parallel randomized trial
GetGoal-M-Asia
Efficacy and Safety of Lixisenatide in Patients With Type 2 Diabetes Mellitus Insufficiently Controlled by Metformin (With or Without Sulfonylurea): a Multicenter, Randomized, Double-blind, Parallel-group, Placebo-controlled Study With 24-week Treatment Period
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | Placebo Placebo | metformin with or without sulfonylurea; lifestyle: not reported | 195 | 188 | |
| A2 | Lixisenatide 20 ug subcutaneous once daily Lixisenatide 20 ug | metformin with or without sulfonylurea; lifestyle: not reported | 196 | 185 |
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) | 55.1 | 54.5 |
| age | sd (years) | 10.5 | 10.3 |
| asian | n | 194 | 196 |
| bmi | mean (kg/m2) | 27.08 | 26.75 |
| bmi | sd (kg/m2) | 3.75 | 3.86 |
| diabetes duration | mean (years) | 6.84 | 6.45 |
| diabetes duration | sd (years) | 4.80 | 4.64 |
| female | n | 103 | 95 |
| hba1c | mean (percent) | 7.85 | 7.95 |
| hba1c | sd (percent) | 0.71 | 0.81 |
| other metformin dose | mean (mg/day) | 1363.4 | 1369.9 |
| other sulfonylurea use | n | 92 | 82 |
| weight | mean (kg) | 72.74 | 73.18 |
| weight | sd (kg) | 13.64 | 13.93 |
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); network meta-analysis
- HbA1c below 7 percentType 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
- 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
Results
22 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (3 lines; O01)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | change | -0.47 percent | 0.104 | 188 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -0.83 percent | 0.102 | 185 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 vs A1 | md | -0.36 percent | -0.551 to -0.162 | while on treatment; modified itt; registry:outcomes |
Body weight change in kilograms (diabetes) (2 lines; O02)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | change | -1.24 kg | 0.273 | 191 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -1.50 kg | 0.267 | 188 | while on treatment; modified itt; registry:outcomes |
HbA1c below 7 percent (5 lines; O03)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | responders | 84 / 188 | not stated; modified itt; R0021439:Table 5 | |||
| 24 | A1 vs A2 | or | 0.59 | 0.39 to 0.89 | not stated; modified itt; R0021439:Table 5 | ||
| 24 | A1 | responders | 38.8 percent | 188 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 53.0 percent | 185 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 107 / 185 | not stated; modified itt; R0021439:Table 5 |
Level 2 or 3 hypoglycemia (participants) (2 lines; O04)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 194 | not stated; safety; registry:outcomes | ||||
| A2 | events | 0 / 196 | not stated; 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 | 14.7 percent | 191 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 19.7 percent | 188 | while on treatment; modified itt; registry:outcomes |
Serious adverse events (2 lines; O25)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 4 / 194 | not stated; safety; registry:adverse_events | ||||
| A2 | events | 3 / 196 | not stated; 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 | 3 / 195 | not stated; randomized; registry:flow | ||||
| A2 | events | 11 / 196 | not stated; randomized; registry:flow |
Nausea (2 lines; O27A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 5 / 194 | not stated; safety; registry:adverse_events | ||||
| A2 | events | 32 / 196 | not stated; safety; registry:adverse_events |
Vomiting (2 lines; O27B)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 2 / 194 | not stated; safety; registry:adverse_events | ||||
| A2 | events | 15 / 196 | not stated; safety; registry:adverse_events |