ClinicalTrials.gg
CompletedNCT05162183Updated Jul 27, 2023

Replication of the LEAD-2 Diabetes Trial in Healthcare Claims Data

An observational study in Diabetes, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-07-27.

Sponsored by Brigham and Women's Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
3,474
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Investigators are building an empirical evidence base for real world data through large-scale replication of randomized controlled trials. The investigators' goal is to understand for what types of clinical questions real world data analyses can be conducted with confidence and how to implement such studies.

Read the detailed description

This is a non-randomized, non-interventional study that is part of the RCT DUPLICATE initiative (www.rctduplicate.org) of the Brigham and Women's Hospital, Harvard Medical School. It is intended to replicate, as closely as possible in healthcare insurance claims data, the trial listed below/above. Although many features of the trial cannot be directly replicated in healthcare claims, key design features, including outcomes, exposures, and inclusion/exclusion criteria, were selected to proxy those features from the trial. Randomization is also not replicable in healthcare claims data but was proxied through a statistical balancing of measured covariates through standard practice. Investigators assume that the RCT provides the reference standard treatment effect estimate and that failure to replicate RCT findings is indicative of the inadequacy of the healthcare claims data for replication for a range of possible reasons and does not provide information on the validity of the original RCT finding.

02

Conditions studied

  • Diabetes

Browse trials for

03

In context

Diabetes Mellitus

11,089 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 3,474 is above the median of 234 across 2,254 observational studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,263 studies on the registry; 225 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 65 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will involve a new user, parallel group, propensity score-matched, retrospective cohort design comparing injectable subcutaneous liraglutide (1.2 or 1.8 mg/day) to oral glimepiride (4 mg once daily). Treatments in both arms are administered in combination with metformin (up to 2,000 mg/day). Patients will be required to have continuous enrollment during a baseline period of 180 days before initiation of liraglutide or glimepiride. The analyses will be restricted to individuals with type 2 diabetes mellitus who have been previously treated with antidiabetic drugs. In the replication, previous anti-diabetic treatment was defined as the presence of at least 2 prescriptions for metformin within 6 months before and including cohort entry.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of Type 2 Diabetes mellitus [0,0] days
  • 3 or more recorded HbA1c values [-365, 0] days
  • At least two dispensing claims for metformin [-180,0] days
  • 1 or more recorded HbA1c values [-90,0] days
  • Age between 18-80 [0,0] days

Exclusion criteria

Exclusion Criteria:

  • Cancer, malignant neoplasm, or MEN2 [-1,825,0] days
  • Use of other anti-diabetic medications [-180,0] days
  • Cirrhosis or Hepatic decompensation [-180,0] days
  • Viral hepatitis B or C [-180,0] days
  • Stage 5 CKD, ESRD, dialysis or renal transplant [-180,0] days
  • MI or HF [-180,0] days
  • Treatment with Anti-VEGFi or Photocoagulation [-180,0] days
  • Hypertensive crisis or uncontrolled hypertension [-180,0] days
  • Two diagnoses of hypoglycemia [-180,0] days
  • Alcohol/drug abuse/dependence [-180,0] days
  • Dementia and brain damages or non-compliance [-180,0] days
  • Pregnancy [-180,0] days
  • Type 1 DM, DKA, or other metabolic acidosis [-180,0] days
  • Systemic corticosteroids [-90,0] days
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
3,474 participants (actual)
Patient registry
No

Groups and cohorts

  • Glimepiride

    Reference Group

    Drug: Glimepiride

  • Liraglutide

    Exposure group

    Drug: Liraglutide

Interventions

  • Glimepiride dispensing claim is used as the reference group.

  • Liraglutide dispensing claim is used as the exposure group.

06

What researchers measure

Primary outcomes

  1. Relative Hazard of change in HbA1c from baseline to 26 weeks of treatment (end of follow-up)

    Claims-based algorithm: relative hazard of change in HbA1c from baseline to 26 weeks of treatment (end of follow-up)

    Time frame: 26-week follow-up window with a median follow-up time of 99 [84, 148] days

07

Study locations

1 site
  • Brigham and Women's Hospital
    Boston, Massachusetts 02135, United States
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 4, 2021

Documents are hosted by the registry — open the source record to download them.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2019 to primary completion in Sep 2021, 24 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 20, 2021
First posted
Dec 17, 2021
StartActual
Sep 1, 2019
Primary completionActual
Sep 1, 2021
CompletionActual
Sep 1, 2021
Last update
Jul 27, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05162183
Responsible party
Shirley Vichy Wang (Assistant Professor, Brigham and Women's Hospital) — Principal investigator
First posted
Dec 17, 2021
Start date
Sep 1, 2019
Primary completion
Sep 1, 2021
Completion
Sep 1, 2021
Last update
Jul 27, 2023

Study contacts

Shirley Wang, PhD, ScM
principal investigator · Brigham and Women's Hospital

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion