Skip to main content
OpenTrials
Completed

NCT Number: NCT02505334

A Trial Comparing the Efficacy and Safety of Liraglutide 1.8 mg/Day to Liraglutide 0.9 mg/Day in Japanese Subjects With Type 2 Diabetes Mellitus.

This trial is conducted in Asia. The aim of the trial is to compare the efficacy and safety of liraglutide 1.8 mg/day to liraglutide 0.9 mg/day in Japanese subjects with type 2 diabetes mellitus.

Completed

Looking for future studies?

Notify Me

Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Novo Nordisk Investigational Site, Annaka-shi, Gunma, Japan

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female Japanese subjects at least 20 years of age at the time of informed consent
  • Type 2 diabetes subjects (diagnosed clinically) for at least 6 months prior to screening
  • HbA1c 7.5-10.0% [58 mmol/mol-86 mmol/mol] (both inclusive)
  • Subjects on stable therapy with one OAD (oral antidiabetic drug) (stable therapy is defined as unchanged medication and unchanged dose) for for at least 60 days before screening according to approved Japanese labelling

Exclusion criteria

  • Treatment with insulin within 12 weeks prior to screening
  • Treatment with any medication for the indication of diabetes or obesity other than stated in the inclusion criteria in a period of 60 days before screening
  • Screening calcitonin equal or above 50 ng/l
  • History of pancreatitis (acute or chronic)
  • Personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2 (MEN 2)
  • Subjects presently classified as being in New York Heart Association (NYHA) Class IV
  • Within the past 180 days any of the following: myocardial infarction, stroke or hospitalisation for unstable angina and/or transient ischemic attack
  • Diagnosis of malignant neoplasms within the last 5 years (except basal and squamous cell skin cancer, polyps and in-situ carcinomas)
  • Any condition which, in the opinion of the investigator might jeopardise subject's safety or compliance with the protocol

Treatment and study plan

liraglutide

Drug

Injected subcutaneously s.c. (under the skin) once daily.

Primary outcomes

  1. Change in Glycosylated Haemoglobin (HbA1c) (Week 26)

    Time frame: Week 0, Week 26

    Change from baseline (week 0) in glycosylated haemoglobin (HbA1c) was evaluated after 26 weeks of treatment. The change from baseline in the response after 26 weeks of treatment is analysed using an analysis of covariance (ANCOVA) model with treatment as a fixed effect and baseline response as a covariate.

Secondary outcomes

  1. Change in HbA1c (Week 52)

    Time frame: Week 0, Week 52

    Change from baseline (week 0) in HbA1c was evaluated after 52 weeks of treatment.

  2. Responder for HbA1c Below 7.0% (53 mmol/Mol)

    Time frame: Week 26 and Week 52

    Reported results are number of subjects who achieved HbA1c target below 7.0% after 26 weeks and 52 weeks of treatment, respectively.

  3. Responder for HbA1c Below or Equal to 6.5% (48 mmol/Mol)

    Time frame: Week 26 and Week 52

    Reported results are number of subjects who achieved HbA1c target below or equal to 6.5% after 26 weeks and 52 weeks of treatment, respectively.

  4. Responder for HbA1c Below 7.0% Without Weight Gain

    Time frame: Week 26 and Week 52

    Reported results are number of subjects who achieved HbA1c target below 7.0% without weight gain after 26 weeks and 52 weeks of treatment, respectively.

  5. Responder for HbA1c Below 7.0% Without Treatment Emergent Severe or Blood Glucose (BG) Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame: Week 26 and Week 52

    Reported results are subjects with HbA1c <7.0% after 26 weeks and 52 weeks of treatment, respectively without treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes. Severe or BG confirmed symptomatic hypoglycaemia: severe as per ADA classification or BG confirmed by plasma glucose (PG) value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Severe hypoglycaemia as per ADA: episode requiring assistance of another person to actively administer carbohydrate/glucagon, or take other corrective actions. PG levels may not be available during an event, but neurological recovery following the return of PG to normal is considered sufficient evidence that the event was induced by a low PG level. Treatment emergent: episode with onset date on or after randomisation (from week (wk)0) and no later than 7 days after the last day on liraglutide (maximum till wk26+7days and wk52+7days). Hence, the following shown 'Time Frame' should be read as 'Wk26+7days and Wk52+7days'

  6. Change in Self-Measured Blood Glucose (SMBG) 7-point Profile: 7-point Profile (Individual Points in the Profile)

    Time frame: Week 0 and Week 26 and Week 52

    Reported results are 7-point SMBG values at week 0, week 26 and week 52. The 7-point profile blood glucose levels were measured at the following time points always starting with the first:

    • Before breakfast.
    • 90 minutes after start of breakfast.
    • Before lunch.
    • 90 minutes after start of lunch.
    • Before dinner.
    • 90 minutes after start of dinner.
    • At bedtime.
  7. Change in SMBG 7-point Profile: Mean of 7-point Profile

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in mean of the SMBG 7-point profile was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  8. Change in SMBG 7-point Profile: Mean of Postprandial Increments (From Before Meal to 90 Minutes After for Breakfast, Lunch and Dinner)

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in mean of postprandial increments (from before meal to 90 minutes after for breakfast, lunch and dinner) of the SMBG 7-point profile was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  9. Change in Fasting Plasma Glucose (FPG)

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in FPG was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  10. Change in Waist Circumference

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in waist circumference was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  11. Change in Body Weight

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in body weight was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  12. Change in Body Mass Index (BMI)

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in BMI was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  13. Change in Blood Pressure (Systolic and Diastolic)

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  14. Fasting C-peptide

    Time frame: Week 26 and Week 52

    Fasting C-peptide was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  15. Fasting Insulin

    Time frame: Week 26 and Week 52

    Fasting insulin was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  16. Fasting Glucagon

    Time frame: Week 26 and Week 52

    Fasting glucagon was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  17. Proinsulin

    Time frame: Week 26 and Week 52

    Proinsulin was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  18. Proinsulin/Insulin

    Time frame: Week 26 and Week 52

    Proinsulin/insulin was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  19. Homeostasis Model Assessment of Beta-cell Function (HOMA-B)

    Time frame: Week 26 and Week 52

    HOMA-B was evaluated after 26 weeks and 52 weeks of treatment, respectively. HOMA-B is an index of beta-cell function and was calculated as: HOMA-B=[(20 x fasting insulin in µU/mL)/(FPG in mmol/L-3.5)].

  20. Homeostasis Model Assessment as an Index of Insulin Resistance (HOMA-IR)

    Time frame: Week 26 and Week 52

    HOMA-IR was evaluated after 26 weeks and 52 weeks of treatment, respectively. HOMA-IR is an index of insulin resistance and was calculated as: HOMA-IR= fasting insulin (μU/mL) x FPG (mmol/L)/22.5.

  21. Total Cholesterol

    Time frame: Week 26 and Week 52

    Total cholesterol was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  22. Low Density Lipoprotein (LDL) Cholesterol

    Time frame: Week 26 and Week 52

    LDL was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  23. High Density Lipoprotein (HDL) Cholesterol

    Time frame: Week 26 and Week 52

    HDL was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  24. Very Low Density Lipoprotein (VLDL) Cholesterol

    Time frame: Week 26 and Week 52

    VLDL was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  25. Triglycerides

    Time frame: Week 26 and Week 52

    Triglycerides were evaluated after 26 weeks and 52 weeks of treatment, respectively.

  26. Free Fatty Acids

    Time frame: Week 26 and Week 52

    Free fatty acids were evaluated after 26 weeks and 52 weeks of treatment, respectively.

  27. Number of Treatment Emergent Adverse Events

    Time frame: Weeks 0-26 and Weeks 0-52

    Treatment emergent adverse events (TEAEs) were evaluated during the 26-week and 52-week treatment period, respectively. TEAE for weeks 0-26: Event that has onset date on or after randomisation (from week 0) and no later than seven days after the last day on liraglutide (maximum till week 26 + 7 days). TEAE for weeks 0-52: Event that has onset date on or after randomisation (from week 0) and no later than seven days after the last day on liraglutide (maximum till week 52 + 7 days). Hence, the following shown 'Time Frame' should be read as 'Weeks 0-26 + 7 days and Weeks 0-52 + 7 days'.

  28. Number of Treatment Emergent Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame: Weeks 0-26 and Weeks 0-52

    Treatment emergent severe or BG confirmed symptomatic hypoglycaemic episodes were evaluated during the 26-week and 52-week treatment period, respectively. Severe or BG confirmed symptomatic hypoglycaemia (hypo):An episode that was severe according to the ADA classification or BG confirmed by a PG value <3.1 mmol/L with symptoms consistent with hypo. ADA definition of severe hypo:episode requiring assistance of another person to actively administer carbohydrate/glucagon, or take other corrective actions. PG levels may not be available during an event, but neurological recovery following the return of PG to normal is considered sufficient evidence that the event was induced by a low PG level. Treatment emergent: episode with onset date on or after randomisation (from week (wk) 0) and no later than 7 days after the last day on liraglutide (maximum till wk 26 and wk 52, respectively + 7 days). Hence, the following shown 'Time Frame' should be read as 'wk 0-26+7 days and wk 0-52+7 days'.

  29. Number of Treatment Emergent Nocturnal Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame: Weeks 0-26 and Weeks 0-52

    Treatment emergent nocturnal severe or BG confirmed symptomatic hypoglycaemic episodes were evaluated during the26-week and 52-week treatment period, respectively. Nocturnal hypoglycaemic episodes: Those occurring between 00:01 and 05:59 hours, both inclusive. Severe or BG confirmed symptomatic hypoglycaemia: episode that was severe according to the ADA classification or BG confirmed by a PG value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Treatment emergent: episode with onset date on or after randomisation (from week 0) and no later than 7 days after the last day on liraglutide (maximum till week 26 and week 52, respectively + 7 days). Hence, the following shown 'Time Frame' should be read as 'Week 0-26 + 7 days and Week 0-52 + 7 days'.

  30. Number of Treatment Emergent Hypoglycaemic Episodes According to ADA Definition

    Time frame: Weeks 0-26 and Weeks 0-52

    American Diabetes Association (ADA) classification of hypoglycaemia:

    • Severe: Requiring assistance of another person to actively administer carbohydrate/glucagon/take other corrective actions. PG levels may not be available during an event, but neurological recovery following return of PG to normal is considered sufficient evidence that event was induced by a low PG level.
    • Documented symptomatic: PG level ≤3.9 mmol/L with symptoms.
    • Asymptomatic: PG level ≤3.9 mmol/L without symptoms.
    • Probable symptomatic: No measurement with symptoms.
    • Pseudo: PG level >3.9 mmol/L with symptoms. Treatment emergent hypoglycaemic episode: episode with onset date on or after randomisation (from week 0) and no later than 7 days after the last day on liraglutide (maximum till week 26 and week 52, respectively + 7 days). Hence, the following shown 'Time Frame' should be read as 'Week 0-26 + 7 days and Week 0-52 + 7 days'.
  31. Change in Pulse

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in pulse was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  32. Change in Physical Examination

    Time frame: Week 0 and Week 26 and Week 52

    Reported results are physical examination outcomes at week (wk) 0, wk 26 and wk 52. Physical examination consisted of the following listed examinations and the outcome of each examination was evaluated as: 1) normal, 2) abnormal, not clinically significant (NCS) or 3) abnormal, clinically significant (CS).

    • Cardiovascular system
    • Central and peripheral nervous system (PNS)
    • Gastrointestinal (GI) system including mouth
    • General appearance
    • Head, ears, eyes, nose, throat, neck
    • Lymph node palpation
    • Musculoskeletal system
    • Respiratory system
    • Skin
    • Thyroid gland
  33. Change in Eye Examination

    Time frame: Week 0 and Week 26 and Week 52

    Reported results are eye examination (ophthalmoscopy) outcomes at week 0, week 26 and week 52. Ophthalmoscopy outcomes for both left and right eye were evaluated as: 1) normal, 2) abnormal, NCS or 3) abnormal, CS.

  34. Change in Electrocardiogram (ECG)

    Time frame: Week 0 and Week 26 and Week 52

    Reported results are ECG outcomes at week 0, week 26 and week 52. ECG outcomes were evaluated as: 1) normal, 2) abnormal, NCS or 3) abnormal, CS.

  35. Change in Biochemistry: Creatinine

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in creatinine was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  36. Change in Biochemistry: eGFR

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in estimated glomerular filtration rate (eGFR) was evaluated after 26 weeks and 52 weeks of treatment, respectively. eGFR was evaluated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula, mL/min/1.73m^2.

  37. Change in Biochemistry: Alanine Aminotransferase

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in alanine aminotransferase was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  38. Change in Biochemistry: Aspartate Aminotransferase

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in aspartate aminotransferase was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  39. Change in Biochemistry: Alkaline Phosphatase

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in alkaline phosphatase was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  40. Change in Biochemistry: Sodium

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in sodium was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  41. Change in Biochemistry: Potassium

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in potassium was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  42. Change in Biochemistry: Albumin

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in albumin was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  43. Change in Biochemistry: Total Bilirubin

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in total bilirubin was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  44. Change in Biochemistry: Urea

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in urea was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  45. Change in Biochemistry: Creatine Kinase

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in creatine kinase was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  46. Change in Biochemistry: Calcium

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in calcium was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  47. Change in Biochemistry: Albumin Corrected Calcium

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in albumin corrected calcium was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  48. Change in Biochemistry: Amylase

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in amylase was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  49. Change in Biochemistry: Lipase

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in lipase was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  50. Change in Haematology: Haemoglobin

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in haemoglobin was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  51. Change in Haematology: Haematocrit

    Time frame: Week 0, Week 26, Week 52

    Change from baseline (week 0) in haematocrit was evaluated after 26 weeks and 52 weeks of treatment, respectively. Haematocrit is the ratio of the volume of red blood cells to the total volume of blood.

  52. Change in Haematology: Thrombocytes

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in thrombocytes (platelets) was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  53. Change in Haematology: Erythrocytes

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in erythrocytes was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  54. Change in Haematology: Leukocytes

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in leukocytes was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  55. Change in Haematology: Eosinophils

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in eosinophils was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  56. Change in Haematology: Neutrophils

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in neutrophils was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  57. Change in Haematology: Basophils

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in basophils was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  58. Change in Haematology: Monocytes

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in monocytes was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  59. Change in Haematology: Lymphocytes

    Time frame: Week 0, Week 26 and Week 52

    Change from baseline (week 0) in lymphocytes was evaluated after 26 weeks and 52 weeks of treatment, respectively.

  60. Change in Calcitonin

    Time frame: Week 0 and Week 26 and Week 52

    Reported results are number of subjects with low, normal or high calcitonin values at week 0, week 26 and week 52. Number of subjects analyzed = number of subjects contributed to the analysis for individual time point. Calcitonin values were categorised as low, normal or high.

Sponsors and collaborators

Lead sponsor

Novo Nordisk A/S

Industry

Registry information

Official study title

A Trial Comparing the Efficacy and Safety of Liraglutide 1.8 mg/Day to Liraglutide 0.9 mg/Day in Japanese Subjects With Type 2 Diabetes Mellitus

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
Jul 22, 2015
Registry last updated
Sep 5, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.