parallel randomized trial
GETGOAL-S
A Randomized, Double-blind, Placebo-controlled, 2-arm Parallel-group, Multicenter 24-week Study Followed by an Extension Assessing the Efficacy and Safety of AVE0010 on Top of a Sulfonylurea in Patients With Type 2 Diabetes Not Adequately Controlled With Sulfonylurea
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | Placebo Placebo | sulfonylurea with or without metformin; lifestyle: standard | 286 | 274 | |
| A2 | Lixisenatide 20 ug subcutaneous once daily Lixisenatide 20 ug once daily | sulfonylurea with or without metformin; lifestyle: standard | 573 | 544 |
Baseline characteristics
As printed in the trial reports or registry, per arm or for the whole trial.
| Characteristic | Statistic | Placebo A1 | Lixisenatide 20 ug subcutaneous once daily A2 |
|---|---|---|---|
| age | mean (years) | 57.8 | 57.0 |
| age | sd (years) | 10.1 | 9.8 |
| asian | n | 125 | 260 |
| black | n | 9 | 17 |
| female | n | 135 | 290 |
| hba1c | mean (percent) | 8.21 | 8.28 |
| hba1c | sd (percent) | 0.84 | 0.86 |
| hispanic | n | 5 | 18 |
| weight | mean (kg) | 84.42 | 82.30 |
| weight | sd (kg) | 22.83 | 21.76 |
| white | n | 151 | 297 |
Analyses this trial contributes to
- HbA1c changeType 2 diabetes (adults); weeks 20 to 36 (target week 26); network meta-analysis
- HbA1c changeType 2 diabetes (adults); weeks 20 to 36 (target week 26); network meta-analysis
- Body weight change in kilograms (diabetes)Type 2 diabetes (adults); weeks 20 to 36 (target week 26); network meta-analysis
- Body weight change in kilograms (diabetes)Type 2 diabetes (adults); weeks 20 to 36 (target week 26); network meta-analysis
- HbA1c below 7 percentType 2 diabetes (adults); weeks 20 to 36 (target week 26); pairwise meta-analysis
- HbA1c below 7 percentType 2 diabetes (adults); weeks 20 to 36 (target week 26); pairwise meta-analysis
- Level 2 or 3 hypoglycemia (participants)Type 2 diabetes (adults); longest follow-up; network meta-analysis
- Level 2 or 3 hypoglycemia (participants)Type 2 diabetes (adults); longest follow-up; network meta-analysis
- Level 2 or 3 hypoglycemia (participants)Type 2 diabetes (adults); longest follow-up; network meta-analysis
- Level 2 or 3 hypoglycemia (participants)Type 2 diabetes (adults); longest follow-up; network meta-analysis
- Weight loss of 5 percent or moreType 2 diabetes (adults); weeks 20 to 40 (target week 26); pairwise meta-analysis
- Weight loss of 5 percent or moreType 2 diabetes (adults); weeks 20 to 40 (target week 26); pairwise meta-analysis
- Serious adverse eventsType 2 diabetes (adults); longest follow-up; network meta-analysis
- Serious adverse eventsType 2 diabetes (adults); longest follow-up; network meta-analysis
- NauseaType 2 diabetes (adults); longest follow-up; network meta-analysis
- NauseaType 2 diabetes (adults); longest follow-up; network meta-analysis
- VomitingType 2 diabetes (adults); longest follow-up; network meta-analysis
- VomitingType 2 diabetes (adults); longest follow-up; network meta-analysis
- DiarrheaType 2 diabetes (adults); longest follow-up; network meta-analysis
- DiarrheaType 2 diabetes (adults); longest follow-up; network meta-analysis
- ConstipationType 2 diabetes (adults); longest follow-up; network meta-analysis
- ConstipationType 2 diabetes (adults); longest follow-up; network meta-analysis
Results
42 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (5 lines; O01)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | change | -0.10 percent | 0.071 | 274 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -0.85 percent | 0.061 | 544 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 vs A1 | md | -0.74 percent | -0.867 to -0.621 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 vs A1 | md | -0.92 percent | 0.09 | -1.10 to -0.74 | not stated; modified itt; race:asian; R0021439:Table 4 | |
| 24 | A2 vs A1 | md | -1.1 percent | -1.407 to -0.803 | not stated; modified itt; region:japan; R0012857:Results |
Body weight change in kilograms (diabetes) (3 lines; O02)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | change | -0.93 kg | 0.234 | 278 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -1.76 kg | 0.202 | 554 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 vs A1 | md | -0.11 kg | -0.798 to 0.586 | not stated; modified itt; region:japan; R0012857:Results |
HbA1c below 7 percent (2 lines; O03)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | responders | 13.5 | 274 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 36.4 | 544 | while on treatment; modified itt; registry:outcomes |
Level 2 or 3 hypoglycemia (participants) (4 lines; O04)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 1 / 285 | while on treatment; safety; registry:outcomes | ||||
| A1 | events | 51 / 285 | while on treatment; safety; registry:outcomes | ||||
| A2 | events | 2 / 574 | while on treatment; safety; registry:outcomes | ||||
| A2 | events | 127 / 574 | while on treatment; safety; registry:outcomes |
Weight loss of 5 percent or more (2 lines; O11A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | responders | 7.2 | 278 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 14.4 | 554 | while on treatment; modified itt; registry:outcomes |
Acute kidney injury (2 lines; O121)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 285 | while on treatment; safety; Renal failure acute; registry:adverse_events | ||||
| A2 | events | 1 / 574 | while on treatment; safety; Renal failure acute; registry:adverse_events |
Hospitalization for heart failure (2 lines; O23)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 285 | while on treatment; safety; Cardiac failure congestive; registry:adverse_events | ||||
| A2 | events | 1 / 574 | while on treatment; safety; Cardiac failure congestive; registry:adverse_events |
Serious adverse events (2 lines; O25)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 35 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 58 / 574 | while on treatment; safety; registry:adverse_events |
Discontinuation due to adverse events (2 lines; O26)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 23 / 286 | not stated; randomized; registry:flow | ||||
| A2 | events | 71 / 573 | not stated; randomized; registry:flow |
Nausea (2 lines; O27A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 25 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 161 / 574 | while on treatment; safety; registry:adverse_events |
Vomiting (2 lines; O27B)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 15 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 61 / 574 | while on treatment; safety; registry:adverse_events |
Diarrhea (4 lines; O27C)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 27 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A1 | events | 1 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 71 / 574 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 1 / 574 | while on treatment; safety; registry:adverse_events |
Constipation (2 lines; O27D)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 11 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 30 / 574 | while on treatment; safety; registry:adverse_events |
Gallbladder and biliary disease (4 lines; O28)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 285 | while on treatment; safety; Cholelithiasis; registry:adverse_events | ||||
| A1 | events | 0 / 285 | while on treatment; safety; Cholecystitis; registry:adverse_events | ||||
| A2 | events | 1 / 574 | while on treatment; safety; Cholelithiasis; registry:adverse_events | ||||
| A2 | events | 2 / 574 | while on treatment; safety; Cholecystitis; registry:adverse_events |
Acute pancreatitis (2 lines; O29)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 1 / 285 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 1 / 574 | while on treatment; safety; registry:adverse_events |
Diabetic retinopathy complications (2 lines; O33)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 285 | while on treatment; safety; Vitreous haemorrhage; registry:adverse_events | ||||
| A2 | events | 1 / 574 | while on treatment; safety; Vitreous haemorrhage; registry:adverse_events |