parallel randomized trial
GETGOAL-P
A Randomized, Double-blind, Placebo-controlled, 2-arm Parallel-group, Multicenter Study With a 24-week Main Treatment Period and an Extension Assessing the Efficacy and Safety of AVE0010 on Top of Pioglitazone in Patients With Type 2 Diabetes Not Adequately Controlled With Pioglitazone
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | Placebo Placebo | pioglitazone with or without metformin; lifestyle: not reported | 161 | 148 | |
| A2 | Lixisenatide 20 ug subcutaneous once daily Lixisenatide 20 ug | pioglitazone with or without metformin; lifestyle: not reported | 323 | 308 |
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) | 55.3 | 56.0 |
| age | sd (years) | 9.5 | 9.5 |
| asian | n | 8 | 14 |
| black | n | 9 | 14 |
| bmi | mean (kg/m2) | 34.44 | 33.66 |
| bmi | sd (kg/m2) | 7.04 | 6.71 |
| diabetes duration | mean (years) | 8.09 | 8.11 |
| diabetes duration | sd (years) | 5.58 | 5.44 |
| female | n | 79 | 151 |
| hba1c | mean (percent) | 8.06 | 8.08 |
| hba1c | sd (percent) | 0.79 | 0.90 |
| hispanic | n | 41 | 87 |
| metformin use | n | 131 | 261 |
| other fpg | mean (mmol/L) | 9.13 | 9.11 |
| other pioglitazone 45mg or more | n | 35 | 81 |
| other race other | n | 12 | 22 |
| weight | mean (kg) | 96.74 | 92.93 |
| weight | sd (kg) | 25.58 | 22.90 |
| white | n | 132 | 273 |
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
- 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
Results
28 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (4 lines; O01)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | change | -0.34 percent | 0.100 | 148 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -0.90 percent | 0.089 | 308 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 vs A1 | md | -0.56 percent | -0.731 to -0.386 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 vs A1 | md | -0.37 percent | 0.404 | -1.16 to 0.42 | not stated; modified itt; asian:yes; R0021439:Table 4 |
Body weight change in kilograms (diabetes) (2 lines; O02)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | change | 0.21 kg | 0.357 | 157 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -0.21 kg | 0.324 | 315 | while on treatment; modified itt; registry:outcomes |
HbA1c below 7 percent (2 lines; O03)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| 24 | A1 | responders | 26.4 | 148 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 52.3 | 308 | while on treatment; modified itt; registry:outcomes |
Level 2 or 3 hypoglycemia (participants) (2 lines; O04)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 161 | while on treatment; safety; registry:outcomes | ||||
| A2 | events | 0 / 323 | 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 | 5.1 | 157 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 9.2 | 315 | 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 | 15 / 161 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 25 / 323 | 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 | 14 / 161 | not stated; randomized; registry:flow | ||||
| A2 | events | 29 / 323 | not stated; randomized; registry:flow |
Nausea (2 lines; O27A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 22 / 161 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 84 / 323 | 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 | 8 / 161 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 26 / 323 | while on treatment; safety; registry:adverse_events |
Diarrhea (2 lines; O27C)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 23 / 161 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 35 / 323 | while on treatment; safety; registry:adverse_events |
Gallbladder and biliary disease (2 lines; O28)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 161 | while on treatment; safety; cholecystitis chronic; registry:adverse_events | ||||
| A2 | events | 1 / 323 | while on treatment; safety; cholecystitis chronic; registry:adverse_events |
Diabetic retinopathy complications (4 lines; O33)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 161 | while on treatment; safety; diabetic retinopathy; registry:adverse_events | ||||
| A1 | events | 0 / 161 | while on treatment; safety; vitreous haemorrhage; registry:adverse_events | ||||
| A2 | events | 1 / 323 | while on treatment; safety; diabetic retinopathy; registry:adverse_events | ||||
| A2 | events | 1 / 323 | while on treatment; safety; vitreous haemorrhage; registry:adverse_events |