parallel randomized trial
GETGOAL-L
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 in Patients With Type 2 Diabetes Insufficiently Controlled With Basal Insulin
Design
Conduct and analysis
Arms
| Arm | Treatment | Background | Randomized | Analyzed | Completed treatment |
|---|---|---|---|---|---|
| A1 | Placebo Placebo | basal insulin with or without metformin; lifestyle: not reported | 167 | 158 | |
| A2 | Lixisenatide 20 ug subcutaneous once daily Lixisenatide | basal insulin with or without metformin; lifestyle: not reported | 329 | 304 |
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) | 56.9 | 57.4 |
| age | sd (years) | 9.8 | 9.5 |
| asian | n | 30 | 53 |
| black | n | 6 | 14 |
| bmi | mean (kg/m2) | 32.56 | 31.91 |
| bmi | sd (kg/m2) | 6.32 | 6.17 |
| diabetes duration | mean (years) | 12.43 | 12.48 |
| diabetes duration | sd (years) | 6.33 | 7.04 |
| female | n | 85 | 182 |
| hba1c | mean (percent) | 8.37 | 8.42 |
| hba1c | sd (percent) | 0.84 | 0.88 |
| hispanic | n | 40 | 94 |
| insulin dose | mean (U/day) | 57.73 | 53.43 |
| insulin dose | sd (U/day) | 34.54 | 33.89 |
| metformin use | n | 131 | 261 |
| other race other | n | 1 | 7 |
| weight | mean (kg) | 88.94 | 87.10 |
| weight | sd (kg) | 20.84 | 20.01 |
| white | n | 130 | 254 |
Analyses this trial contributes to
- HbA1c changeType 2 diabetes (adults); weeks 20 to 36 (target week 26); pairwise meta-analysis
- HbA1c changeType 2 diabetes (adults); weeks 20 to 36 (target week 26); pairwise meta-analysis
- Body weight change in kilograms (diabetes)Type 2 diabetes (adults); weeks 20 to 36 (target week 26); pairwise meta-analysis
- Body weight change in kilograms (diabetes)Type 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); descriptive only
- HbA1c below 7 percentType 2 diabetes (adults); weeks 20 to 36 (target week 26); descriptive only
- 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); descriptive only
- Weight loss of 5 percent or moreType 2 diabetes (adults); weeks 20 to 40 (target week 26); descriptive only
- 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
27 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 | -0.38 percent | 0.107 | 158 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -0.74 percent | 0.090 | 304 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 vs A1 | md | -0.36 percent | -0.550 to -0.174 | 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 | -0.52 kg | 0.293 | 161 | while on treatment; modified itt; registry:outcomes | |
| 24 | A2 | change | -1.80 kg | 0.246 | 311 | 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 | 12.0 | 158 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 28.3 | 304 | 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 | 1 / 167 | while on treatment; safety; registry:outcomes | ||||
| A2 | events | 7 / 328 | 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 | 3.1 | 161 | while on treatment; modified itt; registry:outcomes | ||
| 24 | A2 | responders | 13.2 | 311 | 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 | 17 / 167 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 46 / 328 | 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 | 12 / 167 | not stated; randomized; registry:flow | ||||
| A2 | events | 37 / 329 | not stated; randomized; registry:flow |
Nausea (2 lines; O27A)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 16 / 167 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 96 / 328 | 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 | 2 / 167 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 32 / 328 | 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 | 10 / 167 | while on treatment; safety; registry:adverse_events | ||||
| A2 | events | 37 / 328 | while on treatment; safety; registry:adverse_events |
Acute pancreatitis (2 lines; O29)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 167 | while on treatment; safety; pancreatitis; registry:adverse_events | ||||
| A2 | events | 1 / 328 | while on treatment; safety; pancreatitis; registry:adverse_events |
Diabetic retinopathy complications (2 lines; O33)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 167 | while on treatment; safety; retinopathy haemorrhagic; registry:adverse_events | ||||
| A2 | events | 1 / 328 | while on treatment; safety; retinopathy haemorrhagic; registry:adverse_events |
Pancreatic cancer (2 lines; O38)
| Week | Arm | Statistic | Estimate | SE or SD | 95% CI | Events / N | Detail |
|---|---|---|---|---|---|---|---|
| A1 | events | 0 / 167 | while on treatment; safety; pancreatic carcinoma; registry:adverse_events | ||||
| A2 | events | 1 / 328 | while on treatment; safety; pancreatic carcinoma; registry:adverse_events |