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A Study Comparing the Effects and Safety of Dulaglutide With Insulin Glargine in Type 2 Diabetes Mellitus
Plain-language guide to NCT01648582: phase 3 randomized trial of Insulin Glargine and Dulaglutide, 774 participants. Who took part, design and what was measured.
Key Facts
- Registry ID
- NCT01648582
- Phase
- phase 3
- Status
- completed
- Start
- 2012-07
- Completion (planned or actual)
- 2014-08
- Participants
- 774 (actual)
- Design
- randomized, open label (everyone knows who gets what), treatment
- Conditions studied
- Type 2 Diabetes Mellitus
- Results posted
- yes
What This Study Did, in Plain Language
What Was Tested
The trial (phase 3) is built around Insulin Glargine and Dulaglutide.
It had three arms (groups): one (experimental), one (experimental) and Insulin Glargine (active comparator).
The registry classes the interventions as drug.
Who Took Part
The registry lists 774 actual participants took part.
It was open to people of any sex aged from 18 years with no upper age limit.
Healthy volunteers were not accepted; participants needed the condition being studied.
Examples of who could join: Have type 2 diabetes mellitus for at least 6 months. Adult men or adult non-pregnant, non-breastfeeding women. Body Mass Index (BMI) of ≥19.0 to ≤35.0 kilograms/square meter (kg/m\^2).
The full record lists 6 inclusion and 11 exclusion criteria; among the exclusions: have type 1 diabetes mellitus; have previous treatment with a glucagon-like peptide-1 (glp-1) receptor agonist, glp-1 analog, or any other incretin mimetic; have treatment with dipeptidyl peptidase-iv (dpp-iv) inhibitor, an alpha-glucosidase inhibitor (agi), thiazolidinedione (tzd), or glinide.
How the Study Was Run
Design: randomized, parallel-group and open-label.
The participants were allocated by chance, so the Insulin Glargine group and the comparison group should start out alike.
Groups ran in parallel: each of the participants stayed in one arm throughout.
Nothing was hidden in this open-label Insulin Glargine study: the participants and staff both knew the treatment.
It started in 2012-07 with completion listed for 2014-08.
It ran at 30 sites in China (20), Russia (4), South Korea (4) and Mexico (2).
Its stated primary purpose is treatment.
What Was Measured
The main thing measured (primary outcome): Change From Baseline in Glycosylated Hemoglobin (HbA1c) at 26 Weeks (time frame: Baseline, 26 Weeks).
It also tracked 21 secondary outcomes, for example Change From Baseline in HbA1c at 52 Weeks, Change From Baseline in Fasting Blood Glucose (FBG) at 26 Weeks and 52 Weeks, Change From Baseline in 7-point Self-monitored Blood Glucose (SMBG) Profiles at 26 Weeks and 52 Weeks, Change From Baseline in Homeostasis Model Assessment 2 Steady-state Beta (β)- Cell Function (HOMA2-%B) at 26 Weeks and 52 Weeks, Change From Baseline in Homeostasis Model Assessment 2 Insulin Sensitivity - Cell Function (HOMA2-%S) at 26 Weeks and 52 Weeks and Rate of Hypoglycemic Events.
What This Means in Plain Language
Put simply, this is a phase 3, randomized trial of Insulin Glargine and Dulaglutide in 774 people.
With 774 participants it is a large trial for this field.
The trial is marked completed; results are posted on the registry, and this page does not restate them.
More context: the Insulin Glargine compound page and the Dulaglutide compound page, all human trials.
Our Notes on the Compounds
Insulin Glargine: A long-acting insulin analog given once daily; brands include Lantus, Toujeo, Basaglar and Semglee.
Dulaglutide: A once-weekly GLP-1 receptor agonist (two GLP-1 analog chains joined to an antibody Fc fragment), sold as Trulicity.
Related Pages
Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.