LivingGLP1
parallel randomized trial

NCT01126580

The Impact of LY2189265 Versus Metformin on Glycemic Control in Early Type 2 Diabetes Mellitus (AWARD-3: Assessment of Weekly AdministRation of LY2189265 in Diabetes-3)

Design

Randomized
807
Start year
2010
Treatment
52 weeks, follow-up 56.29 weeks
Countries
multinational
Sponsor
Eli Lilly and Company (industry)
Eligibility
type 2 diabetes on diet and exercise or one oral drug; registry gives no ranges

Conduct and analysis

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

Arms

ArmTreatmentBackgroundRandomizedAnalyzedCompleted treatment
A1Dulaglutide 1.5 mg subcutaneous once weekly
Dulaglutide 1.5 mg
none (oral placebo); lifestyle: not reported269265
A2Dulaglutide 0.75 mg subcutaneous once weekly
Dulaglutide 0.75 mg
none (oral placebo); lifestyle: not reported270265
A3Metformin
Metformin
none (injectable placebo); lifestyle: not reported268265

Baseline characteristics

As printed in the trial reports or registry, per arm or for the whole trial.
CharacteristicStatisticDulaglutide 1.5 mg subcutaneous once weekly
A1
Dulaglutide 0.75 mg subcutaneous once weekly
A2
Metformin
A3
Whole trial
ALL
age: under 65n664
age: under 65percent82.3
agemean (years)55.5155.9055.26
agesd (years)10.3810.6810.10
asiann212020
blackn172214
bmimean (kg/m2)33.6633.0833.05
bmisd (kg/m2)5.655.845.06
diabetes durationmean (years)2.652.602.63
diabetes durationsd (years)1.502.171.77
egfr: less than 60n30
egfr: less than 60percent3.7
femalen155152147
hba1cmean (percent)7.637.587.60
hba1csd (percent)0.920.870.82
hispanicn908795
other egfr lt60n30
other egfr lt60percent3.7
other fbgmean (mmol/L)9.0
other macroalbuminurian20
other macroalbuminuriapercent2.5
other multiple racesn124
other race american indian alaska nativen292828
other race native hawaiian pacific islandern001
weightmean (kg)92.6791.7992.40
weightsd (kg)18.7918.6719.23
whiten201198201

Analyses this trial contributes to

Results

140 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (33 lines; O01)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A3md-0.22 percent-0.36 to -0.08hypothetical; modified itt; registry:outcomes
26A1change-0.78 percent0.06265hypothetical; modified itt; registry:outcomes
26A1change-0.78 percent269not stated; modified itt; R0022281:Table 3
26A2change-0.71 percent270not stated; modified itt; R0022281:Table 3
26A2change-0.71 percent0.06265hypothetical; modified itt; registry:outcomes
26A2 vs A3md-0.15 percent-0.29 to -0.01hypothetical; modified itt; registry:outcomes
26A3change-0.56 percent268not stated; modified itt; R0022281:Table 3
26A3change-0.56 percent0.06265hypothetical; modified itt; registry:outcomes
26.07A1change-0.74 percent-0.90 to -0.57112not stated; modified itt; sex:male; R0014882:Supplement Table S3
26.07A1change-0.81 percent-0.96 to -0.66153not stated; modified itt; sex:female; R0014882:Supplement Table S3
26.07A1change-0.66 percent-1.14 to -0.1813not stated; modified itt; diabetes_duration:>=5_<10; R0014882:Supplement Table S3
26.07A1change-1.22 percent-1.47 to -0.9648not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table S3
26.07A1change-0.67 percent-0.80 to -0.54217not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table S3
26.07A1change-0.71 percent-0.84 to -0.58252not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table S3
26.07A2change-0.67 percent-0.83 to -0.51117not stated; modified itt; sex:male; R0014882:Supplement Table S3
26.07A2change-0.64 percent-0.77 to -0.51254not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table S3
26.07A2change-0.51 percent-1.49 to 0.473not stated; modified itt; diabetes_duration:>=10; R0014882:Supplement Table S3
26.07A2change-0.62 percent-1.21 to -0.028not stated; modified itt; diabetes_duration:>=5_<10; R0014882:Supplement Table S3
26.07A2change-0.53 percent-0.67 to -0.40220not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table S3
26.07A2change-1.37 percent-1.63 to -1.1045not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table S3
26.07A2change-0.74 percent-0.89 to -0.59148not stated; modified itt; sex:female; R0014882:Supplement Table S3
26.07A3change-0.48 percent-0.61 to -0.35not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table S3
26.07A3change-0.56 percent-0.72 to -0.40not stated; modified itt; sex:male; R0014882:Supplement Table S3
26.07A3change-0.42 percent-0.55 to -0.29not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table S3
26.07A3change-0.56 percent-0.71 to -0.41not stated; modified itt; sex:female; R0014882:Supplement Table S3
26.07A3change-0.52 percent-0.91 to -0.13not stated; modified itt; diabetes_duration:>=5_<10; R0014882:Supplement Table S3
26.07A3change-0.64 percent-2.37 to 1.09not stated; modified itt; diabetes_duration:>=10; R0014882:Supplement Table S3
26.07A3change-1.04 percent-1.29 to -0.79not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table S3
52A1change-0.70 percent0.07265hypothetical; modified itt; registry:outcomes
52A1 vs A3md-0.19 percent-0.35 to -0.02hypothetical; modified itt; registry:outcomes
52A2change-0.55 percent0.07265hypothetical; modified itt; registry:outcomes
52A2 vs A3md-0.04 percent-0.20 to 0.12hypothetical; modified itt; registry:outcomes
52A3change-0.51 percent0.07265hypothetical; modified itt; registry:outcomes
Body weight change in kilograms (diabetes) (29 lines; O02)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change-2.29 kg0.24267hypothetical; modified itt; registry:outcomes
26A1change-2.29 kg269not stated; modified itt; R0022281:Table 3
26A2change-1.36 kg0.24269hypothetical; modified itt; registry:outcomes
26A2change-1.36 kg270not stated; modified itt; R0022281:Table 3
26A3change-2.22 kg268not stated; modified itt; R0022281:Table 3
26A3change-2.22 kg0.24267hypothetical; modified itt; registry:outcomes
26.07A1change-1.97 kg-2.95 to -0.99not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26.07A1change-1.84 kg-2.41 to -1.28not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26.07A1change-2.71 kg-3.31 to -2.11not stated; modified itt; sex:female; R0014882:Table 2
26.07A1change-1.77 kg-2.44 to -1.11not stated; modified itt; sex:male; R0014882:Table 2
26.07A1change-2.15 kg-4.00 to -0.29not stated; modified itt; diabetes_duration:>=5_<10; R0014882:Table 2
26.07A1change-2.36 kg-2.87 to -1.84not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26.07A2change-1.37 kg-1.88 to -0.86not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26.07A2change-0.88 kg-1.43 to -0.32not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26.07A2change-1.77 kg-5.65 to 2.10not stated; modified itt; diabetes_duration:>=10; R0014882:Table 2
26.07A2change-2.05 kg-4.28 to 0.19not stated; modified itt; diabetes_duration:>=5_<10; R0014882:Table 2
26.07A2change-1.29 kg-2.27 to -0.30not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26.07A2change-1.75 kg-2.35 to -1.16not stated; modified itt; sex:female; R0014882:Table 2
26.07A2change-0.91 kg-1.56 to -0.26not stated; modified itt; sex:male; R0014882:Table 2
26.07A3change-3.98 kg-10.8 to 2.87not stated; modified itt; diabetes_duration:>=10; R0014882:Table 2
26.07A3change-2.38 kg-2.89 to -1.86not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26.07A3change-2.53 kg-3.12 to -1.93not stated; modified itt; sex:female; R0014882:Table 2
26.07A3change-1.90 kg-2.56 to -1.24not stated; modified itt; sex:male; R0014882:Table 2
26.07A3change-1.82 kg-2.37 to -1.27not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26.07A3change-1.56 kg-2.52 to -0.60not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26.07A3change-1.47 kg-3.04 to 0.09not stated; modified itt; diabetes_duration:>=5_<10; R0014882:Table 2
52A1change-1.93 kg0.29267hypothetical; modified itt; registry:outcomes
52A2change-1.09 kg0.29269hypothetical; modified itt; registry:outcomes
52A3change-2.20 kg0.29267hypothetical; modified itt; registry:outcomes
HbA1c below 7 percent (9 lines; O03)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1responders61.5265hypothetical; modified itt; registry:outcomes
26A1responders61.5269not stated; modified itt; R0022281:Table 3
26A2responders62.6270not stated; modified itt; R0022281:Table 3
26A2responders62.6265hypothetical; modified itt; registry:outcomes
26A3responders53.6268not stated; modified itt; R0022281:Table 3
26A3responders53.6265hypothetical; modified itt; registry:outcomes
52A1responders60.0265hypothetical; modified itt; registry:outcomes
52A2responders53.2265hypothetical; modified itt; registry:outcomes
52A3responders48.3265hypothetical; modified itt; registry:outcomes
Level 2 or 3 hypoglycemia (participants) (6 lines; O04)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 214hypothetical; safety; registry:outcomes
A1events0269not stated; modified itt; R0022281:Table 3
A2events0 / 217hypothetical; safety; registry:outcomes
A2events0.4270not stated; modified itt; R0022281:Table 3
A3events0 / 199hypothetical; safety; registry:outcomes
A3events1.1268not stated; modified itt; R0022281:Table 3
Systolic blood pressure change (6 lines; O05)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change-1.89 mmHg0.89244not stated; modified itt; registry:outcomes
26A2change-2.61 mmHg0.88251not stated; modified itt; registry:outcomes
26A3change-0.91 mmHg0.89239not stated; modified itt; registry:outcomes
52A1change-0.11 mmHg0.88221not stated; modified itt; registry:outcomes
52A2change-2.74 mmHg0.88219not stated; modified itt; registry:outcomes
52A3change-0.98 mmHg0.88215not stated; modified itt; registry:outcomes
Physical functioning (any instrument) (6 lines; O24B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change0.09 points0.33247hypothetical; modified itt; registry:outcomes
26A2change0.19 points0.32251hypothetical; modified itt; registry:outcomes
26A3change0.02 points0.32247hypothetical; modified itt; registry:outcomes
52A1change0.39 points0.33247hypothetical; modified itt; registry:outcomes
52A2change-0.05 points0.33252hypothetical; modified itt; registry:outcomes
52A3change0.28 points0.33248hypothetical; modified itt; registry:outcomes
Health related quality of life total score (any instrument) (6 lines; O24C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change1.93 points0.39244hypothetical; modified itt; registry:outcomes
26A2change1.81 points0.38249hypothetical; modified itt; registry:outcomes
26A3change2.04 points0.39241hypothetical; modified itt; registry:outcomes
52A1change1.82 points0.44245hypothetical; modified itt; registry:outcomes
52A2change1.29 points0.43251hypothetical; modified itt; registry:outcomes
52A3change1.94 points0.44244hypothetical; modified itt; registry:outcomes
Serious adverse events (3 lines; O25)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events15 / 269not stated; safety; registry:adverse_events
A2events20 / 270not stated; safety; registry:adverse_events
A3events16 / 268not stated; safety; registry:adverse_events
Discontinuation due to adverse events (3 lines; O26)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events14 / 269not stated; randomized; registry:flow
A2events8 / 270not stated; randomized; registry:flow
A3events12 / 268not stated; randomized; registry:flow
Nausea (3 lines; O27A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events53 / 269not stated; safety; registry:adverse_events
A2events31 / 270not stated; safety; registry:adverse_events
A3events43 / 268not stated; safety; registry:adverse_events
Vomiting (3 lines; O27B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events26 / 269not stated; safety; registry:adverse_events
A2events20 / 270not stated; safety; registry:adverse_events
A3events14 / 268not stated; safety; registry:adverse_events
Diarrhea (3 lines; O27C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events31 / 269not stated; safety; registry:adverse_events
A2events26 / 270not stated; safety; registry:adverse_events
A3events39 / 268not stated; safety; registry:adverse_events
Constipation (6 lines; O27D)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 269not stated; safety; registry:adverse_events
A1events18 / 269not stated; safety; registry:adverse_events
A2events12 / 270not stated; safety; registry:adverse_events
A2events1 / 270not stated; safety; registry:adverse_events
A3events3 / 268not stated; safety; registry:adverse_events
A3events0 / 268not stated; safety; registry:adverse_events
Gallbladder and biliary disease (15 lines; O28)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 269not stated; safety; cholecystitis chronic; registry:adverse_events
A1events0 / 269not stated; safety; gallbladder disorder; registry:adverse_events
A1events1 / 269not stated; safety; cholelithiasis; registry:adverse_events
A1events0 / 269not stated; safety; cholecystitis acute; registry:adverse_events
A1events0 / 269not stated; safety; cholecystitis infective; registry:adverse_events
A2events0 / 270not stated; safety; cholecystitis chronic; registry:adverse_events
A2events0 / 270not stated; safety; gallbladder disorder; registry:adverse_events
A2events1 / 270not stated; safety; cholecystitis acute; registry:adverse_events
A2events1 / 270not stated; safety; cholecystitis infective; registry:adverse_events
A2events0 / 270not stated; safety; cholelithiasis; registry:adverse_events
A3events1 / 268not stated; safety; cholecystitis chronic; registry:adverse_events
A3events0 / 268not stated; safety; cholecystitis infective; registry:adverse_events
A3events1 / 268not stated; safety; gallbladder disorder; registry:adverse_events
A3events0 / 268not stated; safety; cholelithiasis; registry:adverse_events
A3events0 / 268not stated; safety; cholecystitis acute; registry:adverse_events
Acute pancreatitis (3 lines; O29)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 269not stated; safety; registry:outcomes
A2events0 / 270not stated; safety; registry:outcomes
A3events0 / 268not stated; safety; registry:outcomes
Suicidal ideation or behavior (3 lines; O35A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 269not stated; safety; suicidal ideation; registry:adverse_events
A2events0 / 270not stated; safety; suicidal ideation; registry:adverse_events
A3events1 / 268not stated; safety; suicidal ideation; registry:adverse_events
Intestinal obstruction or ileus (3 lines; O37B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 269not stated; safety; ileus; registry:adverse_events
A2events0 / 270not stated; safety; ileus; registry:adverse_events
A3events1 / 268not stated; safety; ileus; registry:adverse_events