A Phase 3 interventional study of albiglutide + insulin glargine and insulin glargine + preprandial lispro insulin in Diabetes Mellitus, Type 2, sponsored by GlaxoSmithKline. Completed at 210 sites in 14 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-01-11.
Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment
This study will examine the safety and efficacy of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes.
This randomized, open-label, active-controlled, parallel-group, multicenter study evaluates the safety and efficacy of a weekly subcutaneously injected dose of albiglutide in combination with insulin glargine as compared with the combination of insulin glargine and preprandial lispro insulin in subjects with type 2 diabetes. Subjects with a historical diagnosis of type 2 diabetes who are inadequately controlled despite the use of insulin glargine or other intermediate- or long-acting insulins for >/= 6 months but \< 5 years, with or without oral antidiabetic medications, who are unable to achieve a glycosylated hemoglobin value of \< 7% will be recruited into the study. Subjects must also be willing and capable of pursuing an intensive regimen of both basal and preprandial insulin.
10,923 studies on the registry are indexed under Diabetes Mellitus; 1,318 are open to participants now.
This study's enrollment of 586 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.
Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Recent clinically significant cardiovascular and/or cerebrovascular disease including but not limited to the following:
albiglutide in combination with insulin glargine
Biological: albiglutide + insulin glargine
insulin glargine in combination with preprandial lispro insulin
Drug: insulin glargine + preprandial lispro insulin
albiglutide in combination with insulin glargine
insulin glargine in combination with preprandial lispro insulin
Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 26 minus the value at BL. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (\<65 years versus ≥65 years) as factors and Baseline HbA1c as a continuous covariate.The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values.
Time frame: Baseline and Week 26
Change From Baseline in HbA1c at Weeks 36, 48 and 52
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline is defined as the last available assessment on or prior to the first dose of study drug. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Time frame: Baseline and Weeks 36, 48 and 52
Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + region
Time frame: Baseline and Week 26
Change From Baseline in Fasting Plasma Glucose (FPG) at Weeks 36, 48 and 52
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline FPG minus the Baseline FPG. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Time frame: Baseline and Weeks 36, 48 and 52
Number of Participants Who Achieved HbA1c Response Level of <6.5% and <7.0% at Week 26
The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of \<6.5% and \<7.0% at Week 26) were assessed.
Time frame: Week 26
Time to Hyperglycemia Rescue
Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: HbA1c \>9.0% and \<0.5% decrease from Baseline between \>=Week 4 and \<Week 8; HbA1c \>9.0% and \<0.5% decrease from Baseline between \>=Week 8 and \<Week 12; HbA1c \>8.5% and \>=4 weeks since uptitration between \>=Week 12 and \<Week 16; HbA1c \>8.0% and \>=4 weeks since uptitration; HbA1c \>7.5% and \>=4 weeks between \>Week 26 and \>=Week 48 since uptitration. Participants could have been rescued at any time after Week 4. Time to hyperglycemia rescue is the time between the date of first dose and the date of hyperglycemia rescue plus 1 day, or the time between the date of first dose and the date of last visit during active treatment period plus 1 day for participants not requiring rescue. This time is divided by 7 to express the result in weeks.
Time frame: From the start of study medication until the end of the treatment (up to Week 52)
Change From Baseline in Body Weight at Week 26
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region + current oral antidiabetic therapy.
Time frame: Baseline and Week 26
Change From Baseline in Body Weight at Weeks 36, 48 and 52
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
Time frame: Baseline and Weeks 36, 48 and 52
| Milestone | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Started | 285 | 281 |
| Completed | 243 | 242 |
| Not completed | 42 | 39 |
| Withdrew: Adverse event | 16 | 2 |
| Withdrew: Protocol violation | 1 | 1 |
| Withdrew: Noncompliance | 4 | 4 |
| Withdrew: Lost to follow-up | 10 | 8 |
| Withdrew: Withdrawal by subject | 9 | 19 |
| Withdrew: Physician decision | 1 | 1 |
| Withdrew: Termination of study/site by gsk | 0 | 4 |
| Withdrew: Pregnancy | 1 | 0 |
| Milestone | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Started | 285 | 281 |
| Completed | 256 | 247 |
| Not completed | 29 | 34 |
| Withdrew: Adverse event | 3 | 1 |
| Withdrew: Noncompliance | 2 | 2 |
| Withdrew: Lost to follow-up | 14 | 12 |
| Withdrew: Did not entered follow-up | 6 | 8 |
| Withdrew: Withdrawal by subject | 4 | 7 |
| Withdrew: Termination of study/site by gsk | 0 | 4 |
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. The BL HbA1c value is defined as the last non-missing value before the start of treatment. Change from BL was calculated as the value at Week 26 minus the value at BL. The analysis was performed using an Analysis of Covariance (ANCOVA) model with treatment group, region, history of prior myocardial infarction (yes versus no), and age category (\<65 years versus ≥65 years) as factors and Baseline HbA1c as a continuous covariate.The last observation carried forward (LOCF) method was used to impute missing post-BL HbA1c values; the last non-missing post-BL on-treatment measurement was used to impute the missing measurement. HbA1c values obtained after hyperglycemic rescue were treated as missing and were replaced with pre-rescue values.
| Percentage of HbA1c in the blood | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Change From Baseline (BL) in Glycosylated Hemoglobin (HbA1c) at Week 26 | -0.82 ± 0.058 | -0.66 ± 0.058 |
HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over a 2- to 3-month period. Baseline is defined as the last available assessment on or prior to the first dose of study drug. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. This analysis used observed HbA1c values, excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
| Percentage of HbA1c in the blood | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Week 36, n=173, 182 | -1.04 ± 0.990 | -0.88 ± 0.924 |
| Week 48, n=140, 153 | -0.97 ± 1.070 | -0.81 ± 0.961 |
| Week 52, n=121, 141 | -1.01 ± 1.024 | -0.84 ± 0.925 |
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. The LOCF method was used to impute missing post-Baseline FPG values. FPG values obtained after hyperglycemia rescue were treated as missing and replaced with pre-rescue values. Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Based on ANCOVA: change = treatment + Baseline FPG + Baseline HbA1c category + region
| Millimoles per liter (mmol/L) | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Change From Baseline in Fasting Plasma Glucose (FPG) at Week 26 | -0.99 ± 0.164 | -0.71 ± 0.164 |
The FPG test measures blood sugar levels after the participant has not eaten (fasted) for 12 to 14 hours. The Baseline FPG value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline FPG minus the Baseline FPG. This analysis used observed FPG values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
| Millimoles per liter (mmol/L) | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Week 36, n=171, 182 | -1.41 ± 2.905 | -0.91 ± 3.039 |
| Week 48, n=131, 151 | -1.13 ± 3.078 | -1.07 ± 2.965 |
| Week 52, n=121, 139 | -1.36 ± 3.054 | -0.97 ± 3.305 |
The number of participants who acheieved the HbA1c treatment goal (i.e., HbA1c response levels of \<6.5% and \<7.0% at Week 26) were assessed.
| Participants | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| HbA1c <6.5 % | 31 | 23 |
| HbA1c <7.0 % | 83 | 70 |
Participants who experienced persistent hyperglycemia (high blood glucose) could have qualified for hyperglycemia rescue. The conditions for hyperglycemia rescue were as follows: HbA1c \>9.0% and \<0.5% decrease from Baseline between \>=Week 4 and \<Week 8; HbA1c \>9.0% and \<0.5% decrease from Baseline between \>=Week 8 and \<Week 12; HbA1c \>8.5% and \>=4 weeks since uptitration between \>=Week 12 and \<Week 16; HbA1c \>8.0% and \>=4 weeks since uptitration; HbA1c \>7.5% and \>=4 weeks between \>Week 26 and \>=Week 48 since uptitration. Participants could have been rescued at any time after Week 4. Time to hyperglycemia rescue is the time between the date of first dose and the date of hyperglycemia rescue plus 1 day, or the time between the date of first dose and the date of last visit during active treatment period plus 1 day for participants not requiring rescue. This time is divided by 7 to express the result in weeks.
| Weeks | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Time to Hyperglycemia Rescue | NA (NA to NA) | NA (NA to NA) |
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. The LOCF method was used to impute missing post-Baseline weight values. Weight values obtained after hyperglycemia rescue were treated as missing and replaced with prerescue values. Based on ANCOVA: change = treatment + Baseline weight + Baseline HbA1c category + prior myocardial infarction history + age category + region + current oral antidiabetic therapy.
| Kilograms | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Change From Baseline in Body Weight at Week 26 | -0.73 ± 0.194 | 0.81 ± 0.195 |
The Baseline value is the last non-missing value before the start of treatment. Change from Baseline was calculated as the post-Baseline weight minus the Baseline weight. This analysis used observed body weight values excluding those obtained after hyperglycemia rescue; no missing data imputation was performed.
| Kilograms | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Week 36, n=172, 182 | -0.42 ± 3.656 | 1.31 ± 4.005 |
| Week 48, n=142, 153 | -0.60 ± 3.928 | 1.56 ± 3.846 |
| Week 52, n=122, 141 | -0.70 ± 4.023 | 1.44 ± 4.053 |
Collected over On-treatment serious adverse events (SAEs) and non-serious adverse events (AEs), defined as those events occurring while participants were on treatment up until 56 days after the last dose (up to Week 60), are reported.. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Albiglutide 30 mg With Insulin Glargine | — | 38/285 (13.3%) | 188/285 (66%) |
| Preprandial Lispro Insulin With Insulin Glargine | — | 29/281 (10.3%) | 178/281 (63.3%) |
| Event | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| Coronary artery diseaseCardiac disorders | 0/285 | 4/281 |
| Angina unstableCardiac disorders | 1/285 | 2/281 |
| Incisional herniaInjury, poisoning and procedural complications | 1/285 | 2/281 |
| CellulitisInfections and infestations | 1/285 | 2/281 |
| Chest painGeneral disorders | 1/285 | 2/281 |
| Acute myocardial infarctionCardiac disorders | 2/285 | 1/281 |
| Atrial fibrillationCardiac disorders | 2/285 | 0/281 |
| Road traffic accidentInjury, poisoning and procedural complications | 2/285 | 0/281 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 2/285 | 0/281 |
| Ventricular tachycardiaCardiac disorders | 1/285 | 1/281 |
| Event | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 41/285 | 16/281 |
| NauseaGastrointestinal disorders | 37/285 | 6/281 |
| NasopharyngitisInfections and infestations | 30/285 | 29/281 |
| Urinary Tract InfectionInfections and infestations | 29/285 | 27/281 |
| Upper Repiratory Tract InfectionInfections and infestations | 27/285 | 20/281 |
| Oedema PeripheralGeneral disorders | 11/285 | 24/281 |
| Diabetic RetinopathyEye disorders | 18/285 | 23/281 |
| HeadacheNervous system disorders | 21/285 | 12/281 |
| Back PainMusculoskeletal and connective tissue disorders | 13/285 | 20/281 |
| VomitingGastrointestinal disorders | 20/285 | 4/281 |
| Age, Continuous(Years) | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine | Total |
|---|---|---|---|
| Mean | 54.8 ± 9.10 | 56.3 ± 8.87 | 55.6 ± 9.01 |
| Gender(Participants) | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine | Total |
|---|---|---|---|
| Female | 153 | 145 | 298 |
| Male | 132 | 136 | 268 |
| Race/Ethnicity, Customized(Participants) | Albiglutide 30 mg With Insulin Glargine | Preprandial Lispro Insulin With Insulin Glargine | Total |
|---|---|---|---|
| African American/African Heritage | 39 | 34 | 73 |
| American Indian or Alaskan Native | 29 | 20 | 49 |
| Asian - Central/South Asian Heritage | 17 | 17 | 34 |
| Asian - East Asian Heritage | 15 | 17 | 32 |
| Asian - South East Asian Heritage | 16 | 16 | 32 |
| Native Hawaiian or Other Pacific Islander | 1 | 3 | 4 |
| White - Arabic/North African Heritage | 2 | 3 | 5 |
| White - White/Caucasian/European Heritage | 174 | 171 | 345 |
| Other-Black | 1 | 0 | 1 |
| Other-Native American | 0 | 1 | 1 |
Showing the first 100 of 210 sites across 14 countries.
Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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