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OpenTrials
Completed

NCT Number: NCT02730377

Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes

This trial is conducted globally. The aim of the trial is to investigate efficacy in controlling glycaemia with Victoza® (liraglutide) as add-on to metformin background treatment vs. OADs as add-on to metformin background treatment for 104 weeks of treatment in subjects with type 2 diabetes.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Novo Nordisk Investigational Site, Surrey, British Columbia, Canada

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

- Male or female at least 18 years of age at the time of signing informed consent - Subjects diagnosed (clinically) with type 2 diabetes equal to or above 90 days prior to the screening visit - Stable daily dose of metformin as monotherapy equal to or above 1500 mg or maximum tolerated dose within 60 days prior to the screening visit - HbA1c 7.5-9.0% (59-75 mmol/mol) (both inclusive) and measured within the last 90 days prior to the screening visit Exclusion Criteria: - Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using adequate contraceptive methods (adequate contraceptive measures as required by local regulation or practice) - Treatment with any medication for the indication of diabetes other than metformin in a period of 60 days before the screening visit. An exception is short-term treatment (below or equal to 7 days in total) with insulin in connection with intercurrent illness - Receipt of any investigational medicinal product within 30 days before the screening visit - Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol

Treatment and study plan

liraglutide

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

Alpha-glucosidase inhibitors

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

DPP-4 inhibitors

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

Meglitinides

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

SGLT-2 inhibitors

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

Sulphonylurea

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

Thiazolidinediones

Drug

Trial product will be prescribed by the investigator and dispensed by pharmacy or similar.

Primary outcomes

  1. Time to Inadequate Glycaemic Control

    Time frame: Weeks 26-104

    Inadequate glycaemic control was defined as glycosylated haemoglobin (HbA1c) of 7.0% (53 mmol/mol) or greater at two consecutive visits after the first 26 weeks of treatment and up to 104 weeks. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function. HbA1c was recorded at weeks 38, 52, 65, 78, 91 and 104.

Secondary outcomes

  1. Time to Premature Treatment Discontinuation (for Any Reason Including Inadequate Glycaemic Control)

    Time frame: Weeks 0-104

    The time to premature treatment discontinuation (for any reason including inadequate glycaemic control) was analysed and presented using the generalised log rank test. 25%, median (50%) and 75% percentiles for the cumulative distribution function, are obtained from the Kaplan-Meier survival function.

  2. Change in HbA1c

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in HbA1c at week 104 or at premature treatment discontinuation is presented.

  3. Participants Who Achieve HbA1c ≤6.5% (Yes/No)

    Time frame: Week 104/Premature treatment discontinuation

    Participants who achieved HbA1c ≤6.5% (yes/no) is presented.

  4. Participants Who Achieve HbA1c ≤7.0% Without Weight Gain

    Time frame: Week 104/Premature treatment discontinuation

    Participants who achieved HbA1c ≤7.0% without weight gain (yes/no) is presented.

  5. Participants Who Achieve HbA1c ≤7.0% Without Treatment Emergent Severe Hypoglycaemic Episodes or BG Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame: Week 104/Premature treatment discontinuation

    Severe or blood glucose (BG) confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the American Diabetes Association (ADA) classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 millimoles per liter (mmol/L) with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than the day after the last day on trial product. Participants who achieved HbA1c ≤7.0% without treatment emergent severe hypoglycaemic episodes or BG confirmed symptomatic hypoglycaemic episodes (yes/no) is presented.

  6. Participants Who Achieve HbA1c ≤7.0% Without Weight Gain and no Treatment Emergent Severe Hypoglycaemic Episodes or Blood Glucose Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame: Week 104/Premature treatment discontinuation

    Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Hypoglycaemic episodes were defined as treatment-emergent if the onset of the episode occurred on or after the first day of trial product administration, and no later than the day after the last day on trial product. Participants who achieved HbA1c ≤7.0% without weight gain and no treatment emergent severe hypoglycaemic episodes or BG confirmed symptomatic hypoglycaemic episodes (yes/no) is presented.

  7. Change in Fasting Plasma Glucose (FPG)

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in FPG at week 104 or at premature treatment discontinuation is presented.

  8. Change in Body Weight

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in body weight at week 104 or at premature treatment discontinuation is presented.

  9. Change in Body Mass Index (BMI)

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in BMI at week 104 or at premature treatment discontinuation is presented.

  10. Change in Blood Pressure (Systolic and Diastolic Blood Pressure)

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in systolic and diastolic blood pressure at week 104 or at premature treatment discontinuation is presented.

  11. Number of Severe Hypoglycaemic Episodes

    Time frame: Weeks 0-104

    Severe hypoglycaemic episodes were defined as episodes that required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions. Number of severe hypoglycaemic episodes that occured during weeks 0-104 are presented.

  12. Number of Severe or BG Confirmed Symptomatic Hypoglycaemic Episodes

    Time frame: Weeks 0-104

    Severe or BG confirmed symptomatic hypoglycaemic episodes were defined as episodes that were severe according to the ADA classification (required assistance of another person to actively administer carbohydrate, glucagon, or take other corrective actions) or BG confirmed by a plasma glucose value <3.1 mmol/L with symptoms consistent with hypoglycaemia. Number of severe or BG confirmed symptomatic hypoglycaemic episodes that occured during weeks 0-104 are presented.

  13. Number of Documented Symptomatic Hypoglycaemic Episodes (ADA)

    Time frame: Weeks 0-104

    Documented symptomatic hypoglycaemic were defined as episodes with typical symptoms of hypoglycaemia accompanied by measure plasma glucose concentration <= 3.9 mmol/L. Number of documented symptomatic hypoglycaemic episodes that occured during the weeks 0-104 are presented.

  14. Number of Serious Adverse Events (SAEs)

    Time frame: Weeks 0-105

    A serious adverse event (SAE) was defined as any event that resulted in any of the following: death, life-threatening experience, in-patient hospitalisation or prolongation of existing hospitalisation, persistent or significant disability or incapacity, congenital anomaly or birth defect or suspicion of transmission of infectious agents via the trial product. An SAE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent serious adverse events are presented.

  15. Number of AEs Leading to Permanent Discontinuation of Trial Product

    Time frame: Weeks 0-105

    An adverse event (AE) was any untoward medical occurrence in a participant who administered a product, and which did not necessarily had a causal relationship with this treatment. An AE was considered as treatment emergent if it had an onset or increase in severity on or after the time of first trial product administration and no later than 7 days after the time of last trial product administration. Number of treatment emergent AEs that led to permanent discontinuation of trial product are presented.

  16. Change in Lipids: HDL Cholesterol, LDL-cholesterol, Total Cholesterol, Triglycerides

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, total cholesterol (TC) and triglycerides (TG) at week 104 or at premature treatment discontinuation is presented.

  17. Change in Biochemistry- Alanine Aminotransferase (ALAT), Amylase, Aspartate Aminotransferase (ASAT), Lipase

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in alanine aminotransferase (ALAT), amylase, aspartate aminotransferase (ASAT) and lipase at week 104 or at premature treatment discontinuation is presented.

  18. Change in Biochemistry- Creatinine, Total Bilirubin

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in creatinine and total bilirubin (TB) at week 104 or at premature treatment discontinuation is presented.

  19. Change in Biochemistry- Estimated Glomerular Filtration Rate (eGFR) Serum

    Time frame: Week 0, week 104/premature treatment discontinuation

    The estimated GFR was derived from serum creatinine using the MDRD (Modification of diet in renal disease) formula. eGFR was measured as milliliter per min per specific surface area (mL/min/SSA).

  20. Change in Potassium

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in potassium at week 104 or at premature treatment discontinuation is presented.

  21. Change in Haemoglobin

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in haemoglobin at week 104 or at premature treatment discontinuation is presented.

  22. Change in Pulse

    Time frame: Week 0, week 104/premature treatment discontinuation

    Change from baseline (week 0) in pulse at week 104 or at premature treatment discontinuation is presented.

Sponsors and collaborators

Lead sponsor

Novo Nordisk A/S

Industry

Registry information

Official study title

Efficacy in Controlling Glycaemia With Victoza® (Liraglutide) as add-on to Metformin vs. OADs as add-on to Metformin After up to 104 Weeks of Treatment in Subjects With Type 2 Diabetes Inadequately Controlled With Metformin Monotherapy and Treated in a Primary Care Setting

Acronym: LIRA-PRIME

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
Apr 6, 2016
Registry last updated
Jul 7, 2020

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.

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