LivingGLP1
parallel randomized trial

NCT04867785

A Phase 2 Study of Once-Weekly LY3437943 Compared With Placebo and Dulaglutide in Participants With Type 2 Diabetes

Design

Randomized
281
Start year
2021
Treatment
36 weeks, follow-up 40 weeks
Countries
United States (42 sites)
Sponsor
Eli Lilly and Company (industry)
Eligibility
age 18 to 75; HbA1c 7.0 to 10.5 percent; BMI 25 to 50; diet and exercise or stable metformin

Conduct and analysis

Blinding
double blind
Sequence generation
not reported
Allocation concealment
not reported
Outcome adjudication
not reported
Primary estimand
hypothetical
Analysis population
modified itt
Missing data
MMRM

Arms

ArmTreatmentBackgroundRandomizedAnalyzedCompleted treatment
A1Placebo
Placebo
diet and exercise alone or stable metformin; lifestyle: not reported4545
A2Dulaglutide 1.5 mg subcutaneous once weekly
Dulaglutide 1.5 mg
diet and exercise alone or stable metformin; lifestyle: not reported4646
A3Retatrutide 0.5 mg subcutaneous once weekly
Retatrutide 0.5 mg
diet and exercise alone or stable metformin; lifestyle: not reported4746
A4Retatrutide 4 mg subcutaneous once weekly
Retatrutide 4 mg (2 mg start)
diet and exercise alone or stable metformin; lifestyle: not reported2322
A5Retatrutide 4 mg subcutaneous once weekly
Retatrutide 4 mg (4 mg start)
diet and exercise alone or stable metformin; lifestyle: not reported2424
A6Retatrutide 8 mg subcutaneous once weekly
Retatrutide 8 mg (2 mg start)
diet and exercise alone or stable metformin; lifestyle: not reported2625
A7Retatrutide 8 mg subcutaneous once weekly
Retatrutide 8 mg (4 mg start)
diet and exercise alone or stable metformin; lifestyle: not reported2424
A8Retatrutide 12 mg subcutaneous once weekly
Retatrutide 12 mg (2 mg start)
diet and exercise alone or stable metformin; lifestyle: not reported4643

Baseline characteristics

As printed in the trial reports or registry, per arm or for the whole trial.
CharacteristicStatisticPlacebo
A1
Dulaglutide 1.5 mg subcutaneous once weekly
A2
Retatrutide 0.5 mg subcutaneous once weekly
A3
Retatrutide 4 mg subcutaneous once weekly
A4
Retatrutide 4 mg subcutaneous once weekly
A5
Retatrutide 8 mg subcutaneous once weekly
A6
Retatrutide 8 mg subcutaneous once weekly
A7
Retatrutide 12 mg subcutaneous once weekly
A8
Whole trial
ALL
agemean (years)57.5654.9457.2157.7057.5857.0053.8354.37
agesd (years)10.8310.459.698.1410.007.379.039.72
asiann31020002
blackn59612343
bmimean (kg/m2)33.836.334.735.535.0
bmisd (kg/m2)4.96.85.66.96.3
diabetes durationmean (years)8.77.28.87.98.1
diabetes durationsd (years)8.36.56.76.97.0
egfrmean (mL/min/1.73 m2)90.791.195.191.1
egfrsd (mL/min/1.73 m2)21.121.714.519.2
femalen233323812161526
hba1cmean (percent)8.398.228.358.078.208.348.208.28
hba1csd (percent)1.1390.9191.1720.8701.2071.1201.2611.066
hispanicn21202791312920
other american indian alaska nativen00000002
other multiple racen10100000
sbpmean (mmHg)131.9127.6132.0124.7
sbpsd (mmHg)15.012.111.613.7
sglt2i usen0001
uacr: ge30n1051115
weightmean (kg)94.6100.396.799.9
weightsd (kg)16.623.418.122.7
whiten3636402022232038

Analyses this trial contributes to

Results

198 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (40 lines; O01)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
24A1change-0.05 percent0.2145hypothetical; modified itt; registry:outcomes
24A2change-1.41 percent0.1246hypothetical; modified itt; registry:outcomes
24A3change-0.43 percent0.2046hypothetical; modified itt; registry:outcomes
24A3 vs A1md-0.38 percent-0.94 to 0.18hypothetical; modified itt; registry:outcomes
24A3 vs A2md0.98 percent0.52 to 1.43hypothetical; modified itt; registry:outcomes
24A4change-1.39 percent0.1422hypothetical; modified itt; registry:outcomes
24A4 vs A1md-1.34 percent-1.84 to -0.85hypothetical; modified itt; registry:outcomes
24A4 vs A2md0.01 percent-0.34 to 0.37hypothetical; modified itt; registry:outcomes
24A5change-1.30 percent0.2224hypothetical; modified itt; registry:outcomes
24A5 vs A1md-1.25 percent-1.85 to -0.65hypothetical; modified itt; registry:outcomes
24A5 vs A2md0.11 percent-0.39 to 0.60hypothetical; modified itt; registry:outcomes
24A6change-1.99 percent0.1525hypothetical; modified itt; registry:outcomes
24A6 vs A1md-1.94 percent-2.44 to -1.43hypothetical; modified itt; registry:outcomes
24A6 vs A2md-0.58 percent-0.95 to -0.21hypothetical; modified itt; registry:outcomes
24A7change-1.88 percent0.2124hypothetical; modified itt; registry:outcomes
24A7 vs A1md-1.83 percent-2.42 to -1.24hypothetical; modified itt; registry:outcomes
24A7 vs A2md-0.47 percent-0.95 to 0.01hypothetical; modified itt; registry:outcomes
24A8change-2.01 percent0.1143hypothetical; modified itt; registry:outcomes
24A8 vs A1md-1.96 percent-2.43 to -1.50hypothetical; modified itt; registry:outcomes
24A8 vs A2md-0.61 percent-0.93 to -0.29hypothetical; modified itt; registry:outcomes
36A1change-0.30 percent0.2445hypothetical; modified itt; registry:outcomes
36A2change-1.36 percent0.1346hypothetical; modified itt; registry:outcomes
36A3change-0.54 percent0.2046hypothetical; modified itt; registry:outcomes
36A3 vs A1md-0.24 percent-0.85 to 0.38hypothetical; modified itt; registry:outcomes
36A3 vs A2md0.82 percent0.35 to 1.29hypothetical; modified itt; registry:outcomes
36A4change-1.30 percent0.2022hypothetical; modified itt; registry:outcomes
36A4 vs A1md-0.99 percent-1.60 to -0.38hypothetical; modified itt; registry:outcomes
36A4 vs A2md0.06 percent-0.41 to 0.53hypothetical; modified itt; registry:outcomes
36A5change-1.50 percent0.1924hypothetical; modified itt; registry:outcomes
36A5 vs A1md-1.20 percent-1.80 to -0.59hypothetical; modified itt; registry:outcomes
36A5 vs A2md-0.14 percent-0.61 to 0.32hypothetical; modified itt; registry:outcomes
36A6change-2.13 percent0.1725hypothetical; modified itt; registry:outcomes
36A6 vs A1md-1.83 percent-2.41 to -1.24hypothetical; modified itt; registry:outcomes
36A6 vs A2md-0.77 percent-1.19 to -0.36hypothetical; modified itt; registry:outcomes
36A7change-1.93 percent0.2224hypothetical; modified itt; registry:outcomes
36A7 vs A1md-1.63 percent-2.27 to -0.99hypothetical; modified itt; registry:outcomes
36A7 vs A2md-0.57 percent-1.08 to -0.07hypothetical; modified itt; registry:outcomes
36A8change-2.16 percent0.1343hypothetical; modified itt; registry:outcomes
36A8 vs A1md-1.85 percent-2.39 to -1.31hypothetical; modified itt; registry:outcomes
36A8 vs A2md-0.80 percent-1.16 to -0.44hypothetical; modified itt; registry:outcomes
Body weight change in kilograms (diabetes) (40 lines; O02)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
24A1change-1.86 kg0.6645hypothetical; modified itt; registry:outcomes
24A2change-1.16 kg0.6346hypothetical; modified itt; registry:outcomes
24A3change-2.35 kg0.4846hypothetical; modified itt; registry:outcomes
24A3 vs A1md-0.49 kg-2.07 to 1.08hypothetical; modified itt; registry:outcomes
24A3 vs A2md-1.19 kg-2.75 to 0.37hypothetical; modified itt; registry:outcomes
24A4change-6.27 kg0.9422hypothetical; modified itt; registry:outcomes
24A4 vs A1md-4.41 kg-6.69 to -2.13hypothetical; modified itt; registry:outcomes
24A4 vs A2md-5.11 kg-7.36 to -2.86hypothetical; modified itt; registry:outcomes
24A5change-8.64 kg1.2324hypothetical; modified itt; registry:outcomes
24A5 vs A1md-6.78 kg-9.47 to -4.09hypothetical; modified itt; registry:outcomes
24A5 vs A2md-7.48 kg-10.19 to -4.77hypothetical; modified itt; registry:outcomes
24A6change-11.99 kg0.8425hypothetical; modified itt; registry:outcomes
24A6 vs A1md-10.13 kg-12.24 to -8.03hypothetical; modified itt; registry:outcomes
24A6 vs A2md-10.83 kg-12.89 to -8.77hypothetical; modified itt; registry:outcomes
24A7change-13.91 kg1.3824hypothetical; modified itt; registry:outcomes
24A7 vs A1md-12.06 kg-15.06 to -9.06hypothetical; modified itt; registry:outcomes
24A7 vs A2md-12.76 kg-15.74 to -9.77hypothetical; modified itt; registry:outcomes
24A8change-12.84 kg0.9343hypothetical; modified itt; registry:outcomes
24A8 vs A1md-10.99 kg-13.24 to -8.73hypothetical; modified itt; registry:outcomes
24A8 vs A2md-11.69 kg-13.90 to -9.47hypothetical; modified itt; registry:outcomes
36A1change-3.28 kg0.9245hypothetical; modified itt; registry:outcomes
36A2change-1.97 kg0.8746hypothetical; modified itt; registry:outcomes
36A3change-3.31 kg0.6246hypothetical; modified itt; registry:outcomes
36A3 vs A1md-0.03 kg-2.18 to 2.12hypothetical; modified itt; registry:outcomes
36A3 vs A2md-1.34 kg-3.45 to 0.77hypothetical; modified itt; registry:outcomes
36A4change-7.28 kg1.3922hypothetical; modified itt; registry:outcomes
36A4 vs A1md-4.00 kg-7.32 to -0.68hypothetical; modified itt; registry:outcomes
36A4 vs A2md-5.31 kg-8.66 to -1.97hypothetical; modified itt; registry:outcomes
36A5change-10.37 kg1.4924hypothetical; modified itt; registry:outcomes
36A5 vs A1md-7.09 kg-10.46 to -3.71hypothetical; modified itt; registry:outcomes
36A5 vs A2md-8.40 kg-11.76 to -5.04hypothetical; modified itt; registry:outcomes
36A6change-16.48 kg1.5525hypothetical; modified itt; registry:outcomes
36A6 vs A1md-13.20 kg-16.74 to -9.66hypothetical; modified itt; registry:outcomes
36A6 vs A2md-14.51 kg-18.00 to -11.01hypothetical; modified itt; registry:outcomes
36A7change-16.12 kg1.6324hypothetical; modified itt; registry:outcomes
36A7 vs A1md-12.84 kg-16.50 to -9.18hypothetical; modified itt; registry:outcomes
36A7 vs A2md-14.15 kg-17.77 to -10.54hypothetical; modified itt; registry:outcomes
36A8change-17.18 kg1.3243hypothetical; modified itt; registry:outcomes
36A8 vs A1md-13.91 kg-17.10 to -10.71hypothetical; modified itt; registry:outcomes
36A8 vs A2md-15.22 kg-18.36 to -12.07hypothetical; modified itt; registry:outcomes
HbA1c below 7 percent (16 lines; O03)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
24A1responders1845hypothetical; modified itt; registry:outcomes
24A2responders5246hypothetical; modified itt; registry:outcomes
24A3responders3246hypothetical; modified itt; registry:outcomes
24A4responders5322hypothetical; modified itt; registry:outcomes
24A5responders6624hypothetical; modified itt; registry:outcomes
24A6responders8825hypothetical; modified itt; registry:outcomes
24A7responders7824hypothetical; modified itt; registry:outcomes
24A8responders8643hypothetical; modified itt; registry:outcomes
36A1responders2245hypothetical; modified itt; registry:outcomes
36A2responders6046hypothetical; modified itt; registry:outcomes
36A3responders3746hypothetical; modified itt; registry:outcomes
36A4responders6122hypothetical; modified itt; registry:outcomes
36A5responders5924hypothetical; modified itt; registry:outcomes
36A6responders8225hypothetical; modified itt; registry:outcomes
36A7responders7824hypothetical; modified itt; registry:outcomes
36A8responders8043hypothetical; modified itt; registry:outcomes
Systolic blood pressure change (14 lines; O05)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
24A1change0.24 mmHg2.1545hypothetical; modified itt; R0013029:Supplement Table S4
24A2change-1.15 mmHg2.0246hypothetical; modified itt; R0013029:Supplement Table S4
24A2 vs A1md-1.39 mmHg-7.09 to 4.31hypothetical; modified itt; R0013029:Supplement Table S4
24A3change-4.94 mmHg2.0046hypothetical; modified itt; R0013029:Supplement Table S4
24A3 vs A1md-5.17 mmHg-10.87 to 0.52hypothetical; modified itt; R0013029:Supplement Table S4
24A8change-9.19 mmHg2.1643hypothetical; modified itt; R0013029:Supplement Table S4
24A8 vs A1md-9.43 mmHg-15.35 to -3.51hypothetical; modified itt; R0013029:Supplement Table S4
36A1change0.97 mmHg2.1745hypothetical; modified itt; R0013029:Supplement Table S4
36A2change-1.86 mmHg2.0246hypothetical; modified itt; R0013029:Supplement Table S4
36A2 vs A1md-2.83 mmHg-8.56 to 2.90hypothetical; modified itt; R0013029:Supplement Table S4
36A3change-2.45 mmHg1.9246hypothetical; modified itt; R0013029:Supplement Table S4
36A3 vs A1md-3.42 mmHg-9.05 to 2.21hypothetical; modified itt; R0013029:Supplement Table S4
36A8change-11.22 mmHg2.1843hypothetical; modified itt; R0013029:Supplement Table S4
36A8 vs A1md-12.19 mmHg-18.18 to -6.19hypothetical; modified itt; R0013029:Supplement Table S4
Acute kidney injury (8 lines; O121)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 45not stated; safety; acute kidney injury; registry:adverse_events
A2events0 / 46not stated; safety; acute kidney injury; registry:adverse_events
A3events0 / 47not stated; safety; acute kidney injury; registry:adverse_events
A4events0 / 23not stated; safety; acute kidney injury; registry:adverse_events
A5events0 / 24not stated; safety; acute kidney injury; registry:adverse_events
A6events0 / 26not stated; safety; acute kidney injury; registry:adverse_events
A7events0 / 24not stated; safety; acute kidney injury; registry:adverse_events
A8events0 / 46not stated; safety; acute kidney injury; registry:adverse_events
All cause mortality (8 lines; O20)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 45not stated; safety; registry:adverse_events
A2events0 / 46not stated; safety; registry:adverse_events
A3events0 / 47not stated; safety; registry:adverse_events
A4events0 / 23not stated; safety; registry:adverse_events
A5events0 / 24not stated; safety; registry:adverse_events
A6events0 / 26not stated; safety; registry:adverse_events
A7events0 / 24not stated; safety; registry:adverse_events
A8events0 / 46not stated; safety; registry:adverse_events
Heart failure events (8 lines; O23B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 45not stated; safety; cardiac failure congestive; registry:adverse_events
A2events0 / 46not stated; safety; cardiac failure congestive; registry:adverse_events
A3events1 / 47not stated; safety; cardiac failure congestive; registry:adverse_events
A4events1 / 23not stated; safety; cardiac failure congestive; registry:adverse_events
A5events0 / 24not stated; safety; cardiac failure congestive; registry:adverse_events
A6events0 / 26not stated; safety; cardiac failure congestive; registry:adverse_events
A7events0 / 24not stated; safety; cardiac failure congestive; registry:adverse_events
A8events0 / 46not stated; safety; cardiac failure congestive; registry:adverse_events
Serious adverse events (8 lines; O25)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events3 / 45not stated; safety; registry:adverse_events
A2events1 / 46not stated; safety; registry:adverse_events
A3events3 / 47not stated; safety; registry:adverse_events
A4events1 / 23not stated; safety; registry:adverse_events
A5events2 / 24not stated; safety; registry:adverse_events
A6events2 / 26not stated; safety; registry:adverse_events
A7events1 / 24not stated; safety; registry:adverse_events
A8events2 / 46not stated; safety; registry:adverse_events
Discontinuation due to adverse events (8 lines; O26)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 45not stated; randomized; registry:flow
A2events0 / 46not stated; randomized; registry:flow
A3events1 / 47not stated; randomized; registry:flow
A4events0 / 23not stated; randomized; registry:flow
A5events0 / 24not stated; randomized; registry:flow
A6events0 / 26not stated; randomized; registry:flow
A7events0 / 24not stated; randomized; registry:flow
A8events2 / 46not stated; randomized; registry:flow
Nausea (8 lines; O27A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events2 / 45not stated; safety; nausea; registry:adverse_events
A2events8 / 46not stated; safety; nausea; registry:adverse_events
A3events2 / 47not stated; safety; nausea; registry:adverse_events
A4events2 / 23not stated; safety; nausea; registry:adverse_events
A5events6 / 24not stated; safety; nausea; registry:adverse_events
A6events7 / 26not stated; safety; nausea; registry:adverse_events
A7events10 / 24not stated; safety; nausea; registry:adverse_events
A8events9 / 46not stated; safety; nausea; registry:adverse_events
Vomiting (8 lines; O27B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 45not stated; safety; vomiting; registry:adverse_events
A2events4 / 46not stated; safety; vomiting; registry:adverse_events
A3events1 / 47not stated; safety; vomiting; registry:adverse_events
A4events1 / 23not stated; safety; vomiting; registry:adverse_events
A5events0 / 24not stated; safety; vomiting; registry:adverse_events
A6events2 / 26not stated; safety; vomiting; registry:adverse_events
A7events4 / 24not stated; safety; vomiting; registry:adverse_events
A8events5 / 46not stated; safety; vomiting; registry:adverse_events
Diarrhea (8 lines; O27C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events2 / 45not stated; safety; diarrhoea; registry:adverse_events
A2events4 / 46not stated; safety; diarrhoea; registry:adverse_events
A3events1 / 47not stated; safety; diarrhoea; registry:adverse_events
A4events2 / 23not stated; safety; diarrhoea; registry:adverse_events
A5events6 / 24not stated; safety; diarrhoea; registry:adverse_events
A6events5 / 26not stated; safety; diarrhoea; registry:adverse_events
A7events7 / 24not stated; safety; diarrhoea; registry:adverse_events
A8events7 / 46not stated; safety; diarrhoea; registry:adverse_events
Constipation (8 lines; O27D)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 45not stated; safety; constipation; registry:adverse_events
A2events3 / 46not stated; safety; constipation; registry:adverse_events
A3events3 / 47not stated; safety; constipation; registry:adverse_events
A4events2 / 23not stated; safety; constipation; registry:adverse_events
A5events4 / 24not stated; safety; constipation; registry:adverse_events
A6events3 / 26not stated; safety; constipation; registry:adverse_events
A7events2 / 24not stated; safety; constipation; registry:adverse_events
A8events5 / 46not stated; safety; constipation; registry:adverse_events
Gallbladder and biliary disease (8 lines; O28)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 45not stated; safety; cholecystitis chronic; registry:adverse_events
A2events0 / 46not stated; safety; cholecystitis chronic; registry:adverse_events
A3events0 / 47not stated; safety; cholecystitis chronic; registry:adverse_events
A4events0 / 23not stated; safety; cholecystitis chronic; registry:adverse_events
A5events0 / 24not stated; safety; cholecystitis chronic; registry:adverse_events
A6events0 / 26not stated; safety; cholecystitis chronic; registry:adverse_events
A7events1 / 24not stated; safety; cholecystitis chronic; registry:adverse_events
A8events0 / 46not stated; safety; cholecystitis chronic; registry:adverse_events
Acute pancreatitis (8 lines; O29)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 45not stated; safety; pancreatitis acute; registry:adverse_events
A2events0 / 46not stated; safety; pancreatitis acute; registry:adverse_events
A3events1 / 47not stated; safety; pancreatitis acute; registry:adverse_events
A4events0 / 23not stated; safety; pancreatitis acute; registry:adverse_events
A5events0 / 24not stated; safety; pancreatitis acute; registry:adverse_events
A6events1 / 26not stated; safety; pancreatitis acute; registry:adverse_events
A7events0 / 24not stated; safety; pancreatitis acute; registry:adverse_events
A8events0 / 46not stated; safety; pancreatitis acute; registry:adverse_events