LivingGLP1
parallel randomized trial

AWARD-1

A Randomized, Placebo-Controlled Comparison of the Effects of Two Doses of LY2189265 or Exenatide on Glycemic Control in Patients With Type 2 Diabetes on Stable Doses of Metformin and Pioglitazone (AWARD-1: Assessment of Weekly Administration of LY2189265 in Diabetes-1)

Design

Randomized
978
Start year
2010
Treatment
52 weeks, follow-up 56 weeks
Countries
United States, Mexico, Argentina
Sponsor
Eli Lilly and Company (industry)
Eligibility
adults with type 2 diabetes on metformin and pioglitazone

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
metformin at least 1500 mg/day and pioglitazone at least 30 mg/day; lifestyle: not reported279271
A2Dulaglutide 0.75 mg subcutaneous once weekly
Dulaglutide 0.75 mg
metformin at least 1500 mg/day and pioglitazone at least 30 mg/day; lifestyle: not reported280269
A3Exenatide 10 ug subcutaneous twice daily
Exenatide 10 ug BID
metformin at least 1500 mg/day and pioglitazone at least 30 mg/day; lifestyle: not reported278266
A4Placebo
Placebo
metformin at least 1500 mg/day and pioglitazone at least 30 mg/day; lifestyle: not reported141119

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
Exenatide 10 ug subcutaneous twice daily
A3
Placebo
A4
Whole trial
ALL
agemean (years)56.2555.7955.4554.56
agesd (years)9.729.4510.1510.01
asiann6846
blackn24241810
bmimean (kg/m2)33.0933.0033.5432.90
bmisd (kg/m2)5.335.505.365.66
diabetes durationmean (years)8.768.788.848.60
diabetes durationsd (years)5.595.475.715.78
egfr: <60n27
egfr: <60percent2.8
femalen11611212058
hba1cmean (percent)8.108.058.078.06
hba1csd (percent)1.341.241.341.31
hispanicn931029145
other race american indiann40373820
other race multiplen3332
other race pacific islandern1110
other race unknownn0010
uacr: >300n23
uacr: >300percent2.4
weightmean (kg)96.2295.5397.3794.12
weightsd (kg)19.6320.5618.8719.28
whiten205207211103

Analyses this trial contributes to

Results

224 adjudicated result lines, grouped by outcome. Open an outcome to see its values.
HbA1c change (41 lines; O01)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change-2.37 percent-2.56 to -2.17not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table 3
26A1change-1.56 percent-1.74 to -1.38not stated; modified itt; diabetes_duration:5_10; R0014882:Supplement Table 3
26A1change-1.39 percent-1.54 to -1.25not stated; modified itt; sex:male; R0014882:Supplement Table 3
26A1change-1.16 percent-1.31 to -1.02not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table 3
26A1 vs A4md-1.05 percent-1.22 to -0.88hypothetical; modified itt; registry:outcomes
26A1 vs A3md-0.52 percent-0.66 to -0.39hypothetical; modified itt; registry:outcomes
26A1change-1.65 percent-1.81 to -1.49not stated; modified itt; sex:female; R0014882:Supplement Table 3
26A1change-1.51 percent0.06271hypothetical; modified itt; registry:outcomes
26A1change-1.44 percent-1.64 to -1.24not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table 3
26A1change-1.50 percent-1.67 to -1.34not stated; modified itt; diabetes_duration:>=10; R0014882:Supplement Table 3
26A2change-2.12 percent-2.32 to -1.92not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table 3
26A2change-1.30 percent0.06269hypothetical; modified itt; registry:outcomes
26A2change-1.21 percent-1.38 to -1.04not stated; modified itt; diabetes_duration:5_10; R0014882:Supplement Table 3
26A2change-1.23 percent-1.37 to -1.08not stated; modified itt; sex:male; R0014882:Supplement Table 3
26A2change-0.94 percent-1.08 to -0.80not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table 3
26A2change-1.38 percent-1.55 to -1.22not stated; modified itt; diabetes_duration:>=10; R0014882:Supplement Table 3
26A2change-1.28 percent-1.49 to -1.07not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table 3
26A2change-1.39 percent-1.55 to -1.22not stated; modified itt; sex:female; R0014882:Supplement Table 3
26A2 vs A4md-0.84 percent-1.01 to -0.67hypothetical; modified itt; registry:outcomes
26A2 vs A3md-0.31 percent-0.44 to -0.18hypothetical; modified itt; registry:outcomes
26A3change-0.99 percent-1.14 to -0.83not stated; modified itt; sex:female; R0014882:Supplement Table 3
26A3change-0.99 percent0.06266hypothetical; modified itt; registry:outcomes
26A3change-0.97 percent-1.12 to -0.83not stated; modified itt; sex:male; R0014882:Supplement Table 3
26A3change-0.93 percent-1.13 to -0.73not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table 3
26A3change-1.02 percent-1.19 to -0.85not stated; modified itt; diabetes_duration:>=10; R0014882:Supplement Table 3
26A3change-1.00 percent-1.17 to -0.82not stated; modified itt; diabetes_duration:5_10; R0014882:Supplement Table 3
26A3change-0.64 percent-0.78 to -0.50not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table 3
26A3change-1.86 percent-2.07 to -1.66not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table 3
26A4change-0.17 percent-0.36 to 0.02not stated; modified itt; hba1c:<8.5; R0014882:Supplement Table 3
26A4change-0.53 percent-0.77 to -0.28not stated; modified itt; diabetes_duration:>=10; R0014882:Supplement Table 3
26A4change-0.49 percent-0.76 to -0.22not stated; modified itt; diabetes_duration:<5; R0014882:Supplement Table 3
26A4change-0.44 percent-0.68 to -0.21not stated; modified itt; sex:female; R0014882:Supplement Table 3
26A4change-0.76 percent-1.07 to -0.44not stated; modified itt; hba1c:>=8.5; R0014882:Supplement Table 3
26A4change-0.46 percent-0.65 to -0.26not stated; modified itt; sex:male; R0014882:Supplement Table 3
26A4change-0.38 percent-0.64 to -0.12not stated; modified itt; diabetes_duration:5_10; R0014882:Supplement Table 3
26A4change-0.46 percent0.08119hypothetical; modified itt; registry:outcomes
52A1 vs A3md-0.56 percent-0.73 to -0.39hypothetical; modified itt; registry:outcomes
52A1change-1.36 percent0.08271hypothetical; modified itt; registry:outcomes
52A2 vs A3md-0.27 percent-0.44 to -0.11hypothetical; modified itt; registry:outcomes
52A2change-1.07 percent0.08269hypothetical; modified itt; registry:outcomes
52A3change-0.80 percent0.08266hypothetical; modified itt; registry:outcomes
Body weight change in kilograms (diabetes) (46 lines; O02)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A4md-2.72 kg-3.58 to -1.85hypothetical; modified itt; registry:outcomes
26A1change-0.92 kg-1.62 to -0.22not stated; modified itt; sex:male; R0014882:Table 2
26A1change-0.78 kg-1.75 to 0.19not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26A1change-1.34 kg0.25259hypothetical; modified itt; registry:outcomes
26A1change-1.41 kg-2.05 to -0.77not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26A1change-1.08 kg-1.96 to -0.19not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26A1change-1.30 kg279not stated; modified itt; R0022281:Table 3
26A1change-1.69 kg-2.57 to -0.82not stated; modified itt; diabetes_duration:5_10; R0014882:Table 2
26A1 vs A3md-0.20 kg-0.88 to 0.49hypothetical; modified itt; registry:outcomes
26A1change-1.87 kg-2.66 to -1.08not stated; modified itt; sex:female; R0014882:Table 2
26A1change-1.37 kg-2.16 to -0.57not stated; modified itt; diabetes_duration:>=10; R0014882:Table 2
26A2change0.07 kg-0.57 to 0.71not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26A2change0.18 kg0.25253hypothetical; modified itt; registry:outcomes
26A2 vs A3md1.33 kg0.64 to 2.01hypothetical; modified itt; registry:outcomes
26A2 vs A4md-1.19 kg-2.06 to -0.33hypothetical; modified itt; registry:outcomes
26A2change0.20 kg280not stated; modified itt; R0022281:Table 3
26A2change0.15 kg-0.53 to 0.84not stated; modified itt; sex:male; R0014882:Table 2
26A2change0.25 kg-0.57 to 1.06not stated; modified itt; sex:female; R0014882:Table 2
26A2change-0.50 kg-1.52 to 0.52not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26A2change0.20 kg-0.60 to 0.99not stated; modified itt; diabetes_duration:>=10; R0014882:Table 2
26A2change0.50 kg-0.38 to 1.37not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26A2change0.53 kg-0.31 to 1.38not stated; modified itt; diabetes_duration:5_10; R0014882:Table 2
26A3change-1.23 kg-1.94 to -0.52not stated; modified itt; sex:male; R0014882:Table 2
26A3change-1.01 kg-1.64 to -0.38not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26A3change-1.57 kg-2.37 to -0.77not stated; modified itt; diabetes_duration:>=10; R0014882:Table 2
26A3 vs A4md-2.52 kg-3.39 to -1.65hypothetical; modified itt; registry:outcomes
26A3change-1.07 kg276not stated; modified itt; R0022281:Table 3
26A3change-1.14 kg0.26245hypothetical; modified itt; registry:outcomes
26A3change-0.89 kg-1.67 to -0.11not stated; modified itt; sex:female; R0014882:Table 2
26A3change-0.62 kg-1.46 to 0.23not stated; modified itt; diabetes_duration:5_10; R0014882:Table 2
26A3change-1.08 kg-2.09 to -0.08not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26A3change-1.19 kg-2.10 to -0.29not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26A4change1.35 kg0.16 to 2.55not stated; modified itt; diabetes_duration:5_10; R0014882:Table 2
26A4change1.37 kg0.37109hypothetical; modified itt; registry:outcomes
26A4change1.24 kg141not stated; modified itt; R0022281:Table 3
26A4change0.85 kg-0.39 to 2.09not stated; modified itt; diabetes_duration:<5; R0014882:Table 2
26A4change1.21 kg0.12 to 2.29not stated; modified itt; diabetes_duration:>=10; R0014882:Table 2
26A4change1.84 kg0.98 to 2.70not stated; modified itt; hba1c:<8.5; R0014882:Table 2
26A4change0.12 kg-1.01 to 1.25not stated; modified itt; hba1c:>=8.5; R0014882:Table 2
26A4change1.64 kg0.57 to 2.71not stated; modified itt; sex:female; R0014882:Table 2
26A4change0.95 kg0.05 to 1.85not stated; modified itt; sex:male; R0014882:Table 2
52A1 vs A3md-0.32 kg-1.25 to 0.62hypothetical; modified itt; registry:outcomes
52A1change-1.08 kg0.34238hypothetical; modified itt; registry:outcomes
52A2change0.49 kg0.34231hypothetical; modified itt; registry:outcomes
52A2 vs A3md1.25 kg0.32 to 2.19hypothetical; modified itt; registry:outcomes
52A3change-0.76 kg0.35210hypothetical; modified itt; registry:outcomes
HbA1c below 7 percent (14 lines; O03)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1 vs A4or13.17.4 to 23.4hypothetical; modified itt; registry:outcomes
26A1responders78.2271hypothetical; modified itt; registry:outcomes
26A1 vs A3or6.23.9 to 10.1hypothetical; modified itt; registry:outcomes
26A2responders65.8269hypothetical; modified itt; registry:outcomes
26A2 vs A3or2.31.5 to 3.5hypothetical; modified itt; registry:outcomes
26A2 vs A4or4.82.8 to 8.0hypothetical; modified itt; registry:outcomes
26A3responders52.3266hypothetical; modified itt; registry:outcomes
26A3 vs A4or2.11.3 to 3.5hypothetical; modified itt; registry:outcomes
26A4responders42.9119hypothetical; modified itt; registry:outcomes
52A1 vs A3or3.72.4 to 5.6hypothetical; modified itt; registry:outcomes
52A1responders70.8271hypothetical; modified itt; registry:outcomes
52A2 vs A3or1.71.1 to 2.5hypothetical; modified itt; registry:outcomes
52A2responders59.1269hypothetical; modified itt; registry:outcomes
52A3responders49.2266hypothetical; modified itt; registry:outcomes
Level 2 or 3 hypoglycemia (participants) (10 lines; O04)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 279not stated; safety; registry:outcomes
A1events0279not stated; modified itt; R0022281:Table 3
A1events0 / 279not stated; safety; registry:outcomes
A2events0 / 280not stated; safety; registry:outcomes
A2events0 / 280not stated; safety; registry:outcomes
A2events2.5280not stated; modified itt; R0022281:Table 3
A3events5.4276not stated; modified itt; R0022281:Table 3
A3events1 / 276not stated; safety; registry:outcomes
A4events0 / 141not stated; safety; registry:outcomes
A4events0141not stated; modified itt; R0022281:Table 3
Systolic blood pressure change (7 lines; O05)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change0.11 mmHg0.83263not stated; modified itt; registry:outcomes
26A2change-0.36 mmHg0.82266not stated; modified itt; registry:outcomes
26A3change0.06 mmHg0.83259not stated; modified itt; registry:outcomes
26A4change3.40 mmHg1.13127not stated; modified itt; registry:outcomes
52A1change0.83 mmHg0.87248not stated; modified itt; registry:outcomes
52A2change1.62 mmHg0.85256not stated; modified itt; registry:outcomes
52A3change0.02 mmHg0.88238not stated; modified itt; registry:outcomes
All cause mortality (4 lines; O20)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 279not stated; randomized; registry:flow
A2events1 / 280not stated; randomized; registry:flow
A3events0 / 278not stated; randomized; registry:flow
A4events0 / 141not stated; randomized; registry:flow
Physical functioning (any instrument) (7 lines; O24B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change0.18 points0.27270hypothetical; modified itt; registry:outcomes
26A2change0.12 points0.27267hypothetical; modified itt; registry:outcomes
26A3change0.47 points0.27266hypothetical; modified itt; registry:outcomes
26A4change0.03 points0.36119hypothetical; modified itt; registry:outcomes
52A1change0.18 points0.29270hypothetical; modified itt; registry:outcomes
52A2change-0.18 points0.29267hypothetical; modified itt; registry:outcomes
52A3change0.35 points0.29266hypothetical; modified itt; registry:outcomes
Health related quality of life total score (any instrument) (7 lines; O24C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
26A1change0.01 points0.01270hypothetical; modified itt; registry:outcomes
26A2change0.01 points0.01266hypothetical; modified itt; registry:outcomes
26A3change0.00 points0.01264hypothetical; modified itt; registry:outcomes
26A4change-0.00 points0.02119hypothetical; modified itt; registry:outcomes
52A1change0.02 points0.01270hypothetical; modified itt; registry:outcomes
52A2change0.01 points0.01266hypothetical; modified itt; registry:outcomes
52A3change-0.00 points0.01264hypothetical; modified itt; registry:outcomes
Serious adverse events (7 lines; O25)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events18 / 279not stated; safety; registry:adverse_events
A1events12 / 279not stated; safety; registry:adverse_events
A2events15 / 280not stated; safety; registry:adverse_events
A2events22 / 280not stated; safety; registry:adverse_events
A3events15 / 278not stated; safety; registry:adverse_events
A3events27 / 278not stated; safety; registry:adverse_events
A4events12 / 141not stated; safety; registry:adverse_events
Discontinuation due to adverse events (4 lines; O26)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events9 / 279not stated; randomized; registry:flow
A2events4 / 280not stated; randomized; registry:flow
A3events10 / 278not stated; randomized; registry:flow
A4events3 / 141not stated; randomized; registry:flow
Nausea (7 lines; O27A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events78 / 279not stated; safety; registry:adverse_events
A1events82 / 279not stated; safety; registry:adverse_events
A2events45 / 280not stated; safety; registry:adverse_events
A2events47 / 280not stated; safety; registry:adverse_events
A3events77 / 278not stated; safety; registry:adverse_events
A3events71 / 278not stated; safety; registry:adverse_events
A4events8 / 141not stated; safety; registry:adverse_events
Vomiting (7 lines; O27B)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events48 / 279not stated; safety; registry:adverse_events
A1events47 / 279not stated; safety; registry:adverse_events
A2events17 / 280not stated; safety; registry:adverse_events
A2events17 / 280not stated; safety; registry:adverse_events
A3events34 / 278not stated; safety; registry:adverse_events
A3events30 / 278not stated; safety; registry:adverse_events
A4events2 / 141not stated; safety; registry:adverse_events
Diarrhea (7 lines; O27C)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events37 / 279not stated; safety; registry:adverse_events
A1events31 / 279not stated; safety; registry:adverse_events
A2events26 / 280not stated; safety; registry:adverse_events
A2events22 / 280not stated; safety; registry:adverse_events
A3events22 / 278not stated; safety; registry:adverse_events
A3events16 / 278not stated; safety; registry:adverse_events
A4events8 / 141not stated; safety; registry:adverse_events
Constipation (7 lines; O27D)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events12 / 279not stated; safety; registry:adverse_events
A1events16 / 279not stated; safety; registry:adverse_events
A2events5 / 280not stated; safety; registry:adverse_events
A2events5 / 280not stated; safety; registry:adverse_events
A3events5 / 278not stated; safety; registry:adverse_events
A3events5 / 278not stated; safety; registry:adverse_events
A4events2 / 141not stated; safety; registry:adverse_events
Gallbladder and biliary disease (21 lines; O28)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 279not stated; safety; biliary colic; registry:adverse_events
A1events0 / 279not stated; safety; biliary colic; registry:adverse_events
A1events0 / 279not stated; safety; cholecystitis acute; registry:adverse_events
A1events0 / 279not stated; safety; cholecystitis acute; registry:adverse_events
A1events2 / 279not stated; safety; cholelithiasis; registry:adverse_events
A1events1 / 279not stated; safety; cholelithiasis; registry:adverse_events
A2events0 / 280not stated; safety; cholecystitis acute; registry:adverse_events
A2events0 / 280not stated; safety; biliary colic; registry:adverse_events
A2events0 / 280not stated; safety; biliary colic; registry:adverse_events
A2events0 / 280not stated; safety; cholecystitis acute; registry:adverse_events
A2events0 / 280not stated; safety; cholelithiasis; registry:adverse_events
A2events0 / 280not stated; safety; cholelithiasis; registry:adverse_events
A3events1 / 278not stated; safety; biliary colic; registry:adverse_events
A3events1 / 278not stated; safety; cholecystitis acute; registry:adverse_events
A3events0 / 278not stated; safety; cholelithiasis; registry:adverse_events
A3events0 / 278not stated; safety; cholecystitis acute; registry:adverse_events
A3events0 / 278not stated; safety; biliary colic; registry:adverse_events
A3events0 / 278not stated; safety; cholelithiasis; registry:adverse_events
A4events0 / 141not stated; safety; biliary colic; registry:adverse_events
A4events0 / 141not stated; safety; cholelithiasis; registry:adverse_events
A4events0 / 141not stated; safety; cholecystitis acute; registry:adverse_events
Acute pancreatitis (14 lines; O29)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 279not stated; safety; pancreatitis acute; registry:adverse_events
A1events0 / 279not stated; safety; registry:outcomes
A1events1 / 279not stated; safety; registry:outcomes
A1events0 / 279not stated; safety; pancreatitis acute; registry:adverse_events
A2events0 / 280not stated; safety; pancreatitis acute; registry:adverse_events
A2events0 / 280not stated; safety; registry:outcomes
A2events0 / 280not stated; safety; pancreatitis acute; registry:adverse_events
A2events0 / 280not stated; safety; registry:outcomes
A3events0 / 276not stated; safety; registry:outcomes
A3events1 / 278not stated; safety; pancreatitis acute; registry:adverse_events
A3events0 / 276not stated; safety; registry:outcomes
A3events1 / 278not stated; safety; pancreatitis acute; registry:adverse_events
A4events0 / 141not stated; safety; pancreatitis acute; registry:adverse_events
A4events0 / 141not stated; safety; registry:outcomes
Suicidal ideation or behavior (7 lines; O35A)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events0 / 279not stated; safety; suicidal ideation; registry:adverse_events
A1events0 / 279not stated; safety; suicidal ideation; registry:adverse_events
A2events1 / 280not stated; safety; suicidal ideation; registry:adverse_events
A2events1 / 280not stated; safety; suicidal ideation; registry:adverse_events
A3events0 / 278not stated; safety; suicidal ideation; registry:adverse_events
A3events0 / 278not stated; safety; suicidal ideation; registry:adverse_events
A4events0 / 141not stated; safety; suicidal ideation; registry:adverse_events
Pancreatic cancer (7 lines; O38)
WeekArmStatisticEstimateSE or SD95% CIEvents / NDetail
A1events1 / 279not stated; safety; pancreatic carcinoma; registry:adverse_events
A1events1 / 279not stated; safety; pancreatic carcinoma; registry:adverse_events
A2events0 / 280not stated; safety; pancreatic carcinoma; registry:adverse_events
A2events0 / 280not stated; safety; pancreatic carcinoma; registry:adverse_events
A3events0 / 278not stated; safety; pancreatic carcinoma; registry:adverse_events
A3events0 / 278not stated; safety; pancreatic carcinoma; registry:adverse_events
A4events0 / 141not stated; safety; pancreatic carcinoma; registry:adverse_events