0 0
Spain
State/province [73] 0 0
Teruel
Country [74] 0 0
Spain
State/province [74] 0 0
Valencia
Country [75] 0 0
Sweden
State/province [75] 0 0
Karlstad
Country [76] 0 0
Sweden
State/province [76] 0 0
Lund
Country [77] 0 0
Sweden
State/province [77] 0 0
Stockholm
Country [78] 0 0
Taiwan
State/province [78] 0 0
Kaohsiung
Country [79] 0 0
Taiwan
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Sindian City
Country [80] 0 0
Taiwan
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Taichung
Country [81] 0 0
Taiwan
State/province [81] 0 0
Taipei
Country [82] 0 0
Taiwan
State/province [82] 0 0
Yong Kang City

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

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
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

No information has been provided regarding IPD availability


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.